Lab & pathology prices at MercyOne Des Moines Medical Center

Des Moines, IA · every code in this section with a posted price and a Medicare benchmark.

727 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $63.05 $97 2.8×
5 Nucleotidase (83915) $626.60 $964 56.2×
Abl1 gene analysis kinase domain variants (81170) $863.85 $1,329 2.9×
Acetylcholine receptor binding antibody (86041) $195 $300 10.6×
Acetylcholine receptor blocking antibody (86042) $42.25 $65 2.3×
Acetylcholn Rcptr Modlg Antb (86043) $45.50 $70 3.8×
Acth (82024) $221.65 $341 5.7×
Actin smooth muscle antibody each (86015) $130.65 $201 10.8×
Acute hepatitis panel (80074) $602.55 $927 12.7×
Acylcarnitines Quant (82017) $84.50 $130 5.0×
Afp-l3 fraction isoform & total afp w/ratio (82107) $221.65 $341 3.4×
Albumin Fluid (82042) $77.35 $119 9.9×
Albumin serum (82040) $4,225 — 853.5×
Aldolase (82085) $82.55 $127 8.5×
Aldosterone urine (82088) $213.20 $328 5.2×
Alkaline phosphatase isoenzymes (84080) $257.40 $396 17.4×
Allergen specific ige (86003) $53.95 $83 10.3×
Allergen specific igg (86001) $28.60 $44 3.7×
Allg Spec Ige Recomb Ea (86008)
range across 12 matching MRF lines
$31.20–$42.25 $48–$65 varies
Alpha-1-antitrypsin phenotype (82104) $104.65 $161 7.2×
Alpha-1-antitrypsin total (82103) $120.90 $186 9.0×
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines
$133.90–$223.60 $206–$344 varies
Alt (sgpt) (84460) $10,327.40 — 1948.6×
Amikacin trough (80150) $40.95 $63 2.7×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $332.80 $512 19.7×
Amino Acids Quant 2-5 (82136) $48.75 $75 2.5×
Aminolevulinic acid (ala) (82135) $299 $460 18.2×
Ammonia (82140) $216.45 $333 14.9×
Amniotic fluid protein test on cervicovaginal fluid (84112) $214.50 $330 2.2×
Amylase urine (82150)
range across 7 matching MRF lines
$78–$98.15 $120–$151 varies
Ana Titer (86039) $219.70 $338 19.7×
Anca screen each antibody (86036) $46.80 $72 3.9×
Anca Titer Each Antibody (86037) $84.50 $130 7.0×
Androstenedione (82157) $137.80 $212 4.7×
Angiotensin converting enzyme csf (82164)
range across 3 matching MRF lines
$114.40–$193.70 $176–$298 varies
Anti-Phospholipid Antibody (86148) $131.95 $203 8.2×
Antibody aspergillus (86606) $28.60 $44 1.9×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $100.75 $155 6.5×
Antibody Cytomegalovirus Cmv Igm (86645)
range across 3 matching MRF lines
$180.70–$185.90 $278–$286 varies
Antibody Encephalitis California La Crosse (86651) $79.95 $123 6.1×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $48.75 $75 3.7×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $123.50 $190 8.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $184.60 $284 10.2×
Antibody Fungus Not Elsewhere Specified (86671)
range across 3 matching MRF lines
$81.90–$90.35 $126–$139 varies
Antibody haemophilus influenza (86684) $34.45 $53 2.2×
Antibody helicobacter pylori (86677) $90.35 $139 5.4×
Antibody Herpes Smplx Type 1 (86695) $80.60 $124 6.1×
Antibody HIV-2 (86702) $50.70 $78 3.8×
Antibody Hla Class I High Definition Panel Qual (86832) $360.10 $554 1.1×
Antibody htlv/HIV antibody confirmatory test (86689) $162.50 $250 8.4×
Antibody Identification Platelet Immunogl Assay (86023) $184.60 $284 14.8×
Antibody john cunningham virus (86711) $74.10 $114 4.4×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$156–$194.35 $240–$299 varies
Antibody Titer (86886) $136.50 $210 26.4×
Antibody Treponema Pallidum (86780) $74.10 $114 5.6×
Antibody; encephalitis, st. louis (86653) $432.90 $666 32.8×
Antigen typing (86905) $29,422.97 — 7682.2×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $34.45 $53 6.0×
Antinuclear antibodies (86038)
range across 4 matching MRF lines
$73.45–$182 $113–$280 varies
Antistreptolysin O Screen (86063) $48.75 $75 8.4×
Antistreptolysin o titer (86060) $42.90 $66 5.9×
Antithrombin iii activity (85300) $165.75 $255 14.0×
Antithrombin iii antigen (85301) $158.60 $244 14.7×
Apolipoprotein a1 (82172) $83.85 $129 4.0×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $330.85 $509 8.8×
Arsenic (82175)
range across 7 matching MRF lines
$64.35–$234 $99–$360 varies
Aspergillus ag eia (87305) $168.35 $259 14.1×
Assay activated protein c (85307) $161.20 $248 10.5×
Assay Blood Carbon Dioxide (82374) $53.95 $83 11.1×
Assay Nephelometry Not Spec (83883) $78 $120 5.7×
Assay of 5-hiaa (83497) $135.20 $208 10.5×
Assay of anti-mullerian hormone (82166) $195 $300 5.0×
Assay of blood/uric acid (84550) $83.85 $129 18.6×
Assay of calcium in urine (82340) $52 $80 8.6×
Assay of cpk in blood (82552) $86.45 $133 6.5×
Assay of estrone (82679) $106.60 $164 4.3×
Assay of g6pd enzyme (82955) $98.15 $151 10.1×
Assay of gammaglobulin igm (82784) $17,579.35 — 1890.3×
Assay of lactic acid (83605) $33,298.60 — 2878.0×
Assay of manganese (83785) $113.10 $174 4.2×
Assay of metanephrines (83835)
range across 5 matching MRF lines
$198.25–$200.85 $305–$309 varies
Assay of proinsulin (84206) $113.75 $175 4.3×
Assay of pyruvate (84210) $90.35 $139 6.2×
Assay of serotonin (84260) $148.85 $229 4.8×
Assay of serum potassium (84132) $32,568.75 — 6842.2×
Assay of sweat sodium (84302) $13 $20 2.7×
Assay of urea nitrogen (84520) $62.40 $96 15.8×
Assay of urine vma (84585)
range across 2 matching MRF lines
$68.25–$148.85 $105–$229 varies
Assay of vasoactive intestinal peptide (84586) $286 $440 8.1×
Assay of vitamin b-1 (84425) $183.30 $282 8.6×
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$27.95–$61.75 $43–$95 varies
Assay spec xcp ur&breath ia (82077) $94.90 $146 5.5×
Automated Leukocyte Count (85048) $93.60 $144 36.9×
B cells total count (86355) $170.95 $263 4.5×
Babesia microti amp prb (87469) $82.55 $127 2.4×
Bartonella antibody (86611)
range across 8 matching MRF lines
$93.60–$102.70 $144–$158 varies
Bcr/abl1 gene major bp (81206)
range across 5 matching MRF lines
$288.60–$455.65 $444–$701 varies
Bcr/abl1 gene minor bp (81207)
range across 5 matching MRF lines
$288.60–$308.75 $444–$475 varies
Bcr/Abl1 Gene Other Bp (81208) $232.70 $358 1.1×
Beta 2 glycoprotein i antibody each (86146)
range across 6 matching MRF lines
$165.10–$173.55 $254–$267 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$78–$105.30 $120–$162 varies
Beta Lactamase (87185) $28.60 $44 6.0×
Beta-2 Microglobulin (82232) $61.75 $95 3.8×
Beta-amyloid 1-40 (abeta 40) (82233) $121.55 $187 0.9×
Beta-amyloid; 1-42 (abeta 42) (82234) $183.95 $283 1.4×
Bile acids total (82239) $108.55 $167 6.3×
Bilirubin direct (82248) $3,044 — 606.4×
Bilirubin total (82247) $2,913 — 580.3×
Biotinidase (82261) $106.60 $164 6.3×
Blastomyces antibody (86612) $95.55 $147 7.4×
Bld Typing Serologic Rh Phnt (86906) $81.90 $126 10.6×
Blood Count Red Blood Cell Automated (85041) $72.15 $111 23.9×
Blood count reticulocyte automated (85045) $42.90 $66 10.8×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $63.05 $97 16.6×
Blood gas (82803) $33,073.02 — 1268.6×
Blood gases w/02 saturation (82805) $180.05 $277 2.3×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $84.50 $130 5.3×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $53.95 $83 12.3×
Blood Sulfhemoglobin Assay (83060) $194.35 $299 22.1×
Blood Type Antigen Donor Reagent Serum Each (86902) $12,438.45 — 1958.8×
Blood typing serologic abo (86900) $104.65 $161 35.0×
Body fluid cell count (89050) $134.55 $207 28.5×
Bone marrow smear interpretation (85097) $200.20 $308 0.3×
Bordetella antibody (86615) $101.40 $156 7.7×
Borrelia miyamotoi amp prb (87478) $82.55 $127 2.4×
Braf gene analysis (81210) $711.75 $1,095 4.1×
Brucella antibody (86622) $113.10 $174 12.7×
C diff amplified probe (87493) $372 — 10.0×
C-Peptide (84681) $182.65 $281 8.8×
C-reactive protein (86140) $170.95 $263 33.0×
Ca 19-9 (86301) $195.65 $301 9.4×
Cadmium (82300) $46.15 $71 2.0×
Calcitonin (82308) $135.20 $208 5.0×
Calcium ionized (82330)
range across 3 matching MRF lines
$96.85–$176.15 $149–$271 varies
Calcium total (82310) $38,680.91 — 7496.3×
Calculus Spectroscopy (82365) $174.20 $268 13.5×
Calprotectin Fecal (83993) $279.50 $430 14.2×
Calr gene com variants (81219) $637 $980 5.2×
Cancer Antigen 125 (86304) $271.70 $418 13.1×
Cancer Antigen 27.29 (86300)
range across 4 matching MRF lines
$153.40–$176.80 $236–$272 varies
Candida antibody (86628) $65 $100 5.4×
Carbamazepine total (80156) $204.75 $315 14.1×
Carboxyhemoglobin (82375)
range across 2 matching MRF lines
$122.85–$177.45 $189–$273 varies
Carcinoembryonic antigen (82378) $289.25 $445 15.3×
Cardiolipin ab iga (86147)
range across 3 matching MRF lines
$222.95–$239.85 $343–$369 varies
Carnitine Quantitative Each Specimen (82379) $121.55 $187 7.2×
Carotene (82380) $120.25 $185 13.0×
Catecholamines fractionated (82384) $186.55 $287 7.4×
Ccp antibody (86200) $92.95 $143 7.2×
Cell count csf (89051)
range across 3 matching MRF lines
$107.90–$165.10 $166–$254 varies
Cell marker study (88182) $383.50 $590 7.6×
Ceruloplasmin (82390) $127.40 $196 11.9×
Cftr gene com variants (81220) $1,446.90 $2,226 2.6×
Cftr gene dup/delet variants (81222) $1,669.20 $2,568 3.8×
Chemiluminescent assay (82397) $117 $180 8.3×
Chlamydia antibody (86631) $81.25 $125 6.9×
Chlamydia Igm Antibody (86632) $66.95 $103 5.3×
Chlmy trch&neisra gonor mult (87494) $137.15 $211 2.0×
Chloride other source (82438) $92.30 $142 18.5×
Chloride Serum (82435) $93.60 $144 20.3×
Chloride urine (82436) $81.90 $126 14.2×
Chlorinated Hydrocarbons Screen (82441) $68.90 $106 11.5×
Cholesterol total (82465) $101.40 $156 23.3×
Cholinesterase Serum (82480) $104 $160 13.2×
Chorionic gonadotropin test (84702) $219.70 $338 14.6×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $52.65 $81 2.0×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $139.75 $215 4.2×
Chromium serum (82495) $108.55 $167 5.4×
Chromogenic Substrate Assay (85130) $185.25 $285 15.6×
Chromogranin a (86316)
range across 3 matching MRF lines
$178.10–$181.35 $274–$279 varies
Chromosome Analysis 15-20 (88262) $774.15 $1,191 6.2×
Chromosome Analysis 20-25 (88264) $159.25 $245 1.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 4 matching MRF lines
$189.80–$332.15 $292–$511 varies
Citric acid urine (82507)
range across 3 matching MRF lines
$135.20–$189.15 $208–$291 varies
Ckmb (82553) $144.95 $223 12.5×
Clostridium Difficile (87324) $12,044.15 — 1005.4×
Clot Factor VIII Multimetric (85247) $125.45 $193 5.5×
Clot factor xiii fibrin stab (85290) $195 $300 11.9×
Clotting factor xii hageman (85280) $94.90 $146 4.9×
Clotting Funct Activity (85397) $172.25 $265 5.6×
Cns DNA amp probe type 12-25 (87483) $783.25 $1,205 1.9×
Coagulation time activated (85347) $85.15 $131 19.9×
Coagulation time other methods (85348) $57.20 $88 12.7×
Coccidioides antibody (86635) $80.60 $124 7.0×
Cold agglutinin screen (86156) $97.50 $150 12.1×
Cold agglutinin titer (86157) $42.25 $65 5.2×
Collagen crosslinks (82523) $159.25 $245 8.5×
Column Chromotography Quant (82542)
range across 17 matching MRF lines
$120.25–$217.10 $185–$334 varies
Comparative Anal Str Markers Patient&Comp Spec (81265) $1,240.85 $1,909 5.3×
Compatibility Each Unit Incubation (86921) $12,438.45 — 75.6×
Compatibility test antiglob (86922) $12,438.45 — 75.6×
Complement Antigen Each Component (86160) $205.40 $316 17.1×
Complement Total (Ch50) (86162) $102.70 $158 5.1×
Complement/Function Activity (86161) $252.20 $388 21.0×
Consltj&Reprt Material Requiring Prepj Slides (88323) $253.50 $390 5.0×
Consltj&Reprt Slides Prepared Elsewhere (88321) $195 $300 5.4×
Coombs direct (86880)
range across 5 matching MRF lines
$81.25–$85.15 $125–$131 varies
Copper urine (82525)
range across 6 matching MRF lines
$85.15–$105.30 $131–$162 varies
Cortisol free (82530)
range across 3 matching MRF lines
$113.10–$118.95 $174–$183 varies
Cortisol saliva (82533) $171.60 $264 10.5×
Creatine kinase total (82550) $139.10 $214 21.4×
Creatinine blood (82565) $19,218.60 — 3753.6×
Creatinine clearance (82575) $125.45 $193 13.3×
Creatinine Urine (82570) $5,847 — 1128.8×
Crossmatch electronic (86923) $3,941 — 23.9×
Crossmatch immediate spin (86920) $6,084.35 — 37.0×
Crp High Sensitivity (86141) $141.05 $217 10.9×
Cryofibrinogen (82585) $48.75 $75 3.4×
Cryoglobulin (82595) $127.40 $196 19.7×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $89.70 $138 6.9×
Cryptococcal Antigen (87327) $216.45 $333 16.1×
Cryptococcus ag titer (87899) $108.55 $167 6.8×
Cryptosporidium ag eia (87328) $185.90 $286 13.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $6,350.40 — 785.9×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $83.85 $129 10.4×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $60.45 $93 7.8×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $354.25 $545 1.6×
Culture aerobic quant other (87071) $92.30 $142 9.3×
Culture afb (87116) $290.55 $447 26.9×
Culture Anaerobic (87075)
range across 2 matching MRF lines
$11,457.27–$38,260.44 — varies
Culture blood (87040) $4,283.85 — 415.1×
Culture csf (87070) $10,414.80 — 1208.2×
Culture fungus (87102) $19,263.20 — 2290.5×
Culture fungus blood (87103) $187.85 $289 9.2×
Culture screen only (87081)
range across 2 matching MRF lines
$17,445.85–$38,260.44 — varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $6,350.40 — 1225.9×
Culture urine (87086) $5,101.30 — 632.1×
Cyanide (82600) $153.40 $236 7.9×
Cyclosporine (80158)
range across 3 matching MRF lines
$162.50–$167.70 $250–$258 varies
Cyp2c19 gene analysis common variants (81225) $880.75 $1,355 3.0×
Cystatin C (82610) $76.05 $117 4.1×
Cytogenetics 100-300 (88275) $439.40 $676 8.6×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,625 $2,500 1.4×
Cytogenomic neo microra alys (81277) $3,591.90 $5,526 3.1×
Cytomegalovirus igg (86644)
range across 5 matching MRF lines
$22.75–$101.40 $35–$156 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $131.95 $203 6.5×
Cytopath Cell Enhance Tech (88112) $10,310 — 204.8×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $172.90 $266 6.5×
Cytp Concentration Smears & Interpretation (88108) $4,658.35 — 129.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $17,802.90 — 353.7×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $18,756.94 — 114.0×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $139.75 $215 3.9×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $918.45 $1,413 5.6×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $63.70 $98 3.4×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $97.50 $150 3.5×
Deoxyribonuclease antibody (86215) $119.60 $184 9.0×
Detect Agent Nos Dna Amp (87798) $985 — 28.1×
Detect Agent Nos Dna Quant (87799) $5,338 — 124.6×
Detect agnt mult DNA ampli (87801) $338.65 $521 4.8×
Dgp Antibody Each Ig Class (86258) $127.40 $196 10.6×
Dhea (82626) $155.35 $239 6.1×
Dhea-S (82627) $175.50 $270 7.9×
Digoxin (80162) $195.65 $301 14.7×
Dihydrotestosterone (82642) $68.25 $105 2.3×
Dipropylacetic Acid Free (80165) $66.95 $103 4.9×
Dna Antibody Native/Double Stranded (86225) $100.10 $154 7.3×
Dna/Rna Amplified Probe (87150) $133.90 $206 3.8×
Dpyd gene common variants (81232)
range across 2 matching MRF lines
$340.60–$373.75 $524–$575 varies
Drug assay adalimumab (80145) $141.05 $217 3.7×
Drug Assay Amiodarone (80151) $228.80 $352 12.3×
Drug Assay Everolimus (80169) $198.25 $305 14.4×
Drug assay felbamate (80167) $90.35 $139 4.8×
Drug Assay Infliximab (80230) $95.55 $147 2.5×
Drug Assay Itraconazole (80189)
range across 2 matching MRF lines
$178.75–$187.85 $275–$289 varies
Drug Assay Lacosamide (80235) $207.35 $319 7.6×
Drug Assay Leflunomide (80193) $227.50 $350 5.9×
Drug Assay Posaconazole (80187) $53.30 $82 2.0×
Drug Assay Vedolizumab (80280) $124.80 $192 3.2×
Drug assay voriconazole (80285) $155.35 $239 5.7×
Drug Screen Quant Clozapine (80159) $109.20 $168 5.4×
Drug Screen Quant Zonisamide (80203) $130 $200 9.8×
Drug Screen Quantitative Gabapentin (80171) $78.65 $121 3.6×
Drug Screen Quantitative Lamotrigine (80175) $113.10 $174 8.5×
Drug Screen Quantitative Levetiracetam (80177) $159.25 $245 12.0×
Drug Screen Quantitative Oxcarbazepine (80183) $118.30 $182 8.9×
Drug Test Prsmv Chem Anlyzr (80307) $6,543.90 — 105.3×
Egfr Gene Analysis Common Variants (81235) $312.65 $481 1.0×
Ehrlichia antibody (86666)
range across 6 matching MRF lines
$107.90–$117 $166–$180 varies
El-1 Fecal Quantitative (82653) $186.55 $287 8.1×
Electrolyte panel (80051) $28,745.10 — 4100.6×
Electron Microscopy (88348)
range across 2 matching MRF lines
$432.90–$1,743.95 $666–$2,683 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664) $84.50 $130 1.4×
Encephaltis East Eqne Anbdy (86652) $79.95 $123 6.1×
Encephaltis West Eqne Antbdy (86654) $55.25 $85 4.2×
Endomysial Antibody Each Immunoglobulin Class (86231) $136.50 $210 11.3×
Enterovirus Antibody (86658) $68.25 $105 5.2×
Enterovirus PCR (87498) $212.55 $327 6.1×
Enzyme cell activity (82657) $526.50 $810 23.7×
Enzyme histochemistry (88319) $652.60 $1,004 0.8×
Eosinophil Smear (89190) $18.20 $28 3.1×
Erythropoietin (82668) $153.40 $236 8.2×
Estradiol serum (82670) $191.10 $294 6.8×
Estriol (82677) $48.75 $75 2.0×
Estrogens fractionated (82671) $243.10 $374 7.5×
Ethosuximide (80168) $48.75 $75 3.0×
Exam Synovial Fluid Crystals (89060) $89.70 $138 12.2×
F2 Gene (81240) $176.80 $272 2.7×
Factor ii activity (85210) $209.95 $323 16.2×
Factor Inhibitor Test (85335) $344.50 $530 26.8×
Factor ix activity (85250) $371.80 $572 19.5×
Factor v activity (85220) $188.50 $290 10.7×
Factor v leiden mutation (81241) $237.25 $365 3.2×
Factor vii assay (85230) $178.10 $274 9.9×
Factor viii assay (85240)
range across 4 matching MRF lines
$267.15–$427.05 $411–$657 varies
Factor X (85260) $96.85 $149 5.4×
Factor xi activity (85270) $100.75 $155 5.6×
Factor xiii screen (85291) $81.25 $125 8.9×
Fat/Lipids Feces Quantitative (82710) $78 $120 4.6×
Fatty acids free (82725) $81.25 $125 4.3×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $154.05 $237 20.0×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $113.10 $174 6.6×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $155.35 $239 23.8×
Fecal Fat Qualitative (82705) $42.25 $65 8.3×
Ferritin (82728) $235.30 $362 17.3×
Fetal Chrmoml Aneuploidy (81420) $1,592.50 $2,450 2.1×
Fetal Fibronectin (82731) $614.25 $945 9.5×
Fetal hemoglobin assay qual (83033) $198.25 $305 24.8×
Fetal screen rosette (85461) $130 $200 13.9×
Fibrin Degradation Quant (85379) $213.20 $328 20.9×
Fibrinogen activity (85384) $164.45 $253 16.9×
Fibrinogen antigen (85385) $63.05 $97 4.4×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $130 $200 8.4×
Flow cytometry first marker (88184)
range across 12 matching MRF lines
$193.70–$276.90 $298–$426 varies
Fluorescent antibody screen (86255)
range across 95 matching MRF lines
$108.55–$253.50 $167–$390 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $78 $120 6.5×
Fmr1 Gene Charac Alleles (81244) $766.35 $1,179 17.1×
Fmr1 gene detection (81243) $399.75 $615 7.0×
Folic acid rbc (82747) $120.25 $185 6.8×
Folic Acid Serum (82746) $130.65 $201 8.9×
Follicle Stimulating Hormone (83001) $157.30 $242 8.5×
Francisella tularensis (86668) $89.70 $138 6.3×
Fresh Frozen Plasma Thawing Each Unit (86927) $102.70 $158 0.6×
Frozen Section (88331) $216.45 $333 1.3×
Fungi Identification Mold (87107)
range across 2 matching MRF lines
$98.80–$103.35 $152–$159 varies
Fungi Identification Yeast (87106) $81.25 $125 7.9×
Gammaglobulin ige (82785) $160.55 $247 9.8×
Gases Blood O2 Saturation Only Direct Meas (82810) $55.90 $86 5.7×
Gases blood ph only (82800) $49.40 $76 4.5×
Gastrin (82941) $104 $160 5.9×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $4,739 — 11.4×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $989.95 $1,523 1.3×
Gentamicin (80170) $284.70 $438 17.4×
Ggt (82977) $105.30 $162 14.6×
Giardia antigen (87329) $9,774.25 — 815.9×
Glucagon (82943) $48.75 $75 3.4×
Glucose 2 hr pp (82950) $111.80 $172 23.5×
Glucose Blood Test (82962) $70.85 $109 21.6×
Glucose body fluid (82945)
range across 5 matching MRF lines
$43.55–$77.35 $67–$119 varies
Glucose Serum (82947) $124,717.35 — 31734.7×
Glucose tolerance test (gtt) (82951) $90.35 $139 7.0×
Glycated Protein (82985) $49.40 $76 2.9×
Gonadotropin Chorionic Qualitative (84703) $145.60 $224 19.4×
Growth hormone (83003) $114.40 $176 6.9×
Gtt-added samples (82952) $73.45 $113 18.7×
H pylri clrthmcn rst amp prb (87513) $68.25 $105 1.9×
Haptoglobin (83010) $191.10 $294 15.2×
Hba1/hba2 full gene sequence (81259) $1,537.25 $2,365 2.6×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $568.75 $875 2.8×
Hbb duplication/deletion variants (81363) $455 $700 2.2×
Hbb Full Gene Sequence (81364) $1,066 $1,640 3.3×
Hdl Cholesterol (83718) $70.20 $108 8.6×
Helicobacter Pylori Stool (87338) $137.15 $211 9.5×
Helminth Antibody (86682)
range across 4 matching MRF lines
$82.55–$91 $127–$140 varies
Hematocrit (85014) $16,254.42 — 6858.4×
Hemoglobin (85018) $7,766.45 — 3277.0×
Hemoglobin a1c (83036) $317 — 32.6×
Hemoglobin Chromotography (83021) $80.60 $124 4.5×
Hemoglobin electrophoresis (83020)
range across 3 matching MRF lines
$27.95–$35.10 $43–$54 varies
Hemoglobin Methemoglobin Quantitative (83050)
range across 3 matching MRF lines
$153.40–$218.40 $236–$336 varies
Hemoglobin plasma (83051) $85.15 $131 11.6×
Hemoglobin stability screen (83068) $106.60 $164 11.3×
Hemosiderin urine (83070) $52 $80 10.9×
Hep a ab igm (86709) $135.20 $208 12.0×
Heparin assay (85520) $100.75 $155 7.7×
Heparin Neutralization (85525) $78 $120 6.6×
Hepatitis a antibody total (86708) $75.40 $116 6.1×
Hepatitis b core ab igm (86705) $158.60 $244 13.5×
Hepatitis b core ab total (86704) $92.95 $143 7.7×
Hepatitis B Surface Antibody (86706) $140.40 $216 13.1×
Hepatitis B Surface Antigen (87340)
range across 3 matching MRF lines
$105.95–$162.50 $163–$250 varies
Hepatitis Be Antibody (86707) $75.40 $116 6.5×
Hepatitis Be Antigen (87350) $65.65 $101 5.7×
Hepatitis C Antibody (86803) $157.95 $243 11.1×
Hepatitis C Genotype (87902) $671.45 $1,033 2.6×
Hepatitis C Revrs Trnscrpj (87522) $356.85 $549 8.3×
Hepatitis Delta Agent Antibody (86692) $114.40 $176 6.7×
Herpes simplex type 2 (86696) $68.90 $106 3.6×
Heterophile Antibody Screen (86308) $91.65 $141 17.7×
Hfe Gene (81256) $396.50 $610 6.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $48.75 $75 6.3×
Histamine urine (83088) $125.45 $193 4.2×
Histoplasma antibody (86698)
range across 6 matching MRF lines
$13–$115.05 $20–$177 varies
Histoplasma antigen urine (87385) $235.95 $363 17.8×
Hiv Genotype (87901) $341.25 $525 1.3×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $190.45 $293 7.9×
Hiv-1 Antibody (86701) $35.10 $54 3.9×
Hiv-1 Quant&Revrse Trnscrpj (87536) $445.25 $685 5.2×
HIV-2 probe&revrse trnscripj (87538) $24.70 $38 0.7×
Hla Class I Typing Low Resolution One Locus Each (81373) $255.45 $393 2.0×
Hla class ii high defin qual (86833) $360.10 $554 1.1×
Hla I Typing 1 Allele Hr (81381) $359.45 $553 2.1×
Hla ii typing 1 locus lr (81376) $478.40 $736 3.9×
Hla-b27 (86812) $182.65 $281 7.1×
Homocysteine (83090) $160.55 $247 9.0×
Homogenization Tissue (87176) $65 $100 11.1×
Hpv High-Risk Types (87624) $154.70 $238 4.4×
Hpv sep hi-rsk typ&pool rslt (87626) $137.15 $211 2.0×
Hsv Dna Amp Probe (87529) $829 — 23.6×
Human Epididymis Protein 4 (86305) $183.30 $282 8.8×
Hydroxyprogesterone 17-d (83498) $176.80 $272 6.5×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $177.45 $273 17.2×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $76.70 $118 2.2×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $312.65 $481 8.9×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $316.55 $487 9.0×
Iadna Cytomegalovirus Quantification (87497)
range across 4 matching MRF lines
$280.15–$354.25 $431–$545 varies
Iadna ehrlichia chaffeensis amplified probe tq (87484) $76.70 $118 2.2×
Iadna Hepatitis B Virus Quantification (87517) $351.65 $541 8.2×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $48.75 $75 1.4×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $97.50 $150 1.3×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $247.65 $381 5.1×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $181.35 $279 4.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $183.95 $283 5.2×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 3 matching MRF lines
$222.30–$226.85 $342–$349 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $254.80 $392 1.8×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $311 — 1.2×
Ig Light Chains Free Each (83521) $3,277 — 189.8×
Igg subclasses (82787) $53,382.60 — 6656.2×
Igh gene rearrange amp meth (81261) $1,127.75 $1,735 5.7×
Igh@ Variable Region Somatic Mutation Analysis (81263) $906.75 $1,395 3.1×
Igk rearrangeabn clonal pop (81264) $336.70 $518 1.9×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $9,332.42 — 27.0×
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines
$187.20–$191.10 $288–$294 varies
Immunoassay analyte qual/semiqual single step (83518) $848.25 $1,305 88.0×
Immunoassay Analyte Quant Radioimmunoassay (83519) $107.90 $166 5.9×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $39 $60 2.6×
Immunoassay nonantibody (83516)
range across 51 matching MRF lines
$48.75–$234 $75–$360 varies
Immunodiffusion Ouchterlony (86331) $26 $40 2.2×
Immunofixation electrophoresis (86334) $250.25 $385 11.2×
Immunofluorescence per spec 1st singl antb stain (88346) $232.05 $357 1.4×
Immunohistochemistry (88342)
range across 3 matching MRF lines
$12,482.45–$38,689.65 — varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$1,815–$21,073.25 — varies
Inhibin A (86336) $80.60 $124 5.2×
Inhibin b (83520) $220.35 $339 12.8×
Insulin antibodies (86337) $120.90 $186 5.6×
Insulin free (83527) $94.90 $146 7.3×
Insulin total (83525)
range across 2 matching MRF lines
$84.50–$95.55 $130–$147 varies
Interleukin-6 (83529) $243.75 $375 14.1×
Intrinsic factor antibody (86340) $92.30 $142 6.1×
Iron (83540)
range across 2 matching MRF lines
$59.15–$172.90 $91–$266 varies
Iron Binding Capacity (83550) $1,810.55 — 207.2×
Irradiation Blood Product Each Unit (86945) $32.50 $50 0.9×
Islet cell antibody (86341) $165.75 $255 7.0×
Jak2 gene analysis p.val617phe variant (81270) $618.80 $952 6.8×
Jak2 Gene Trgt Sequence Alys (81279) $512.85 $789 2.8×
Jt spc pthgn&rx rsist gen26+ (87627) $1,325.35 $2,039 1.9×
Kit Gene Analysis Targeted Sequence Analysis (81272) $1,411.15 $2,171 4.3×
Koh Prep (87220) $50.70 $78 11.9×
Kras Gene Analysis Additional Variant(S) (81276) $604.50 $930 3.1×
Kras Gene Variants Exon 2 (81275) $657.80 $1,012 3.4×
Lactate (ld) (ldh) enzyme (83615)
range across 5 matching MRF lines
$68.25–$139.10 $105–$214 varies
Lactoferrin fecal qualitative (83630) $104 $160 5.3×
Ldh Isoenzymes (83625) $146.90 $226 11.5×
LDL direct (83721) $57.20 $88 5.4×
Lead (83655)
range across 7 matching MRF lines
$70.85–$89.70 $109–$138 varies
Legionella antibody (86713) $152.75 $235 10.0×
Legionella antigen urine (87449)
range across 9 matching MRF lines
$39.65–$270.40 $61–$416 varies
Leptospira antibody (86720) $82.55 $127 5.1×
Leukocyte Assessment Fecal (89055) $32.50 $50 7.6×
Leukocyte Histamine Release (86343) $89.70 $138 7.2×
Level I Surg Pathology Gross Examination Only (88300)
range across 4 matching MRF lines
$89.05–$96.85 $137–$149 varies
Level ii surg pathology gross&microscopic exam (88302) $176.15 $271 4.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $465.40 $716 1.3×
Lidocaine (80176) $259.35 $399 17.7×
Lipase (83690)
range across 4 matching MRF lines
$172.90–$176.80 $266–$272 varies
Lipoprotein A (83695) $107.90 $166 7.5×
Lipoprotein Bld Quan Part (83704) $137.80 $212 4.0×
Lipoprotein Blood Electrophorectic Sep&Quan (83700)
range across 2 matching MRF lines
$44.85–$56.55 $69–$87 varies
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $95.55 $147 2.8×
Lipoprotein-Associated Phospholipase A2 (83698) $66.30 $102 1.4×
Lithium (80178) $114.40 $176 17.3×
Luteinizing Hormone (Lh) (83002) $150.80 $232 8.1×
Lyme disease antibody (86618) $194 — 11.4×
Lysozyme serum (85549) $81.90 $126 4.4×
M. Genitalium Amp Probe (87563) $211.90 $326 6.0×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 8 matching MRF lines
$166.40–$428.35 $256–$659 varies
M/phmtrc alys ishquant/semiq (88374)
range across 2 matching MRF lines
$18,095.83–$20,654.05 — varies
Macroscopic Exam Parasite (87169) $44.85 $69 10.4×
Magnesium Urine (83735) $15,149 — 2261.0×
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$117–$141.05 $180–$217 varies
Mercury urine (83825) $78.65 $121 4.8×
Methotrexate (80204) $228.80 $352 5.9×
Methylmalonic acid serum (83921) $123.50 $190 5.8×
Mgmt methylation analysis (81287) $452.40 $696 3.6×
Microalbumin, quantitative (82043) $62.40 $96 10.8×
Microsatellite instability (81301) $552.50 $850 1.6×
Microsomal Antibodies Each (86376)
range across 4 matching MRF lines
$117.65–$128.70 $181–$198 varies
Mitochondrial Antibody Each (86381) $135.20 $208 5.3×
Mlh1 Gene (81288) $283.40 $436 1.5×
Mog-Igg1 Antb Flo Cytmtry Ea (86363)
range across 4 matching MRF lines
$372.45–$487.50 $573–$750 varies
Molecular Cytogenetics Dna Probe Each (88271) $111.80 $172 5.2×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $111.80 $172 2.6×
Molecular Pathology Procedure Level 3 (81402) $276.90 $426 1.8×
Mononuclear cell antigen (86356) $250.25 $385 9.3×
Mopath procedure level 2 (81401) $356.20 $548 2.6×
Mopath procedure level 5 (81404) $461.50 $710 1.7×
Mpl gene analysis sequence analysis exon 10 (81339) $523.25 $805 2.8×
Mrsa Pcr (87641) $243.10 $374 6.9×
Mthfr Gene Analysis Common Variants (81291) $104 $160 1.6×
Mumps antibody (86735) $91 $140 7.0×
Muscle-Specific Kinase Antb (86366) $195 $300 10.6×
Mycobacteric Identification (87118)
range across 3 matching MRF lines
$74.10–$122.20 $114–$188 varies
Mycophenolic Acid (80180) $130.65 $201 7.2×
Mycoplasma antibody (86738) $195 $300 14.7×
Myd88 Gene P.Leu265pro Vrnt (81305) $316.55 $487 1.8×
Myelin basic protein csf (83873) $81.90 $126 4.8×
Myoglobin urine (83874)
range across 3 matching MRF lines
$91–$130 $140–$200 varies
Natriuretic peptide (83880) $244.40 $376 6.2×
Neutralization Test Viral (86382) $89.05 $137 5.3×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $130.65 $201 1.0×
Nfct ds bv&vaginitis DNA alg (81515) $512.85 $789 2.0×
Nfct ds chrnc hcv 6 assays (81596) $273.65 $421 3.8×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $395.20 $608 3.1×
Niacin (84591) $156 $240 9.1×
Nickel level (83885) $272.35 $419 11.1×
Nk cells total count (86357) $121.55 $187 3.2×
Nras gene variants exon 2&3 (81311) $971.75 $1,495 3.3×
Ntrk translocation analysis (81194) $1,010.75 $1,555 2.0×
Nuclear antigen antibody (86235)
range across 34 matching MRF lines
$109.85–$204.10 $169–$314 varies
Occult blood feces (82272) $110.50 $170 26.1×
Occult Blood Other Sources (82271) $98.15 $151 18.4×
Oligoclonal bands (83916) $128.05 $197 4.7×
Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping),… (81525) $11,381.50 $17,510 3.7×
Oncology breast mrna gene expression 21 genes (81519) $3,003 $4,620 0.8×
Organic Acids Qualitative Each Specimen (83919) $151.45 $233 9.2×
Osmolality serum (83930) $130 $200 19.7×
Osmolality Urine (83935) $128.70 $198 18.9×
Osmotic fragility rbc incubated (85557) $27.95 $43 2.1×
Osteocalcin (83937) $183.95 $283 6.2×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$48.75–$54.60 $75–$84 varies
Oxalate urine (83945)
range across 3 matching MRF lines
$62.40–$119.60 $96–$184 varies
Particle Agglut Antbdy Titr (86406) $131.95 $203 12.4×
Particle Agglutination Screen Each Antibody (86403) $40.95 $63 3.5×
Parvovirus antibody (86747) $89.70 $138 6.0×
Path Consltj Surg Cytologic Exam Initial Site (88333) $40,605.52 — 52.2×
Pathology Consultation During Surgery (88329) $95.55 $147 1.7×
Ph urine (81003) $5,318.65 — 2363.8×
Phenobarbital Level (80184)
range across 2 matching MRF lines
$126.10–$154.05 $194–$237 varies
Phenotype Infect Agent Drug (87900) $685.10 $1,054 5.3×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$117–$178.10 $180–$274 varies
Phenytoin free (80186) $227.50 $350 16.5×
Phosphatase acid prostatic (84066) $33.15 $51 3.4×
Phosphatase alkaline (84075) $14,517.85 — 2802.7×
Phospholipid Neutralization Hexagonal (85598) $72.15 $111 4.0×
Phosphorus Serum (84100)
range across 2 matching MRF lines
$79.95–$80.60 $123–$124 varies
Phosphorus urine (84105) $69.55 $107 12.0×
Pinworm exam (87172) $45.50 $70 10.7×
Platelet Aggregation (85576) $201.50 $310 8.1×
Platelet Antibodies (86022)
range across 7 matching MRF lines
$306.15–$451.75 $471–$695 varies
Platelet count automated (85049) $20,994.66 — 4686.3×
Platelet neutralization (85597) $234 $360 13.0×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $778.05 $1,197 3.8×
Pneumcysts jirovecii amp prb (87594) $68.25 $105 1.9×
Pooling blood platelets (86965) $279.50 $430 1.7×
Porphobilinogen, urine; quantitative (84110) $34.45 $53 4.1×
Porphyrins Urine Quantitation & Fractionation (84120) $92.30 $142 6.3×
Potassium Urine (84133) $110.50 $170 23.4×
Prealbumin (84134) $165.10 $254 11.3×
Pregnenolone (84140) $140.40 $216 6.8×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $333.45 $513 2.0×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $86.45 $133 1.5×
Pretx serum rbc antibody identification dilution (86976) $61.10 $94 2.2×
Primidone (80188) $94.90 $146 5.7×
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines
$239.85–$250.90 $369–$386 varies
Progesterone (84144)
range across 2 matching MRF lines
$41.60–$215.80 $64–$332 varies
Prolactin (84146) $270.40 $416 14.0×
Protein body fluid (84157)
range across 3 matching MRF lines
$73.45–$100.10 $113–$154 varies
Protein C Activity (85303) $141.70 $218 10.2×
Protein c antigen (85302) $159.25 $245 13.3×
Protein Electrophoresis Urine (84166) $302.25 $465 17.0×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 3 matching MRF lines
$120.25–$322.40 $185–$496 varies
Protein S Free (85306)
range across 3 matching MRF lines
$113.10–$126.75 $174–$195 varies
Protein s total (85305) $157.30 $242 13.5×
Protein total serum (84155) $2,923 — 796.5×
Protein Total Urine (84156) $6,094.15 — 1660.5×
Protein Western Blot Test (84182) $45.50 $70 1.6×
Prothrombin Time Substitution Plasma Frctj Each (85611) $65 $100 16.5×
Protoporphyrin rbc quantitative (84202) $127.40 $196 8.9×
PSA free (84154)
range across 2 matching MRF lines
$195.65–$209.30 $301–$322 varies
Pth Intact (83970)
range across 2 matching MRF lines
$41,912.12–$44,375.30 — varies
Q Fever Antibody (86638) $97.50 $150 8.0×
Quantiferon tb gold plus (86480) $385.45 $593 6.2×
Quantitative assay drug (80299) $296.40 $456 15.9×
Quantitative Screen Metals (83018) $81.90 $126 3.7×
Rbc antibody elution (86860) $204.75 $315 1.2×
Rbc antibody identification (86870) $219.70 $338 0.6×
Rbc antibody screen (86850) $128.05 $197 13.1×
Rbc pretreatment serum (86978) $49.40 $76 0.9×
Rbc pretx incubatj w/enzymes (86971) $75.40 $116 0.5×
Renin activity plasma (84244)
range across 3 matching MRF lines
$212.55–$219.05 $327–$337 varies
Reptilase test (85635) $169 $260 17.2×
Reticulated Platelet Assay (85055) $169 $260 4.7×
Reticulocyte Count (85046) $145.60 $224 26.1×
Reticulocyte separation (86972) $84.50 $130 0.5×
Rh (86901) $71.50 $110 23.9×
Rheumatoid Factor Qualitative (86430) $26 $40 4.2×
Rheumatoid factor quant (86431) $114.40 $176 20.2×
Rickettsia antibody (86757)
range across 2 matching MRF lines
$40.95–$83.20 $63–$128 varies
Ristocetin cofactor (85245) $65.65 $101 2.9×
Rotavirus ag eia (87425) $189.15 $291 15.8×
Rpr qualitative (86592) $49.40 $76 11.6×
Rubella Antibody (86762)
range across 4 matching MRF lines
$101.40–$152.75 $156–$235 varies
Rubeola antibody (86765) $92.30 $142 7.2×
Russell Viper Venom Time Diluted (85613) $203.45 $313 21.2×
Sars-Cov-2 Covid-19 Amp Prb (87635) $130 $200 2.5×
Sars-cov-2 COVID-19 antibody (86769) $91.65 $141 2.2×
Sars-Cov-2 Covid19 W/Optic (87811) $56.55 $87 1.4×
Sarscov2 & inf a&b amp prb (87636) $361.40 $556 2.5×
Sarscov2&inf a&b&rsv amp prb (87637) $5,847 — 41.0×
Sedimentation Rate, Automated (85652) $70.85 $109 26.2×
Selenium (84255) $113.75 $175 4.5×
Semen Anal Sperm Detection (89321) $89.70 $138 7.4×
Semen analysis complete (89322) $89.70 $138 5.8×
Semen analysis motility and count (89310) $68.90 $106 8.0×
Sensitivity mic (87186)
range across 8 matching MRF lines
$70.20–$203.45 $108–$313 varies
Sex Hormone Binding Globulin (84270)
range across 4 matching MRF lines
$111.80–$162.50 $172–$250 varies
Sickling of rbc reduction (85660) $92.95 $143 16.9×
Sirolimus (80195)
range across 2 matching MRF lines
$171.60–$225.55 $264–$347 varies
Smear acid fast (87206) $19,115.87 — 3546.5×
Smear complex stain (87209) $48.75 $75 2.7×
Smear gram stain (87205) $11,327.62 — 2652.8×
Smear Special Stain (87207)
range across 2 matching MRF lines
$44.20–$157.95 $68–$243 varies
Smn1 Gene Dos/Deletion Alys (81329) $411.45 $633 3.0×
Sodium Serum (84295) $43,411.17 — 9025.2×
Sodium Urine (84300) $73.45 $113 14.5×
Soluble fibrin monomer (85366) $247 $380 3.1×
Soluble Transferrin Receptor (84238) $193.05 $297 5.3×
Somatomedin (84305)
range across 4 matching MRF lines
$96.85–$131.30 $149–$202 varies
Special Stains Group 1 (88312) $236.60 $364 4.7×
Special Stains Group 2 (88313)
range across 4 matching MRF lines
$202.15–$243.75 $311–$375 varies
Specific gravity body fluid (84315) $44.85 $69 13.7×
Specimen infect agnt concntj (87015) $52 $80 7.8×
Spectrophotometry (84311) $132.60 $204 16.4×
Splitting Blood/Blood Products Each Unit (86985) $125.45 $193 0.8×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $104 $160 0.6×
Strep a DNA amp probe (87651) $193 — 5.5×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $162.50 $250 1.8×
Sugars Single Qual (84376) $120.90 $186 22.0×
Sulfate urine (84392) $22.75 $35 4.1×
Surg path level iii (88304) $275.60 $424 5.5×
Surgical pathology level IV (88305) $13,696 — 272.1×
Surgical pathology level vi (88309) $613.60 $944 0.8×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $52 $80 10.9×
Syphilis Test Non-Trep Quant (86593) $44.85 $69 10.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $99.45 $153 2.1×
T cells total count (86359) $73.45 $113 1.9×
T3 Free (84481) $156 $240 9.2×
T3 reverse (84482) $92.30 $142 5.9×
T3 Total (84480) $173.55 $267 12.2×
T3 Uptake (84479) $84.50 $130 13.1×
T4 Free (84439) $38,275.10 — 4243.4×
T4 total (84436) $196.95 $303 28.7×
Tacrolimus (80197) $224.25 $345 16.3×
Tau phosphorylated each (84393) $204.75 $315 1.6×
Tb ag response t-cell susp (86481)
range across 2 matching MRF lines
$130–$162.50 $200–$250 varies
Test for acetone/ketones (82009) $27.95 $43 6.2×
Testosterone Bioavailable (84410) $139.75 $215 2.7×
Testosterone total (84403)
range across 6 matching MRF lines
$132.60–$188.50 $204–$290 varies
Testosterone, Free (84402) $138.45 $213 5.4×
Theophylline (80198) $173.55 $267 12.3×
Thiopurine methyltransferase (84433) $48.75 $75 2.2×
Thrombin Time (85670) $72.80 $112 12.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $116.35 $179 18.0×
Thyroglobulin (84432) $95.55 $147 5.9×
Thyroglobulin Antibody (86800) $100.75 $155 6.3×
Thyroid Stimulating Immunoglobulin (84445) $286.65 $441 5.6×
Thyroxine binding globulin (84442) $53.30 $82 3.6×
Tiss Trnsgltmnase Ea Ig Clas (86364) $139.75 $215 12.1×
Tissue Culture (88233) $748.80 $1,152 5.3×
Tissue Culture Amniotic Fluid (88235) $737.75 $1,135 4.9×
Tissue culture bone marrow (88237) $737.75 $1,135 5.1×
Tissue Culture Lymphocyte (88230) $589.55 $907 5.1×
Tobramycin peak (80200) $76.05 $117 4.7×
Topiramate (80201) $147.55 $227 12.4×
Total Tau (84394) $183.95 $283 1.4×
Toxoplasma ab igm (86778) $68.25 $105 4.7×
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$72.15–$98.80 $111–$152 varies
Transferase Aspartate Amino Ast Sgot (84450) $16,679.20 — 3219.9×
Transferrin (84466) $150.15 $231 11.8×
Trb@ Rearrangement Anal Amplification Method (81340) $609.70 $938 2.9×
Trg gene rearrangement anal (81342) $856.70 $1,318 4.3×
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$34.45–$170.95 $53–$263 varies
Triglycerides (84478)
range across 2 matching MRF lines
$113.10–$120.25 $174–$185 varies
Troponin Quant (84484) $21,503.65 — 1724.4×
Tumor immunohistochem/comput (88361) $290.55 $447 0.8×
Tumor Immunohistochem/Manual (88360)
range across 3 matching MRF lines
$11,847.30–$108,313.84 — varies
Ugt1a1 gene analysis common variants (81350) $271.70 $418 1.2×
Urea nitrogen urine (84540) $85.80 $132 15.4×
Uric acid other source (84560) $84.50 $130 16.6×
Urinalysis Microscopic Only (81015) $70 — 23.0×
Urinalysis Volume Measure (81050) $26 $40 7.1×
Urine Albumin Semiquantitative (82044) $19.50 $30 3.1×
Urine Bacteria Culture (87088) $80.60 $124 10.0×
Urine Pregnancy Test (81025) $51.35 $79 6.0×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $7,291 — 2300.0×
Valproic acid (80164) $218.40 $336 16.1×
Vancomycin (80202)
range across 3 matching MRF lines
$128.70–$235.30 $198–$362 varies
Varicella-zoster antibody (86787)
range across 8 matching MRF lines
$86.45–$105.95 $133–$163 varies
Vasopressin (84588) $72.80 $112 2.1×
Viral Culture (87252) $50.70 $78 1.9×
Virus antibody nos (86790) $106.60 $164 8.3×
Viscosity serum (85810) $90.35 $139 7.7×
Vit D 1 25-Dihydroxy (82652) $202.15 $311 5.3×
Vitamin A (84590)
range across 2 matching MRF lines
$78.65–$109.85 $121–$169 varies
Vitamin b-12 (82607) $204.75 $315 13.6×
Vitamin B2 (Riboflavin) (84252) $43.55 $67 2.2×
Vitamin B6 (84207) $187.85 $289 6.7×
Vitamin c (82180) $83.20 $128 8.4×
Vitamin D 25-Hydroxy (82306) $9,354.40 — 316.0×
Vitamin E (84446) $32.50 $50 2.3×
Vitamin K (84597) $151.45 $233 11.0×
Voltage-Gated Calcium Channel Antibody Each (86596) $80.60 $124 6.7×
Von willebrand factor ag (85246) $237.90 $366 10.4×
West nile virus ab igm (86788)
range across 3 matching MRF lines
$92.30–$165.10 $142–$254 varies
West Nile Virus Antibody (86789) $143.65 $221 10.0×
Zika Virus Dna/Rna Amp Probe (87662) $111.15 $171 2.2×
Zika Virus Igm Antibody (86794) $245.70 $378 14.6×
Zinc (84630) $76.05 $117 6.7×

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.