Lab & pathology prices at Novant Health Ballantyne Medical Center
Charlotte, NC · every code in this section with a posted price and a Medicare benchmark.
966 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $181.50 | $363 | 8.0× |
| 5 Nucleotidase (83915) | $82.50 | $165 | 7.4× |
| Abl1 gene analysis kinase domain variants (81170) | $369.87 | $739.73 | 1.2× |
| Acetylcholine receptor binding antibody (86041) | $144 | $288 | 7.8× |
| Acetylcholine receptor blocking antibody (86042) | $144 | $288 | 7.8× |
| Acetylcholinesterase Assay (82013) | $182.50 | $365 | 14.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $130 | $260 | 10.8× |
| Acth (82024) | $286 | $572 | 7.4× |
| Actin smooth muscle antibody each (86015) | $94.50 | $189 | 7.8× |
| Acute hepatitis panel (80074) | $353.50 | $707 | 7.4× |
| Acylcarnitines Quant (82017) | $221 | $442 | 13.1× |
| Adenovirus antibody (86603) range across 3 matching MRF lines |
$128–$143 | $256–$286 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $478 | $956 | 7.4× |
| Albumin Fluid (82042) | $57 | $114 | 7.3× |
| Albumin serum (82040) | $36.50 | $73 | 7.4× |
| Aldolase (82085) | $72.50 | $145 | 7.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$255.50–$319 | $511–$638 | varies |
| Alkaline phosphatase isoenzymes (84080) | $115.50 | $231 | 7.8× |
| Allergen spec ige qual multiallergen screen (86005) | $67 | $134 | 8.4× |
| Allergen specific ige (86003) range across 4 matching MRF lines |
$25–$98.50 | $50–$197 | varies |
| Allergen specific igg (86001) | $116 | $232 | 14.8× |
| Allg Spec Ige Recomb Ea (86008) | $132.50 | $265 | 7.4× |
| Alpha-1-antitrypsin phenotype (82104) | $89.50 | $179 | 6.2× |
| Alpha-1-antitrypsin total (82103) | $100 | $200 | 7.4× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $177 | $354 | 10.4× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$124.50–$177 | $249–$354 | varies |
| Alt (sgpt) (84460) | $40 | $80 | 7.5× |
| Aluminum (82108) range across 2 matching MRF lines |
$154–$199 | $308–$398 | varies |
| Amikacin trough (80150) range across 3 matching MRF lines |
$112–$126.50 | $224–$253 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $214 | $428 | 9.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $430 | $860 | 25.5× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $154.50 | $309 | 11.1× |
| Amino Acids Quant 2-5 (82136) range across 3 matching MRF lines |
$383–$405 | $766–$810 | varies |
| Aminolevulinic acid (ala) (82135) | $135 | $270 | 8.2× |
| Ammonia (82140) | $108 | $216 | 7.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $406 | $812 | 4.1× |
| Amylase urine (82150) range across 4 matching MRF lines |
$52.50–$85.50 | $105–$171 | varies |
| Ana Titer (86039) | $105 | $210 | 9.4× |
| Anca screen each antibody (86036) | $90 | $180 | 7.5× |
| Anca Titer Each Antibody (86037) | $94.50 | $189 | 7.8× |
| Androstenedione (82157) | $137 | $274 | 4.7× |
| Angiotensin converting enzyme csf (82164) | $124 | $248 | 8.5× |
| Anti-Phospholipid Antibody (86148) range across 4 matching MRF lines |
$99–$126 | $198–$252 | varies |
| Antibody aspergillus (86606) | $118 | $236 | 7.8× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $89.50 | $179 | 6.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 4 matching MRF lines |
$194.50–$251 | $389–$502 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $125 | $250 | 7.4× |
| Antibody Encephalitis California La Crosse (86651) | $148 | $296 | 11.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $97 | $194 | 7.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $113 | $226 | 7.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $134.50 | $269 | 7.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $195.50 | $391 | 16.0× |
| Antibody haemophilus influenza (86684) | $196 | $392 | 12.4× |
| Antibody helicobacter pylori (86677) | $179 | $358 | 10.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $106.50 | $213 | 7.4× |
| Antibody Herpes Smplx Type 1 (86695) | $135 | $270 | 10.2× |
| Antibody HIV-1&HIV-2 single result (86703) | $102 | $204 | 7.4× |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$100.50–$187 | $201–$374 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 3 matching MRF lines |
$674–$2,529 | $1,348–$5,058 | varies |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $577.50 | $1,155 | 6.0× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $495 | $990 | 6.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $217.50 | $435 | 11.2× |
| Antibody identification leukocyte antibodies (86021) | $168 | $336 | 11.2× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$93–$130.50 | $186–$261 | varies |
| Antibody Titer (86886) | $90 | $180 | 17.4× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$89.50–$126.50 | $179–$253 | varies |
| Antibody; encephalitis, st. louis (86653) | $148 | $296 | 11.2× |
| Antibody; influenza virus (86710) | $108 | $216 | 8.0× |
| Antigen typing (86905) | $234 | $468 | 61.1× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $178.50 | $357 | 31.2× |
| Antinomyces antibody (86602) | $178 | $356 | 17.5× |
| Antinuclear antibodies (86038) | $280.50 | $561 | 23.2× |
| Antistreptolysin O Screen (86063) | $63 | $126 | 10.9× |
| Antistreptolysin o titer (86060) | $70 | $140 | 9.6× |
| Antithrombin iii activity (85300) | $92.50 | $185 | 7.8× |
| Antithrombin iii antigen (85301) | $84.50 | $169 | 7.8× |
| Apolipoprotein a1 (82172) | $109 | $218 | 5.2× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $1,098 | $2,196 | 29.1× |
| Aquaporin-4 Antb Cba Each (86052) | $1,066.50 | $2,133 | 88.5× |
| Aquaporin-4 Antb Elisa (86051) | $524 | $1,048 | 45.4× |
| Arsenic (82175) range across 3 matching MRF lines |
$141.50–$159 | $283–$318 | varies |
| Aspa gene analysis common variants (81200) | $649 | $1,298 | 13.7× |
| Aspergillus ag eia (87305) | $121.50 | $243 | 10.1× |
| Assay activated protein c (85307) | $144.50 | $289 | 9.4× |
| Assay Blood Carbon Dioxide (82374) | $54 | $108 | 11.1× |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$101–$139 | $202–$278 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$95.50–$102.50 | $191–$205 | varies |
| Assay of anti-mullerian hormone (82166) | $301.50 | $603 | 7.8× |
| Assay of b-hexosaminidase each assay (83080) | $419.50 | $839 | 24.9× |
| Assay of blood/uric acid (84550) | $36.50 | $73 | 8.1× |
| Assay of calcium in urine (82340) | $44 | $88 | 7.3× |
| Assay of cpk in blood (82552) | $108.50 | $217 | 8.1× |
| Assay of estrone (82679) | $208.50 | $417 | 8.4× |
| Assay of g6pd enzyme (82955) | $75.50 | $151 | 7.8× |
| Assay of gammaglobulin igm (82784) | $75.50 | $151 | 8.1× |
| Assay of lactic acid (83605) range across 4 matching MRF lines |
$141.50–$213 | $283–$426 | varies |
| Assay of manganese (83785) | $208 | $416 | 7.8× |
| Assay of metanephrines (83835) | $126 | $252 | 7.4× |
| Assay of phosphatase acid total (84060) | $133.50 | $267 | 17.5× |
| Assay of phosphatase alkaline heat stable (84078) | $51 | $102 | 6.2× |
| Assay of proinsulin (84206) | $198 | $396 | 7.4× |
| Assay of prostate specific antigen complexed (84152) | $310 | $620 | 16.9× |
| Assay of pyruvate (84210) | $46 | $92 | 3.2× |
| Assay of serotonin (84260) | $242.50 | $485 | 7.8× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$35–$47 | $70–$94 | varies |
| Assay of Sialic Acid (84275) | $150.50 | $301 | 11.2× |
| Assay of sweat sodium (84302) | $76 | $152 | 15.6× |
| Assay of transcortin (84449) | $156.50 | $313 | 8.7× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$32–$53 | $64–$106 | varies |
| Assay of urine vma (84585) | $115.50 | $231 | 7.5× |
| Assay of vasoactive intestinal peptide (84586) | $276 | $552 | 7.8× |
| Assay of vitamin b-1 (84425) | $166.50 | $333 | 7.8× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$29.50–$48 | $59–$96 | varies |
| Assay Phosphohexose Enzymes (84087) | $143 | $286 | 13.3× |
| Assay spec xcp ur&breath ia (82077) | $299 | $598 | 17.3× |
| Asy carbamazepin 10,11-epxid (80161) | $118.50 | $237 | 6.4× |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) | $44 | $88 | 0.3× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) | $44 | $88 | 0.3× |
| ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) | $44 | $88 | 0.3× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) | $44 | $88 | 0.3× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) | $44 | $88 | 0.3× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) | $44 | $88 | 0.3× |
| ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) | $44 | $88 | 0.3× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $494.50 | $989 | 0.6× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $421.50 | $843 | 2.5× |
| Automated Leukocyte Count (85048) | $30 | $60 | 11.8× |
| B cells total count (86355) | $295 | $590 | 7.8× |
| Babesia microti amp prb (87469) | $317 | $634 | 9.0× |
| Bacterial antigens 87802 (87802) | $178 | $356 | 14.0× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$75.50–$102.50 | $151–$205 | varies |
| Bckdhb Gene Analysis Common Variants (81205) | $649 | $1,298 | 6.8× |
| Bcr/abl1 gene major bp (81206) | $45.75 | $91.50 | 0.3× |
| Bcr/abl1 gene minor bp (81207) | $45.75 | $91.50 | 0.3× |
| Beta 2 glycoprotein i antibody each (86146) | $130 | $260 | 5.1× |
| Beta hydroxybutyrate (82010) | $130 | $260 | 15.9× |
| Beta Lactamase (87185) | $35 | $70 | 7.4× |
| Beta-2 Microglobulin (82232) | $198.50 | $397 | 12.3× |
| Bile acids total (82239) | $127 | $254 | 7.4× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$41.50–$68 | $83–$136 | varies |
| Bilirubin total (82247) | $95 | $190 | 18.9× |
| Biotinidase (82261) | $184 | $368 | 10.9× |
| Bl Smear W/O Diff Wbc Count (85008) | $41 | $82 | 12.0× |
| Blastomyces antibody (86612) | $101 | $202 | 7.8× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $216 | $432 | 7.7× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $1,511 | $3,022 | 9.1× |
| Bld Typing Serologic Rh Phnt (86906) | $83 | $166 | 10.7× |
| Bleeding time test (85002) | $52.50 | $105 | 10.9× |
| Blm Gene (81209) | $649 | $1,298 | 16.5× |
| Blood Count Automated Differential Wbc Count (85004) | $39 | $78 | 6.0× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $40.50 | $81 | 8.0× |
| Blood Count Red Blood Cell Automated (85041) range across 2 matching MRF lines |
$25.50–$36.50 | $51–$73 | varies |
| Blood count reticulocyte automated (85045) | $32 | $64 | 8.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $41 | $82 | 10.8× |
| Blood count spun microhematocrit (85013) | $42.50 | $85 | 6.1× |
| Blood gas (82803) | $161 | $322 | 6.2× |
| Blood gases w/02 saturation (82805) | $147 | $294 | 1.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $101.50 | $203 | 6.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $40 | $80 | 9.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 9 matching MRF lines |
$234–$467.50 | $468–$935 | varies |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$77–$167.50 | $154–$335 | varies |
| Body fluid cell count (89050) | $47 | $94 | 10.0× |
| Bone marrow smear interpretation (85097) | $511 | $1,022 | 0.7× |
| Bordetella antibody (86615) | $103 | $206 | 7.8× |
| Braf gene analysis (81210) | $192.50 | $385 | 1.1× |
| Brca1&2 gen full seq dup/del (81162) | $984.18 | $1,968.35 | 0.5× |
| Breath Alcohol Test (82075) | $48 | $96 | 1.6× |
| Brucella antibody (86622) | $66.50 | $133 | 7.4× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$276.50–$554.50 | $553–$1,109 | varies |
| C-Peptide (84681) | $155 | $310 | 7.4× |
| C-reactive protein (86140) | $42.50 | $85 | 8.2× |
| Ca 19-9 (86301) | $155 | $310 | 7.4× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) | $44 | $88 | 0.3× |
| Cadmium (82300) | $117.50 | $235 | 5.0× |
| Caffeine (80155) | $215 | $430 | 5.6× |
| Calcitonin (82308) | $212.50 | $425 | 7.9× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$101.50–$134.50 | $203–$269 | varies |
| Calcium total (82310) range across 4 matching MRF lines |
$40.50–$65 | $81–$130 | varies |
| Calculus assay quant (82360) | $144.50 | $289 | 11.2× |
| Calculus Spectroscopy (82365) | $95.50 | $191 | 7.4× |
| Calprotectin Fecal (83993) | $288.50 | $577 | 14.7× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$164–$197.50 | $328–$395 | varies |
| Cancer Antigen 125 (86304) | $155 | $310 | 7.4× |
| Cancer Antigen 27.29 (86300) | $155 | $310 | 7.4× |
| Candida antibody (86628) | $135 | $270 | 11.2× |
| Carbamazepine free (80157) | $98.50 | $197 | 7.4× |
| Carbamazepine total (80156) | $108 | $216 | 7.4× |
| Carbohydrate Deficient Transferrin (82373) | $143.50 | $287 | 7.9× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$76.50–$96 | $153–$192 | varies |
| Carcinoembryonic antigen (82378) | $141.50 | $283 | 7.5× |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$154.50–$191 | $309–$382 | varies |
| Carnitine Quantitative Each Specimen (82379) | $125 | $250 | 7.4× |
| Carotene (82380) | $73.50 | $147 | 8.0× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$153–$197 | $306–$394 | varies |
| Ccp antibody (86200) | $95.50 | $191 | 7.4× |
| Cell count csf (89051) | $189.50 | $379 | 33.8× |
| Cell enumeration & id (86152) | $2,754.50 | $5,509 | 11.0× |
| Cell marker study (88182) | $666.50 | $1,333 | 13.2× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $821.50 | $1,643 | 6.0× |
| Ceruloplasmin (82390) | $80 | $160 | 7.4× |
| Cftr gene com variants (81220) range across 4 matching MRF lines |
$34–$79.05 | $68–$158.09 | varies |
| Cftr gene full sequence (81223) | $2,000 | $4,000 | 4.0× |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$202–$260 | $404–$520 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) range across 3 matching MRF lines |
$50–$125 | $100–$250 | varies |
| Chimerism w/comp to baseline w/o cell selection (81267) | $62.50 | $125 | 0.3× |
| Chlamydia antibody (86631) range across 4 matching MRF lines |
$66.50–$102.50 | $133–$205 | varies |
| Chlamydia Igm Antibody (86632) | $99 | $198 | 7.8× |
| Chlamydia trachomatis ag if (87270) | $120.50 | $241 | 10.1× |
| Chloride other source (82438) range across 2 matching MRF lines |
$74.50–$115 | $149–$230 | varies |
| Chloride Serum (82435) | $34.50 | $69 | 7.5× |
| Chloride urine (82436) range across 2 matching MRF lines |
$43–$51 | $86–$102 | varies |
| Chlorinated Hydrocarbons Screen (82441) | $68 | $136 | 11.3× |
| Cholesterol total (82465) | $31.50 | $63 | 7.2× |
| Cholinesterase rbc (82482) | $59.50 | $119 | 6.1× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$62–$63 | $124–$126 | varies |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
$101–$130 | $202–$260 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $1,251 | $2,502 | 6.6× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $208 | $416 | 7.7× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $339 | $678 | 9.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $299.50 | $599 | 8.9× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $1,899.50 | $3,799 | 11.0× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $1,899.50 | $3,799 | 11.0× |
| Chromium serum (82495) | $150.50 | $301 | 7.4× |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
$278–$403 | $556–$806 | varies |
| Chromogranin a (86316) | $155 | $310 | 7.4× |
| Chromosome analys amniotic (88269) | $1,177.50 | $2,355 | 6.8× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$931.50–$977 | $1,863–$1,954 | varies |
| Chromosome Analysis 20-25 (88264) | $921 | $1,842 | 6.4× |
| Chromosome analysis, 5 (88261) | $1,789.50 | $3,579 | 6.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $215 | $430 | 6.1× |
| Citric acid urine (82507) | $214 | $428 | 7.7× |
| Ckmb (82553) | $87 | $174 | 7.5× |
| Clostridium Difficile (87324) | $89.50 | $179 | 7.5× |
| Clot Factor VIII Multimetric (85247) | $192.50 | $385 | 8.4× |
| Clot factor xiii fibrin stab (85290) | $222.50 | $445 | 13.6× |
| Clotting factor xii hageman (85280) | $156.50 | $313 | 8.1× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$284–$299 | $568–$598 | varies |
| Cns DNA amp probe type 12-25 (87483) | $3,255 | $6,510 | 7.8× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$38.50–$52 | $77–$104 | varies |
| Coccidioides antibody (86635) | $96 | $192 | 8.4× |
| Cold agglutinin screen (86156) | $84 | $168 | 10.4× |
| Cold agglutinin titer (86157) | $85 | $170 | 10.5× |
| Collagen crosslinks (82523) | $175 | $350 | 9.4× |
| Column Chromotography Quant (82542) range across 10 matching MRF lines |
$112.50–$355.50 | $225–$711 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $87.50 | $175 | 0.4× |
| Compatibility Each Unit Incubation (86921) | $91 | $182 | 0.5× |
| Compatibility test antiglob (86922) | $134.50 | $269 | 0.8× |
| Complement Antigen Each Component (86160) | $100 | $200 | 8.3× |
| Complement Total (Ch50) (86162) | $151 | $302 | 7.4× |
| Complement/Function Activity (86161) | $89.50 | $179 | 7.5× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $984 | $1,968 | 5.9× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $403.50 | $807 | 8.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $299 | $598 | 8.2× |
| Coombs direct (86880) range across 7 matching MRF lines |
$54.50–$93 | $109–$186 | varies |
| Copper urine (82525) range across 4 matching MRF lines |
$78–$97 | $156–$194 | varies |
| Cortisol free (82530) | $133 | $266 | 8.0× |
| Cortisol saliva (82533) range across 7 matching MRF lines |
$137–$164 | $274–$328 | varies |
| Creatine (82540) | $51 | $102 | 11.0× |
| Creatine kinase total (82550) | $53.50 | $107 | 8.2× |
| Creatinine blood (82565) range across 3 matching MRF lines |
$37.50–$57.50 | $75–$115 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$70–$89 | $140–$178 | varies |
| Creatinine Urine (82570) | $42.50 | $85 | 8.2× |
| Crossmatch electronic (86923) | $159.50 | $319 | 1.0× |
| Crossmatch immediate spin (86920) | $124.50 | $249 | 0.8× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$95.50–$130 | $191–$260 | varies |
| Cryofibrinogen (82585) | $85.50 | $171 | 6.0× |
| Cryoglobulin (82595) | $52.50 | $105 | 8.1× |
| Cryptococcus ab (86641) | $106.50 | $213 | 7.4× |
| Cryptococcus ag titer (87899) range across 8 matching MRF lines |
$108–$140.50 | $216–$281 | varies |
| Cryptosporidium ag eia (87328) | $166.50 | $333 | 12.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $156 | $312 | 19.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $160 | $320 | 19.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $79.50 | $159 | 10.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,703 | $3,406 | 7.8× |
| Culture aerobic quant other (87071) | $74 | $148 | 7.5× |
| Culture afb (87116) range across 2 matching MRF lines |
$80–$81 | $160–$162 | varies |
| Culture Anaerobic (87075) | $74.50 | $149 | 7.9× |
| Culture blood (87040) | $83 | $166 | 8.0× |
| Culture chlamydia (87110) | $145 | $290 | 7.4× |
| Culture csf (87070) range across 16 matching MRF lines |
$69.50–$113 | $139–$226 | varies |
| Culture fungus (87102) | $109.50 | $219 | 13.0× |
| Culture fungus blood (87103) | $160 | $320 | 7.8× |
| Culture screen only (87081) range across 10 matching MRF lines |
$102.50–$144 | $205–$288 | varies |
| Culture stool (87045) | $80 | $160 | 8.5× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $76 | $152 | 6.1× |
| Culture typing if ea antiserum (87140) | $41.50 | $83 | 7.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 4 matching MRF lines |
$38.50–$51.50 | $77–$103 | varies |
| Culture typing other methods (87158) | $59.50 | $119 | 7.7× |
| Culture urine (87086) | $60 | $120 | 7.4× |
| Cyanide (82600) | $204 | $408 | 10.5× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $113 | $226 | 7.9× |
| Cyclosporine (80158) | $134 | $268 | 7.4× |
| Cyp2c19 gene analysis common variants (81225) | $111.65 | $223.30 | 0.4× |
| Cyp2c9 gene com variants (81227) | $144 | $288 | 0.8× |
| Cystatin C (82610) | $137.50 | $275 | 7.4× |
| Cytogenetics 10-30 (88273) | $352.50 | $705 | 10.1× |
| Cytogenetics 100-300 (88275) | $379.50 | $759 | 7.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$505–$612 | $1,010–$1,224 | varies |
| Cytogenomic neo microra alys (81277) | $923.74 | $1,847.48 | 0.8× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$161.50–$265.50 | $323–$531 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $124 | $248 | 6.1× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$312.50–$329 | $625–$658 | varies |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $255.50 | $511 | 6.1× |
| Cytotoxic Antibody Screen Std (86807) | $485.50 | $971 | 6.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $207.50 | $415 | 7.8× |
| Cytp Concentration Smears & Interpretation (88108) | $299 | $598 | 8.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $248.50 | $497 | 4.9× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $374.50 | $749 | 2.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $244 | $488 | 6.7× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $984 | $1,968 | 5.9× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $107 | $214 | 5.8× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $438 | $876 | 8.6× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $171 | $342 | 6.1× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $1,479.50 | $2,959 | 8.9× |
| Deoxycortisol (82634) | $326 | $652 | 11.1× |
| Deoxyribonuclease antibody (86215) | $98.50 | $197 | 7.4× |
| Desoxycorticosterone (82633) | $346 | $692 | 11.2× |
| Detect Agent Nos Dna Amp (87798) range across 25 matching MRF lines |
$283–$669.50 | $566–$1,339 | varies |
| Detect Agent Nos Dna Quant (87799) range across 10 matching MRF lines |
$434–$1,101.50 | $868–$2,203 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$87.50–$527 | $175–$1,054 | varies |
| Dgp Antibody Each Ig Class (86258) | $94.50 | $189 | 7.8× |
| Dhea (82626) | $187 | $374 | 7.4× |
| Dhea-S (82627) | $173.50 | $347 | 7.8× |
| Dibucaine number (82638) | $98 | $196 | 8.0× |
| Digoxin (80162) | $98.50 | $197 | 7.4× |
| Dihydrotestosterone (82642) | $237 | $474 | 8.1× |
| Diphtheria antitoxoid (86648) | $145 | $290 | 9.5× |
| Dipropylacetic Acid Free (80165) | $134.50 | $269 | 9.9× |
| Dna Antibody Native/Double Stranded (86225) | $134.50 | $269 | 9.8× |
| Dna Antibody Single Stranded (86226) | $155.50 | $311 | 12.8× |
| Dna/Rna Amplified Probe (87150) | $424 | $848 | 12.1× |
| DNA/RNA direct probe (87149) | $149 | $298 | 7.4× |
| Dna/Rna Sequencing (87153) | $901 | $1,802 | 7.8× |
| Dpyd gene common variants (81232) | $127.53 | $255.05 | 0.7× |
| Drug assay acetaminophen (80143) | $138.50 | $277 | 7.4× |
| Drug assay adalimumab (80145) | $301.50 | $603 | 7.8× |
| Drug Assay Amiodarone (80151) | $138.50 | $277 | 7.4× |
| Drug Assay Everolimus (80169) | $190.50 | $381 | 13.9× |
| Drug assay felbamate (80167) | $199 | $398 | 10.7× |
| Drug Assay Infliximab (80230) | $286 | $572 | 7.4× |
| Drug Assay Lacosamide (80235) | $413.50 | $827 | 15.3× |
| Drug Assay Leflunomide (80193) | $233.50 | $467 | 6.1× |
| Drug Assay Posaconazole (80187) | $129.50 | $259 | 4.8× |
| Drug Assay Vedolizumab (80280) | $286 | $572 | 7.4× |
| Drug assay voriconazole (80285) | $210 | $420 | 7.7× |
| Drug Screen Quant Clozapine (80159) | $150 | $300 | 7.4× |
| Drug Screen Quant Zonisamide (80203) | $139.50 | $279 | 10.5× |
| Drug Screen Quantitative Gabapentin (80171) range across 2 matching MRF lines |
$148.50–$172.50 | $297–$345 | varies |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$100.50–$148.50 | $201–$297 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $98.50 | $197 | 7.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $98.50 | $197 | 7.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $187 | $374 | 11.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 25 matching MRF lines |
$173–$594 | $346–$1,188 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $182.50 | $365 | 14.5× |
| Drug Test Prsmv Instrmnt (80306) | $182.50 | $365 | 10.6× |
| Egfr Gene Analysis Common Variants (81235) | $200 | $400 | 0.6× |
| Ehrlichia antibody (86666) | $75.50 | $151 | 7.4× |
| El-1 Fecal Quantitative (82653) | $214 | $428 | 9.3× |
| Electrolyte panel (80051) | $52 | $104 | 7.4× |
| Electron Microscopy (88348) | $1,622.50 | $3,245 | 2.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $400 | $800 | 6.5× |
| Encephaltis East Eqne Anbdy (86652) | $148 | $296 | 11.2× |
| Encephaltis West Eqne Antbdy (86654) | $148 | $296 | 11.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $94.50 | $189 | 7.8× |
| Enterovirus Antibody (86658) range across 5 matching MRF lines |
$106–$167.50 | $212–$335 | varies |
| Enterovirus PCR (87498) | $391.50 | $783 | 11.2× |
| Enzyme cell activity (82657) | $427 | $854 | 19.3× |
| Enzyme histochemistry (88319) | $531 | $1,062 | 0.7× |
| Eosinophil Smear (89190) | $60 | $120 | 10.4× |
| Erythropoietin (82668) | $139.50 | $279 | 7.4× |
| Estradiol serum (82670) | $218.50 | $437 | 7.8× |
| Estriol (82677) | $146.50 | $293 | 6.1× |
| Estrogen total (82672) | $160.50 | $321 | 7.4× |
| Estrogens fractionated (82671) | $263 | $526 | 8.1× |
| Ethosuximide (80168) | $121 | $242 | 7.4× |
| Ethylene Glycol (82693) | $110 | $220 | 7.4× |
| Euglobulin lysis (85360) | $76.50 | $153 | 9.1× |
| Exam Synovial Fluid Crystals (89060) | $54.50 | $109 | 7.4× |
| F2 Gene (81240) | $22 | $44 | 0.3× |
| Factor ii activity (85210) | $109.50 | $219 | 8.4× |
| Factor Inhibitor Test (85335) | $244.50 | $489 | 19.0× |
| Factor ix activity (85250) | $390.50 | $781 | 20.5× |
| Factor v activity (85220) | $145 | $290 | 8.2× |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$18–$144.38 | $36–$288.75 | varies |
| Factor vii assay (85230) | $273.50 | $547 | 15.3× |
| Factor viii assay (85240) | $179 | $358 | 10.0× |
| Factor X (85260) range across 2 matching MRF lines |
$378–$475 | $756–$950 | varies |
| Factor xi activity (85270) | $132.50 | $265 | 7.4× |
| Factor xiii screen (85291) | $77.50 | $155 | 8.5× |
| Fancc Gene (81242) | $178.50 | $357 | 4.9× |
| Fat/Lipids Feces Quantitative (82710) | $133.50 | $267 | 7.9× |
| Fatty acids free (82725) | $139.50 | $279 | 7.4× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $103.50 | $207 | 13.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $313 | $626 | 18.2× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $64.50 | $129 | 9.9× |
| Fecal Fat Qualitative (82705) | $46.50 | $93 | 9.1× |
| Ferritin (82728) | $101.50 | $203 | 7.4× |
| Fetal Chrmoml Aneuploidy (81420) range across 6 matching MRF lines |
$97.23–$417.38 | $194.45–$834.75 | varies |
| Fetal Chrmoml Microdeltj (81422) range across 3 matching MRF lines |
$97.23–$208.88 | $194.45–$417.75 | varies |
| Fetal Fibronectin (82731) | $478 | $956 | 7.4× |
| Fetal hemoglobin assay qual (83033) | $66.50 | $133 | 8.3× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $205 | $410 | 10.8× |
| Fetal screen rosette (85461) | $65.50 | $131 | 7.0× |
| Fibrin degradation products (85362) | $54 | $108 | 7.8× |
| Fibrin Degradation Quant (85379) | $75.50 | $151 | 7.4× |
| Fibrinogen activity (85384) | $72.50 | $145 | 7.5× |
| Fibrinogen antigen (85385) | $107 | $214 | 7.4× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $36.50 | $73 | 2.4× |
| Flecainide level (80181) | $138.50 | $277 | 7.4× |
| Flow cytometry first marker (88184) | $296 | $592 | 0.8× |
| Fluorescent antibody screen (86255) range across 14 matching MRF lines |
$134–$425.50 | $268–$851 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 10 matching MRF lines |
$155.50–$273.50 | $311–$547 | varies |
| Fmr1 Gene Charac Alleles (81244) | $60.50 | $121 | 1.3× |
| Fmr1 gene detection (81243) range across 3 matching MRF lines |
$34.50–$52.50 | $69–$105 | varies |
| Folic acid rbc (82747) | $130.50 | $261 | 7.4× |
| Folic Acid Serum (82746) | $108.50 | $217 | 7.4× |
| Follicle Stimulating Hormone (83001) | $145 | $290 | 7.8× |
| Francisella tularensis (86668) | $150 | $300 | 10.6× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $108.50 | $217 | 0.7× |
| Frozen Blood Each Unit Freezing (86930) | $638.50 | $1,277 | 3.9× |
| Frozen Blood Each Unit Thawing (86931) | $177 | $354 | 1.1× |
| Frozen Section (88331) range across 2 matching MRF lines |
$323–$485 | $646–$970 | varies |
| Fungi Identification Mold (87107) | $141 | $282 | 13.7× |
| Fungi Identification Yeast (87106) | $156 | $312 | 15.1× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $649 | $1,298 | 11.1× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $442.50 | $885 | 21.0× |
| Gammaglobulin ige (82785) | $122 | $244 | 7.4× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $47.50 | $95 | 4.9× |
| Gases blood ph only (82800) | $77.50 | $155 | 7.0× |
| Gastrin (82941) | $130.50 | $261 | 7.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $2,655 | $5,310 | 6.4× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $649 | $1,298 | 13.7× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,250 | $2,500 | 1.6× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$251–$282 | $502–$564 | varies |
| Gentamicin (80170) | $128.50 | $257 | 7.8× |
| Ggt (82977) | $53.50 | $107 | 7.4× |
| Giardia antigen (87329) | $89.50 | $179 | 7.5× |
| Giardia lamblia antibody (86674) | $249.50 | $499 | 16.9× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $80.50 | $161 | 13.3× |
| Glucagon (82943) | $150.50 | $301 | 10.5× |
| Glucose 2 hr pp (82950) range across 6 matching MRF lines |
$35–$51 | $70–$102 | varies |
| Glucose Blood Test (82962) | $24 | $48 | 7.3× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$47–$51.50 | $94–$103 | varies |
| Glucose Serum (82947) range across 7 matching MRF lines |
$29–$47 | $58–$94 | varies |
| Glucose tolerance test (gtt) (82951) | $116 | $232 | 9.0× |
| Glutathione (82978) | $271.50 | $543 | 17.6× |
| Glycated Protein (82985) | $96.50 | $193 | 5.8× |
| Gonadotropin Chorionic Qualitative (84703) | $55.50 | $111 | 7.4× |
| Growth hormone (83003) | $130 | $260 | 7.8× |
| Gtt-added samples (82952) | $47 | $94 | 12.0× |
| H Pylori (C-13) Breath (83013) | $563.50 | $1,127 | 8.4× |
| Haloperidol (80173) | $153.50 | $307 | 9.7× |
| Haptoglobin (83010) | $93 | $186 | 7.4× |
| Hba1/Hba2 Gene (81257) range across 2 matching MRF lines |
$112–$175 | $224–$350 | varies |
| Hbb Full Gene Sequence (81364) | $367.50 | $735 | 1.1× |
| Hdl Cholesterol (83718) | $51 | $102 | 6.2× |
| Heavy metal qualitative any analytes (83015) | $211 | $422 | 10.1× |
| Helicobacter Pylori Stool (87338) | $106.50 | $213 | 7.4× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $677 | $1,354 | 10.1× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$326–$350 | $652–$700 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$20–$31.50 | $40–$63 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$20–$31.50 | $40–$63 | varies |
| Hemoglobin a1c (83036) | $72.50 | $145 | 7.5× |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$134–$182.50 | $268–$365 | varies |
| Hemoglobin electrophoresis (83020) | $95 | $190 | 7.4× |
| Hemoglobin F Fetal Chemical (83030) | $92 | $184 | 8.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $49.50 | $99 | 6.0× |
| Hemoglobin plasma (83051) | $54.50 | $109 | 7.5× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $67 | $134 | 7.2× |
| Hemoglobin-Oxygen Affinity (82820) | $35 | $70 | 2.6× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $143 | $286 | 16.3× |
| Hemolysins&Agglutinins Incubated (86941) | $155.50 | $311 | 12.8× |
| Hemosiderin urine (83070) | $41.50 | $83 | 8.7× |
| Hep a ab igm (86709) | $83 | $166 | 7.4× |
| Heparin assay (85520) range across 4 matching MRF lines |
$166.50–$215.50 | $333–$431 | varies |
| Heparin Neutralization (85525) | $142 | $284 | 12.0× |
| Hepatitis a antibody total (86708) | $92.50 | $185 | 7.5× |
| Hepatitis b core ab igm (86705) | $87 | $174 | 7.4× |
| Hepatitis b core ab total (86704) | $90 | $180 | 7.5× |
| Hepatitis B Surface Antibody (86706) | $80 | $160 | 7.4× |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$77–$80.50 | $154–$161 | varies |
| Hepatitis Be Antibody (86707) | $90.50 | $181 | 7.8× |
| Hepatitis Be Antigen (87350) | $90 | $180 | 7.8× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$105.50–$144 | $211–$288 | varies |
| Hepatitis c antibody confirmatory test (86804) | $226.50 | $453 | 14.6× |
| Hepatitis C Genotype (87902) | $1,058.50 | $2,117 | 4.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $221.50 | $443 | 6.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $599.50 | $1,199 | 14.0× |
| Hepatitis delta ag (87380) | $172.50 | $345 | 9.4× |
| Hepatitis Delta Agent Antibody (86692) | $127.50 | $255 | 7.4× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$255.50–$284.50 | $511–$569 | varies |
| Heterophile antibodies titer (86309) | $73 | $146 | 11.3× |
| Heterophile Antibody Screen (86308) | $42.50 | $85 | 8.2× |
| Hexa gene analysis common variants (81255) | $649 | $1,298 | 12.6× |
| Hfe Gene (81256) | $30.38 | $60.75 | 0.5× |
| Hgb Quantitative Transcutaneous (88738) | $67 | $134 | 13.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $76.50 | $153 | 9.9× |
| Histamine urine (83088) | $265.50 | $531 | 9.0× |
| Histoplasma antibody (86698) | $261 | $522 | 18.9× |
| Histoplasma antigen urine (87385) | $171.50 | $343 | 12.9× |
| Hiv Genotype (87901) | $1,557 | $3,114 | 6.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $179 | $358 | 7.4× |
| Hiv-1 Antibody (86701) range across 3 matching MRF lines |
$66.50–$187 | $133–$374 | varies |
| HIV-1 p24 antigen (87390) | $165.50 | $331 | 6.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $970 | $1,940 | 11.4× |
| HIV-2 probe&revrse trnscripj (87538) | $274 | $548 | 7.8× |
| Hla Class I Typing High Resolution One Locus Ea (81380) range across 6 matching MRF lines |
$37.50–$183.75 | $75–$367.50 | varies |
| Hla Class I Typing Low Resolution Complete (81372) | $66 | $132 | 0.2× |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 5 matching MRF lines |
$10–$625 | $20–$1,250 | varies |
| Hla class i&ii antibody qual (86828) | $501.50 | $1,003 | 7.8× |
| Hla class ii high defin qual (86833) range across 2 matching MRF lines |
$1,970–$2,545.50 | $3,940–$5,091 | varies |
| Hla class ii typing high resolution one locus ea (81382) range across 6 matching MRF lines |
$37.50–$75 | $75–$150 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $945 | $1,890 | 8.6× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $9 | $18 | 0.1× |
| Hla I Typing 1 Allele Hr (81381) range across 2 matching MRF lines |
$20.13–$183.75 | $40.25–$367.50 | varies |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $90 | $180 | 0.4× |
| Hla ii type 1 ag equiv lr (81377) range across 2 matching MRF lines |
$43.75–$46.19 | $87.50–$92.37 | varies |
| Hla ii typing 1 allele hr (81383) | $37.50 | $75 | 0.3× |
| Hla ii typing 1 locus lr (81376) range across 7 matching MRF lines |
$25–$50 | $50–$100 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) | $579 | $1,158 | 10.0× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $284 | $568 | 2.7× |
| Hla-b27 (86812) | $233 | $466 | 9.0× |
| Homocysteine (83090) | $127.50 | $255 | 7.1× |
| Homogenization Tissue (87176) | $87.50 | $175 | 14.9× |
| Homovanillic acid urine (83150) | $302.50 | $605 | 13.5× |
| Hpv High-Risk Types (87624) | $260 | $520 | 7.4× |
| Hpv low-risk types (87623) | $212 | $424 | 6.0× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $335.50 | $671 | 4.8× |
| Hpv Types 16 & 18 Only (87625) | $243.50 | $487 | 6.0× |
| Hsv Dna Amp Probe (87529) | $388.50 | $777 | 11.1× |
| Hsv Dna Quant (87530) range across 3 matching MRF lines |
$330–$427 | $660–$854 | varies |
| Htlv-I Antibody (86687) range across 2 matching MRF lines |
$71–$203 | $142–$406 | varies |
| Htlv-ii antibody (86688) range across 2 matching MRF lines |
$104–$203 | $208–$406 | varies |
| Human Epididymis Protein 4 (86305) | $290.50 | $581 | 14.0× |
| Hydroxycorticosteroids 17 (83491) | $544.50 | $1,089 | 30.4× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$125.50–$164.50 | $251–$329 | varies |
| Hydroxyproline free (83500) | $256 | $512 | 11.3× |
| Iaad Ia Cytomegalovirus (87332) | $120.50 | $241 | 10.1× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $169.50 | $339 | 14.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $95 | $190 | 9.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $130 | $260 | 9.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $213.50 | $427 | 6.0× |
| Iaad ia shiga-like toxin (87427) | $94 | $188 | 7.8× |
| Iaad Ia Streptococcus Group A (87430) | $125 | $250 | 7.4× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $120.50 | $241 | 10.1× |
| Iaadi inffluenza a virus (87276) | $119 | $238 | 7.4× |
| Iaadi not otherwise specified each organism (87299) | $120.50 | $241 | 7.5× |
| Iaadi parainfluenza virus each type (87279) range across 4 matching MRF lines |
$114–$121.50 | $228–$243 | varies |
| Iaadi pneumocustis carinii (87281) | $89.50 | $179 | 7.5× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $130 | $260 | 10.9× |
| Iaadi respiratory synctial virus (87280) | $100 | $200 | 7.5× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $279 | $558 | 8.0× |
| Iadna Bartonella Amplified Probe Technique (87471) | $510 | $1,020 | 14.5× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $260 | $520 | 7.4× |
| Iadna Candida Species Amplified Probe Tq (87481) | $398.50 | $797 | 11.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $324.50 | $649 | 9.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $446.50 | $893 | 12.7× |
| Iadna Cytomegalovirus Quantification (87497) | $601 | $1,202 | 14.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $558 | $1,116 | 7.9× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $279 | $558 | 8.0× |
| Iadna hepatitis b virus amplified probe tq (87516) | $524 | $1,048 | 14.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $386.50 | $773 | 9.0× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $390.50 | $781 | 11.1× |
| Iadna Herpes Virus-6 Quantification (87533) | $659 | $1,318 | 15.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$172–$212 | $344–$424 | varies |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) | $486 | $972 | 8.3× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $308.50 | $617 | 8.8× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $366.50 | $733 | 4.8× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $228.50 | $457 | 8.4× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $228.50 | $457 | 11.4× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 3 matching MRF lines |
$252–$309 | $504–$618 | varies |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $180.50 | $361 | 6.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $472 | $944 | 13.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $215 | $430 | 6.1× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $130.50 | $261 | 2.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $862.50 | $1,725 | 6.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $2,425 | $4,850 | 9.2× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $181 | $362 | 2.5× |
| Ig Light Chains Free Each (83521) | $128.50 | $257 | 7.4× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$59.50–$80 | $119–$160 | varies |
| Igh gene rearrange amp meth (81261) | $169.88 | $339.76 | 0.9× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $283.10 | $566.20 | 1.0× |
| Igk rearrangeabn clonal pop (81264) | $169.88 | $339.76 | 1.0× |
| Ikbkap Gene Analysis Common Variants (81260) | $649 | $1,298 | 16.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $2,182 | $4,364 | 6.3× |
| Immune Complex Assay (86332) | $208 | $416 | 8.5× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$219.50–$346.50 | $439–$693 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 14 matching MRF lines |
$231–$477.50 | $462–$955 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 20 matching MRF lines |
$176.50–$281.50 | $353–$563 | varies |
| Immunoassay nonantibody (83516) range across 17 matching MRF lines |
$212–$293.50 | $424–$587 | varies |
| Immunodiffusion not elsewhere specified (86329) | $85 | $170 | 6.0× |
| Immunodiffusion Ouchterlony (86331) | $89.50 | $179 | 7.5× |
| Immunofixation electrophoresis (86334) | $166.50 | $333 | 7.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$439–$777.50 | $878–$1,555 | varies |
| Immunohistochemistry (88342) | $581 | $1,162 | 3.5× |
| In situ hybridization 1st probe stain (88365) | $728 | $1,456 | 4.4× |
| In situ hybridization ea multiplex probe stain (88366) | $297 | $594 | 1.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) range across 2 matching MRF lines |
$37.50–$76.03 | $75–$152.05 | varies |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $111.50 | $223 | 7.7× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $120.50 | $241 | 9.0× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $91.50 | $183 | 7.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $229 | $458 | 11.4× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $583.50 | $1,167 | 11.4× |
| Influenza a/b ag eia (87400) | $125 | $250 | 8.8× |
| Influenza assay w/optic (87804) | $132 | $264 | 8.0× |
| Influenza DNA amp probe (87502) | $506 | $1,012 | 5.3× |
| Inhibin A (86336) | $121.50 | $243 | 7.8× |
| Inhibin b (83520) range across 24 matching MRF lines |
$226–$465.50 | $452–$931 | varies |
| Insitu hybridization auto (88367) | $545 | $1,090 | 1.6× |
| Insitu hybridization manual (88368) | $545 | $1,090 | 1.6× |
| Insulin antibodies (86337) | $136 | $272 | 6.4× |
| Insulin free (83527) | $95.50 | $191 | 7.4× |
| Insulin total (83525) | $84 | $168 | 7.3× |
| Interleukin-6 (83529) | $134.50 | $269 | 7.8× |
| Intrinsic factor antibody (86340) | $118 | $236 | 7.8× |
| Iron (83540) range across 2 matching MRF lines |
$48.50–$85.50 | $97–$171 | varies |
| Iron Binding Capacity (83550) | $65.50 | $131 | 7.5× |
| Irradiation Blood Product Each Unit (86945) | $220.50 | $441 | 6.1× |
| Islet cell antibody (86341) | $211.50 | $423 | 9.0× |
| Jak2 gene analysis p.val617phe variant (81270) range across 5 matching MRF lines |
$54.76–$168.50 | $109.52–$337 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $54.76 | $109.52 | 0.3× |
| Ketosteroids 17 total (83586) | $262 | $524 | 20.5× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $252 | $504 | 0.8× |
| Koh Prep (87220) | $54.50 | $109 | 12.8× |
| Kras Gene Analysis Additional Variant(S) (81276) | $375.50 | $751 | 1.9× |
| L/s ratio (83661) | $245 | $490 | 11.1× |
| Lactate (ld) (ldh) enzyme (83615) | $44 | $88 | 7.3× |
| Lactoferrin fecal qualitative (83630) | $146 | $292 | 7.4× |
| Lactoferrin Fecal Quantitative (83631) | $146 | $292 | 7.4× |
| Lamellar Body Count (83664) | $239 | $478 | 12.4× |
| Ldh Isoenzymes (83625) | $97 | $194 | 7.6× |
| LDL direct (83721) | $78 | $156 | 7.4× |
| Lead (83655) range across 4 matching MRF lines |
$90–$108 | $180–$216 | varies |
| Legionella antibody (86713) | $114.50 | $229 | 7.5× |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$199–$325.50 | $398–$651 | varies |
| Legionella pneumophila dfa (87278) | $116 | $232 | 7.4× |
| Leptospira antibody (86720) | $183.50 | $367 | 11.3× |
| Leukocyte Assessment Fecal (89055) | $31 | $62 | 7.3× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$165.50–$205.50 | $331–$411 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$205.50–$221.50 | $411–$443 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$545–$647 | $1,090–$1,294 | varies |
| Lidocaine (80176) | $108.50 | $217 | 7.4× |
| Lipase (83690) | $118 | $236 | 17.1× |
| Lipoprotein A (83695) | $91 | $182 | 6.4× |
| Lipoprotein Bld Quan Part (83704) | $144.50 | $289 | 4.2× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $68 | $136 | 6.0× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $362 | $724 | 7.8× |
| Listeria Monocytogenes (86723) | $278.50 | $557 | 21.1× |
| Lithium (80178) | $49 | $98 | 7.4× |
| Liver ds alys 3 bmrk srm alg (81517) | $200.29 | $400.58 | 1.1× |
| Luteinizing Hormone (Lh) (83002) | $137.50 | $275 | 7.4× |
| Lyme disease antibody (86618) | $314 | $628 | 18.4× |
| Lymphocyte transformation (86353) | $296.50 | $593 | 6.0× |
| Lysozyme serum (85549) | $105 | $210 | 5.6× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $538.50 | $1,077 | 3.3× |
| M/phmtrc alys ishquant/semiq (88374) | $1,207.50 | $2,415 | 7.3× |
| Macroscopic exam arthropod (87168) | $48 | $96 | 11.2× |
| Macroscopic Exam Parasite (87169) | $31.50 | $63 | 7.3× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$49.50–$73 | $99–$146 | varies |
| Mass Spectrometry Quant (83789) | $192 | $384 | 8.0× |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $649 | $1,298 | 16.5× |
| Meat fibers, feces (89160) | $36 | $72 | 7.4× |
| Mercury urine (83825) | $120.50 | $241 | 7.4× |
| Methotrexate (80204) | $181.50 | $363 | 4.7× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$184–$211 | $368–$422 | varies |
| Mgmt methylation analysis (81287) | $444 | $888 | 3.6× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$43–$46.50 | $86–$93 | varies |
| Microbe Suscept Macrobroth (87188) range across 2 matching MRF lines |
$161.50–$227 | $323–$454 | varies |
| Microsomal Antibodies Each (86376) | $108 | $216 | 7.4× |
| Mitochondrial Antibody Each (86381) | $198.50 | $397 | 7.8× |
| Mog-Igg1 Antb Cba Each (86362) | $1,386 | $2,772 | 115.0× |
| Molecular Cytogenetics Dna Probe Each (88271) | $158.50 | $317 | 7.4× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $256.50 | $513 | 6.1× |
| Molecular Pathology Procedure Level 3 (81402) | $358 | $716 | 2.4× |
| Molecular Pathology Procedure Level 6 (81405) | $175 | $350 | 0.6× |
| Mononuclear cell antigen (86356) | $198.50 | $397 | 7.4× |
| Mopath procedure level 1 (81400) range across 2 matching MRF lines |
$103.13–$183.75 | $206.25–$367.50 | varies |
| Mopath procedure level 2 (81401) | $576 | $1,152 | 4.2× |
| Mopath procedure level 4 (81403) range across 4 matching MRF lines |
$84.46–$255.50 | $168.91–$511 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$630–$852.50 | $1,260–$1,705 | varies |
| Mopath procedure level 7 (81406) | $144.38 | $288.75 | 0.5× |
| Morphometric analysis nerve (88356) | $393 | $786 | 7.8× |
| Morphometric Analysis Tumor (88358) | $2,128.50 | $4,257 | 12.9× |
| Mpl gene common variants (81338) range across 2 matching MRF lines |
$164–$237.50 | $328–$475 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $32.50 | $65 | 0.5× |
| Mucin Clot Body Fluid (83872) | $69 | $138 | 11.8× |
| Mumps antibody (86735) | $97 | $194 | 7.4× |
| Muscle-Specific Kinase Antb (86366) | $716.50 | $1,433 | 38.9× |
| Mycobacteric Identification (87118) | $227 | $454 | 15.5× |
| Mycophenolic Acid (80180) | $321 | $642 | 17.8× |
| Mycoplasma antibody (86738) | $98.50 | $197 | 7.4× |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$115–$154 | $230–$308 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $183.75 | $367.50 | 1.0× |
| Myelin basic protein csf (83873) | $128.50 | $257 | 7.5× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$95.50–$123 | $191–$246 | varies |
| Natriuretic peptide (83880) | $306.50 | $613 | 7.8× |
| Nerve teasing preparations (88362) | $4,954 | $9,908 | 6.3× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $776 | $1,552 | 6.0× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $140 | $280 | 4.8× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $2,926 | $5,852 | 11.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $256 | $512 | 3.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $1,463.50 | $2,927 | 11.4× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $296.50 | $593 | 11.4× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $5,552.50 | $11,105 | 11.4× |
| Niacin (84591) range across 2 matching MRF lines |
$195.50–$244.50 | $391–$489 | varies |
| Nickel level (83885) | $271 | $542 | 11.1× |
| Nk cells total count (86357) | $347 | $694 | 9.2× |
| Noonan Spectrum Disorders (81442) | $580.50 | $1,161 | 0.3× |
| Nras gene variants exon 2&3 (81311) | $354 | $708 | 1.2× |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$171.50–$273 | $343–$546 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$31–$33.50 | $62–$67 | varies |
| Occult Blood Other Sources (82271) | $49 | $98 | 9.2× |
| Oligoclonal bands (83916) | $204 | $408 | 7.4× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $425.50 | $851 | 1.6× |
| Oncoprotein dcp (83951) | $718 | $1,436 | 11.1× |
| Organic Acids Qualitative Each Specimen (83919) | $185 | $370 | 11.2× |
| Organic acids urine (83918) | $266 | $532 | 11.3× |
| Osmolality serum (83930) | $49 | $98 | 7.4× |
| Osmolality Urine (83935) | $51 | $102 | 7.5× |
| Osmotic Fragility RBC Unincubated (85555) | $232 | $464 | 31.1× |
| Osteocalcin (83937) | $180.50 | $361 | 6.0× |
| Ova and parasites smears (87177) | $68 | $136 | 7.6× |
| Oxalate urine (83945) | $144.50 | $289 | 10.0× |
| Pancreatic Elastase Fecal (82656) | $179.50 | $359 | 15.6× |
| Particle Agglut Antbdy Titr (86406) | $79.50 | $159 | 7.5× |
| Particle Agglutination Screen Each Antibody (86403) | $114.50 | $229 | 9.9× |
| Parvovirus antibody (86747) | $107 | $214 | 7.1× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $471.50 | $943 | 0.6× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $403.50 | $807 | 8.0× |
| Pathology Consultation During Surgery (88329) | $41.50 | $83 | 0.7× |
| Ph urine (81003) | $21.50 | $43 | 9.6× |
| Phenobarbital Level (80184) | $114.50 | $229 | 7.5× |
| Phenotype Infect Agent Drug (87900) | $788.50 | $1,577 | 6.0× |
| Phenylalanine (84030) | $61 | $122 | 11.1× |
| Phenytoin (Dilantin) (80185) | $98.50 | $197 | 7.4× |
| Phenytoin free (80186) | $87.50 | $175 | 6.4× |
| Phosphatase acid prostatic (84066) | $101 | $202 | 10.5× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$38.50–$52.50 | $77–$105 | varies |
| Phosphatidylglycerol (84081) | $184 | $368 | 11.1× |
| Phospholipid Neutralization Hexagonal (85598) | $139.50 | $279 | 7.8× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$35–$53 | $70–$106 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$46.50–$52 | $93–$104 | varies |
| Pinworm exam (87172) | $33.50 | $67 | 7.8× |
| Platelet Aggregation (85576) range across 7 matching MRF lines |
$157–$195 | $314–$390 | varies |
| Platelet Antibodies (86022) range across 7 matching MRF lines |
$184.50–$185 | $369–$370 | varies |
| Platelet count automated (85049) | $33.50 | $67 | 7.5× |
| Platelet neutralization (85597) | $146 | $292 | 8.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $165 | $330 | 0.8× |
| Pooling blood platelets (86965) | $93 | $186 | 0.6× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$62.50–$83 | $125–$166 | varies |
| Porphyrins Feces Quantitative (84126) | $503 | $1,006 | 12.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $109 | $218 | 7.4× |
| Porphyrins, urine; qualitative (84119) | $96 | $192 | 7.2× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$35–$42.50 | $70–$85 | varies |
| PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) | $44 | $88 | 0.3× |
| Prealbumin (84134) | $108 | $216 | 7.4× |
| Pregnancy-Associated Plasma Protein-A (84163) | $125 | $250 | 8.3× |
| Pregnenolone (84140) | $164.50 | $329 | 8.0× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $635 | $1,270 | 3.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 3 matching MRF lines |
$120.50–$146.50 | $241–$293 | varies |
| Pretx serum rbc antibody identification dilution (86976) | $75.50 | $151 | 2.7× |
| Primidone (80188) | $100.50 | $201 | 6.1× |
| Procalcitonin (Pct) (84145) | $496 | $992 | 18.2× |
| Progesterone (84144) | $132.50 | $265 | 6.4× |
| Prolactin (84146) | $144 | $288 | 7.4× |
| Prostaglandin (84150) | $252.50 | $505 | 6.0× |
| Protein body fluid (84157) | $30.50 | $61 | 7.6× |
| Protein C Activity (85303) | $99 | $198 | 7.2× |
| Protein c antigen (85302) | $86 | $172 | 7.2× |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$132–$138 | $264–$276 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $80 | $160 | 7.4× |
| Protein S Free (85306) | $110 | $220 | 7.2× |
| Protein s total (85305) | $90.50 | $181 | 7.8× |
| Protein total serum (84155) | $29.50 | $59 | 8.0× |
| Protein Total Urine (84156) | $29.50 | $59 | 8.0× |
| Protein Western Blot Test (84182) range across 5 matching MRF lines |
$529–$1,017.50 | $1,058–$2,035 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $29 | $58 | 7.4× |
| Protoporphyrin rbc quantitative (84202) | $120 | $240 | 8.4× |
| PSA free (84154) | $136 | $272 | 7.4× |
| Pth Intact (83970) | $322.50 | $645 | 7.8× |
| Pyruvate kinase (84220) | $123 | $246 | 13.0× |
| Q Fever Antibody (86638) | $130 | $260 | 10.7× |
| Quantiferon tb gold plus (86480) | $329 | $658 | 5.3× |
| Quantitative assay drug (80299) range across 30 matching MRF lines |
$43–$711.50 | $86–$1,423 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$388–$425.50 | $776–$851 | varies |
| Quinidine (80194) | $164 | $328 | 11.2× |
| Rbc antibody elution (86860) | $120.50 | $241 | 0.7× |
| Rbc antibody identification (86870) | $215 | $430 | 0.6× |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$127–$141.50 | $254–$283 | varies |
| Rbc pretreatment serum (86978) range across 3 matching MRF lines |
$152.50–$157 | $305–$314 | varies |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$170–$175 | $340–$350 | varies |
| Rbc serum pretx incubj drugs (86975) | $255.50 | $511 | 0.6× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $584.50 | $1,169 | 8.2× |
| Receptor assay estrogen (84233) | $717.50 | $1,435 | 8.2× |
| Receptor assay progesterone (84234) | $725 | $1,450 | 11.2× |
| Renin activity plasma (84244) | $163.50 | $327 | 7.4× |
| Reptilase test (85635) | $160.50 | $321 | 16.3× |
| Resp virus 12-25 targets (87633) | $2,520 | $5,040 | 6.0× |
| Resp Virus 6-11 Targets (87632) | $1,318.50 | $2,637 | 6.0× |
| Reticulocyte Count Manual (85044) | $51.50 | $103 | 11.9× |
| Reticulocyte separation (86972) | $157 | $314 | 0.9× |
| Rh (86901) range across 3 matching MRF lines |
$40–$44 | $80–$88 | varies |
| Rheumatoid Factor Qualitative (86430) | $56.50 | $113 | 9.2× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$42.50–$56.50 | $85–$113 | varies |
| Rickettsia antibody (86757) range across 5 matching MRF lines |
$137.50–$143.50 | $275–$287 | varies |
| Ristocetin cofactor (85245) | $179 | $358 | 7.8× |
| Rotavirus ag eia (87425) | $129.50 | $259 | 10.8× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$33–$96.50 | $66–$193 | varies |
| Rsv ab (86756) | $144.50 | $289 | 9.1× |
| Rsv Assay W/Optic (87807) | $130 | $260 | 9.9× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$99–$112.50 | $198–$225 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$78–$101 | $156–$202 | varies |
| Rufinamide (80210) | $208 | $416 | 7.7× |
| Russell Viper Venom Time Diluted (85613) | $68.50 | $137 | 7.2× |
| Russell Viper Venon Time Undiluted (85612) | $108 | $216 | 6.2× |
| Salicylate Level (80179) | $282 | $564 | 15.1× |
| Salmonella antibody (86768) | $230.50 | $461 | 17.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $83.50 | $167 | 1.6× |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$67–$82.50 | $134–$165 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $862.50 | $1,725 | 6.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $346 | $692 | 2.4× |
| Sedimentation rate (85651) | $47 | $94 | 11.0× |
| Sedimentation Rate, Automated (85652) | $21.50 | $43 | 8.0× |
| Selenium (84255) | $199 | $398 | 7.8× |
| Semen Anal Sperm Detection (89321) | $118.50 | $237 | 9.8× |
| Semen analysis complete (89322) | $153 | $306 | 9.9× |
| Semen analysis complete (89320) | $166 | $332 | 13.5× |
| Semen analysis motility and count (89310) | $82 | $164 | 9.5× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $101.50 | $203 | 10.3× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$115.50–$334.50 | $231–$669 | varies |
| Serpina 1 gene (81332) | $90 | $180 | 2.1× |
| Sex Chromatin Identification Barr Bodies (88130) | $165 | $330 | 9.2× |
| Sex Hormone Binding Globulin (84270) | $173 | $346 | 8.0× |
| Sickling of rbc reduction (85660) range across 4 matching MRF lines |
$45–$73.50 | $90–$147 | varies |
| Sirolimus (80195) | $102 | $204 | 7.4× |
| Skin test tuberculosis intradermal (86580) | $38.50 | $77 | 1.4× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$41.50–$68 | $83–$136 | varies |
| Smear complex stain (87209) | $141 | $282 | 7.8× |
| Smear gram stain (87205) | $34.50 | $69 | 8.1× |
| Smear Special Stain (87207) | $47.50 | $95 | 7.9× |
| Smn1 Gene Dos/Deletion Alys (81329) range across 4 matching MRF lines |
$34–$459.38 | $68–$918.75 | varies |
| Smpd1 Gene Analysis Common Variants (81330) | $649 | $1,298 | 13.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 5 matching MRF lines |
$43.50–$61.50 | $87–$123 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $112.50 | $225 | 2.2× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$35.50–$54.50 | $71–$109 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$37.50–$49.50 | $75–$99 | varies |
| Soluble Transferrin Receptor (84238) range across 3 matching MRF lines |
$228.50–$285.50 | $457–$571 | varies |
| Somatomedin (84305) | $157.50 | $315 | 7.4× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$191–$312.50 | $382–$625 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$116.50–$175 | $233–$350 | varies |
| Specific gravity body fluid (84315) | $28.50 | $57 | 8.7× |
| Specimen infect agnt concntj (87015) | $49.50 | $99 | 7.4× |
| Spectrophotometry (84311) range across 6 matching MRF lines |
$51.50–$339.50 | $103–$679 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $933.50 | $1,867 | 5.6× |
| Stem cells total count (86367) | $451.50 | $903 | 5.8× |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$58–$74 | $116–$148 | varies |
| Strep a assay w/optic (87880) | $104 | $208 | 6.3× |
| Strep b DNA amp probe (87653) | $279 | $558 | 8.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $93.50 | $187 | 1.0× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $47 | $94 | 8.5× |
| Sugars Single Qual (84376) | $92.50 | $185 | 16.8× |
| Sulfate urine (84392) | $169 | $338 | 30.8× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$308.50–$312.50 | $617–$625 | varies |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$312.50–$329 | $625–$658 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$1,093.50–$1,422 | $2,187–$2,844 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $35 | $70 | 7.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 3 matching MRF lines |
$55.50–$69.50 | $111–$139 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 2 matching MRF lines |
$86–$142 | $172–$284 | varies |
| Sweat Collection Iontophoresis (89230) | $312.50 | $625 | 6.2× |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
$32–$80.50 | $64–$161 | varies |
| T cells absolute cd4 count (86361) | $170.50 | $341 | 6.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $367 | $734 | 7.8× |
| T cells total count (86359) | $241 | $482 | 6.4× |
| T3 Free (84481) | $302.50 | $605 | 17.9× |
| T3 reverse (84482) | $117.50 | $235 | 7.5× |
| T3 Total (84480) | $105.50 | $211 | 7.4× |
| T3 Uptake (84479) | $48.50 | $97 | 7.5× |
| T4 Free (84439) | $112.50 | $225 | 12.5× |
| T4 total (84436) | $51 | $102 | 7.4× |
| Tacrolimus (80197) | $119 | $238 | 8.7× |
| Tau phosphorylated each (84393) | $344 | $688 | 2.7× |
| Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) | $44 | $88 | 0.3× |
| Test for acetone/ketones (82009) | $43 | $86 | 9.5× |
| Testosterone Bioavailable (84410) | $504 | $1,008 | 9.8× |
| Testosterone total (84403) | $192.50 | $385 | 7.5× |
| Testosterone, Free (84402) | $189.50 | $379 | 7.4× |
| Tetanus antibody (86774) | $163.50 | $327 | 11.0× |
| Theophylline (80198) | $105.50 | $211 | 7.5× |
| Thiocyanate (84430) | $171 | $342 | 14.7× |
| Thiopurine methyltransferase (84433) | $271 | $542 | 12.2× |
| Thrombin Time (85670) | $98.50 | $197 | 17.1× |
| Thromboplastin Inhibition Tissue (85705) range across 3 matching MRF lines |
$56–$69 | $112–$138 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $75 | $150 | 11.6× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) | $212 | $424 | 6.0× |
| Thyroglobulin (84432) | $155 | $310 | 9.7× |
| Thyroglobulin Antibody (86800) | $118 | $236 | 7.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $377.50 | $755 | 7.4× |
| Thyroxine binding globulin (84442) | $109 | $218 | 7.4× |
| Tiss cul neo disorders solid tumor (88239) | $1,616.50 | $3,233 | 11.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $90 | $180 | 7.8× |
| Tissue Culture (88233) | $1,044.50 | $2,089 | 7.4× |
| Tissue Culture Amniotic Fluid (88235) | $1,197.50 | $2,395 | 8.0× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$869.50–$1,122.50 | $1,739–$2,245 | varies |
| Tissue Culture Lymphocyte (88230) | $864 | $1,728 | 7.4× |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$120–$133.50 | $240–$267 | varies |
| Topiramate (80201) | $89 | $178 | 7.5× |
| Total Tau (84394) | $344 | $688 | 2.7× |
| Touch prep (88161) | $171 | $342 | 6.1× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $146.50 | $293 | 7.4× |
| Toxoplasma ab igm (86778) | $106.50 | $213 | 7.4× |
| Toxoplasma antibody (86777) | $106.50 | $213 | 7.4× |
| Tp53 gene analysis targeted sequence analysis (81352) | $341.50 | $683 | 1.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $38.50 | $77 | 7.4× |
| Transferrin (84466) | $94.50 | $189 | 7.4× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $94.60 | $189.20 | 0.5× |
| Trg gene rearrangement anal (81342) | $94.60 | $189.20 | 0.5× |
| Trichinella Antibody (86784) | $141 | $282 | 11.2× |
| Trichomonas Vaginalis Amplif (87661) | $250 | $500 | 7.1× |
| Triglycerides (84478) | $43 | $86 | 7.5× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$104–$169 | $208–$338 | varies |
| Trypsin feces qual (84488) | $76 | $152 | 10.4× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$592.50–$889.50 | $1,185–$1,779 | varies |
| Tumor Immunohistochem/Manual (88360) | $611.50 | $1,223 | 3.7× |
| Ugt1a1 gene analysis common variants (81350) | $125 | $250 | 0.5× |
| Unlisted miscellaneous pathology test (89240) | $82 | $164 | 1.6× |
| Urea Nitrogen Clearance (84545) | $63 | $126 | 8.8× |
| Urea nitrogen urine (84540) | $41.50 | $83 | 7.5× |
| Uric acid other source (84560) | $37.50 | $75 | 7.4× |
| Urinalysis Microscopic Only (81015) | $26 | $52 | 8.5× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $31 | $62 | 14.3× |
| Urinalysis Volume Measure (81050) | $27 | $54 | 7.4× |
| Urine Albumin Semiquantitative (82044) | $37.50 | $75 | 6.0× |
| Urine Bacteria Culture (87088) | $60 | $120 | 7.4× |
| Urine Pregnancy Test (81025) | $64 | $128 | 7.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $25.50 | $51 | 8.0× |
| Valproic acid (80164) | $100.50 | $201 | 7.4× |
| Vancomycin (80202) | $100.50 | $201 | 7.4× |
| Varicella-zoster antibody (86787) | $132.50 | $265 | 10.3× |
| Vasopressin (84588) | $270 | $540 | 8.0× |
| Very Long Chain Fatty Acids (82726) | $261.50 | $523 | 13.2× |
| Viral Culture (87252) | $193.50 | $387 | 7.4× |
| Virus antibody nos (86790) range across 7 matching MRF lines |
$269.50–$377 | $539–$754 | varies |
| Virus inoculate tissue addl (87253) | $189 | $378 | 9.4× |
| Virus inoculation, shell via (87254) range across 3 matching MRF lines |
$158.50–$197.50 | $317–$395 | varies |
| Viscosity serum (85810) | $86.50 | $173 | 7.4× |
| Vit D 1 25-Dihydroxy (82652) | $285.50 | $571 | 7.4× |
| Vitamin A (84590) | $86 | $172 | 7.4× |
| Vitamin b-12 (82607) | $112 | $224 | 7.4× |
| Vitamin B2 (Riboflavin) (84252) | $150.50 | $301 | 7.4× |
| Vitamin B6 (84207) | $208 | $416 | 7.4× |
| Vitamin c (82180) | $74 | $148 | 7.5× |
| Vitamin D 25-Hydroxy (82306) | $219.50 | $439 | 7.4× |
| Vitamin E (84446) | $105.50 | $211 | 7.4× |
| Vitamin K (84597) | $110 | $220 | 8.0× |
| Volatiles (84600) | $193.50 | $387 | 11.3× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $690.50 | $1,381 | 57.3× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $1,044.50 | $2,089 | 6.3× |
| Von willebrand factor ag (85246) | $179 | $358 | 7.8× |
| Wbc Alkaline Phosphatase Count (85540) | $103 | $206 | 12.0× |
| West nile virus ab igm (86788) | $125 | $250 | 7.4× |
| West Nile Virus Antibody (86789) | $106.50 | $213 | 7.4× |
| Western Blot Test (84181) range across 2 matching MRF lines |
$161–$209 | $322–$418 | varies |
| Xm Archive Tissue Molec Anal (88363) | $120.50 | $241 | 4.3× |
| Xylose Absorption Test (84620) | $358.50 | $717 | 27.8× |
| Zika Virus Dna/Rna Amp Probe (87662) | $369 | $738 | 7.2× |
| Zika Virus Igm Antibody (86794) range across 2 matching MRF lines |
$189–$244.50 | $378–$489 | varies |
| Zinc (84630) | $130 | $260 | 11.4× |
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.