Lab & pathology prices at Mercy Hospital Southeast
Cape Girardeau, MO · every code in this section with a posted price and a Medicare benchmark.
732 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $44.20 | $68 | 1.9× |
| Acetylcholine receptor binding antibody (86041) | $319.15 | $491 | 17.3× |
| Acetylcholine receptor blocking antibody (86042) | $39.65 | $61 | 2.2× |
| Acetylcholinesterase Assay (82013) | $42.90 | $66 | 3.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $39.65 | $61 | 3.3× |
| Acth (82024) | $240.50 | $370 | 6.2× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $163.80 | $252 | 5.0× |
| Actin smooth muscle antibody each (86015) | $39 | $60 | 3.2× |
| Acute hepatitis panel (80074) | $386.75 | $595 | 8.1× |
| Acylcarnitines Quant (82017) | $201.50 | $310 | 11.9× |
| Agglutinins Febrile Each Antigen (86000) | $61.75 | $95 | 8.8× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$18.20–$88.40 | $28–$136 | varies |
| Albumin serum (82040) | $67.60 | $104 | 13.7× |
| Aldolase (82085) | $111.15 | $171 | 11.4× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$228.15–$244.40 | $351–$376 | varies |
| Alkaline phosphatase isoenzymes (84080) | $42.25 | $65 | 2.9× |
| Allergen spec ige qual multiallergen screen (86005) | $14.30 | $22 | 1.8× |
| Allergen specific ige (86003) range across 7 matching MRF lines |
$37.70–$91.65 | $58–$141 | varies |
| Allergen specific igg (86001) | $101.40 | $156 | 13.0× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$43.55–$48.75 | $67–$75 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $40.95 | $63 | 2.8× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$165.10–$174.20 | $254–$268 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $39.65 | $61 | 2.3× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$31.20–$191.10 | $48–$294 | varies |
| Alt (sgpt) (84460) | $100.10 | $154 | 18.9× |
| Aluminum (82108) | $33.15 | $51 | 1.3× |
| Amikacin trough (80150) range across 3 matching MRF lines |
$44.85–$50.05 | $69–$77 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$34.45–$136.50 | $53–$210 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$111.15–$118.95 | $171–$183 | varies |
| Aminolevulinic acid (ala) (82135) | $37.70 | $58 | 2.3× |
| Ammonia (82140) | $176.15 | $271 | 12.1× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $166.40 | $256 | 1.7× |
| Amylase urine (82150) range across 4 matching MRF lines |
$37.70–$166.40 | $58–$256 | varies |
| Ana Titer (86039) | $80.60 | $124 | 7.2× |
| Anca screen each antibody (86036) | $44.85 | $69 | 3.7× |
| Anca Titer Each Antibody (86037) | $18.20 | $28 | 1.5× |
| Androstenedione (82157) | $200.85 | $309 | 6.9× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$136.50–$151.45 | $210–$233 | varies |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$64.35–$78 | $99–$120 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $61.10 | $94 | 4.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $52 | $80 | 3.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $189.80 | $292 | 11.3× |
| Antibody Encephalitis California La Crosse (86651) | $28.60 | $44 | 2.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $118.95 | $183 | 9.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $74.10 | $114 | 4.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$40.30–$118.95 | $62–$183 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$11.05–$85.15 | $17–$131 | varies |
| Antibody haemophilus influenza (86684) | $120.90 | $186 | 7.6× |
| Antibody helicobacter pylori (86677) | $44.20 | $68 | 2.6× |
| Antibody Herpes Smplx Type 1 (86695) | $78 | $120 | 5.9× |
| Antibody HIV-2 (86702) | $109.20 | $168 | 8.1× |
| Antibody identification leukocyte antibodies (86021) | $37.70 | $58 | 2.5× |
| Antibody john cunningham virus (86711) range across 2 matching MRF lines |
$738.40–$1,181.70 | $1,136–$1,818 | varies |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$64.35–$117.65 | $99–$181 | varies |
| Antibody Titer (86886) | $125.45 | $193 | 24.2× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$30.55–$116.35 | $47–$179 | varies |
| Antibody; encephalitis, st. louis (86653) | $28.60 | $44 | 2.2× |
| Antigen typing (86905) | $34.45 | $53 | 9.0× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$45.50–$116.35 | $70–$179 | varies |
| Antinomyces antibody (86602) | $34.45 | $53 | 3.4× |
| Antinuclear antibodies (86038) | $235.95 | $363 | 19.5× |
| Antistreptolysin o titer (86060) | $159.90 | $246 | 21.9× |
| Antithrombin iii activity (85300) | $244.40 | $376 | 20.6× |
| Antithrombin iii antigen (85301) | $58.50 | $90 | 5.4× |
| Apolipoprotein a1 (82172) | $55.90 | $86 | 2.7× |
| Aquaporin-4 Antb Cba Each (86052) | $64.35 | $99 | 5.3× |
| Arsenic (82175) range across 2 matching MRF lines |
$34.45–$90.35 | $53–$139 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$156–$263.90 | $240–$406 | varies |
| Assay activated protein c (85307) | $102.70 | $158 | 6.7× |
| Assay Blood Carbon Dioxide (82374) | $78.65 | $121 | 16.1× |
| Assay Nephelometry Not Spec (83883) | $51.35 | $79 | 3.8× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$100.75–$141.70 | $155–$218 | varies |
| Assay of anti-mullerian hormone (82166) | $108.55 | $167 | 2.8× |
| Assay of b-hexosaminidase each assay (83080) | $31.20 | $48 | 1.8× |
| Assay of blood/uric acid (84550) | $111.15 | $171 | 24.6× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$31.20–$118.95 | $48–$183 | varies |
| Assay of estrone (82679) | $244.40 | $376 | 9.8× |
| Assay of g6pd enzyme (82955) | $46.80 | $72 | 4.8× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$83.20–$182 | $128–$280 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$124.80–$257.40 | $192–$396 | varies |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$37.05–$351.65 | $57–$541 | varies |
| Assay of proinsulin (84206) | $129.35 | $199 | 4.8× |
| Assay of pyruvate (84210) | $97.50 | $150 | 6.7× |
| Assay of serotonin (84260) | $313.95 | $483 | 10.1× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$31.20–$80.60 | $48–$124 | varies |
| Assay of sweat sodium (84302) | $80.60 | $124 | 16.6× |
| Assay of Tyrosine (84510) | $34.45 | $53 | 3.2× |
| Assay of urea nitrogen (84520) | $90.35 | $139 | 22.9× |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$31.85–$156.65 | $49–$241 | varies |
| Assay of vasoactive intestinal peptide (84586) | $252.20 | $388 | 7.1× |
| Assay of vitamin b-1 (84425) | $63.70 | $98 | 3.0× |
| Assay Ph Body Fluid Nos (83986) range across 5 matching MRF lines |
$6.50–$68.90 | $10–$106 | varies |
| Assay spec xcp ur&breath ia (82077) | $183.95 | $283 | 10.7× |
| Autol bld/component collj storage salvage (86891) | $750.75 | $1,155 | 0.9× |
| B cells total count (86355) | $217.10 | $334 | 5.8× |
| Babesia microti amp prb (87469) | $44.85 | $69 | 1.3× |
| Bartonella antibody (86611) range across 6 matching MRF lines |
$31.85–$89.70 | $49–$138 | varies |
| Bcr/abl1 gene major bp (81206) range across 3 matching MRF lines |
$68.90–$300.30 | $106–$462 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$94.90–$300.30 | $146–$462 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $68.90 | $106 | 0.3× |
| Beta 2 glycoprotein i antibody each (86146) | $76.05 | $117 | 3.0× |
| Beta hydroxybutyrate (82010) | $113.75 | $175 | 13.9× |
| Beta Lactamase (87185) | $6.50 | $10 | 1.4× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$34.45–$154.70 | $53–$238 | varies |
| Beta-amyloid 1-40 (abeta 40) (82233) | $378.95 | $583 | 2.9× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $378.95 | $583 | 2.9× |
| Bile acids total (82239) | $73.45 | $113 | 4.3× |
| Bilirubin direct (82248) | $86.45 | $133 | 17.2× |
| Bilirubin total (82247) | $105.30 | $162 | 21.0× |
| Bilirubin total transcutaneous (88720) | $9.10 | $14 | 1.8× |
| Biotinidase (82261) range across 2 matching MRF lines |
$15.60–$31.20 | $24–$48 | varies |
| Blastomyces antibody (86612) | $51.35 | $79 | 4.0× |
| Bld Typing Serologic Rh Phnt (86906) | $96.20 | $148 | 12.4× |
| Blood Count Red Blood Cell Automated (85041) | $28.60 | $44 | 9.5× |
| Blood count reticulocyte automated (85045) | $38.35 | $59 | 9.6× |
| Blood gas (82803) | $151.45 | $233 | 5.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $91.65 | $141 | 5.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$7.15–$67.60 | $11–$104 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $45.50 | $70 | 7.2× |
| Blood typing serologic abo (86900) | $76.70 | $118 | 25.7× |
| Body fluid cell count (89050) | $65 | $100 | 13.8× |
| Bone marrow smear interpretation (85097) | $85.80 | $132 | 0.1× |
| Bordetella antibody (86615) | $44.20 | $68 | 3.4× |
| Borrelia miyamotoi amp prb (87478) | $40.95 | $63 | 1.2× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$55.90–$76.70 | $86–$118 | varies |
| Brucella antibody (86622) range across 3 matching MRF lines |
$58.50–$109.20 | $90–$168 | varies |
| C diff amplified probe (87493) | $237.90 | $366 | 6.4× |
| C-Peptide (84681) | $200.85 | $309 | 9.7× |
| C-reactive protein (86140) | $49.40 | $76 | 9.5× |
| Ca 19-9 (86301) | $187.85 | $289 | 9.0× |
| Cadmium (82300) | $36.40 | $56 | 1.5× |
| Caffeine (80155) | $32.50 | $50 | 0.8× |
| Calcitonin (82308) | $252.20 | $388 | 9.4× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$31.20–$83.85 | $48–$129 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$46.15–$105.30 | $71–$162 | varies |
| Calculus Spectroscopy (82365) | $156.65 | $241 | 12.1× |
| Calprotectin Fecal (83993) | $59.15 | $91 | 3.0× |
| Calr gene com variants (81219) | $269.75 | $415 | 2.2× |
| Cancer Antigen 125 (86304) | $189.80 | $292 | 9.1× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$150.80–$240.50 | $232–$370 | varies |
| Candida Dna Dir Probe (87480) | $59.80 | $92 | 3.0× |
| Carbamazepine total (80156) | $275.60 | $424 | 18.9× |
| Carbohydrate Deficient Transferrin (82373) | $91.65 | $141 | 5.1× |
| Carboxyhemoglobin (82375) | $181.35 | $279 | 14.7× |
| Carcinoembryonic antigen (82378) | $204.10 | $314 | 10.8× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$56.55–$105.30 | $87–$162 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$110.50–$232.70 | $170–$358 | varies |
| Carotene (82380) | $35.10 | $54 | 3.8× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$223.60–$248.30 | $344–$382 | varies |
| Ccp antibody (86200) | $60.45 | $93 | 4.7× |
| Cell count csf (89051) | $65 | $100 | 11.6× |
| Ceruloplasmin (82390) | $131.95 | $203 | 12.3× |
| Cftr gene com variants (81220) | $339.30 | $522 | 0.6× |
| Cftr gene dup/delet variants (81222) | $539.50 | $830 | 1.2× |
| Cftr gene full sequence (81223) | $936.65 | $1,441 | 1.9× |
| Chemiluminescent assay (82397) | $166.40 | $256 | 11.8× |
| Chlamydia antibody (86631) range across 3 matching MRF lines |
$90.35–$157.30 | $139–$242 | varies |
| Chlmy trch&neisra gonor mult (87494) | $81.25 | $125 | 1.2× |
| Chloride other source (82438) | $78 | $120 | 15.6× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$8.45–$80.60 | $13–$124 | varies |
| Chloride urine (82436) | $80.60 | $124 | 14.0× |
| Cholesterol total (82465) | $117 | $180 | 26.9× |
| Cholinesterase rbc (82482) | $37.05 | $57 | 3.8× |
| Cholinesterase Serum (82480) | $32.50 | $50 | 4.1× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$99.45–$215.80 | $153–$332 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $360.75 | $555 | 1.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $92.95 | $143 | 2.8× |
| Chromium serum (82495) | $50.70 | $78 | 2.5× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$50.70–$143.65 | $78–$221 | varies |
| Chromosome analys amniotic (88269) | $162.50 | $250 | 0.9× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$173.55–$581.10 | $267–$894 | varies |
| Chromosome Analysis 20-25 (88264) | $177.45 | $273 | 1.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$81.25–$96.20 | $125–$148 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$40.95–$223.60 | $63–$344 | varies |
| Ckmb (82553) | $178.10 | $274 | 15.4× |
| Clostridium Difficile (87324) | $46.15 | $71 | 3.9× |
| Clot Factor VIII Multimetric (85247) | $68.90 | $106 | 3.0× |
| Clot factor xiii fibrin stab (85290) | $103.35 | $159 | 6.3× |
| Clotting factor xii hageman (85280) | $43.55 | $67 | 2.3× |
| Clotting Funct Activity (85397) | $234.65 | $361 | 7.6× |
| Cns DNA amp probe type 12-25 (87483) | $492.05 | $757 | 1.2× |
| Coagulation time activated (85347) | $39 | $60 | 9.1× |
| Coccidioides antibody (86635) | $53.30 | $82 | 4.6× |
| Cold agglutinin titer (86157) | $58.50 | $90 | 7.3× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$42.90–$289.25 | $66–$445 | varies |
| Column Chromotography Quant (82542) range across 10 matching MRF lines |
$27.95–$438.75 | $43–$675 | varies |
| Compatibility Each Unit Incubation (86921) | $66.95 | $103 | 0.4× |
| Compatibility test antiglob (86922) | $178.75 | $275 | 1.0× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$42.90–$240.50 | $66–$370 | varies |
| Complement Total (Ch50) (86162) | $215.15 | $331 | 10.6× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$128.70–$148.20 | $198–$228 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 2 matching MRF lines |
$375.70–$24,890.05 | $578–$38,292.39 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$342.55–$6,752.45 | $527–$10,388.38 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 2 matching MRF lines |
$342.55–$5,235.10 | $527–$8,054 | varies |
| Coombs direct (86880) | $118.30 | $182 | 21.9× |
| Copper urine (82525) range across 3 matching MRF lines |
$31.20–$152.75 | $48–$235 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$33.80–$215.80 | $52–$332 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$80.60–$183.95 | $124–$283 | varies |
| Creatine kinase total (82550) | $100.10 | $154 | 15.4× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$9.10–$100.10 | $14–$154 | varies |
| Creatinine clearance (82575) | $176.15 | $271 | 18.6× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$31.20–$120.25 | $48–$185 | varies |
| Crossmatch electronic (86923) | $306.15 | $471 | 1.8× |
| Crossmatch immediate spin (86920) | $114.40 | $176 | 0.7× |
| Crp High Sensitivity (86141) | $126.10 | $194 | 9.7× |
| Cryoglobulin (82595) | $60.45 | $93 | 9.3× |
| Cryptococcus ag titer (87899) | $43.55 | $67 | 2.7× |
| Cryptosporidium ag eia (87328) | $50.70 | $78 | 3.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $81.25 | $125 | 10.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $84.50 | $130 | 10.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $29.25 | $45 | 3.8× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $488.80 | $752 | 2.2× |
| Culture afb (87116) | $70.20 | $108 | 6.5× |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$20.80–$213.20 | $32–$328 | varies |
| Culture bacteria anaerobic (87073) | $172.90 | $266 | 17.9× |
| Culture blood (87040) | $226.20 | $348 | 21.9× |
| Culture csf (87070) range across 15 matching MRF lines |
$19.50–$180.05 | $30–$277 | varies |
| Culture fungus (87102) | $141.05 | $217 | 16.8× |
| Culture fungus blood (87103) | $136.50 | $210 | 6.7× |
| Culture screen only (87081) range across 8 matching MRF lines |
$14.95–$134.55 | $23–$207 | varies |
| Culture stool (87045) | $159.90 | $246 | 16.9× |
| Culture typing if ea antiserum (87140) | $26.65 | $41 | 4.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $50.70 | $78 | 9.8× |
| Culture urine (87086) | $159.90 | $246 | 19.8× |
| Cyclic amp (82030) | $228.15 | $351 | 8.8× |
| Cyclosporine (80158) | $284.70 | $438 | 15.8× |
| Cyp2c19 gene analysis common variants (81225) | $583.05 | $897 | 2.0× |
| Cyp3a4 gene common variants (81230) | $538.85 | $829 | 3.1× |
| Cystatin C (82610) | $67.60 | $104 | 3.7× |
| Cytogenetics 10-30 (88273) | $33.80 | $52 | 1.0× |
| Cytogenetics 100-300 (88275) | $153.40 | $236 | 3.0× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,065.05 | $3,177 | 1.8× |
| Cytomegalovirus igg (86644) | $194.35 | $299 | 13.5× |
| Cytopath Cell Enhance Tech (88112) | $40.95 | $63 | 0.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $49.40 | $76 | 1.9× |
| Cytp Concentration Smears & Interpretation (88108) | $219.05 | $337 | 5.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $33.80 | $52 | 0.6× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $33.80 | $52 | 0.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $226.20 | $348 | 6.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $130 | $200 | 4.5× |
| Deoxycortisol (82634) | $78 | $120 | 2.7× |
| Deoxyribonuclease antibody (86215) | $187.85 | $289 | 14.2× |
| Detect Agent Nos Dna Amp (87798) range across 20 matching MRF lines |
$63.70–$564.20 | $98–$868 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$50.70–$526.50 | $78–$810 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$40.95–$296.40 | $63–$456 | varies |
| Dgp Antibody Each Ig Class (86258) | $39.65 | $61 | 3.3× |
| Dhea (82626) | $263.90 | $406 | 10.4× |
| Dhea-S (82627) | $219.70 | $338 | 9.9× |
| Digoxin (80162) | $159.90 | $246 | 12.0× |
| Dihydrotestosterone (82642) | $48.75 | $75 | 1.7× |
| Diphtheria antitoxoid (86648) | $59.15 | $91 | 3.9× |
| Dipropylacetic Acid Free (80165) | $46.80 | $72 | 3.5× |
| Dna Antibody Native/Double Stranded (86225) | $145.60 | $224 | 10.6× |
| DNA/RNA direct probe (87149) | $164.45 | $253 | 8.2× |
| Dna/Rna Sequencing (87153) | $347.75 | $535 | 3.0× |
| Drug assay acetaminophen (80143) | $162.50 | $250 | 8.7× |
| Drug assay adalimumab (80145) | $117 | $180 | 3.0× |
| Drug Assay Amiodarone (80151) | $273.65 | $421 | 14.7× |
| Drug Assay Everolimus (80169) | $81.25 | $125 | 5.9× |
| Drug assay felbamate (80167) | $66.95 | $103 | 3.6× |
| Drug Assay Infliximab (80230) | $98.80 | $152 | 2.6× |
| Drug Assay Itraconazole (80189) | $81.25 | $125 | 3.0× |
| Drug Assay Lacosamide (80235) | $73.45 | $113 | 2.7× |
| Drug Assay Leflunomide (80193) | $122.20 | $188 | 3.2× |
| Drug Assay Posaconazole (80187) | $139.75 | $215 | 5.2× |
| Drug Assay Vedolizumab (80280) | $174.20 | $268 | 4.5× |
| Drug assay voriconazole (80285) | $136.50 | $210 | 5.0× |
| Drug Screen Quant Clozapine (80159) | $78.65 | $121 | 3.9× |
| Drug Screen Quant Zonisamide (80203) | $185.25 | $285 | 14.0× |
| Drug Screen Quantitative Gabapentin (80171) | $61.10 | $94 | 2.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $154.70 | $238 | 11.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $227.50 | $350 | 17.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $88.40 | $136 | 6.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$35.75–$148.20 | $55–$228 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $87.75 | $135 | 7.0× |
| Egfr Gene Analysis Common Variants (81235) | $299 | $460 | 0.9× |
| Ehrlichia antibody (86666) range across 4 matching MRF lines |
$61.75–$123.50 | $95–$190 | varies |
| El-1 Fecal Quantitative (82653) | $61.75 | $95 | 2.7× |
| Electrolyte panel (80051) | $100.10 | $154 | 14.3× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$698.75–$6,029.65 | $1,075–$9,276.38 | varies |
| Encephaltis East Eqne Anbdy (86652) | $28.60 | $44 | 2.2× |
| Encephaltis West Eqne Antbdy (86654) | $28.60 | $44 | 2.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$42.90–$100.10 | $66–$154 | varies |
| Enterovirus PCR (87498) | $261.30 | $402 | 7.4× |
| Enzyme cell activity (82657) range across 3 matching MRF lines |
$15.60–$75.40 | $24–$116 | varies |
| Erythropoietin (82668) | $254.15 | $391 | 13.5× |
| Estradiol serum (82670) | $214.50 | $330 | 7.7× |
| Estriol (82677) | $66.30 | $102 | 2.7× |
| Estrogens fractionated (82671) | $61.75 | $95 | 1.9× |
| Ethosuximide (80168) | $41.60 | $64 | 2.5× |
| Ethylene Glycol (82693) | $67.60 | $104 | 4.5× |
| Exam Synovial Fluid Crystals (89060) | $88.40 | $136 | 12.1× |
| F2 Gene (81240) | $425.10 | $654 | 6.5× |
| Factor ii activity (85210) | $257.40 | $396 | 19.8× |
| Factor Inhibitor Test (85335) | $314.60 | $484 | 24.4× |
| Factor ix activity (85250) | $263.90 | $406 | 13.9× |
| Factor v activity (85220) | $122.20 | $188 | 6.9× |
| Factor v leiden mutation (81241) | $223.60 | $344 | 3.0× |
| Factor vii assay (85230) | $210.60 | $324 | 11.8× |
| Factor viii assay (85240) range across 3 matching MRF lines |
$27.95–$265.85 | $43–$409 | varies |
| Factor X (85260) | $213.20 | $328 | 11.9× |
| Factor xi activity (85270) | $210.60 | $324 | 11.8× |
| Fat/Lipids Feces Quantitative (82710) | $74.75 | $115 | 4.4× |
| Fatty acids free (82725) | $33.15 | $51 | 1.8× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $55.90 | $86 | 8.6× |
| Fecal Fat Qualitative (82705) | $81.90 | $126 | 16.1× |
| Ferritin (82728) | $156.65 | $241 | 11.5× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $324.35 | $499 | 2.1× |
| Fetal screen rosette (85461) | $33.80 | $52 | 3.6× |
| Fibrin Degradation Quant (85379) | $201.50 | $310 | 19.8× |
| Fibrinogen activity (85384) | $117 | $180 | 12.0× |
| Flecainide level (80181) | $36.40 | $56 | 2.0× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$45.50–$1,303.90 | $70–$2,006 | varies |
| Flt3 Gene (81245) | $130.65 | $201 | 0.8× |
| Flt3 gene analysis (81246) | $130.65 | $201 | 1.6× |
| Fluorescent antibody screen (86255) range across 20 matching MRF lines |
$64.35–$514.15 | $99–$791 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $128.05 | $197 | 10.6× |
| Fmr1 gene detection (81243) | $270.40 | $416 | 4.7× |
| Folic acid rbc (82747) | $98.80 | $152 | 5.6× |
| Folic Acid Serum (82746) | $176.15 | $271 | 12.0× |
| Follicle Stimulating Hormone (83001) | $223.60 | $344 | 12.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $33.15 | $51 | 0.2× |
| Frozen Section (88331) range across 2 matching MRF lines |
$461.50–$2,425.80 | $710–$3,732 | varies |
| Fungi Identification Mold (87107) | $43.55 | $67 | 4.2× |
| Fungi Identification Yeast (87106) | $60.45 | $93 | 5.9× |
| Galactose transferase test (82776) | $15.60 | $24 | 1.3× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $87.10 | $134 | 4.1× |
| Gammaglobulin ige (82785) | $131.95 | $203 | 8.0× |
| Gardner vag DNA dir probe (87510) | $59.80 | $92 | 3.0× |
| Gardner Vag Dna Quant (87512) | $50.05 | $77 | 1.2× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $18.20 | $28 | 1.9× |
| Gases blood ph only (82800) | $20.15 | $31 | 1.8× |
| Gastrin (82941) | $154.70 | $238 | 8.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $607.75 | $935 | 1.5× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,508 | $2,320 | 2.0× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,630.20 | $2,508 | 0.6× |
| Genet Virus Isolate Hsv (87255) | $139.75 | $215 | 4.1× |
| Gentamicin (80170) | $210.60 | $324 | 12.9× |
| Ggt (82977) | $93.60 | $144 | 13.0× |
| Giardia antigen (87329) | $50.70 | $78 | 4.2× |
| Glucagon (82943) | $89.70 | $138 | 6.3× |
| Glucose 2 hr pp (82950) range across 3 matching MRF lines |
$90.35–$131.95 | $139–$203 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$90.35–$100.10 | $139–$154 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$31.20–$90.35 | $48–$139 | varies |
| Glucose tolerance test (gtt) (82951) | $104 | $160 | 8.1× |
| Glycated Protein (82985) | $79.95 | $123 | 4.8× |
| Gonadotropin Chorionic Qualitative (84703) | $170.95 | $263 | 22.7× |
| Growth hormone (83003) | $170.30 | $262 | 10.2× |
| Gtt-added samples (82952) | $104 | $160 | 26.5× |
| H Pylori (C-13) Breath (83013) | $91.65 | $141 | 1.4× |
| H Pylori Drug Admin (83014) | $30.55 | $47 | 3.9× |
| Haloperidol (80173) | $43.55 | $67 | 2.8× |
| Haptoglobin (83010) | $136.50 | $210 | 10.9× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $310.70 | $478 | 1.5× |
| Hdl Cholesterol (83718) | $111.15 | $171 | 13.6× |
| Helicobacter Pylori Stool (87338) | $256.10 | $394 | 17.8× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$68.90–$133.90 | $106–$206 | varies |
| Hematocrit (85014) | $44.20 | $68 | 18.6× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$31.20–$53.95 | $48–$83 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$67.60–$124.80 | $104–$192 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$15.60–$33.15 | $24–$51 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $107.25 | $165 | 13.1× |
| Hemoglobin plasma (83051) | $47.45 | $73 | 6.5× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $51.35 | $79 | 5.9× |
| Hemolysins&Agglutinins Incubated (86941) | $51.35 | $79 | 4.2× |
| Hemosiderin urine (83070) | $35.10 | $54 | 7.4× |
| Hep a ab igm (86709) | $180.70 | $278 | 16.0× |
| Heparin assay (85520) range across 2 matching MRF lines |
$138.45–$185.25 | $213–$285 | varies |
| Hepatitis a antibody total (86708) | $87.75 | $135 | 7.1× |
| Hepatitis b core ab igm (86705) | $128.05 | $197 | 10.9× |
| Hepatitis b core ab total (86704) | $180.70 | $278 | 15.0× |
| Hepatitis B Surface Antibody (86706) | $199.55 | $307 | 18.6× |
| Hepatitis B Surface Antigen (87340) | $199.55 | $307 | 19.3× |
| Hepatitis Be Antibody (86707) | $180.70 | $278 | 15.6× |
| Hepatitis Be Antigen (87350) | $180.70 | $278 | 15.7× |
| Hepatitis C Antibody (86803) | $159.90 | $246 | 11.2× |
| Hepatitis C Genotype (87902) | $620.10 | $954 | 2.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $423.80 | $652 | 9.9× |
| Hepatitis Delta Agent Antibody (86692) | $302.90 | $466 | 17.7× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $1,619.15 | $2,491 | 1.2× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$78–$113.75 | $120–$175 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$16.25–$113.75 | $25–$175 | varies |
| Hexa gene analysis common variants (81255) | $129.35 | $199 | 2.5× |
| Hfe Gene (81256) | $227.50 | $350 | 3.5× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $105.30 | $162 | 13.6× |
| Histamine urine (83088) range across 2 matching MRF lines |
$248.95–$294.45 | $383–$453 | varies |
| Histoplasma antibody (86698) | $49.40 | $76 | 3.6× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$107.90–$289.25 | $166–$445 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) | $39.65 | $61 | 1.2× |
| Hiv Genotype (87901) | $169 | $260 | 0.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $55.25 | $85 | 2.3× |
| Hiv-1 Antibody (86701) | $109.20 | $168 | 12.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $494.65 | $761 | 5.8× |
| HIV-2 probe&revrse trnscripj (87538) | $263.25 | $405 | 7.5× |
| Hla class ii typing high resolution one locus ea (81382) | $224.90 | $346 | 1.8× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $215.15 | $331 | 2.9× |
| Hla I Typing 1 Allele Hr (81381) | $163.80 | $252 | 1.0× |
| Hla ii type 1 ag equiv lr (81377) | $240.50 | $370 | 2.5× |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$185.90–$189.80 | $286–$292 | varies |
| Hla-b27 (86812) | $44.20 | $68 | 1.7× |
| Homocysteine (83090) | $45.50 | $70 | 2.5× |
| Homogenization Tissue (87176) | $24.70 | $38 | 4.2× |
| Homovanillic acid urine (83150) | $42.25 | $65 | 1.9× |
| Hpv High-Risk Types (87624) | $81.90 | $126 | 2.3× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $113.75 | $175 | 1.6× |
| Hpv Types 16 & 18 Only (87625) | $63.70 | $98 | 1.6× |
| Hsv Dna Amp Probe (87529) | $435.50 | $670 | 12.4× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$15.60–$165.10 | $24–$254 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $199.55 | $307 | 19.3× |
| Iaad ia shiga-like toxin (87427) | $22.10 | $34 | 1.8× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $51.35 | $79 | 1.5× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $367.90 | $566 | 10.5× |
| Iadna Candida Species Amplified Probe Tq (87481) | $39 | $60 | 1.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $308.75 | $475 | 8.8× |
| Iadna Cytomegalovirus Quantification (87497) | $435.50 | $670 | 10.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$59.80–$157.95 | $92–$243 | varies |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $51.35 | $79 | 1.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $477.75 | $735 | 11.2× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $347.75 | $535 | 9.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $193.70 | $298 | 5.5× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $70.85 | $109 | 2.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $273.65 | $421 | 6.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $61.75 | $95 | 1.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$81.25–$96.20 | $125–$148 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $100.75 | $155 | 2.0× |
| Idh1 common variants (81120) | $214.50 | $330 | 1.1× |
| Idh2 common variants (81121) | $214.50 | $330 | 0.7× |
| Ig Light Chains Free Each (83521) | $57.85 | $89 | 3.3× |
| Igg subclasses (82787) range across 4 matching MRF lines |
$33.15–$52.65 | $51–$81 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $456.95 | $703 | 1.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$202.80–$20,823.84 | $312–$32,036.68 | varies |
| Immune Complex Assay (86332) | $42.90 | $66 | 1.8× |
| Immunfix e-phorsis/urine/csf (86335) range across 4 matching MRF lines |
$148.85–$362.05 | $229–$557 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$69.55–$333.45 | $107–$513 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $39 | $60 | 2.6× |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$15.60–$189.80 | $24–$292 | varies |
| Immunodiffusion not elsewhere specified (86329) | $128.70 | $198 | 9.2× |
| Immunodiffusion Ouchterlony (86331) | $64.35 | $99 | 5.4× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$73.45–$111.80 | $113–$172 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
$40.30–$6,029.65 | $62–$9,276.38 | varies |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$33.80–$7,699.26 | $52–$11,845.01 | varies |
| In situ hybridization 1st probe stain (88365) range across 3 matching MRF lines |
$210.60–$10,348.90 | $324–$15,921.38 | varies |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $76.05 | $117 | 2.2× |
| Influenza a/b ag eia (87400) range across 4 matching MRF lines |
$31.20–$84.50 | $48–$130 | varies |
| Influenza DNA amp probe (87502) | $290.55 | $447 | 3.0× |
| Inhibin A (86336) | $79.95 | $123 | 5.1× |
| Inhibin b (83520) range across 21 matching MRF lines |
$29.90–$307.45 | $46–$473 | varies |
| Insulin antibodies (86337) | $295.75 | $455 | 13.8× |
| Insulin total (83525) | $130 | $200 | 11.4× |
| Interleukin-6 (83529) | $89.70 | $138 | 5.2× |
| Intrinsic factor antibody (86340) | $270.40 | $416 | 17.9× |
| Iron (83540) | $78.65 | $121 | 12.2× |
| Iron Binding Capacity (83550) | $76.70 | $118 | 8.8× |
| Irradiation Blood Product Each Unit (86945) | $179.40 | $276 | 4.8× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$106.60–$212.55 | $164–$327 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $343.20 | $528 | 3.7× |
| Jak2 Gene Trgt Sequence Alys (81279) | $312.65 | $481 | 1.7× |
| Koh Prep (87220) range across 2 matching MRF lines |
$7.80–$9.75 | $12–$15 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $100.10 | $154 | 16.6× |
| Lactoferrin fecal qualitative (83630) | $237.90 | $366 | 12.1× |
| Lamellar Body Count (83664) | $137.80 | $212 | 7.1× |
| Ldh Isoenzymes (83625) | $42.90 | $66 | 3.4× |
| LDL direct (83721) | $111.15 | $171 | 10.6× |
| Lead (83655) range across 3 matching MRF lines |
$22.10–$126.75 | $34–$195 | varies |
| Legionella antibody (86713) | $187.85 | $289 | 12.3× |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$33.80–$194.35 | $52–$299 | varies |
| Leptospira antibody (86720) | $304.85 | $469 | 18.8× |
| Leukocyte Assessment Fecal (89055) | $111.15 | $171 | 26.0× |
| Leukocyte Histamine Release (86343) | $52 | $80 | 4.2× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$110.50–$9,714.28 | $170–$14,945.05 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$235.30–$470.60 | $362–$724 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$931.45–$19,460.62 | $1,433–$29,939.41 | varies |
| Lidocaine (80176) | $65.65 | $101 | 4.5× |
| Lipase (83690) range across 2 matching MRF lines |
$64.35–$114.40 | $99–$176 | varies |
| Lipoprotein A (83695) | $35.10 | $54 | 2.5× |
| Lipoprotein Bld Quan Part (83704) | $136.50 | $210 | 4.0× |
| Lithium (80178) | $159.90 | $246 | 24.2× |
| Luteinizing Hormone (Lh) (83002) | $195 | $300 | 10.5× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$100.10–$139.75 | $154–$215 | varies |
| Lysozyme serum (85549) | $73.45 | $113 | 3.9× |
| M. Genitalium Amp Probe (87563) | $80.60 | $124 | 2.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 3 matching MRF lines |
$33.80–$8,611.45 | $52–$13,248.38 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 3 matching MRF lines |
$33.80–$10,348.90 | $52–$15,921.38 | varies |
| Macroscopic exam arthropod (87168) range across 2 matching MRF lines |
$7.80–$18.20 | $12–$28 | varies |
| Macroscopic Exam Parasite (87169) | $18.20 | $28 | 4.2× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$31.85–$192.40 | $49–$296 | varies |
| Mass Spectrometry Quant (83789) | $15.60 | $24 | 0.6× |
| Mercury urine (83825) range across 2 matching MRF lines |
$33.80–$77.35 | $52–$119 | varies |
| Metabolic panel ionized ca (80047) | $193.05 | $297 | 14.1× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$101.40–$217.75 | $156–$335 | varies |
| Mgmt methylation analysis (81287) | $279.50 | $430 | 2.2× |
| Microalbumin, quantitative (82043) | $100.10 | $154 | 17.3× |
| Microsatellite instability (81301) | $144.95 | $223 | 0.4× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$101.40–$153.40 | $156–$236 | varies |
| Mitochondrial Antibody Each (86381) | $39 | $60 | 1.5× |
| Mog-Igg1 Antb Cba Each (86362) range across 2 matching MRF lines |
$288.60–$529.75 | $444–$815 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 5 matching MRF lines |
$33.80–$252.20 | $52–$388 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $177.45 | $273 | 4.2× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$287.95–$586.95 | $443–$903 | varies |
| Mononuclear cell antigen (86356) | $55.90 | $86 | 2.1× |
| Mopath procedure level 2 (81401) | $269.10 | $414 | 2.0× |
| Mopath procedure level 4 (81403) | $532.35 | $819 | 2.9× |
| Mopath procedure level 5 (81404) | $539.50 | $830 | 2.0× |
| Mopath procedure level 7 (81406) | $1,390.35 | $2,139 | 4.9× |
| Morphometric analysis nerve (88356) | $2,531.10 | $3,894 | 48.5× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $201.50 | $310 | 1.1× |
| Mrsa Pcr (87641) | $183.30 | $282 | 5.2× |
| Mthfr Gene Analysis Common Variants (81291) | $373.10 | $574 | 5.7× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$100.10–$100.75 | $154–$155 | varies |
| Muscle-Specific Kinase Antb (86366) | $726.05 | $1,117 | 39.5× |
| Mycobacteric Identification (87118) | $70.85 | $109 | 4.8× |
| Mycophenolic Acid (80180) | $158.60 | $244 | 8.8× |
| Mycoplasma antibody (86738) | $183.95 | $283 | 13.9× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $291.20 | $448 | 1.7× |
| Myelin basic protein csf (83873) | $18.20 | $28 | 1.1× |
| Myoglobin urine (83874) | $76.05 | $117 | 5.9× |
| Natriuretic peptide (83880) | $77.35 | $119 | 2.0× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$104–$115.70 | $160–$178 | varies |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $177.45 | $273 | 1.2× |
| Nfct ds bv&vaginitis DNA alg (81515) | $554.45 | $853 | 2.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $189.80 | $292 | 2.6× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $213.85 | $329 | 1.7× |
| Niacin (84591) | $55.25 | $85 | 3.2× |
| Nk cells total count (86357) | $98.15 | $151 | 2.6× |
| Nras gene variants exon 2&3 (81311) | $663 | $1,020 | 2.2× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$70.20–$208.65 | $108–$321 | varies |
| Occult blood feces (82272) | $7.80 | $12 | 1.8× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$9.75–$35.10 | $15–$54 | varies |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$18.20–$97.50 | $28–$150 | varies |
| Organic acids urine (83918) | $133.25 | $205 | 5.6× |
| Osmolality serum (83930) | $100.10 | $154 | 15.1× |
| Osmolality Urine (83935) | $100.10 | $154 | 14.7× |
| Osteocalcin (83937) | $167.70 | $258 | 5.6× |
| Ova and parasites smears (87177) | $120.90 | $186 | 13.6× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$37.05–$131.95 | $57–$203 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $125.45 | $193 | 10.9× |
| Parvovirus antibody (86747) | $49.40 | $76 | 3.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 2 matching MRF lines |
$25,698.89 | $44–$39,536.75 | 31.8× |
| Ph urine (81003) range across 5 matching MRF lines |
$7.80–$81.25 | $12–$125 | varies |
| Phenobarbital Level (80184) | $213.20 | $328 | 13.9× |
| Phenotype Infect Agent Drug (87900) | $280.80 | $432 | 2.2× |
| Phenylalanine (84030) | $98.80 | $152 | 18.0× |
| Phenytoin (Dilantin) (80185) | $215.15 | $331 | 16.2× |
| Phenytoin free (80186) | $300.95 | $463 | 21.9× |
| Phosphatase acid prostatic (84066) | $31.85 | $49 | 3.3× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$88.40–$92.30 | $136–$142 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $103.35 | $159 | 5.7× |
| Phosphorus Serum (84100) | $100.10 | $154 | 21.1× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$31.20–$104 | $48–$160 | varies |
| Pinworm exam (87172) | $79.30 | $122 | 18.6× |
| Platelet Aggregation (85576) range across 3 matching MRF lines |
$145.60–$163.15 | $224–$251 | varies |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$70.85–$203.45 | $109–$313 | varies |
| Platelet count automated (85049) | $76.70 | $118 | 17.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $329.55 | $507 | 1.6× |
| Pneumcysts jirovecii amp prb (87594) | $229.45 | $353 | 6.5× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$53.30–$59.15 | $82–$91 | varies |
| Porphyrins Feces Quantitative (84126) | $506.35 | $779 | 12.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$99.45–$223.60 | $153–$344 | varies |
| Potassium Urine (84133) range across 3 matching MRF lines |
$31.20–$80.60 | $48–$124 | varies |
| Prealbumin (84134) | $126.75 | $195 | 8.7× |
| Pregnenolone (84140) | $105.30 | $162 | 5.1× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $104 | $160 | 0.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $139.10 | $214 | 2.4× |
| Pretx serum rbc antibody identification dilution (86976) | $53.95 | $83 | 1.9× |
| Primidone (80188) | $180.70 | $278 | 10.9× |
| Procalcitonin (Pct) (84145) | $162.50 | $250 | 6.0× |
| Progesterone (84144) | $131.95 | $203 | 6.3× |
| Prolactin (84146) | $240.50 | $370 | 12.4× |
| Prostaglandin (84150) | $230.10 | $354 | 5.5× |
| Protein body fluid (84157) | $93.60 | $144 | 23.4× |
| Protein C Activity (85303) | $228.15 | $351 | 16.5× |
| Protein c antigen (85302) | $273.65 | $421 | 22.8× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$32.50–$130 | $50–$200 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $117 | $180 | 10.9× |
| Protein S Free (85306) range across 2 matching MRF lines |
$137.15–$239.20 | $211–$368 | varies |
| Protein s total (85305) | $137.15 | $211 | 11.8× |
| Protein total serum (84155) | $11.05 | $17 | 3.0× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$88.40–$126.75 | $136–$195 | varies |
| Protein Western Blot Test (84182) range across 8 matching MRF lines |
$130.65–$237.90 | $201–$366 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $27.95 | $43 | 7.1× |
| Protoporphyrin rbc quantitative (84202) | $79.30 | $122 | 5.5× |
| PSA free (84154) | $90.35 | $139 | 4.9× |
| Pth Intact (83970) range across 3 matching MRF lines |
$76.70–$250.90 | $118–$386 | varies |
| Q Fever Antibody (86638) range across 4 matching MRF lines |
$26.65–$99.45 | $41–$153 | varies |
| Quantiferon tb gold plus (86480) | $147.55 | $227 | 2.4× |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$54.60–$347.10 | $84–$534 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$55.90–$111.80 | $86–$172 | varies |
| Rbc antibody elution (86860) | $144.95 | $223 | 0.8× |
| Rbc antibody identification (86870) | $163.80 | $252 | 0.5× |
| Rbc antibody screen (86850) | $74.75 | $115 | 7.7× |
| Rbc pretreatment serum (86978) | $90.35 | $139 | 1.5× |
| Rbc pretx incubatj w/enzymes (86971) | $38.35 | $59 | 0.2× |
| Rbc serum pretx incubj drugs (86975) | $197.60 | $304 | 0.4× |
| Renin activity plasma (84244) | $170.30 | $262 | 7.7× |
| Reptilase test (85635) | $85.80 | $132 | 8.7× |
| Reticulocyte Count (85046) | $29.90 | $46 | 5.4× |
| Reticulocyte Count Manual (85044) | $93.60 | $144 | 21.7× |
| Reticulocyte separation (86972) | $128.70 | $198 | 0.8× |
| Rh (86901) | $76.70 | $118 | 25.7× |
| Rheumatoid factor quant (86431) | $20.15 | $31 | 3.6× |
| Rickettsia antibody (86757) range across 3 matching MRF lines |
$18.20–$254.80 | $28–$392 | varies |
| Ristocetin cofactor (85245) | $115.70 | $178 | 5.0× |
| Rotavirus ag eia (87425) | $46.15 | $71 | 3.9× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$39–$41.60 | $60–$64 | varies |
| Rsv Assay W/Optic (87807) | $59.80 | $92 | 4.6× |
| Rubella Antibody (86762) | $40.95 | $63 | 2.8× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$40.30–$207.35 | $62–$319 | varies |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$78.65–$99.45 | $121–$153 | varies |
| Salicylate Level (80179) | $187.85 | $289 | 10.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$138.45–$146.25 | $213–$225 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $62.40 | $96 | 1.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $339.30 | $522 | 2.4× |
| Sc std carbapenem resist gen (87183) | $79.30 | $122 | 2.3× |
| Sedimentation Rate, Automated (85652) | $67.60 | $104 | 25.0× |
| Selenium (84255) | $178.10 | $274 | 7.0× |
| Semen Anal Sperm Detection (89321) | $38.35 | $59 | 3.2× |
| Semen analysis complete (89322) | $175.50 | $270 | 11.3× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$101.40–$126.75 | $156–$195 | varies |
| Serpina 1 gene (81332) | $287.30 | $442 | 6.6× |
| Sex Hormone Binding Globulin (84270) | $187.85 | $289 | 8.6× |
| Sickling of rbc reduction (85660) | $78.65 | $121 | 14.3× |
| Sirolimus (80195) | $187.85 | $289 | 13.7× |
| Skin test tuberculosis intradermal (86580) | $85.80 | $132 | 3.0× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$70.20–$75.40 | $108–$116 | varies |
| Smear complex stain (87209) | $36.40 | $56 | 2.0× |
| Smear gram stain (87205) | $81.25 | $125 | 19.0× |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$55.25–$106.60 | $85–$164 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $314.60 | $484 | 2.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $88.40 | $136 | 15.2× |
| Snrpn/Ube3a Methylation Analysis (81331) | $264.55 | $407 | 5.2× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$31.20–$78.65 | $48–$121 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$31.20–$80.60 | $48–$124 | varies |
| Soluble Transferrin Receptor (84238) | $58.50 | $90 | 1.6× |
| Somatomedin (84305) | $260 | $400 | 12.2× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$219.05–$6,016.65 | $337–$9,256.38 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$49.40–$7,639.46 | $76–$11,753.01 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$44.20–$45.50 | $68–$70 | varies |
| Spectrophotometry (84311) range across 4 matching MRF lines |
$33.80–$137.15 | $52–$211 | varies |
| Staph a DNA amp probe (87640) | $150.15 | $231 | 4.3× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$14.30–$106.60 | $22–$164 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$78.65–$85.80 | $121–$132 | varies |
| Strep b DNA amp probe (87653) | $65.65 | $101 | 1.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $115.70 | $178 | 1.3× |
| Sugars Single Qual (84376) | $29.90 | $46 | 5.4× |
| Sulfate urine (84392) | $31.20 | $48 | 5.7× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$383.50–$19,100.82 | $590–$29,385.87 | varies |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$33.80–$6,537.05 | $52–$10,057 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$1,775.15–$47,161.39 | $2,731–$72,555.98 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $48.10 | $74 | 10.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $29.25 | $45 | 3.9× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $81.25 | $125 | 2.0× |
| Sweat Collection Iontophoresis (89230) | $202.15 | $311 | 3.9× |
| Syphilis Test Non-Trep Quant (86593) | $38.35 | $59 | 8.7× |
| T cells absolute cd4 count (86361) | $210.60 | $324 | 7.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $373.10 | $574 | 7.9× |
| T cells total count (86359) | $217.10 | $334 | 5.8× |
| T3 Free (84481) | $303.55 | $467 | 17.9× |
| T3 reverse (84482) | $92.30 | $142 | 5.9× |
| T3 Total (84480) | $112.45 | $173 | 7.9× |
| T3 Uptake (84479) | $39.65 | $61 | 6.1× |
| T4 Free (84439) | $228.15 | $351 | 25.3× |
| T4 total (84436) | $40.95 | $63 | 6.0× |
| Tacrolimus (80197) | $160.55 | $247 | 11.7× |
| Tau phosphorylated each (84393) range across 2 matching MRF lines |
$378.30–$757.25 | $582–$1,165 | varies |
| Tb ag response t-cell susp (86481) | $89.05 | $137 | 0.9× |
| Test for acetone/ketones (82009) | $50.05 | $77 | 11.1× |
| Testosterone Bioavailable (84410) | $143.65 | $221 | 2.8× |
| Testosterone total (84403) | $166.40 | $256 | 6.4× |
| Testosterone, Free (84402) | $166.40 | $256 | 6.5× |
| Tetanus antibody (86774) | $58.50 | $90 | 4.0× |
| Theophylline (80198) | $220.35 | $339 | 15.6× |
| Thiocyanate (84430) | $34.45 | $53 | 3.0× |
| Thiopurine methyltransferase (84433) | $176.15 | $271 | 7.9× |
| Thrombin Time (85670) | $70.20 | $108 | 12.2× |
| Thromboplastin Inhibition Tissue (85705) | $70.20 | $108 | 7.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$87.10–$92.30 | $134–$142 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$61.75–$124.80 | $95–$192 | varies |
| Thyroglobulin Antibody (86800) | $227.50 | $350 | 14.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $135.85 | $209 | 2.7× |
| Thyroxine binding globulin (84442) | $126.10 | $194 | 8.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $43.55 | $67 | 3.8× |
| Tissue Culture Amniotic Fluid (88235) | $360.75 | $555 | 2.4× |
| Tissue culture bone marrow (88237) | $177.45 | $273 | 1.2× |
| Tissue Culture Lymphocyte (88230) | $173.55 | $267 | 1.5× |
| Tobramycin peak (80200) | $222.95 | $343 | 13.8× |
| Topiramate (80201) | $189.80 | $292 | 15.9× |
| Total Tau (84394) | $377 | $580 | 2.9× |
| Toxoplasma ab igm (86778) | $199.55 | $307 | 13.8× |
| Toxoplasma antibody (86777) | $166.40 | $256 | 11.6× |
| Tp53 gene analysis targeted sequence analysis (81352) | $1,022.45 | $1,573 | 3.1× |
| Tpmt gene com variants (81335) | $194.35 | $299 | 1.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $117 | $180 | 22.6× |
| Transferrin (84466) | $149.50 | $230 | 11.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $83.20 | $128 | 0.4× |
| Trg gene rearrangement anal (81342) | $569.40 | $876 | 2.8× |
| Trichomonas vagin dir probe (87660) | $59.80 | $92 | 3.0× |
| Trichomonas Vaginalis Amplif (87661) | $80.60 | $124 | 2.3× |
| Triglycerides (84478) range across 2 matching MRF lines |
$31.20–$124.80 | $48–$192 | varies |
| Troponin Quant (84484) | $303.55 | $467 | 24.3× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$274.95–$6,308.50 | $423–$9,705.38 | varies |
| Tumor Immunohistochem/Manual (88360) range across 5 matching MRF lines |
$130–$11,832.80 | $200–$18,204.31 | varies |
| Ugt1a1 gene analysis common variants (81350) | $648.70 | $998 | 2.8× |
| Urea nitrogen urine (84540) | $93.60 | $144 | 16.8× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$31.20–$120.25 | $48–$185 | varies |
| Urinalysis Microscopic Only (81015) | $35.10 | $54 | 11.5× |
| Urinalysis Volume Measure (81050) | $8.45 | $13 | 2.3× |
| Urine Bacteria Culture (87088) | $35.75 | $55 | 4.4× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$14.30–$137.80 | $22–$212 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $113.75 | $175 | 35.9× |
| Valproic acid (80164) | $157.95 | $243 | 11.7× |
| Vancomycin (80202) | $235.95 | $363 | 17.4× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$108.55–$199.55 | $167–$307 | varies |
| Very Long Chain Fatty Acids (82726) | $122.85 | $189 | 6.2× |
| Viral Culture (87252) | $137.15 | $211 | 5.3× |
| Virus antibody nos (86790) range across 5 matching MRF lines |
$57.85–$163.80 | $89–$252 | varies |
| Viscosity serum (85810) | $48.75 | $75 | 4.2× |
| Vit D 1 25-Dihydroxy (82652) | $219.70 | $338 | 5.7× |
| Vitamin A (84590) | $191.10 | $294 | 16.5× |
| Vitamin b-12 (82607) | $156.65 | $241 | 10.4× |
| Vitamin B2 (Riboflavin) (84252) | $57.20 | $88 | 2.8× |
| Vitamin B6 (84207) | $191.10 | $294 | 6.8× |
| Vitamin c (82180) | $154.70 | $238 | 15.6× |
| Vitamin D 25-Hydroxy (82306) | $223.60 | $344 | 7.6× |
| Vitamin E (84446) | $159.25 | $245 | 11.2× |
| Vitamin K (84597) | $395.20 | $608 | 28.8× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $61.75 | $95 | 5.1× |
| Von willebrand factor ag (85246) | $110.50 | $170 | 4.8× |
| West nile virus ab igm (86788) | $78.65 | $121 | 4.7× |
| West Nile Virus Antibody (86789) | $78.65 | $121 | 5.5× |
| Xm Archive Tissue Molec Anal (88363) range across 2 matching MRF lines |
$52.65–$23,524.01 | $81–$36,190.78 | varies |
| Zika Virus Dna/Rna Amp Probe (87662) | $333.45 | $513 | 6.5× |
| Zinc (84630) range across 3 matching MRF lines |
$31.85–$154.70 | $49–$238 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.