Lab & pathology prices at Ochsner LSU Health - Monroe Medical Center

Monroe, LA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $7.15 $31.10 0.3×
Abl1 gene analysis kinase domain variants (81170) $379.50 $1,650 1.3×
Acth (82024) $133.40 $580 3.5×
Acute hepatitis panel (80074) $164.45 $715 3.5×
Acylcarnitines Quant (82017) $5.29 $23 0.3×
Albumin Fluid (82042) $17.87 $77.70 2.3×
Albumin serum (82040)
range across 3 matching MRF lines
$7.13–$17.09 $31–$74.30 varies
Aldolase (82085) $33.58 $146 3.5×
Aldosterone urine (82088) $140.76 $612 3.5×
Alkaline phosphatase isoenzymes (84080) $10.20 $44.34 0.7×
Allergen specific ige (86003)
range across 4 matching MRF lines
$16.56–$18.01 $72–$78.30 varies
Allg Spec Ige Recomb Ea (86008) $16.93 $73.60 0.9×
Alpha-1-antitrypsin phenotype (82104) $49.91 $217 3.5×
Alpha-1-antitrypsin total (82103) $46.46 $202 3.5×
Alpha-Fetoprotein Serum (82105) $57.96 $252 3.5×
Alt (sgpt) (84460)
range across 3 matching MRF lines
$2.44–$18.26 $10.60–$79.40 varies
Amikacin trough (80150) $10.41 $45.24 0.7×
Amines vaginal fluid qualitative (82120) $5.29 $23 0.9×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $58.19 $253 3.4×
Ammonia (82140) $50.37 $219 3.5×
Amniotic fluid protein test on cervicovaginal fluid (84112) $20.22 $87.90 0.2×
Amniotic fluid scan (82143) $2.16 $9.40 0.2×
Amylase urine (82150)
range across 7 matching MRF lines
$8.97–$22.36 $39–$97.20 varies
Ana Titer (86039) $38.64 $168 3.5×
Anca screen each antibody (86036) $39.10 $170 3.2×
Androstenedione (82157) $100.97 $439 3.4×
Angiotensin converting enzyme csf (82164) $50.37 $219 3.5×
Anti-Phospholipid Antibody (86148) $40.02 $174 2.5×
Antibody aspergillus (86606)
range across 3 matching MRF lines
$10.38–$51.98 $45.15–$226 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $53.36 $232 3.4×
Antibody Cytomegalovirus Cmv Igm (86645) $58.19 $253 3.5×
Antibody Encephalitis California La Crosse (86651) $45.54 $198 3.5×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $45.31 $197 3.5×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $52.90 $230 3.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $61.64 $268 3.4×
Antibody Fungus Not Elsewhere Specified (86671) $42.32 $184 3.5×
Antibody haemophilus influenza (86684) $10.93 $47.52 0.7×
Antibody helicobacter pylori (86677) $40.02 $174 2.4×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 2 matching MRF lines
$6.64–$49.68 $28.87–$216 varies
Antibody Herpes Smplx Type 1 (86695) $45.54 $198 3.5×
Antibody HIV-1&HIV-2 single result (86703) $36.57 $159 2.7×
Antibody HIV-2 (86702) $36.57 $159 2.7×
Antibody identification leukocyte antibodies (86021) $51.98 $226 3.5×
Antibody Identification Platelet Immunogl Assay (86023) $43.01 $187 3.5×
Antibody Protozoa Nes (86753) $42.78 $186 3.5×
Antibody Titer (86886)
range across 2 matching MRF lines
$46–$79.81 $200–$347 varies
Antibody Treponema Pallidum (86780) $45.77 $199 3.5×
Antibody; encephalitis, st. louis (86653) $45.54 $198 3.5×
Antigen typing (86905) $30.59 $133 8.0×
Antinuclear antibodies (86038) $41.63 $181 3.4×
Antistreptolysin o titer (86060) $25.30 $110 3.5×
Antithrombin iii activity (85300) $40.94 $178 3.5×
Antithrombin iii antigen (85301) $4.99 $21.69 0.5×
Apolipoprotein a1 (82172) $4.85 $21.10 0.2×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $39.10 $170 1.0×
Arsenic (82175) $65.55 $285 3.5×
Aspergillus ag eia (87305) $15.04 $65.40 1.3×
Assay activated protein c (85307) $52.90 $230 3.5×
Assay Blood Carbon Dioxide (82374)
range across 3 matching MRF lines
$6.90–$16.88 $30–$73.40 varies
Assay Nephelometry Not Spec (83883)
range across 8 matching MRF lines
$9.38–$36.80 $40.80–$160 varies
Assay of 5-hiaa (83497) $44.39 $193 3.4×
Assay of blood/uric acid (84550)
range across 2 matching MRF lines
$5.98–$15.59 $26–$67.80 varies
Assay of calcium in urine (82340) $20.82 $90.50 3.5×
Assay of cpk in blood (82552) $46.23 $201 3.5×
Assay of estrone (82679) $35.88 $156 1.4×
Assay of g6pd enzyme (82955) $33.35 $145 3.4×
Assay of gammaglobulin igm (82784) $31.97 $139 3.4×
Assay of lactic acid (83605)
range across 6 matching MRF lines
$14.72–$36.80 $64–$160 varies
Assay of manganese (83785) $23.23 $101 0.9×
Assay of metanephrines (83835) $58.42 $254 3.4×
Assay of proinsulin (84206) $61.41 $267 2.3×
Assay of pyruvate (84210) $9.99 $43.44 0.7×
Assay of serotonin (84260) $106.95 $465 3.5×
Assay of serum potassium (84132)
range across 2 matching MRF lines
$6.67–$15.87 $29–$69 varies
Assay of sweat sodium (84302) $1.52 $6.60 0.3×
Assay of urea nitrogen (84520)
range across 3 matching MRF lines
$5.98–$13.64 $26–$59.30 varies
Assay of urine vma (84585) $53.59 $233 3.5×
Assay of vasoactive intestinal peptide (84586) $11.09 $48.20 0.3×
Assay of vitamin b-1 (84425) $73.37 $319 3.5×
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$4.60–$12.35 $20–$53.70 varies
Assay spec xcp ur&breath ia (82077) $10.14 $44.10 0.6×
Automated Leukocyte Count (85048) $8.76 $38.10 3.5×
B cells total count (86355) $101.20 $440 2.7×
Bartonella antibody (86611) $18.49 $80.40 1.8×
Bcr/abl1 gene major bp (81206) $566.03 $2,461 3.5×
Bcr/abl1 gene minor bp (81207) $499.79 $2,173 3.5×
Bcr/Abl1 Gene Other Bp (81208) $507.15 $2,205 2.4×
Beta 2 glycoprotein i antibody each (86146)
range across 3 matching MRF lines
$17.56–$40.02 $76.35–$174 varies
Beta hydroxybutyrate (82010)
range across 3 matching MRF lines
$11.27–$28.29 $49–$123 varies
Beta Lactamase (87185) $16.40 $71.30 3.5×
Beta-2 Microglobulin (82232) $55.89 $243 3.5×
Bile acids total (82239) $59.11 $257 3.5×
Bilirubin direct (82248)
range across 2 matching MRF lines
$5.06–$11.98 $22–$52.10 varies
Bilirubin total (82247)
range across 3 matching MRF lines
$5.06–$11.98 $22–$52.10 varies
Bilirubin total transcutaneous (88720)
range across 2 matching MRF lines
$4.83–$6.53 $21–$28.40 varies
Blastomyces antibody (86612) $44.62 $194 3.5×
Bld Typing Serologic Rh Phnt (86906) $19.55 $85 2.5×
Blood count reticulocyte automated (85045) $13.80 $60 3.5×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $8.65 $37.60 2.3×
Blood gas (82803)
range across 3 matching MRF lines
$9.82–$20.70 $42.70–$90 varies
Blood gases w/02 saturation (82805) $10.81 $47 0.1×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $12.19 $53.01 0.8×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$4.14–$11.22 $18–$48.80 varies
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 2 matching MRF lines
$16.56–$106.95 $72–$465 varies
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$7.13–$30.59 $31–$133 varies
Bordetella antibody (86615) $27.35 $118.92 2.1×
Braf gene analysis (81210)
range across 2 matching MRF lines
$198.72–$453.56 $864–$1,972 varies
Brca1&2 gen full seq dup/del (81162)
range across 3 matching MRF lines
$1,727.79–$2,105.51 $7,512.14–$9,154.37 varies
Brucella antibody (86622)
range across 2 matching MRF lines
$2.99–$30.82 $13–$134 varies
C diff amplified probe (87493) $121.21 $527 3.3×
C-Peptide (84681) $71.76 $312 3.4×
C-reactive protein (86140) $17.87 $77.70 3.5×
Ca 19-9 (86301) $71.76 $312 3.4×
Cadmium (82300)
range across 2 matching MRF lines
$16.31–$79.81 $70.92–$347 varies
Calcitonin (82308) $92.46 $402 3.5×
Calcium ionized (82330)
range across 3 matching MRF lines
$19.78–$47.15 $86–$205 varies
Calcium total (82310)
range across 2 matching MRF lines
$7.59–$17.80 $33–$77.40 varies
Calculus Spectroscopy (82365) $5.72 $24.86 0.4×
Calprotectin Fecal (83993) $82.80 $360 4.2×
Calr gene com variants (81219) $341.55 $1,485 2.8×
Cancer Antigen 125 (86304)
range across 2 matching MRF lines
$14.36–$71.76 $62.43–$312 varies
Cancer Antigen 27.29 (86300) $71.76 $312 3.4×
Carbamazepine total (80156) $40.25 $175 2.8×
Carboxyhemoglobin (82375) $23.23 $101 1.9×
Carcinoembryonic antigen (82378) $65.55 $285 3.5×
Cardiolipin ab iga (86147)
range across 3 matching MRF lines
$17.56–$40.02 $76.35–$174 varies
Carnitine Quantitative Each Specimen (82379) $58.19 $253 3.4×
Catecholamines fractionated (82384) $87.17 $379 3.5×
Ccp antibody (86200) $44.62 $194 3.4×
Cell count csf (89051) $19 $82.60 3.4×
Cellular Function Assay Stimul&Detect Biomarke (86352) $468.97 $2,039 3.5×
Ceruloplasmin (82390) $37.03 $161 3.4×
Cftr gene com variants (81220) $577.63 $2,511.43 1.0×
Cftr gene dup/delet variants (81222) $472.03 $2,052.30 1.1×
Cftr gene full sequence (81223)
range across 2 matching MRF lines
$492–$541.39 $2,139.11–$2,353.88 varies
Chemiluminescent assay (82397)
range across 6 matching MRF lines
$1.45–$53.13 $6.30–$231 varies
Chloride other source (82438)
range across 3 matching MRF lines
$1.54–$6.78 $6.70–$29.50 varies
Chloride Serum (82435)
range across 2 matching MRF lines
$1.45–$7.13 $6.30–$31 varies
Chloride urine (82436) $17.36 $75.50 3.0×
Cholesterol total (82465)
range across 2 matching MRF lines
$6.90–$15 $30–$65.20 varies
Chorionic gonadotropin test (84702) $51.98 $226 3.5×
Chromium serum (82495) $6.37 $27.70 0.3×
Chromogranin a (86316)
range across 3 matching MRF lines
$14.36–$24.44 $62.43–$106.26 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $121.21 $527 3.5×
Citric acid urine (82507)
range across 2 matching MRF lines
$19.18–$95.91 $83.40–$417 varies
Ckmb (82553) $39.79 $173 3.4×
Clostridium Difficile (87324) $41.40 $180 3.5×
Clot Factor VIII Multimetric (85247) $79.12 $344 3.4×
Clotting factor xii hageman (85280) $48.76 $212 2.5×
Clotting Funct Activity (85397) $79.12 $344 2.6×
Cns DNA amp probe type 12-25 (87483) $288.42 $1,254 0.7×
Coagulation time activated (85347)
range across 3 matching MRF lines
$4.60–$9.94 $20–$43.20 varies
Coccidioides antibody (86635)
range across 3 matching MRF lines
$11.50–$39.56 $50–$172 varies
Cold agglutinin titer (86157) $27.83 $121 3.5×
Collagen crosslinks (82523) $23 $100 1.2×
Column Chromotography Quant (82542)
range across 13 matching MRF lines
$28.09–$241.50 $122.12–$1,050 varies
Compatibility test antiglob (86922)
range across 4 matching MRF lines
$28.75–$79.81 $125–$347 varies
Complement Antigen Each Component (86160)
range across 4 matching MRF lines
$11.50–$41.40 $50–$180 varies
Complement Total (Ch50) (86162) $65.78 $286 3.2×
Complement/Function Activity (86161)
range across 5 matching MRF lines
$16.10–$41.40 $70–$180 varies
Consltj Compre Review Reprt Referred Matrl (88325) $70.72 $307.49 0.5×
Consltj&Reprt Material Requiring Prepj Slides (88323) $92.46 $402 2.0×
Coombs direct (86880)
range across 2 matching MRF lines
$5.52–$30.59 $24–$133 varies
Copper urine (82525) $42.78 $186 3.4×
Cortisol free (82530) $57.73 $251 3.5×
Cortisol saliva (82533) $56.35 $245 3.5×
Creatine kinase total (82550)
range across 3 matching MRF lines
$4.49–$22.47 $19.53–$97.70 varies
Creatinine blood (82565)
range across 3 matching MRF lines
$8.97–$17.69 $39–$76.90 varies
Creatinine clearance (82575) $32.66 $142 3.5×
Creatinine Urine (82570)
range across 6 matching MRF lines
$3.57–$17.87 $15.54–$77.70 varies
Crossmatch electronic (86923) $18.63 $81 0.1×
Crossmatch immediate spin (86920) $79.81 $347 0.5×
Crp High Sensitivity (86141) $44.62 $194 3.4×
Cryoglobulin (82595) $22.33 $97.10 3.5×
Cryptococcus ag titer (87899)
range across 3 matching MRF lines
$28.98–$41.40 $126–$180 varies
Cryptosporidium ag eia (87328) $41.40 $180 3.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$11.04–$27.83 $48–$121 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$8.74–$27.83 $38–$121 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 2 matching MRF lines
$9.89–$24.38 $43–$106 varies
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $226.30 $983.90 1.0×
Culture aerobic quant other (87071) $32.66 $142 3.3×
Culture afb (87116) $37.26 $162 3.5×
Culture Anaerobic (87075) $32.66 $142 3.4×
Culture blood (87040) $35.65 $155 3.5×
Culture csf (87070) $29.67 $129 3.4×
Culture fungus (87102) $28.98 $126 3.4×
Culture fungus blood (87103) $29.21 $127 1.4×
Culture screen only (87081) $22.91 $99.60 3.5×
Culture stool (87045) $32.66 $142 3.5×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 2 matching MRF lines
$13.80–$14.84 $60–$64.50 varies
Culture urine (87086) $27.83 $121 3.4×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $6.08 $26.45 0.4×
Cyclosporine (80158) $62.33 $271 3.5×
Cyp2c9 gene com variants (81227) $414 $1,800 2.4×
Cystatin C (82610) $7.45 $32.40 0.4×
Cytogenetics 100-300 (88275) $138.69 $603 2.7×
Cytogenom Const Microarray Copy Number Variants (81228) $688.10 $2,991.74 0.8×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $966 $4,200 0.8×
Cytomegalovirus igg (86644) $49.68 $216 3.5×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $52.21 $227 2.6×
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines
$39.10–$92.46 $170–$402 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $63.48 $276 2.4×
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines
$50.14–$63.48 $218–$276 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $92.46 $402 2.0×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $50.14 $218 0.3×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $23.35 $101.52 0.7×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $50.14 $218 1.9×
Deoxycortisol (82634) $31.62 $137.50 1.1×
Deoxyribonuclease antibody (86215) $45.77 $199 3.5×
Desoxycorticosterone (82633) $9.73 $42.30 0.3×
Detect Agent Nos Dna Amp (87798)
range across 28 matching MRF lines
$16.56–$121.21 $72–$527 varies
Detect Agent Nos Dna Quant (87799)
range across 3 matching MRF lines
$29.56–$147.89 $128.52–$643 varies
Detect agnt mult DNA ampli (87801)
range across 2 matching MRF lines
$25.30–$242.19 $110–$1,053 varies
Dhea (82626) $87.17 $379 3.4×
Dhea-S (82627) $76.82 $334 3.5×
Digoxin (80162) $45.77 $199 3.4×
Dna Antibody Native/Double Stranded (86225) $47.38 $206 3.4×
DNA/RNA direct probe (87149)
range across 2 matching MRF lines
$13.83–$18.98 $60.15–$82.53 varies
Dna/Rna Sequencing (87153) $26.22 $114 0.2×
Drug assay acetaminophen (80143) $19 $82.62 1.0×
Drug assay adalimumab (80145) $47.15 $205 1.2×
Drug Assay Amiodarone (80151) $47.15 $205 2.5×
Drug Assay Everolimus (80169) $9.47 $41.19 0.7×
Drug assay felbamate (80167) $47.15 $205 2.5×
Drug Assay Infliximab (80230) $47.15 $205 1.2×
Drug Assay Itraconazole (80189) $47.15 $205 1.7×
Drug Assay Lacosamide (80235) $47.15 $205 1.7×
Drug Assay Leflunomide (80193) $47.15 $205 1.2×
Drug Assay Posaconazole (80187) $47.15 $205 1.7×
Drug Assay Vedolizumab (80280) $47.15 $205 1.2×
Drug assay voriconazole (80285) $47.15 $205 1.7×
Drug Screen Quant Zonisamide (80203) $4.16 $18.10 0.3×
Drug Screen Quantitative Gabapentin (80171) $22.01 $95.70 1.0×
Drug Screen Quantitative Lamotrigine (80175) $4.16 $18.10 0.3×
Drug Screen Quantitative Levetiracetam (80177) $4.16 $18.10 0.3×
Drug Screen Quantitative Oxcarbazepine (80183) $4.16 $18.10 0.3×
Drug Test Prsmv Chem Anlyzr (80307)
range across 11 matching MRF lines
$19.55–$60.59 $85–$263.45 varies
Egfr Gene Analysis Common Variants (81235)
range across 2 matching MRF lines
$367.54–$834.90 $1,598–$3,630 varies
Ehrlichia antibody (86666) $35.19 $153 3.5×
El-1 Fecal Quantitative (82653) $14.49 $63 0.6×
Electrolyte panel (80051) $8.51 $37 1.2×
Electrophoretic Test - Immunofixation Electrophoresis (82664)
range across 2 matching MRF lines
$38.50–$61.96 $167.40–$269.37 varies
Encephaltis East Eqne Anbdy (86652) $45.54 $198 3.5×
Encephaltis West Eqne Antbdy (86654) $45.54 $198 3.5×
Endomysial Antibody Each Immunoglobulin Class (86231) $39.10 $170 3.2×
Enterovirus PCR (87498)
range across 2 matching MRF lines
$16.02–$66.01 $69.67–$287 varies
Enzyme cell activity (82657)
range across 7 matching MRF lines
$121.90–$172.50 $530–$750 varies
Enzyme histochemistry (88319) $433.55 $1,885 0.6×
Epilepsy Genomic Sequence Analysis Panel (81419) $172.50 $750 0.1×
Erythropoietin (82668) $64.86 $282 3.5×
Estradiol serum (82670) $96.37 $419 3.4×
Estriol (82677) $83.49 $363 3.5×
Estrogen total (82672) $74.98 $326 3.5×
Estrogens fractionated (82671) $24.91 $108.32 0.8×
Ethosuximide (80168) $11.45 $49.77 0.7×
Ethylene Glycol (82693) $51.52 $224 3.5×
Exam Synovial Fluid Crystals (89060) $24.61 $107 3.4×
Exome Sequence Analysis (81415) $1,104 $4,800 0.2×
Exome sequence analysis each comparator exome (81416)
likely a partial charge, not the full procedure
$557.75 $2,425 0.0×
F2 Gene (81240) $169.74 $738 2.6×
Factor ii activity (85210) $27.14 $118 2.1×
Factor Inhibitor Test (85335)
range across 3 matching MRF lines
$27.33–$195.62 $118.81–$850.50 varies
Factor ix activity (85250) $30.26 $131.56 1.6×
Factor v activity (85220) $48.76 $212 2.8×
Factor v leiden mutation (81241) $210.91 $917 2.9×
Factor vii assay (85230) $48.76 $212 2.7×
Factor viii assay (85240) $61.87 $269 3.5×
Factor X (85260) $48.76 $212 2.7×
Factor xi activity (85270) $30.33 $131.85 1.7×
Factor xiii screen (85291)
range across 2 matching MRF lines
$21.39–$30.82 $93–$134 varies
Fat/Lipids Feces Quantitative (82710) $43.42 $188.80 2.6×
Fatty acids free (82725) $15.68 $68.16 0.8×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $26.68 $116 3.5×
Ferritin (82728) $46.92 $204 3.4×
Fetal Congenital Abnor Assay Four Anal (81511) $106.69 $463.87 0.7×
Fetal Congenital Abnor Assay Two Proteins (81508) $37.74 $164.09 0.7×
Fetal Fibronectin (82731) $222.41 $967 3.5×
Fetal screen rosette (85461) $10.67 $46.40 1.1×
Fibrin Degradation Quant (85379) $35.19 $153 3.5×
Fibrinogen activity (85384) $29.21 $127 3.0×
Fibrinogen antigen (85385) $29.21 $127 2.0×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $17.85 $77.60 1.2×
Flecainide level (80181) $47.15 $205 2.5×
Flow cytometry first marker (88184)
range across 8 matching MRF lines
$15.41–$205.24 $67–$892.34 varies
Flt3 Gene (81245) $126.54 $550.18 0.8×
Fluorescent antibody screen (86255)
range across 50 matching MRF lines
$8.31–$292.78 $36.15–$1,272.96 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 21 matching MRF lines
$8.31–$65.55 $36.15–$285 varies
Fmr1 gene detection (81243) $134.83 $586.20 2.4×
Folic acid rbc (82747) $59.34 $258 3.4×
Folic Acid Serum (82746) $50.83 $221 3.5×
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines
$26.91–$64.17 $117–$279 varies
Francisella tularensis (86668) $28.75 $125 2.0×
Frozen Section (88331)
range across 2 matching MRF lines
$41.63–$73.83 $181–$321 varies
Fungi Identification Mold (87107) $35.65 $155 3.5×
Fungi Identification Yeast (87106) $35.65 $155 3.5×
Gammaglobulin ige (82785) $56.81 $247 3.5×
Gases Blood O2 Saturation Only Direct Meas (82810) $5.52 $24 0.6×
Gases blood ph only (82800) $15.92 $69.20 1.4×
Gastrin (82941) $60.95 $265 3.5×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 2 matching MRF lines
$1,104–$1,206.75 $4,800–$5,246.76 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $1,058 $4,600 0.4×
Genetic Tstg Severe Inh Cond (81443) $1,872.05 $8,139.36 0.8×
Genome Sequence Analysis (81425)
unusually low: confirm this is the full procedure
$1,679 $7,300 0.3×
Genome sequence analysis each comparator genome (81426) $845.25 $3,675 0.3×
Gentamicin (80170) $40.25 $175 2.5×
Ggt (82977)
range across 2 matching MRF lines
$10.81–$24.84 $47–$108 varies
Giardia antigen (87329) $41.40 $180 3.5×
Gjb2 Gene Analysis Full Gene Sequence (81252) $129.95 $565 1.3×
Glucagon (82943) $9.86 $42.87 0.7×
Glucose 2 hr pp (82950)
range across 2 matching MRF lines
$6.21–$16.40 $27–$71.30 varies
Glucose Blood Test (82962)
range across 2 matching MRF lines
$3.91–$8.10 $17–$35.20 varies
Glucose body fluid (82945) $13.57 $59 3.5×
Glucose Serum (82947)
range across 3 matching MRF lines
$5.75–$13.57 $25–$59 varies
Glucose tolerance test (gtt) (82951)
range across 3 matching MRF lines
$17.71–$44.39 $77–$193 varies
Gonadotropin Chorionic Qualitative (84703) $12.42 $54 1.7×
Growth hormone (83003) $57.50 $250 3.4×
Gtt-added samples (82952)
range across 2 matching MRF lines
$4.30–$5.75 $18.70–$25 varies
H Pylori (C-13) Breath (83013) $42.09 $183 0.6×
Haloperidol (80173) $40.25 $175 2.6×
Haptoglobin (83010) $43.47 $189 3.5×
Hba1/Hba2 Gene (81257) $209.07 $909 2.0×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $140.68 $611.64 0.7×
Hbb duplication/deletion variants (81363) $241.50 $1,050 1.2×
Hbb Full Gene Sequence (81364) $246.33 $1,071 0.8×
Hdl Cholesterol (83718)
range across 2 matching MRF lines
$5.65–$12.19 $24.57–$53 varies
Helicobacter Pylori Stool (87338) $42.09 $183 2.9×
Helminth Antibody (86682) $44.85 $195 3.4×
Hematocrit (85014)
range across 3 matching MRF lines
$3.68–$8.16 $16–$35.50 varies
Hemoglobin (85018)
range across 2 matching MRF lines
$2.99–$8.16 $13–$35.50 varies
Hemoglobin a1c (83036)
range across 3 matching MRF lines
$12.88–$33.58 $56–$146 varies
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$50.14–$62.33 $218–$271 varies
Hemoglobin electrophoresis (83020)
range across 4 matching MRF lines
$4.05–$70.15 $17.60–$305 varies
Hemoglobin Methemoglobin Quantitative (83050) $10.12 $44 1.2×
Hemoglobin plasma (83051) $5.04 $21.93 0.7×
Hemoglobin-Oxygen Affinity (82820) $37.72 $164 2.8×
Hep a ab igm (86709) $38.87 $169 3.5×
Heparin assay (85520) $29.21 $127 2.2×
Hepatitis a antibody total (86708) $40.25 $175 3.2×
Hepatitis b core ab igm (86705) $40.71 $177 3.5×
Hepatitis b core ab total (86704) $41.63 $181 3.5×
Hepatitis B Surface Antibody (86706) $37.03 $161 3.4×
Hepatitis B Surface Antigen (87340) $35.65 $155 3.5×
Hepatitis Be Antibody (86707) $40.02 $174 3.5×
Hepatitis Be Antigen (87350) $39.79 $173 3.5×
Hepatitis C Antibody (86803) $49.22 $214 3.4×
Hepatitis C Genotype (87902) $888.49 $3,863 3.5×
Hepatitis C Probe&Rvrs Trnsc (87521) $121.21 $527 3.5×
Hepatitis C Revrs Trnscrpj (87522) $147.89 $643 3.5×
Herpes simplex type 2 (86696) $66.70 $290 3.4×
Heterophile Antibody Screen (86308)
range across 3 matching MRF lines
$6.67–$17.87 $29–$77.70 varies
Hfe Gene (81256) $225.63 $981 3.5×
Histamine urine (83088) $49.45 $215 1.7×
Histoplasma antibody (86698) $43.24 $188 3.1×
Histoplasma antigen urine (87385) $41.40 $180 3.1×
Hiv Genotype (87901)
range across 4 matching MRF lines
$177.64–$888.49 $772.35–$3,863 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $77.51 $337 3.2×
Hiv-1 Antibody (86701)
range across 2 matching MRF lines
$12.65–$30.59 $55–$133 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $293.71 $1,277 3.5×
HIV-2 probe&revrse trnscripj (87538) $39.72 $172.70 1.1×
Hla I Typing 1 Allele Hr (81381) $326.37 $1,419 1.9×
Hla ii typing 1 allele hr (81383) $376.74 $1,638 3.5×
Hla ii typing 1 locus lr (81376) $421.82 $1,834 3.5×
Hla-b27 (86812) $89.01 $387 3.4×
Homocysteine (83090) $58.19 $253 3.2×
Hpv High-Risk Types (87624)
range across 2 matching MRF lines
$41.86–$48.07 $181.99–$209 varies
Hsv Dna Amp Probe (87529) $121.21 $527 3.5×
Htt Gene Detc Abnor Alleles (81271) $172.50 $750 1.3×
Hydroxyprogesterone 17-d (83498) $93.84 $408 3.5×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $11.50 $50 0.3×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $35.65 $155 3.5×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $16.79 $73 1.2×
Iaad ia shiga-like toxin (87427) $41.40 $180 3.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $121.21 $527 3.5×
Iadna chlamydia pneumoniae amplified probe tq (87486)
range across 2 matching MRF lines
$17.94–$121.21 $78–$527 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496) $121.21 $527 3.5×
Iadna Cytomegalovirus Quantification (87497) $147.89 $643 3.5×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634)
range across 2 matching MRF lines
$81.88–$89.93 $356–$391.01 varies
Iadna hepatitis b virus amplified probe tq (87516) $121.21 $527 3.5×
Iadna Hepatitis B Virus Quantification (87517) $147.89 $643 3.5×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $121.21 $527 3.5×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $121.21 $527 3.5×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $121.21 $527 2.9×
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 3 matching MRF lines
$17.94–$121.21 $78–$527 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $121.21 $527 3.5×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $62.10 $270 1.2×
Ig Light Chains Free Each (83521) $72.45 $315 4.2×
Igg subclasses (82787) $16.72 $72.70 2.1×
Igh gene rearrange amp meth (81261) $241.01 $1,047.88 1.2×
Igh@ Variable Region Somatic Mutation Analysis (81263) $1,016.60 $4,420 3.5×
Igk rearrangeabn clonal pop (81264) $181.76 $790.28 1.1×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $129.85 $564.55 0.4×
Immune Complex Assay (86332) $84.18 $366 3.5×
Immunfix e-phorsis/urine/csf (86335) $101.20 $440 3.4×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 13 matching MRF lines
$12.70–$272.20 $55.20–$1,183.50 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $51.75 $225 3.5×
Immunoassay nonantibody (83516)
range across 36 matching MRF lines
$7.96–$46 $34.59–$200 varies
Immunodiffusion Ouchterlony (86331)
range across 6 matching MRF lines
$8.27–$41.40 $35.94–$180 varies
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$40.25–$77.05 $175–$335 varies
Immunofluorescence per spec 1st singl antb stain (88346) $92.46 $402 0.6×
Immunohistochemistry (88342)
range across 2 matching MRF lines
$60.26–$102.92 $262–$447.48 varies
In situ hybridization 1st probe stain (88365) $92.46 $402 0.6×
Influenza a/b ag eia (87400)
range across 3 matching MRF lines
$16.33–$41.40 $71–$180 varies
Influenza assay w/optic (87804)
range across 3 matching MRF lines
$7.59–$16.33 $33–$71 varies
Influenza DNA amp probe (87502)
range across 3 matching MRF lines
$80.54–$113.16 $350.19–$492 varies
Inhibin A (86336) $53.82 $234 3.5×
Inhibin b (83520)
range across 31 matching MRF lines
$11.92–$118.88 $51.81–$516.87 varies
Insitu hybridization manual (88368) $200.97 $873.78 0.6×
Insulin antibodies (86337) $36.11 $157 1.7×
Insulin total (83525) $39.33 $171 3.4×
Intrinsic factor antibody (86340) $51.98 $226 3.4×
Iron (83540) $18.52 $80.50 2.9×
Iron Binding Capacity (83550) $30.13 $131 3.4×
Islet cell antibody (86341)
range across 5 matching MRF lines
$16.26–$68.31 $70.71–$297 varies
Jak2 gene analysis p.val617phe variant (81270) $316.48 $1,376 3.5×
Kit Gene Analysis D816 Variant(S) (81273) $86.16 $374.61 0.7×
Koh Prep (87220)
range across 2 matching MRF lines
$5.75–$14.72 $25–$64 varies
Kras Gene Analysis Additional Variant(S) (81276)
range across 4 matching MRF lines
$64.86–$153.64 $282–$668 varies
Kras Gene Variants Exon 2 (81275)
range across 2 matching MRF lines
$86.25–$437.46 $375–$1,902 varies
Lactate (ld) (ldh) enzyme (83615) $20.82 $90.50 3.4×
Lactoferrin fecal qualitative (83630) $6.16 $26.80 0.3×
Ldh Isoenzymes (83625) $31.97 $139 2.5×
LDL direct (83721) $11.73 $51 1.1×
Lead (83655)
range across 3 matching MRF lines
$17.94–$41.86 $78–$182 varies
Legionella antibody (86713) $52.90 $230 3.5×
Legionella antigen urine (87449)
range across 6 matching MRF lines
$8.27–$41.40 $35.94–$180 varies
Leptospira antibody (86720) $45.54 $198 2.8×
Leukocyte Assessment Fecal (89055) $8.03 $34.90 1.9×
Level I Surg Pathology Gross Examination Only (88300) $50.14 $218 1.9×
Level ii surg pathology gross&microscopic exam (88302) $50.14 $218 1.5×
Level V Surg Pathology Gross&Microscopic Exam (88307) $155.48 $676 0.5×
Lipase (83690) $23.69 $103 3.4×
Lipoprotein A (83695) $44.62 $194 3.1×
Lipoprotein Bld Quan Part (83704) $108.79 $473 3.2×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $7.80 $33.90 0.2×
Lithium (80178)
range across 2 matching MRF lines
$8.51–$22.86 $37–$99.40 varies
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$26.45–$63.94 $115–$278 varies
Lyme disease antibody (86618)
range across 2 matching MRF lines
$23.92–$58.88 $104–$256 varies
Lymphocyte transformation (86353) $139.91 $608.31 2.9×
Lysozyme serum (85549) $64.63 $281 3.4×
M. Genitalium Amp Probe (87563) $28.75 $125 0.8×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $145.82 $634 0.9×
Magnesium Urine (83735) $23.23 $101 3.5×
Mass Spectrometry Quant (83789) $65.78 $286 2.7×
Mercury urine (83825)
range across 2 matching MRF lines
$11.22–$56.12 $48.78–$244 varies
Metabolic panel ionized ca (80047)
range across 2 matching MRF lines
$11.50–$38.41 $50–$167 varies
Methotrexate (80204) $47.15 $205 1.2×
Methylmalonic acid serum (83921) $56.81 $247 2.7×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$8.28–$19.96 $36–$86.80 varies
Microbe Suscept Macrobroth (87188)
range across 2 matching MRF lines
$4.58–$22.93 $19.92–$99.70 varies
Microsomal Antibodies Each (86376) $50.14 $218 3.4×
Mlh1 Gene Analysis Full Sequence Analysis (81292)
range across 2 matching MRF lines
$469.44–$516.38 $2,041.03–$2,245.13 varies
Mog-Igg1 Antb Flo Cytmtry Ea (86363)
range across 2 matching MRF lines
$8.31–$39.10 $36.15–$170 varies
Molecular Cytogenetics Dna Probe Each (88271)
range across 5 matching MRF lines
$13.66–$73.83 $59.41–$321 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 2 matching MRF lines
$8.05–$120.06 $35–$522 varies
Molecular Pathology Procedure Level 6 (81405)
range across 8 matching MRF lines
$69–$341.09 $300–$1,483 varies
Mononuclear cell antigen (86356)
range across 3 matching MRF lines
$23.15–$69.46 $100.67–$302 varies
Mopath procedure level 1 (81400) $71.30 $310 1.1×
Mopath procedure level 2 (81401) $126.50 $550 0.9×
Mopath procedure level 4 (81403)
range across 7 matching MRF lines
$127.79–$515.20 $555.60–$2,240 varies
Mopath procedure level 5 (81404)
range across 2 matching MRF lines
$210.12–$274.62 $913.58–$1,194 varies
Mopath procedure level 7 (81406)
range across 3 matching MRF lines
$69–$216.28 $300–$940.34 varies
Mopath procedure level 9 (81408) $69 $300 0.0×
Mpl gene analysis sequence analysis exon 10 (81339) $515.20 $2,240 2.8×
Msh2 Gene Analysis Full Sequence Analysis (81295)
range across 2 matching MRF lines
$265.30–$291.83 $1,153.48–$1,268.83 varies
Msh6 Gene Analysis Full Sequence Analysis (81298)
range across 2 matching MRF lines
$158.01–$442.88 $687–$1,925.55 varies
Mthfr Gene Analysis Common Variants (81291) $150.65 $655 2.3×
Mumps antibody (86735) $45.08 $196 3.5×
Mycobacteric Identification (87118)
range across 3 matching MRF lines
$14.19–$55.61 $61.70–$241.80 varies
Mycophenolic Acid (80180) $21.39 $93 1.2×
Mycoplasma antibody (86738) $45.77 $199 3.5×
Myelin basic protein csf (83873) $59.34 $258 3.5×
Myoglobin urine (83874) $44.62 $194 3.5×
Natriuretic peptide (83880)
range across 3 matching MRF lines
$46–$117.07 $200–$509 varies
Neutralization Test Viral (86382)
range across 2 matching MRF lines
$10.41–$58.42 $45.26–$254 varies
Nfct Agent Genotype Hepatitis B Virus (87912) $888.49 $3,863 3.5×
Nfct ds chrnc hcv 6 assays (81596) $50.17 $218.15 0.7×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $120.75 $525 0.9×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $17.99 $78.21 0.7×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $337.18 $1,465.98 0.7×
Niacin (84591)
range across 3 matching MRF lines
$19.11–$58.65 $83.09–$255 varies
Nk cells total count (86357) $130.18 $566 3.5×
Nuclear antigen antibody (86235)
range across 16 matching MRF lines
$16.33–$40.25 $71–$175 varies
Obstetric panel (80081) $51.65 $224.58 0.7×
Occult blood feces (82272)
range across 2 matching MRF lines
$4.60–$11.22 $20–$48.80 varies
Occult Blood Other Sources (82271)
range across 2 matching MRF lines
$4.09–$4.60 $17.80–$20 varies
Oligoclonal bands (83916)
range across 3 matching MRF lines
$18.90–$69.46 $82.17–$302 varies
Oncoprotein dcp (83951) $20.22 $87.90 0.3×
Organic Acids Qualitative Each Specimen (83919) $56.81 $247 3.5×
Osmolality serum (83930) $22.82 $99.20 3.5×
Osmolality Urine (83935) $23.46 $102 3.4×
Osmotic fragility rbc incubated (85557) $46.23 $201 3.5×
Ova and parasites smears (87177) $30.13 $131 3.4×
Oxalate urine (83945) $44.39 $193 3.1×
Pancreatic Elastase Fecal (82656) $14.49 $63 1.3×
Particle Agglutination Screen Each Antibody (86403) $35.19 $153 3.0×
Parvovirus antibody (86747) $51.98 $226 3.5×
Path Consltj Surg Cytologic Exam Initial Site (88333) $92.46 $402 0.1×
Pathology Consultation During Surgery (88329) $50.14 $218 0.9×
Pca3/Klk3 Prostate Specific Antigen Ratio (81313) $176.01 $765.24 0.7×
Ph urine (81003)
range across 3 matching MRF lines
$3.22–$7.75 $14–$33.70 varies
Phenobarbital Level (80184) $39.56 $172 2.6×
Phenotype Infect Agent Drug (87900) $449.88 $1,956 3.5×
Phenylalanine (84030) $22.77 $99 4.1×
Phenytoin (Dilantin) (80185) $45.77 $199 3.5×
Phenytoin free (80186) $47.61 $207 3.5×
Phosphatase alkaline (84075)
range across 4 matching MRF lines
$7.82–$17.87 $34–$77.70 varies
Phospholipid Neutralization Hexagonal (85598) $7.24 $31.46 0.4×
Phosphorus Serum (84100) $16.35 $71.10 3.5×
Phosphorus urine (84105)
range across 2 matching MRF lines
$3.99–$17.87 $17.34–$77.70 varies
Platelet Aggregation (85576)
range across 2 matching MRF lines
$33.12–$74.06 $144–$322 varies
Platelet Antibodies (86022) $63.48 $276 3.5×
Platelet count automated (85049) $14.19 $61.70 3.2×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $715.53 $3,111 3.5×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $140.42 $610.50 0.7×
Pms2 gene full seq analysis (81317)
range across 2 matching MRF lines
$158.01–$466.78 $687–$2,029.50 varies
Porphobilinogen, urine; quantitative (84110) $17 $73.90 2.0×
Porphyrins Urine Quantitation & Fractionation (84120) $4.62 $20.10 0.3×
Potassium Urine (84133) $14.86 $64.60 3.1×
Prealbumin (84134) $19.25 $83.70 1.3×
Pregnancy-Associated Plasma Protein-A (84163) $24.84 $108 1.7×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $23 $100 0.4×
Primidone (80188) $11.45 $49.77 0.7×
Procalcitonin (Pct) (84145) $17.71 $77 0.7×
Progesterone (84144) $71.99 $313 3.5×
Prolactin (84146) $66.93 $291 3.5×
Protein body fluid (84157) $12.65 $55 3.2×
Protein C Activity (85303) $44.16 $192 3.2×
Protein c antigen (85302) $41.40 $180 3.4×
Protein Electrophoresis Urine (84166) $61.64 $268 3.5×
Protein Electrophoretic Fractj&Quantj Serum (84165) $37.03 $161 3.4×
Protein S Free (85306) $52.90 $230 3.5×
Protein s total (85305) $40.02 $174 3.4×
Protein total serum (84155)
range across 2 matching MRF lines
$4.83–$12.65 $21–$55 varies
Protein Total Urine (84156) $12.65 $55 3.4×
Prothrombin Time Substitution Plasma Frctj Each (85611) $13.62 $59.20 3.5×
PSA free (84154)
range across 2 matching MRF lines
$21.60–$63.48 $93.90–$276 varies
Pten Gene Analysis Full Sequence Analysis (81321) $458.73 $1,994.49 0.8×
Pth Intact (83970) $142.37 $619 3.4×
Pyruvate kinase (84220) $5.61 $24.39 0.6×
Q Fever Antibody (86638) $30.02 $130.50 2.5×
Quantitative assay drug (80299)
range across 12 matching MRF lines
$6.25–$58.19 $27.17–$253 varies
Quantitative Screen Metals (83018) $2.67 $11.60 0.1×
Rbc antibody elution (86860)
range across 2 matching MRF lines
$20.01–$152.95 $87–$665 varies
Rbc antibody identification (86870)
range across 3 matching MRF lines
$17.02–$79.81 $74–$347 varies
Rbc antibody screen (86850)
range across 2 matching MRF lines
$23.69–$30.59 $103–$133 varies
Rbc pretreatment serum (86978) $30.82 $134 0.6×
Reagent Strip/Blood Glucose (82948) $3.91 $17 0.8×
Renin activity plasma (84244) $75.90 $330 3.5×
Resp virus 12-25 targets (87633) $1,438.65 $6,255 3.5×
Resp Virus 6-11 Targets (87632) $133.17 $579 0.6×
Reticulated Platelet Assay (85055) $69.46 $302 1.9×
Rh (86901)
range across 2 matching MRF lines
$4.83–$30.59 $21–$133 varies
Rheumatoid factor quant (86431) $19.57 $85.10 3.5×
Rickettsia antibody (86757) $66.70 $290 3.4×
Ristocetin cofactor (85245) $79.12 $344 3.4×
Rotavirus ag eia (87425) $41.40 $180 3.5×
Rpr qualitative (86592) $14.72 $64 3.4×
Rsv Assay W/Optic (87807)
range across 2 matching MRF lines
$16.33–$22.59 $71–$98.20 varies
Rubella Antibody (86762) $49.68 $216 3.5×
Rubeola antibody (86765) $44.39 $193 3.4×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$3.22–$33.12 $14–$144 varies
Salicylate Level (80179) $3.89 $16.93 0.2×
Sars-Cov-2 Covid-19 Amp Prb (87635) $42.55 $185 0.8×
Sars-cov-2 COVID-19 antibody (86769) $11.50 $50 0.3×
Sars-Cov-2 Covid19 W/Optic (87811) $20.01 $87 0.5×
Sedimentation rate (85651)
range across 2 matching MRF lines
$5.52–$12.24 $24–$53.20 varies
Sedimentation Rate, Automated (85652) $12.24 $53.20 4.5×
Selenium (84255) $8 $34.80 0.3×
Semen Anal Sperm Detection (89321)
range across 2 matching MRF lines
$16.33–$22.68 $71–$98.60 varies
Sensitivity mic (87186)
range across 5 matching MRF lines
$5.97–$29.90 $25.95–$130 varies
Sex Hormone Binding Globulin (84270) $74.98 $326 3.5×
Sickling of rbc reduction (85660)
range across 3 matching MRF lines
$19.04–$19.78 $82.80–$86 varies
Sirolimus (80195) $9.47 $41.19 0.7×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$8.37–$11.50 $36.41–$50 varies
Smear acid fast (87206) $18.56 $80.70 3.4×
Smear complex stain (87209) $62.10 $270 3.5×
Smear gram stain (87205) $14.72 $64 3.4×
Smear Special Stain (87207)
range across 2 matching MRF lines
$15.28–$20.70 $66.45–$90 varies
Smn1 Gene Dos/Deletion Alys (81329) $207 $900 1.5×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 5 matching MRF lines
$6.67–$14.72 $29–$64 varies
Snrpn/Ube3a Methylation Analysis (81331) $42.38 $184.27 0.8×
Sodium Serum (84295)
range across 3 matching MRF lines
$6.67–$16.61 $29–$72.20 varies
Sodium Urine (84300) $16.79 $73 3.3×
Soluble Transferrin Receptor (84238) $126.27 $549 3.5×
Somatomedin (84305) $67.85 $295 3.2×
Somatostatin (84307) $12.61 $54.84 0.7×
Special Stains Group 1 (88312)
range across 3 matching MRF lines
$36.76–$50.14 $159.84–$218 varies
Special Stains Group 2 (88313)
range across 3 matching MRF lines
$32.95–$87.17 $143.25–$379 varies
Specific gravity body fluid (84315) — $3.40 —
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$17.04–$23 $74.10–$100 varies
Spectrophotometry (84311)
range across 7 matching MRF lines
$8.16–$40.48 $35.49–$176 varies
Splitting Blood/Blood Products Each Unit (86985) $83.49 $363 0.5×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $99.86 $434.19 0.6×
Stool cultr aerobic bact ea (87046) $32.66 $142 3.5×
Strep a assay w/optic (87880)
range across 4 matching MRF lines
$16.79–$41.40 $73–$180 varies
Strep a DNA amp probe (87651)
range across 3 matching MRF lines
$13.80–$31.05 $60–$135 varies
Sugars Single Qual (84376) $16.33 $71 3.0×
Sulfate urine (84392)
range across 2 matching MRF lines
$2.46–$3.79 $10.71–$16.47 varies
Surg path level iii (88304) $92.46 $402 2.0×
Surgical pathology level IV (88305)
range across 4 matching MRF lines
$34.33–$94.53 $149.28–$411 varies
Surgical pathology level vi (88309) $454.48 $1,976 0.6×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $3.91 $17.02 0.8×
Susceptibility Study Antimicrobial Disk Method (87184) $23.92 $104 3.2×
Sweat Collection Iontophoresis (89230) $11.96 $52 0.3×
Syphilis Test Non-Trep Quant (86593) $15.18 $66 3.5×
T cells absolute cd4 count (86361) $69.46 $302 2.6×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $138.92 $604 3.0×
T cells total count (86359)
range across 2 matching MRF lines
$32.11–$130.18 $139.60–$566 varies
T3 Free (84481) $34.04 $148 2.0×
T3 reverse (84482) $16.03 $69.70 1.0×
T3 Total (84480) $22.15 $96.30 1.6×
T3 Uptake (84479)
range across 2 matching MRF lines
$16.03–$20.70 $69.70–$90 varies
T4 Free (84439) $31.05 $135 3.4×
T4 total (84436) $16.70 $72.60 2.4×
Tacrolimus (80197) $47.38 $206 3.5×
Tb ag response t-cell susp (86481) $258.52 $1,124 2.6×
Testosterone total (84403) $89.01 $387 3.4×
Testosterone, Free (84402) $87.86 $382 3.4×
Tetanus antibody (86774) $33.81 $147 2.3×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $442.75 $1,925 0.7×
Theophylline (80198) $4.44 $19.30 0.3×
Thrombin Time (85670) $19.92 $86.60 3.5×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $22.33 $97.10 3.5×
Thyroglobulin (84432)
range across 3 matching MRF lines
$18.65–$55.43 $81.09–$241 varies
Thyroglobulin Antibody (86800) $54.97 $239 3.5×
Thyroid Stimulating Immunoglobulin (84445) $63.48 $276 1.2×
Tiss Trnsgltmnase Ea Ig Clas (86364) $39.79 $173 3.5×
Tissue culture bone marrow (88237) $220.57 $959 1.5×
Tissue Culture Lymphocyte (88230) $114.20 $496.51 1.0×
Tobramycin peak (80200) $15.14 $65.82 0.9×
Topiramate (80201) $41.17 $179 3.5×
Toxoplasma ab igm (86778) $49.68 $216 3.4×
Toxoplasma antibody (86777) $49.68 $216 3.5×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$7.59–$17.87 $33–$77.70 varies
Transferrin (84466) $44.16 $192 3.5×
Trb@ Rearrangement Anal Amplification Method (81340) $179.27 $779.42 0.9×
Trg gene rearrangement anal (81342) $695.52 $3,024 3.5×
Trichomonas Vaginalis Amplif (87661) $29.67 $129 0.8×
Triglycerides (84478)
range across 4 matching MRF lines
$5.78–$19.83 $25.14–$86.20 varies
Troponin Quant (84484) $34.04 $148 2.7×
Tumor Immunohistochem/Manual (88360) $102.92 $447.48 0.7×
Unlisted Transfusion Medicine Procedure (86999)
range across 9 matching MRF lines
$16.56–$98.90 $72–$430 varies
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$1.45–$5.06 $6.30–$22 varies
Uric acid other source (84560)
range across 3 matching MRF lines
$1.50–$5.31 $6.50–$23.10 varies
Urinalysis Qual/Semiquant Except Immunoassays (81005)
range across 2 matching MRF lines
$2.99–$10.81 $13–$47 varies
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
$6.67–$7.94 $29–$34.50 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$3.91–$10.92 $17–$47.50 varies
Valproic acid (80164) $46.69 $203 3.4×
Vancomycin (80202) $46.69 $203 3.4×
Varicella-zoster antibody (86787) $38.64 $168 3.0×
Vasopressin (84588) $117.07 $509 3.4×
Very Long Chain Fatty Acids (82726) $13.63 $59.25 0.7×
Viral Culture (87252) $10.92 $47.50 0.4×
Virus antibody nos (86790)
range across 7 matching MRF lines
$8.89–$38.64 $38.64–$168 varies
Vit D 1 25-Dihydroxy (82652) $132.94 $578 3.5×
Vitamin A (84590) $40.02 $174 3.4×
Vitamin b-12 (82607) $51.98 $226 3.4×
Vitamin B2 (Riboflavin) (84252) $69.92 $304 3.5×
Vitamin B6 (84207)
range across 2 matching MRF lines
$19.32–$48.76 $84–$212 varies
Vitamin c (82180) $29.21 $127 3.0×
Vitamin D 25-Hydroxy (82306) $102.12 $444 3.5×
Vitamin E (84446) $48.99 $213 3.5×
Vitamin K (84597) $6.69 $29.10 0.5×
Voltage-Gated Calcium Channel Antibody Each (86596) $69 $300 5.7×
Von willebrand factor ag (85246) $79.12 $344 3.4×
West nile virus ab igm (86788) $58.19 $253 3.5×
West Nile Virus Antibody (86789) $49.68 $216 3.5×
Western Blot Test (84181) $5.34 $23.20 0.3×
Zika Virus Dna/Rna Amp Probe (87662) $63.94 $278 1.2×
Zika Virus Igm Antibody (86794) $14.46 $62.85 0.9×
Zinc (84630) $39.33 $171 3.5×

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.