Lab & pathology prices at Methodist Hospitals Inc

Gary, IN · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $156.10 $223 10.1×
5 Nucleotidase (83915) $65.80 $94 5.9×
Acetylcholine receptor binding antibody (86041) $261.80 $374 14.2×
Acetylcholine receptor blocking antibody (86042) $261.80 $374 14.2×
Acetylcholn Rcptr Modlg Antb (86043) $261.80 $374 21.7×
Acth (82024) $441 $630 11.4×
Acute hepatitis panel (80074) $312.90 $447 6.6×
Adenovirus antibody (86603) $142.80 $204 11.1×
Agglutinins Febrile Each Antigen (86000)
range across 2 matching MRF lines
$140.70–$242.90 $201–$347 varies
Albumin Fluid (82042)
range across 2 matching MRF lines
$34.30–$79.10 $49–$113 varies
Albumin serum (82040)
range across 2 matching MRF lines
$50.40–$57.40 $72–$82 varies
Aldolase (82085) $191.10 $273 19.7×
Aldosterone urine (82088)
range across 2 matching MRF lines
$371–$653.10 $530–$933 varies
Alkaline phosphatase isoenzymes (84080) $172.90 $247 11.7×
Allergen spec ige qual multiallergen screen (86005) $303.10 $433 38.0×
Allergen specific ige (86003)
range across 109 matching MRF lines
$10.50–$72.10 $15–$103 varies
Allergen specific igg (86001) $193.90 $277 24.8×
Allg Spec Ige Recomb Ea (86008)
range across 32 matching MRF lines
$33.60–$71.40 $48–$102 varies
Alpha-1-antitrypsin total (82103) $182.70 $261 13.6×
Alpha-Fetoprotein Amniotic Fluid (82106) $77.70 $111 4.6×
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines
$91.70–$455 $131–$650 varies
Alt (sgpt) (84460) $128.80 $184 24.3×
Amikacin trough (80150) $74.20 $106 4.9×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 3 matching MRF lines
$858.20–$984.90 $1,226–$1,407 varies
Amino Acids Multiple Qualitative Each Specimen (82128) $130.90 $187 9.4×
Amino acids; single, qualitative, each specimen Facility (82127) $151.20 $216 10.7×
Aminolevulinic acid (ala) (82135) $110.60 $158 6.7×
Ammonia (82140)
range across 3 matching MRF lines
$38.50–$133 $55–$190 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $273 $390 2.8×
Amylase urine (82150)
range across 2 matching MRF lines
$68.60–$182 $98–$260 varies
Ana Titer (86039) $426.30 $609 38.2×
Anca Titer Each Antibody (86037) $66.10 $94.43 5.5×
Androstenedione (82157) $301 $430 10.3×
Angiotensin converting enzyme csf (82164) $256.90 $367 17.6×
Antibody aspergillus (86606) $137.20 $196 9.1×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $377.30 $539 24.4×
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$226.80–$289.80 $324–$414 varies
Antibody Encephalitis California La Crosse (86651) $42.70 $61 3.2×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $248.50 $355 13.7×
Antibody Fungus Not Elsewhere Specified (86671) $50.40 $72 4.1×
Antibody haemophilus influenza (86684) $286.30 $409 18.1×
Antibody helicobacter pylori (86677)
range across 4 matching MRF lines
$81.20–$289.80 $116–$414 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 7 matching MRF lines
$68.60–$277.20 $98–$396 varies
Antibody Herpes Smplx Type 1 (86695)
range across 4 matching MRF lines
$23.80–$268.80 $34–$384 varies
Antibody HIV-1&HIV-2 single result (86703) $282.80 $404 20.6×
Antibody HIV-2 (86702) $319.90 $457 23.7×
Antibody htlv/HIV antibody confirmatory test (86689) $463.40 $662 23.9×
Antibody Identification Platelet Immunogl Assay (86023) $137.20 $196 11.0×
Antibody rotavirus (86759)
range across 2 matching MRF lines
$165.90–$170.10 $237–$243 varies
Antibody Titer (86886) $374.50 $535 72.3×
Antibody Treponema Pallidum (86780)
range across 5 matching MRF lines
$25.90–$140.70 $37–$201 varies
Antibody; campylobacter (86625) $329.70 $471 25.1×
Antibody; encephalitis, st. louis (86653) $42.70 $61 3.2×
Antibody; influenza virus (86710)
range across 3 matching MRF lines
$109.90–$124.60 $157–$178 varies
Antigen typing (86905) $609.70 $871 159.2×
Antinuclear antibodies (86038) $324.80 $464 26.9×
Antistreptolysin O Screen (86063) $166.60 $238 28.9×
Antistreptolysin o titer (86060) $298.90 $427 40.9×
Antithrombin iii antigen (85301) $510.30 $729 47.2×
Apolipoprotein a1 (82172)
range across 4 matching MRF lines
$50.40–$228.90 $72–$327 varies
Aquaporin-4 Antb Cba Each (86052) $1,254.40 $1,792 104.1×
Aquaporin-4 Antb Elisa (86051)
range across 2 matching MRF lines
$56–$471.80 $80–$674 varies
Arsenic (82175) $191.10 $273 10.1×
Aspa gene analysis common variants (81200) $88.90 $127 1.9×
Aspergillus ag eia (87305) $58.80 $84 4.9×
Assay activated protein c (85307)
range across 2 matching MRF lines
$318.50–$423.50 $455–$605 varies
Assay Blood Carbon Dioxide (82374) $70 $100 14.3×
Assay myeloperoxidase (83876) $81.90 $117 1.6×
Assay Nephelometry Not Spec (83883)
range across 5 matching MRF lines
$52.50–$191.80 $75–$274 varies
Assay of 5-hiaa (83497) $172.90 $247 13.4×
Assay of blood/uric acid (84550) $124.60 $178 27.6×
Assay of calcium in urine (82340)
range across 5 matching MRF lines
$38.50–$98.70 $55–$141 varies
Assay of cpk in blood (82552) $128.80 $184 9.6×
Assay of g6pd enzyme (82955) $151.20 $216 15.6×
Assay of gammaglobulin igm (82784)
range across 12 matching MRF lines
$36.40–$622.30 $52–$889 varies
Assay of lactic acid (83605) $81.90 $117 7.1×
Assay of metanephrines (83835)
range across 2 matching MRF lines
$77–$336 $110–$480 varies
Assay of phosphatase acid total (84060) $123.20 $176 16.1×
Assay of proinsulin (84206) $725.20 $1,036 27.2×
Assay of pyruvate (84210) $166.60 $238 11.5×
Assay of serotonin (84260) $242.90 $347 7.8×
Assay of serum potassium (84132) $42.70 $61 9.0×
Assay of transcortin (84449) $89.60 $128 5.0×
Assay of urea nitrogen (84520) $79.10 $113 20.0×
Assay of urine vma (84585) $294.70 $421 19.0×
Assay of vitamin b-1 (84425) $303.10 $433 14.3×
Assay Ph Body Fluid Nos (83986)
range across 5 matching MRF lines
$38.50–$107.80 $55–$154 varies
Autol Bld/Component Collj Storage Predeposited (86890)
range across 2 matching MRF lines
$455–$609.70 $650–$871 varies
Automated Leukocyte Count (85048)
range across 3 matching MRF lines
$11.90–$183.40 $17–$262 varies
B cells total count (86355) $102.90 $147 2.7×
Bartonella antibody (86611)
range across 8 matching MRF lines
$95.20–$476 $136–$680 varies
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$232.40–$603.40 $332–$862 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines
$185.50–$603.40 $265–$862 varies
Beta 2 glycoprotein i antibody each (86146) $216.30 $309 8.5×
Beta Lactamase (87185) $213.50 $305 44.9×
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines
$259–$308.70 $370–$441 varies
Beta-amyloid 1-40 (abeta 40) (82233) $278.60 $398 2.2×
Beta-amyloid; 1-42 (abeta 42) (82234)
range across 2 matching MRF lines
$278.60–$387.10 $398–$553 varies
Bile acids total (82239) $40.71 $58.15 2.4×
Bilirubin direct (82248) $48.30 $69 9.6×
Bilirubin total (82247) $50.40 $72 10.0×
Bilirubin total transcutaneous (88720) $17.50 $25 3.5×
Biotinidase (82261) $46.90 $67 2.8×
Blastomyces antibody (86612) $63 $90 4.9×
Bleeding time test (85002) $216.30 $309 44.9×
Blm Gene (81209) $73.50 $105 1.9×
Blood Count Manual Cell Count Each (85032) $466.90 $667 108.3×
Blood count reticulocyte automated (85045) $70 $100 17.5×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $84 $120 22.1×
Blood gas (82803)
range across 2 matching MRF lines
$102.90–$156.10 $147–$223 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $65.80 $94 15.0×
Blood Type Antigen Donor Reagent Serum Each (86902) $609.70 $871 96.0×
Blood typing serologic abo (86900) $298.90 $427 100.0×
Bordetella antibody (86615) $147 $210 11.1×
Braf gene analysis (81210) $412.30 $589 2.4×
Brucella antibody (86622) $140.70 $201 15.8×
C diff amplified probe (87493) $194.60 $278 5.2×
C-Peptide (84681) $259 $370 12.4×
C-reactive protein (86140) $68.60 $98 13.2×
Ca 19-9 (86301) $317.10 $453 15.2×
Cadmium (82300) $101.50 $145 4.3×
Caffeine (80155) $238.70 $341 6.2×
Calcitonin (82308) $254.80 $364 9.5×
Calcium ionized (82330)
range across 2 matching MRF lines
$79.10–$95.20 $113–$136 varies
Calcium total (82310) $32.90 $47 6.4×
Calculus assay quant (82360) $83.30 $119 6.5×
Calculus Spectroscopy (82365) $25.20 $36 2.0×
Calprotectin Fecal (83993) $46.90 $67 2.4×
Calr gene com variants (81219)
range across 3 matching MRF lines
$212.10–$1,033.20 $303–$1,476 varies
Cancer Antigen 125 (86304) $287 $410 13.8×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$273.70–$280.70 $391–$401 varies
Candida antibody (86628) $63.06 $90.08 5.3×
Carbamazepine total (80156) $142.80 $204 9.8×
Carboxyhemoglobin (82375) $216.30 $309 17.6×
Carcinoembryonic antigen (82378) $219.80 $314 11.6×
Cardiolipin ab iga (86147)
range across 4 matching MRF lines
$49–$374.50 $70–$535 varies
Carnitine Quantitative Each Specimen (82379) $604.10 $863 35.8×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$304.50–$347.90 $435–$497 varies
Ccp antibody (86200) $280.70 $401 21.7×
Cebpa Gene Analysis Full Gene Sequence (81218)
range across 2 matching MRF lines
$538.30–$760.90 $769–$1,087 varies
Cell count csf (89051) $137.20 $196 24.5×
Cell marker study (88182) $527.80 $754 9.6×
Cellular Function Assay Stimul&Detect Biomarke (86352) $199.50 $285 1.5×
Ceruloplasmin (82390) $211.40 $302 19.7×
Cftr gene com variants (81220)
range across 3 matching MRF lines
$295.40–$1,033.20 $422–$1,476 varies
Chlamydia antibody (86631)
range across 7 matching MRF lines
$238.70–$579.60 $341–$828 varies
Chlamydia Igm Antibody (86632)
range across 3 matching MRF lines
$238.70–$241.50 $341–$345 varies
Chloride other source (82438)
range across 2 matching MRF lines
$116.90–$219.80 $167–$314 varies
Chloride Serum (82435) $45.50 $65 9.9×
Chloride urine (82436)
range across 4 matching MRF lines
$38.50–$128.80 $55–$184 varies
Cholesterol total (82465) $157.50 $225 36.2×
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines
$48.30–$303.10 $69–$433 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285)
range across 3 matching MRF lines
$65.80–$182 $94–$260 varies
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 5 matching MRF lines
$70.70–$211.40 $101–$302 varies
Chromogranin a (86316) $100.80 $144 4.8×
Chromosome analys amniotic (88269) $746.20 $1,066 4.3×
Chromosome Analysis 15-20 (88262)
range across 3 matching MRF lines
$1,263.50–$2,151.10 $1,805–$3,073 varies
Chromosome Analysis 20-25 (88264)
range across 3 matching MRF lines
$182–$1,852.90 $260–$2,647 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$219.10–$280.70 $313–$401 varies
Citric acid urine (82507)
range across 3 matching MRF lines
$38.50–$418.60 $55–$598 varies
Ckmb (82553) $147 $210 12.7×
Clostridium Difficile (87324)
range across 2 matching MRF lines
$23.80–$128.80 $34–$184 varies
Clot Factor VIII Multimetric (85247) $219.80 $314 9.6×
Clot retraction (85170) $127.40 $182 7.8×
Clotting factor xii hageman (85280) $575.40 $822 29.7×
Clotting Funct Activity (85397)
range across 2 matching MRF lines
$239.40–$241.50 $342–$345 varies
Cns DNA amp probe type 12-25 (87483) $773.50 $1,105 1.9×
Coagulation time activated (85347) $95.20 $136 22.2×
Coagulation time other methods (85348) $233.80 $334 52.1×
Coccidioides antibody (86635) $157.50 $225 13.7×
Collagen crosslinks (82523)
range across 2 matching MRF lines
$91.70–$98.70 $131–$141 varies
Column Chromotography Quant (82542)
range across 7 matching MRF lines
$84–$604.80 $120–$864 varies
Compatibility Each Unit Incubation (86921) $366.10 $523 2.0×
Compatibility test antiglob (86922) $366.10 $523 2.0×
Complement Antigen Each Component (86160)
range across 12 matching MRF lines
$191.80–$455 $274–$650 varies
Complement Total (Ch50) (86162) $422.80 $604 20.8×
Complement/Function Activity (86161) $21 $30 1.8×
Consltj Compre Review Reprt Referred Matrl (88325) $280 $400 1.6×
Consltj&Reprt Slides Prepared Elsewhere (88321) $42.70 $61 1.1×
Coombs direct (86880)
range across 3 matching MRF lines
$78.40–$177.10 $112–$253 varies
Copper urine (82525) $157.50 $225 12.7×
Cortisol free (82530) $390.60 $558 23.4×
Cortisol saliva (82533)
range across 2 matching MRF lines
$172.90–$317.10 $247–$453 varies
Creatine kinase total (82550) $96.60 $138 14.8×
Creatinine blood (82565) $81.90 $117 16.0×
Creatinine clearance (82575) $172.90 $247 18.3×
Creatinine Urine (82570)
range across 7 matching MRF lines
$38.50–$116.20 $55–$166 varies
Crossmatch electronic (86923) $320.60 $458 1.8×
Crossmatch immediate spin (86920) $366.10 $523 2.0×
Crp High Sensitivity (86141) $182.70 $261 14.1×
Cryoglobulin (82595) $46.90 $67 7.2×
Cryptococcus ab (86641) $72.80 $104 5.1×
Cryptococcus ag titer (87899) $98.70 $141 6.1×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 22 matching MRF lines
$231–$450.10 $330–$643 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 4 matching MRF lines
$256.90–$450.10 $367–$643 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $121.10 $173 15.7×
Culture afb (87116) $239.40 $342 22.2×
Culture Anaerobic (87075) $317.10 $453 33.5×
Culture blood (87040)
range across 3 matching MRF lines
$177.10–$531.30 $253–$759 varies
Culture chlamydia (87110) $289.80 $414 14.8×
Culture csf (87070)
range across 7 matching MRF lines
$34.30–$382.20 $49–$546 varies
Culture fungus (87102) $121.80 $174 14.5×
Culture fungus blood (87103) $121.10 $173 5.9×
Culture screen only (87081)
range across 6 matching MRF lines
$149.80–$360.50 $214–$515 varies
Culture stool (87045)
range across 3 matching MRF lines
$20.30–$273.70 $29–$391 varies
Culture typing if ea antiserum (87140)
range across 3 matching MRF lines
$98.70–$216.30 $141–$309 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $331.10 $473 63.9×
Culture typing other methods (87158) $464.10 $663 60.0×
Culture urine (87086) $189.70 $271 23.5×
Cyanide (82600) $159.60 $228 8.2×
Cyclic amp (82030)
range across 3 matching MRF lines
$141.40–$627.20 $202–$896 varies
Cyclosporine (80158) $377.30 $539 20.9×
Cyp2c9 gene com variants (81227) $366.10 $523 2.1×
Cystatin C (82610) $232.40 $332 12.5×
Cytogenetics 100-300 (88275) $246.40 $352 4.8×
Cytomegalovirus igg (86644) $343.70 $491 23.9×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $139.30 $199 6.9×
Cytopath Cell Enhance Tech (88112) $312.90 $447 5.7×
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) $143.50 $205 2.8×
Cytotoxic Antibody Screen Std (86807) $427.70 $611 5.4×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $110.60 $158 4.2×
Cytp Concentration Smears & Interpretation (88108) $356.30 $509 9.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $102.90 $147 1.9×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $366.10 $523 2.0×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 2 matching MRF lines
$72.80–$273.70 $104–$391 varies
Cytp Slides C/V Mnl Scr Under Phys (88150)
range across 2 matching MRF lines
$45.50–$151.20 $65–$216 varies
Cytp Smrs Any Oth Src Scr&Interpj (88160) $65.80 $94 2.2×
Deoxyribonuclease antibody (86215) $204.40 $292 15.4×
Detect Agent Nos Dna Amp (87798)
range across 10 matching MRF lines
$105–$781.90 $150–$1,117 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$152.60–$541.80 $218–$774 varies
Detect agnt mult DNA ampli (87801) $219.10 $313 3.1×
Dhea (82626) $356.30 $509 14.1×
Dhea-S (82627) $303.10 $433 13.6×
Digoxin (80162) $128.80 $184 9.7×
Diphtheria antitoxoid (86648) $165.90 $237 10.9×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$239.40–$270.20 $342–$386 varies
Dna/Rna Amplified Probe (87150)
range across 4 matching MRF lines
$84–$139.30 $120–$199 varies
DNA/RNA direct probe (87149)
range across 3 matching MRF lines
$89.60–$520.80 $128–$744 varies
Dna/Rna Sequencing (87153) $450.10 $643 3.9×
Drug Assay Amiodarone (80151) $39.90 $57 2.1×
Drug Screen Quant Clozapine (80159)
range across 2 matching MRF lines
$84–$137.20 $120–$196 varies
Drug Screen Quant Zonisamide (80203)
range across 2 matching MRF lines
$61.60–$65.10 $88–$93 varies
Drug Screen Quantitative Gabapentin (80171) $216.30 $309 10.0×
Drug Screen Quantitative Lamotrigine (80175) $286.30 $409 21.6×
Drug Screen Quantitative Levetiracetam (80177) $370.30 $529 27.9×
Drug Screen Quantitative Oxcarbazepine (80183) $304.50 $435 23.0×
Drug Screen Quantitative Procainamide Metabolite (80192) $124.60 $178 7.4×
Drug Test Prsmv Chem Anlyzr (80307)
range across 4 matching MRF lines
$115.50–$396.90 $165–$567 varies
Egfr Gene Analysis Common Variants (81235) $1,024.80 $1,464 3.2×
Ehrlichia antibody (86666) $54.60 $78 5.4×
El-1 Fecal Quantitative (82653) $39.20 $56 1.7×
Electrolyte panel (80051) $156.80 $224 22.4×
Electron Microscopy (88348)
range across 2 matching MRF lines
$784–$2,796.50 $1,120–$3,995 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664) $238.70 $341 3.9×
Encephaltis East Eqne Anbdy (86652) $42.70 $61 3.2×
Encephaltis West Eqne Antbdy (86654) $42.70 $61 3.2×
Enterovirus Antibody (86658)
range across 13 matching MRF lines
$105–$418.60 $150–$598 varies
Enterovirus PCR (87498)
range across 2 matching MRF lines
$125.30–$403.20 $179–$576 varies
Enzyme histochemistry (88319)
range across 5 matching MRF lines
$183.40–$1,527.40 $262–$2,182 varies
Eosinophil Smear (89190) $26.60 $38 4.6×
Erythropoietin (82668) $182.70 $261 9.7×
Estradiol serum (82670) $312.90 $447 11.2×
Estriol (82677)
range across 4 matching MRF lines
$159.60–$540.40 $228–$772 varies
Ethosuximide (80168) $101.50 $145 6.2×
Ethylene Glycol (82693) $241.50 $345 16.2×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$50.40–$70 $72–$100 varies
F2 Gene (81240) $301.70 $431 4.6×
Factor ii activity (85210) $298.90 $427 23.0×
Factor Inhibitor Test (85335)
range across 4 matching MRF lines
$343.70–$397.60 $491–$568 varies
Factor ix activity (85250) $380.10 $543 20.0×
Factor v activity (85220) $471.10 $673 26.7×
Factor v leiden mutation (81241) $214.90 $307 2.9×
Factor vii assay (85230) $336 $480 18.8×
Factor viii assay (85240) $527.10 $753 29.4×
Factor X (85260) $387.10 $553 21.6×
Factor xi activity (85270) $304.50 $435 17.0×
Factor xiii screen (85291) $191.10 $273 21.0×
Fancc Gene (81242) $68.60 $98 1.9×
Fat stain feces urine/respir secretions (89125) $91.70 $131 15.6×
Fat/Lipids Feces Quantitative (82710) $357.70 $511 21.3×
Fatty acids free (82725) $28 $40 1.5×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $214.90 $307 32.9×
Fecal Fat Qualitative (82705) $121.80 $174 23.9×
Ferritin (82728) $121.80 $174 8.9×
Fetal Chrmoml Aneuploidy (81420)
range across 6 matching MRF lines
$835.10–$1,659 $1,193–$2,370 varies
Fetal Chrmoml Microdeltj (81422) $1,408.40 $2,012 1.9×
Fetal Fibronectin (82731) $770.70 $1,101 12.0×
Fetal screen rosette (85461) $123.20 $176 13.2×
Fibrin Degradation Quant (85379) $166.60 $238 16.4×
Fibrinogen activity (85384) $74.20 $106 7.6×
Flow cytometry first marker (88184)
range across 11 matching MRF lines
$37.10–$676.90 $53–$967 varies
Flt3 Gene (81245)
range across 2 matching MRF lines
$278.60–$393.40 $398–$562 varies
Flt3 gene analysis (81246)
range across 2 matching MRF lines
$203–$278.60 $290–$398 varies
Fluorescent antibody screen (86255)
range across 23 matching MRF lines
$52.50–$1,460.90 $75–$2,087 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 20 matching MRF lines
$58.80–$396.90 $84–$567 varies
Fmr1 Gene Charac Alleles (81244) $518 $740 11.5×
Fmr1 gene detection (81243)
range across 3 matching MRF lines
$106.40–$1,192.10 $152–$1,703 varies
Folic acid rbc (82747) $96.60 $138 5.5×
Folic Acid Serum (82746) $116.20 $166 7.9×
Follicle Stimulating Hormone (83001) $331.10 $473 17.8×
Fresh Frozen Plasma Thawing Each Unit (86927) $609.70 $871 3.4×
Frozen Section (88331) $239.40 $342 1.3×
Fungi Identification Mold (87107)
range across 2 matching MRF lines
$318.50–$487.90 $455–$697 varies
Fungi Identification Yeast (87106) $450.10 $643 43.6×
Galactose transferase test (82776) $26.60 $38 2.3×
Gammaglobulin ige (82785)
range across 3 matching MRF lines
$31.50–$357.70 $45–$511 varies
Gases Blood O2 Saturation Only Direct Meas (82810) $231 $330 23.6×
Gases blood ph only (82800) $95.20 $136 8.7×
Gastrin (82941) $159.60 $228 9.1×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $88.90 $127 1.9×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $2,968 $4,240 3.9×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $6,839.70 $9,771 2.3×
Genet Virus Isolate Hsv (87255) $401.10 $573 11.8×
Genetic Tstg Severe Inh Cond (81443) $4,543 $6,490 1.9×
Gentamicin (80170)
range across 2 matching MRF lines
$50.40–$159.60 $72–$228 varies
Ggt (82977) $177.10 $253 24.6×
Giardia lamblia antibody (86674) $177.80 $254 12.1×
Glucagon (82943) $170.10 $243 11.9×
Glucose 2 hr pp (82950) $98.70 $141 20.8×
Glucose Blood Test (82962) $42.70 $61 13.0×
Glucose body fluid (82945)
range across 3 matching MRF lines
$54.60–$72.80 $78–$104 varies
Glucose Serum (82947) $78.40 $112 19.9×
Glucose tolerance test (gtt) (82951) $259 $370 20.1×
Gonadotropin Chorionic Qualitative (84703) $177.10 $253 23.6×
Growth hormone (83003) $200.90 $287 12.1×
Gtt-added samples (82952)
range across 2 matching MRF lines
$86.10–$88.20 $123–$126 varies
Haloperidol (80173) $61.60 $88 3.9×
Haptoglobin (83010) $137.20 $196 10.9×
Hba1/Hba2 Gene (81257) $190.40 $272 1.9×
Hbb duplication/deletion variants (81363) $375.90 $537 1.9×
Hbb Gene Com Variants (81361) $325.50 $465 1.9×
Hdl Cholesterol (83718) $101.50 $145 12.4×
Helicobacter Pylori Stool (87338) $220.50 $315 15.3×
Helminth Antibody (86682) $28.70 $41 2.2×
Hematocrit (85014)
range across 3 matching MRF lines
$19.60–$33.60 $28–$48 varies
Hemoglobin (85018) $9.80 $14 4.1×
Hemoglobin a1c (83036) $248.50 $355 25.6×
Hemoglobin Chromotography (83021) $46.90 $67 2.6×
Hemoglobin electrophoresis (83020)
range across 3 matching MRF lines
$42.70–$268.80 $61–$384 varies
Hemoglobin Methemoglobin Quantitative (83050) $57.40 $82 7.0×
Hemoglobin plasma (83051) $88.20 $126 12.1×
Hemosiderin urine (83070) $114.10 $163 24.0×
Hep a ab igm (86709) $226.80 $324 20.1×
Heparin assay (85520) $319.90 $457 24.4×
Hepatitis a antibody total (86708) $19.60 $28 1.6×
Hepatitis b core ab igm (86705) $219.80 $314 18.7×
Hepatitis b core ab total (86704) $218.40 $312 18.1×
Hepatitis B Surface Antibody (86706) $226.80 $324 21.1×
Hepatitis B Surface Antigen (87340) $238.70 $341 23.1×
Hepatitis Be Antibody (86707) $166.60 $238 14.4×
Hepatitis Be Antigen (87350) $360.50 $515 31.3×
Hepatitis C Antibody (86803) $436.10 $623 30.6×
Hepatitis c antibody confirmatory test (86804)
range across 2 matching MRF lines
$412.30–$484.40 $589–$692 varies
Hepatitis C Genotype (87902) $1,056.30 $1,509 4.1×
Hepatitis C Revrs Trnscrpj (87522) $1,243.20 $1,776 29.0×
Herpes simplex type 2 (86696)
range across 4 matching MRF lines
$23.80–$287 $34–$410 varies
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$170.10–$516.60 $243–$738 varies
Hexa gene analysis common variants (81255) $95.90 $137 1.9×
Hfe Gene (81256) $168 $240 2.6×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $248.50 $355 32.1×
Histoplasma antibody (86698)
range across 5 matching MRF lines
$52.50–$200.90 $75–$287 varies
Histoplasma antigen urine (87385)
range across 4 matching MRF lines
$192.50–$298.90 $275–$427 varies
Hiv Genotype (87901) $1,573.60 $2,248 6.1×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $42.14 $60.20 1.8×
Hiv-1 Antibody (86701) $216.30 $309 24.3×
HIV-1 p24 antigen (87390) $574 $820 23.9×
Hiv-1 Quant&Revrse Trnscrpj (87536) $815.50 $1,165 9.6×
HIV-2 probe&revrse trnscripj (87538) $63.70 $91 1.8×
Hla I Typing 1 Allele Hr (81381) $402.50 $575 2.4×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $1,084.30 $1,549 4.9×
Hla ii type 1 ag equiv lr (81377) $331.59 $473.70 3.5×
Hla Typing a/B/C Multiple Antigens (86813) $1,084.30 $1,549 18.7×
Hla Typing Dr/Dq Multiple Antigens (86817) $1,084.30 $1,549 10.2×
Hla-b27 (86812) $370.30 $529 14.3×
Homocysteine (83090) $426.30 $609 23.8×
Homogenization Tissue (87176) $42.70 $61 7.3×
Homovanillic acid urine (83150) $271.60 $388 12.1×
Hpv High-Risk Types (87624) $151.20 $216 4.3×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$200.20–$444.50 $286–$635 varies
Hydroxycorticosteroids 17 (83491) $450.10 $643 25.1×
Hydroxyprogesterone 17-d (83498) $199.50 $285 7.3×
Hydroxyproline total (83505) $527.10 $753 21.7×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $264.60 $378 25.6×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $157.50 $225 13.1×
Iaadi not otherwise specified each organism (87299) $169.40 $242 10.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $61.41 $87.73 1.8×
Iadna Candida Species Amplified Probe Tq (87481) $126 $180 3.6×
Iadna chlamydia pneumoniae amplified probe tq (87486) $105 $150 3.0×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $205.10 $293 9.0×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $128.80 $184 3.7×
Iadna Cytomegalovirus Quantification (87497) $127.40 $182 3.0×
Iadna hepatitis b virus amplified probe tq (87516) $471.80 $674 13.4×
Iadna Hepatitis B Virus Quantification (87517) $610.40 $872 14.2×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $169.40 $242 4.8×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 2 matching MRF lines
$63.70–$630.70 $91–$901 varies
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $105 $150 3.0×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $601.30 $859 14.4×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $105 $150 3.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$219.10–$280.70 $313–$401 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $172.20 $246 3.4×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $377.30 $539 2.6×
Igg subclasses (82787) $622.30 $889 77.6×
Igh gene rearrange amp meth (81261)
range across 2 matching MRF lines
$107.10–$450.80 $153–$644 varies
Igh@ Variable Region Somatic Mutation Analysis (81263)
range across 2 matching MRF lines
$575.40–$1,224.30 $822–$1,749 varies
Igk rearrangeabn clonal pop (81264)
range across 2 matching MRF lines
$251.30–$450.80 $359–$644 varies
Ikbkap Gene Analysis Common Variants (81260) $73.50 $105 1.9×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $378.70 $541 1.0×
Immunfix e-phorsis/urine/csf (86335) $247.10 $353 8.4×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 12 matching MRF lines
$261.80–$1,147.30 $374–$1,639 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $37.10 $53 2.5×
Immunoassay nonantibody (83516)
range across 10 matching MRF lines
$24.50–$540.40 $35–$772 varies
Immunodiffusion not elsewhere specified (86329) $183.40 $262 13.1×
Immunodiffusion Ouchterlony (86331) $351.40 $502 29.3×
Immunoelectrophoresis Other Fluids Concentration (86325) $142.80 $204 6.2×
Immunoelectrophoresis Serum (86320) $313.60 $448 10.5×
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$135.80–$347.90 $194–$497 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 3 matching MRF lines
$233.80–$1,796.20 $334–$2,566 varies
Immunohistochemistry (88342)
range across 3 matching MRF lines
$93.10–$609.70 $133–$871 varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$270.20–$350.70 $386–$501 varies
Influenza assay w/optic (87804) $156.10 $223 9.4×
Inhibin A (86336) $57.40 $82 3.7×
Inhibin b (83520)
range across 18 matching MRF lines
$39.90–$448 $57–$640 varies
Insulin antibodies (86337)
range across 2 matching MRF lines
$312.90–$568.40 $447–$812 varies
Insulin total (83525)
range across 5 matching MRF lines
$189–$1,307.60 $270–$1,868 varies
Intrinsic factor antibody (86340) $166.60 $238 11.0×
Iron (83540) $45.50 $65 7.0×
Iron Binding Capacity (83550) $114.10 $163 13.1×
Iron stain peripheral blood (85536) $139.30 $199 20.2×
Irradiation Blood Product Each Unit (86945)
range across 2 matching MRF lines
$156.10–$165.90 $223–$237 varies
Islet cell antibody (86341)
range across 3 matching MRF lines
$56–$471.80 $80–$674 varies
Isocitric dehydrogenase (IDH) Facility (83570) $233.80 $334 26.4×
Jak2 gene analysis p.val617phe variant (81270)
range across 5 matching MRF lines
$296.80–$1,644.30 $424–$2,349 varies
Jak2 Gene Trgt Sequence Alys (81279)
range across 4 matching MRF lines
$296.80–$1,033.20 $424–$1,476 varies
Ketosteroids 17 total (83586) $177.10 $253 13.8×
Kit Gene Analysis Targeted Sequence Analysis (81272) $464.10 $663 1.4×
Koh Prep (87220) $165.90 $237 38.9×
L/s ratio (83661) $295.40 $422 13.4×
Lactate (ld) (ldh) enzyme (83615) $147 $210 24.3×
Lactogen Hpl Human Chorionic Somatomammotropin (83632) $231.70 $331 11.5×
Ldh Isoenzymes (83625)
range across 2 matching MRF lines
$172.90–$227.50 $247–$325 varies
LDL direct (83721) $98.70 $141 9.4×
Lead (83655)
range across 3 matching MRF lines
$79.10–$81.20 $113–$116 varies
Legionella antibody (86713) $121.80 $174 8.0×
Legionella antigen urine (87449)
range across 11 matching MRF lines
$23.80–$324.80 $34–$464 varies
Legionella pneumophila dfa (87278) $319.90 $457 20.5×
Leucine Aminopeptidase Lap (83670) $215.60 $308 22.0×
Leukocyte Assessment Fecal (89055) $107.80 $154 25.2×
Level I Surg Pathology Gross Examination Only (88300) $156.80 $224 5.1×
Level ii surg pathology gross&microscopic exam (88302)
range across 4 matching MRF lines
$50.40–$271.60 $72–$388 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 3 matching MRF lines
$46.90–$665.70 $67–$951 varies
Lidocaine (80176) $91 $130 6.2×
Lipase (83690) $191.80 $274 27.8×
Lipoprotein-Associated Phospholipase A2 (83698) $103.60 $148 2.2×
Lithium (80178)
range across 2 matching MRF lines
$159.60–$214.90 $228–$307 varies
Luteinizing Hormone (Lh) (83002) $377.30 $539 20.4×
Lyme disease antibody (86618)
range across 4 matching MRF lines
$39.20–$286.30 $56–$409 varies
Lysozyme serum (85549) $165.90 $237 8.8×
M. Genitalium Amp Probe (87563) $187.60 $268 5.3×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 10 matching MRF lines
$69.30–$793.10 $99–$1,133 varies
M/phmtrc alys ishquant/semiq (88374)
range across 4 matching MRF lines
$519.40–$603.40 $742–$862 varies
Magnesium Urine (83735)
range across 3 matching MRF lines
$38.50–$107.80 $55–$154 varies
Mass Spectrometry Quant (83789) $54.60 $78 2.3×
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $73.50 $105 1.9×
Mercury urine (83825) $124.60 $178 7.7×
Mgmt methylation analysis (81287) $593.60 $848 4.8×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$219.80–$220.50 $314–$315 varies
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$107.80–$259 $154–$370 varies
Mlh1 Gene (81288) $598.50 $855 3.1×
Mog-Igg1 Antb Cba Each (86362)
range across 2 matching MRF lines
$1,020.60–$1,254.40 $1,458–$1,792 varies
Molecular Cytogenetics Dna Probe Each (88271) $65.80 $94 3.1×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $157.50 $225 3.7×
Mopath procedure level 2 (81401)
range across 3 matching MRF lines
$371–$934.50 $530–$1,335 varies
Mopath procedure level 4 (81403) $1,033.20 $1,476 5.6×
Mpl gene analysis sequence analysis exon 10 (81339)
range across 2 matching MRF lines
$293.30–$417.90 $419–$597 varies
Mpl gene common variants (81338) $1,033.20 $1,476 6.9×
Mthfr Gene Analysis Common Variants (81291) $298.90 $427 4.6×
Mucin Clot Body Fluid (83872) $63 $90 10.8×
Mucopolysaccharides acid quantitative (83864) $218.40 $312 7.7×
Mumps antibody (86735)
range across 3 matching MRF lines
$61.60–$159.60 $88–$228 varies
Mycobacteric Identification (87118) $450.10 $643 30.8×
Mycophenolic Acid (80180) $98.70 $141 5.5×
Mycoplasma antibody (86738)
range across 5 matching MRF lines
$95.20–$343.70 $136–$491 varies
Mycoplasma culture (87109) $191.10 $273 12.4×
Myd88 Gene P.Leu265pro Vrnt (81305)
range across 2 matching MRF lines
$556.50–$786.80 $795–$1,124 varies
Myelin basic protein csf (83873) $242.90 $347 14.1×
Myoglobin urine (83874)
range across 2 matching MRF lines
$157.50–$182.70 $225–$261 varies
Natriuretic peptide (83880) $101.50 $145 2.6×
Neisseria Dir Na Probe (87590) $183.40 $262 6.8×
Neurofilament light chain (83884)
range across 2 matching MRF lines
$278.60–$350.70 $398–$501 varies
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $613.90 $877 4.8×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310)
range across 2 matching MRF lines
$408.10–$840 $583–$1,200 varies
Nuclear antigen antibody (86235)
range across 8 matching MRF lines
$15.40–$202.30 $22–$289 varies
Obstetric panel (80081) $939.40 $1,342 12.5×
Occult blood feces (82272) $65.80 $94 15.6×
Occult Blood Other Sources (82271) $65.80 $94 12.4×
Oligoclonal bands (83916) $356.30 $509 13.0×
Organic Acids Qualitative Each Specimen (83919) $419.30 $599 25.5×
Osmolality serum (83930) $50.40 $72 7.6×
Osmolality Urine (83935) $84 $120 12.3×
Osmotic Fragility RBC Unincubated (85555) $289.80 $414 38.8×
Ova and parasites smears (87177) $242.90 $347 27.3×
Oxalate urine (83945)
range across 3 matching MRF lines
$38.50–$490.70 $55–$701 varies
Pancreatic Elastase Fecal (82656) $197.40 $282 17.1×
Parvovirus antibody (86747) $338.10 $483 22.5×
Ph urine (81003) $61.60 $88 27.4×
Phenobarbital Level (80184) $172.90 $247 11.3×
Phenotype Infect Agent Drug (87900) $426.30 $609 3.3×
Phenytoin (Dilantin) (80185) $121.80 $174 9.2×
Phenytoin free (80186) $170.10 $243 12.4×
Phosphatase acid prostatic (84066) $147 $210 15.2×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$98.70–$142.80 $141–$204 varies
Phosphatidylglycerol (84081) $324.80 $464 19.7×
Phosphorus Serum (84100) $55.30 $79 11.7×
Phosphorus urine (84105)
range across 3 matching MRF lines
$38.50–$159.60 $55–$228 varies
Pinworm exam (87172) $50.40 $72 11.8×
Platelet Aggregation (85576)
range across 3 matching MRF lines
$189–$240.80 $270–$344 varies
Platelet Antibodies (86022)
range across 8 matching MRF lines
$133–$2,438.80 $190–$3,484 varies
Platelet count automated (85049) $46.90 $67 10.5×
Pooling blood platelets (86965) $609.70 $871 3.4×
Porphobilinogen, urine; quantitative (84110)
range across 2 matching MRF lines
$183.40–$282.80 $262–$404 varies
Porphyrins Urine Quantitation & Fractionation (84120) $294.70 $421 20.0×
Potassium Urine (84133)
range across 3 matching MRF lines
$38.50–$78.40 $55–$112 varies
Prealbumin (84134) $165.90 $237 11.4×
Pregnanediol (84135) $403.20 $576 19.0×
Pregnanetriol (84138) $562.10 $803 26.7×
Primidone (80188) $133 $190 8.0×
Procalcitonin (Pct) (84145) $189.70 $271 7.0×
Progesterone (84144) $356.30 $509 17.1×
Prolactin (84146) $360.50 $515 18.6×
Protein body fluid (84157)
range across 2 matching MRF lines
$128.80–$151.20 $184–$216 varies
Protein C Activity (85303) $592.90 $847 42.8×
Protein c antigen (85302) $26.60 $38 2.2×
Protein Electrophoresis Urine (84166) $139.30 $199 7.8×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$207.90–$264.60 $297–$378 varies
Protein S Free (85306)
range across 2 matching MRF lines
$63.70–$609 $91–$870 varies
Protein s total (85305) $624.40 $892 53.8×
Protein total serum (84155) $177.10 $253 48.3×
Protein Total Urine (84156) $139.30 $199 38.0×
Protein Western Blot Test (84182)
range across 11 matching MRF lines
$471.80–$895.30 $674–$1,279 varies
Protoporphyrin rbc quantitative (84202) $351.40 $502 24.5×
PSA free (84154) $233.80 $334 12.7×
Pth Intact (83970)
range across 3 matching MRF lines
$449.40–$499.80 $642–$714 varies
Q Fever Antibody (86638)
range across 9 matching MRF lines
$137.20–$347.90 $196–$497 varies
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines
$188.30–$191.10 $269–$273 varies
Quantitative assay drug (80299)
range across 9 matching MRF lines
$67.90–$356.30 $97–$509 varies
Quinidine (80194) $130.90 $187 9.0×
Rbc antibody elution (86860) $183.40 $262 1.0×
Rbc antibody identification (86870) $609.70 $871 1.6×
Rbc antibody screen (86850) $256.20 $366 26.2×
Rbc serum pretx incubj drugs (86975) $124.60 $178 0.3×
Reagent Strip/Blood Glucose (82948) $11.90 $17 2.4×
Renin activity plasma (84244) $387.80 $554 17.6×
Rh (86901)
range across 2 matching MRF lines
$39.20–$91.70 $56–$131 varies
Rheumatoid Factor Qualitative (86430) $155.40 $222 25.3×
Rheumatoid factor quant (86431) $191.80 $274 33.8×
Rickettsia antibody (86757) $242.90 $347 12.6×
Ristocetin cofactor (85245) $128.80 $184 5.6×
Rpr qualitative (86592)
range across 2 matching MRF lines
$74.20–$124.60 $106–$178 varies
Rsv ab (86756) $203.70 $291 12.8×
Rubella Antibody (86762)
range across 4 matching MRF lines
$170.10–$707 $243–$1,010 varies
Rubeola antibody (86765)
range across 3 matching MRF lines
$63–$326.20 $90–$466 varies
Russell Viper Venom Time Diluted (85613) $248.50 $355 25.9×
Sars-Cov-2 Covid-19 Amp Prb (87635) $200.90 $287 3.9×
Sars-cov-2 COVID-19 antibody (86769) $107.10 $153 2.5×
Sars-Cov-2 Covid19 W/Optic (87811) $132.30 $189 3.2×
Sarscov2 & inf a&b amp prb (87636) $317.10 $453 2.2×
Sarscov2&inf a&b&rsv amp prb (87637) $249.90 $357 1.8×
Sedimentation Rate, Automated (85652) $200.90 $287 74.4×
Selenium (84255) $54.60 $78 2.1×
Semen analysis complete (89320) $351.40 $502 28.5×
Semen analysis motility and count (89310) $182.70 $261 21.2×
Sensitivity mic (87186)
range across 10 matching MRF lines
$79.10–$966 $113–$1,380 varies
Serum Bactericidal Titer (87197) $226.80 $324 15.1×
Sex Hormone Binding Globulin (84270) $130.90 $187 6.0×
Sickling of rbc reduction (85660) $54.60 $78 9.9×
Sirolimus (80195) $356.30 $509 26.0×
Skin test tuberculosis intradermal (86580) $65.80 $94 2.2×
Smear acid fast (87206)
range across 5 matching MRF lines
$50.40–$231 $72–$330 varies
Smear gram stain (87205)
range across 5 matching MRF lines
$19.60–$70 $28–$100 varies
Smear Special Stain (87207)
range across 2 matching MRF lines
$26.60–$54.60 $38–$78 varies
Smn1 Gene Dos/Deletion Alys (81329) $254.80 $364 1.9×
Smpd1 Gene Analysis Common Variants (81330) $88.20 $126 1.9×
Smr Prim Src Wet Mount Nfct Agt (87210) $63 $90 10.8×
Sodium Serum (84295)
range across 3 matching MRF lines
$24.50–$39.20 $35–$56 varies
Sodium Urine (84300)
range across 3 matching MRF lines
$38.50–$55.30 $55–$79 varies
Soluble Transferrin Receptor (84238) $895.30 $1,279 24.5×
Somatomedin (84305) $443.80 $634 20.9×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$91.70–$217.70 $131–$311 varies
Special Stains Group 2 (88313)
range across 10 matching MRF lines
$88.20–$518 $126–$740 varies
Specific gravity body fluid (84315) $26.60 $38 8.1×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$96.60–$105 $138–$150 varies
Spectrophotometry (84311) $231 $330 28.5×
Sperm Antibodies (89325) $149.80 $214 14.0×
Splitting Blood/Blood Products Each Unit (86985) $273.70 $391 1.5×
Stone Analysis (82355) $259 $370 22.4×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$169.40–$273.70 $242–$391 varies
Strep a assay w/optic (87880) $74.20 $106 4.5×
Strep a DNA amp probe (87651) $79.10 $113 2.3×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $117.60 $168 1.3×
Sugars Single Qual (84376) $48.30 $69 8.8×
Sulfate urine (84392)
range across 2 matching MRF lines
$38.50–$331.10 $55–$473 varies
Surg path level iii (88304) $371 $530 6.7×
Surgical pathology level IV (88305)
range across 9 matching MRF lines
$81.20–$529.90 $116–$757 varies
Surgical pathology level vi (88309) $1,481.20 $2,116 1.7×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 33 matching MRF lines
$20.30–$34.30 $29–$49 varies
Susceptibility Study Antimicrobial Disk Method (87184)
range across 3 matching MRF lines
$54.60–$205.10 $78–$293 varies
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190)
range across 6 matching MRF lines
$34.30–$127.40 $49–$182 varies
Sweat Collection Iontophoresis (89230) $294.70 $421 5.3×
Syphilis Test Non-Trep Quant (86593) $78.40 $112 17.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines
$102.90–$240.80 $147–$344 varies
T cells total count (86359)
range across 2 matching MRF lines
$102.90–$193.90 $147–$277 varies
T3 Free (84481) $404.60 $578 23.9×
T3 reverse (84482) $471.10 $673 29.9×
T3 Total (84480) $200.90 $287 14.2×
T3 Uptake (84479) $226.80 $324 35.1×
T4 Free (84439) $312.90 $447 34.7×
T4 total (84436) $270.20 $386 39.3×
Tacrolimus (80197) $393.40 $562 28.7×
Tau phosphorylated each (84393)
range across 3 matching MRF lines
$278.60–$421.40 $398–$602 varies
Test for acetone/ketones (82009) $51.80 $74 11.5×
Test for urine cystines (82615)
range across 2 matching MRF lines
$38.50–$233.80 $55–$334 varies
Testosterone Bioavailable (84410) $114.80 $164 2.2×
Testosterone total (84403)
range across 2 matching MRF lines
$324.80–$371 $464–$530 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$371–$449.40 $530–$642 varies
Tetanus antibody (86774) $100.80 $144 6.8×
Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) $1,484 $2,120 2.5×
Theophylline (80198) $70 $100 5.0×
Thiocyanate (84430) $77.70 $111 6.7×
Thrombin Time (85670) $77.70 $111 13.5×
Thyroglobulin (84432)
range across 3 matching MRF lines
$30.80–$271.60 $44–$388 varies
Thyroglobulin Antibody (86800)
range across 4 matching MRF lines
$30.10–$215.60 $43–$308 varies
Thyroid Stimulating Immunoglobulin (84445) $665.70 $951 13.1×
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $493.50 $705 9.8×
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) $847.70 $1,211 12.6×
Thyroxine binding globulin (84442) $137.20 $196 9.3×
Tiss cul neo disorders solid tumor (88239) $177.10 $253 1.2×
Tissue Culture (88233) $534.10 $763 3.8×
Tissue Culture Amniotic Fluid (88235) $330.40 $472 2.2×
Tissue culture bone marrow (88237)
range across 4 matching MRF lines
$177.10–$938 $253–$1,340 varies
Tissue Culture Lymphocyte (88230) $704.90 $1,007 6.1×
Tobramycin peak (80200) $177.10 $253 11.0×
Topiramate (80201) $370.30 $529 31.1×
Total Tau (84394) $387.10 $553 3.0×
Touch prep (88161) $301 $430 9.8×
Toxoplasma ab igm (86778)
range across 2 matching MRF lines
$127.40–$215.60 $182–$308 varies
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$127.40–$157.50 $182–$225 varies
Tp53 gene analysis targeted sequence analysis (81352)
range across 2 matching MRF lines
$1,502.90–$1,743.70 $2,147–$2,491 varies
Transferase Aspartate Amino Ast Sgot (84450) $137.20 $196 26.5×
Transferrin (84466) $133 $190 10.4×
Trb@ Rearrangement Anal Amplification Method (81340) $482.30 $689 2.3×
Trg gene rearrangement anal (81342)
range across 2 matching MRF lines
$482.30–$601.30 $689–$859 varies
Trichomonas Vaginalis Amplif (87661) $219.10 $313 6.2×
Triglycerides (84478) $128.80 $184 22.4×
Troponin Quant (84484) $182 $260 14.6×
Tumor immunohistochem/comput (88361) $152.60 $218 0.4×
Tumor Immunohistochem/Manual (88360)
range across 3 matching MRF lines
$282.10–$434.70 $403–$621 varies
Unlisted Transfusion Medicine Procedure (86999)
range across 2 matching MRF lines
$57.40–$221.20 $82–$316 varies
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$9.80–$38.50 $14–$55 varies
Uric acid other source (84560)
range across 3 matching MRF lines
$38.50–$241.50 $55–$345 varies
Urinalysis Microscopic Only (81015) $63 $90 20.7×
Urinalysis Volume Measure (81050)
range across 2 matching MRF lines
$38.50–$101.50 $55–$145 varies
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) $128.10 $183 4.3×
Urine Bacteria Culture (87088)
range across 7 matching MRF lines
$42–$149.80 $60–$214 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$121.80–$124.60 $174–$178 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $128.10 $183 40.4×
Valproic acid (80164) $96.60 $138 7.1×
Vancomycin (80202) $151.20 $216 11.2×
Varicella-zoster antibody (86787)
range across 4 matching MRF lines
$156.10–$374.50 $223–$535 varies
Vasopressin (84588) $282.80 $404 8.3×
Viral Culture (87252)
range across 3 matching MRF lines
$326.20–$489.30 $466–$699 varies
Virus antibody nos (86790)
range across 9 matching MRF lines
$135.80–$268.80 $194–$384 varies
Virus inoculate tissue addl (87253) $58.80 $84 2.9×
Virus inoculation, shell via (87254) $270.20 $386 13.8×
Viscosity serum (85810) $256.90 $367 22.0×
Vit D 1 25-Dihydroxy (82652) $323.40 $462 8.4×
Vitamin A (84590) $410.20 $586 35.3×
Vitamin b-12 (82607) $242.90 $347 16.1×
Vitamin B2 (Riboflavin) (84252) $97.30 $139 4.8×
Vitamin B6 (84207) $392 $560 14.0×
Vitamin c (82180) $49 $70 5.0×
Vitamin D 25-Hydroxy (82306) $412.30 $589 13.9×
Vitamin E (84446) $68.60 $98 4.8×
Vitamin K (84597) $93.10 $133 6.8×
Voltage-Gated Calcium Channel Antibody Each (86596) $56 $80 4.6×
Von willebrand factor ag (85246) $895.30 $1,279 39.0×
Wbc Alkaline Phosphatase Count (85540) $170.10 $243 19.8×
Western Blot Test (84181) $336 $480 19.7×
Xylose Absorption Test (84620) $191.10 $273 14.8×
Zinc (84630) $114.10 $163 10.0×

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.