Lab & pathology prices at Mountain West Medical Center
Tooele, UT · every code in this section with a posted price and a Medicare benchmark.
724 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $98.32 | $163.86 | 4.3× |
| 5 Nucleotidase (83915) | $233.60 | $389.33 | 21.0× |
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$192–$201 | $320–$335 | varies |
| Acetylcholine receptor blocking antibody (86042) | $201 | $335 | 10.9× |
| Acetylcholn Rcptr Modlg Antb (86043) | $201 | $335 | 16.7× |
| Acth (82024) range across 2 matching MRF lines |
$132–$142.14 | $220–$236.90 | varies |
| Actin smooth muscle antibody each (86015) | $30 | $50 | 2.5× |
| Acute hepatitis panel (80074) | $254.36 | $423.94 | 5.3× |
| Acylcarnitines Quant (82017) | $382.59 | $637.65 | 22.7× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $107.15 | $178.58 | 1.7× |
| Agglutinins Febrile Each Antigen (86000) | $113.18 | $188.64 | 16.2× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$60–$108.61 | $100–$181.01 | varies |
| Albumin serum (82040) range across 3 matching MRF lines |
$39.60–$113.18 | $66–$188.64 | varies |
| Aldolase (82085) | $286.75 | $477.91 | 29.5× |
| Aldosterone urine (82088) | $101.75 | $169.58 | 2.5× |
| Alkaline phosphatase isoenzymes (84080) | $264.64 | $441.07 | 17.9× |
| Allergen spec ige qual multiallergen screen (86005) | $30 | $50 | 3.8× |
| Allergen specific ige (86003) range across 6 matching MRF lines |
$4.95–$60 | $8.25–$100 | varies |
| Allergen specific igg (86001) | $6.92 | $11.53 | 0.9× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$4.95–$32.90 | $8.25–$54.84 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $60.97 | $101.62 | 4.2× |
| Alpha-1-antitrypsin total (82103) | $287.71 | $479.51 | 21.4× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $326.95 | $544.92 | 19.2× |
| Alpha-Fetoprotein Serum (82105) | $60.02 | $100.03 | 3.6× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$30–$113.18 | $50–$188.64 | varies |
| Aluminum (82108) | $119.08 | $198.46 | 4.7× |
| Amikacin trough (80150) | $238.17 | $396.95 | 15.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$9–$114.51 | $15–$190.85 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $52.97 | $88.28 | 3.1× |
| Aminolevulinic acid (ala) (82135) | $121.37 | $202.28 | 7.4× |
| Ammonia (82140) range across 2 matching MRF lines |
$9–$231.31 | $15–$385.51 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $239.12 | $398.53 | 2.4× |
| Amylase urine (82150) range across 2 matching MRF lines |
$33–$113.18 | $55–$188.64 | varies |
| Ana Titer (86039) | $33.34 | $55.57 | 3.0× |
| Anca screen each antibody (86036) | $180 | $300 | 14.9× |
| Anca Titer Each Antibody (86037) range across 3 matching MRF lines |
$12–$72 | $20–$120 | varies |
| Androstanediol Glucuronide (82154) | $90.31 | $150.52 | 3.1× |
| Androstenedione (82157) | $287.71 | $479.51 | 9.8× |
| Angiotensin converting enzyme csf (82164) | $287.71 | $479.51 | 19.7× |
| Anti-Phospholipid Antibody (86148) range across 3 matching MRF lines |
$7.80–$75 | $13–$125 | varies |
| Antibody aspergillus (86606) | $82.12 | $136.87 | 5.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $60 | $100 | 3.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $252.07 | $420.11 | 15.0× |
| Antibody Encephalitis California La Crosse (86651) | $164.05 | $273.41 | 12.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $81.93 | $136.55 | 6.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $94.69 | $157.82 | 6.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $90.12 | $150.20 | 5.0× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$72–$326 | $120–$543.34 | varies |
| Antibody helicobacter pylori (86677) | $180.43 | $300.72 | 10.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $219.68 | $366.13 | 15.3× |
| Antibody Herpes Smplx Type 1 (86695) | $271.51 | $452.51 | 20.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $119.08 | $198.46 | 6.2× |
| Antibody identification leukocyte antibodies (86021) | $119.08 | $198.46 | 7.9× |
| Antibody Identification Platelet Immunogl Assay (86023) | $232.26 | $387.10 | 18.6× |
| Antibody plasmodium malaria (86750) | $28.58 | $47.64 | 2.2× |
| Antibody Protozoa Nes (86753) | $65.67 | $109.45 | 5.3× |
| Antibody Titer (86886) | $231.31 | $385.51 | 44.7× |
| Antibody Treponema Pallidum (86780) | $63 | $105 | 4.8× |
| Antibody yersinia (86793) | $338.77 | $564.61 | 25.7× |
| Antibody; encephalitis, st. louis (86653) | $167.66 | $279.44 | 12.7× |
| Antibody; influenza virus (86710) | $12 | $20 | 0.9× |
| Antigen typing (86905) | $160.62 | $267.70 | 41.9× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $115.46 | $192.44 | 20.2× |
| Antinuclear antibodies (86038) | $144.61 | $241.02 | 12.0× |
| Antistreptolysin O Screen (86063) | $71.64 | $119.40 | 12.4× |
| Antistreptolysin o titer (86060) | $151.47 | $252.45 | 20.7× |
| Antithrombin iii activity (85300) | $129 | $215 | 10.9× |
| Antithrombin iii antigen (85301) | $303.89 | $506.49 | 28.1× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$30–$233.60 | $50–$389.33 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $120 | $200 | 10.0× |
| Aquaporin-4 Antb Elisa (86051) | $90 | $150 | 7.8× |
| Arsenic (82175) | $102.88 | $171.47 | 5.4× |
| Aspa gene analysis common variants (81200) | $58.80 | $98 | 1.2× |
| Aspergillus ag eia (87305) | $231.31 | $385.51 | 19.3× |
| Assay activated protein c (85307) | $249.79 | $416.32 | 16.3× |
| Assay Blood Carbon Dioxide (82374) | $113.18 | $188.64 | 23.2× |
| Assay Dir Meas Fr Estradiol (82681) | $93.74 | $156.24 | 3.4× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$30–$406.78 | $50–$677.96 | varies |
| Assay of 5-hiaa (83497) | $287.71 | $479.51 | 22.3× |
| Assay of blood/uric acid (84550) | $113.18 | $188.64 | 25.0× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$9–$113.18 | $15–$188.64 | varies |
| Assay of corticosterone (82528) | $345.44 | $575.73 | 15.3× |
| Assay of cpk in blood (82552) | $233.60 | $389.33 | 17.4× |
| Assay of estrone (82679) | $205.58 | $342.63 | 8.2× |
| Assay of feces for trypsin (84490) | $126 | $210 | 12.7× |
| Assay of g6pd enzyme (82955) | $287.71 | $479.51 | 29.7× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$9–$113.18 | $15–$188.64 | varies |
| Assay of lactic acid (83605) | $233.60 | $389.33 | 20.2× |
| Assay of manganese (83785) | $152.24 | $253.73 | 5.7× |
| Assay of metanephrines (83835) | $287.71 | $479.51 | 17.0× |
| Assay of phosphatase acid total (84060) | $233.60 | $389.33 | 30.6× |
| Assay of proinsulin (84206) | $159.48 | $265.80 | 6.0× |
| Assay of serotonin (84260) | $153.76 | $256.27 | 5.0× |
| Assay of serum potassium (84132) | $113.18 | $188.64 | 23.8× |
| Assay of sweat sodium (84302) | $96.98 | $161.63 | 20.0× |
| Assay of urea nitrogen (84520) | $113.18 | $188.64 | 28.7× |
| Assay of urine vma (84585) | $238.17 | $396.95 | 15.4× |
| Assay of vasoactive intestinal peptide (84586) | $114.51 | $190.85 | 3.2× |
| Assay of vitamin b-1 (84425) | $277.42 | $462.36 | 13.1× |
| Assay Ph Body Fluid Nos (83986) | $113.18 | $188.64 | 31.6× |
| Atomic Absorption (82190) | $354.77 | $591.28 | 22.3× |
| Autol bld/component collj storage salvage (86891) | $725.83 | $1,209.72 | 0.9× |
| Automated Leukocyte Count (85048) | $71.64 | $119.40 | 28.2× |
| B cells total count (86355) range across 2 matching MRF lines |
$27–$60 | $45–$100 | varies |
| Bartonella antibody (86611) | $24.01 | $40.01 | 2.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$7.80–$75 | $13–$125 | varies |
| Beta hydroxybutyrate (82010) | $233.60 | $389.33 | 28.6× |
| Beta Lactamase (87185) | $60 | $100 | 12.6× |
| Beta-2 Microglobulin (82232) | $47.64 | $79.40 | 2.9× |
| Bile acids total (82239) | $246.17 | $410.29 | 14.4× |
| Bilirubin direct (82248) | $113.18 | $188.64 | 22.5× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$30–$113.18 | $50–$188.64 | varies |
| Bilirubin total transcutaneous (88720) | $8.57 | $14.29 | 1.7× |
| Biotinidase (82261) range across 2 matching MRF lines |
$23.44–$28.78 | $39.06–$47.96 | varies |
| Blastomyces antibody (86612) | $157.19 | $261.98 | 12.2× |
| Bld Typing Serologic Rh Phnt (86906) | $70.50 | $117.50 | 9.1× |
| Blm Gene (81209) | $58.80 | $98 | 1.5× |
| Blood Count Red Blood Cell Automated (85041) | $71.64 | $119.40 | 23.7× |
| Blood count reticulocyte automated (85045) | $154.71 | $257.85 | 38.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $49.73 | $82.89 | 13.1× |
| Blood gases w/02 saturation (82805) | $442.94 | $738.24 | 5.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $125.95 | $209.91 | 19.8× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$36–$60.02 | $60–$100.03 | varies |
| Body fluid cell count (89050) | $96.03 | $160.05 | 20.3× |
| Bone marrow smear interpretation (85097) | $494.81 | $824.68 | 0.6× |
| Bordetella antibody (86615) | $77.55 | $129.25 | 5.9× |
| Brca1&2 gen full seq dup/del (81162) | $1,200 | $2,000 | 0.7× |
| Brucella antibody (86622) | $157.19 | $261.98 | 17.6× |
| C diff amplified probe (87493) | $90.70 | $151.16 | 2.4× |
| C-Peptide (84681) | $299.32 | $498.87 | 14.4× |
| C-reactive protein (86140) | $113.18 | $188.64 | 21.8× |
| Ca 19-9 (86301) | $157.19 | $261.98 | 7.6× |
| Cadmium (82300) | $338.77 | $564.61 | 14.3× |
| Caffeine (80155) | $31.24 | $52.07 | 0.8× |
| Calcitonin (82308) | $252.07 | $420.11 | 9.4× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$54–$113.18 | $90–$188.64 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$54–$113.18 | $90–$188.64 | varies |
| Calculus Spectroscopy (82365) | $166.33 | $277.22 | 12.9× |
| Calprotectin Fecal (83993) | $76.40 | $127.33 | 3.9× |
| Cancer Antigen 125 (86304) | $102.88 | $171.47 | 4.9× |
| Cancer Antigen 27.29 (86300) | $87.83 | $146.38 | 4.2× |
| Candida antibody (86628) | $42 | $70 | 3.5× |
| Candida Dna Dir Probe (87480) | $29.15 | $48.58 | 1.5× |
| Carbamazepine total (80156) | $165.38 | $275.63 | 11.4× |
| Carboxyhemoglobin (82375) | $164.05 | $273.41 | 13.3× |
| Carcinoembryonic antigen (82378) | $268.26 | $447.10 | 14.1× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$7.80–$252.07 | $13–$420.11 | varies |
| Carnitine Quantitative Each Specimen (82379) | $212.63 | $354.39 | 12.6× |
| Carotene (82380) | $287.71 | $479.51 | 31.2× |
| Catecholamines fractionated (82384) | $376.87 | $628.12 | 14.9× |
| Ccp antibody (86200) | $213.78 | $356.30 | 16.5× |
| Cell count csf (89051) | $106.31 | $177.19 | 19.0× |
| Ceruloplasmin (82390) | $287.71 | $479.51 | 26.8× |
| Cftr Gene Analysis Known Familial Variants (81221) | $175 | $291.66 | 1.8× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$58.80–$300 | $98–$500 | varies |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$27–$270 | $45–$450 | varies |
| Chloramphenicol level (82415) | $326.95 | $544.92 | 25.8× |
| Chloride other source (82438) | $145.75 | $242.92 | 29.2× |
| Chloride Serum (82435) | $113.18 | $188.64 | 24.6× |
| Chloride urine (82436) range across 2 matching MRF lines |
$9–$130.70 | $15–$217.84 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$30–$113.18 | $50–$188.64 | varies |
| Cholinesterase rbc (82482) | $176.81 | $294.69 | 18.0× |
| Cholinesterase Serum (82480) | $176.81 | $294.69 | 22.5× |
| Chorionic gonadotropin test (84702) | $145.75 | $242.92 | 9.7× |
| Chromium serum (82495) range across 2 matching MRF lines |
$36–$233.60 | $60–$389.33 | varies |
| Chromogenic Substrate Assay (85130) | $330.58 | $550.96 | 27.8× |
| Chromogranin a (86316) | $81.35 | $135.59 | 3.9× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$240–$393.25 | $400–$655.42 | varies |
| Chromosome analysis 45 cells (88263) | $360 | $600 | 2.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$30–$131.66 | $50–$219.43 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$9–$287.71 | $15–$479.51 | varies |
| Ckmb (82553) | $338.77 | $564.61 | 29.3× |
| Clostridium Difficile (87324) | $329.42 | $549.04 | 27.5× |
| Clot Factor VIII Multimetric (85247) | $210.16 | $350.26 | 9.2× |
| Clot factor xiii fibrin stab (85290) | $136.42 | $227.37 | 8.3× |
| Clot retraction (85170) | $107.45 | $179.09 | 6.6× |
| Clotting factor xii hageman (85280) | $584.93 | $974.88 | 30.2× |
| Cns DNA amp probe type 12-25 (87483) | $438 | $730 | 1.1× |
| Coccidioides antibody (86635) | $151.47 | $252.45 | 13.2× |
| Cold agglutinin titer (86157) | $142.14 | $236.90 | 17.6× |
| Collagen crosslinks (82523) | $32.02 | $53.36 | 1.7× |
| Column Chromotography Quant (82542) | $30.11 | $50.18 | 1.2× |
| Compatibility test antiglob (86922) | $256.64 | $427.74 | 1.5× |
| Complement Antigen Each Component (86160) | $108.61 | $181.01 | 9.1× |
| Complement Total (Ch50) (86162) | $275.13 | $458.55 | 13.5× |
| Complement/Function Activity (86161) | $301.62 | $502.70 | 25.1× |
| Coombs direct (86880) | $98.32 | $163.86 | 18.2× |
| Copper urine (82525) | $287.71 | $479.51 | 23.2× |
| Cortisol free (82530) | $72.41 | $120.68 | 4.3× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$60–$66 | $100–$110 | varies |
| Creatine (82540) | $144.61 | $241.02 | 31.2× |
| Creatine kinase total (82550) | $113.18 | $188.64 | 17.4× |
| Creatinine blood (82565) | $96.41 | $160.68 | 18.8× |
| Creatinine clearance (82575) | $233.60 | $389.33 | 24.7× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$6–$114.51 | $10–$190.85 | varies |
| Crp High Sensitivity (86141) | $119.08 | $198.46 | 9.2× |
| Cryoglobulin (82595) | $242.74 | $404.57 | 37.5× |
| Cryptococcal Antigen (87327) | $65.93 | $109.88 | 4.9× |
| Cryptococcus ab (86641) | $39.25 | $65.42 | 2.7× |
| Cryptococcus ag titer (87899) | $252.07 | $420.11 | 15.7× |
| Cryptosporidium (87272) | $54.49 | $90.82 | 4.5× |
| Cryptosporidium ag eia (87328) | $51 | $85 | 3.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $270 | $450 | 33.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $168 | $280 | 20.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $81 | $135 | 10.5× |
| Culture afb (87116) | $273.98 | $456.64 | 25.4× |
| Culture Anaerobic (87075) | $203.48 | $339.14 | 21.5× |
| Culture blood (87040) | $211.49 | $352.49 | 20.5× |
| Culture chlamydia (87110) | $10.89 | $18.15 | 0.6× |
| Culture csf (87070) | $161.76 | $269.60 | 18.8× |
| Culture fungus (87102) | $365.24 | $608.74 | 43.4× |
| Culture fungus blood (87103) | $106.31 | $177.19 | 5.2× |
| Culture screen only (87081) | $69.36 | $115.60 | 10.5× |
| Culture stool (87045) range across 2 matching MRF lines |
$49.20–$161.76 | $82–$269.60 | varies |
| Culture typing if ea antiserum (87140) | $10.89 | $18.15 | 2.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $28.58 | $47.64 | 5.5× |
| Culture typing other methods (87158) | $172.50 | $287.50 | 22.3× |
| Culture urine (87086) range across 2 matching MRF lines |
$36–$90.12 | $60–$150.20 | varies |
| Cyanide (82600) | $272.84 | $454.74 | 14.1× |
| Cyclic amp (82030) | $208.06 | $346.76 | 8.1× |
| Cyclosporine (80158) | $158.33 | $263.89 | 8.8× |
| Cystatin C (82610) | $54.49 | $90.82 | 2.9× |
| Cytogenetics 100-300 (88275) | $316.85 | $528.09 | 6.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,959.74 | $3,266.24 | 1.7× |
| Cytomegalovirus igg (86644) | $219.68 | $366.13 | 15.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $91.08 | $151.80 | 4.5× |
| Cytopath Cell Enhance Tech (88112) | $159.67 | $266.12 | 3.0× |
| Cytopath Fl Nongyn Filter (88106) | $83.26 | $138.77 | 2.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $59.07 | $98.45 | 2.2× |
| Cytp Concentration Smears & Interpretation (88108) | $16.01 | $26.68 | 0.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $116.80 | $194.66 | 2.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $41.16 | $68.60 | 0.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $372.10 | $620.17 | 9.8× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $42.87 | $71.45 | 2.3× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $54.30 | $90.50 | 1.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $47.44 | $79.06 | 1.6× |
| Deoxycortisol (82634) | $100.60 | $167.67 | 3.4× |
| Deoxyribonuclease antibody (86215) | $233.60 | $389.33 | 17.6× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$51.60–$372.10 | $86–$620.17 | varies |
| Detect Agent Nos Dna Quant (87799) | $71.28 | $118.80 | 1.7× |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
$51.60–$111.50 | $86–$185.84 | varies |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$9–$75 | $15–$125 | varies |
| Dhea (82626) | $287.71 | $479.51 | 11.4× |
| Dhea-S (82627) range across 2 matching MRF lines |
$60–$401.26 | $100–$668.76 | varies |
| Digoxin (80162) | $211.88 | $353.13 | 16.0× |
| Digoxin free (80163) | $211.88 | $353.13 | 16.0× |
| Dihydrotestosterone (82642) | $43.85 | $73.08 | 1.5× |
| Diphtheria antitoxoid (86648) | $173.58 | $289.30 | 11.4× |
| Dipropylacetic Acid Free (80165) | $211.88 | $353.13 | 15.6× |
| Dna Antibody Native/Double Stranded (86225) | $72.78 | $121.30 | 5.3× |
| Dna Antibody Single Stranded (86226) | $40.01 | $66.69 | 3.3× |
| Dna/Rna Amplified Probe (87150) | $120 | $200 | 3.4× |
| Dna/Rna Sequencing (87153) | $229.21 | $382.02 | 2.0× |
| Drug assay acetaminophen (80143) | $72 | $120 | 3.9× |
| Drug assay adalimumab (80145) | $153 | $255 | 4.0× |
| Drug Assay Everolimus (80169) | $150 | $250 | 10.9× |
| Drug Assay Infliximab (80230) | $270 | $450 | 7.0× |
| Drug Assay Lacosamide (80235) | $135 | $225 | 5.0× |
| Drug Assay Vedolizumab (80280) | $114 | $190 | 3.0× |
| Drug assay voriconazole (80285) | $300 | $500 | 11.1× |
| Drug Screen Quant Clozapine (80159) range across 2 matching MRF lines |
$29.66–$60 | $49.43–$100 | varies |
| Drug Screen Quantitative Lamotrigine (80175) | $102 | $170 | 7.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $78 | $130 | 5.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $11.74 | $19.56 | 0.9× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $398.97 | $664.95 | 23.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$33.61–$136.50 | $56.02–$227.50 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $292.84 | $488.07 | 23.2× |
| Drug Test Prsmv Instrmnt (80306) | $216.63 | $361.05 | 12.6× |
| El-1 Fecal Quantitative (82653) | $249 | $415 | 10.8× |
| Electrolyte panel (80051) | $86.69 | $144.48 | 12.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $50.30 | $83.84 | 0.8× |
| Encephaltis East Eqne Anbdy (86652) | $164.05 | $273.41 | 12.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $78 | $130 | 6.5× |
| Enterovirus Antibody (86658) | $43.07 | $71.78 | 3.3× |
| Enterovirus PCR (87498) | $172.05 | $286.75 | 4.9× |
| Enzyme cell activity (82657) | $57.35 | $95.59 | 2.6× |
| Eosinophil Smear (89190) | $71.64 | $119.40 | 12.4× |
| Erythropoietin (82668) | $85.55 | $142.58 | 4.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$84–$93.74 | $140–$156.24 | varies |
| Estriol (82677) | $173.58 | $289.30 | 7.2× |
| Estrogen total (82672) | $219.68 | $366.13 | 10.1× |
| Ethosuximide (80168) | $39.25 | $65.42 | 2.4× |
| Ethylene Glycol (82693) | $90 | $150 | 6.0× |
| Exam Synovial Fluid Crystals (89060) | $102.88 | $171.47 | 14.0× |
| Exome Sequence Analysis (81415) | $3,000 | $5,000 | 0.6× |
| Exome sequence analysis each comparator exome (81416) likely a partial charge, not the full procedure |
$1,800 | $3,000 | 0.2× |
| F2 Gene (81240) range across 2 matching MRF lines |
$81.93–$210 | $136.55–$350 | varies |
| Factor ii activity (85210) | $112.22 | $187.03 | 8.6× |
| Factor ix activity (85250) | $583.79 | $972.99 | 30.7× |
| Factor v activity (85220) | $337.43 | $562.39 | 19.1× |
| Factor v leiden mutation (81241) | $47.64 | $79.40 | 0.6× |
| Factor vii assay (85230) | $391.93 | $653.21 | 21.9× |
| Factor viii assay (85240) | $247.50 | $412.50 | 13.8× |
| Factor X (85260) | $119.08 | $198.46 | 6.7× |
| Factor xi activity (85270) | $566.44 | $944.07 | 31.6× |
| Fancc Gene (81242) | $58.80 | $98 | 1.6× |
| Fat stain feces urine/respir secretions (89125) | $147.85 | $246.42 | 25.1× |
| Fat/Lipids Feces Quantitative (82710) | $241.59 | $402.65 | 14.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $352.49 | $587.48 | 20.5× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $282.17 | $470.29 | 43.2× |
| Fecal Fat Qualitative (82705) | $113.18 | $188.64 | 22.2× |
| Ferritin (82728) range across 2 matching MRF lines |
$36–$233.60 | $60–$389.33 | varies |
| Fetal Chrmoml Aneuploidy (81420) | $628.20 | $1,047 | 0.8× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $87.83 | $146.38 | 0.6× |
| Fetal Fibronectin (82731) | $522.44 | $870.74 | 8.1× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $159.48 | $265.80 | 8.4× |
| Fibrin degradation products (85362) | $223.12 | $371.86 | 32.4× |
| Fibrin Degradation Quant (85379) | $241.59 | $402.65 | 23.7× |
| Fibrinogen activity (85384) | $196.44 | $327.40 | 20.2× |
| Fibrinogen antigen (85385) | $41.53 | $69.22 | 2.9× |
| Flow cytometry first marker (88184) | $180 | $300 | 0.5× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$9–$183.86 | $15–$306.44 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $63.64 | $106.06 | 5.3× |
| Fmr1 gene detection (81243) range across 2 matching MRF lines |
$58.80–$180 | $98–$300 | varies |
| Folic acid rbc (82747) | $306.18 | $510.30 | 17.3× |
| Folic Acid Serum (82746) | $306.18 | $510.30 | 20.8× |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$70.80–$336.29 | $118–$560.48 | varies |
| Francisella tularensis (86668) | $48 | $80 | 3.4× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $102.88 | $171.47 | 0.6× |
| Frozen Section (88331) | $48.77 | $81.29 | 0.3× |
| Fungi Identification Mold (87107) | $33.34 | $55.57 | 3.2× |
| Fungi Identification Yeast (87106) | $33.34 | $55.57 | 3.2× |
| Galactose transferase test (82776) range across 2 matching MRF lines |
$23.44–$28.78 | $39.06–$47.96 | varies |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $233.60 | $389.33 | 11.1× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$7.20–$113.18 | $12–$188.64 | varies |
| Gardner vag DNA dir probe (87510) | $29.15 | $48.58 | 1.5× |
| Gardner Vag Dna Quant (87512) | $69.49 | $115.82 | 1.7× |
| Gases blood ph only (82800) | $112.82 | $188.04 | 10.3× |
| Gastric Analy W/Ph Ea Spec (82930) | $161.76 | $269.60 | 24.1× |
| Gastrin (82941) | $299.32 | $498.87 | 17.0× |
| Gastrin after secretin stim (82938) | $45.92 | $76.53 | 2.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$292.50–$600 | $487.50–$1,000 | varies |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $58.80 | $98 | 1.2× |
| Genet Virus Isolate Hsv (87255) | $84.41 | $140.68 | 2.5× |
| Gentamicin (80170) | $233.60 | $389.33 | 14.3× |
| Ggt (82977) range across 2 matching MRF lines |
$30–$113.18 | $50–$188.64 | varies |
| Giardia antigen (87329) | $151.47 | $252.45 | 12.6× |
| Glucagon (82943) | $233.60 | $389.33 | 16.3× |
| Glucose 2 hr pp (82950) | $113.18 | $188.64 | 23.8× |
| Glucose Blood Test (82962) | $11.62 | $19.36 | 3.5× |
| Glucose body fluid (82945) | $130.70 | $217.84 | 33.3× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$30–$90.12 | $50–$150.20 | varies |
| Glucose tolerance test (gtt) (82951) | $173.58 | $289.30 | 13.5× |
| Glycated Protein (82985) | $69.36 | $115.60 | 4.1× |
| Gonadotropin Chorionic Qualitative (84703) | $142.14 | $236.90 | 18.9× |
| Growth hormone (83003) | $287.71 | $479.51 | 17.3× |
| Gtt-added samples (82952) | $61.36 | $102.26 | 15.7× |
| H Pylori (C-13) Breath (83013) | $135.66 | $226.10 | 2.0× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$30–$233.60 | $50–$389.33 | varies |
| Hba1/Hba2 Gene (81257) range across 2 matching MRF lines |
$58.80–$342 | $98–$570 | varies |
| Hbb Gene Com Variants (81361) | $58.80 | $98 | 0.3× |
| Hdl Cholesterol (83718) | $113.18 | $188.64 | 13.8× |
| Helicobacter Pylori Stool (87338) | $77.55 | $129.25 | 5.4× |
| Helminth Antibody (86682) | $553.69 | $922.81 | 42.6× |
| Hematocrit (85014) | $69.36 | $115.60 | 29.3× |
| Hemoglobin (85018) | $69.36 | $115.60 | 29.3× |
| Hemoglobin a1c (83036) | $71.64 | $119.40 | 7.4× |
| Hemoglobin Chromotography (83021) | $57.35 | $95.59 | 3.2× |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$23.44–$36 | $39.06–$60 | varies |
| Hemoglobin F Fetal Chemical (83030) | $173.58 | $289.30 | 16.2× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $389.45 | $649.08 | 44.4× |
| Hemosiderin urine (83070) | $46.30 | $77.17 | 9.7× |
| Hep a ab igm (86709) | $131.66 | $219.43 | 11.7× |
| Heparin assay (85520) | $243.88 | $406.46 | 18.6× |
| Heparin Neutralization (85525) | $105 | $175 | 8.9× |
| Hepatitis a antibody total (86708) | $202.35 | $337.25 | 16.3× |
| Hepatitis b core ab igm (86705) | $96.03 | $160.05 | 8.2× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$36–$198.72 | $60–$331.20 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$36–$186.14 | $60–$310.24 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$36–$105.18 | $60–$175.30 | varies |
| Hepatitis Be Antibody (86707) | $157.19 | $261.98 | 13.6× |
| Hepatitis Be Antigen (87350) | $105.18 | $175.30 | 9.1× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$36–$241.59 | $60–$402.65 | varies |
| Hepatitis c antibody confirmatory test (86804) | $167.66 | $279.44 | 10.8× |
| Hepatitis C Genotype (87902) | $762.51 | $1,270.85 | 3.0× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $199.87 | $333.11 | 5.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $104.98 | $174.96 | 2.5× |
| Hepatitis Delta Agent Antibody (86692) | $270.56 | $450.93 | 15.8× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $1,320 | $2,200 | 2.3× |
| Herpes simplex type 2 (86696) | $284.47 | $474.11 | 14.7× |
| Heterophile antibodies titer (86309) | $227.68 | $379.47 | 35.2× |
| Heterophile Antibody Screen (86308) | $115.46 | $192.44 | 22.3× |
| Hexa gene analysis common variants (81255) | $58.80 | $98 | 1.1× |
| Hfe Gene (81256) | $149.76 | $249.60 | 2.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $287.71 | $479.51 | 37.2× |
| Histamine urine (83088) | $419.74 | $699.56 | 14.2× |
| Histoplasma antibody (86698) | $113.18 | $188.64 | 8.2× |
| Histoplasma antigen urine (87385) | $84 | $140 | 6.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $36 | $60 | 1.5× |
| HIV-1 p24 antigen (87390) | $32.39 | $53.98 | 1.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $321.43 | $535.71 | 3.8× |
| HIV-2 probe&revrse trnscripj (87538) | $60 | $100 | 1.7× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $150 | $250 | 1.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $129 | $215 | 1.7× |
| Hla I Typing 1 Allele Hr (81381) | $105 | $175 | 0.6× |
| Hla ii type 1 ag equiv lr (81377) | $120 | $200 | 1.3× |
| Hla ii typing 1 allele hr (81383) range across 2 matching MRF lines |
$120–$132.92 | $200–$221.54 | varies |
| Hla-b27 (86812) | $75.26 | $125.43 | 2.9× |
| Homocysteine (83090) | $151.47 | $252.45 | 8.5× |
| Homovanillic acid urine (83150) | $264.64 | $441.07 | 11.8× |
| Hpv High-Risk Types (87624) | $81.55 | $135.91 | 2.3× |
| Hpv low-risk types (87623) | $81.55 | $135.91 | 2.3× |
| Hpv Types 16 & 18 Only (87625) | $81.55 | $135.91 | 2.0× |
| Hsv Dna Amp Probe (87529) | $120 | $200 | 3.4× |
| Htlv-I Antibody (86687) | $785.94 | $1,309.90 | 86.5× |
| Htlv-ii antibody (86688) | $221.97 | $369.95 | 15.9× |
| Hydroxycorticosteroids 17 (83491) range across 2 matching MRF lines |
$23.44–$31.24 | $39.06–$52.07 | varies |
| Hydroxyprogesterone 17-d (83498) | $91.46 | $152.43 | 3.4× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $225.40 | $375.67 | 18.8× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $50.54 | $84.23 | 4.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $31.06 | $51.77 | 3.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $55.45 | $92.41 | 4.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $81 | $135 | 2.3× |
| Iaad ia shiga-like toxin (87427) | $49.20 | $82 | 4.1× |
| Iaad Ia Streptococcus Group A (87430) | $69.36 | $115.60 | 4.1× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $164.05 | $273.41 | 13.7× |
| Iaadi pneumocustis carinii (87281) | $622.84 | $1,038.07 | 52.0× |
| Iaadi Varicella Zoster Virus (87290) | $78.50 | $130.83 | 5.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $569.88 | $949.80 | 16.2× |
| Iadna Candida Species Amplified Probe Tq (87481) | $64.39 | $107.32 | 1.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $75 | $125 | 2.1× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $106.31 | $177.19 | 4.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $472.70 | $787.84 | 13.5× |
| Iadna Cytomegalovirus Quantification (87497) | $282 | $470 | 6.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $59.87 | $99.78 | 0.9× |
| Iadna hepatitis b virus amplified probe tq (87516) | $456.70 | $761.17 | 13.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $94.51 | $157.51 | 2.2× |
| Iadna Herpes Virus-6 Quantification (87533) | $255.60 | $426 | 6.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $261.22 | $435.36 | 7.4× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $64.78 | $107.97 | 1.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $289.99 | $483.32 | 7.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$75–$492.33 | $125–$820.55 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$30–$131.66 | $50–$219.43 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $120 | $200 | 2.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $84 | $140 | 0.6× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $296.26 | $493.76 | 1.1× |
| Ig Light Chains Free Each (83521) | $25.20 | $42 | 1.5× |
| Igg subclasses (82787) | $93.74 | $156.24 | 11.7× |
| Ikbkap Gene Analysis Common Variants (81260) | $58.80 | $98 | 1.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $137.18 | $228.64 | 0.4× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$47.26–$129 | $78.76–$215 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $91.46 | $152.43 | 5.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $72 | $120 | 4.8× |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$24–$180 | $40–$300 | varies |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$18–$370.96 | $30–$618.26 | varies |
| Immunohistochemistry (88342) | $151.28 | $252.14 | 0.9× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $114.32 | $190.53 | 2.2× |
| Influenza a/b ag eia (87400) range across 2 matching MRF lines |
$38.48–$161.76 | $64.14–$269.60 | varies |
| Influenza assay w/optic (87804) | $28.58 | $47.64 | 1.7× |
| Influenza DNA amp probe (87502) | $114.32 | $190.53 | 1.2× |
| Inhibin A (86336) | $225.40 | $375.67 | 14.5× |
| Inhibin b (83520) range across 3 matching MRF lines |
$12–$78 | $20–$130 | varies |
| Insulin antibodies (86337) | $241.59 | $402.65 | 11.3× |
| Insulin free (83527) | $133.94 | $223.24 | 10.3× |
| Insulin total (83525) | $71.64 | $119.40 | 6.3× |
| Intrinsic factor antibody (86340) | $35.44 | $59.06 | 2.4× |
| Iron (83540) range across 2 matching MRF lines |
$36–$113.18 | $60–$188.64 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$36–$113.18 | $60–$188.64 | varies |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$60–$354.77 | $100–$591.28 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $375 | $625 | 4.1× |
| Jak2 Gene Trgt Sequence Alys (81279) | $450 | $750 | 2.4× |
| Ketosteroids 17 total (83586) | $261.22 | $435.36 | 20.4× |
| Koh Prep (87220) | $98.32 | $163.86 | 23.0× |
| L/s ratio (83661) | $88.99 | $148.31 | 4.0× |
| Lactate (ld) (ldh) enzyme (83615) | $113.18 | $188.64 | 18.7× |
| Lactoferrin fecal qualitative (83630) | $62.12 | $103.53 | 3.2× |
| Lactoferrin Fecal Quantitative (83631) | $90.88 | $151.46 | 4.6× |
| Lamellar Body Count (83664) | $47.64 | $79.40 | 2.5× |
| Ldh Isoenzymes (83625) | $233.60 | $389.33 | 18.3× |
| LDL direct (83721) range across 3 matching MRF lines |
$12–$113.18 | $20–$188.64 | varies |
| Lead (83655) | $173.58 | $289.30 | 14.3× |
| Legionella antibody (86713) | $252.07 | $420.11 | 16.5× |
| Legionella antigen urine (87449) | $99.46 | $165.76 | 8.3× |
| Leptospira antibody (86720) | $231.31 | $385.51 | 14.3× |
| Leukocyte Assessment Fecal (89055) | $102.88 | $171.47 | 24.1× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$33.54–$138.60 | $55.90–$231 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$73.93–$135 | $123.21–$225 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $204.64 | $341.06 | 0.6× |
| Lipase (83690) | $52.01 | $86.68 | 7.5× |
| Lipoprotein A (83695) | $69.36 | $115.60 | 4.8× |
| Lipoprotein Bld Quan Part (83704) | $77.74 | $129.56 | 2.3× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $43.83 | $73.05 | 3.9× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $323.71 | $539.52 | 9.6× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $69.36 | $115.60 | 1.5× |
| Listeria Monocytogenes (86723) | $120 | $200 | 9.1× |
| Lithium (80178) | $125.95 | $209.91 | 19.1× |
| Luteinizing Hormone (Lh) (83002) | $323.71 | $539.52 | 17.5× |
| Lyme disease antibody (86618) | $283.13 | $471.88 | 16.6× |
| Lysozyme serum (85549) | $52.58 | $87.63 | 2.8× |
| M. Genitalium Amp Probe (87563) | $63 | $105 | 1.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $540 | $900 | 3.1× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$9–$113.18 | $15–$188.64 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$23.44–$63.83 | $39.06–$106.39 | varies |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $58.80 | $98 | 1.5× |
| Meat fibers, feces (89160) | $503.95 | $839.92 | 103.9× |
| Mercury urine (83825) | $173.58 | $289.30 | 10.7× |
| Methotrexate (80204) | $108 | $180 | 2.8× |
| Methylmalonic acid serum (83921) | $335.14 | $558.57 | 15.8× |
| Microalbumin, quantitative (82043) | $114.51 | $190.85 | 19.8× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$70.80–$94.69 | $118–$157.82 | varies |
| Mitochondrial Antibody Each (86381) | $72 | $120 | 2.8× |
| Mog-Igg1 Antb Cba Each (86362) | $120 | $200 | 10.0× |
| Molecular Cytogenetics Dna Probe Each (88271) | $316.85 | $528.09 | 14.8× |
| Molecular Pathology Procedure Level 6 (81405) | $600 | $1,000 | 2.0× |
| Mononuclear cell antigen (86356) | $190.10 | $316.83 | 7.1× |
| Mopath procedure level 1 (81400) | $270 | $450 | 4.2× |
| Mopath procedure level 2 (81401) | $120 | $200 | 0.9× |
| Mopath procedure level 4 (81403) | $246.17 | $410.29 | 1.3× |
| Mopath procedure level 5 (81404) | $900 | $1,500 | 3.3× |
| Mopath procedure level 7 (81406) | $420 | $700 | 1.5× |
| Mopath procedure level 9 (81408) | $420 | $700 | 0.2× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$75–$300 | $125–$500 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $92.98 | $154.97 | 1.4× |
| Mucin Clot Body Fluid (83872) | $113.18 | $188.64 | 19.3× |
| Mumps antibody (86735) | $202.35 | $337.25 | 15.5× |
| Muscle-Specific Kinase Antb (86366) | $720 | $1,200 | 39.1× |
| Mycoplasma antibody (86738) | $221.97 | $369.95 | 16.8× |
| Mycoplasma culture (87109) | $233.60 | $389.33 | 15.2× |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
$60–$389.45 | $100–$649.08 | varies |
| Myoglobin urine (83874) | $233.60 | $389.33 | 18.1× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$144–$280.85 | $240–$468.08 | varies |
| Neutralization Test Viral (86382) | $179.73 | $299.55 | 10.6× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $480.52 | $800.87 | 1.9× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $435 | $725 | 0.9× |
| Niacin (84591) | $55.63 | $92.72 | 3.3× |
| Nickel level (83885) | $53.13 | $88.55 | 2.2× |
| Nk cells total count (86357) | $60 | $100 | 1.6× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$75–$223.12 | $125–$371.86 | varies |
| Obstetric panel (80081) | $118.65 | $197.75 | 1.6× |
| Occult blood feces (82272) | $113.18 | $188.64 | 26.8× |
| Occult Blood Other Sources (82271) | $98.32 | $163.86 | 18.5× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$43.83–$60 | $73.05–$100 | varies |
| Organic acids urine (83918) | $455.37 | $758.95 | 19.3× |
| Osmolality serum (83930) | $142.14 | $236.90 | 21.5× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$9–$142.14 | $15–$236.90 | varies |
| Ova and parasites smears (87177) | $73.93 | $123.21 | 8.3× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$9–$233.60 | $15–$389.33 | varies |
| Pancreatic Elastase Fecal (82656) | $47.64 | $79.40 | 4.1× |
| Particle Agglutination Screen Each Antibody (86403) | $177.96 | $296.60 | 15.4× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$45–$97.17 | $75–$161.95 | varies |
| Ph urine (81003) range across 2 matching MRF lines |
$9–$56.78 | $15–$94.64 | varies |
| Phenobarbital Level (80184) | $233.60 | $389.33 | 15.3× |
| Phenytoin (Dilantin) (80185) | $233.60 | $389.33 | 17.6× |
| Phenytoin free (80186) | $39.63 | $66.05 | 2.9× |
| Phosphatase acid prostatic (84066) | $233.60 | $389.33 | 24.2× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$12–$113.18 | $20–$188.64 | varies |
| Phosphatidylglycerol (84081) | $212.63 | $354.39 | 12.9× |
| Phospholipid Neutralization Hexagonal (85598) | $75 | $125 | 4.2× |
| Phosphorus Serum (84100) | $113.18 | $188.64 | 23.9× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$9–$101.75 | $15–$169.58 | varies |
| Pinworm exam (87172) | $133.94 | $223.24 | 31.4× |
| Platelet Antibodies (86022) | $482.05 | $803.42 | 26.2× |
| Platelet count automated (85049) | $71.64 | $119.40 | 16.0× |
| Platelet neutralization (85597) | $75 | $125 | 4.2× |
| Porphobilinogen, urine; quantitative (84110) | $11.25 | $18.75 | 1.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $25.44 | $42.40 | 1.7× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$9–$130.70 | $15–$217.84 | varies |
| Prealbumin (84134) | $145.75 | $242.92 | 10.0× |
| Pregnenolone (84140) | $195.29 | $325.49 | 9.4× |
| Pretx serum rbc antibody identification dilution (86976) | $47.44 | $79.06 | 1.6× |
| Primidone (80188) | $287.71 | $479.51 | 17.3× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$49–$188.40 | $81.66–$314 | varies |
| Progesterone (84144) | $59.26 | $98.76 | 2.8× |
| Prolactin (84146) | $81 | $135 | 4.2× |
| Prostaglandin (84150) | $59.12 | $98.53 | 1.4× |
| Protein body fluid (84157) | $130.70 | $217.84 | 32.7× |
| Protein C Activity (85303) | $37.73 | $62.89 | 2.7× |
| Protein c antigen (85302) | $129.38 | $215.63 | 10.8× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$60–$93.74 | $100–$156.24 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$27–$271.51 | $45–$452.51 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$37.73–$150 | $62.89–$250 | varies |
| Protein s total (85305) range across 2 matching MRF lines |
$129.38–$150 | $215.63–$250 | varies |
| Protein total serum (84155) range across 3 matching MRF lines |
$27–$113.18 | $45–$188.64 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$60–$113.18 | $100–$188.64 | varies |
| Protein Western Blot Test (84182) | $120 | $200 | 4.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $60.97 | $101.62 | 15.5× |
| Protoporphyrin rbc quantitative (84202) | $173.58 | $289.30 | 12.1× |
| PSA free (84154) range across 2 matching MRF lines |
$79.80–$122.51 | $133–$204.18 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$54–$187.29 | $90–$312.15 | varies |
| Q Fever Antibody (86638) | $406.78 | $677.96 | 33.6× |
| Quantiferon tb gold plus (86480) | $284.47 | $474.11 | 4.6× |
| Quantitative assay drug (80299) | $33.61 | $56.01 | 1.8× |
| Quantitative Screen Metals (83018) | $147.85 | $246.42 | 6.7× |
| Quinidine (80194) | $287.71 | $479.51 | 19.7× |
| Rbc antibody elution (86860) | $119.08 | $198.46 | 0.7× |
| Rbc antibody identification (86870) | $112.22 | $187.03 | 0.3× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$36–$112.22 | $60–$187.03 | varies |
| Rbc pretreatment serum (86978) | $136.04 | $226.73 | 2.3× |
| Rbc pretx incubatj w/enzymes (86971) | $24.77 | $41.29 | 0.1× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$87–$345.44 | $145–$575.73 | varies |
| Resp virus 12-25 targets (87633) | $75 | $125 | 0.2× |
| Resp Virus 6-11 Targets (87632) | $600 | $1,000 | 2.8× |
| Reticulocyte Count (85046) | $120 | $200 | 21.5× |
| Reticulocyte separation (86972) | $254.74 | $424.57 | 1.5× |
| Rh (86901) range across 2 matching MRF lines |
$36–$60.02 | $60–$100.03 | varies |
| Rheumatoid factor quant (86431) | $124.81 | $208.01 | 22.0× |
| Rickettsia antibody (86757) | $144.61 | $241.02 | 7.5× |
| Ristocetin cofactor (85245) | $596.55 | $994.25 | 26.0× |
| Rotavirus ag eia (87425) | $76.21 | $127.02 | 6.4× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$30–$107.45 | $50–$179.09 | varies |
| Rsv Assay W/Optic (87807) | $28.58 | $47.64 | 2.2× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$36–$217.39 | $60–$362.32 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$36–$183.86 | $60–$306.44 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$75–$212.63 | $125–$354.39 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $132 | $220 | 2.6× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$45.60–$78 | $76–$130 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $132 | $220 | 0.9× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $240 | $400 | 1.7× |
| Sedimentation rate (85651) | $117.75 | $196.25 | 27.6× |
| Sedimentation Rate, Automated (85652) | $24.01 | $40.01 | 8.9× |
| Selenium (84255) | $78.69 | $131.15 | 3.1× |
| Semen Anal Sperm Detection (89321) | $32.39 | $53.98 | 2.7× |
| Semen analysis complete (89322) | $168.43 | $280.71 | 10.9× |
| Sensitivity mic (87186) | $140.99 | $234.99 | 16.3× |
| Serpina 1 gene (81332) | $135.28 | $225.47 | 3.1× |
| Serum Bactericidal Titer (87197) | $248.45 | $414.09 | 16.5× |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$39.60–$84.41 | $66–$140.68 | varies |
| Sickling of rbc reduction (85660) | $144.61 | $241.02 | 26.2× |
| Sirolimus (80195) | $72.78 | $121.30 | 5.3× |
| Skin Test Candida (86485) | $96.98 | $161.63 | 3.3× |
| Skin test tuberculosis intradermal (86580) | $96.98 | $161.63 | 3.3× |
| Smear acid fast (87206) | $107.45 | $179.09 | 19.9× |
| Smear complex stain (87209) | $73.93 | $123.21 | 4.1× |
| Smear gram stain (87205) | $101.75 | $169.58 | 23.8× |
| Smear Special Stain (87207) | $108.61 | $181.01 | 18.1× |
| Smn1 Gene Dos/Deletion Alys (81329) | $58.80 | $98 | 0.4× |
| Smpd1 Gene Analysis Common Variants (81330) | $58.80 | $98 | 1.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $98.32 | $163.86 | 16.9× |
| Snrpn/Ube3a Methylation Analysis (81331) | $300 | $500 | 5.9× |
| Sodium Serum (84295) | $113.18 | $188.64 | 23.5× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$9–$130.70 | $15–$217.84 | varies |
| Soluble Transferrin Receptor (84238) | $165.38 | $275.63 | 4.5× |
| Somatomedin (84305) | $63.83 | $106.39 | 3.0× |
| Special Stains Group 1 (88312) | $109.55 | $182.59 | 2.1× |
| Special Stains Group 2 (88313) | $94.89 | $158.15 | 0.7× |
| Specific gravity body fluid (84315) | $11.62 | $19.36 | 3.5× |
| Specimen infect agnt concntj (87015) | $54.49 | $90.82 | 8.2× |
| Spectrophotometry (84311) | $40.39 | $67.32 | 5.0× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$42–$49.20 | $70–$82 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $135 | $225 | 1.5× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $60 | $100 | 5.2× |
| Sugars Single Qual (84376) | $113.18 | $188.64 | 20.6× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $233.60 | $389.33 | 6.0× |
| Sulfate urine (84392) range across 2 matching MRF lines |
$9–$18.11 | $15–$30.18 | varies |
| Surg path level iii (88304) range across 2 matching MRF lines |
$92.41–$180 | $154.01–$300 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$120.04–$240 | $200.07–$400 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$279.70–$459 | $466.16–$765 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $117 | $195 | 15.6× |
| Syphilis Test Non-Trep Quant (86593) | $25.91 | $43.19 | 5.9× |
| T cells absolute cd4 count (86361) | $90 | $150 | 3.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$27–$151.47 | $45–$252.45 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$27–$60 | $45–$100 | varies |
| T3 Free (84481) range across 3 matching MRF lines |
$70.80–$164.05 | $118–$273.41 | varies |
| T3 reverse (84482) | $183.86 | $306.44 | 11.7× |
| T3 Total (84480) range across 2 matching MRF lines |
$45–$164.05 | $75–$273.41 | varies |
| T3 Uptake (84479) range across 2 matching MRF lines |
$45–$113.18 | $75–$188.64 | varies |
| T4 Free (84439) range across 3 matching MRF lines |
$70.80–$149.19 | $118–$248.65 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$45–$113.18 | $75–$188.64 | varies |
| T4-neonatal (84437) range across 2 matching MRF lines |
$23.44–$28.78 | $39.06–$47.96 | varies |
| Tacrolimus (80197) | $326.95 | $544.92 | 23.8× |
| Test for urine cystines (82615) | $287.71 | $479.51 | 30.1× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$39.60–$90 | $66–$150 | varies |
| Testosterone total (84403) range across 5 matching MRF lines |
$60–$135.28 | $100–$225.47 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$60–$135.28 | $100–$225.47 | varies |
| Tetanus antibody (86774) | $233.60 | $389.33 | 15.8× |
| Theophylline (80198) | $233.60 | $389.33 | 16.5× |
| Thiopurine methyltransferase (84433) | $249 | $415 | 11.2× |
| Thrombin Time (85670) | $92.41 | $154.01 | 16.0× |
| Thromboplastin Inhibition Tissue (85705) | $93 | $155 | 9.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$75–$147.85 | $125–$246.42 | varies |
| Thyroglobulin (84432) | $94.69 | $157.82 | 5.9× |
| Thyroglobulin Antibody (86800) | $94.69 | $157.82 | 6.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $374.58 | $624.30 | 7.4× |
| Thyroxine binding globulin (84442) | $338.77 | $564.61 | 22.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$9–$75 | $15–$125 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$240–$393.25 | $400–$655.42 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$240–$249.59 | $400–$415.99 | varies |
| Tobramycin peak (80200) | $261.22 | $435.36 | 16.2× |
| Topiramate (80201) | $210.16 | $350.26 | 17.6× |
| Touch prep (88161) | $56.78 | $94.64 | 1.9× |
| Toxoplasma ab igm (86778) | $266.93 | $444.89 | 18.5× |
| Toxoplasma antibody (86777) | $295.89 | $493.15 | 20.6× |
| Tpmt gene com variants (81335) | $285 | $475 | 1.6× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$30–$113.18 | $50–$188.64 | varies |
| Transferrin (84466) | $233.60 | $389.33 | 18.3× |
| Trichomonas vagin dir probe (87660) | $29.15 | $48.58 | 1.5× |
| Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines |
$30–$64.39 | $50–$107.32 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$30–$113.18 | $50–$188.64 | varies |
| Troponin Quant (84484) | $476.14 | $793.56 | 38.2× |
| Trypsin feces qual (84488) | $38.30 | $63.83 | 5.2× |
| Tumor Immunohistochem/Manual (88360) | $97.20 | $162 | 0.6× |
| Urea nitrogen urine (84540) | $43.83 | $73.05 | 7.9× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$9–$130.70 | $15–$217.84 | varies |
| Urinalysis Microscopic Only (81015) | $7.63 | $12.71 | 2.5× |
| Urinalysis Volume Measure (81050) | $26.48 | $44.14 | 7.3× |
| Urine Bacteria Culture (87088) | $82.12 | $136.87 | 10.2× |
| Urine Pregnancy Test (81025) | $115.46 | $192.44 | 13.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $63.64 | $106.06 | 20.1× |
| Valproic acid (80164) | $211.88 | $353.13 | 15.6× |
| Vancomycin (80202) | $233.60 | $389.33 | 17.3× |
| Varicella-zoster antibody (86787) | $103.27 | $172.11 | 8.0× |
| Vasopressin (84588) | $719.06 | $1,198.44 | 21.2× |
| Viral Culture (87252) | $329.42 | $549.04 | 12.6× |
| Virus antibody nos (86790) | $276.27 | $460.45 | 21.4× |
| Virus inoculation, shell via (87254) | $84.02 | $140.04 | 4.3× |
| Viscosity serum (85810) | $174.52 | $290.87 | 15.0× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$36–$119.08 | $60–$198.46 | varies |
| Vitamin A (84590) | $233.60 | $389.33 | 20.1× |
| Vitamin b-12 (82607) | $260.08 | $433.46 | 17.2× |
| Vitamin B2 (Riboflavin) (84252) | $92.41 | $154.01 | 4.6× |
| Vitamin B6 (84207) | $149.19 | $248.65 | 5.3× |
| Vitamin c (82180) | $287.71 | $479.51 | 29.1× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$70.80–$107.45 | $118–$179.09 | varies |
| Vitamin E (84446) | $75 | $125 | 5.3× |
| Vitamin K (84597) | $249.79 | $416.32 | 18.2× |
| Volatiles (84600) | $307.52 | $512.53 | 18.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $120 | $200 | 10.0× |
| Von willebrand factor ag (85246) | $315.52 | $525.86 | 13.8× |
| Wbc Alkaline Phosphatase Count (85540) | $84.41 | $140.68 | 9.8× |
| West nile virus ab igm (86788) | $49.73 | $82.89 | 3.0× |
| West Nile Virus Antibody (86789) | $49.73 | $82.89 | 3.5× |
| Zika Virus Dna/Rna Amp Probe (87662) | $43.79 | $72.99 | 0.9× |
| Zika Virus Igm Antibody (86794) | $30.91 | $51.51 | 1.8× |
| Zinc (84630) | $233.60 | $389.33 | 20.5× |
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.