Lab & pathology prices at MyMichigan Medical Center Sault
Sault Sainte Marie, MI · every code in this section with a posted price and a Medicare benchmark.
635 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abl1 gene analysis kinase domain variants (81170) | $187.20 | $312 | 0.6× |
| Acetylcholine receptor binding antibody (86041) | $43.06 | $71.76 | 2.3× |
| Acth (82024) | $27 | $45 | 0.7× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$33–$204 | $55–$340 | varies |
| Acylcarnitines Quant (82017) | $30.60 | $51 | 1.8× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$4.80–$18.60 | $8–$31 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$3.60–$18 | $6–$30 | varies |
| Aldolase (82085) | $6.60 | $11 | 0.7× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$28.20–$34.20 | $47–$57 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$15–$17.40 | $25–$29 | varies |
| Allergen specific ige (86003) range across 9 matching MRF lines |
$3–$13.80 | $5–$23 | varies |
| Allergen specific igg (86001) | $12 | $20 | 1.5× |
| Allg Spec Ige Recomb Ea (86008) | $55.20 | $92 | 3.1× |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$21.60–$22.80 | $36–$38 | varies |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$9.60–$21.60 | $16–$36 | varies |
| Alpha-Fetoprotein Serum (82105) | $10.20 | $17 | 0.6× |
| Alt (sgpt) (84460) | $18.60 | $31 | 3.5× |
| Aluminum (82108) | $15.60 | $26 | 0.6× |
| Amikacin trough (80150) | $10.20 | $17 | 0.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $41.40 | $69 | 1.8× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $177 | $295 | 10.5× |
| Amino Acids Quant 2-5 (82136) | $52.20 | $87 | 2.7× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $9 | $15 | 0.6× |
| Aminolevulinic acid (ala) (82135) | $37.80 | $63 | 2.3× |
| Ammonia (82140) | $50.40 | $84 | 3.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $175.20 | $292 | 1.8× |
| Amylase urine (82150) range across 4 matching MRF lines |
$4.80–$22.80 | $8–$38 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$7.20–$46.20 | $12–$77 | varies |
| Anca Titer Each Antibody (86037) | $33.60 | $56 | 2.8× |
| Androstenedione (82157) | $20.40 | $34 | 0.7× |
| Angiotensin converting enzyme csf (82164) | $10.20 | $17 | 0.7× |
| Antibody aspergillus (86606) | $18.60 | $31 | 1.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $37.80 | $63 | 2.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $11.40 | $19 | 0.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $9 | $15 | 0.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $10.80 | $18 | 0.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$11.40–$12.60 | $19–$21 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$7.91–$19.80 | $13.19–$33 | varies |
| Antibody HIV-2 (86702) | $30 | $50 | 2.2× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $202.20 | $337 | 0.6× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$42.60–$92.40 | $71–$154 | varies |
| Antibody Protozoa Nes (86753) | $63 | $105 | 5.1× |
| Antibody Titer (86886) | $72 | $120 | 13.9× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$6–$38.40 | $10–$64 | varies |
| Antigen typing (86905) | $215.83 | $359.72 | 56.4× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$7.80–$67.20 | $13–$112 | varies |
| Antistreptolysin O Screen (86063) | $19.80 | $33 | 3.4× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$5.40–$18 | $9–$30 | varies |
| Antithrombin iii activity (85300) | $8.40 | $14 | 0.7× |
| Antithrombin iii antigen (85301) | $7.20 | $12 | 0.7× |
| Apolipoprotein a1 (82172) | $13.20 | $22 | 0.6× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 2 matching MRF lines |
$122.64–$131.16 | $204.40–$218.60 | varies |
| Arsenic (82175) range across 4 matching MRF lines |
$13.20–$43.80 | $22–$73 | varies |
| Aspergillus ag eia (87305) | $52.80 | $88 | 4.4× |
| Assay activated protein c (85307) | $12.60 | $21 | 0.8× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$64.80–$84.44 | $108–$140.73 | varies |
| Assay of 5-hiaa (83497) | $42 | $70 | 3.3× |
| Assay of blood/uric acid (84550) | $16.80 | $28 | 3.7× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$3.60–$18 | $6–$30 | varies |
| Assay of cpk in blood (82552) | $13.20 | $22 | 1.0× |
| Assay of estrone (82679) | $17.40 | $29 | 0.7× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$6–$6.60 | $10–$11 | varies |
| Assay of lactic acid (83605) | $27 | $45 | 2.3× |
| Assay of manganese (83785) | $18.60 | $31 | 0.7× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$12.60–$18 | $21–$30 | varies |
| Assay of procainamide (80190) | $16.80 | $28 | 0.3× |
| Assay of proinsulin (84206) | $18.60 | $31 | 0.7× |
| Assay of pyruvate (84210) | $13.80 | $23 | 1.0× |
| Assay of serotonin (84260) | $21.60 | $36 | 0.7× |
| Assay of serum potassium (84132) | $16.80 | $28 | 3.5× |
| Assay of sweat sodium (84302) | $4.20 | $7 | 0.9× |
| Assay of urea nitrogen (84520) | $13.80 | $23 | 3.5× |
| Assay of urine vma (84585) | $10.80 | $18 | 0.7× |
| Assay of vasoactive intestinal peptide (84586) | $31.20 | $52 | 0.9× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$16.80–$18 | $28–$30 | varies |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$2.40–$14.40 | $4–$24 | varies |
| Assay Phosphohexose Enzymes (84087) | $39.60 | $66 | 3.7× |
| Automated Leukocyte Count (85048) | $27.60 | $46 | 10.9× |
| B cells total count (86355) | $28.20 | $47 | 0.7× |
| Bartonella antibody (86611) | $25.20 | $42 | 2.5× |
| Bcr/abl1 gene major bp (81206) | $113.40 | $189 | 0.7× |
| Bcr/abl1 gene minor bp (81207) | $91.80 | $153 | 0.6× |
| Beta 2 glycoprotein i antibody each (86146) | $17.40 | $29 | 0.7× |
| Beta hydroxybutyrate (82010) | $9 | $15 | 1.1× |
| Beta Lactamase (87185) | $6 | $10 | 1.3× |
| Beta-2 Microglobulin (82232) | $11.40 | $19 | 0.7× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $240 | $400 | 1.9× |
| Bile acids total (82239) | $29.40 | $49 | 1.7× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$4.80–$18 | $8–$30 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$4.80–$18 | $8–$30 | varies |
| Bilirubin total transcutaneous (88720) | $16.20 | $27 | 3.2× |
| Blastomyces antibody (86612) | $30 | $50 | 2.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $12.60 | $21 | 3.3× |
| Blood gas (82803) | $34.20 | $57 | 1.3× |
| Blood gases w/02 saturation (82805) | $317.40 | $529 | 4.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$12.60–$48 | $21–$80 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $215.83 | $359.72 | 34.0× |
| Blood typing serologic abo (86900) | $182.40 | $304 | 61.0× |
| Body fluid cell count (89050) | $19.80 | $33 | 4.2× |
| Bordetella antibody (86615) | $63.60 | $106 | 4.8× |
| Braf gene analysis (81210) | $119.40 | $199 | 0.7× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $340.20 | $567 | 0.8× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) range across 2 matching MRF lines |
$761.40–$1,263.60 | $1,269–$2,106 | varies |
| Brca1 brca2 gene analysis full dup/del analysis (81164) | $536.40 | $894 | 0.9× |
| Brca1 gene analysis full dup/del analysis (81166) | $255.60 | $426 | 0.8× |
| Brca1 gene analysis full sequence analysis (81165) | $396 | $660 | 1.4× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $234 | $390 | 0.6× |
| Brca1&2 gen full seq dup/del (81162) range across 3 matching MRF lines |
$1,263.60–$1,348.80 | $2,106–$2,248 | varies |
| Brca2 gene analysis full dup/del analysis (81167) | $243.60 | $406 | 0.9× |
| Brca2 gene analysis full sequence analysis (81216) | $536.40 | $894 | 2.9× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $234 | $390 | 0.6× |
| Brucella antibody (86622) | $28.20 | $47 | 3.2× |
| C-Peptide (84681) | $14.40 | $24 | 0.7× |
| C-reactive protein (86140) | $25.20 | $42 | 4.9× |
| Ca 19-9 (86301) | $73.20 | $122 | 3.5× |
| Cadmium (82300) range across 2 matching MRF lines |
$16.20–$18.60 | $27–$31 | varies |
| Caffeine (80155) | $24 | $40 | 0.6× |
| Calcitonin (82308) | $18.60 | $31 | 0.7× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$8.40–$48.60 | $14–$81 | varies |
| Calcium total (82310) | $16.80 | $28 | 3.3× |
| Calculus Spectroscopy (82365) | $10.80 | $18 | 0.8× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$30–$30.48 | $50–$50.80 | varies |
| Calr gene com variants (81219) | $90 | $150 | 0.7× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$73.20–$120.60 | $122–$201 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$14.40–$73.20 | $24–$122 | varies |
| Candida antibody (86628) | $24 | $40 | 2.0× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$10.20–$51 | $17–$85 | varies |
| Carbohydrate Deficient Transferrin (82373) | $27 | $45 | 1.5× |
| Carboxyhemoglobin (82375) | $123 | $205 | 10.0× |
| Carcinoembryonic antigen (82378) | $66 | $110 | 3.5× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$15.30–$17.40 | $25.50–$29 | varies |
| Carnitine Quantitative Each Specimen (82379) | $17.40 | $29 | 1.0× |
| Carotene (82380) | $6 | $10 | 0.7× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$15.60–$21 | $26–$35 | varies |
| Ccp antibody (86200) | $30.60 | $51 | 2.4× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $152.40 | $254 | 0.6× |
| Cell count csf (89051) | $19.80 | $33 | 3.5× |
| Cell marker study (88182) | $343.20 | $572 | 6.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $84.60 | $141 | 0.6× |
| Ceruloplasmin (82390) | $7.20 | $12 | 0.7× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$347.40–$709.80 | $579–$1,183 | varies |
| Cftr gene dup/delet variants (81222) | $582 | $970 | 1.3× |
| Cftr gene full sequence (81223) range across 3 matching MRF lines |
$744.60–$766.20 | $1,241–$1,277 | varies |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$18–$147 | $30–$245 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $175.20 | $292 | 0.7× |
| Chlmy trch&neisra gonor mult (87494) | $57.60 | $96 | 0.8× |
| Chloride other source (82438) | $4.20 | $7 | 0.8× |
| Chloride urine (82436) | $3.60 | $6 | 0.6× |
| Cholesterol total (82465) range across 3 matching MRF lines |
$3.60–$15.60 | $6–$26 | varies |
| Cholinesterase rbc (82482) | $24 | $40 | 2.4× |
| Cholinesterase Serum (82480) | $15.60 | $26 | 2.0× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$9.03–$33.60 | $15.05–$56 | varies |
| Chromium serum (82495) | $15.60 | $26 | 0.8× |
| Chromogenic Substrate Assay (85130) range across 4 matching MRF lines |
$20.40–$67.20 | $34–$112 | varies |
| Chromogranin a (86316) | $14.40 | $24 | 0.7× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$156–$199.80 | $260–$333 | varies |
| Chromosome Analysis 20-25 (88264) | $118.80 | $198 | 0.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$24.60–$95.40 | $41–$159 | varies |
| Citric acid urine (82507) | $19.20 | $32 | 0.7× |
| Ckmb (82553) | $7.20 | $12 | 0.6× |
| Clot Factor VIII Multimetric (85247) | $18 | $30 | 0.8× |
| Clotting Funct Activity (85397) | $76.20 | $127 | 2.5× |
| Cns DNA amp probe type 12-25 (87483) | $650.40 | $1,084 | 1.6× |
| Coccidioides antibody (86635) | $9.60 | $16 | 0.8× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$16.20–$81 | $27–$135 | varies |
| Column Chromotography Quant (82542) range across 9 matching MRF lines |
$23.40–$207 | $39–$345 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $187.20 | $312 | 0.8× |
| Compatibility test antiglob (86922) | $223.20 | $372 | 1.3× |
| Complement Antigen Each Component (86160) range across 6 matching MRF lines |
$8.40–$82.80 | $14–$138 | varies |
| Complement Total (Ch50) (86162) | $13.80 | $23 | 0.7× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$28.80–$30 | $48–$50 | varies |
| Coombs direct (86880) | $35.64 | $59.40 | 6.6× |
| Copper urine (82525) | $16.20 | $27 | 1.3× |
| Cortisol free (82530) | $19.80 | $33 | 1.2× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$25.20–$98.40 | $42–$164 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$4.20–$22.80 | $7–$38 | varies |
| Creatinine blood (82565) | $16.80 | $28 | 3.3× |
| Creatinine clearance (82575) | $31.20 | $52 | 3.3× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$4.20–$18 | $7–$30 | varies |
| Crossmatch electronic (86923) | $102.82 | $171.36 | 0.6× |
| Crp High Sensitivity (86141) | $57 | $95 | 4.4× |
| Cryoglobulin (82595) | $9 | $15 | 1.4× |
| Cryptosporidium ag eia (87328) | $42 | $70 | 3.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$8.40–$48.60 | $14–$81 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $19.80 | $33 | 2.6× |
| Culture aerobic quant other (87071) | $124.80 | $208 | 12.6× |
| Culture afb (87116) | $18.60 | $31 | 1.7× |
| Culture Anaerobic (87075) | $34.80 | $58 | 3.7× |
| Culture blood (87040) | $36.60 | $61 | 3.5× |
| Culture csf (87070) range across 3 matching MRF lines |
$12.60–$44.40 | $21–$74 | varies |
| Culture fungus (87102) | $19.80 | $33 | 2.4× |
| Culture fungus blood (87103) | $36.60 | $61 | 1.8× |
| Culture screen only (87081) range across 3 matching MRF lines |
$12.60–$97.20 | $21–$162 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$10.20–$31.20 | $17–$52 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $30 | $50 | 5.8× |
| Culture urine (87086) | $32.40 | $54 | 4.0× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $43.80 | $73 | 1.6× |
| Cyanide (82600) | $55.80 | $93 | 2.9× |
| Cyclic amp (82030) | $26.40 | $44 | 1.0× |
| Cyclosporine (80158) | $12.60 | $21 | 0.7× |
| Cystatin C (82610) | $11.40 | $19 | 0.6× |
| Cytog genom-wid alys hem mal (81195) | $967.14 | $1,611.90 | 0.5× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$31.80–$217.80 | $53–$363 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $900 | $1,500 | 0.8× |
| Cytogenomic neo microra alys (81277) | $302.40 | $504 | 0.3× |
| Cytomegalovirus igg (86644) | $10.20 | $17 | 0.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $70.80 | $118 | 3.5× |
| Cytopath Cell Enhance Tech (88112) | $79.20 | $132 | 1.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $97.20 | $162 | 3.7× |
| Cytp Concentration Smears & Interpretation (88108) | $92.40 | $154 | 2.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $87.60 | $146 | 1.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $223.80 | $373 | 1.3× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $169.80 | $283 | 1.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $27 | $45 | 0.9× |
| Deoxycortisol (82634) | $21.60 | $36 | 0.7× |
| Detect Agent Nos Dna Amp (87798) range across 9 matching MRF lines |
$30.60–$168.60 | $51–$281 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$47.40–$68.40 | $79–$114 | varies |
| Detect agnt mult DNA ampli (87801) | $62.40 | $104 | 0.9× |
| Dgp Antibody Each Ig Class (86258) | $5.40 | $9 | 0.4× |
| Dhea (82626) | $17.40 | $29 | 0.7× |
| Dhea-S (82627) | $15.60 | $26 | 0.7× |
| Digoxin (80162) | $46.80 | $78 | 3.5× |
| Dihydrotestosterone (82642) | $25.80 | $43 | 0.9× |
| Diphtheria antitoxoid (86648) | $21.60 | $36 | 1.4× |
| Dipropylacetic Acid Free (80165) | $15 | $25 | 1.1× |
| Dna Antibody Native/Double Stranded (86225) | $92.40 | $154 | 6.7× |
| Drug assay acetaminophen (80143) | $27.96 | $46.60 | 1.5× |
| Drug assay adalimumab (80145) | $109.80 | $183 | 2.8× |
| Drug Assay Everolimus (80169) | $9.60 | $16 | 0.7× |
| Drug assay felbamate (80167) | $21.60 | $36 | 1.2× |
| Drug Assay Infliximab (80230) | $109.20 | $182 | 2.8× |
| Drug Assay Itraconazole (80189) | $25.20 | $42 | 0.9× |
| Drug Assay Lacosamide (80235) | $59.40 | $99 | 2.2× |
| Drug Assay Leflunomide (80193) | $19.20 | $32 | 0.5× |
| Drug Assay Posaconazole (80187) | $37.20 | $62 | 1.4× |
| Drug assay voriconazole (80285) | $31.20 | $52 | 1.2× |
| Drug Screen Quant Clozapine (80159) | $15.60 | $26 | 0.8× |
| Drug Screen Quant Zonisamide (80203) | $24 | $40 | 1.8× |
| Drug Screen Quantitative Gabapentin (80171) | $13.80 | $23 | 0.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $14.40 | $24 | 1.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $16.20 | $27 | 1.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $30 | $50 | 2.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 11 matching MRF lines |
$15.20–$150 | $25.34–$250 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$13.20–$19.80 | $22–$33 | varies |
| Drug Test Prsmv Instrmnt (80306) | $42 | $70 | 2.5× |
| Egfr Gene Analysis Common Variants (81235) | $202.80 | $338 | 0.6× |
| Ehrlichia antibody (86666) | $63 | $105 | 6.2× |
| El-1 Fecal Quantitative (82653) | $56.40 | $94 | 2.5× |
| Electrolyte panel (80051) | $32.40 | $54 | 4.6× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$286.80–$620.92 | $478–$1,034.87 | varies |
| Enterovirus Antibody (86658) | $11.40 | $19 | 0.9× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$37.20–$138 | $62–$230 | varies |
| Enzyme cell activity (82657) range across 3 matching MRF lines |
$48.60–$103.20 | $81–$172 | varies |
| Erythropoietin (82668) | $13.20 | $22 | 0.7× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$19.20–$93.60 | $32–$156 | varies |
| Estriol (82677) | $12 | $20 | 0.5× |
| Estrogen total (82672) | $79.38 | $132.30 | 3.7× |
| Estrogens fractionated (82671) | $22.20 | $37 | 0.7× |
| Exam Synovial Fluid Crystals (89060) | $15.60 | $26 | 2.1× |
| F2 Gene (81240) | $79.20 | $132 | 1.2× |
| Factor ii activity (85210) | $16.80 | $28 | 1.3× |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
$26.40–$193.80 | $44–$323 | varies |
| Factor ix activity (85250) | $16.80 | $28 | 0.9× |
| Factor v activity (85220) | $13.20 | $22 | 0.7× |
| Factor v leiden mutation (81241) | $75 | $125 | 1.0× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$22.80–$46.20 | $38–$77 | varies |
| Factor X (85260) | $74.40 | $124 | 4.2× |
| Factor xiii screen (85291) | $69 | $115 | 7.6× |
| Fat/Lipids Feces Quantitative (82710) | $18.60 | $31 | 1.1× |
| Fatty acids free (82725) | $12.60 | $21 | 0.7× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $22.80 | $38 | 3.5× |
| Fecal Fat Qualitative (82705) | $60.60 | $101 | 11.9× |
| Ferritin (82728) | $48.60 | $81 | 3.6× |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$96–$143.40 | $160–$239 | varies |
| Fetal Fibronectin (82731) | $293.40 | $489 | 4.6× |
| Fetal screen rosette (85461) | $83.40 | $139 | 8.9× |
| Fibrin Degradation Quant (85379) | $86.40 | $144 | 8.5× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$6.60–$30.60 | $11–$51 | varies |
| Fibrinogen antigen (85385) | $9 | $15 | 0.6× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $24.26 | $40.43 | 1.6× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$29.40–$114 | $49–$190 | varies |
| Flt3 Gene (81245) | $103.20 | $172 | 0.6× |
| Flt3 gene analysis (81246) | $103.20 | $172 | 1.2× |
| Fluorescent antibody screen (86255) range across 9 matching MRF lines |
$12.60–$460.91 | $21–$768.18 | varies |
| Folic acid rbc (82747) | $13.80 | $23 | 0.8× |
| Folic Acid Serum (82746) | $51.60 | $86 | 3.5× |
| Follicle Stimulating Hormone (83001) | $64.80 | $108 | 3.5× |
| Frozen Section (88331) | $223.80 | $373 | 1.3× |
| Fungi Identification Mold (87107) | $21.67 | $36.12 | 2.1× |
| Fungi Identification Yeast (87106) | $44.40 | $74 | 4.3× |
| Galectin-3 (82777) | $64.80 | $108 | 1.5× |
| Gammaglobulin ige (82785) | $11.40 | $19 | 0.7× |
| Gases blood ph only (82800) | $88.20 | $147 | 8.0× |
| Gastrin (82941) | $12 | $20 | 0.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$289.20–$650.40 | $482–$1,084 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 2 matching MRF lines |
$867.60–$1,145.40 | $1,446–$1,909 | varies |
| Gentamicin (80170) | $34.20 | $57 | 2.1× |
| Ggt (82977) range across 2 matching MRF lines |
$4.20–$25.80 | $7–$43 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$15.60–$42 | $26–$70 | varies |
| Gjb2 Gene Analysis Full Gene Sequence (81252) range across 2 matching MRF lines |
$146.40–$355.20 | $244–$592 | varies |
| Gjb6 Gene Analysis Common Variants (81254) | $148.80 | $248 | 4.3× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $9.60 | $16 | 1.6× |
| Glucagon (82943) | $26.40 | $44 | 1.8× |
| Glucose 2 hr pp (82950) | $11.40 | $19 | 2.4× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$9.60–$25.80 | $16–$43 | varies |
| Glucose body fluid (82945) | $13.80 | $23 | 3.5× |
| Glucose Serum (82947) | $13.80 | $23 | 3.5× |
| Glucose tolerance test (gtt) (82951) | $44.40 | $74 | 3.4× |
| Glutathione (82978) | $158.40 | $264 | 10.3× |
| Glycated Protein (82985) | $10.20 | $17 | 0.6× |
| Gonadotropin Chorionic Qualitative (84703) | $27.60 | $46 | 3.7× |
| Growth hormone (83003) | $11.40 | $19 | 0.7× |
| Gtt-added samples (82952) | $14.40 | $24 | 3.7× |
| H Pylori (C-13) Breath (83013) | $64.20 | $107 | 1.0× |
| Haloperidol (80173) | $36 | $60 | 2.3× |
| Haptoglobin (83010) | $87 | $145 | 6.9× |
| Hdl Cholesterol (83718) | $28.80 | $48 | 3.5× |
| Helicobacter Pylori Stool (87338) | $124.80 | $208 | 8.7× |
| Hematocrit (85014) | $9 | $15 | 3.8× |
| Hemoglobin (85018) | $9 | $15 | 3.8× |
| Hemoglobin a1c (83036) | $34.80 | $58 | 3.6× |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$10.80–$12.60 | $18–$21 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$7.80–$10.80 | $13–$18 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $37.20 | $62 | 4.5× |
| Hemoglobin plasma (83051) | $4.80 | $8 | 0.7× |
| Hemoglobin-Oxygen Affinity (82820) | $36.60 | $61 | 2.7× |
| Hemosiderin urine (83070) | $12.60 | $21 | 2.7× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$9–$28.20 | $15–$47 | varies |
| Hepatitis a antibody total (86708) | $43.80 | $73 | 3.5× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$8.40–$29.40 | $14–$49 | varies |
| Hepatitis b core ab total (86704) | $40.80 | $68 | 3.4× |
| Hepatitis B Surface Antibody (86706) | $37.80 | $63 | 3.5× |
| Hepatitis B Surface Antigen (87340) | $36 | $60 | 3.5× |
| Hepatitis Be Antibody (86707) | $7.80 | $13 | 0.7× |
| Hepatitis Be Antigen (87350) | $7.80 | $13 | 0.7× |
| Hepatitis C Antibody (86803) | $45.60 | $76 | 3.2× |
| Hepatitis C Genotype (87902) | $178.20 | $297 | 0.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $61.20 | $102 | 1.4× |
| Hepatitis d quantification (87523) | $576.66 | $961.10 | 13.5× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,263.60 | $2,106 | 1.0× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$11.61–$29.40 | $19.35–$49 | varies |
| Heterophile Antibody Screen (86308) | $18.60 | $31 | 3.6× |
| Hfe Gene (81256) | $85.20 | $142 | 1.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $76.20 | $127 | 9.9× |
| Histamine urine (83088) | $78 | $130 | 2.6× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$9.60–$33 | $16–$55 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$59.40–$74.40 | $99–$124 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $16.80 | $28 | 0.7× |
| Hiv-1 Antibody (86701) | $19.80 | $33 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $63 | $105 | 0.7× |
| Hla Class I Typing High Resolution One Locus Ea (81380) range across 4 matching MRF lines |
$136.80–$430.03 | $228–$716.71 | varies |
| Hla Class I Typing Low Resolution Complete (81372) | $62.40 | $104 | 0.2× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $79.80 | $133 | 0.6× |
| Hla class ii typing high resolution one locus ea (81382) | $229.20 | $382 | 1.9× |
| Hla ii typing 1 locus lr (81376) | $76.20 | $127 | 0.6× |
| Homocysteine (83090) | $48 | $80 | 2.7× |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 2 matching MRF lines |
$18–$42.12 | $30–$70.20 | varies |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$24–$78.60 | $40–$131 | varies |
| Hsv Dna Quant (87530) | $68.40 | $114 | 1.6× |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$26.40–$120.60 | $44–$201 | varies |
| Hydroxyprogesterone 17-d (83498) | $18.60 | $31 | 0.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $39.60 | $66 | 1.1× |
| Iaad ia shiga-like toxin (87427) | $35.40 | $59 | 3.0× |
| Iaad Ia Streptococcus Group A (87430) | $42 | $70 | 2.5× |
| Iaadi inffluenza a virus (87276) | $35.40 | $59 | 2.2× |
| Iaadiadoo trichomonas vaginalis (87808) | $50.40 | $84 | 3.3× |
| Iadna Cytomegalovirus Quantification (87497) | $33.60 | $56 | 0.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $111.60 | $186 | 1.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $50.40 | $84 | 1.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $90.60 | $151 | 2.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $93.60 | $156 | 2.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$24.60–$95.40 | $41–$159 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $18.60 | $31 | 0.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$59.40–$314.40 | $99–$524 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $522 | $870 | 2.0× |
| Idh1 common variants (81120) | $120.60 | $201 | 0.6× |
| Idh2 common variants (81121) | $184.80 | $308 | 0.6× |
| Ig Light Chains Free Each (83521) | $10.80 | $18 | 0.6× |
| Igg subclasses (82787) | $19.20 | $32 | 2.4× |
| Igh gene rearrange amp meth (81261) | $123.60 | $206 | 0.6× |
| Igk rearrangeabn clonal pop (81264) | $193.20 | $322 | 1.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $424.80 | $708 | 1.2× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$55.20–$109.20 | $92–$182 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 10 matching MRF lines |
$29.40–$162 | $49–$270 | varies |
| Immunoassay infectious agent (86318) | $38.40 | $64 | 2.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$19.80–$64.80 | $33–$108 | varies |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$7.80–$145.80 | $13–$243 | varies |
| Immunodiffusion Ouchterlony (86331) | $46.80 | $78 | 3.9× |
| Immunofixation electrophoresis (86334) | $253.20 | $422 | 11.3× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $94.20 | $157 | 0.6× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$68.40–$348.60 | $114–$581 | varies |
| In situ hybridization 1st probe stain (88365) | $170.40 | $284 | 1.0× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $35.40 | $59 | 2.9× |
| Influenza a/b ag eia (87400) | $35.40 | $59 | 2.5× |
| Influenza DNA amp probe (87502) | $144 | $240 | 1.5× |
| Inherited Cardmypthy 5 Gns (81439) | $1,565.22 | $2,608.70 | 2.7× |
| Inhibin b (83520) range across 15 matching MRF lines |
$12.60–$201.60 | $21–$336 | varies |
| Insulin antibodies (86337) | $24.60 | $41 | 1.1× |
| Insulin total (83525) range across 2 matching MRF lines |
$12–$45 | $20–$75 | varies |
| Intrinsic factor antibody (86340) | $14.40 | $24 | 1.0× |
| Iron (83540) range across 2 matching MRF lines |
$25.20–$26.40 | $42–$44 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$6–$54 | $10–$90 | varies |
| Islet cell antibody (86341) range across 7 matching MRF lines |
$17.16–$384.60 | $28.60–$641 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $109.20 | $182 | 1.2× |
| Jak2 Gene Trgt Sequence Alys (81279) | $115.80 | $193 | 0.6× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $205.80 | $343 | 0.6× |
| Koh Prep (87220) | $18.60 | $31 | 4.4× |
| Kras Gene Analysis Additional Variant(S) (81276) | $120.60 | $201 | 0.6× |
| Kras Gene Variants Exon 2 (81275) | $120.60 | $201 | 0.6× |
| Lactate (ld) (ldh) enzyme (83615) | $21 | $35 | 3.5× |
| LDL direct (83721) | $48.60 | $81 | 4.6× |
| Lead (83655) range across 3 matching MRF lines |
$7.27–$29.40 | $12.11–$49 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$41.40–$93.60 | $69–$156 | varies |
| Leptospira antibody (86720) | $63.60 | $106 | 3.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $33.60 | $56 | 1.2× |
| Level ii surg pathology grossµscopic exam (88302) | $57.60 | $96 | 1.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $424.80 | $708 | 1.2× |
| Lipase (83690) range across 3 matching MRF lines |
$3–$24.60 | $5–$41 | varies |
| Lipoprotein A (83695) | $9 | $15 | 0.6× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $42.60 | $71 | 1.3× |
| Lithium (80178) | $25.20 | $42 | 3.8× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$11.40–$64.20 | $19–$107 | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$10.22–$25.80 | $17.03–$43 | varies |
| Lymphocyte transformation (86353) | $143.40 | $239 | 2.9× |
| Lysozyme serum (85549) | $12.60 | $21 | 0.7× |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$21.60–$95.40 | $36–$159 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 4 matching MRF lines |
$108.60–$249.60 | $181–$416 | varies |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$9.60–$12.60 | $16–$21 | varies |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$4.80–$52.20 | $8–$87 | varies |
| Mass Spectrometry Quant (83789) range across 5 matching MRF lines |
$25.20–$68.40 | $42–$114 | varies |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) | $246.60 | $411 | 2.1× |
| Mecp2 gene dup/delet variant (81304) | $891.60 | $1,486 | 5.9× |
| Mecp2 gene full seq (81302) | $553.20 | $922 | 1.0× |
| Mercury urine (83825) range across 3 matching MRF lines |
$10.20–$17.40 | $17–$29 | varies |
| Methotrexate (80204) | $26.40 | $44 | 0.7× |
| Methylmalonic acid serum (83921) | $15.60 | $26 | 0.7× |
| Mgmt methylation analysis (81287) | $115.80 | $193 | 0.9× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$9.60–$19.80 | $16–$33 | varies |
| Microsatellite instability (81301) | $217.80 | $363 | 0.6× |
| Microsomal Antibodies Each (86376) | $9 | $15 | 0.6× |
| Mitochondrial Antibody Each (86381) | $7.80 | $13 | 0.3× |
| Mlh1 Gene (81288) range across 2 matching MRF lines |
$120–$135.60 | $200–$226 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $131.16 | $218.60 | 3.5× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$105–$118.80 | $175–$198 | varies |
| Mopath procedure level 2 (81401) range across 3 matching MRF lines |
$85.20–$198.60 | $142–$331 | varies |
| Mopath procedure level 4 (81403) | $178.80 | $298 | 1.0× |
| Mopath procedure level 7 (81406) | $643.20 | $1,072 | 2.3× |
| Mpl gene common variants (81338) | $115.20 | $192 | 0.8× |
| Mrsa Pcr (87641) | $45 | $75 | 1.3× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $1,352.40 | $2,254 | 3.5× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $240 | $400 | 0.7× |
| Mumps antibody (86735) | $9 | $15 | 0.7× |
| Muscle-Specific Kinase Antb (86366) | $343.20 | $572 | 18.7× |
| Mycophenolic Acid (80180) | $7.20 | $12 | 0.4× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$12.60–$29.40 | $21–$49 | varies |
| Myoglobin urine (83874) | $63.60 | $106 | 4.9× |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$27–$115.80 | $45–$193 | varies |
| Neutralization Test Viral (86382) | $48 | $80 | 2.8× |
| Niacin (84591) range across 2 matching MRF lines |
$52.80–$93.60 | $88–$156 | varies |
| Nk cells total count (86357) | $28.20 | $47 | 0.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $153.60 | $256 | 0.6× |
| Nras gene variants exon 2&3 (81311) | $184.80 | $308 | 0.6× |
| Nuclear antigen antibody (86235) range across 14 matching MRF lines |
$3.60–$134.40 | $6–$224 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$10.20–$17.40 | $17–$29 | varies |
| Oligoclonal bands (83916) | $16.80 | $28 | 0.6× |
| Organic Acids Qualitative Each Specimen (83919) | $78 | $130 | 4.7× |
| Osmolality serum (83930) | $24 | $40 | 3.6× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$4.80–$24.60 | $8–$41 | varies |
| Osmotic fragility rbc incubated (85557) | $52.80 | $88 | 4.0× |
| Ova and parasites smears (87177) | $7.20 | $12 | 0.8× |
| Oxalate urine (83945) | $9 | $15 | 0.6× |
| Particle Agglutination Screen Each Antibody (86403) | $42 | $70 | 3.6× |
| Parvovirus antibody (86747) | $14.40 | $24 | 1.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $890.40 | $1,484 | 1.1× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $159 | $265 | 0.6× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $205.80 | $343 | 0.6× |
| Ph urine (81003) | $7.20 | $12 | 3.2× |
| Phenobarbital Level (80184) | $7.20 | $12 | 0.5× |
| Phenylalanine (84030) | $109.20 | $182 | 19.9× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$10.20–$46.80 | $17–$78 | varies |
| Phenytoin free (80186) | $9 | $15 | 0.7× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$6–$18.60 | $10–$31 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $27 | $45 | 1.5× |
| Phosphorus Serum (84100) | $15.60 | $26 | 3.3× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$3.60–$64.80 | $6–$108 | varies |
| Pinworm exam (87172) | $15.60 | $26 | 3.7× |
| Platelet Aggregation (85576) | $75 | $125 | 3.0× |
| Platelet Antibodies (86022) | $45 | $75 | 2.4× |
| Platelet count automated (85049) | $13.20 | $22 | 2.9× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $205.80 | $343 | 1.0× |
| Porphobilinogen Urine Qualitative (84106) | $16.20 | $27 | 2.8× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$16.20–$33.60 | $27–$56 | varies |
| Potassium Urine (84133) range across 3 matching MRF lines |
$3–$15.60 | $5–$26 | varies |
| Prealbumin (84134) | $17.40 | $29 | 1.2× |
| Pregnancy-Associated Plasma Protein-A (84163) | $32.40 | $54 | 2.2× |
| Pregnenolone (84140) | $20.40 | $34 | 1.0× |
| Primidone (80188) | $10.20 | $17 | 0.6× |
| Procalcitonin (Pct) (84145) | $153 | $255 | 5.6× |
| Progesterone (84144) range across 2 matching MRF lines |
$14.40–$60.60 | $24–$101 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$18–$67.20 | $30–$112 | varies |
| Protein body fluid (84157) | $11.40 | $19 | 2.9× |
| Protein C Activity (85303) | $9.60 | $16 | 0.7× |
| Protein c antigen (85302) | $12.60 | $21 | 1.0× |
| Protein Electrophoresis Urine (84166) | $96.60 | $161 | 5.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$15–$92.40 | $25–$154 | varies |
| Protein S Free (85306) range across 3 matching MRF lines |
$10.80–$37.20 | $18–$62 | varies |
| Protein total serum (84155) range across 2 matching MRF lines |
$3–$11.40 | $5–$19 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$7.20–$15 | $12–$25 | varies |
| Protoporphyrin rbc quantitative (84202) | $12 | $20 | 0.8× |
| PSA free (84154) | $27.60 | $46 | 1.5× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $891 | $1,485 | 3.0× |
| Pten gene analysis known familial variant (81322) | $240 | $400 | 5.2× |
| Pth Intact (83970) | $143.40 | $239 | 3.5× |
| Pyruvate kinase (84220) | $34.80 | $58 | 3.7× |
| Q Fever Antibody (86638) | $37.20 | $62 | 3.1× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$60–$93 | $100–$155 | varies |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$24–$41.40 | $40–$69 | varies |
| Quantitative Screen Metals (83018) | $25.20 | $42 | 1.1× |
| Quinidine (80194) | $26.40 | $44 | 1.8× |
| Rbc antibody identification (86870) | $215.83 | $359.72 | 0.6× |
| Rbc antibody screen (86850) | $78 | $130 | 8.0× |
| Renin activity plasma (84244) | $13.80 | $23 | 0.6× |
| Reptilase test (85635) | $6.60 | $11 | 0.7× |
| Resp virus 12-25 targets (87633) | $1,020.60 | $1,701 | 2.4× |
| Resp Virus 6-11 Targets (87632) | $523.20 | $872 | 2.4× |
| Reticulocyte Count (85046) | $16.20 | $27 | 2.9× |
| Rh (86901) | $23.55 | $39.25 | 7.9× |
| Rheumatoid factor quant (86431) | $19.80 | $33 | 3.5× |
| Ristocetin cofactor (85245) | $19.80 | $33 | 0.9× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$6–$38.40 | $10–$64 | varies |
| Rsv Assay W/Optic (87807) | $47.40 | $79 | 3.6× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$10.20–$48.60 | $17–$81 | varies |
| Rubeola antibody (86765) | $9 | $15 | 0.7× |
| Russell Viper Venom Time Diluted (85613) | $16.20 | $27 | 1.7× |
| Salicylate Level (80179) | $27.96 | $46.60 | 1.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$93.60–$156 | $156–$260 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $38.40 | $64 | 0.9× |
| Sedimentation Rate, Automated (85652) | $20.40 | $34 | 7.6× |
| Selenium (84255) | $18 | $30 | 0.7× |
| Semen Anal Sperm Detection (89321) | $44.40 | $74 | 3.7× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$30.60–$119.40 | $51–$199 | varies |
| Sex Hormone Binding Globulin (84270) | $13.80 | $23 | 0.6× |
| Sickling of rbc reduction (85660) | $6.60 | $11 | 1.2× |
| Sirolimus (80195) | $9.60 | $16 | 0.7× |
| Smear acid fast (87206) | $10.80 | $18 | 2.0× |
| Smear complex stain (87209) | $12.60 | $21 | 0.7× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$3.29–$15.60 | $5.49–$26 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $282 | $470 | 2.1× |
| Snrpn/Ube3a Methylation Analysis (81331) | $391.20 | $652 | 7.7× |
| Sodium Serum (84295) | $16.80 | $28 | 3.5× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$3.60–$16.80 | $6–$28 | varies |
| Soluble fibrin monomer (85366) | $82.20 | $137 | 1.0× |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$12.60–$22.80 | $21–$38 | varies |
| Somatomedin (84305) | $15 | $25 | 0.7× |
| Special Stains Group 1 (88312) | $79.20 | $132 | 1.5× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$17.40–$51.60 | $29–$86 | varies |
| Spectrophotometry (84311) | $72 | $120 | 8.9× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $111 | $185 | 0.7× |
| Stool cultr aerobic bact ea (87046) | $32.40 | $54 | 3.4× |
| Strep b DNA amp probe (87653) | $84.60 | $141 | 2.4× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $789.60 | $1,316 | 8.6× |
| Sugars Single Qual (84376) | $3.60 | $6 | 0.7× |
| Sulfate urine (84392) | $3.60 | $6 | 0.7× |
| Surg path level iii (88304) | $79.20 | $132 | 1.5× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$62.40–$79.20 | $104–$132 | varies |
| Surgical pathology level vi (88309) | $864.60 | $1,441 | 1.1× |
| Syphilis Test Non-Trep Quant (86593) | $13.80 | $23 | 3.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $32.40 | $54 | 0.7× |
| T cells total count (86359) | $28.20 | $47 | 0.7× |
| T3 Free (84481) | $57 | $95 | 3.4× |
| T3 reverse (84482) | $10.80 | $18 | 0.7× |
| T3 Total (84480) | $160.80 | $268 | 11.3× |
| T4 Free (84439) | $33.60 | $56 | 3.7× |
| T4 total (84436) range across 2 matching MRF lines |
$4.12–$30 | $6.87–$50 | varies |
| Tacrolimus (80197) | $15 | $25 | 1.1× |
| Tau phosphorylated each (84393) | $240 | $400 | 1.9× |
| Testosterone Bioavailable (84410) | $35.40 | $59 | 0.7× |
| Testosterone total (84403) range across 2 matching MRF lines |
$16.20–$90.60 | $27–$151 | varies |
| Testosterone, Free (84402) | $15.60 | $26 | 0.6× |
| Tetanus antibody (86774) | $15.60 | $26 | 1.1× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $867.60 | $1,446 | 1.5× |
| Theophylline (80198) range across 2 matching MRF lines |
$24–$108 | $40–$180 | varies |
| Thrombin Time (85670) | $4.20 | $7 | 0.7× |
| Thyroglobulin (84432) | $11.40 | $19 | 0.7× |
| Thyroglobulin Antibody (86800) | $10.80 | $18 | 0.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $35.40 | $59 | 0.7× |
| Thyroxine binding globulin (84442) | $18.60 | $31 | 1.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $7.80 | $13 | 0.7× |
| Tissue culture bone marrow (88237) | $90 | $150 | 0.6× |
| Tissue Culture Lymphocyte (88230) | $138.60 | $231 | 1.2× |
| Topiramate (80201) | $9.60 | $16 | 0.8× |
| Total Tau (84394) | $240 | $400 | 1.9× |
| Toxoplasma ab igm (86778) | $10.20 | $17 | 0.7× |
| Toxoplasma antibody (86777) | $10.20 | $17 | 0.7× |
| Tp53 gene analysis full gene sequence (81351) | $817.20 | $1,362 | 1.3× |
| Tpmt gene com variants (81335) | $184.80 | $308 | 1.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $18.60 | $31 | 3.6× |
| Transferrin (84466) range across 2 matching MRF lines |
$9–$41.40 | $15–$69 | varies |
| Trb@ Rearrangement Anal Amplification Method (81340) | $167.40 | $279 | 0.8× |
| Trg gene rearrangement anal (81342) | $145.20 | $242 | 0.7× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$24–$24.60 | $40–$41 | varies |
| Triglycerides (84478) range across 3 matching MRF lines |
$4.80–$21.60 | $8–$36 | varies |
| Troponin Quant (84484) | $41.40 | $69 | 3.3× |
| Tumor immunohistochem/comput (88361) | $213 | $355 | 0.6× |
| Tumor Immunohistochem/Manual (88360) | $124.80 | $208 | 0.7× |
| Ugt1a1 gene analysis common variants (81350) | $145.80 | $243 | 0.6× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$3.60–$18 | $6–$30 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$3.60–$64.80 | $6–$108 | varies |
| Urinalysis Microscopic Only (81015) | $18 | $30 | 5.9× |
| Urinalysis Volume Measure (81050) | $8.40 | $14 | 2.3× |
| Urine Bacteria Culture (87088) | $28.80 | $48 | 3.6× |
| Urine Pregnancy Test (81025) | $21.60 | $36 | 2.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $18 | $30 | 5.7× |
| Valproic acid (80164) range across 2 matching MRF lines |
$8.40–$47.40 | $14–$79 | varies |
| Vancomycin (80202) | $47.40 | $79 | 3.5× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$5.40–$40.80 | $9–$68 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$27–$56.40 | $45–$94 | varies |
| Very Long Chain Fatty Acids (82726) | $33.60 | $56 | 1.7× |
| Viral Culture (87252) | $21.60 | $36 | 0.8× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$27–$56.40 | $45–$94 | varies |
| Viscosity serum (85810) | $8.40 | $14 | 0.7× |
| Vit D 1 25-Dihydroxy (82652) | $26.40 | $44 | 0.7× |
| Vitamin A (84590) | $12.60 | $21 | 1.1× |
| Vitamin b-12 (82607) | $58.80 | $98 | 3.9× |
| Vitamin B2 (Riboflavin) (84252) | $21.60 | $36 | 1.1× |
| Vitamin B6 (84207) | $19.20 | $32 | 0.7× |
| Vitamin c (82180) | $18.60 | $31 | 1.9× |
| Vitamin D 25-Hydroxy (82306) | $107.40 | $179 | 3.6× |
| Vitamin E (84446) | $12.60 | $21 | 0.9× |
| Vitamin K (84597) | $65.40 | $109 | 4.8× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$14.40–$15.60 | $24–$26 | varies |
| West nile virus ab igm (86788) | $12.60 | $21 | 0.7× |
| West Nile Virus Antibody (86789) | $10.80 | $18 | 0.8× |
| Western Blot Test (84181) | $87.60 | $146 | 5.1× |
| Zinc (84630) range across 3 matching MRF lines |
$12.60–$57.60 | $21–$96 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.