Lab & pathology prices at Onslow Memorial Hospital

Jacksonville, NC · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $145.94 $145.94 6.4×
5 Nucleotidase (83915) $123.17 $123.17 11.0×
Acetylcholinesterase Assay (82013) $214.25 $214.25 17.4×
Acth (82024) $263 $263 6.8×
Acute hepatitis panel (80074) $476 $476 10.0×
Acylcarnitines Quant (82017) $75 $75 4.4×
Adenovirus antibody (86603) $23 $23 1.8×
Agglutinins Febrile Each Antigen (86000) $99 $99 14.2×
Albumin Fluid (82042) $52 $52 6.7×
Albumin serum (82040) $54 $54 10.9×
Aldolase (82085) $93 $93 9.6×
Aldosterone urine (82088)
range across 4 matching MRF lines
$208–$229 $208–$229 varies
Alkaline phosphatase isoenzymes (84080) $123 $123 8.3×
Allergen spec ige qual multiallergen screen (86005) $23 $23 2.9×
Allergen specific ige (86003)
range across 294 matching MRF lines
$30–$48 $30–$48 varies
Allg Spec Ige Recomb Ea (86008)
range across 19 matching MRF lines
$65–$101 $65–$101 varies
Alpha-1-antitrypsin phenotype (82104) $155 $155 10.7×
Alpha-1-antitrypsin total (82103) $134 $134 10.0×
Alpha-Fetoprotein Amniotic Fluid (82106) $57.96 $57.96 3.4×
Alpha-Fetoprotein Serum (82105)
range across 7 matching MRF lines
$143–$210 $143–$210 varies
Alt (sgpt) (84460)
range across 6 matching MRF lines
$63–$82 $63–$82 varies
Aluminum (82108)
range across 2 matching MRF lines
$150–$175.95 $150–$175.95 varies
Amikacin trough (80150) $137.66 $137.66 9.1×
Amino Acids 1 Quantitative Each Specimen (82131) $181 $181 7.9×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 3 matching MRF lines
$329.46–$360 $329.46–$360 varies
Amino Acids Multiple Qualitative Each Specimen (82128) $164.57 $164.57 11.9×
Amino Acids Quant 2-5 (82136) $105 $105 5.4×
Aminolevulinic acid (ala) (82135) $229 $229 13.9×
Ammonia (82140) $122 $122 8.4×
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 2 matching MRF lines
$198–$300 $198–$300 varies
Amylase urine (82150) $115 $115 17.7×
Androstenedione (82157) $41 $41 1.4×
Angiotensin converting enzyme csf (82164) $115 $115 7.9×
Anti-Phospholipid Antibody (86148) $90 $90 5.6×
Antibody aspergillus (86606) $70 $70 4.7×
Antibody Bacterium Not Elsewhere Specified (86609) $40 $40 3.1×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 8 matching MRF lines
$131–$145 $131–$145 varies
Antibody Cytomegalovirus Cmv Igm (86645) $140 $140 8.3×
Antibody Encephalitis California La Crosse (86651) $155.25 $155.25 11.8×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $144 $144 11.0×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $130 $130 8.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $165 $165 9.1×
Antibody Fungus Not Elsewhere Specified (86671) $119 $119 9.7×
Antibody haemophilus influenza (86684) $201.83 $201.83 12.7×
Antibody helicobacter pylori (86677) $173 $173 10.3×
Antibody Herpes Smplx Non-Specific Type Test (86694) $83 $83 5.8×
Antibody Herpes Smplx Type 1 (86695)
range across 4 matching MRF lines
$87–$90 $87–$90 varies
Antibody HIV-2 (86702)
range across 5 matching MRF lines
$121–$135 $121–$135 varies
Antibody htlv/HIV antibody confirmatory test (86689) $123.17 $123.17 6.4×
Antibody identification leukocyte antibodies (86021) $194 $194 12.9×
Antibody Identification Platelet Immunogl Assay (86023) $410.90 $410.90 33.0×
Antibody Protozoa Nes (86753) $148.01 $148.01 11.9×
Antibody Titer (86886) $199 $199 38.4×
Antibody Treponema Pallidum (86780) $59 $59 4.5×
Antibody yersinia (86793) $160.43 $160.43 12.2×
Antibody; encephalitis, st. louis (86653) $155.25 $155.25 11.8×
Antibody; influenza virus (86710)
range across 5 matching MRF lines
$55–$123.17 $55–$123.17 varies
Antigen typing (86905) $350 $350 91.4×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $163 $163 28.5×
Antinomyces antibody (86602) $68 $68 6.7×
Antinuclear antibodies (86038) $89 $89 7.4×
Antistreptolysin O Screen (86063) $52.79 $52.79 9.1×
Antistreptolysin o titer (86060)
range across 2 matching MRF lines
$80–$89 $80–$89 varies
Antithrombin iii activity (85300) $194 $194 16.4×
Antithrombin iii antigen (85301) $82 $82 7.6×
Apolipoprotein a1 (82172)
range across 5 matching MRF lines
$50–$80 $50–$80 varies
Arsenic (82175)
range across 7 matching MRF lines
$83–$113 $83–$113 varies
Aspergillus ag eia (87305) $318 $318 26.5×
Assay activated protein c (85307) $94 $94 6.1×
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines
$61–$77 $61–$77 varies
Assay Blood Catecholamines (82383) $346.73 $346.73 11.9×
Assay Nephelometry Not Spec (83883)
range across 8 matching MRF lines
$63–$203 $63–$203 varies
Assay of 5-hiaa (83497) $116 $116 9.0×
Assay of b-hexosaminidase each assay (83080) $414 $414 24.5×
Assay of blood/uric acid (84550) $74 $74 16.4×
Assay of calcium in urine (82340)
range across 9 matching MRF lines
$68–$74 $68–$74 varies
Assay of cpk in blood (82552) $125 $125 9.3×
Assay of estrone (82679) $232 $232 9.3×
Assay of g6pd enzyme (82955) $80 $80 8.2×
Assay of gammaglobulin igm (82784)
range across 18 matching MRF lines
$42–$102 $42–$102 varies
Assay of lactic acid (83605) $108 $108 9.3×
Assay of manganese (83785) $142 $142 5.3×
Assay of metanephrines (83835) $205 $205 12.1×
Assay of phosphatase acid total (84060) $74.52 $74.52 9.8×
Assay of procainamide (80190) $96.26 $96.26 1.6×
Assay of proinsulin (84206) $142 $142 5.3×
Assay of prostate specific antigen complexed (84152) $184.23 $184.23 10.0×
Assay of pyruvate (84210) $124.20 $124.20 8.6×
Assay of semen fructose (82757) $196.65 $196.65 11.3×
Assay of serotonin (84260) $153 $153 4.9×
Assay of serum potassium (84132) $58 $58 12.2×
Assay of Sialic Acid (84275) $125.24 $125.24 9.3×
Assay of sweat sodium (84302) $82 $82 16.9×
Assay of transcortin (84449) $35.19 $35.19 2.0×
Assay of urea nitrogen (84520) $52 $52 13.2×
Assay of urine vma (84585) $164 $164 10.6×
Assay of vasoactive intestinal peptide (84586) $266 $266 7.5×
Assay of vitamin b-1 (84425) $134 $134 6.3×
Assay Ph Body Fluid Nos (83986) $30 $30 8.4×
Atomic Absorption (82190) $139.73 $139.73 8.8×
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $1,300 $1,300 1.5×
Autol Bld/Component Collj Storage Predeposited (86890) $595.13 $595.13 3.6×
Automated Leukocyte Count (85048) $43 $43 16.9×
B cells total count (86355) $249 $249 6.6×
Bcr/abl1 gene major bp (81206) $611 $611 3.7×
Bcr/abl1 gene minor bp (81207) $423 $423 2.9×
Beta 2 glycoprotein i antibody each (86146)
range across 10 matching MRF lines
$61–$112 $61–$112 varies
Beta hydroxybutyrate (82010) $98 $98 12.0×
Beta-2 Microglobulin (82232) $158 $158 9.8×
Bile acids total (82239) $136 $136 7.9×
Bilirubin direct (82248) $60 $60 12.0×
Bilirubin total (82247)
range across 8 matching MRF lines
$63–$97 $63–$97 varies
Bilirubin total transcutaneous (88720) $15 $15 3.0×
Biotinidase (82261) $150 $150 8.9×
Blastomyces antibody (86612)
range across 2 matching MRF lines
$122–$174 $122–$174 varies
Bleeding time test (85002) $94.19 $94.19 19.5×
Blood count reticulocyte automated (85045) $53 $53 13.3×
Blood gas (82803) $185 $185 7.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $48 $48 11.0×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 9 matching MRF lines
$343–$350 $343–$350 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $59 $59 3.6×
Blood typing serologic abo (86900)
range across 4 matching MRF lines
$122–$275 $122–$275 varies
Body fluid cell count (89050) $78 $78 16.5×
Bordetella antibody (86615)
range across 3 matching MRF lines
$135–$144 $135–$144 varies
Borrelia Antibody (86619) $176.99 $176.99 13.2×
Brucella antibody (86622)
range across 3 matching MRF lines
$66.24–$94.19 $66.24–$94.19 varies
C diff amplified probe (87493)
range across 3 matching MRF lines
$103–$188 $103–$188 varies
C-Peptide (84681) $124 $124 6.0×
C-reactive protein (86140) $100 $100 19.3×
Ca 19-9 (86301) $153 $153 7.4×
Cadmium (82300)
range across 3 matching MRF lines
$35–$179.06 $35–$179.06 varies
Caffeine (80155) $133.52 $133.52 3.5×
Calcitonin (82308) $155 $155 5.8×
Calcium ionized (82330) $95 $95 6.9×
Calcium total (82310)
range across 2 matching MRF lines
$64–$75 $64–$75 varies
Calculus Xray Diffraction (82370) $121.10 $121.10 9.7×
Calprotectin Fecal (83993) $300 $300 15.3×
Calr gene com variants (81219) $1,382 $1,382 11.4×
Cancer Antigen 125 (86304) $185 $185 8.9×
Cancer Antigen 27.29 (86300)
range across 3 matching MRF lines
$158–$190 $158–$190 varies
Candida antibody (86628)
range across 4 matching MRF lines
$60–$203.90 $60–$203.90 varies
Carbamazepine free (80157) $125 $125 9.4×
Carbamazepine total (80156)
range across 2 matching MRF lines
$138–$168 $138–$168 varies
Carboxyhemoglobin (82375) $134 $134 10.9×
Carcinoembryonic antigen (82378)
range across 3 matching MRF lines
$186–$217 $186–$217 varies
Cardiolipin ab iga (86147)
range across 16 matching MRF lines
$147–$176 $147–$176 varies
Carnitine Quantitative Each Specimen (82379) $70 $70 4.1×
Carotene (82380) $162 $162 17.6×
Catecholamines fractionated (82384) $211 $211 8.4×
Catecholamines total urine (82382) $364.32 $364.32 13.3×
Ccp antibody (86200) $92 $92 7.1×
Cell marker study (88182) $320.85 $320.85 6.4×
Ceruloplasmin (82390) $88 $88 8.2×
Cftr gene com variants (81220) $1,484 $1,484 2.7×
Chemiluminescent assay (82397) $170 $170 12.0×
Chlamydia antibody (86631) $106 $106 9.0×
Chlamydia Igm Antibody (86632) $109 $109 8.6×
Chloride other source (82438) $66 $66 13.2×
Chloride Serum (82435) $51 $51 11.1×
Chloride urine (82436)
range across 2 matching MRF lines
$52–$53 $52–$53 varies
Cholesterol total (82465)
range across 3 matching MRF lines
$63–$79 $63–$79 varies
Cholinesterase Serum (82480) $119.03 $119.03 15.1×
Chorionic gonadotropin test (84702)
range across 9 matching MRF lines
$177–$205 $177–$205 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285) $66.50 $66.50 2.5×
Chrmsm Analysis Addl High Resolution Study (88289)
range across 2 matching MRF lines
$248.40–$1,200 $248.40–$1,200 varies
Chrmsm Analysis Addl Karyotyp Each Study (88280) $170 $170 5.1×
Chromium serum (82495)
range across 2 matching MRF lines
$132–$151 $132–$151 varies
Chromogranin a (86316) $150 $150 7.2×
Chromosome analys amniotic (88269) $352.94 $352.94 2.0×
Chromosome Analysis 15-20 (88262) $905 $905 7.2×
Chromosome Analysis 20-25 (88264) $399 $399 2.8×
Chromosome analysis, 5 (88261) $999 $999 3.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 14 matching MRF lines
$192–$204 $192–$204 varies
Citric acid urine (82507) $39 $39 1.4×
Ckmb (82553)
range across 2 matching MRF lines
$128–$148 $128–$148 varies
Clostridium Difficile (87324) $144 $144 12.0×
Clot Factor VIII Multimetric (85247) $166 $166 7.2×
Clotting factor viii related antigen (85244) $380.88 $380.88 18.7×
Clotting factor xii hageman (85280) $311.54 $311.54 16.1×
Clotting Funct Activity (85397) $252 $252 8.2×
Clotting hi molec weight kininogen assay (85293) $267.03 $267.03 14.1×
Clotting prekallikrein assay fletcher fact assay (85292) $419.18 $419.18 22.1×
Coagulation time activated (85347) $51 $51 11.9×
Coccidioides antibody (86635) $90 $90 7.8×
Cold agglutinin titer (86157) $128 $128 15.9×
Collagen crosslinks (82523) $180 $180 9.6×
Column Chromotography Quant (82542)
range across 13 matching MRF lines
$238–$298 $238–$298 varies
Compatibility Each Unit Incubation (86921) $163 $163 1.0×
Compatibility test antiglob (86922)
range across 2 matching MRF lines
$163–$300 $163–$300 varies
Complement Antigen Each Component (86160)
range across 15 matching MRF lines
$114–$132 $114–$132 varies
Complement Fixation Tests Each Antigen (86171) $106.61 $106.61 10.7×
Complement Total (Ch50) (86162) $225 $225 11.1×
Complement/Function Activity (86161)
range across 2 matching MRF lines
$56.50–$122.13 $56.50–$122.13 varies
Consltj&Reprt Slides Prepared Elsewhere (88321) $280 $280 7.8×
Coombs direct (86880) $86 $86 16.0×
Copper urine (82525) $88 $88 7.1×
Cortisol free (82530) $144 $144 8.6×
Cortisol saliva (82533) $151 $151 9.3×
Creatine (82540) $28.94 $28.94 6.2×
Creatine kinase total (82550) $94 $94 14.4×
Creatinine blood (82565) $62 $62 12.1×
Creatinine clearance (82575) $135 $135 14.3×
Creatinine Urine (82570)
range across 15 matching MRF lines
$59–$60 $59–$60 varies
Crossmatch immediate spin (86920)
range across 3 matching MRF lines
$163–$300 $163–$300 varies
Crp High Sensitivity (86141) $125 $125 9.7×
Cryofibrinogen (82585) $53 $53 3.7×
Cryoglobulin (82595) $77 $77 11.9×
Cryptococcus ag titer (87899) $109 $109 6.8×
Cryptosporidium ag eia (87328) $184 $184 13.3×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $89 $89 11.0×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $100 $100 13.0×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $650 $650 3.0×
Culture afb (87116) $163 $163 15.1×
Culture Anaerobic (87075)
range across 3 matching MRF lines
$165–$200 $165–$200 varies
Culture blood (87040) $137 $137 13.3×
Culture chlamydia (87110) $157 $157 8.0×
Culture csf (87070)
range across 24 matching MRF lines
$155–$175 $155–$175 varies
Culture screen only (87081) $91 $91 13.7×
Culture stool (87045) $141 $141 14.9×
Culture typing if ea antiserum (87140) $83 $83 14.9×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $27 $27 5.2×
Culture urine (87086) $102 $102 12.6×
Cyanide (82600) $190.44 $190.44 9.8×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $175.95 $175.95 12.3×
Cyclic amp (82030) $63.14 $63.14 2.4×
Cyclosporine (80158) $223 $223 12.4×
Cyp2d6 gene com variants (81226) $600 $600 1.3×
Cytogenetics 10-30 (88273) $201.83 $201.83 5.8×
Cytogenetics 100-300 (88275) $265 $265 5.2×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,160 $1,160 1.0×
Cytomegalovirus igg (86644) $134 $134 9.3×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$140–$147 $140–$147 varies
Cytopath Cell Enhance Tech (88112) $204 $204 4.1×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) $16.56 $16.56 0.9×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $200 $200 7.5×
Cytp Concentration Smears & Interpretation (88108) $120 $120 3.3×
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 3 matching MRF lines
$94.13–$256 $94.13–$256 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $336 $336 2.0×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 3 matching MRF lines
$143–$210 $143–$210 varies
Cytp Slides C/V Mnl Scr Under Phys (88150) $16.56 $16.56 0.9×
Deoxycortisol (82634) $426.42 $426.42 14.6×
Deoxyribonuclease antibody (86215) $77 $77 5.8×
Desoxycorticosterone (82633) $426.42 $426.42 13.8×
Detect Agent Nos Dna Amp (87798)
range across 23 matching MRF lines
$220–$460 $220–$460 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$819–$953 $819–$953 varies
Dgp Antibody Each Ig Class (86258) $41.66 $41.66 3.5×
Dhea (82626) $201 $201 8.0×
Dhea-S (82627) $152 $152 6.8×
Dibucaine number (82638) $110.75 $110.75 9.0×
Digoxin (80162)
range across 2 matching MRF lines
$75–$82 $75–$82 varies
Digoxin free (80163) $250 $250 18.8×
Dihydrotestosterone (82642) $166.64 $166.64 5.7×
Diphtheria antitoxoid (86648) $199.76 $199.76 13.1×
Dna Antibody Native/Double Stranded (86225) $209 $209 15.2×
Dna Antibody Single Stranded (86226) $137.57 $137.57 11.4×
Dna/Rna Amplified Probe (87150) $205 $205 5.8×
Drug assay acetaminophen (80143) $218 $218 11.7×
Drug assay adalimumab (80145)
range across 2 matching MRF lines
$140–$254 $140–$254 varies
Drug Assay Amiodarone (80151) $156.29 $156.29 8.4×
Drug Assay Everolimus (80169) $234 $234 17.0×
Drug Assay Infliximab (80230)
range across 2 matching MRF lines
$140–$225 $140–$225 varies
Drug Assay Lacosamide (80235) $330 $330 12.2×
Drug assay voriconazole (80285) $245.30 $245.30 9.0×
Drug Screen Quant Clozapine (80159) $129 $129 6.4×
Drug Screen Quant Zonisamide (80203) $169 $169 12.8×
Drug Screen Quantitative Gabapentin (80171) $75 $75 3.5×
Drug Screen Quantitative Lamotrigine (80175) $113 $113 8.5×
Drug Screen Quantitative Levetiracetam (80177) $96 $96 7.2×
Drug Screen Quantitative Oxcarbazepine (80183) $32 $32 2.4×
Drug Screen Quantitative Procainamide Metabolite (80192) $113.85 $113.85 6.8×
Drug Test Prsmv Chem Anlyzr (80307)
range across 21 matching MRF lines
$50–$403 $50–$403 varies
Ehrlichia antibody (86666) $99 $99 9.7×
Electrolyte panel (80051) $115 $115 16.4×
Electron Microscopy (88348) $820 $820 1.1×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $321.89 $321.89 5.2×
Encephaltis East Eqne Anbdy (86652) $155.25 $155.25 11.8×
Encephaltis West Eqne Antbdy (86654) $155.25 $155.25 11.8×
Endomysial Antibody Each Immunoglobulin Class (86231) $41.67 $41.67 3.4×
Enterovirus Antibody (86658)
range across 38 matching MRF lines
$78–$123 $78–$123 varies
Enterovirus PCR (87498) $255.65 $255.65 7.3×
Enzyme cell activity (82657) $371 $371 16.7×
Eosinophil Smear (89190) $57 $57 9.8×
Erythropoietin (82668) $168 $168 8.9×
Estradiol serum (82670) $203 $203 7.3×
Estriol (82677)
range across 5 matching MRF lines
$114–$143 $114–$143 varies
Estrogen total (82672)
range across 2 matching MRF lines
$168–$210 $168–$210 varies
Ethosuximide (80168) $192.51 $192.51 11.8×
Ethylene Glycol (82693) $216 $216 14.5×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$99–$102 $99–$102 varies
F2 Gene (81240) $330 $330 5.0×
Factor ii activity (85210) $279.45 $279.45 21.5×
Factor Inhibitor Test (85335) $191 $191 14.8×
Factor ix activity (85250) $380 $380 20.0×
Factor v activity (85220) $238 $238 13.5×
Factor v leiden mutation (81241) $178 $178 2.4×
Factor vii assay (85230) $215.28 $215.28 12.0×
Factor viii assay (85240)
range across 4 matching MRF lines
$220–$225 $220–$225 varies
Factor X (85260) $271 $271 15.1×
Factor xi activity (85270) $137 $137 7.7×
Factor xiii screen (85291) $194 $194 21.3×
Fat stain feces urine/respir secretions (89125) $44.51 $44.51 7.6×
Fat/Lipids Feces Quantitative (82710) $160 $160 9.5×
Fatty acids free (82725) $75.56 $75.56 4.0×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $235.98 $235.98 30.6×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $52 $52 8.0×
Fecal Fat Qualitative (82705) $63 $63 12.4×
Ferritin (82728) $135 $135 9.9×
Fetal Chrmoml Aneuploidy (81420) $1,200 $1,200 1.6×
Fetal Fibronectin (82731) $619 $619 9.6×
Fetal hemoglobin assay qual (83033) $67.28 $67.28 8.4×
Fetal screen rosette (85461) $88 $88 9.4×
Fibrin degradation products (85362) $128 $128 18.6×
Fibrin Degradation Quant (85379) $124 $124 12.2×
Fibrinogen activity (85384) $108 $108 11.1×
Flecainide level (80181) $194.58 $194.58 10.4×
Flow cytometry first marker (88184) $429 $429 1.2×
Fluorescent antibody screen (86255)
range across 23 matching MRF lines
$190–$402 $190–$402 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 23 matching MRF lines
$96–$120 $96–$120 varies
Fluoride serum (82735) $157.32 $157.32 8.5×
Fmr1 Gene Charac Alleles (81244) $250 $250 5.6×
Fmr1 gene detection (81243) $283 $283 5.0×
Folic acid rbc (82747) $169 $169 9.6×
Folic Acid Serum (82746) $127 $127 8.6×
Follicle Stimulating Hormone (83001)
range across 3 matching MRF lines
$192–$204 $192–$204 varies
Fresh Frozen Plasma Thawing Each Unit (86927) $163 $163 1.0×
Frozen Section (88331) $360 $360 2.2×
Galectin-3 (82777) $220 $220 5.0×
Gammaglobulin ige (82785) $118 $118 7.2×
Gases Blood O2 Saturation Only Direct Meas (82810) $76 $76 7.8×
Gases blood ph only (82800) $68 $68 6.2×
Gastrin (82941) $339 $339 19.2×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $900 $900 2.2×
Gentamicin (80170) $155 $155 9.5×
Ggt (82977)
range across 4 matching MRF lines
$63–$97 $63–$97 varies
Giardia antigen (87329) $84 $84 7.0×
Giardia lamblia antibody (86674) $280.49 $280.49 19.1×
Gluc-6-phosphate dehydrogenase screen (82960) $80 $80 13.2×
Glucagon (82943) $65 $65 4.5×
Glucose 2 hr pp (82950) $72 $72 15.2×
Glucose Blood Test (82962) $34 $34 10.4×
Glucose body fluid (82945) $75 $75 19.1×
Glucose Serum (82947) $53 $53 13.5×
Glucose tolerance test (gtt) (82951)
range across 3 matching MRF lines
$150–$188 $150–$188 varies
Glutathione (82978) $254.61 $254.61 16.5×
Glycated Protein (82985) $101 $101 6.0×
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines
$121–$144 $121–$144 varies
Growth hormone (83003)
range across 4 matching MRF lines
$113–$121 $113–$121 varies
Gtt-added samples (82952) $61 $61 15.6×
H Pylori (C-13) Breath (83013) $209 $209 3.1×
Haloperidol (80173) $177 $177 11.2×
Haptoglobin (83010)
range across 3 matching MRF lines
$63–$110 $63–$110 varies
Hba1/Hba2 Gene (81257) $1,106 $1,106 10.8×
Hdl Cholesterol (83718) $90 $90 11.0×
Helicobacter Pylori Stool (87338) $174 $174 12.1×
Helminth Antibody (86682) $228 $228 17.5×
Hematocrit (85014) $39 $39 16.5×
Hemoglobin (85018) $40 $40 16.9×
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$89–$112 $89–$112 varies
Hemoglobin Chromotography (83021) $144 $144 8.0×
Hemoglobin electrophoresis (83020)
range across 3 matching MRF lines
$139–$195 $139–$195 varies
Hemoglobin F Fetal Chemical (83030) $64 $64 6.0×
Hemoglobin Methemoglobin Quantitative (83050) $61 $61 7.4×
Hemoglobin plasma (83051) $76 $76 10.4×
Hemoglobin stability screen (83068) $228.74 $228.74 24.2×
Hemolysin Acid (85475) $187.34 $187.34 21.1×
Hemolysins&Agglutinins Auto Screen Each (86940) $76.59 $76.59 8.7×
Hemolysins&Agglutinins Incubated (86941) $112.82 $112.82 9.3×
Hep a ab igm (86709)
range across 4 matching MRF lines
$97–$122 $97–$122 varies
Heparin assay (85520) $150 $150 11.5×
Hepatitis a antibody total (86708) $119 $119 9.6×
Hepatitis b core ab igm (86705)
range across 3 matching MRF lines
$98–$123 $98–$123 varies
Hepatitis b core ab total (86704)
range across 5 matching MRF lines
$91–$95 $91–$95 varies
Hepatitis B Surface Antibody (86706)
range across 5 matching MRF lines
$8–$150 $8–$150 varies
Hepatitis B Surface Antigen (87340)
range across 6 matching MRF lines
$95–$150 $95–$150 varies
Hepatitis Be Antibody (86707)
range across 3 matching MRF lines
$81–$101 $81–$101 varies
Hepatitis Be Antigen (87350)
range across 3 matching MRF lines
$90–$93 $90–$93 varies
Hepatitis C Antibody (86803)
range across 5 matching MRF lines
$79–$229 $79–$229 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $358 $358 10.2×
Hepatitis C Revrs Trnscrpj (87522)
range across 9 matching MRF lines
$313–$628 $313–$628 varies
Hepatitis Delta Agent Antibody (86692) $149 $149 8.7×
Herpes simplex type 2 (86696) $95 $95 4.9×
Heterophile antibodies titer (86309) $90.05 $90.05 13.9×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$102–$115 $102–$115 varies
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $156.29 $156.29 20.2×
Histamine urine (83088) $441.95 $441.95 15.0×
Histoplasma antibody (86698) $132 $132 9.6×
Histoplasma antigen urine (87385) $188 $188 14.2×
Hiv Genotype (87901)
range across 2 matching MRF lines
$650–$842 $650–$842 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 4 matching MRF lines
$80–$200 $80–$200 varies
Hiv-1 Antibody (86701)
range across 5 matching MRF lines
$121–$155 $121–$155 varies
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 6 matching MRF lines
$560–$583 $560–$583 varies
HIV-2 probe&revrse trnscripj (87538)
range across 3 matching MRF lines
$96.49–$308 $96.49–$308 varies
Hla ii type 1 ag equiv lr (81377) $306.36 $306.36 3.2×
Hla ii typing 1 allele hr (81383) $306.36 $306.36 2.8×
Hla Typing a/B/C Multiple Antigens (86813) $554.76 $554.76 9.6×
Hla Typing Dr/Dq Single Antigen (86816) $349.83 $349.83 11.6×
Hla-b27 (86812) $388 $388 15.0×
Homocysteine (83090)
range across 3 matching MRF lines
$163–$171 $163–$171 varies
Homovanillic acid urine (83150) $255.65 $255.65 11.4×
Hpv High-Risk Types (87624)
range across 7 matching MRF lines
$198–$205 $198–$205 varies
Hsv Dna Amp Probe (87529)
range across 6 matching MRF lines
$258–$344 $258–$344 varies
Human Epididymis Protein 4 (86305) $204 $204 9.8×
Hydroxycorticosteroids 17 (83491) $207 $207 11.6×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$130–$194 $130–$194 varies
Hydroxyproline free (83500) $310.50 $310.50 13.7×
Hydroxyproline total (83505) $400.55 $400.55 16.5×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $170 $170 12.2×
Iaadi Varicella Zoster Virus (87290) $281.52 $281.52 21.0×
Iadna Bartonella Amplified Probe Technique (87471) $410.90 $410.90 11.7×
Iadna Candida Species Amplified Probe Tq (87481) $93.15 $93.15 2.7×
Iadna chlamydia pneumoniae amplified probe tq (87486) $247 $247 7.0×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490)
range across 3 matching MRF lines
$104.54–$153.18 $104.54–$153.18 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496) $464 $464 13.2×
Iadna Cytomegalovirus Quantification (87497) $438 $438 10.2×
Iadna Hepatitis B Virus Quantification (87517)
range across 4 matching MRF lines
$524–$529 $524–$529 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 4 matching MRF lines
$96.49–$749.34 $96.49–$749.34 varies
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $275 $275 6.6×
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $78.66 $78.66 2.9×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $396 $396 11.3×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 8 matching MRF lines
$178–$199 $178–$199 varies
Iadna Nos Direct Probe Tq Each Organism (87797) $249.44 $249.44 8.3×
Igg subclasses (82787) $214 $214 26.7×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $829 $829 2.4×
Immune Complex Assay (86332) $186.30 $186.30 7.6×
Immunfix e-phorsis/urine/csf (86335) $237 $237 8.1×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 15 matching MRF lines
$219–$240 $219–$240 varies
Immunoassay infectious agent (86318) $296.01 $296.01 16.4×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 36 matching MRF lines
$79–$187 $79–$187 varies
Immunoassay nonantibody (83516)
range across 13 matching MRF lines
$149–$205 $149–$205 varies
Immunodiffusion Ouchterlony (86331) $72 $72 6.0×
Immunoelectrophoresis Other Fluids Concentration (86325) $191 $191 8.3×
Immunoelectrophoresis Serum (86320) $195 $195 6.5×
Immunofixation electrophoresis (86334) $161 $161 7.2×
Immunofluorescence per spec 1st singl antb stain (88346) $375 $375 2.3×
Immunohistochemistry (88342)
range across 4 matching MRF lines
$318–$430 $318–$430 varies
In situ hybridization 1st probe stain (88365) $334 $334 2.0×
Influenza a/b ag eia (87400) $126 $126 8.9×
Influenza assay w/optic (87804) $128 $128 7.7×
Influenza DNA amp probe (87502) $293 $293 3.1×
Inhibin A (86336)
range across 10 matching MRF lines
$119–$165 $119–$165 varies
Inhibin b (83520)
range across 36 matching MRF lines
$189–$342 $189–$342 varies
Insulin antibodies (86337)
range across 2 matching MRF lines
$93–$170 $93–$170 varies
Insulin free (83527) $106 $106 8.2×
Insulin total (83525) $101 $101 8.8×
Intrinsic factor antibody (86340) $124 $124 8.2×
Iron (83540) $75 $75 11.6×
Iron Binding Capacity (83550) $73 $73 8.4×
Irradiation Blood Product Each Unit (86945) $129 $129 3.6×
Islet cell antibody (86341) $319 $319 13.5×
Jak2 gene analysis p.val617phe variant (81270)
range across 4 matching MRF lines
$325–$658 $325–$658 varies
Jak2 Gene Trgt Sequence Alys (81279) $464 $464 2.5×
Ketosteroids 17 total (83586) $156.29 $156.29 12.2×
L/s ratio (83661) $172.85 $172.85 7.9×
Lactate (ld) (ldh) enzyme (83615) $78 $78 12.9×
Lactoferrin fecal qualitative (83630) $73 $73 3.7×
Lactoferrin Fecal Quantitative (83631) $200 $200 10.2×
Ldh Isoenzymes (83625) $86.94 $86.94 6.8×
LDL direct (83721) $91 $91 8.7×
Lead (83655)
range across 6 matching MRF lines
$65–$123 $65–$123 varies
Legionella antibody (86713) $218 $218 14.2×
Legionella antigen urine (87449) $254 $254 21.2×
Legionella DNA probe (87540) $374.67 $374.67 18.7×
Leptospira antibody (86720) $179.06 $179.06 11.1×
Leucine Aminopeptidase Lap (83670) $172.85 $172.85 17.6×
Leukocyte Assessment Fecal (89055) $61 $61 14.3×
Leukocyte Histamine Release (86343) $172.85 $172.85 13.9×
Level I Surg Pathology Gross Examination Only (88300) $95 $95 3.4×
Level ii surg pathology gross&microscopic exam (88302) $202 $202 5.6×
Level V Surg Pathology Gross&Microscopic Exam (88307) $652 $652 1.9×
Lidocaine (80176) $139 $139 9.5×
Lipase (83690) $137 $137 19.9×
Lipoprotein A (83695) $99 $99 6.9×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $87.98 $87.98 7.8×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $233.91 $233.91 6.9×
Lithium (80178) $121 $121 18.3×
Luteinizing Hormone (Lh) (83002)
range across 3 matching MRF lines
$187–$195 $187–$195 varies
Lyme disease antibody (86618)
range across 10 matching MRF lines
$142–$185 $142–$185 varies
Magnesium Urine (83735) $80 $80 11.9×
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$105–$229 $105–$229 varies
Mercury urine (83825)
range across 4 matching MRF lines
$109–$113 $109–$113 varies
Metabolic panel ionized ca (80047) $200 $200 14.6×
Methylmalonic acid serum (83921)
range across 5 matching MRF lines
$169–$210 $169–$210 varies
Microalbumin, quantitative (82043)
range across 5 matching MRF lines
$65–$77 $65–$77 varies
Microsomal Antibodies Each (86376) $112 $112 7.7×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $99.36 $99.36 2.4×
Molecular Cytogenetics Dna Probe Each (88271) $217 $217 10.1×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $158.36 $158.36 3.7×
Mononuclear cell antigen (86356) $82.80 $82.80 3.1×
Mopath procedure level 2 (81401) $314.50 $314.50 2.3×
Mopath procedure level 7 (81406) $537.17 $537.17 1.9×
Morphometric Analysis Tumor (88358) $346.73 $346.73 2.1×
Mpl gene common variants (81338) $780 $780 5.2×
Mrsa Pcr (87641) $250 $250 7.1×
Mthfr Gene Analysis Common Variants (81291)
range across 4 matching MRF lines
$429–$691.38 $429–$691.38 varies
Mumps antibody (86735)
range across 3 matching MRF lines
$8.62–$122 $8.62–$122 varies
Mycophenolic Acid (80180) $232 $232 12.9×
Mycoplasma antibody (86738) $110 $110 8.3×
Mycoplasma culture (87109) $148 $148 9.6×
Myelin basic protein csf (83873) $183 $183 10.6×
Myoglobin urine (83874)
range across 2 matching MRF lines
$58–$164 $58–$164 varies
Natriuretic peptide (83880) $192 $192 4.9×
Neutralization Test Viral (86382) $131.45 $131.45 7.8×
Nfct ds bv&vaginitis DNA alg (81515) $350 $350 1.3×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $124 $124 4.8×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $2,073 $2,073 4.2×
Niacin (84591)
range across 4 matching MRF lines
$120–$311 $120–$311 varies
Nickel level (83885) $172.85 $172.85 7.1×
Nk cells total count (86357) $151 $151 4.0×
Nuclear antigen antibody (86235)
range across 33 matching MRF lines
$108–$163.53 $108–$163.53 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$30–$43 $30–$43 varies
Occult Blood Other Sources (82271)
range across 2 matching MRF lines
$28–$46 $28–$46 varies
Oligoclonal bands (83916) $190 $190 6.9×
Onco (Ovarian) Biochemical Assay Two Proteins (81500) $716 $716 2.7×
Oncoprotein Her-2/Neu (83950) $207 $207 3.2×
Organic acids urine (83918) $102 $102 4.3×
Osmolality serum (83930) $84 $84 12.7×
Osmolality Urine (83935) $72 $72 10.6×
Osmotic fragility rbc incubated (85557) $289.86 $289.86 21.7×
Ova and parasites smears (87177) $126 $126 14.2×
Oxalate urine (83945)
range across 6 matching MRF lines
$15–$21 $15–$21 varies
Pancreatic Elastase Fecal (82656) $347 $347 30.1×
Particle Agglutination Screen Each Antibody (86403) $152 $152 13.2×
Parvovirus antibody (86747) $92 $92 6.1×
Path Consltj Surg Cytologic Exam Initial Site (88333) $820 $820 1.1×
Ph urine (81003) $66 $66 29.3×
Phenobarbital Level (80184) $114 $114 7.5×
Phenotype Infect Agent Drug (87900)
range across 2 matching MRF lines
$550–$626 $550–$626 varies
Phenylalanine (84030) $166.64 $166.64 30.3×
Phenytoin (Dilantin) (80185)
range across 4 matching MRF lines
$104–$109 $104–$109 varies
Phenytoin free (80186) $162 $162 11.8×
Phosphatase acid prostatic (84066) $66 $66 6.8×
Phosphatase alkaline (84075) $67 $67 12.9×
Phosphatidylglycerol (84081) $157.32 $157.32 9.5×
Phospholipid Neutralization Hexagonal (85598) $92 $92 5.1×
Phosphorus Serum (84100) $58 $58 12.2×
Phosphorus urine (84105)
range across 7 matching MRF lines
$47–$59 $47–$59 varies
Pinworm exam (87172) $59 $59 13.8×
Platelet Aggregation (85576) $185 $185 7.4×
Platelet Antibodies (86022)
range across 11 matching MRF lines
$318–$345 $318–$345 varies
Platelet count automated (85049) $59 $59 13.2×
Platelet neutralization (85597) $91 $91 5.1×
Pooling blood platelets (86965) $163 $163 1.0×
Porphobilinogen, urine; quantitative (84110) $128 $128 15.2×
Porphyrins Feces Quantitative (84126) $473 $473 12.1×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$186–$202 $186–$202 varies
Potassium Urine (84133) $57 $57 12.1×
Prealbumin (84134) $119 $119 8.2×
Pregnancy-Associated Plasma Protein-A (84163) $106.61 $106.61 7.1×
Pregnenolone (84140) $104 $104 5.0×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $367 $367 2.2×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $167 $167 2.9×
Primidone (80188) $129 $129 7.8×
Procalcitonin (Pct) (84145) $321 $321 11.8×
Progesterone (84144)
range across 3 matching MRF lines
$174–$175 $174–$175 varies
Prolactin (84146) $208 $208 10.7×
Protein body fluid (84157) $70 $70 17.5×
Protein C Activity (85303) $175 $175 12.6×
Protein c antigen (85302) $250 $250 20.8×
Protein Electrophoresis Urine (84166)
range across 8 matching MRF lines
$111–$139 $111–$139 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $135 $135 12.6×
Protein S Free (85306)
range across 5 matching MRF lines
$187–$191 $187–$191 varies
Protein s total (85305)
range across 2 matching MRF lines
$198–$253 $198–$253 varies
Protein total serum (84155) $72 $72 19.6×
Protein Total Urine (84156) $74 $74 20.2×
Protein Western Blot Test (84182)
range across 4 matching MRF lines
$167–$170 $167–$170 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $90 $90 22.8×
Protoporphyrin rbc quantitative (84202) $126.27 $126.27 8.8×
PSA free (84154) $94 $94 5.1×
Pth Intact (83970) $310 $310 7.5×
Pyruvate kinase (84220) $269.10 $269.10 28.5×
Q Fever Antibody (86638) $128 $128 10.6×
Quantiferon tb gold plus (86480) $268 $268 4.3×
Quantitative assay drug (80299) $170 $170 9.1×
Quantitative Screen Metals (83018) $119 $119 5.4×
Quinidine (80194) $99.36 $99.36 6.8×
Rbc antibody elution (86860) $209 $209 1.3×
Rbc antibody identification (86870) $343 $343 1.0×
Rbc antibody screen (86850)
range across 5 matching MRF lines
$137–$140 $137–$140 varies
Rbc pretreatment serum (86978) $233 $233 4.1×
Renin activity plasma (84244) $150 $150 6.8×
Resp virus 12-25 targets (87633) $709 $709 1.7×
Rh (86901)
range across 4 matching MRF lines
$50–$57 $50–$57 varies
Rheumatoid Factor Qualitative (86430) $121 $121 19.7×
Rheumatoid factor quant (86431) $120 $120 21.2×
Rickettsia antibody (86757)
range across 10 matching MRF lines
$170–$213 $170–$213 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$170–$172 $170–$172 varies
Rotavirus ag eia (87425) $140 $140 11.7×
Rpr qualitative (86592) $98 $98 23.0×
Rsv ab (86756) $136.62 $136.62 8.6×
Rubella Antibody (86762)
range across 5 matching MRF lines
$8.62–$107 $8.62–$107 varies
Rubeola antibody (86765)
range across 3 matching MRF lines
$10.51–$115 $10.51–$115 varies
Russell Viper Venom Time Diluted (85613) $120 $120 12.5×
Salicylate Level (80179) $201 $201 10.8×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$145–$159 $145–$159 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 5 matching MRF lines
$90–$112 $90–$112 varies
Sarscov2&inf a&b&rsv amp prb (87637) $415 $415 2.9×
Sedimentation Rate, Automated (85652) $77 $77 28.5×
Selenium (84255)
range across 2 matching MRF lines
$153–$192 $153–$192 varies
Semen Anal Sperm Detection (89321) $142 $142 11.8×
Semen analysis complete (89320) $102 $102 8.3×
Semen analysis motility and count (89310) $87.98 $87.98 10.2×
Sensitivity mic (87186)
range across 11 matching MRF lines
$85–$220 $85–$220 varies
Serpina 1 gene (81332) $285 $285 6.5×
Serum Bactericidal Titer (87197) $149.04 $149.04 9.9×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines
$125–$131 $125–$131 varies
Sickling of rbc reduction (85660) $76 $76 13.8×
Sirolimus (80195) $124 $124 9.0×
Smear acid fast (87206)
range across 8 matching MRF lines
$68–$84 $68–$84 varies
Smear complex stain (87209) $31 $31 1.7×
Smear gram stain (87205)
range across 5 matching MRF lines
$63–$77.63 $63–$77.63 varies
Smear Special Stain (87207)
range across 4 matching MRF lines
$82–$103 $82–$103 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 4 matching MRF lines
$49–$70 $49–$70 varies
Snrpn/Ube3a Methylation Analysis (81331) $469 $469 9.2×
Sodium Serum (84295) $41 $41 8.5×
Sodium Urine (84300) $55 $55 10.9×
Soluble Transferrin Receptor (84238) $244 $244 6.7×
Somatomedin (84305)
range across 2 matching MRF lines
$198–$250 $198–$250 varies
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$76–$175 $76–$175 varies
Special Stains Group 2 (88313)
range across 5 matching MRF lines
$175–$177 $175–$177 varies
Specific gravity body fluid (84315) $23 $23 7.0×
Specimen infect agnt concntj (87015)
range across 4 matching MRF lines
$85–$93 $85–$93 varies
Spectrophotometry (84311) $225 $225 27.8×
Sperm Antibodies (89325) $141.80 $141.80 13.3×
Splitting Blood/Blood Products Each Unit (86985) $163 $163 1.0×
Stool cultr aerobic bact ea (87046)
range across 3 matching MRF lines
$65–$75 $65–$75 varies
Strep a assay w/optic (87880) $103 $103 6.2×
Strep a DNA amp probe (87651) $138 $138 3.9×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $75 $75 6.5×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $25.88 $25.88 4.7×
Sugars Single Qual (84376) $173.88 $173.88 31.6×
Sulfate urine (84392) $16 $16 2.9×
Surg path level iii (88304) $247 $247 4.9×
Surgical pathology level IV (88305)
range across 8 matching MRF lines
$32.62–$268 $32.62–$268 varies
Surgical pathology level vi (88309) $1,025 $1,025 1.3×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $75 $75 15.8×
Susceptibility Study Antimicrobial Disk Method (87184) $74 $74 9.9×
T cells absolute cd4 count (86361) $85.91 $85.91 3.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 6 matching MRF lines
$330–$345 $330–$345 varies
T cells total count (86359)
range across 5 matching MRF lines
$217–$218 $217–$218 varies
T3 Free (84481) $190 $190 11.2×
T3 reverse (84482) $208 $208 13.2×
T3 Total (84480) $112 $112 7.9×
T3 Uptake (84479) $57 $57 8.8×
T4 Free (84439) $142 $142 15.7×
T4 total (84436) $81 $81 11.8×
Tacrolimus (80197) $185 $185 13.5×
Test for acetone/ketones (82009) $60.03 $60.03 13.3×
Testosterone total (84403)
range across 5 matching MRF lines
$172–$209 $172–$209 varies
Testosterone, Free (84402)
range across 3 matching MRF lines
$93–$117 $93–$117 varies
Tetanus antibody (86774) $194.58 $194.58 13.1×
Theophylline (80198) $84 $84 5.9×
Thiocyanate (84430) $140.76 $140.76 12.1×
Thrombin Time (85670) $121 $121 21.0×
Thromboplastin Inhibition Tissue (85705) $149 $149 15.5×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $89 $89 13.8×
Thyroglobulin (84432) $119 $119 7.4×
Thyroglobulin Antibody (86800) $75 $75 4.7×
Thyroxine binding globulin (84442) $81 $81 5.5×
Tiss cul neo disorders solid tumor (88239) $630.32 $630.32 4.3×
Tiss Trnsgltmnase Ea Ig Clas (86364) $41.67 $41.67 3.6×
Tissue Culture (88233) $794 $794 5.6×
Tissue Culture Amniotic Fluid (88235) $352.94 $352.94 2.3×
Tissue culture bone marrow (88237) $420 $420 2.9×
Tissue Culture Lymphocyte (88230) $846 $846 7.3×
Tobramycin peak (80200) $85 $85 5.3×
Topiramate (80201) $176 $176 14.8×
Touch prep (88161) $109 $109 3.9×
Toxin/Antitoxin Assay Tissue Culture (87230) $114 $114 5.8×
Toxoplasma ab igm (86778) $99 $99 6.9×
Toxoplasma antibody (86777) $132 $132 9.2×
Transferase Aspartate Amino Ast Sgot (84450)
range across 4 matching MRF lines
$63–$73 $63–$73 varies
Transferrin (84466) $99 $99 7.8×
Trichinella Antibody (86784) $179.06 $179.06 14.3×
Trichomonas Vaginalis Amplif (87661)
range across 3 matching MRF lines
$133–$150 $133–$150 varies
Triglycerides (84478)
range across 5 matching MRF lines
$63–$71 $63–$71 varies
Troponin Quant (84484)
range across 3 matching MRF lines
$170–$171 $170–$171 varies
Trypsin feces qual (84488) $261.86 $261.86 35.9×
Tumor immunohistochem/comput (88361) $429 $429 1.2×
Tumor Immunohistochem/Manual (88360) $211 $211 1.3×
Urea nitrogen urine (84540) $49 $49 8.8×
Uric acid other source (84560) $59 $59 11.6×
Urinalysis Microscopic Only (81015) $24 $24 7.9×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $75 $75 34.6×
Urinalysis Volume Measure (81050) $37 $37 10.2×
Urine Bacteria Culture (87088) $73 $73 9.0×
Urine Pregnancy Test (81025) $121 $121 14.1×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $77 $77 24.3×
Valproic acid (80164) $149 $149 11.0×
Vancomycin (80202) $136 $136 10.0×
Varicella-zoster antibody (86787)
range across 4 matching MRF lines
$10.51–$139 $10.51–$139 varies
Vasopressin (84588) $220 $220 6.5×
Very Long Chain Fatty Acids (82726) $369.50 $369.50 18.7×
Viral Culture (87252) $201 $201 7.7×
Virus antibody nos (86790) $94 $94 7.3×
Virus inoculation, shell via (87254) $124 $124 6.3×
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $271.17 $271.17 13.9×
Viscosity serum (85810) $103 $103 8.8×
Vit D 1 25-Dihydroxy (82652) $150 $150 3.9×
Vitamin A (84590) $128 $128 11.0×
Vitamin b-12 (82607) $117 $117 7.8×
Vitamin B2 (Riboflavin) (84252) $168 $168 8.3×
Vitamin B6 (84207) $246 $246 8.8×
Vitamin c (82180) $167 $167 16.9×
Vitamin D 25-Hydroxy (82306) $243 $243 8.2×
Vitamin E (84446)
range across 2 matching MRF lines
$99–$106 $99–$106 varies
Vitamin K (84597) $207 $207 15.1×
Volatiles (84600)
range across 6 matching MRF lines
$51.27–$231.84 $51.27–$231.84 varies
Von willebrand factor ag (85246) $211 $211 9.2×
Wbc Alkaline Phosphatase Count (85540) $87 $87 10.1×
West nile virus ab igm (86788) $130 $130 7.7×
West Nile Virus Antibody (86789) $130 $130 9.0×
Xylose Absorption Test (84620) $216.32 $216.32 16.8×
Zinc (84630) $77 $77 6.8×

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.