Lab & pathology prices at Novant Health Medical Park Hospital
Winston-Salem, NC · every code in this section with a posted price and a Medicare benchmark.
962 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $203.40 | $339 | 8.9× |
| 5 Nucleotidase (83915) | $106.20 | $177 | 9.5× |
| Abl1 gene analysis kinase domain variants (81170) | $443.84 | $739.73 | 1.5× |
| Acetylcholine receptor binding antibody (86041) | $172.80 | $288 | 9.4× |
| Acetylcholine receptor blocking antibody (86042) | $172.80 | $288 | 9.4× |
| Acetylcholinesterase Assay (82013) | $217.20 | $362 | 17.7× |
| Acetylcholn Rcptr Modlg Antb (86043) | $170.40 | $284 | 14.1× |
| Acth (82024) | $343.20 | $572 | 8.9× |
| Actin smooth muscle antibody each (86015) | $108 | $180 | 9.0× |
| Acute hepatitis panel (80074) | $447 | $745 | 9.4× |
| Acylcarnitines Quant (82017) | $161.40 | $269 | 9.6× |
| Adenovirus antibody (86603) | $25.20 | $42 | 2.0× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $573.60 | $956 | 8.9× |
| Albumin Fluid (82042) | $72.60 | $121 | 9.3× |
| Albumin serum (82040) | $43.80 | $73 | 8.8× |
| Aldolase (82085) | $87 | $145 | 9.0× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$314.40–$363 | $524–$605 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$138.60–$148.80 | $231–$248 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $80.40 | $134 | 10.1× |
| Allergen specific ige (86003) range across 4 matching MRF lines |
$30–$70.80 | $50–$118 | varies |
| Allergen specific igg (86001) | $139.20 | $232 | 17.8× |
| Allg Spec Ige Recomb Ea (86008) | $159 | $265 | 8.9× |
| Alpha-1-antitrypsin phenotype (82104) | $189.60 | $316 | 13.1× |
| Alpha-1-antitrypsin total (82103) | $120 | $200 | 8.9× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $192 | $320 | 11.3× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$121.80–$156.60 | $203–$261 | varies |
| Alt (sgpt) (84460) | $48 | $80 | 9.1× |
| Aluminum (82108) range across 2 matching MRF lines |
$184.80–$255.60 | $308–$426 | varies |
| Amikacin trough (80150) range across 3 matching MRF lines |
$99.60–$151.80 | $166–$253 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $364.80 | $608 | 15.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$515.40–$726.60 | $859–$1,211 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $167.40 | $279 | 12.1× |
| Amino Acids Quant 2-5 (82136) range across 3 matching MRF lines |
$312–$509.40 | $520–$849 | varies |
| Aminolevulinic acid (ala) (82135) | $162 | $270 | 9.8× |
| Ammonia (82140) | $129.60 | $216 | 8.9× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $681.60 | $1,136 | 6.9× |
| Amylase urine (82150) range across 4 matching MRF lines |
$58.20–$69.60 | $97–$116 | varies |
| Ana Titer (86039) | $135 | $225 | 12.1× |
| Anca screen each antibody (86036) | $108 | $180 | 9.0× |
| Anca Titer Each Antibody (86037) | $108 | $180 | 9.0× |
| Androstenedione (82157) | $274.20 | $457 | 9.4× |
| Angiotensin converting enzyme csf (82164) | $148.80 | $248 | 10.2× |
| Anti-Phospholipid Antibody (86148) range across 4 matching MRF lines |
$142.80–$169.80 | $238–$283 | varies |
| Antibody aspergillus (86606) | $106.80 | $178 | 7.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $81.60 | $136 | 6.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 4 matching MRF lines |
$233.40–$236.40 | $389–$394 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $150 | $250 | 8.9× |
| Antibody Encephalitis California La Crosse (86651) | $159 | $265 | 12.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $122.40 | $204 | 9.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $135.60 | $226 | 8.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $170.40 | $284 | 9.4× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$149.40–$190.80 | $249–$318 | varies |
| Antibody haemophilus influenza (86684) | $232.20 | $387 | 14.7× |
| Antibody helicobacter pylori (86677) | $159 | $265 | 9.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $127.80 | $213 | 8.9× |
| Antibody Herpes Smplx Type 1 (86695) | $160.20 | $267 | 12.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $122.40 | $204 | 8.9× |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$120.60–$224.40 | $201–$374 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 3 matching MRF lines |
$796.20–$3,251.40 | $1,327–$5,419 | varies |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $751.80 | $1,253 | 7.9× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $643.80 | $1,073 | 7.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $155.40 | $259 | 8.0× |
| Antibody identification leukocyte antibodies (86021) | $109.20 | $182 | 7.3× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$119.40–$195.60 | $199–$326 | varies |
| Antibody Titer (86886) | $154.20 | $257 | 29.8× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$109.80–$159 | $183–$265 | varies |
| Antibody; encephalitis, st. louis (86653) | $159 | $265 | 12.1× |
| Antibody; influenza virus (86710) | $26.40 | $44 | 1.9× |
| Antigen typing (86905) | $280.80 | $468 | 73.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $214.20 | $357 | 37.4× |
| Antinomyces antibody (86602) | $166.20 | $277 | 16.3× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$207.60–$252 | $346–$420 | varies |
| Antistreptolysin O Screen (86063) | $87.60 | $146 | 15.2× |
| Antistreptolysin o titer (86060) | $65.40 | $109 | 9.0× |
| Antithrombin iii activity (85300) | $101.40 | $169 | 8.6× |
| Antithrombin iii antigen (85301) | $95.40 | $159 | 8.8× |
| Apolipoprotein a1 (82172) | $198 | $330 | 9.4× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $1,317.60 | $2,196 | 34.9× |
| Aquaporin-4 Antb Cba Each (86052) | $1,279.80 | $2,133 | 106.2× |
| Aquaporin-4 Antb Elisa (86051) | $628.80 | $1,048 | 54.5× |
| Arsenic (82175) range across 3 matching MRF lines |
$137.40–$178.20 | $229–$297 | varies |
| Aspa gene analysis common variants (81200) | $810.60 | $1,351 | 17.2× |
| Aspergillus ag eia (87305) | $212.40 | $354 | 17.7× |
| Assay activated protein c (85307) | $130.80 | $218 | 8.5× |
| Assay Blood Carbon Dioxide (82374) | $64.80 | $108 | 13.3× |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$129.60–$167.40 | $216–$279 | varies |
| Assay of 5-hiaa (83497) | $114.60 | $191 | 8.9× |
| Assay of anti-mullerian hormone (82166) | $343.20 | $572 | 8.9× |
| Assay of b-hexosaminidase each assay (83080) | $503.40 | $839 | 29.8× |
| Assay of blood/uric acid (84550) | $40.20 | $67 | 8.9× |
| Assay of calcium in urine (82340) | $52.80 | $88 | 8.8× |
| Assay of cpk in blood (82552) | $139.80 | $233 | 10.4× |
| Assay of estrone (82679) | $234 | $390 | 9.4× |
| Assay of g6pd enzyme (82955) | $90.60 | $151 | 9.3× |
| Assay of gammaglobulin igm (82784) | $82.80 | $138 | 8.9× |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$196.80–$225.60 | $328–$376 | varies |
| Assay of manganese (83785) | $267.60 | $446 | 10.0× |
| Assay of metanephrines (83835) | $156 | $260 | 9.2× |
| Assay of phosphatase acid total (84060) | $160.20 | $267 | 21.0× |
| Assay of phosphatase alkaline heat stable (84078) | $61.20 | $102 | 7.4× |
| Assay of proinsulin (84206) | $237.60 | $396 | 8.9× |
| Assay of prostate specific antigen complexed (84152) | $372 | $620 | 20.2× |
| Assay of pyruvate (84210) | $55.20 | $92 | 3.8× |
| Assay of serotonin (84260) | $311.40 | $519 | 10.1× |
| Assay of serum potassium (84132) | $42 | $70 | 8.8× |
| Assay of Sialic Acid (84275) | $166.20 | $277 | 12.4× |
| Assay of sweat sodium (84302) | $83.40 | $139 | 17.2× |
| Assay of transcortin (84449) | $307.80 | $513 | 17.1× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$34.80–$43.20 | $58–$72 | varies |
| Assay of urine vma (84585) | $148.80 | $248 | 9.6× |
| Assay of vasoactive intestinal peptide (84586) | $355.20 | $592 | 10.1× |
| Assay of vitamin b-1 (84425) | $189 | $315 | 8.9× |
| Assay Ph Body Fluid Nos (83986) | $31.80 | $53 | 8.9× |
| Assay Phosphohexose Enzymes (84087) | $124.80 | $208 | 11.6× |
| Assay spec xcp ur&breath ia (82077) | $358.80 | $598 | 20.8× |
| Asy carbamazepin 10,11-epxid (80161) | $154.80 | $258 | 8.3× |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) | $52.80 | $88 | 0.4× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) | $52.80 | $88 | 0.4× |
| ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) | $52.80 | $88 | 0.4× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) | $52.80 | $88 | 0.4× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) | $52.80 | $88 | 0.4× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) | $52.80 | $88 | 0.4× |
| ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) | $52.80 | $88 | 0.4× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $593.40 | $989 | 0.7× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $499.20 | $832 | 3.0× |
| Automated Leukocyte Count (85048) | $61.20 | $102 | 24.1× |
| B cells total count (86355) | $336 | $560 | 8.9× |
| Babesia microti amp prb (87469) | $379.80 | $633 | 10.8× |
| Bacterial antigens 87802 (87802) | $175.20 | $292 | 13.8× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$73.80–$78 | $123–$130 | varies |
| Bckdhb Gene Analysis Common Variants (81205) | $810.60 | $1,351 | 8.5× |
| Bcr/abl1 gene major bp (81206) | $54.90 | $91.50 | 0.3× |
| Bcr/abl1 gene minor bp (81207) | $54.90 | $91.50 | 0.4× |
| Beta 2 glycoprotein i antibody each (86146) | $229.20 | $382 | 9.0× |
| Beta hydroxybutyrate (82010) | $178.80 | $298 | 21.9× |
| Beta Lactamase (87185) | $44.40 | $74 | 9.3× |
| Beta-2 Microglobulin (82232) | $196.80 | $328 | 12.2× |
| Bile acids total (82239) | $152.40 | $254 | 8.9× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$44.40–$60 | $74–$100 | varies |
| Bilirubin total (82247) | $97.80 | $163 | 19.5× |
| Biotinidase (82261) | $220.80 | $368 | 13.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $41.40 | $69 | 12.1× |
| Blastomyces antibody (86612) | $121.20 | $202 | 9.4× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $302.40 | $504 | 10.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $242.40 | $404 | 1.5× |
| Bld Typing Serologic Rh Phnt (86906) | $30.60 | $51 | 3.9× |
| Bleeding time test (85002) | $58.80 | $98 | 12.2× |
| Blm Gene (81209) | $810.60 | $1,351 | 20.6× |
| Blood Count Automated Differential Wbc Count (85004) | $49.80 | $83 | 7.7× |
| Blood Count Manual Cell Count Each (85032) | $31.20 | $52 | 7.2× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $45 | $75 | 8.9× |
| Blood Count Red Blood Cell Automated (85041) range across 2 matching MRF lines |
$25.20–$26.40 | $42–$44 | varies |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$35.40–$42 | $59–$70 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $38.40 | $64 | 10.1× |
| Blood gas (82803) | $212.40 | $354 | 8.1× |
| Blood gases w/02 saturation (82805) | $242.40 | $404 | 3.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $149.40 | $249 | 9.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $31.80 | $53 | 7.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 9 matching MRF lines |
$280.80–$561 | $468–$935 | varies |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$92.40–$201 | $154–$335 | varies |
| Body fluid cell count (89050) | $60 | $100 | 12.7× |
| Bone marrow smear interpretation (85097) | $567 | $945 | 0.7× |
| Bordetella antibody (86615) | $132 | $220 | 10.0× |
| Braf gene analysis (81210) | $231 | $385 | 1.3× |
| Brca1&2 gen full seq dup/del (81162) | $1,181.01 | $1,968.35 | 0.6× |
| Breath Alcohol Test (82075) | $57.60 | $96 | 1.9× |
| Brucella antibody (86622) | $83.40 | $139 | 9.3× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$331.80–$354 | $553–$590 | varies |
| C-Peptide (84681) | $159 | $265 | 7.6× |
| C-reactive protein (86140) | $46.20 | $77 | 8.9× |
| Ca 19-9 (86301) | $195.60 | $326 | 9.4× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) | $52.80 | $88 | 0.4× |
| Cadmium (82300) | $145.20 | $242 | 6.1× |
| Caffeine (80155) | $258.60 | $431 | 6.7× |
| Calcitonin (82308) | $255 | $425 | 9.5× |
| Calcium ionized (82330) | $121.80 | $203 | 8.9× |
| Calcium total (82310) range across 4 matching MRF lines |
$46.20–$57.60 | $77–$96 | varies |
| Calculus assay quant (82360) | $121.20 | $202 | 9.4× |
| Calculus Spectroscopy (82365) | $98.40 | $164 | 7.6× |
| Calprotectin Fecal (83993) | $346.20 | $577 | 17.6× |
| Calr gene com variants (81219) range across 3 matching MRF lines |
$196.80–$237 | $328–$395 | varies |
| Cancer Antigen 125 (86304) | $186 | $310 | 8.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$186–$199.20 | $310–$332 | varies |
| Candida antibody (86628) | $151.80 | $253 | 12.6× |
| Candida Dna Dir Probe (87480) | $145.80 | $243 | 7.3× |
| Carbamazepine free (80157) | $118.20 | $197 | 8.9× |
| Carbamazepine total (80156) | $129.60 | $216 | 8.9× |
| Carbohydrate Deficient Transferrin (82373) | $204 | $340 | 11.3× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$110.40–$124.20 | $184–$207 | varies |
| Carcinoembryonic antigen (82378) | $169.80 | $283 | 9.0× |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$168.60–$177.60 | $281–$296 | varies |
| Carnitine Quantitative Each Specimen (82379) | $183 | $305 | 10.8× |
| Carotene (82380) | $82.20 | $137 | 8.9× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$190.20–$236.40 | $317–$394 | varies |
| Ccp antibody (86200) | $114.60 | $191 | 8.8× |
| Cell count csf (89051) | $227.40 | $379 | 40.6× |
| Cell enumeration & id (86152) | $2,963.40 | $4,939 | 11.8× |
| Cell marker study (88182) | $375 | $625 | 7.4× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $985.80 | $1,643 | 7.3× |
| Ceruloplasmin (82390) | $96 | $160 | 8.9× |
| Cftr gene com variants (81220) range across 4 matching MRF lines |
$40.80–$94.85 | $68–$158.09 | varies |
| Cftr gene full sequence (81223) | $2,493 | $4,155 | 5.0× |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$242.40–$312 | $404–$520 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) range across 3 matching MRF lines |
$60–$150 | $100–$250 | varies |
| Chimerism w/comp to baseline w/o cell selection (81267) | $75 | $125 | 0.4× |
| Chlamydia antibody (86631) range across 4 matching MRF lines |
$110.40–$204 | $184–$340 | varies |
| Chlamydia Igm Antibody (86632) | $116.40 | $194 | 9.2× |
| Chlamydia trachomatis ag if (87270) | $118.20 | $197 | 9.9× |
| Chloride other source (82438) range across 2 matching MRF lines |
$89.40–$138 | $149–$230 | varies |
| Chloride Serum (82435) | $40.80 | $68 | 8.9× |
| Chloride urine (82436) range across 2 matching MRF lines |
$42–$54 | $70–$90 | varies |
| Chlorinated Hydrocarbons Screen (82441) | $72.60 | $121 | 12.1× |
| Cholesterol total (82465) | $56.40 | $94 | 13.0× |
| Cholinesterase rbc (82482) | $71.40 | $119 | 7.3× |
| Cholinesterase Serum (82480) | $69 | $115 | 8.8× |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
$122.40–$156 | $204–$260 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $1,515.60 | $2,526 | 8.0× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $60.60 | $101 | 2.3× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $421.80 | $703 | 12.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $71.40 | $119 | 2.1× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $2,152.20 | $3,587 | 12.4× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $2,152.20 | $3,587 | 12.4× |
| Chromium serum (82495) | $193.20 | $322 | 9.5× |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
$327–$483.60 | $545–$806 | varies |
| Chromogranin a (86316) range across 3 matching MRF lines |
$186–$199.20 | $310–$332 | varies |
| Chromosome analys amniotic (88269) | $1,260.60 | $2,101 | 7.3× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$933–$1,117.80 | $1,555–$1,863 | varies |
| Chromosome Analysis 20-25 (88264) | $1,104.60 | $1,841 | 7.6× |
| Chromosome analysis, 5 (88261) | $504.60 | $841 | 1.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $209.40 | $349 | 6.0× |
| Citric acid urine (82507) | $336 | $560 | 12.1× |
| Ckmb (82553) | $105.60 | $176 | 9.1× |
| Clostridium Difficile (87324) | $107.40 | $179 | 9.0× |
| Clot Factor VIII Multimetric (85247) | $247.20 | $412 | 10.8× |
| Clot factor xiii fibrin stab (85290) | $184.20 | $307 | 11.3× |
| Clotting factor xii hageman (85280) | $172.20 | $287 | 8.9× |
| Clotting Funct Activity (85397) | $358.80 | $598 | 11.6× |
| Cns DNA amp probe type 12-25 (87483) | $3,711 | $6,185 | 8.9× |
| Coagulation time activated (85347) | $46.20 | $77 | 10.8× |
| Coccidioides antibody (86635) | $108 | $180 | 9.4× |
| Cold agglutinin screen (86156) | $75.60 | $126 | 9.4× |
| Cold agglutinin titer (86157) | $73.80 | $123 | 9.2× |
| Collagen crosslinks (82523) | $210 | $350 | 11.2× |
| Column Chromotography Quant (82542) range across 10 matching MRF lines |
$337.80–$426.60 | $563–$711 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $105 | $175 | 0.5× |
| Compatibility Each Unit Incubation (86921) | $109.20 | $182 | 0.7× |
| Compatibility test antiglob (86922) | $193.20 | $322 | 1.2× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$107.40–$127.80 | $179–$213 | varies |
| Complement Total (Ch50) (86162) | $181.20 | $302 | 8.9× |
| Complement/Function Activity (86161) | $91.80 | $153 | 7.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $1,180.80 | $1,968 | 7.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $334.80 | $558 | 6.6× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $340.80 | $568 | 9.4× |
| Coombs direct (86880) range across 7 matching MRF lines |
$64.20–$111.60 | $107–$186 | varies |
| Copper urine (82525) range across 4 matching MRF lines |
$100.20–$111 | $167–$185 | varies |
| Cortisol free (82530) | $149.40 | $249 | 8.9× |
| Cortisol saliva (82533) range across 7 matching MRF lines |
$164.40–$178.20 | $274–$297 | varies |
| Creatine (82540) | $33.60 | $56 | 7.2× |
| Creatine kinase total (82550) | $58.20 | $97 | 8.9× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$45–$57.60 | $75–$96 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$76.80–$84 | $128–$140 | varies |
| Creatinine Urine (82570) | $46.20 | $77 | 8.9× |
| Crossmatch electronic (86923) | $143.40 | $239 | 0.9× |
| Crossmatch immediate spin (86920) | $181.20 | $302 | 1.1× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$114.60–$141 | $191–$235 | varies |
| Cryofibrinogen (82585) | $111.60 | $186 | 7.9× |
| Cryoglobulin (82595) | $58.20 | $97 | 9.0× |
| Cryptococcus ab (86641) | $127.80 | $213 | 8.9× |
| Cryptococcus ag titer (87899) range across 8 matching MRF lines |
$129.60–$168.60 | $216–$281 | varies |
| Cryptosporidium ag eia (87328) | $199.80 | $333 | 14.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $174 | $290 | 21.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $236.40 | $394 | 29.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $95.40 | $159 | 12.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,941.60 | $3,236 | 8.9× |
| Culture aerobic quant other (87071) | $88.80 | $148 | 9.0× |
| Culture afb (87116) range across 2 matching MRF lines |
$85.20–$96.60 | $142–$161 | varies |
| Culture Anaerobic (87075) | $84 | $140 | 8.9× |
| Culture blood (87040) | $92.40 | $154 | 9.0× |
| Culture chlamydia (87110) | $186.60 | $311 | 9.5× |
| Culture csf (87070) range across 16 matching MRF lines |
$67.80–$186.60 | $113–$311 | varies |
| Culture fungus (87102) | $109.20 | $182 | 13.0× |
| Culture fungus blood (87103) | $105 | $175 | 5.1× |
| Culture screen only (87081) range across 10 matching MRF lines |
$104.40–$186.60 | $174–$311 | varies |
| Culture stool (87045) | $83.40 | $139 | 8.8× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $99 | $165 | 7.9× |
| Culture typing if ea antiserum (87140) | $53.40 | $89 | 9.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 4 matching MRF lines |
$46.20–$57.60 | $77–$96 | varies |
| Culture typing other methods (87158) | $63 | $105 | 8.1× |
| Culture urine (87086) | $72 | $120 | 8.9× |
| Cyanide (82600) | $234 | $390 | 12.1× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $103.80 | $173 | 7.2× |
| Cyclosporine (80158) | $160.80 | $268 | 8.9× |
| Cyp2c19 gene analysis common variants (81225) | $133.98 | $223.30 | 0.5× |
| Cyp2c9 gene com variants (81227) | $181.20 | $302 | 1.0× |
| Cystatin C (82610) | $165 | $275 | 8.9× |
| Cytogenetics 10-30 (88273) | $399 | $665 | 11.5× |
| Cytogenetics 100-300 (88275) | $487.80 | $813 | 9.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$606–$734.40 | $1,010–$1,224 | varies |
| Cytogenomic neo microra alys (81277) | $1,108.49 | $1,847.48 | 1.0× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$157.80–$291 | $263–$485 | varies |
| Cytopath C/V Index Add-On (88155) | $106.20 | $177 | 7.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $148.80 | $248 | 7.3× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$345–$375 | $575–$625 | varies |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) | $306.60 | $511 | 7.3× |
| Cytotoxic Antibody Screen Std (86807) | $591 | $985 | 7.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $141.60 | $236 | 5.3× |
| Cytp Concentration Smears & Interpretation (88108) | $358.80 | $598 | 9.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $484.20 | $807 | 9.6× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $316.20 | $527 | 1.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $168 | $280 | 4.6× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,180.80 | $1,968 | 7.1× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $128.40 | $214 | 6.9× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $375 | $625 | 7.4× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $205.20 | $342 | 7.3× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $1,676.40 | $2,794 | 10.1× |
| Deoxycortisol (82634) | $353.40 | $589 | 12.1× |
| Deoxyribonuclease antibody (86215) | $118.20 | $197 | 8.9× |
| Desoxycorticosterone (82633) | $373.80 | $623 | 12.1× |
| Detect Agent Nos Dna Amp (87798) range across 25 matching MRF lines |
$226.20–$708 | $377–$1,180 | varies |
| Detect Agent Nos Dna Quant (87799) range across 10 matching MRF lines |
$521.40–$1,321.80 | $869–$2,203 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$104.40–$502.20 | $174–$837 | varies |
| Dgp Antibody Each Ig Class (86258) | $108 | $180 | 9.0× |
| Dhea (82626) | $224.40 | $374 | 8.9× |
| Dhea-S (82627) | $208.20 | $347 | 9.4× |
| Dibucaine number (82638) | $109.80 | $183 | 9.0× |
| Digoxin (80162) | $118.20 | $197 | 8.9× |
| Dihydrotestosterone (82642) | $254.40 | $424 | 8.7× |
| Diphtheria antitoxoid (86648) | $175.80 | $293 | 11.6× |
| Dipropylacetic Acid Free (80165) | $149.40 | $249 | 11.0× |
| Dna Antibody Native/Double Stranded (86225) | $234.60 | $391 | 17.1× |
| Dna Antibody Single Stranded (86226) | $147 | $245 | 12.1× |
| Dna/Rna Amplified Probe (87150) | $334.80 | $558 | 9.5× |
| DNA/RNA direct probe (87149) | $191.40 | $319 | 9.5× |
| Dna/Rna Sequencing (87153) | $1,158 | $1,930 | 10.0× |
| Dpyd gene common variants (81232) | $153.03 | $255.05 | 0.9× |
| Drug assay acetaminophen (80143) | $166.20 | $277 | 8.9× |
| Drug assay adalimumab (80145) | $387.60 | $646 | 10.0× |
| Drug Assay Amiodarone (80151) | $166.20 | $277 | 8.9× |
| Drug Assay Everolimus (80169) | $138.60 | $231 | 10.1× |
| Drug assay felbamate (80167) | $238.80 | $398 | 12.8× |
| Drug Assay Infliximab (80230) | $343.20 | $572 | 8.9× |
| Drug Assay Lacosamide (80235) | $770.40 | $1,284 | 28.4× |
| Drug Assay Leflunomide (80193) | $280.20 | $467 | 7.3× |
| Drug Assay Posaconazole (80187) | $155.40 | $259 | 5.7× |
| Drug Assay Vedolizumab (80280) | $343.20 | $572 | 8.9× |
| Drug assay voriconazole (80285) | $255.60 | $426 | 9.4× |
| Drug Screen Quant Clozapine (80159) | $180 | $300 | 8.9× |
| Drug Screen Quant Zonisamide (80203) | $167.40 | $279 | 12.6× |
| Drug Screen Quantitative Gabapentin (80171) range across 2 matching MRF lines |
$157.20–$192.60 | $262–$321 | varies |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$118.20–$145.20 | $197–$242 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $118.20 | $197 | 8.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $118.20 | $197 | 8.9× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $201.60 | $336 | 12.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 41 matching MRF lines |
$4.80–$712.80 | $8–$1,188 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $91.80 | $153 | 7.3× |
| Drug Test Prsmv Instrmnt (80306) | $124.20 | $207 | 7.2× |
| Egfr Gene Analysis Common Variants (81235) | $249.60 | $416 | 0.8× |
| Ehrlichia antibody (86666) | $90.60 | $151 | 8.9× |
| El-1 Fecal Quantitative (82653) | $343.20 | $572 | 14.9× |
| Electrolyte panel (80051) | $62.40 | $104 | 8.9× |
| Electron Microscopy (88348) | $1,945.20 | $3,242 | 2.5× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $498.60 | $831 | 8.1× |
| Encephaltis East Eqne Anbdy (86652) | $159 | $265 | 12.1× |
| Encephaltis West Eqne Antbdy (86654) | $159 | $265 | 12.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $108 | $180 | 8.9× |
| Enterovirus Antibody (86658) range across 5 matching MRF lines |
$79.80–$104.40 | $133–$174 | varies |
| Enterovirus PCR (87498) | $469.80 | $783 | 13.4× |
| Enzyme cell activity (82657) | $511.80 | $853 | 23.1× |
| Enzyme histochemistry (88319) | $637.20 | $1,062 | 0.8× |
| Eosinophil Smear (89190) | $72 | $120 | 12.4× |
| Erythropoietin (82668) | $167.40 | $279 | 8.9× |
| Estradiol serum (82670) | $248.40 | $414 | 8.9× |
| Estriol (82677) | $175.80 | $293 | 7.3× |
| Estrogen total (82672) | $207 | $345 | 9.5× |
| Estrogens fractionated (82671) | $390 | $650 | 12.1× |
| Ethosuximide (80168) | $156 | $260 | 9.5× |
| Ethylene Glycol (82693) | $132 | $220 | 8.9× |
| Euglobulin lysis (85360) | $91.80 | $153 | 10.9× |
| Exam Synovial Fluid Crystals (89060) | $65.40 | $109 | 8.9× |
| F2 Gene (81240) | $26.40 | $44 | 0.4× |
| Factor ii activity (85210) | $120 | $200 | 9.2× |
| Factor Inhibitor Test (85335) | $293.40 | $489 | 22.8× |
| Factor ix activity (85250) range across 2 matching MRF lines |
$286.20–$468.60 | $477–$781 | varies |
| Factor v activity (85220) | $336 | $560 | 19.0× |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$21.60–$173.25 | $36–$288.75 | varies |
| Factor vii assay (85230) | $327.60 | $546 | 18.3× |
| Factor viii assay (85240) | $204 | $340 | 11.4× |
| Factor X (85260) range across 2 matching MRF lines |
$358.20–$453.60 | $597–$756 | varies |
| Factor xi activity (85270) | $159 | $265 | 8.9× |
| Factor xiii screen (85291) | $93 | $155 | 10.2× |
| Fancc Gene (81242) | $224.40 | $374 | 6.1× |
| Fat/Lipids Feces Quantitative (82710) | $160.20 | $267 | 9.5× |
| Fatty acids free (82725) | $43.80 | $73 | 2.3× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $126.60 | $211 | 16.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $375.60 | $626 | 21.8× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $98.40 | $164 | 15.1× |
| Fecal Fat Qualitative (82705) | $58.80 | $98 | 11.5× |
| Ferritin (82728) | $121.80 | $203 | 8.9× |
| Fetal Chrmoml Aneuploidy (81420) range across 6 matching MRF lines |
$116.67–$500.85 | $194.45–$834.75 | varies |
| Fetal Chrmoml Microdeltj (81422) range across 3 matching MRF lines |
$116.67–$250.65 | $194.45–$417.75 | varies |
| Fetal Fibronectin (82731) | $573.60 | $956 | 8.9× |
| Fetal hemoglobin assay qual (83033) | $72 | $120 | 9.0× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $227.40 | $379 | 12.0× |
| Fetal screen rosette (85461) | $72 | $120 | 7.7× |
| Fibrin degradation products (85362) | $63 | $105 | 9.1× |
| Fibrin Degradation Quant (85379) | $90.60 | $151 | 8.9× |
| Fibrinogen activity (85384) | $87 | $145 | 9.0× |
| Fibrinogen antigen (85385) | $138 | $230 | 9.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $43.80 | $73 | 2.8× |
| Flecainide level (80181) | $166.20 | $277 | 8.9× |
| Flow cytometry first marker (88184) | $447 | $745 | 1.3× |
| Fluorescent antibody screen (86255) range across 14 matching MRF lines |
$149.40–$510.60 | $249–$851 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 10 matching MRF lines |
$128.40–$328.20 | $214–$547 | varies |
| Fmr1 Gene Charac Alleles (81244) | $72.60 | $121 | 1.6× |
| Fmr1 gene detection (81243) range across 3 matching MRF lines |
$41.40–$63 | $69–$105 | varies |
| Folic acid rbc (82747) | $156.60 | $261 | 8.9× |
| Folic Acid Serum (82746) | $130.20 | $217 | 8.9× |
| Follicle Stimulating Hormone (83001) | $165.60 | $276 | 8.9× |
| Francisella tularensis (86668) | $180 | $300 | 12.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $107.40 | $179 | 0.6× |
| Frozen Blood Each Unit Freezing (86930) | $686.40 | $1,144 | 4.2× |
| Frozen Blood Each Unit Thawing (86931) | $208.20 | $347 | 1.3× |
| Frozen Section (88331) range across 2 matching MRF lines |
$310.80–$326.40 | $518–$544 | varies |
| Fungi Identification Mold (87107) | $169.80 | $283 | 16.5× |
| Fungi Identification Yeast (87106) | $225 | $375 | 21.8× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $810.60 | $1,351 | 13.9× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $525.60 | $876 | 24.9× |
| Gammaglobulin ige (82785) | $154.80 | $258 | 9.4× |
| Gardner vag DNA dir probe (87510) | $145.80 | $243 | 7.3× |
| Gastrin (82941) | $156.60 | $261 | 8.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $3,186 | $5,310 | 7.6× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $810.60 | $1,351 | 17.2× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,500 | $2,500 | 2.0× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$184.20–$246 | $307–$410 | varies |
| Gentamicin (80170) range across 3 matching MRF lines |
$110.40–$165 | $184–$275 | varies |
| Ggt (82977) | $64.20 | $107 | 8.9× |
| Giardia antigen (87329) | $107.40 | $179 | 9.0× |
| Giardia lamblia antibody (86674) | $299.40 | $499 | 20.3× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $72.60 | $121 | 12.0× |
| Glucagon (82943) | $145.80 | $243 | 10.2× |
| Glucose 2 hr pp (82950) range across 6 matching MRF lines |
$42–$55.80 | $70–$93 | varies |
| Glucose Blood Test (82962) | $28.80 | $48 | 8.8× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$50.40–$64.80 | $84–$108 | varies |
| Glucose Serum (82947) range across 7 matching MRF lines |
$26.40–$36.60 | $44–$61 | varies |
| Glucose tolerance test (gtt) (82951) | $162.60 | $271 | 12.6× |
| Glutathione (82978) | $343.80 | $573 | 22.3× |
| Glycated Protein (82985) | $156.60 | $261 | 9.3× |
| Gonadotropin Chorionic Qualitative (84703) | $66.60 | $111 | 8.9× |
| Growth hormone (83003) | $156 | $260 | 9.4× |
| Gtt-added samples (82952) | $28.80 | $48 | 7.3× |
| H Pylori (C-13) Breath (83013) | $631.20 | $1,052 | 9.4× |
| Haloperidol (80173) | $184.20 | $307 | 11.7× |
| Haptoglobin (83010) | $118.20 | $197 | 9.4× |
| Hba1/Hba2 Gene (81257) range across 2 matching MRF lines |
$134.40–$210 | $224–$350 | varies |
| Hbb Full Gene Sequence (81364) | $441 | $735 | 1.4× |
| Hdl Cholesterol (83718) | $99 | $165 | 12.1× |
| Heavy metal qualitative any analytes (83015) | $226.80 | $378 | 10.8× |
| Helicobacter Pylori Stool (87338) | $127.80 | $213 | 8.9× |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $813 | $1,355 | 12.1× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$372–$391.80 | $620–$653 | varies |
| Hematocrit (85014) | $21 | $35 | 8.9× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$21–$30 | $35–$50 | varies |
| Hemoglobin a1c (83036) | $87 | $145 | 9.0× |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$130.80–$138.60 | $218–$231 | varies |
| Hemoglobin electrophoresis (83020) | $114 | $190 | 8.9× |
| Hemoglobin F Fetal Chemical (83030) | $100.20 | $167 | 9.3× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$80.40–$88.80 | $134–$148 | varies |
| Hemoglobin plasma (83051) | $69.60 | $116 | 9.5× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $169.80 | $283 | 19.4× |
| Hemolysins&Agglutinins Incubated (86941) | $146.40 | $244 | 12.1× |
| Hemosiderin urine (83070) | $49.80 | $83 | 10.5× |
| Hep a ab igm (86709) | $99.60 | $166 | 8.8× |
| Heparin assay (85520) range across 4 matching MRF lines |
$199.80–$258.60 | $333–$431 | varies |
| Heparin Neutralization (85525) | $166.80 | $278 | 14.1× |
| Hepatitis a antibody total (86708) | $111 | $185 | 9.0× |
| Hepatitis b core ab igm (86705) | $104.40 | $174 | 8.9× |
| Hepatitis b core ab total (86704) | $108 | $180 | 9.0× |
| Hepatitis B Surface Antibody (86706) | $96 | $160 | 8.9× |
| Hepatitis B Surface Antigen (87340) | $92.40 | $154 | 8.9× |
| Hepatitis Be Antibody (86707) | $103.20 | $172 | 8.9× |
| Hepatitis Be Antigen (87350) | $108 | $180 | 9.4× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$126.60–$156.60 | $211–$261 | varies |
| Hepatitis c antibody confirmatory test (86804) | $163.20 | $272 | 10.5× |
| Hepatitis C Genotype (87902) | $1,116.60 | $1,861 | 4.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $351.60 | $586 | 10.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $378 | $630 | 8.8× |
| Hepatitis delta ag (87380) | $187.20 | $312 | 10.2× |
| Hepatitis Delta Agent Antibody (86692) | $164.40 | $274 | 9.6× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$175.80–$306.60 | $293–$511 | varies |
| Heterophile antibodies titer (86309) | $76.80 | $128 | 11.9× |
| Heterophile Antibody Screen (86308) | $46.20 | $77 | 8.9× |
| Hexa gene analysis common variants (81255) | $810.60 | $1,351 | 15.8× |
| Hfe Gene (81256) | $36.45 | $60.75 | 0.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $91.80 | $153 | 11.9× |
| Histamine urine (83088) | $214.80 | $358 | 7.3× |
| Histoplasma antibody (86698) | $76.80 | $128 | 5.6× |
| Histoplasma antigen urine (87385) | $206.40 | $344 | 15.6× |
| Hiv Genotype (87901) | $1,868.40 | $3,114 | 7.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $214.80 | $358 | 8.9× |
| Hiv-1 Antibody (86701) range across 3 matching MRF lines |
$85.20–$224.40 | $142–$374 | varies |
| HIV-1 p24 antigen (87390) | $193.20 | $322 | 8.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $663.60 | $1,106 | 7.8× |
| HIV-2 probe&revrse trnscripj (87538) | $328.80 | $548 | 9.4× |
| Hla Class I Typing High Resolution One Locus Ea (81380) range across 6 matching MRF lines |
$45–$220.50 | $75–$367.50 | varies |
| Hla Class I Typing Low Resolution Complete (81372) | $82.20 | $137 | 0.2× |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 5 matching MRF lines |
$12–$750 | $20–$1,250 | varies |
| Hla class i&ii antibody qual (86828) | $644.40 | $1,074 | 10.0× |
| Hla class ii high defin qual (86833) range across 2 matching MRF lines |
$2,563.20–$3,273 | $4,272–$5,455 | varies |
| Hla class ii typing high resolution one locus ea (81382) range across 6 matching MRF lines |
$45–$90 | $75–$150 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $1,134 | $1,890 | 10.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $10.80 | $18 | 0.1× |
| Hla I Typing 1 Allele Hr (81381) range across 2 matching MRF lines |
$24.15–$220.50 | $40.25–$367.50 | varies |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $108 | $180 | 0.5× |
| Hla ii type 1 ag equiv lr (81377) range across 2 matching MRF lines |
$52.50–$55.42 | $87.50–$92.37 | varies |
| Hla ii typing 1 allele hr (81383) | $45 | $75 | 0.4× |
| Hla ii typing 1 locus lr (81376) range across 7 matching MRF lines |
$30–$60 | $50–$100 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) range across 4 matching MRF lines |
$632.40–$697.80 | $1,054–$1,163 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $859.20 | $1,432 | 8.1× |
| Hla-b27 (86812) | $187.20 | $312 | 7.3× |
| Homocysteine (83090) | $153 | $255 | 8.5× |
| Homogenization Tissue (87176) | $97.20 | $162 | 16.5× |
| Homovanillic acid urine (83150) | $221.40 | $369 | 9.9× |
| Hpv High-Risk Types (87624) | $312 | $520 | 8.9× |
| Hpv low-risk types (87623) | $254.40 | $424 | 7.2× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $402.60 | $671 | 5.7× |
| Hpv Types 16 & 18 Only (87625) | $387.60 | $646 | 9.6× |
| Hsv Dna Amp Probe (87529) | $242.40 | $404 | 6.9× |
| Hsv Dna Quant (87530) range across 3 matching MRF lines |
$396–$512.40 | $660–$854 | varies |
| Htlv-I Antibody (86687) range across 2 matching MRF lines |
$91.20–$243.60 | $152–$406 | varies |
| Htlv-ii antibody (86688) range across 2 matching MRF lines |
$133.80–$243.60 | $223–$406 | varies |
| Human Epididymis Protein 4 (86305) | $543 | $905 | 26.1× |
| Hydroxycorticosteroids 17 (83491) | $392.40 | $654 | 21.9× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$197.40–$242.40 | $329–$404 | varies |
| Hydroxyproline free (83500) | $271.80 | $453 | 12.0× |
| Iaad Ia Cytomegalovirus (87332) | $138 | $230 | 11.5× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $196.80 | $328 | 16.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $75 | $125 | 7.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $226.80 | $378 | 16.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $278.40 | $464 | 7.9× |
| Iaad ia shiga-like toxin (87427) | $91.80 | $153 | 7.7× |
| Iaad Ia Streptococcus Group A (87430) | $150 | $250 | 8.9× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $125.40 | $209 | 10.5× |
| Iaadi inffluenza a virus (87276) | $142.80 | $238 | 8.9× |
| Iaadi not otherwise specified each organism (87299) | $131.40 | $219 | 8.2× |
| Iaadi parainfluenza virus each type (87279) range across 4 matching MRF lines |
$133.20–$145.80 | $222–$243 | varies |
| Iaadi pneumocustis carinii (87281) | $107.40 | $179 | 9.0× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $152.40 | $254 | 12.7× |
| Iaadi respiratory synctial virus (87280) | $120 | $200 | 8.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $499.80 | $833 | 14.2× |
| Iadna Bartonella Amplified Probe Technique (87471) | $612 | $1,020 | 17.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $312 | $520 | 8.9× |
| Iadna Candida Species Amplified Probe Tq (87481) | $383.40 | $639 | 10.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $389.40 | $649 | 11.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $526.20 | $877 | 15.0× |
| Iadna Cytomegalovirus Quantification (87497) | $654 | $1,090 | 15.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $669.60 | $1,116 | 9.5× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $312 | $520 | 8.9× |
| Iadna hepatitis b virus amplified probe tq (87516) | $611.40 | $1,019 | 17.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $463.80 | $773 | 10.8× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $468.60 | $781 | 13.4× |
| Iadna Herpes Virus-6 Quantification (87533) | $720 | $1,200 | 17.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$285–$312 | $475–$520 | varies |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) | $517.80 | $863 | 8.8× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $370.20 | $617 | 10.6× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $439.80 | $733 | 5.7× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $243 | $405 | 8.9× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $243 | $405 | 12.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 3 matching MRF lines |
$302.40–$370.80 | $504–$618 | varies |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $210 | $350 | 7.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $566.40 | $944 | 16.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $240.60 | $401 | 6.9× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $156.60 | $261 | 3.1× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $1,035 | $1,725 | 7.3× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $2,575.80 | $4,293 | 9.8× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $225.60 | $376 | 3.1× |
| Ig Light Chains Free Each (83521) | $154.20 | $257 | 8.9× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$72.60–$118.80 | $121–$198 | varies |
| Igh gene rearrange amp meth (81261) | $203.86 | $339.76 | 1.0× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $339.72 | $566.20 | 1.2× |
| Igk rearrangeabn clonal pop (81264) | $203.86 | $339.76 | 1.2× |
| Ikbkap Gene Analysis Common Variants (81260) | $810.60 | $1,351 | 20.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $2,211 | $3,685 | 6.4× |
| Immune Complex Assay (86332) | $377.40 | $629 | 15.5× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$415.80–$512.40 | $693–$854 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 14 matching MRF lines |
$218.40–$613.20 | $364–$1,022 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 20 matching MRF lines |
$51–$68.40 | $85–$114 | varies |
| Immunoassay nonantibody (83516) range across 17 matching MRF lines |
$183–$352.20 | $305–$587 | varies |
| Immunodiffusion not elsewhere specified (86329) | $102 | $170 | 7.3× |
| Immunodiffusion Ouchterlony (86331) | $37.80 | $63 | 3.2× |
| Immunofixation electrophoresis (86334) | $199.80 | $333 | 8.9× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$526.80–$934.20 | $878–$1,557 | varies |
| Immunohistochemistry (88342) | $517.20 | $862 | 3.1× |
| In situ hybridization 1st probe stain (88365) | $558 | $930 | 3.4× |
| In situ hybridization ea multiplex probe stain (88366) | $356.40 | $594 | 2.2× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $133.80 | $223 | 9.3× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $125.40 | $209 | 9.3× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $109.80 | $183 | 9.0× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $243 | $405 | 12.1× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $619.80 | $1,033 | 12.1× |
| Influenza a/b ag eia (87400) | $113.40 | $189 | 8.0× |
| Influenza assay w/optic (87804) | $133.80 | $223 | 8.1× |
| Influenza DNA amp probe (87502) | $607.20 | $1,012 | 6.3× |
| Inhibin A (86336) | $61.20 | $102 | 3.9× |
| Inhibin b (83520) range across 24 matching MRF lines |
$138–$558.60 | $230–$931 | varies |
| Insitu hybridization auto (88367) | $654 | $1,090 | 1.9× |
| Insitu hybridization manual (88368) | $654 | $1,090 | 1.9× |
| Insulin antibodies (86337) | $163.20 | $272 | 7.6× |
| Insulin free (83527) | $121.20 | $202 | 9.4× |
| Insulin total (83525) | $100.80 | $168 | 8.8× |
| Interleukin-6 (83529) | $172.80 | $288 | 10.0× |
| Intrinsic factor antibody (86340) | $134.40 | $224 | 8.9× |
| Iron (83540) range across 2 matching MRF lines |
$58.20–$69.60 | $97–$116 | varies |
| Iron Binding Capacity (83550) | $78.60 | $131 | 9.0× |
| Irradiation Blood Product Each Unit (86945) | $175.20 | $292 | 4.8× |
| Islet cell antibody (86341) | $262.20 | $437 | 11.1× |
| Jak2 gene analysis p.val617phe variant (81270) range across 5 matching MRF lines |
$65.71–$202.20 | $109.52–$337 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $65.71 | $109.52 | 0.4× |
| Ketosteroids 17 total (83586) | $314.40 | $524 | 24.6× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $302.40 | $504 | 0.9× |
| Koh Prep (87220) | $31.20 | $52 | 7.3× |
| Kras Gene Analysis Additional Variant(S) (81276) | $469.20 | $782 | 2.4× |
| L/s ratio (83661) | $265.20 | $442 | 12.1× |
| Lactate (ld) (ldh) enzyme (83615) | $52.80 | $88 | 8.7× |
| Lactoferrin fecal qualitative (83630) | $139.20 | $232 | 7.1× |
| Lactoferrin Fecal Quantitative (83631) | $187.80 | $313 | 9.6× |
| Lamellar Body Count (83664) | $284.40 | $474 | 14.7× |
| Ldh Isoenzymes (83625) | $93 | $155 | 7.3× |
| LDL direct (83721) | $100.20 | $167 | 9.5× |
| Lead (83655) range across 4 matching MRF lines |
$88.20–$113.40 | $147–$189 | varies |
| Legionella antibody (86713) | $184.20 | $307 | 12.0× |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$302.40–$376.20 | $504–$627 | varies |
| Legionella pneumophila dfa (87278) | $139.20 | $232 | 8.9× |
| Leptospira antibody (86720) | $181.20 | $302 | 11.2× |
| Leukocyte Assessment Fecal (89055) | $40.20 | $67 | 9.4× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$216.60–$315 | $361–$525 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$265.80–$315 | $443–$525 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$654–$744 | $1,090–$1,240 | varies |
| Lidocaine (80176) | $130.20 | $217 | 8.9× |
| Lipase (83690) | $141.60 | $236 | 20.6× |
| Lipoprotein A (83695) | $127.20 | $212 | 8.9× |
| Lipoprotein Bld Quan Part (83704) | $217.20 | $362 | 6.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $81.60 | $136 | 7.2× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $465.60 | $776 | 10.1× |
| Listeria Monocytogenes (86723) | $334.20 | $557 | 25.3× |
| Lithium (80178) | $58.80 | $98 | 8.9× |
| Liver ds alys 3 bmrk srm alg (81517) | $240.35 | $400.58 | 1.4× |
| Luteinizing Hormone (Lh) (83002) | $165 | $275 | 8.9× |
| Lyme disease antibody (86618) | $175.20 | $292 | 10.3× |
| Lymphocyte transformation (86353) | $355.80 | $593 | 7.3× |
| Lysozyme serum (85549) | $126 | $210 | 6.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $646.20 | $1,077 | 3.9× |
| M/phmtrc alys ishquant/semiq (88374) | $1,552.80 | $2,588 | 9.4× |
| Macroscopic exam arthropod (87168) | $64.80 | $108 | 15.2× |
| Macroscopic Exam Parasite (87169) | $40.80 | $68 | 9.5× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$58.80–$63.60 | $98–$106 | varies |
| Mass Spectrometry Quant (83789) | $239.40 | $399 | 9.9× |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $810.60 | $1,351 | 20.6× |
| Meat fibers, feces (89160) | $45.60 | $76 | 9.4× |
| Mercury urine (83825) | $152.40 | $254 | 9.4× |
| Methotrexate (80204) | $210 | $350 | 5.4× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$198–$241.20 | $330–$402 | varies |
| Mgmt methylation analysis (81287) | $554.40 | $924 | 4.4× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$51.60–$55.80 | $86–$93 | varies |
| Microbe Suscept Macrobroth (87188) range across 2 matching MRF lines |
$193.80–$272.40 | $323–$454 | varies |
| Microsomal Antibodies Each (86376) | $137.40 | $229 | 9.4× |
| Mitochondrial Antibody Each (86381) | $226.80 | $378 | 8.9× |
| Mog-Igg1 Antb Cba Each (86362) | $1,663.20 | $2,772 | 138.0× |
| Molecular Cytogenetics Dna Probe Each (88271) | $204 | $340 | 9.5× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $307.80 | $513 | 7.3× |
| Molecular Pathology Procedure Level 3 (81402) range across 2 matching MRF lines |
$409.80–$443.40 | $683–$739 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$210–$218.40 | $350–$364 | varies |
| Mononuclear cell antigen (86356) | $238.20 | $397 | 8.9× |
| Mopath procedure level 1 (81400) range across 2 matching MRF lines |
$123.75–$220.50 | $206.25–$367.50 | varies |
| Mopath procedure level 2 (81401) | $717.60 | $1,196 | 5.2× |
| Mopath procedure level 4 (81403) range across 5 matching MRF lines |
$101.35–$297.60 | $168.91–$496 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$756–$1,031.40 | $1,260–$1,719 | varies |
| Mopath procedure level 7 (81406) range across 3 matching MRF lines |
$173.25–$180.18 | $288.75–$300.30 | varies |
| Morphometric analysis nerve (88356) | $495.60 | $826 | 9.8× |
| Morphometric Analysis Tumor (88358) | $1,180.80 | $1,968 | 7.1× |
| Mpl gene common variants (81338) range across 2 matching MRF lines |
$196.80–$285 | $328–$475 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $39 | $65 | 0.6× |
| Mucin Clot Body Fluid (83872) | $71.40 | $119 | 12.2× |
| Mumps antibody (86735) | $122.40 | $204 | 9.4× |
| Muscle-Specific Kinase Antb (86366) | $859.80 | $1,433 | 46.7× |
| Mycobacteric Identification (87118) | $198.60 | $331 | 13.6× |
| Mycophenolic Acid (80180) | $385.20 | $642 | 21.3× |
| Mycoplasma antibody (86738) | $100.80 | $168 | 7.6× |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$138–$167.40 | $230–$279 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $220.50 | $367.50 | 1.3× |
| Myelin basic protein csf (83873) | $153 | $255 | 8.9× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$93.60–$121.20 | $156–$202 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$367.80–$393.60 | $613–$656 | varies |
| Nerve teasing preparations (88362) | $1,881 | $3,135 | 2.4× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $1,009.80 | $1,683 | 7.9× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $168 | $280 | 5.7× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $3,107.40 | $5,179 | 12.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $319.20 | $532 | 4.4× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $1,554.60 | $2,591 | 12.1× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $314.40 | $524 | 12.1× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $5,898 | $9,830 | 12.1× |
| Niacin (84591) range across 2 matching MRF lines |
$232.20–$293.40 | $387–$489 | varies |
| Nickel level (83885) | $296.40 | $494 | 12.1× |
| Nk cells total count (86357) | $359.40 | $599 | 9.5× |
| Noonan Spectrum Disorders (81442) | $723 | $1,205 | 0.3× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $75.60 | $126 | 0.3× |
| Nras gene variants exon 2&3 (81311) | $441.60 | $736 | 1.5× |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$154.20–$197.40 | $257–$329 | varies |
| Occult blood feces (82272) | $37.20 | $62 | 8.8× |
| Occult Blood Other Sources (82271) | $58.80 | $98 | 11.1× |
| Oligoclonal bands (83916) | $209.40 | $349 | 7.6× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $510.60 | $851 | 2.0× |
| Oncoprotein dcp (83951) | $777.60 | $1,296 | 12.1× |
| Organic Acids Qualitative Each Specimen (83919) | $169.20 | $282 | 10.3× |
| Organic acids urine (83918) | $318.60 | $531 | 13.5× |
| Osmolality serum (83930) | $58.80 | $98 | 8.9× |
| Osmolality Urine (83935) | $61.20 | $102 | 9.0× |
| Osmotic Fragility RBC Unincubated (85555) | $309 | $515 | 41.4× |
| Osteocalcin (83937) | $216.60 | $361 | 7.3× |
| Ova and parasites smears (87177) | $79.80 | $133 | 9.0× |
| Oxalate urine (83945) | $109.20 | $182 | 7.6× |
| Pancreatic Elastase Fecal (82656) | $295.80 | $493 | 25.7× |
| Particle Agglut Antbdy Titr (86406) | $95.40 | $159 | 9.0× |
| Particle Agglutination Screen Each Antibody (86403) | $123 | $205 | 10.7× |
| Parvovirus antibody (86747) | $135.60 | $226 | 9.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $565.80 | $943 | 0.7× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $459.60 | $766 | 9.1× |
| Pathology Consultation During Surgery (88329) | $51 | $85 | 0.9× |
| Ph urine (81003) | $20.40 | $34 | 9.1× |
| Phenobarbital Level (80184) | $137.40 | $229 | 9.0× |
| Phenotype Infect Agent Drug (87900) | $946.20 | $1,577 | 7.3× |
| Phenylalanine (84030) | $66 | $110 | 12.0× |
| Phenytoin (Dilantin) (80185) | $118.20 | $197 | 8.9× |
| Phenytoin free (80186) | $122.40 | $204 | 8.9× |
| Phosphatase acid prostatic (84066) | $75 | $125 | 7.8× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$48–$76.80 | $80–$128 | varies |
| Phosphatidylglycerol (84081) | $181.80 | $303 | 11.0× |
| Phospholipid Neutralization Hexagonal (85598) | $132.60 | $221 | 7.4× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$42–$52.20 | $70–$87 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$51.60–$57.60 | $86–$96 | varies |
| Pinworm exam (87172) | $40.20 | $67 | 9.4× |
| Platelet Aggregation (85576) range across 7 matching MRF lines |
$190.20–$250.20 | $317–$417 | varies |
| Platelet Antibodies (86022) range across 7 matching MRF lines |
$121.20–$222 | $202–$370 | varies |
| Platelet count automated (85049) | $40.20 | $67 | 9.0× |
| Platelet neutralization (85597) | $199.20 | $332 | 11.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $198 | $330 | 1.0× |
| Pooling blood platelets (86965) | $135 | $225 | 0.8× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$61.20–$79.20 | $102–$132 | varies |
| Porphyrins Feces Quantitative (84126) | $391.20 | $652 | 10.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$130.80–$140.40 | $218–$234 | varies |
| Porphyrins, urine; qualitative (84119) | $103.80 | $173 | 7.8× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$42–$48 | $70–$80 | varies |
| PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) | $52.80 | $88 | 0.4× |
| Prealbumin (84134) | $129.60 | $216 | 8.9× |
| Pregnancy-Associated Plasma Protein-A (84163) | $139.20 | $232 | 9.2× |
| Pregnenolone (84140) | $197.40 | $329 | 9.6× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $693.60 | $1,156 | 4.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 3 matching MRF lines |
$148.80–$175.80 | $248–$293 | varies |
| Pretx serum rbc antibody identification dilution (86976) | $264 | $440 | 9.4× |
| Primidone (80188) | $120.60 | $201 | 7.3× |
| Procalcitonin (Pct) (84145) | $238.80 | $398 | 8.8× |
| Progesterone (84144) | $195.60 | $326 | 9.4× |
| Prolactin (84146) | $172.80 | $288 | 8.9× |
| Prostaglandin (84150) | $319.20 | $532 | 7.6× |
| Protein body fluid (84157) | $36.60 | $61 | 9.2× |
| Protein C Activity (85303) | $119.40 | $199 | 8.6× |
| Protein c antigen (85302) | $108.60 | $181 | 9.0× |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$158.40–$194.40 | $264–$324 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $96 | $160 | 8.9× |
| Protein S Free (85306) | $132 | $220 | 8.6× |
| Protein s total (85305) | $104.40 | $174 | 9.0× |
| Protein total serum (84155) | $32.40 | $54 | 8.8× |
| Protein Total Urine (84156) | $32.40 | $54 | 8.8× |
| Protein Western Blot Test (84182) range across 5 matching MRF lines |
$227.40–$734.40 | $379–$1,224 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $34.80 | $58 | 8.8× |
| Protoporphyrin rbc quantitative (84202) | $123.60 | $206 | 8.6× |
| PSA free (84154) | $138 | $230 | 7.5× |
| Pth Intact (83970) | $387 | $645 | 9.4× |
| Pyruvate kinase (84220) | $114 | $190 | 12.1× |
| Q Fever Antibody (86638) | $92.40 | $154 | 7.6× |
| Quantiferon tb gold plus (86480) | $336 | $560 | 5.4× |
| Quantitative assay drug (80299) range across 30 matching MRF lines |
$52.20–$899.40 | $87–$1,499 | varies |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$219–$280.20 | $365–$467 | varies |
| Quinidine (80194) | $31.80 | $53 | 2.2× |
| Rbc antibody elution (86860) | $244.20 | $407 | 1.5× |
| Rbc antibody identification (86870) | $258 | $430 | 0.7× |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$116.40–$175.20 | $194–$292 | varies |
| Rbc pretreatment serum (86978) | $151.20 | $252 | 2.6× |
| Rbc pretx incubatj w/enzymes (86971) | $210 | $350 | 1.3× |
| Rbc serum pretx incubj drugs (86975) | $264 | $440 | 0.6× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $631.20 | $1,052 | 8.9× |
| Receptor assay estrogen (84233) | $777.60 | $1,296 | 8.8× |
| Receptor assay progesterone (84234) | $782.40 | $1,304 | 12.1× |
| Renin activity plasma (84244) | $196.20 | $327 | 8.9× |
| Reptilase test (85635) | $177.60 | $296 | 18.0× |
| Resp virus 12-25 targets (87633) | $932.40 | $1,554 | 2.2× |
| Resp Virus 6-11 Targets (87632) | $1,716 | $2,860 | 7.9× |
| Reticulocyte Count Manual (85044) | $52.80 | $88 | 12.3× |
| Reticulocyte separation (86972) | $194.40 | $324 | 1.2× |
| Rh (86901) range across 3 matching MRF lines |
$33–$35.40 | $55–$59 | varies |
| Rheumatoid Factor Qualitative (86430) | $62.40 | $104 | 10.2× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$51–$62.40 | $85–$104 | varies |
| Rickettsia antibody (86757) range across 5 matching MRF lines |
$140.40–$181.20 | $234–$302 | varies |
| Ristocetin cofactor (85245) | $175.20 | $292 | 7.6× |
| Rotavirus ag eia (87425) | $123.60 | $206 | 10.3× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$37.20–$115.80 | $62–$193 | varies |
| Rsv ab (86756) | $155.40 | $259 | 9.8× |
| Rsv Assay W/Optic (87807) | $138.60 | $231 | 10.6× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$106.80–$135 | $178–$225 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$93.60–$121.20 | $156–$202 | varies |
| Rufinamide (80210) | $249.60 | $416 | 9.2× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$82.20–$87.60 | $137–$146 | varies |
| Russell Viper Venon Time Undiluted (85612) | $126.60 | $211 | 7.2× |
| Salicylate Level (80179) | $338.40 | $564 | 18.2× |
| Salmonella antibody (86768) | $337.80 | $563 | 25.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $104.40 | $174 | 2.0× |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$80.40–$108.60 | $134–$181 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $1,035 | $1,725 | 7.3× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $414.60 | $691 | 2.9× |
| Sedimentation rate (85651) | $39.60 | $66 | 9.3× |
| Sedimentation Rate, Automated (85652) | $25.80 | $43 | 9.6× |
| Selenium (84255) | $194.40 | $324 | 7.6× |
| Semen Anal Sperm Detection (89321) | $149.40 | $249 | 12.4× |
| Semen analysis complete (89322) | $193.20 | $322 | 12.5× |
| Semen analysis complete (89320) | $176.40 | $294 | 14.3× |
| Semen analysis motility and count (89310) | $105 | $175 | 12.2× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $96 | $160 | 9.8× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$240.60–$401.40 | $401–$669 | varies |
| Serpina 1 gene (81332) | $108 | $180 | 2.5× |
| Sex Chromatin Identification Barr Bodies (88130) | $186.60 | $311 | 10.4× |
| Sex Hormone Binding Globulin (84270) | $207.60 | $346 | 9.6× |
| Sickling of rbc reduction (85660) range across 4 matching MRF lines |
$51–$81.60 | $85–$136 | varies |
| Sirolimus (80195) | $122.40 | $204 | 8.9× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$48.60–$66 | $81–$110 | varies |
| Smear complex stain (87209) | $138 | $230 | 7.7× |
| Smear gram stain (87205) | $38.40 | $64 | 9.0× |
| Smear Special Stain (87207) | $64.80 | $108 | 10.8× |
| Smn1 Gene Dos/Deletion Alys (81329) range across 4 matching MRF lines |
$40.80–$551.25 | $68–$918.75 | varies |
| Smpd1 Gene Analysis Common Variants (81330) | $810.60 | $1,351 | 17.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$51.60–$55.80 | $86–$93 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $135 | $225 | 2.6× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$38.40–$42.60 | $64–$71 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$45–$52.20 | $75–$87 | varies |
| Soluble Transferrin Receptor (84238) range across 3 matching MRF lines |
$331.20–$367.80 | $552–$613 | varies |
| Somatomedin (84305) | $189 | $315 | 8.9× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$235.20–$375 | $392–$625 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$212.40–$422.40 | $354–$704 | varies |
| Specific gravity body fluid (84315) | $30 | $50 | 9.1× |
| Specimen infect agnt concntj (87015) | $62.40 | $104 | 9.3× |
| Spectrophotometry (84311) range across 6 matching MRF lines |
$64.20–$410.40 | $107–$684 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $1,222.80 | $2,038 | 7.4× |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$83.40–$103.80 | $139–$173 | varies |
| Strep b DNA amp probe (87653) | $312 | $520 | 8.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $112.20 | $187 | 1.2× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $66 | $110 | 12.0× |
| Sugars Single Qual (84376) | $110.40 | $184 | 20.1× |
| Sulfate urine (84392) | $122.40 | $204 | 22.3× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$375–$394.80 | $625–$658 | varies |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$375–$484.20 | $625–$807 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$777.60–$1,706.40 | $1,296–$2,844 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $42 | $70 | 8.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 3 matching MRF lines |
$66.60–$75 | $111–$125 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 2 matching MRF lines |
$103.20–$170.40 | $172–$284 | varies |
| Sweat Collection Iontophoresis (89230) | $98.40 | $164 | 1.9× |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
$38.40–$96.60 | $64–$161 | varies |
| T cells absolute cd4 count (86361) | $238.20 | $397 | 8.9× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $418.80 | $698 | 8.9× |
| T cells total count (86359) | $336 | $560 | 8.9× |
| T3 Free (84481) | $169.80 | $283 | 10.0× |
| T3 reverse (84482) | $151.20 | $252 | 9.6× |
| T3 Total (84480) | $126.60 | $211 | 8.9× |
| T3 Uptake (84479) | $58.20 | $97 | 9.0× |
| T4 Free (84439) | $135 | $225 | 15.0× |
| T4 total (84436) | $61.20 | $102 | 8.9× |
| Tacrolimus (80197) | $155.40 | $259 | 11.3× |
| Tau phosphorylated each (84393) | $412.80 | $688 | 3.2× |
| Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) | $52.80 | $88 | 0.4× |
| Test for acetone/ketones (82009) | $55.80 | $93 | 12.3× |
| Testosterone Bioavailable (84410) | $410.40 | $684 | 8.0× |
| Testosterone total (84403) | $231 | $385 | 9.0× |
| Testosterone, Free (84402) | $150.60 | $251 | 5.9× |
| Tetanus antibody (86774) | $175.80 | $293 | 11.9× |
| Theophylline (80198) | $126.60 | $211 | 9.0× |
| Thiocyanate (84430) | $205.20 | $342 | 17.6× |
| Thiopurine methyltransferase (84433) | $325.20 | $542 | 14.7× |
| Thrombin Time (85670) | $118.20 | $197 | 20.5× |
| Thromboplastin Inhibition Tissue (85705) range across 3 matching MRF lines |
$72–$82.80 | $120–$138 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $94.20 | $157 | 14.6× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) | $254.40 | $424 | 7.2× |
| Thyroglobulin (84432) | $186 | $310 | 11.6× |
| Thyroglobulin Antibody (86800) | $121.80 | $203 | 7.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $477 | $795 | 9.4× |
| Thyroxine binding globulin (84442) | $140.40 | $234 | 9.5× |
| Tiss cul neo disorders solid tumor (88239) | $1,071 | $1,785 | 7.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $102.60 | $171 | 8.9× |
| Tissue Culture (88233) | $1,253.40 | $2,089 | 8.9× |
| Tissue Culture Amniotic Fluid (88235) | $1,090.20 | $1,817 | 7.3× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$346.80–$520.80 | $578–$868 | varies |
| Tissue Culture Lymphocyte (88230) | $944.40 | $1,574 | 8.1× |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$117.60–$151.80 | $196–$253 | varies |
| Topiramate (80201) | $106.80 | $178 | 9.0× |
| Total Tau (84394) | $412.80 | $688 | 3.2× |
| Touch prep (88161) | $205.20 | $342 | 7.3× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $175.80 | $293 | 8.9× |
| Toxoplasma ab igm (86778) | $127.80 | $213 | 8.9× |
| Toxoplasma antibody (86777) | $135 | $225 | 9.4× |
| Tp53 gene analysis targeted sequence analysis (81352) | $409.80 | $683 | 1.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $46.20 | $77 | 8.9× |
| Transferrin (84466) | $113.40 | $189 | 8.9× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $113.52 | $189.20 | 0.5× |
| Trg gene rearrangement anal (81342) | $113.52 | $189.20 | 0.6× |
| Trichinella Antibody (86784) | $152.40 | $254 | 12.1× |
| Trichomonas vagin dir probe (87660) | $145.80 | $243 | 7.3× |
| Trichomonas Vaginalis Amplif (87661) | $300 | $500 | 8.5× |
| Triglycerides (84478) | $51.60 | $86 | 9.0× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$111.60–$159 | $186–$265 | varies |
| Trypsin feces qual (84488) | $88.20 | $147 | 12.1× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$711–$1,066.80 | $1,185–$1,778 | varies |
| Tumor Immunohistochem/Manual (88360) | $726 | $1,210 | 4.4× |
| Ugt1a1 gene analysis common variants (81350) | $150 | $250 | 0.6× |
| Unlisted miscellaneous pathology test (89240) | $98.40 | $164 | 1.9× |
| Urea Nitrogen Clearance (84545) | $69.60 | $116 | 9.7× |
| Urea nitrogen urine (84540) | $49.80 | $83 | 9.0× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$45–$48.60 | $75–$81 | varies |
| Urinalysis Microscopic Only (81015) | $33.60 | $56 | 11.0× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $37.20 | $62 | 17.1× |
| Urinalysis Volume Measure (81050) | $13.20 | $22 | 3.6× |
| Urine Albumin Semiquantitative (82044) | $45 | $75 | 7.2× |
| Urine Bacteria Culture (87088) | $72 | $120 | 8.9× |
| Urine Pregnancy Test (81025) | $76.80 | $128 | 8.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $28.20 | $47 | 8.9× |
| Valproic acid (80164) | $120.60 | $201 | 8.9× |
| Vancomycin (80202) | $120.60 | $201 | 8.9× |
| Varicella-zoster antibody (86787) | $106.80 | $178 | 8.3× |
| Vasopressin (84588) | $301.80 | $503 | 8.9× |
| Very Long Chain Fatty Acids (82726) | $310.80 | $518 | 15.7× |
| Viral Culture (87252) | $188.40 | $314 | 7.2× |
| Virus antibody nos (86790) range across 7 matching MRF lines |
$322.80–$452.40 | $538–$754 | varies |
| Virus inoculate tissue addl (87253) | $226.80 | $378 | 11.2× |
| Virus inoculation, shell via (87254) range across 3 matching MRF lines |
$120–$155.40 | $200–$259 | varies |
| Viscosity serum (85810) | $103.80 | $173 | 8.9× |
| Vit D 1 25-Dihydroxy (82652) | $342.60 | $571 | 8.9× |
| Vitamin A (84590) | $103.20 | $172 | 8.9× |
| Vitamin b-12 (82607) | $134.40 | $224 | 8.9× |
| Vitamin B2 (Riboflavin) (84252) | $180.60 | $301 | 8.9× |
| Vitamin B6 (84207) | $263.40 | $439 | 9.4× |
| Vitamin c (82180) | $93 | $155 | 9.4× |
| Vitamin D 25-Hydroxy (82306) | $277.20 | $462 | 9.4× |
| Vitamin E (84446) | $126.60 | $211 | 8.9× |
| Vitamin K (84597) | $128.40 | $214 | 9.4× |
| Volatiles (84600) | $142.20 | $237 | 8.3× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $828.60 | $1,381 | 68.8× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $1,138.80 | $1,898 | 6.9× |
| Von willebrand factor ag (85246) | $204 | $340 | 8.9× |
| Wbc Alkaline Phosphatase Count (85540) | $98.40 | $164 | 11.4× |
| West nile virus ab igm (86788) | $36 | $60 | 2.1× |
| West Nile Virus Antibody (86789) | $95.40 | $159 | 6.6× |
| Western Blot Test (84181) range across 2 matching MRF lines |
$246.60–$316.20 | $411–$527 | varies |
| Xm Archive Tissue Molec Anal (88363) | $144.60 | $241 | 5.2× |
| Xylose Absorption Test (84620) | $424.20 | $707 | 32.9× |
| Zika Virus Dna/Rna Amp Probe (87662) | $372.60 | $621 | 7.3× |
| Zika Virus Igm Antibody (86794) range across 2 matching MRF lines |
$178.80–$226.80 | $298–$378 | varies |
| Zinc (84630) | $165 | $275 | 14.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.