Lab & pathology prices at MercyOne Genesis Dewitt Medical Center
Dewitt, IA · every code in this section with a posted price and a Medicare benchmark.
749 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) range across 2 matching MRF lines |
$78.60–$82.80 | $131–$138 | varies |
| 5 Nucleotidase (83915) | $37.80 | $63 | 3.4× |
| Acetylcholine receptor binding antibody (86041) | $46.80 | $78 | 2.5× |
| Acetylcholine receptor blocking antibody (86042) | $46.80 | $78 | 2.5× |
| Acetylcholn Rcptr Modlg Antb (86043) range across 2 matching MRF lines |
$34.80–$75.60 | $58–$126 | varies |
| Acth (82024) range across 3 matching MRF lines |
$136.20–$199.20 | $227–$332 | varies |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $112.20 | $187 | 3.4× |
| Actin smooth muscle antibody each (86015) | $29.40 | $49 | 2.4× |
| Acute hepatitis panel (80074) range across 4 matching MRF lines |
$159–$163.80 | $265–$273 | varies |
| Acylcarnitines Quant (82017) range across 3 matching MRF lines |
$57–$235.80 | $95–$393 | varies |
| Adenovirus antibody (86603) range across 2 matching MRF lines |
$45.60–$48 | $76–$80 | varies |
| Agglutinins Febrile Each Antigen (86000) | $78.60 | $131 | 11.3× |
| Albumin Fluid (82042) range across 10 matching MRF lines |
$18–$62.40 | $30–$104 | varies |
| Albumin serum (82040) range across 6 matching MRF lines |
$17.40–$97.20 | $29–$162 | varies |
| Aldolase (82085) range across 3 matching MRF lines |
$34.80–$100.80 | $58–$168 | varies |
| Aldosterone urine (82088) range across 6 matching MRF lines |
$140.40–$180 | $234–$300 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 5 matching MRF lines |
$40.20–$304.80 | $67–$508 | varies |
| Allergen specific ige (86003) range across 125 matching MRF lines |
$12.60–$22.20 | $21–$37 | varies |
| Allergen specific igg (86001) | $19.20 | $32 | 2.5× |
| Allg Spec Ige Recomb Ea (86008) range across 32 matching MRF lines |
$43.20–$259.20 | $72–$432 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $49.80 | $83 | 3.4× |
| Alpha-1-antitrypsin total (82103) range across 8 matching MRF lines |
$43.20–$82.20 | $72–$137 | varies |
| Alpha-Fetoprotein Serum (82105) range across 9 matching MRF lines |
$40.20–$124.20 | $67–$207 | varies |
| Alt (sgpt) (84460) range across 7 matching MRF lines |
$18.60–$36.60 | $31–$61 | varies |
| Aluminum (82108) range across 2 matching MRF lines |
$90.60–$94.20 | $151–$157 | varies |
| Amikacin trough (80150) range across 5 matching MRF lines |
$39–$122.40 | $65–$204 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$37.80–$78.60 | $63–$131 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$79.20–$135 | $132–$225 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $102.60 | $171 | 7.4× |
| Aminolevulinic acid (ala) (82135) | $264.60 | $441 | 16.1× |
| Ammonia (82140) range across 5 matching MRF lines |
$48.60–$95.40 | $81–$159 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $235.20 | $392 | 2.4× |
| Amylase urine (82150) range across 10 matching MRF lines |
$22.20–$121.20 | $37–$202 | varies |
| Ana Titer (86039) range across 3 matching MRF lines |
$31.80–$58.20 | $53–$97 | varies |
| Anca screen each antibody (86036) | $82.80 | $138 | 6.9× |
| Anca Titer Each Antibody (86037) | $30.60 | $51 | 2.5× |
| Androstanediol Glucuronide (82154) | $120.60 | $201 | 4.2× |
| Androstenedione (82157) range across 4 matching MRF lines |
$98.40–$252 | $164–$420 | varies |
| Angiotensin converting enzyme csf (82164) range across 4 matching MRF lines |
$48.60–$86.40 | $81–$144 | varies |
| Anti-Phospholipid Antibody (86148) range across 4 matching MRF lines |
$55.20–$79.20 | $92–$132 | varies |
| Antibody aspergillus (86606) range across 19 matching MRF lines |
$42.60–$78.60 | $71–$131 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 3 matching MRF lines |
$40.80–$159.60 | $68–$266 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 8 matching MRF lines |
$39.60–$80.40 | $66–$134 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 4 matching MRF lines |
$42.60–$62.40 | $71–$104 | varies |
| Antibody Encephalitis California La Crosse (86651) | $50.40 | $84 | 3.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 3 matching MRF lines |
$45–$73.20 | $75–$122 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 5 matching MRF lines |
$43.20–$78 | $72–$130 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 9 matching MRF lines |
$51.60–$66.60 | $86–$111 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 5 matching MRF lines |
$31.20–$50.40 | $52–$84 | varies |
| Antibody helicobacter pylori (86677) range across 9 matching MRF lines |
$42.60–$194.40 | $71–$324 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 7 matching MRF lines |
$51.60–$245.40 | $86–$409 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 9 matching MRF lines |
$33.60–$49.20 | $56–$82 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$41.40–$58.80 | $69–$98 | varies |
| Antibody HIV-2 (86702) range across 5 matching MRF lines |
$45.60–$96 | $76–$160 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 3 matching MRF lines |
$55.20–$143.40 | $92–$239 | varies |
| Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines |
$53.40–$54 | $89–$90 | varies |
| Antibody Lymphocytic Choriomeningitis (86727) | $45.60 | $76 | 3.5× |
| Antibody nocardia (86744) | $30 | $50 | 1.9× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$41.40–$43.80 | $69–$73 | varies |
| Antibody Titer (86886) range across 3 matching MRF lines |
$83.40–$159.60 | $139–$266 | varies |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$41.40–$45.60 | $69–$76 | varies |
| Antibody; encephalitis, st. louis (86653) | $47.40 | $79 | 3.6× |
| Antibody; influenza virus (86710) range across 11 matching MRF lines |
$46.80–$51.60 | $78–$86 | varies |
| Antigen typing (86905) | $15 | $25 | 3.9× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $41.40 | $69 | 7.2× |
| Antinomyces antibody (86602) range across 5 matching MRF lines |
$31.80–$34.80 | $53–$58 | varies |
| Antinuclear antibodies (86038) range across 13 matching MRF lines |
$22.80–$163.20 | $38–$272 | varies |
| Antistreptolysin O Screen (86063) | $59.40 | $99 | 10.3× |
| Antistreptolysin o titer (86060) range across 3 matching MRF lines |
$24.60–$43.20 | $41–$72 | varies |
| Antithrombin iii activity (85300) range across 6 matching MRF lines |
$40.80–$262.20 | $68–$437 | varies |
| Antithrombin iii antigen (85301) range across 4 matching MRF lines |
$36.60–$297.60 | $61–$496 | varies |
| Apolipoprotein a1 (82172) range across 6 matching MRF lines |
$52.20–$118.80 | $87–$198 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $553.20 | $922 | 45.9× |
| Aquaporin-4 Antb Elisa (86051) | $400.80 | $668 | 34.8× |
| Arsenic (82175) range across 12 matching MRF lines |
$48–$199.20 | $80–$332 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$42–$75.60 | $70–$126 | varies |
| Assay activated protein c (85307) range across 5 matching MRF lines |
$54.60–$263.40 | $91–$439 | varies |
| Assay Blood Carbon Dioxide (82374) range across 4 matching MRF lines |
$19.80–$82.80 | $33–$138 | varies |
| Assay Nephelometry Not Spec (83883) range across 12 matching MRF lines |
$42.60–$235.80 | $71–$393 | varies |
| Assay of 5-hiaa (83497) range across 5 matching MRF lines |
$45.60–$133.20 | $76–$222 | varies |
| Assay of anti-mullerian hormone (82166) | $39.60 | $66 | 1.0× |
| Assay of blood/uric acid (84550) range across 3 matching MRF lines |
$16.20–$31.20 | $27–$52 | varies |
| Assay of calcium in urine (82340) range across 8 matching MRF lines |
$21.60–$64.20 | $36–$107 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$46.20–$77.40 | $77–$129 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$37.80–$136.80 | $63–$228 | varies |
| Assay of g6pd enzyme (82955) range across 3 matching MRF lines |
$33.60–$143.40 | $56–$239 | varies |
| Assay of gammaglobulin igm (82784) range across 43 matching MRF lines |
$18.60–$225.60 | $31–$376 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$67.20–$84 | $112–$140 | varies |
| Assay of manganese (83785) | $87 | $145 | 3.3× |
| Assay of metanephrines (83835) range across 7 matching MRF lines |
$57–$238.20 | $95–$397 | varies |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$61.20–$204 | $102–$340 | varies |
| Assay of pyruvate (84210) | $39 | $65 | 2.7× |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$20.40–$256.80 | $34–$428 | varies |
| Assay of serum potassium (84132) range across 4 matching MRF lines |
$26.40–$54 | $44–$90 | varies |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$26.40–$48.60 | $44–$81 | varies |
| Assay of transcortin (84449) | $61.80 | $103 | 3.4× |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$27.60–$34.80 | $46–$58 | varies |
| Assay of urine vma (84585) range across 6 matching MRF lines |
$52.20–$166.80 | $87–$278 | varies |
| Assay of vasoactive intestinal peptide (84586) range across 2 matching MRF lines |
$118.20–$165 | $197–$275 | varies |
| Assay of vitamin b-1 (84425) range across 3 matching MRF lines |
$71.40–$135.60 | $119–$226 | varies |
| Assay Ph Body Fluid Nos (83986) | $36 | $60 | 10.1× |
| Assay spec xcp ur&breath ia (82077) range across 4 matching MRF lines |
$43.80–$96 | $73–$160 | varies |
| Asy carbamazepin 10,11-epxid (80161) range across 3 matching MRF lines |
$44.40–$100.20 | $74–$167 | varies |
| Automated Leukocyte Count (85048) range across 4 matching MRF lines |
$15.60–$30 | $26–$50 | varies |
| B cells total count (86355) range across 3 matching MRF lines |
$129.60–$152.40 | $216–$254 | varies |
| Bartonella antibody (86611) range across 9 matching MRF lines |
$34.80–$36.60 | $58–$61 | varies |
| Bcr/abl1 gene major bp (81206) range across 4 matching MRF lines |
$413.40–$581.40 | $689–$969 | varies |
| Bcr/abl1 gene minor bp (81207) range across 4 matching MRF lines |
$364.80–$513 | $608–$855 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 15 matching MRF lines |
$64.80–$92.40 | $108–$154 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$33–$43.80 | $55–$73 | varies |
| Beta Lactamase (87185) | $64.80 | $108 | 13.6× |
| Beta-2 Microglobulin (82232) range across 4 matching MRF lines |
$39–$94.20 | $65–$157 | varies |
| Bile acids total (82239) range across 2 matching MRF lines |
$48–$49.20 | $80–$82 | varies |
| Bilirubin direct (82248) | $36.60 | $61 | 7.3× |
| Bilirubin total (82247) range across 8 matching MRF lines |
$24.60–$36.60 | $41–$61 | varies |
| Bilirubin total transcutaneous (88720) | $32.40 | $54 | 6.5× |
| Biotinidase (82261) range across 2 matching MRF lines |
$60–$75.60 | $100–$126 | varies |
| Blastomyces antibody (86612) range across 9 matching MRF lines |
$30.60–$238.80 | $51–$398 | varies |
| Bleeding time test (85002) | $46.20 | $77 | 9.6× |
| Blood Count Manual Cell Count Each (85032) | $23.40 | $39 | 5.4× |
| Blood Count Red Blood Cell Automated (85041) range across 3 matching MRF lines |
$9–$27 | $15–$45 | varies |
| Blood count reticulocyte automated (85045) range across 3 matching MRF lines |
$14.40–$81.60 | $24–$136 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 3 matching MRF lines |
$36–$37.80 | $60–$63 | varies |
| Blood count spun microhematocrit (85013) | $20.40 | $34 | 2.9× |
| Blood gas (82803) range across 11 matching MRF lines |
$99.60–$133.80 | $166–$223 | varies |
| Blood gases w/02 saturation (82805) range across 3 matching MRF lines |
$104.40–$138 | $174–$230 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 3 matching MRF lines |
$54–$57.60 | $90–$96 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$19.20–$30.60 | $32–$51 | varies |
| Blood Sulfhemoglobin Assay (83060) range across 2 matching MRF lines |
$37.20–$160.80 | $62–$268 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 6 matching MRF lines |
$26.40–$104.40 | $44–$174 | varies |
| Blood typing serologic abo (86900) range across 6 matching MRF lines |
$10.20–$31.20 | $17–$52 | varies |
| Body fluid cell count (89050) range across 6 matching MRF lines |
$31.20–$86.40 | $52–$144 | varies |
| Bordetella antibody (86615) range across 4 matching MRF lines |
$44.40–$226.80 | $74–$378 | varies |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $1,176 | $1,960 | 2.7× |
| Brca1&2 gen full seq dup/del (81162) range across 2 matching MRF lines |
$4,872.60–$5,110.20 | $8,121–$8,517 | varies |
| Brucella antibody (86622) | $32.40 | $54 | 3.6× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$117.60–$132.60 | $196–$221 | varies |
| C-Peptide (84681) range across 3 matching MRF lines |
$59.40–$115.20 | $99–$192 | varies |
| C-reactive protein (86140) range across 5 matching MRF lines |
$18–$61.20 | $30–$102 | varies |
| Ca 19-9 (86301) range across 7 matching MRF lines |
$73.80–$141.60 | $123–$236 | varies |
| Cadmium (82300) range across 6 matching MRF lines |
$78–$93.60 | $130–$156 | varies |
| Calcitonin (82308) range across 2 matching MRF lines |
$95.40–$141.60 | $159–$236 | varies |
| Calcium ionized (82330) range across 4 matching MRF lines |
$43.20–$80.40 | $72–$134 | varies |
| Calcium total (82310) range across 5 matching MRF lines |
$16.80–$36.60 | $28–$61 | varies |
| Calculus assay quant (82360) | $35.40 | $59 | 2.8× |
| Calculus Spectroscopy (82365) range across 3 matching MRF lines |
$33–$106.20 | $55–$177 | varies |
| Calprotectin Fecal (83993) | $142.20 | $237 | 7.2× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$374.40–$425.40 | $624–$709 | varies |
| Cancer Antigen 125 (86304) range across 3 matching MRF lines |
$69.60–$189 | $116–$315 | varies |
| Cancer Antigen 27.29 (86300) range across 5 matching MRF lines |
$69.60–$157.20 | $116–$262 | varies |
| Candida antibody (86628) range across 7 matching MRF lines |
$33.60–$43.80 | $56–$73 | varies |
| Candida Dna Dir Probe (87480) range across 3 matching MRF lines |
$52.20–$74.40 | $87–$124 | varies |
| Carbamazepine free (80157) range across 5 matching MRF lines |
$18.60–$112.80 | $31–$188 | varies |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$51.60–$132.60 | $86–$221 | varies |
| Carbohydrate Deficient Transferrin (82373) | $118.80 | $198 | 6.6× |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $54 | $90 | 3.8× |
| Carboxyhemoglobin (82375) range across 5 matching MRF lines |
$20.40–$113.40 | $34–$189 | varies |
| Carcinoembryonic antigen (82378) range across 5 matching MRF lines |
$51.60–$102 | $86–$170 | varies |
| Cardiolipin ab iga (86147) range across 18 matching MRF lines |
$64.80–$239.40 | $108–$399 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 3 matching MRF lines |
$60–$178.80 | $100–$298 | varies |
| Carotene (82380) range across 2 matching MRF lines |
$45.60–$107.40 | $76–$179 | varies |
| Catecholamines fractionated (82384) range across 10 matching MRF lines |
$84–$187.80 | $140–$313 | varies |
| Catecholamines total urine (82382) | $175.80 | $293 | 6.4× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$43.20–$60.60 | $72–$101 | varies |
| Cell count csf (89051) range across 9 matching MRF lines |
$36–$86.40 | $60–$144 | varies |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$36–$147 | $60–$245 | varies |
| Cftr gene com variants (81220) range across 3 matching MRF lines |
$87.60–$1,402.80 | $146–$2,338 | varies |
| Cftr gene full sequence (81223) | $1,788.60 | $2,981 | 3.6× |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$47.40–$200.40 | $79–$334 | varies |
| Chlamydia antibody (86631) range across 9 matching MRF lines |
$36.60–$121.80 | $61–$203 | varies |
| Chlamydia Igm Antibody (86632) range across 9 matching MRF lines |
$43.20–$97.80 | $72–$163 | varies |
| Chloride other source (82438) range across 5 matching MRF lines |
$26.40–$42.60 | $44–$71 | varies |
| Chloride Serum (82435) range across 3 matching MRF lines |
$19.80–$30 | $33–$50 | varies |
| Chloride urine (82436) | $40.80 | $68 | 7.1× |
| Cholesterol total (82465) range across 5 matching MRF lines |
$19.20–$29.40 | $32–$49 | varies |
| Cholinesterase rbc (82482) range across 2 matching MRF lines |
$35.40–$113.40 | $59–$189 | varies |
| Cholinesterase Serum (82480) range across 4 matching MRF lines |
$22.20–$66 | $37–$110 | varies |
| Chorionic gonadotropin test (84702) range across 10 matching MRF lines |
$48.60–$95.40 | $81–$159 | varies |
| Chromium serum (82495) range across 5 matching MRF lines |
$43.20–$87 | $72–$145 | varies |
| Chromogranin a (86316) range across 11 matching MRF lines |
$69.60–$83.40 | $116–$139 | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$442.80–$448.80 | $738–$748 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 17 matching MRF lines |
$85.80–$151.20 | $143–$252 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$43.20–$279.60 | $72–$466 | varies |
| Ckmb (82553) range across 4 matching MRF lines |
$60–$64.20 | $100–$107 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$40.80–$103.80 | $68–$173 | varies |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$127.20–$280.80 | $212–$468 | varies |
| Cns DNA amp probe type 12-25 (87483) | $1,051.20 | $1,752 | 2.5× |
| Coagulation time activated (85347) range across 5 matching MRF lines |
$34.20–$36.60 | $57–$61 | varies |
| Coccidioides antibody (86635) range across 9 matching MRF lines |
$39–$83.40 | $65–$139 | varies |
| Cold agglutinin titer (86157) | $20.40 | $34 | 2.5× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$64.80–$160.20 | $108–$267 | varies |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$60.60–$236.40 | $101–$394 | varies |
| Compatibility test antiglob (86922) range across 7 matching MRF lines |
$62.40–$79.20 | $104–$132 | varies |
| Complement Antigen Each Component (86160) range across 13 matching MRF lines |
$40.80–$118.80 | $68–$198 | varies |
| Complement Total (Ch50) (86162) range across 4 matching MRF lines |
$40.20–$132.60 | $67–$221 | varies |
| Complement/Function Activity (86161) | $40.80 | $68 | 3.4× |
| Coombs direct (86880) range across 7 matching MRF lines |
$32.40–$76.80 | $54–$128 | varies |
| Copper urine (82525) range across 8 matching MRF lines |
$31.80–$88.20 | $53–$147 | varies |
| Cortisol free (82530) range across 6 matching MRF lines |
$56.40–$142.20 | $94–$237 | varies |
| Cortisol saliva (82533) range across 23 matching MRF lines |
$41.40–$152.40 | $69–$254 | varies |
| Creatine (82540) | $17.40 | $29 | 3.8× |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$22.20–$56.40 | $37–$94 | varies |
| Creatinine blood (82565) range across 4 matching MRF lines |
$28.80–$35.40 | $48–$59 | varies |
| Creatinine clearance (82575) range across 3 matching MRF lines |
$50.40–$60.60 | $84–$101 | varies |
| Creatinine Urine (82570) range across 31 matching MRF lines |
$13.80–$114.60 | $23–$191 | varies |
| Crossmatch electronic (86923) | $64.80 | $108 | 0.4× |
| Crossmatch immediate spin (86920) | $58.20 | $97 | 0.4× |
| Crp High Sensitivity (86141) range across 3 matching MRF lines |
$43.20–$51.60 | $72–$86 | varies |
| Cryofibrinogen (82585) | $34.20 | $57 | 2.4× |
| Cryoglobulin (82595) range across 3 matching MRF lines |
$22.80–$111 | $38–$185 | varies |
| Cryptococcus ab (86641) range across 2 matching MRF lines |
$41.40–$51.60 | $69–$86 | varies |
| Cryptococcus ag titer (87899) range across 8 matching MRF lines |
$43.20–$142.20 | $72–$237 | varies |
| Cryptosporidium (87272) | $42.60 | $71 | 3.6× |
| Cryptosporidium ag eia (87328) range across 3 matching MRF lines |
$41.40–$116.40 | $69–$194 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 7 matching MRF lines |
$15–$31.20 | $25–$52 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$50.40–$54 | $84–$90 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 3 matching MRF lines |
$27–$99.60 | $45–$166 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $550.20 | $917 | 2.5× |
| Culture afb (87116) range across 9 matching MRF lines |
$24.60–$106.20 | $41–$177 | varies |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$42.60–$85.20 | $71–$142 | varies |
| Culture blood (87040) range across 3 matching MRF lines |
$103.80–$112.20 | $173–$187 | varies |
| Culture chlamydia (87110) range across 3 matching MRF lines |
$62.40–$71.40 | $104–$119 | varies |
| Culture csf (87070) range across 19 matching MRF lines |
$21.60–$67.20 | $36–$112 | varies |
| Culture fungus (87102) | $105.60 | $176 | 12.6× |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$32.40–$105.60 | $54–$176 | varies |
| Culture screen only (87081) range across 14 matching MRF lines |
$16.20–$43.20 | $27–$72 | varies |
| Culture stool (87045) range across 4 matching MRF lines |
$6.60–$62.40 | $11–$104 | varies |
| Culture typing if ea antiserum (87140) range across 3 matching MRF lines |
$19.80–$97.20 | $33–$162 | varies |
| Culture urine (87086) range across 5 matching MRF lines |
$43.80–$47.40 | $73–$79 | varies |
| Cyanide (82600) | $66.60 | $111 | 3.4× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) range across 2 matching MRF lines |
$48–$50.40 | $80–$84 | varies |
| Cyclosporine (80158) range across 4 matching MRF lines |
$60.60–$204 | $101–$340 | varies |
| Cystatin C (82610) range across 2 matching MRF lines |
$81–$118.80 | $135–$198 | varies |
| Cytogenetics 10-30 (88273) range across 3 matching MRF lines |
$97.80–$173.40 | $163–$289 | varies |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$97.80–$100.80 | $163–$168 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,228.80 | $2,048 | 1.1× |
| Cytogenomic neo microra alys (81277) | $3,098.40 | $5,164 | 2.7× |
| Cytomegalovirus igg (86644) range across 9 matching MRF lines |
$27–$99 | $45–$165 | varies |
| Cytopath Cell Enhance Tech (88112) | $169.20 | $282 | 3.4× |
| Cytp Concentration Smears & Interpretation (88108) | $50.40 | $84 | 1.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $116.40 | $194 | 2.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 2 matching MRF lines |
$129–$135.60 | $215–$226 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $56.40 | $94 | 1.6× |
| Deoxycortisol (82634) | $58.80 | $98 | 2.0× |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$46.80–$106.80 | $78–$178 | varies |
| Detect Agent Nos Dna Amp (87798) range across 56 matching MRF lines |
$88.20–$373.80 | $147–$623 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$158.40–$300 | $264–$500 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$186.60–$219 | $311–$365 | varies |
| Dgp Antibody Each Ig Class (86258) | $31.20 | $52 | 2.6× |
| Dhea (82626) range across 3 matching MRF lines |
$84.60–$133.20 | $141–$222 | varies |
| Dhea-S (82627) range across 4 matching MRF lines |
$74.40–$133.20 | $124–$222 | varies |
| Dibucaine number (82638) | $80.40 | $134 | 6.6× |
| Digoxin (80162) range across 3 matching MRF lines |
$70.80–$81.60 | $118–$136 | varies |
| Dihydrotestosterone (82642) | $82.20 | $137 | 2.8× |
| Diphtheria antitoxoid (86648) | $91.80 | $153 | 6.0× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$42.60–$45.60 | $71–$76 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 5 matching MRF lines |
$34.80–$102.60 | $58–$171 | varies |
| Dna Antibody Single Stranded (86226) | $42 | $70 | 3.5× |
| Dna/Rna Amplified Probe (87150) | $100.20 | $167 | 2.9× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$67.80–$110.40 | $113–$184 | varies |
| Dna/Rna Sequencing (87153) | $291 | $485 | 2.5× |
| Drug assay acetaminophen (80143) | $111 | $185 | 6.0× |
| Drug assay adalimumab (80145) | $109.80 | $183 | 2.8× |
| Drug Assay Amiodarone (80151) range across 2 matching MRF lines |
$50.40–$54.60 | $84–$91 | varies |
| Drug Assay Everolimus (80169) range across 2 matching MRF lines |
$34.80–$47.40 | $58–$79 | varies |
| Drug assay felbamate (80167) | $47.40 | $79 | 2.5× |
| Drug Assay Infliximab (80230) | $103.20 | $172 | 2.7× |
| Drug Assay Itraconazole (80189) range across 3 matching MRF lines |
$196.20–$405.60 | $327–$676 | varies |
| Drug Assay Lacosamide (80235) | $118.20 | $197 | 4.4× |
| Drug Assay Leflunomide (80193) range across 2 matching MRF lines |
$166.20–$385.80 | $277–$643 | varies |
| Drug Assay Posaconazole (80187) | $370.20 | $617 | 13.7× |
| Drug Assay Vedolizumab (80280) | $200.40 | $334 | 5.2× |
| Drug assay voriconazole (80285) | $142.20 | $237 | 5.2× |
| Drug Screen Quant Clozapine (80159) | $43.20 | $72 | 2.1× |
| Drug Screen Quant Zonisamide (80203) | $46.80 | $78 | 3.5× |
| Drug Screen Quantitative Gabapentin (80171) | $46.80 | $78 | 2.2× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$44.40–$46.20 | $74–$77 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$46.80–$50.40 | $78–$84 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $44.40 | $74 | 3.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $85.20 | $142 | 5.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 44 matching MRF lines |
$17.40–$543 | $29–$905 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $12.60 | $21 | 1.0× |
| El-1 Fecal Quantitative (82653) | $232.20 | $387 | 10.1× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$41.40–$49.20 | $69–$82 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
$43.20–$155.40 | $72–$259 | varies |
| Encephaltis East Eqne Anbdy (86652) range across 3 matching MRF lines |
$47.40–$52.80 | $79–$88 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$47.40–$48 | $79–$80 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $30.60 | $51 | 2.5× |
| Enterovirus Antibody (86658) range across 25 matching MRF lines |
$35.40–$139.80 | $59–$233 | varies |
| Enterovirus PCR (87498) | $124.20 | $207 | 3.5× |
| Enzyme cell activity (82657) range across 6 matching MRF lines |
$62.40–$174 | $104–$290 | varies |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$33–$41.40 | $55–$69 | varies |
| Erythropoietin (82668) range across 3 matching MRF lines |
$66.60–$180.60 | $111–$301 | varies |
| Estradiol serum (82670) range across 5 matching MRF lines |
$39–$204 | $65–$340 | varies |
| Estriol (82677) range across 4 matching MRF lines |
$73.80–$80.40 | $123–$134 | varies |
| Estrogen total (82672) range across 3 matching MRF lines |
$77.40–$301.20 | $129–$502 | varies |
| Ethosuximide (80168) range across 3 matching MRF lines |
$58.20–$124.20 | $97–$207 | varies |
| Ethylene Glycol (82693) | $44.40 | $74 | 3.0× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$27.60–$42.60 | $46–$71 | varies |
| F2 Gene (81240) range across 3 matching MRF lines |
$163.80–$169.20 | $273–$282 | varies |
| Factor ii activity (85210) range across 2 matching MRF lines |
$69.60–$143.40 | $116–$239 | varies |
| Factor Inhibitor Test (85335) | $118.80 | $198 | 9.2× |
| Factor ix activity (85250) range across 2 matching MRF lines |
$69.60–$257.40 | $116–$429 | varies |
| Factor v activity (85220) | $64.80 | $108 | 3.7× |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$204.60–$210 | $341–$350 | varies |
| Factor vii assay (85230) | $78 | $130 | 4.4× |
| Factor viii assay (85240) range across 5 matching MRF lines |
$54–$501 | $90–$835 | varies |
| Factor X (85260) | $66 | $110 | 3.7× |
| Factor xi activity (85270) | $257.40 | $429 | 14.4× |
| Fat differential, feces, quantitative Facility (82715) | $86.40 | $144 | 3.8× |
| Fat/Lipids Feces Quantitative (82710) range across 3 matching MRF lines |
$28.20–$273 | $47–$455 | varies |
| Fatty acids free (82725) | $47.40 | $79 | 2.5× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $22.80 | $38 | 3.5× |
| Fecal Fat Qualitative (82705) range across 4 matching MRF lines |
$9.60–$105 | $16–$175 | varies |
| Ferritin (82728) range across 4 matching MRF lines |
$34.80–$97.20 | $58–$162 | varies |
| Fetal Chrmoml Aneuploidy (81420) range across 3 matching MRF lines |
$729.60–$2,027.40 | $1,216–$3,379 | varies |
| Fetal Fibronectin (82731) | $221.40 | $369 | 3.4× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$47.40–$80.40 | $79–$134 | varies |
| Fibrinogen activity (85384) range across 5 matching MRF lines |
$30–$65.40 | $50–$109 | varies |
| Fibrinogen antigen (85385) | $33 | $55 | 2.3× |
| Flecainide level (80181) | $47.40 | $79 | 2.5× |
| Flow cytometry first marker (88184) range across 6 matching MRF lines |
$13.80–$67.80 | $23–$113 | varies |
| Fluorescent antibody screen (86255) range across 32 matching MRF lines |
$30.60–$293.40 | $51–$489 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 24 matching MRF lines |
$31.20–$240.60 | $52–$401 | varies |
| Fmr1 Gene Charac Alleles (81244) range across 3 matching MRF lines |
$184.80–$286.20 | $308–$477 | varies |
| Fmr1 gene detection (81243) range across 5 matching MRF lines |
$132–$308.40 | $220–$514 | varies |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$59.40–$65.40 | $99–$109 | varies |
| Folic Acid Serum (82746) range across 6 matching MRF lines |
$37.20–$71.40 | $62–$119 | varies |
| Follicle Stimulating Hormone (83001) range across 5 matching MRF lines |
$61.80–$99.60 | $103–$166 | varies |
| Frozen Section (88331) | $58.80 | $98 | 0.4× |
| Fungi Identification Mold (87107) range across 4 matching MRF lines |
$36.60–$57 | $61–$95 | varies |
| Fungi Identification Yeast (87106) range across 4 matching MRF lines |
$35.40–$90.60 | $59–$151 | varies |
| Galactokinase rbc (82759) range across 2 matching MRF lines |
$198.60–$344.40 | $331–$574 | varies |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) range across 2 matching MRF lines |
$132–$185.40 | $220–$309 | varies |
| Gammaglobulin ige (82785) range across 11 matching MRF lines |
$39.60–$124.20 | $66–$207 | varies |
| Gardner vag DNA dir probe (87510) range across 3 matching MRF lines |
$52.20–$74.40 | $87–$124 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 2 matching MRF lines |
$39–$45 | $65–$75 | varies |
| Gases blood ph only (82800) | $41.40 | $69 | 3.8× |
| Gastrin (82941) range across 5 matching MRF lines |
$37.80–$133.20 | $63–$222 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$1,050.60–$1,051.20 | $1,751–$1,752 | varies |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$116.40–$120 | $194–$200 | varies |
| Gentamicin (80170) range across 6 matching MRF lines |
$102.60–$113.40 | $171–$189 | varies |
| Ggt (82977) range across 4 matching MRF lines |
$24.60–$54 | $41–$90 | varies |
| Giardia antigen (87329) range across 5 matching MRF lines |
$40.80–$65.40 | $68–$109 | varies |
| Glucagon (82943) | $58.20 | $97 | 4.1× |
| Glucose 2 hr pp (82950) range across 7 matching MRF lines |
$16.80–$30 | $28–$50 | varies |
| Glucose Blood Test (82962) range across 5 matching MRF lines |
$27.60–$29.40 | $46–$49 | varies |
| Glucose body fluid (82945) range across 6 matching MRF lines |
$13.80–$45 | $23–$75 | varies |
| Glucose Serum (82947) range across 7 matching MRF lines |
$26.40–$41.40 | $44–$69 | varies |
| Glucose tolerance test (gtt) (82951) | $75 | $125 | 5.8× |
| Glycated Protein (82985) range across 3 matching MRF lines |
$54–$79.20 | $90–$132 | varies |
| Gonadotropin Chorionic Qualitative (84703) range across 6 matching MRF lines |
$52.80–$66 | $88–$110 | varies |
| Growth hormone (83003) range across 3 matching MRF lines |
$58.20–$74.40 | $97–$124 | varies |
| Gtt-added samples (82952) range across 7 matching MRF lines |
$24.60–$67.80 | $41–$113 | varies |
| Haloperidol (80173) range across 2 matching MRF lines |
$48.60–$91.20 | $81–$152 | varies |
| Haptoglobin (83010) range across 6 matching MRF lines |
$39.60–$130.20 | $66–$217 | varies |
| Hba1/Hba2 Gene (81257) | $257.40 | $429 | 2.5× |
| Hdl Cholesterol (83718) range across 4 matching MRF lines |
$28.20–$37.80 | $47–$63 | varies |
| Helicobacter Pylori Stool (87338) range across 3 matching MRF lines |
$48–$183.60 | $80–$306 | varies |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$135.60–$152.40 | $226–$254 | varies |
| Hematocrit (85014) range across 4 matching MRF lines |
$8.40–$28.80 | $14–$48 | varies |
| Hemoglobin (85018) range across 4 matching MRF lines |
$8.40–$28.80 | $14–$48 | varies |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$33–$50.40 | $55–$84 | varies |
| Hemoglobin Chromotography (83021) range across 7 matching MRF lines |
$32.40–$85.80 | $54–$143 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$32.40–$41.40 | $54–$69 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$35.40–$76.80 | $59–$128 | varies |
| Hemoglobin plasma (83051) | $27 | $45 | 3.7× |
| Hemoglobin stability screen (83068) | $12.60 | $21 | 1.3× |
| Hemolysins&Agglutinins Incubated (86941) | $87 | $145 | 7.2× |
| Hep a ab igm (86709) range across 4 matching MRF lines |
$37.80–$93 | $63–$155 | varies |
| Heparin assay (85520) range across 4 matching MRF lines |
$42–$136.20 | $70–$227 | varies |
| Hepatitis a antibody total (86708) range across 7 matching MRF lines |
$43.80–$99.60 | $73–$166 | varies |
| Hepatitis b core ab igm (86705) range across 3 matching MRF lines |
$41.40–$42.60 | $69–$71 | varies |
| Hepatitis b core ab total (86704) range across 6 matching MRF lines |
$40.80–$102.60 | $68–$171 | varies |
| Hepatitis B Surface Antibody (86706) range across 6 matching MRF lines |
$16.80–$121.20 | $28–$202 | varies |
| Hepatitis B Surface Antigen (87340) range across 5 matching MRF lines |
$37.20–$65.40 | $62–$109 | varies |
| Hepatitis Be Antibody (86707) range across 4 matching MRF lines |
$35.40–$52.80 | $59–$88 | varies |
| Hepatitis Be Antigen (87350) range across 4 matching MRF lines |
$42–$56.40 | $70–$94 | varies |
| Hepatitis C Antibody (86803) range across 8 matching MRF lines |
$36–$195.60 | $60–$326 | varies |
| Hepatitis c antibody confirmatory test (86804) range across 2 matching MRF lines |
$97.80–$280.20 | $163–$467 | varies |
| Hepatitis C Genotype (87902) range across 5 matching MRF lines |
$801–$885 | $1,335–$1,475 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 6 matching MRF lines |
$88.20–$334.80 | $147–$558 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 7 matching MRF lines |
$108–$472.20 | $180–$787 | varies |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$73.80–$226.80 | $123–$378 | varies |
| Herpes simplex type 2 (86696) range across 12 matching MRF lines |
$48.60–$75 | $81–$125 | varies |
| Heterophile antibodies titer (86309) | $33 | $55 | 5.1× |
| Heterophile Antibody Screen (86308) | $28.20 | $47 | 5.4× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$231.60–$327.60 | $386–$546 | varies |
| Hgb Quantitative Transcutaneous (88738) | $13.80 | $23 | 2.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $50.40 | $84 | 6.5× |
| Histamine urine (83088) range across 3 matching MRF lines |
$74.40–$108.60 | $124–$181 | varies |
| Histoplasma antibody (86698) range across 14 matching MRF lines |
$30.60–$57 | $51–$95 | varies |
| Histoplasma antigen urine (87385) range across 8 matching MRF lines |
$42–$138 | $70–$230 | varies |
| Hiv Genotype (87901) range across 4 matching MRF lines |
$406.20–$937.20 | $677–$1,562 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$83.40–$85.80 | $139–$143 | varies |
| Hiv-1 Antibody (86701) range across 3 matching MRF lines |
$32.40–$34.20 | $54–$57 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 6 matching MRF lines |
$275.40–$310.80 | $459–$518 | varies |
| HIV-2 probe&revrse trnscripj (87538) range across 3 matching MRF lines |
$88.20–$282.60 | $147–$471 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 2 matching MRF lines |
$306–$393 | $510–$655 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $243 | $405 | 3.3× |
| Hla I Typing 1 Allele Hr (81381) | $324.60 | $541 | 1.9× |
| Hla ii type 1 ag equiv lr (81377) | $253.80 | $423 | 2.7× |
| Hla ii typing 1 allele hr (81383) range across 3 matching MRF lines |
$292.20–$374.40 | $487–$624 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $73.80 | $123 | 0.7× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$203.40–$217.20 | $339–$362 | varies |
| Homocysteine (83090) range across 6 matching MRF lines |
$57–$216 | $95–$360 | varies |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$27.60–$43.80 | $46–$73 | varies |
| Homovanillic acid urine (83150) | $57 | $95 | 2.5× |
| Hpv High-Risk Types (87624) | $124.20 | $207 | 3.5× |
| Hsv Dna Amp Probe (87529) range across 17 matching MRF lines |
$88.20–$224.40 | $147–$374 | varies |
| Hsv Dna Quant (87530) | $162 | $270 | 3.8× |
| Htlv-I Antibody (86687) | $39.60 | $66 | 4.4× |
| Htlv-ii antibody (86688) | $42 | $70 | 3.0× |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$79.20–$257.40 | $132–$429 | varies |
| Hydroxyprogesterone 17-d (83498) range across 4 matching MRF lines |
$96.60–$143.40 | $161–$239 | varies |
| Hydroxyproline total (83505) | $224.40 | $374 | 9.2× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $43.20 | $72 | 3.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 3 matching MRF lines |
$33.60–$75.60 | $56–$126 | varies |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
$30.60–$42 | $51–$70 | varies |
| Iaadi inffluenza a virus (87276) | $43.20 | $72 | 2.7× |
| Iaadi not otherwise specified each organism (87299) | $43.20 | $72 | 2.7× |
| Iaadi parainfluenza virus each type (87279) | $44.40 | $74 | 2.7× |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$40.80–$42.60 | $68–$71 | varies |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $68.40 | $114 | 5.7× |
| Iaadi respiratory synctial virus (87280) range across 2 matching MRF lines |
$33.60–$34.20 | $56–$57 | varies |
| Iaadi Varicella Zoster Virus (87290) | $72 | $120 | 5.4× |
| Iadna Bartonella Amplified Probe Technique (87471) range across 2 matching MRF lines |
$199.80–$219.60 | $333–$366 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $124.20 | $207 | 3.5× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 26 matching MRF lines |
$84.60–$129 | $141–$215 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$94.80–$398.40 | $158–$664 | varies |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $57 | $95 | 2.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $117.60 | $196 | 3.4× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$143.40–$149.40 | $239–$249 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 3 matching MRF lines |
$111–$187.80 | $185–$313 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) range across 2 matching MRF lines |
$138–$295.20 | $230–$492 | varies |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$122.40–$143.40 | $204–$239 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $33 | $55 | 0.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 4 matching MRF lines |
$88.20–$275.40 | $147–$459 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $150 | $250 | 4.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 6 matching MRF lines |
$87–$199.80 | $145–$333 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$94.80–$202.80 | $158–$338 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 15 matching MRF lines |
$58.20–$133.20 | $97–$222 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $78 | $130 | 1.5× |
| Ig Light Chains Free Each (83521) | $43.80 | $73 | 2.5× |
| Igg subclasses (82787) range across 6 matching MRF lines |
$28.20–$29.40 | $47–$49 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $825 | $1,375 | 2.8× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $247.80 | $413 | 0.7× |
| Immune Complex Assay (86332) | $68.40 | $114 | 2.8× |
| Immunfix e-phorsis/urine/csf (86335) range across 8 matching MRF lines |
$94.80–$139.80 | $158–$233 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 18 matching MRF lines |
$12–$222.60 | $20–$371 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 5 matching MRF lines |
$54–$301.20 | $90–$502 | varies |
| Immunoassay nonantibody (83516) range across 44 matching MRF lines |
$29.40–$1,291.80 | $49–$2,153 | varies |
| Immunodiffusion Ouchterlony (86331) range across 3 matching MRF lines |
$37.20–$45.60 | $62–$76 | varies |
| Immunoelectrophoresis Serum (86320) | $66.60 | $111 | 2.2× |
| Immunofixation electrophoresis (86334) range across 9 matching MRF lines |
$41.40–$146.40 | $69–$244 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $215.40 | $359 | 1.3× |
| Immunohistochemistry (88342) range across 5 matching MRF lines |
$75.60–$119.40 | $126–$199 | varies |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $39 | $65 | 2.7× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $33.60 | $56 | 2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) | $454.80 | $758 | 20.7× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $175.80 | $293 | 3.4× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$48–$50.40 | $80–$84 | varies |
| Influenza DNA amp probe (87502) range across 5 matching MRF lines |
$50.40–$295.20 | $84–$492 | varies |
| Inhibin A (86336) range across 5 matching MRF lines |
$41.40–$114.60 | $69–$191 | varies |
| Inhibin b (83520) range across 46 matching MRF lines |
$43.20–$447.60 | $72–$746 | varies |
| Insulin antibodies (86337) range across 3 matching MRF lines |
$72–$163.20 | $120–$272 | varies |
| Insulin free (83527) range across 2 matching MRF lines |
$48–$90.60 | $80–$151 | varies |
| Insulin total (83525) range across 6 matching MRF lines |
$34.20–$90.60 | $57–$151 | varies |
| Interleukin-6 (83529) | $82.80 | $138 | 4.8× |
| Intrinsic factor antibody (86340) range across 4 matching MRF lines |
$37.80–$122.40 | $63–$204 | varies |
| Iron (83540) range across 5 matching MRF lines |
$22.20–$108 | $37–$180 | varies |
| Iron Binding Capacity (83550) range across 3 matching MRF lines |
$30.60–$49.80 | $51–$83 | varies |
| Irradiation Blood Product Each Unit (86945) | $24.60 | $41 | 0.7× |
| Islet cell antibody (86341) range across 6 matching MRF lines |
$45.60–$170.40 | $76–$284 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 4 matching MRF lines |
$183.60–$317.40 | $306–$529 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) range across 3 matching MRF lines |
$467.40–$495 | $779–$825 | varies |
| Ketosteroids 17 total (83586) | $81 | $135 | 6.3× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $462.60 | $771 | 1.4× |
| Koh Prep (87220) range across 4 matching MRF lines |
$32.40–$47.40 | $54–$79 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 6 matching MRF lines |
$21–$43.80 | $35–$73 | varies |
| Lactoferrin fecal qualitative (83630) | $81 | $135 | 4.1× |
| Lactoferrin Fecal Quantitative (83631) | $66 | $110 | 3.4× |
| Lamellar Body Count (83664) | $69.60 | $116 | 3.6× |
| Ldh Isoenzymes (83625) | $42.60 | $71 | 3.3× |
| LDL direct (83721) range across 5 matching MRF lines |
$32.40–$65.40 | $54–$109 | varies |
| Lead (83655) range across 14 matching MRF lines |
$30.60–$81 | $51–$135 | varies |
| Legionella antibody (86713) range across 4 matching MRF lines |
$54.60–$129.60 | $91–$216 | varies |
| Legionella antigen urine (87449) range across 10 matching MRF lines |
$40.80–$149.40 | $68–$249 | varies |
| Legionella pneumophila dfa (87278) range across 3 matching MRF lines |
$41.40–$44.40 | $69–$74 | varies |
| Leptospira antibody (86720) | $70.20 | $117 | 4.3× |
| Leukocyte Assessment Fecal (89055) | $30 | $50 | 7.0× |
| Leukocyte Histamine Release (86343) | $175.20 | $292 | 14.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $30.60 | $51 | 1.1× |
| Level ii surg pathology grossµscopic exam (88302) | $73.80 | $123 | 2.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $99 | $165 | 0.3× |
| Lidocaine (80176) range across 2 matching MRF lines |
$52.80–$55.20 | $88–$92 | varies |
| Lipase (83690) range across 5 matching MRF lines |
$23.40–$79.20 | $39–$132 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$45.60–$108.60 | $76–$181 | varies |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$108.60–$148.20 | $181–$247 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $90.60 | $151 | 2.7× |
| Lithium (80178) range across 3 matching MRF lines |
$22.20–$50.40 | $37–$84 | varies |
| Luteinizing Hormone (Lh) (83002) range across 5 matching MRF lines |
$61.80–$105.60 | $103–$176 | varies |
| Lyme disease antibody (86618) range across 9 matching MRF lines |
$43.20–$139.80 | $72–$233 | varies |
| Lymphocyte transformation (86353) | $229.20 | $382 | 4.7× |
| Lysozyme serum (85549) range across 2 matching MRF lines |
$47.40–$66 | $79–$110 | varies |
| M. Genitalium Amp Probe (87563) | $120.60 | $201 | 3.4× |
| Macroscopic exam arthropod (87168) range across 2 matching MRF lines |
$44.40–$55.20 | $74–$92 | varies |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$15.60–$18 | $26–$30 | varies |
| Magnesium Urine (83735) range across 8 matching MRF lines |
$22.20–$64.80 | $37–$108 | varies |
| Mass Spectrometry Quant (83789) range across 6 matching MRF lines |
$64.80–$82.20 | $108–$137 | varies |
| Meat fibers, feces (89160) | $85.20 | $142 | 17.6× |
| Mercury urine (83825) range across 9 matching MRF lines |
$41.40–$81 | $69–$135 | varies |
| Methotrexate (80204) | $47.40 | $79 | 1.2× |
| Methylmalonic acid serum (83921) range across 5 matching MRF lines |
$58.80–$225.60 | $98–$376 | varies |
| Microalbumin, quantitative (82043) range across 9 matching MRF lines |
$18.60–$184.20 | $31–$307 | varies |
| Microbe Suscept Macrobroth (87188) range across 2 matching MRF lines |
$159.60–$190.80 | $266–$318 | varies |
| Microsomal Antibodies Each (86376) range across 9 matching MRF lines |
$45.60–$86.40 | $76–$144 | varies |
| Mitochondrial Antibody Each (86381) | $78.60 | $131 | 3.1× |
| Mog-Igg1 Antb Cba Each (86362) | $551.40 | $919 | 45.8× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 3 matching MRF lines |
$93–$173.40 | $155–$289 | varies |
| Mononuclear cell antigen (86356) | $92.40 | $154 | 3.5× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$345.60–$523.20 | $576–$872 | varies |
| Mopath procedure level 4 (81403) | $467.40 | $779 | 2.5× |
| Mpl gene common variants (81338) range across 2 matching MRF lines |
$379.20–$449.40 | $632–$749 | varies |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$89.40–$141 | $149–$235 | varies |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$145.80–$150.60 | $243–$251 | varies |
| Mucin Clot Body Fluid (83872) | $33.60 | $56 | 5.7× |
| Mumps antibody (86735) range across 9 matching MRF lines |
$43.80–$100.80 | $73–$168 | varies |
| Muscle-Specific Kinase Antb (86366) | $520.20 | $867 | 28.3× |
| Mycobacteric Identification (87118) | $130.20 | $217 | 8.9× |
| Mycophenolic Acid (80180) range across 2 matching MRF lines |
$64.80–$79.20 | $108–$132 | varies |
| Mycoplasma antibody (86738) range across 10 matching MRF lines |
$44.40–$186 | $74–$310 | varies |
| Mycoplasma culture (87109) | $52.20 | $87 | 3.4× |
| Myelin basic protein csf (83873) range across 5 matching MRF lines |
$55.20–$102.60 | $92–$171 | varies |
| Myoglobin urine (83874) range across 6 matching MRF lines |
$43.20–$102.60 | $72–$171 | varies |
| Natriuretic peptide (83880) range across 6 matching MRF lines |
$94.80–$198 | $158–$330 | varies |
| Neisseria Dir Na Probe (87590) | $56.40 | $94 | 2.1× |
| Neutralization Test Viral (86382) range across 5 matching MRF lines |
$45.60–$85.80 | $76–$143 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $182.40 | $304 | 2.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $454.80 | $758 | 3.5× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) range across 3 matching MRF lines |
$87–$99 | $145–$165 | varies |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) range across 2 matching MRF lines |
$1,231.80–$1,675.80 | $2,053–$2,793 | varies |
| Niacin (84591) | $283.80 | $473 | 16.6× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$129.60–$130.20 | $216–$217 | varies |
| Nuclear antigen antibody (86235) range across 64 matching MRF lines |
$42–$257.40 | $70–$429 | varies |
| Occult blood feces (82272) | $30.60 | $51 | 7.2× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$19.20–$30.60 | $32–$51 | varies |
| Oligoclonal bands (83916) range across 6 matching MRF lines |
$69–$102.60 | $115–$171 | varies |
| Organic Acids Qualitative Each Specimen (83919) | $55.80 | $93 | 3.4× |
| Organic acids urine (83918) | $210.60 | $351 | 8.9× |
| Osmolality serum (83930) range across 4 matching MRF lines |
$21.60–$64.20 | $36–$107 | varies |
| Osmolality Urine (83935) range across 5 matching MRF lines |
$22.80–$69 | $38–$115 | varies |
| Ova and parasites smears (87177) range across 5 matching MRF lines |
$22.80–$65.40 | $38–$109 | varies |
| Oxalate urine (83945) range across 3 matching MRF lines |
$45.60–$159.60 | $76–$266 | varies |
| Pancreatic Elastase Fecal (82656) | $451.80 | $753 | 39.2× |
| Particle Agglut Antbdy Titr (86406) | $48 | $80 | 4.5× |
| Particle Agglutination Screen Each Antibody (86403) range across 5 matching MRF lines |
$43.20–$78 | $72–$130 | varies |
| Parvovirus antibody (86747) range across 6 matching MRF lines |
$37.80–$114.60 | $63–$191 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $594 | $990 | 0.8× |
| Pathology Consultation During Surgery (88329) | $32.40 | $54 | 0.6× |
| Ph urine (81003) range across 13 matching MRF lines |
$17.40–$21 | $29–$35 | varies |
| Phenobarbital Level (80184) range across 12 matching MRF lines |
$39.60–$128.40 | $66–$214 | varies |
| Phenotype Infect Agent Drug (87900) range across 4 matching MRF lines |
$205.80–$447.60 | $343–$746 | varies |
| Phenylalanine (84030) range across 3 matching MRF lines |
$18.60–$120.60 | $31–$201 | varies |
| Phenytoin (Dilantin) (80185) range across 5 matching MRF lines |
$45.60–$148.80 | $76–$248 | varies |
| Phenytoin free (80186) range across 6 matching MRF lines |
$33.60–$85.20 | $56–$142 | varies |
| Phosphatase acid prostatic (84066) range across 3 matching MRF lines |
$33–$103.20 | $55–$172 | varies |
| Phosphatase alkaline (84075) range across 5 matching MRF lines |
$18–$47.40 | $30–$79 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 6 matching MRF lines |
$45.60–$82.20 | $76–$137 | varies |
| Phosphorus Serum (84100) | $37.80 | $63 | 8.0× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$19.20–$32.40 | $32–$54 | varies |
| Pinworm exam (87172) range across 2 matching MRF lines |
$28.20–$33.60 | $47–$56 | varies |
| Platelet Aggregation (85576) | $79.20 | $132 | 3.2× |
| Platelet Antibodies (86022) range across 12 matching MRF lines |
$52.80–$382.20 | $88–$637 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$23.40–$28.80 | $39–$48 | varies |
| Platelet neutralization (85597) range across 3 matching MRF lines |
$62.40–$114.60 | $104–$191 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $717 | $1,195 | 3.5× |
| Pooling blood platelets (86965) | $48.60 | $81 | 0.3× |
| Porphobilinogen, urine; quantitative (84110) | $28.80 | $48 | 3.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 4 matching MRF lines |
$37.20–$160.20 | $62–$267 | varies |
| Potassium Urine (84133) range across 6 matching MRF lines |
$15.60–$50.40 | $26–$84 | varies |
| Prealbumin (84134) range across 4 matching MRF lines |
$48.60–$130.20 | $81–$217 | varies |
| Pregnancy-Associated Plasma Protein-A (84163) | $54 | $90 | 3.6× |
| Pregnenolone (84140) | $69.60 | $116 | 3.4× |
| Primidone (80188) range across 2 matching MRF lines |
$57–$58.80 | $95–$98 | varies |
| Procalcitonin (Pct) (84145) range across 3 matching MRF lines |
$69–$240.60 | $115–$401 | varies |
| Progesterone (84144) range across 4 matching MRF lines |
$70.20–$109.80 | $117–$183 | varies |
| Prolactin (84146) range across 6 matching MRF lines |
$54.60–$118.20 | $91–$197 | varies |
| Protein body fluid (84157) range across 6 matching MRF lines |
$12.60–$49.80 | $21–$83 | varies |
| Protein C Activity (85303) range across 8 matching MRF lines |
$46.20–$255.60 | $77–$426 | varies |
| Protein c antigen (85302) range across 4 matching MRF lines |
$43.20–$99 | $72–$165 | varies |
| Protein Electrophoresis Urine (84166) range across 9 matching MRF lines |
$61.20–$65.40 | $102–$109 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 12 matching MRF lines |
$27.60–$85.80 | $46–$143 | varies |
| Protein S Free (85306) range across 8 matching MRF lines |
$51.60–$255.60 | $86–$426 | varies |
| Protein s total (85305) range across 3 matching MRF lines |
$40.20–$82.20 | $67–$137 | varies |
| Protein Total Refractometry Any Src (84160) | $31.80 | $53 | 5.7× |
| Protein total serum (84155) range across 10 matching MRF lines |
$11.40–$73.20 | $19–$122 | varies |
| Protein Total Urine (84156) range across 16 matching MRF lines |
$12.60–$53.40 | $21–$89 | varies |
| Protein Western Blot Test (84182) range across 17 matching MRF lines |
$120.60–$559.80 | $201–$933 | varies |
| Protoporphyrin rbc quantitative (84202) range across 7 matching MRF lines |
$40.80–$95.40 | $68–$159 | varies |
| PSA free (84154) range across 3 matching MRF lines |
$61.80–$64.80 | $103–$108 | varies |
| Pth Intact (83970) range across 10 matching MRF lines |
$125.40–$232.80 | $209–$388 | varies |
| Pyruvate kinase (84220) range across 2 matching MRF lines |
$79.20–$111.60 | $132–$186 | varies |
| Q Fever Antibody (86638) range across 10 matching MRF lines |
$43.20–$52.20 | $72–$87 | varies |
| Quantiferon tb gold plus (86480) range across 5 matching MRF lines |
$206.40–$213.60 | $344–$356 | varies |
| Quantitative assay drug (80299) range across 24 matching MRF lines |
$45.60–$250.80 | $76–$418 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$78.60–$129 | $131–$215 | varies |
| Quinidine (80194) range across 2 matching MRF lines |
$80.40–$124.20 | $134–$207 | varies |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$50.40–$73.80 | $84–$123 | varies |
| Rbc antibody identification (86870) range across 4 matching MRF lines |
$72–$439.80 | $120–$733 | varies |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$35.40–$183 | $59–$305 | varies |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$24.60–$26.40 | $41–$44 | varies |
| Renin activity plasma (84244) range across 4 matching MRF lines |
$73.80–$165 | $123–$275 | varies |
| Reptilase test (85635) | $34.20 | $57 | 3.5× |
| Resp virus 12-25 targets (87633) range across 3 matching MRF lines |
$1,050.60–$1,167 | $1,751–$1,945 | varies |
| Reticulocyte Count (85046) | $37.80 | $63 | 6.8× |
| Reticulocyte Count Manual (85044) range across 2 matching MRF lines |
$28.80–$42.60 | $48–$71 | varies |
| Rh (86901) range across 4 matching MRF lines |
$10.20–$21 | $17–$35 | varies |
| Rheumatoid Factor Qualitative (86430) | $49.20 | $82 | 8.0× |
| Rheumatoid factor quant (86431) range across 18 matching MRF lines |
$15–$59.40 | $25–$99 | varies |
| Rickettsia antibody (86757) range across 8 matching MRF lines |
$48.60–$78 | $81–$130 | varies |
| Ristocetin cofactor (85245) range across 3 matching MRF lines |
$58.20–$104.40 | $97–$174 | varies |
| Rotavirus ag eia (87425) range across 4 matching MRF lines |
$40.80–$99 | $68–$165 | varies |
| Rpr qualitative (86592) range across 9 matching MRF lines |
$13.80–$53.40 | $23–$89 | varies |
| Rsv ab (86756) | $193.80 | $323 | 12.2× |
| Rubella Antibody (86762) range across 14 matching MRF lines |
$36.60–$198.60 | $61–$331 | varies |
| Rubeola antibody (86765) range across 8 matching MRF lines |
$43.20–$156.60 | $72–$261 | varies |
| Russell Viper Venom Time Diluted (85613) range across 15 matching MRF lines |
$23.40–$91.20 | $39–$152 | varies |
| Salicylate Level (80179) | $70.80 | $118 | 3.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 7 matching MRF lines |
$17.40–$136.80 | $29–$228 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$42.60–$50.40 | $71–$84 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $36.60 | $61 | 0.9× |
| Sarscov2 & inf a&b amp prb (87636) | $196.80 | $328 | 1.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$225–$267 | $375–$445 | varies |
| Sedimentation rate (85651) | $21 | $35 | 4.9× |
| Sedimentation Rate, Automated (85652) | $18.60 | $31 | 6.9× |
| Selenium (84255) range across 2 matching MRF lines |
$85.20–$88.20 | $142–$147 | varies |
| Semen Anal Sperm Detection (89321) | $36 | $60 | 3.0× |
| Semen analysis complete (89320) range across 2 matching MRF lines |
$77.40–$124.80 | $129–$208 | varies |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $66 | $110 | 6.7× |
| Sensitivity mic (87186) range across 23 matching MRF lines |
$22.20–$170.40 | $37–$284 | varies |
| Sex Hormone Binding Globulin (84270) range across 5 matching MRF lines |
$77.40–$156.60 | $129–$261 | varies |
| Sickling of rbc reduction (85660) range across 7 matching MRF lines |
$14.40–$28.20 | $24–$47 | varies |
| Sirolimus (80195) range across 3 matching MRF lines |
$48–$60.60 | $80–$101 | varies |
| Skin Test Candida (86485) | $47.40 | $79 | 1.7× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$28.80–$30.60 | $48–$51 | varies |
| Skin test unlisted antigen each (86486) | $43.80 | $73 | 1.6× |
| Smear acid fast (87206) range across 16 matching MRF lines |
$18.60–$150 | $31–$250 | varies |
| Smear complex stain (87209) range across 3 matching MRF lines |
$61.80–$64.20 | $103–$107 | varies |
| Smear gram stain (87205) range across 6 matching MRF lines |
$30–$48 | $50–$80 | varies |
| Smear Special Stain (87207) range across 4 matching MRF lines |
$15.60–$32.40 | $26–$54 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $48 | $80 | 8.2× |
| Sodium Serum (84295) range across 5 matching MRF lines |
$26.40–$46.80 | $44–$78 | varies |
| Sodium Urine (84300) range across 6 matching MRF lines |
$17.40–$45.60 | $29–$76 | varies |
| Soluble Transferrin Receptor (84238) range across 3 matching MRF lines |
$122.40–$179.40 | $204–$299 | varies |
| Somatomedin (84305) range across 5 matching MRF lines |
$71.40–$177 | $119–$295 | varies |
| Special Stains Group 1 (88312) | $28.80 | $48 | 0.6× |
| Special Stains Group 2 (88313) | $53.40 | $89 | 0.4× |
| Specific gravity body fluid (84315) | $21 | $35 | 6.4× |
| Specimen infect agnt concntj (87015) range across 11 matching MRF lines |
$18.60–$54 | $31–$90 | varies |
| Spectrophotometry (84311) range across 8 matching MRF lines |
$19.80–$135.60 | $33–$226 | varies |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$9–$36.60 | $15–$61 | varies |
| Strep a assay w/optic (87880) | $34.20 | $57 | 2.1× |
| Strep a DNA amp probe (87651) | $96 | $160 | 2.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $57 | $95 | 0.6× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) range across 2 matching MRF lines |
$19.20–$154.20 | $32–$257 | varies |
| Sugars Single Qual (84376) range across 3 matching MRF lines |
$25.20–$124.80 | $42–$208 | varies |
| Surg path level iii (88304) | $74.40 | $124 | 1.5× |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$64.20–$71.40 | $107–$119 | varies |
| Surgical pathology level vi (88309) range across 4 matching MRF lines |
$107.40–$154.20 | $179–$257 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$56.40–$70.80 | $94–$118 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $31.80 | $53 | 4.4× |
| Sweat Collection Iontophoresis (89230) | $51.60 | $86 | 1.0× |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
$15.60–$41.40 | $26–$69 | varies |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$45.60–$98.40 | $76–$164 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 4 matching MRF lines |
$157.20–$163.20 | $262–$272 | varies |
| T cells total count (86359) | $129.60 | $216 | 3.4× |
| T3 Free (84481) range across 5 matching MRF lines |
$39–$240.60 | $65–$401 | varies |
| T3 reverse (84482) range across 2 matching MRF lines |
$53.40–$55.80 | $89–$93 | varies |
| T3 Total (84480) range across 2 matching MRF lines |
$37.20–$68.40 | $62–$114 | varies |
| T3 Uptake (84479) range across 4 matching MRF lines |
$21.60–$45.60 | $36–$76 | varies |
| T4 Free (84439) range across 10 matching MRF lines |
$25.20–$151.20 | $42–$252 | varies |
| T4 total (84436) range across 4 matching MRF lines |
$22.80–$46.80 | $38–$78 | varies |
| Tacrolimus (80197) range across 3 matching MRF lines |
$46.20–$58.20 | $77–$97 | varies |
| Test for acetone/ketones (82009) range across 2 matching MRF lines |
$27–$43.80 | $45–$73 | varies |
| Testosterone total (84403) range across 10 matching MRF lines |
$58.80–$160.80 | $98–$268 | varies |
| Testosterone, Free (84402) range across 7 matching MRF lines |
$87.60–$160.80 | $146–$268 | varies |
| Tetanus antibody (86774) | $52.20 | $87 | 3.5× |
| Theophylline (80198) range across 4 matching MRF lines |
$49.20–$135.60 | $82–$226 | varies |
| Thrombin Time (85670) range across 8 matching MRF lines |
$15.60–$82.20 | $26–$137 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 8 matching MRF lines |
$22.20–$78 | $37–$130 | varies |
| Thyroglobulin (84432) range across 9 matching MRF lines |
$30–$140.40 | $50–$234 | varies |
| Thyroglobulin Antibody (86800) range across 10 matching MRF lines |
$54–$87 | $90–$145 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 3 matching MRF lines |
$169.80–$403.20 | $283–$672 | varies |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $174 | $290 | 3.5× |
| Thyroxine binding globulin (84442) range across 2 matching MRF lines |
$49.20–$82.80 | $82–$138 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $29.40 | $49 | 2.5× |
| Tissue Culture Lymphocyte (88230) | $413.40 | $689 | 3.5× |
| Tobramycin peak (80200) range across 4 matching MRF lines |
$87–$103.80 | $145–$173 | varies |
| Topiramate (80201) range across 2 matching MRF lines |
$43.20–$57.60 | $72–$96 | varies |
| Touch prep (88161) | $72 | $120 | 2.6× |
| Toxoplasma ab igm (86778) range across 6 matching MRF lines |
$36.60–$55.20 | $61–$92 | varies |
| Toxoplasma antibody (86777) range across 10 matching MRF lines |
$36.60–$54.60 | $61–$91 | varies |
| Tpmt gene com variants (81335) | $467.40 | $779 | 2.7× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 5 matching MRF lines |
$18–$45.60 | $30–$76 | varies |
| Transferrin (84466) range across 4 matching MRF lines |
$45.60–$81.60 | $76–$136 | varies |
| Trb@ Rearrangement Anal Amplification Method (81340) | $526.80 | $878 | 2.5× |
| Trichomonas vagin dir probe (87660) range across 3 matching MRF lines |
$55.20–$74.40 | $92–$124 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 9 matching MRF lines |
$109.20–$129 | $182–$215 | varies |
| Triglycerides (84478) range across 9 matching MRF lines |
$19.80–$42.60 | $33–$71 | varies |
| Troponin Quant (84484) range across 10 matching MRF lines |
$78–$112.80 | $130–$188 | varies |
| Trypsin feces qual (84488) | $108.60 | $181 | 14.9× |
| Urea nitrogen urine (84540) | $56.40 | $94 | 10.1× |
| Uric acid other source (84560) range across 6 matching MRF lines |
$16.80–$32.40 | $28–$54 | varies |
| Urinalysis Microscopic Only (81015) range across 3 matching MRF lines |
$12–$17.40 | $20–$29 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $113.40 | $189 | 52.3× |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$11.40–$17.40 | $19–$29 | varies |
| Urine Albumin Semiquantitative (82044) | $31.20 | $52 | 5.0× |
| Urine Bacteria Culture (87088) range across 3 matching MRF lines |
$31.20–$46.20 | $52–$77 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$36.60–$52.20 | $61–$87 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 5 matching MRF lines |
$21–$27.60 | $35–$46 | varies |
| Valproic acid (80164) range across 7 matching MRF lines |
$45.60–$86.40 | $76–$144 | varies |
| Vancomycin (80202) range across 7 matching MRF lines |
$45.60–$142.80 | $76–$238 | varies |
| Varicella-zoster antibody (86787) range across 12 matching MRF lines |
$43.20–$115.80 | $72–$193 | varies |
| Vasopressin (84588) range across 3 matching MRF lines |
$100.20–$205.80 | $167–$343 | varies |
| Very Long Chain Fatty Acids (82726) | $208.80 | $348 | 10.6× |
| Viral Culture (87252) range across 6 matching MRF lines |
$28.80–$117.60 | $48–$196 | varies |
| Virus antibody nos (86790) range across 17 matching MRF lines |
$42.60–$188.40 | $71–$314 | varies |
| Virus inoculate tissue addl (87253) | $83.40 | $139 | 4.1× |
| Virus inoculation, shell via (87254) range across 17 matching MRF lines |
$49.20–$70.20 | $82–$117 | varies |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $246.60 | $411 | 12.6× |
| Viscosity serum (85810) | $42.60 | $71 | 3.7× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$136.20–$288 | $227–$480 | varies |
| Vitamin A (84590) | $39.60 | $66 | 3.4× |
| Vitamin b-12 (82607) range across 7 matching MRF lines |
$37.80–$73.80 | $63–$123 | varies |
| Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines |
$71.40–$111 | $119–$185 | varies |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$99.60–$198.60 | $166–$331 | varies |
| Vitamin c (82180) range across 2 matching MRF lines |
$20.40–$21 | $34–$35 | varies |
| Vitamin D 25-Hydroxy (82306) range across 6 matching MRF lines |
$73.80–$105.60 | $123–$176 | varies |
| Vitamin E (84446) | $47.40 | $79 | 3.3× |
| Vitamin K (84597) range across 2 matching MRF lines |
$72.60–$171 | $121–$285 | varies |
| Volatiles (84600) range across 2 matching MRF lines |
$78.60–$87 | $131–$145 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $120.60 | $201 | 10.0× |
| Von willebrand factor ag (85246) range across 5 matching MRF lines |
$47.40–$203.40 | $79–$339 | varies |
| Wbc Alkaline Phosphatase Count (85540) range across 2 matching MRF lines |
$30.60–$102.60 | $51–$171 | varies |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$58.20–$62.40 | $97–$104 | varies |
| West Nile Virus Antibody (86789) range across 3 matching MRF lines |
$49.20–$54 | $82–$90 | varies |
| Xylose Absorption Test (84620) range across 2 matching MRF lines |
$64.20–$102 | $107–$170 | varies |
| Zinc (84630) range across 4 matching MRF lines |
$39–$85.80 | $65–$143 | 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.