Lab & pathology prices at Orthopaedic Hospital at Parkview North LLC
Fort Wayne, IN · every code in this section with a posted price and a Medicare benchmark.
658 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $137 | $274 | 12.3× |
| Acetylcholine receptor binding antibody (86041) | $102 | $204 | 5.5× |
| Acetylcholine receptor blocking antibody (86042) | $102 | $204 | 5.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $102 | $204 | 8.5× |
| Acth (82024) | $196.50 | $393 | 5.1× |
| Actin smooth muscle antibody each (86015) | $140 | $280 | 11.6× |
| Acute hepatitis panel (80074) | $356 | $712 | 7.5× |
| Acylcarnitines Quant (82017) | $163 | $326 | 9.7× |
| Albumin Fluid (82042) | $41 | $82 | 5.3× |
| Albumin serum (82040) | $21 | $42 | 4.2× |
| Aldolase (82085) | $52 | $104 | 5.4× |
| Aldosterone urine (82088) | $215 | $430 | 5.3× |
| Alkaline phosphatase isoenzymes (84080) | $99.50 | $199 | 6.7× |
| Allergen specific ige (86003) range across 179 matching MRF lines |
$8.50–$54 | $17–$108 | varies |
| Allg Spec Ige Recomb Ea (86008) | $61.50 | $123 | 3.4× |
| Alpha-1-antitrypsin phenotype (82104) | $121.50 | $243 | 8.4× |
| Alpha-1-antitrypsin total (82103) | $108 | $216 | 8.0× |
| Alpha-Fetoprotein Serum (82105) | $132 | $264 | 7.9× |
| Alt (sgpt) (84460) | $28 | $56 | 5.3× |
| Aluminum (82108) | $130.50 | $261 | 5.1× |
| Amikacin trough (80150) | $44 | $88 | 2.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$307.32–$309 | $614.65–$618 | varies |
| Ammonia (82140) | $125 | $250 | 8.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $313.50 | $627 | 3.2× |
| Amylase urine (82150) | $42 | $84 | 6.5× |
| Ana Titer (86039) | $95.50 | $191 | 8.6× |
| Anca screen each antibody (86036) | $67.50 | $135 | 5.6× |
| Anca Titer Each Antibody (86037) | $67.50 | $135 | 5.6× |
| Androstenedione (82157) | $126.50 | $253 | 4.3× |
| Angiotensin converting enzyme csf (82164) | $78 | $156 | 5.3× |
| Anti-Phospholipid Antibody (86148) | $119 | $238 | 7.4× |
| Antibody aspergillus (86606) | $33.50 | $67 | 2.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $30 | $60 | 2.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $160 | $320 | 10.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $101 | $202 | 6.0× |
| Antibody Encephalitis California La Crosse (86651) | $109 | $218 | 8.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $109 | $218 | 8.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $67.50 | $135 | 4.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $82 | $164 | 4.5× |
| Antibody Fungus Not Elsewhere Specified (86671) | $45.50 | $91 | 3.7× |
| Antibody haemophilus influenza (86684) | $84 | $168 | 5.3× |
| Antibody Herpes Smplx Type 1 (86695) | $100 | $200 | 7.6× |
| Antibody HIV-2 (86702) | $90 | $180 | 6.7× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $555 | $1,110 | 1.7× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$61.50–$68 | $123–$136 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $333.50 | $667 | 26.8× |
| Antibody Titer (86886) | $145 | $290 | 28.0× |
| Antibody Treponema Pallidum (86780) | $98.50 | $197 | 7.4× |
| Antibody; encephalitis, st. louis (86653) | $95 | $190 | 7.2× |
| Antigen typing (86905) | $146.50 | $293 | 38.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $168.50 | $337 | 29.5× |
| Antinuclear antibodies (86038) | $45.50 | $91 | 3.8× |
| Antistreptolysin o titer (86060) | $23.50 | $47 | 3.2× |
| Antithrombin iii activity (85300) | $102 | $204 | 8.6× |
| Antithrombin iii antigen (85301) | $124 | $248 | 11.5× |
| Apolipoprotein a1 (82172) | $45.50 | $91 | 2.2× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $197 | $394 | 5.2× |
| Aquaporin-4 Antb Cba Each (86052) | $199 | $398 | 16.5× |
| Arsenic (82175) | $106 | $212 | 5.6× |
| Aspergillus ag eia (87305) | $110 | $220 | 9.2× |
| Assay activated protein c (85307) | $136 | $272 | 8.9× |
| Assay Blood Carbon Dioxide (82374) | $39.50 | $79 | 8.1× |
| Assay myeloperoxidase (83876) | $81 | $162 | 1.6× |
| Assay Nephelometry Not Spec (83883) | $67.50 | $135 | 5.0× |
| Assay of 5-hiaa (83497) | $113.50 | $227 | 8.8× |
| Assay of anti-mullerian hormone (82166) | $97 | $194 | 2.5× |
| Assay of blood/uric acid (84550) | $34 | $68 | 7.5× |
| Assay of calcium in urine (82340) | $62 | $124 | 10.3× |
| Assay of cpk in blood (82552) | $114.50 | $229 | 8.6× |
| Assay of estrone (82679) | $136 | $272 | 5.5× |
| Assay of g6pd enzyme (82955) | $52 | $104 | 5.4× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$59.50–$62.50 | $119–$125 | varies |
| Assay of lactic acid (83605) | $104 | $208 | 9.0× |
| Assay of manganese (83785) | $79 | $158 | 3.0× |
| Assay of metanephrines (83835) | $108 | $216 | 6.4× |
| Assay of pyruvate (84210) | $102.50 | $205 | 7.1× |
| Assay of serotonin (84260) | $87 | $174 | 2.8× |
| Assay of serum potassium (84132) | $28.50 | $57 | 6.0× |
| Assay of urea nitrogen (84520) | $24 | $48 | 6.1× |
| Assay of urine vma (84585) | $132 | $264 | 8.5× |
| Assay of vasoactive intestinal peptide (84586) | $196 | $392 | 5.5× |
| Assay of vitamin b-1 (84425) | $150.50 | $301 | 7.1× |
| Assay Ph Body Fluid Nos (83986) | $44 | $88 | 12.3× |
| Assay spec xcp ur&breath ia (82077) | $194 | $388 | 11.2× |
| Autol bld/component collj storage salvage (86891) | $793 | $1,586 | 0.9× |
| Automated Leukocyte Count (85048) | $36 | $72 | 14.2× |
| B cells total count (86355) | $165 | $330 | 4.4× |
| Bartonella antibody (86611) | $87 | $174 | 8.5× |
| Bcr/abl1 gene major bp (81206) | $335 | $670 | 2.0× |
| Bcr/abl1 gene minor bp (81207) | $335 | $670 | 2.3× |
| Beta 2 glycoprotein i antibody each (86146) | $56.50 | $113 | 2.2× |
| Beta hydroxybutyrate (82010) | $80.50 | $161 | 9.9× |
| Beta Lactamase (87185) | $37.50 | $75 | 7.9× |
| Beta-2 Microglobulin (82232) | $61.50 | $123 | 3.8× |
| Bilirubin direct (82248) | $26.50 | $53 | 5.3× |
| Bilirubin total (82247) | $26.50 | $53 | 5.3× |
| Bilirubin total transcutaneous (88720) | $71.50 | $143 | 14.2× |
| Blastomyces antibody (86612) | $30 | $60 | 2.3× |
| Bld Typing Serologic Rh Phnt (86906) | $85 | $170 | 11.0× |
| Blood Count Automated Differential Wbc Count (85004) | $43 | $86 | 6.6× |
| Blood Count Red Blood Cell Automated (85041) | $24 | $48 | 7.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $41 | $82 | 10.8× |
| Blood count spun microhematocrit (85013) | $37.50 | $75 | 5.4× |
| Blood gas (82803) | $181 | $362 | 6.9× |
| Blood gases w/02 saturation (82805) | $196.50 | $393 | 2.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$42.50–$72.50 | $85–$145 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $37.50 | $75 | 8.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $214 | $428 | 33.7× |
| Blood typing serologic abo (86900) | $59.50 | $119 | 19.9× |
| Body fluid cell count (89050) | $99.50 | $199 | 21.1× |
| Bone marrow smear interpretation (85097) | $613 | $1,226 | 0.7× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$128.50–$135.50 | $257–$271 | varies |
| Braf gene analysis (81210) | $379.50 | $759 | 2.2× |
| Breath Alcohol Test (82075) | $145 | $290 | 4.8× |
| Brucella antibody (86622) | $87.50 | $175 | 9.8× |
| C diff amplified probe (87493) | $135.50 | $271 | 3.6× |
| C-Peptide (84681) | $112 | $224 | 5.4× |
| C-reactive protein (86140) | $95.50 | $191 | 18.4× |
| Ca 19-9 (86301) | $149.50 | $299 | 7.2× |
| Cadmium (82300) | $47.50 | $95 | 2.0× |
| Calcitonin (82308) | $163 | $326 | 6.1× |
| Calcium ionized (82330) | $108 | $216 | 7.9× |
| Calcium total (82310) | $24 | $48 | 4.7× |
| Calculus Spectroscopy (82365) | $222 | $444 | 17.2× |
| Calprotectin Fecal (83993) | $56 | $112 | 2.9× |
| Cancer Antigen 125 (86304) | $163 | $326 | 7.8× |
| Cancer Antigen 27.29 (86300) | $138 | $276 | 6.6× |
| Candida antibody (86628) range across 2 matching MRF lines |
$24–$72 | $48–$144 | varies |
| Candida Dna Dir Probe (87480) | $87 | $174 | 4.3× |
| Carbamazepine total (80156) | $204.50 | $409 | 14.0× |
| Carboxyhemoglobin (82375) | $88 | $176 | 7.1× |
| Carcinoembryonic antigen (82378) | $114.50 | $229 | 6.0× |
| Cardiolipin ab iga (86147) | $96 | $192 | 3.8× |
| Carnitine Quantitative Each Specimen (82379) | $162.50 | $325 | 9.6× |
| Carotene (82380) | $71.50 | $143 | 7.8× |
| Catecholamines fractionated (82384) | $187.50 | $375 | 7.4× |
| Ccp antibody (86200) | $52 | $104 | 4.0× |
| Cell count csf (89051) | $133.50 | $267 | 23.8× |
| Ceruloplasmin (82390) | $56.50 | $113 | 5.3× |
| Cftr gene com variants (81220) | $564.50 | $1,129 | 1.0× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$97–$102 | $194–$204 | varies |
| Chlamydia antibody (86631) | $50.50 | $101 | 4.3× |
| Chlamydia Igm Antibody (86632) | $73 | $146 | 5.8× |
| Chlmy trch&neisra gonor mult (87494) | $263 | $526 | 3.7× |
| Chloride other source (82438) | $57 | $114 | 11.4× |
| Chloride Serum (82435) | $28.50 | $57 | 6.2× |
| Chloride urine (82436) | $61 | $122 | 10.6× |
| Cholesterol total (82465) | $34 | $68 | 7.8× |
| Cholinesterase rbc (82482) | $16 | $32 | 1.6× |
| Cholinesterase Serum (82480) | $33 | $66 | 4.2× |
| Chorionic gonadotropin test (84702) | $80.50 | $161 | 5.3× |
| Chromium serum (82495) | $147 | $294 | 7.2× |
| Chromogranin a (86316) | $116.50 | $233 | 5.6× |
| Chromosome Analysis 15-20 (88262) | $1,031 | $2,062 | 8.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $82.50 | $165 | 2.4× |
| Citric acid urine (82507) | $144 | $288 | 5.2× |
| Ckmb (82553) | $71.50 | $143 | 6.2× |
| Clostridium Difficile (87324) | $82 | $164 | 6.8× |
| Clot Factor VIII Multimetric (85247) | $150 | $300 | 6.5× |
| Clotting factor xii hageman (85280) | $160 | $320 | 8.3× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$202.50–$213 | $405–$426 | varies |
| Cns DNA amp probe type 12-25 (87483) | $909 | $1,818 | 2.2× |
| Coagulation time activated (85347) | $27.50 | $55 | 6.4× |
| Coccidioides antibody (86635) | $27.50 | $55 | 2.4× |
| Cold agglutinin titer (86157) | $98 | $196 | 12.2× |
| Collagen crosslinks (82523) | $139 | $278 | 7.4× |
| Column Chromotography Quant (82542) range across 16 matching MRF lines |
$113–$119 | $226–$238 | varies |
| Compatibility test antiglob (86922) | $178 | $356 | 1.0× |
| Complement Antigen Each Component (86160) | $74 | $148 | 6.2× |
| Complement Total (Ch50) (86162) | $198 | $396 | 9.7× |
| Complement/Function Activity (86161) | $186.50 | $373 | 15.5× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $155.50 | $311 | 2.8× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $181 | $362 | 4.6× |
| Coombs direct (86880) range across 4 matching MRF lines |
$41.50–$83 | $83–$166 | varies |
| Copper urine (82525) | $99.50 | $199 | 8.0× |
| Cortisol free (82530) | $141.50 | $283 | 8.5× |
| Cortisol saliva (82533) | $118.50 | $237 | 7.3× |
| Creatine kinase total (82550) | $51.50 | $103 | 7.9× |
| Creatinine blood (82565) | $28 | $56 | 5.5× |
| Creatinine clearance (82575) | $92.50 | $185 | 9.8× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$19.50–$24 | $39–$48 | varies |
| Crossmatch electronic (86923) | $166 | $332 | 0.9× |
| Crossmatch immediate spin (86920) | $166 | $332 | 0.9× |
| Crp High Sensitivity (86141) | $102 | $204 | 7.9× |
| Cryofibrinogen (82585) | $356 | $712 | 25.2× |
| Cryoglobulin (82595) | $62 | $124 | 9.6× |
| Cryptococcus ag titer (87899) | $49 | $98 | 3.0× |
| Cryptosporidium ag eia (87328) | $83 | $166 | 6.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $61 | $122 | 7.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $78.50 | $157 | 9.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $115.50 | $231 | 15.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $385 | $770 | 1.8× |
| Culture afb (87116) | $58.50 | $117 | 5.4× |
| Culture Anaerobic (87075) | $146 | $292 | 15.4× |
| Culture blood (87040) | $130.50 | $261 | 12.6× |
| Culture chlamydia (87110) | $131 | $262 | 6.7× |
| Culture csf (87070) range across 7 matching MRF lines |
$128–$134.50 | $256–$269 | varies |
| Culture fungus (87102) | $81.50 | $163 | 9.7× |
| Culture fungus blood (87103) | $128 | $256 | 6.3× |
| Culture screen only (87081) | $56 | $112 | 8.4× |
| Culture stool (87045) | $81 | $162 | 8.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $44 | $88 | 8.5× |
| Culture urine (87086) | $43 | $86 | 5.3× |
| Cyclosporine (80158) | $100 | $200 | 5.5× |
| Cyp2c19 gene analysis common variants (81225) | $504 | $1,008 | 1.7× |
| Cystatin C (82610) | $55.50 | $111 | 3.0× |
| Cytogenetics 100-300 (88275) | $292 | $584 | 5.7× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,760.50 | $3,521 | 1.5× |
| Cytomegalovirus igg (86644) | $94.50 | $189 | 6.6× |
| Cytopath Cell Enhance Tech (88112) | $142.50 | $285 | 2.6× |
| Cytopath Fl Nongyn Filter (88106) | $152.50 | $305 | 5.0× |
| Cytp Concentration Smears & Interpretation (88108) | $152.50 | $305 | 3.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $227 | $454 | 4.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $211 | $422 | 1.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $128 | $256 | 3.2× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $606 | $1,212 | 3.4× |
| Deoxycortisol (82634) | $184.50 | $369 | 6.3× |
| Deoxyribonuclease antibody (86215) | $120 | $240 | 9.1× |
| Detect Agent Nos Dna Amp (87798) range across 11 matching MRF lines |
$24–$120.50 | $48–$241 | varies |
| Detect Agent Nos Dna Quant (87799) | $288.50 | $577 | 6.7× |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
$263–$374.50 | $526–$749 | varies |
| Dgp Antibody Each Ig Class (86258) range across 4 matching MRF lines |
$68–$71.50 | $136–$143 | varies |
| Dhea (82626) | $142 | $284 | 5.6× |
| Dhea-S (82627) | $117 | $234 | 5.3× |
| Dibucaine number (82638) | $14 | $28 | 1.1× |
| Digoxin (80162) | $122.50 | $245 | 9.2× |
| Dihydrotestosterone (82642) | $62 | $124 | 2.1× |
| Diphtheria antitoxoid (86648) | $124 | $248 | 8.2× |
| Dipropylacetic Acid Free (80165) | $145 | $290 | 10.7× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $94 | $188 | 2.7× |
| Dna Antibody Native/Double Stranded (86225) | $45.50 | $91 | 3.3× |
| Dna/Rna Amplified Probe (87150) | $80.50 | $161 | 2.3× |
| Drug assay acetaminophen (80143) | $143.50 | $287 | 7.7× |
| Drug assay adalimumab (80145) | $111 | $222 | 2.9× |
| Drug Assay Amiodarone (80151) | $130.50 | $261 | 7.0× |
| Drug assay felbamate (80167) | $130.50 | $261 | 7.0× |
| Drug Assay Infliximab (80230) | $78.50 | $157 | 2.0× |
| Drug Assay Itraconazole (80189) | $84.50 | $169 | 3.1× |
| Drug Assay Lacosamide (80235) | $130.50 | $261 | 4.8× |
| Drug Assay Posaconazole (80187) | $81.50 | $163 | 3.0× |
| Drug Assay Vedolizumab (80280) | $156 | $312 | 4.0× |
| Drug assay voriconazole (80285) | $73.50 | $147 | 2.7× |
| Drug Screen Quant Clozapine (80159) | $143.50 | $287 | 7.1× |
| Drug Screen Quant Zonisamide (80203) | $143.50 | $287 | 10.8× |
| Drug Screen Quantitative Gabapentin (80171) | $143.50 | $287 | 6.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $143.50 | $287 | 10.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $129 | $258 | 9.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $143.50 | $287 | 10.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$113–$119 | $226–$238 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $50 | $100 | 4.0× |
| Ehrlichia antibody (86666) | $177.50 | $355 | 17.4× |
| El-1 Fecal Quantitative (82653) | $103.50 | $207 | 4.5× |
| Electrolyte panel (80051) | $35 | $70 | 5.0× |
| Electron Microscopy (88348) | $1,316.50 | $2,633 | 1.5× |
| Encephaltis East Eqne Anbdy (86652) | $95 | $190 | 7.2× |
| Encephaltis West Eqne Antbdy (86654) | $95 | $190 | 7.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 4 matching MRF lines |
$167.50–$176.50 | $335–$353 | varies |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$176.50–$186 | $353–$372 | varies |
| Enzyme histochemistry (88319) | $502 | $1,004 | 0.6× |
| Eosinophil Smear (89190) | $38.50 | $77 | 6.6× |
| Erythropoietin (82668) | $105.50 | $211 | 5.6× |
| Estradiol serum (82670) | $147 | $294 | 5.3× |
| Estriol (82677) | $80 | $160 | 3.3× |
| Estrogen total (82672) | $161 | $322 | 7.4× |
| Ethosuximide (80168) | $138 | $276 | 8.4× |
| Ethylene Glycol (82693) | $409.50 | $819 | 27.5× |
| Exam Synovial Fluid Crystals (89060) | $99.50 | $199 | 13.6× |
| F2 Gene (81240) | $194 | $388 | 3.0× |
| Factor ii activity (85210) | $164.50 | $329 | 12.7× |
| Factor Inhibitor Test (85335) | $202.50 | $405 | 15.7× |
| Factor ix activity (85250) | $199.50 | $399 | 10.5× |
| Factor v activity (85220) | $195 | $390 | 11.0× |
| Factor v leiden mutation (81241) | $199 | $398 | 2.7× |
| Factor vii assay (85230) | $190 | $380 | 10.6× |
| Factor viii assay (85240) range across 3 matching MRF lines |
$130.50–$137.50 | $261–$275 | varies |
| Factor X (85260) | $183 | $366 | 10.2× |
| Factor xi activity (85270) | $160 | $320 | 8.9× |
| Fat/Lipids Feces Quantitative (82710) | $140.50 | $281 | 8.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $179 | $358 | 10.4× |
| Fecal Fat Qualitative (82705) | $65.50 | $131 | 12.8× |
| Ferritin (82728) range across 2 matching MRF lines |
$114.50–$126.50 | $229–$253 | varies |
| Fetal Fibronectin (82731) | $360 | $720 | 5.6× |
| Fetal screen rosette (85461) | $91.50 | $183 | 9.8× |
| Fibrin Degradation Quant (85379) | $128 | $256 | 12.6× |
| Fibrinogen activity (85384) | $70 | $140 | 7.2× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $43.50 | $87 | 2.8× |
| Flecainide level (80181) | $117 | $234 | 6.3× |
| Flow cytometry first marker (88184) | $260 | $520 | 0.7× |
| Flt3 Gene (81245) | $324.50 | $649 | 2.0× |
| Flt3 gene analysis (81246) | $324.50 | $649 | 3.9× |
| Fluorescent antibody screen (86255) range across 8 matching MRF lines |
$4.50–$84 | $9–$168 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $63 | $126 | 5.2× |
| Fmr1 gene detection (81243) | $206.50 | $413 | 3.6× |
| Folic acid rbc (82747) | $127.50 | $255 | 7.2× |
| Folic Acid Serum (82746) | $103 | $206 | 7.0× |
| Follicle Stimulating Hormone (83001) | $106 | $212 | 5.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $428.50 | $857 | 2.4× |
| Frozen Section (88331) | $268.50 | $537 | 1.5× |
| Fungi Identification Mold (87107) | $77.50 | $155 | 7.5× |
| Fungi Identification Yeast (87106) | $62 | $124 | 6.0× |
| Gammaglobulin ige (82785) | $80.50 | $161 | 4.9× |
| Gardner vag DNA dir probe (87510) | $114.50 | $229 | 5.7× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $69.50 | $139 | 7.1× |
| Gases blood ph only (82800) | $74.50 | $149 | 6.8× |
| Gastrin (82941) | $133 | $266 | 7.5× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $629.50 | $1,259 | 1.5× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,349 | $2,698 | 1.8× |
| Genet Virus Isolate Hsv (87255) | $122.50 | $245 | 3.6× |
| Gentamicin (80170) | $215 | $430 | 13.1× |
| Ggt (82977) | $29 | $58 | 4.0× |
| Giardia antigen (87329) | $88 | $176 | 7.3× |
| Glucagon (82943) | $478.50 | $957 | 33.5× |
| Glucose 2 hr pp (82950) | $43 | $86 | 9.1× |
| Glucose Blood Test (82962) | $18 | $36 | 5.5× |
| Glucose body fluid (82945) | $17 | $34 | 4.3× |
| Glucose Serum (82947) | $27 | $54 | 6.9× |
| Glucose tolerance test (gtt) (82951) | $75.50 | $151 | 5.9× |
| Glycated Protein (82985) | $97.50 | $195 | 5.8× |
| Gonadotropin Chorionic Qualitative (84703) | $60 | $120 | 8.0× |
| Growth hormone (83003) | $53 | $106 | 3.2× |
| Gtt-added samples (82952) | $15.50 | $31 | 4.0× |
| H Pylori (C-13) Breath (83013) | $240.50 | $481 | 3.6× |
| H Pylori Drug Admin (83014) | $62 | $124 | 7.9× |
| Haloperidol (80173) | $169 | $338 | 10.7× |
| Haptoglobin (83010) | $70 | $140 | 5.6× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $339.50 | $679 | 1.7× |
| Hdl Cholesterol (83718) | $66 | $132 | 8.1× |
| Helicobacter Pylori Stool (87338) | $137.50 | $275 | 9.6× |
| Helminth Antibody (86682) | $196 | $392 | 15.1× |
| Hematocrit (85014) | $27.50 | $55 | 11.6× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$20–$25 | $40–$50 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$28–$60 | $56–$120 | varies |
| Hemoglobin Chromotography (83021) | $54 | $108 | 3.0× |
| Hemoglobin electrophoresis (83020) | $32.50 | $65 | 2.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $61.50 | $123 | 7.5× |
| Hemoglobin plasma (83051) | $71.50 | $143 | 9.8× |
| Hep a ab igm (86709) | $128.50 | $257 | 11.4× |
| Heparin assay (85520) range across 2 matching MRF lines |
$41–$51.50 | $82–$103 | varies |
| Hepatitis a antibody total (86708) | $108 | $216 | 8.7× |
| Hepatitis b core ab igm (86705) | $132 | $264 | 11.2× |
| Hepatitis b core ab total (86704) | $98.50 | $197 | 8.2× |
| Hepatitis B Surface Antibody (86706) | $109.50 | $219 | 10.2× |
| Hepatitis B Surface Antigen (87340) | $63 | $126 | 6.1× |
| Hepatitis Be Antibody (86707) | $110.50 | $221 | 9.6× |
| Hepatitis Be Antigen (87350) | $81.50 | $163 | 7.1× |
| Hepatitis C Antibody (86803) | $126.50 | $253 | 8.9× |
| Hepatitis C Genotype (87902) range across 4 matching MRF lines |
$646.50–$680.50 | $1,293–$1,361 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $252 | $504 | 5.9× |
| Herpes simplex type 2 (86696) | $100 | $200 | 5.2× |
| Heterophile Antibody Screen (86308) | $109 | $218 | 21.0× |
| Hfe Gene (81256) | $498.50 | $997 | 7.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $110.50 | $221 | 14.3× |
| Histamine urine (83088) | $174.50 | $349 | 5.9× |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$16–$32 | $32–$64 | varies |
| Histoplasma antigen urine (87385) | $160 | $320 | 12.1× |
| Hiv Genotype (87901) | $540 | $1,080 | 2.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $77 | $154 | 3.2× |
| Hiv-1 Antibody (86701) | $90 | $180 | 10.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $393 | $786 | 4.6× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $491 | $982 | 3.9× |
| Hla class ii typing high resolution one locus ea (81382) | $1,059 | $2,118 | 8.6× |
| Hla I Typing 1 Allele Hr (81381) | $270 | $540 | 1.6× |
| Hla-b27 (86812) | $262 | $524 | 10.2× |
| Homocysteine (83090) | $129 | $258 | 7.2× |
| Homogenization Tissue (87176) | $44.50 | $89 | 7.6× |
| Hpa-1 genotyping gene analysis common variant (81105) | $236.50 | $473 | 1.9× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$156.50–$164.50 | $313–$329 | varies |
| Hsv Dna Quant (87530) | $242 | $484 | 5.6× |
| Hydroxyprogesterone 17-d (83498) | $143 | $286 | 5.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $98.50 | $197 | 9.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $71 | $142 | 2.0× |
| Iaad ia shiga-like toxin (87427) | $71 | $142 | 5.9× |
| Iaadi inffluenza a virus (87276) | $47.50 | $95 | 3.0× |
| Iaadi parainfluenza virus each type (87279) | $17 | $34 | 1.0× |
| Iaadi pneumocustis carinii (87281) | $85.50 | $171 | 7.1× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $81 | $162 | 6.8× |
| Iaadi respiratory synctial virus (87280) | $68 | $136 | 5.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $265 | $530 | 7.6× |
| Iadna Cytomegalovirus Quantification (87497) | $105 | $210 | 2.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $150 | $300 | 2.1× |
| Iadna Hepatitis B Virus Quantification (87517) | $274 | $548 | 6.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $261.50 | $523 | 7.5× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $293.50 | $587 | 6.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $207.50 | $415 | 5.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $98.50 | $197 | 2.8× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $148 | $296 | 2.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $249.50 | $499 | 1.7× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $429.50 | $859 | 1.6× |
| Ig Light Chains Free Each (83521) | $81 | $162 | 4.7× |
| Igg subclasses (82787) | $38.50 | $77 | 4.8× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $277 | $554 | 0.7× |
| Immune Complex Assay (86332) | $188 | $376 | 7.7× |
| Immunfix e-phorsis/urine/csf (86335) | $117.50 | $235 | 4.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $92 | $184 | 5.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $47 | $94 | 3.1× |
| Immunoassay nonantibody (83516) | $24 | $48 | 2.1× |
| Immunodiffusion Ouchterlony (86331) | $38 | $76 | 3.2× |
| Immunofixation electrophoresis (86334) | $159.50 | $319 | 7.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $225 | $450 | 1.2× |
| Immunohistochemistry (88342) | $298 | $596 | 1.7× |
| In situ hybridization 1st probe stain (88365) | $241 | $482 | 1.3× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $21 | $42 | 1.5× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $51 | $102 | 4.2× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $51 | $102 | 1.5× |
| Influenza DNA amp probe (87502) | $227 | $454 | 2.4× |
| Inhibin A (86336) range across 3 matching MRF lines |
$97.50–$98.50 | $195–$197 | varies |
| Inhibin b (83520) range across 9 matching MRF lines |
$28–$58.50 | $56–$117 | varies |
| Insitu hybridization auto (88367) | $453.50 | $907 | 1.2× |
| Insitu hybridization manual (88368) | $284 | $568 | 0.7× |
| Insulin antibodies (86337) | $194.50 | $389 | 9.1× |
| Insulin total (83525) | $63.50 | $127 | 5.6× |
| Intrinsic factor antibody (86340) | $144 | $288 | 9.5× |
| Iron (83540) | $49.50 | $99 | 7.7× |
| Iron Binding Capacity (83550) | $45.50 | $91 | 5.2× |
| Irradiation Blood Product Each Unit (86945) | $146.50 | $293 | 3.7× |
| Islet cell antibody (86341) | $106 | $212 | 4.5× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $584 | $1,168 | 1.8× |
| Koh Prep (87220) | $50 | $100 | 11.7× |
| Kras Gene Analysis Additional Variant(S) (81276) | $434 | $868 | 2.2× |
| Kras Gene Variants Exon 2 (81275) | $434 | $868 | 2.2× |
| Lactate (ld) (ldh) enzyme (83615) | $44.50 | $89 | 7.4× |
| Lactoferrin fecal qualitative (83630) | $165 | $330 | 8.4× |
| LDL direct (83721) | $59.50 | $119 | 5.7× |
| Lead (83655) | $80.50 | $161 | 6.6× |
| Legionella antibody (86713) | $180 | $360 | 11.8× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$114.50–$340.50 | $229–$681 | varies |
| Leukocyte Assessment Fecal (89055) | $54 | $108 | 12.6× |
| Leukocyte Histamine Release (86343) | $65 | $130 | 5.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $93.50 | $187 | 3.1× |
| Level ii surg pathology grossµscopic exam (88302) | $146 | $292 | 3.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $603.50 | $1,207 | 1.6× |
| Lidocaine (80176) | $233 | $466 | 15.9× |
| Lipase (83690) range across 2 matching MRF lines |
$96.50–$103.50 | $193–$207 | varies |
| Lipoprotein A (83695) | $90 | $180 | 6.3× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$142–$149.50 | $284–$299 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) | $104 | $208 | 2.2× |
| Lithium (80178) | $117.50 | $235 | 17.8× |
| Luteinizing Hormone (Lh) (83002) | $147 | $294 | 7.9× |
| Lyme disease antibody (86618) | $173.50 | $347 | 10.2× |
| Lysozyme serum (85549) | $45.50 | $91 | 2.4× |
| M. Genitalium Amp Probe (87563) | $74.50 | $149 | 2.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $399 | $798 | 2.2× |
| M/phmtrc alys ishquant/semiq (88374) range across 4 matching MRF lines |
$78.50–$314 | $157–$628 | varies |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$75.50–$80 | $151–$160 | varies |
| Mass Spectrometry Quant (83789) | $69 | $138 | 2.9× |
| Mercury urine (83825) | $61.50 | $123 | 3.8× |
| Metabolic panel ionized ca (80047) | $53 | $106 | 3.9× |
| Methotrexate (80204) | $170.50 | $341 | 4.4× |
| Methylmalonic acid serum (83921) | $156 | $312 | 7.4× |
| Mgmt methylation analysis (81287) | $443 | $886 | 3.6× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$25.50–$32 | $51–$64 | varies |
| Microsomal Antibodies Each (86376) | $78 | $156 | 5.4× |
| Mitochondrial Antibody Each (86381) | $188.50 | $377 | 7.4× |
| Mlh1 Gene (81288) | $490.50 | $981 | 2.6× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $273 | $546 | 7.2× |
| Molecular Cytogenetics Dna Probe Each (88271) | $106 | $212 | 4.9× |
| Molecular Pathology Procedure Level 3 (81402) | $453 | $906 | 3.0× |
| Mononuclear cell antigen (86356) | $207 | $414 | 7.7× |
| Mopath procedure level 1 (81400) | $434 | $868 | 6.8× |
| Mopath procedure level 4 (81403) | $315 | $630 | 1.7× |
| Mrsa Pcr (87641) | $120.50 | $241 | 3.4× |
| Mthfr Gene Analysis Common Variants (81291) | $559.50 | $1,119 | 8.6× |
| Mumps antibody (86735) | $107.50 | $215 | 8.2× |
| Muscle-Specific Kinase Antb (86366) | $102 | $204 | 5.5× |
| Mycoplasma antibody (86738) | $140 | $280 | 10.6× |
| Mycoplasma culture (87109) | $137.50 | $275 | 8.9× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $504.50 | $1,009 | 2.9× |
| Myelin basic protein csf (83873) | $61.50 | $123 | 3.6× |
| Myoglobin urine (83874) | $147 | $294 | 11.4× |
| Natriuretic peptide (83880) | $176 | $352 | 4.5× |
| Neutralization Test Viral (86382) | $114 | $228 | 6.7× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $54 | $108 | 0.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $613 | $1,226 | 8.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $357 | $714 | 2.8× |
| Niacin (84591) | $113.50 | $227 | 6.7× |
| Nk cells total count (86357) | $165 | $330 | 4.4× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $368.50 | $737 | 1.5× |
| Nuclear antigen antibody (86235) range across 13 matching MRF lines |
$25–$132 | $50–$264 | varies |
| Occult blood feces (82272) | $42.50 | $85 | 10.0× |
| Occult Blood Other Sources (82271) | $44 | $88 | 8.3× |
| Oligoclonal bands (83916) | $73.50 | $147 | 2.7× |
| Organic acids urine (83918) | $219 | $438 | 9.3× |
| Osmolality serum (83930) | $66 | $132 | 10.0× |
| Osmolality Urine (83935) | $43 | $86 | 6.3× |
| Osmotic fragility rbc incubated (85557) | $159.50 | $319 | 11.9× |
| Osteocalcin (83937) | $135.38 | $270.75 | 4.5× |
| Ova and parasites smears (87177) | $48.50 | $97 | 5.4× |
| Oxalate urine (83945) | $122 | $244 | 8.4× |
| Parvovirus antibody (86747) | $37.50 | $75 | 2.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $380 | $760 | 0.4× |
| Ph urine (81003) | $25.50 | $51 | 11.3× |
| Phenobarbital Level (80184) | $183.50 | $367 | 12.0× |
| Phenotype Infect Agent Drug (87900) | $308 | $616 | 2.4× |
| Phenytoin (Dilantin) (80185) | $185.50 | $371 | 14.0× |
| Phenytoin free (80186) | $136.50 | $273 | 9.9× |
| Phosphatase acid prostatic (84066) | $31.50 | $63 | 3.3× |
| Phosphatase alkaline (84075) | $32 | $64 | 6.2× |
| Phospholipid Neutralization Hexagonal (85598) | $36 | $72 | 2.0× |
| Phosphorus Serum (84100) | $28.50 | $57 | 6.0× |
| Phosphorus urine (84105) | $48 | $96 | 8.3× |
| Platelet Aggregation (85576) | $81.50 | $163 | 3.3× |
| Platelet Antibodies (86022) range across 6 matching MRF lines |
$19–$95 | $38–$190 | varies |
| Platelet count automated (85049) | $30.50 | $61 | 6.8× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$40–$42 | $80–$84 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $539 | $1,078 | 2.6× |
| Pneumcysts jirovecii amp prb (87594) | $113.50 | $227 | 3.2× |
| Pooling blood platelets (86965) | $230.50 | $461 | 1.3× |
| Porphobilinogen, urine; quantitative (84110) | $36.50 | $73 | 4.3× |
| Potassium Urine (84133) | $61.50 | $123 | 13.0× |
| Prealbumin (84134) | $104 | $208 | 7.1× |
| Pregnenolone (84140) | $156 | $312 | 7.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $124 | $248 | 2.0× |
| Primidone (80188) | $131.50 | $263 | 7.9× |
| Procalcitonin (Pct) (84145) | $102 | $204 | 3.7× |
| Progesterone (84144) | $142 | $284 | 6.8× |
| Prolactin (84146) | $102.50 | $205 | 5.3× |
| Protein body fluid (84157) | $45.50 | $91 | 11.4× |
| Protein C Activity (85303) | $128 | $256 | 9.2× |
| Protein c antigen (85302) | $144.50 | $289 | 12.0× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$64–$114.95 | $128–$229.90 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $52 | $104 | 4.8× |
| Protein S Free (85306) | $92.50 | $185 | 6.0× |
| Protein s total (85305) | $149.50 | $299 | 12.9× |
| Protein total serum (84155) | $25.50 | $51 | 6.9× |
| Protein Total Urine (84156) | $22.50 | $45 | 6.1× |
| Protein Western Blot Test (84182) range across 3 matching MRF lines |
$7–$65 | $14–$130 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $43 | $86 | 10.9× |
| Protoporphyrin rbc quantitative (84202) | $53 | $106 | 3.7× |
| PSA free (84154) | $50.50 | $101 | 2.7× |
| Pth Intact (83970) | $197.50 | $395 | 4.8× |
| Q Fever Antibody (86638) range across 5 matching MRF lines |
$20–$79 | $40–$158 | varies |
| Quantitative assay drug (80299) | $88 | $176 | 4.7× |
| Quantitative Screen Metals (83018) | $141.50 | $283 | 6.4× |
| Rbc antibody elution (86860) | $173.50 | $347 | 1.0× |
| Rbc antibody identification (86870) | $241 | $482 | 0.6× |
| Rbc antibody screen (86850) | $103 | $206 | 10.5× |
| Rbc pretreatment serum (86978) | $97 | $194 | 1.6× |
| Rbc pretx incubatj w/enzymes (86971) | $173.50 | $347 | 1.0× |
| Renin activity plasma (84244) | $116.50 | $233 | 5.3× |
| Reticulated Platelet Assay (85055) | $39 | $78 | 1.1× |
| Reticulocyte Count (85046) | $50.50 | $101 | 9.1× |
| Reticulocyte separation (86972) | $404.50 | $809 | 2.2× |
| Rh (86901) range across 2 matching MRF lines |
$10.50–$41.50 | $21–$83 | varies |
| Rheumatoid Factor Qualitative (86430) | $103.50 | $207 | 16.9× |
| Rheumatoid factor quant (86431) | $23.50 | $47 | 4.1× |
| Rickettsia antibody (86757) | $105 | $210 | 5.4× |
| Ristocetin cofactor (85245) | $149 | $298 | 6.5× |
| Rotavirus ag eia (87425) | $132 | $264 | 11.0× |
| Rpr qualitative (86592) | $41 | $82 | 9.6× |
| Rubella Antibody (86762) | $89 | $178 | 6.2× |
| Rubeola antibody (86765) | $106 | $212 | 8.2× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$18.50–$19.50 | $37–$39 | varies |
| Salicylate Level (80179) | $130 | $260 | 7.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$108.50–$187.50 | $217–$375 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $87 | $174 | 2.1× |
| Sarscov2 & inf a&b amp prb (87636) | $188.50 | $377 | 1.3× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $230.50 | $461 | 1.6× |
| Sedimentation Rate, Automated (85652) | $36.50 | $73 | 13.5× |
| Selenium (84255) | $117 | $234 | 4.6× |
| Semen Anal Sperm Detection (89321) | $137 | $274 | 11.4× |
| Sensitivity mic (87186) | $56.50 | $113 | 6.5× |
| Sex Hormone Binding Globulin (84270) | $69.50 | $139 | 3.2× |
| Sickling of rbc reduction (85660) | $14 | $28 | 2.5× |
| Sirolimus (80195) | $216 | $432 | 15.7× |
| Skin test tuberculosis intradermal (86580) | $17.50 | $35 | 0.6× |
| Smear acid fast (87206) | $33.50 | $67 | 6.2× |
| Smear complex stain (87209) | $48.50 | $97 | 2.7× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$26.50–$33 | $53–$66 | varies |
| Smear Special Stain (87207) | $77 | $154 | 12.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $60.50 | $121 | 10.4× |
| Sodium Serum (84295) | $44 | $88 | 9.1× |
| Sodium Urine (84300) | $40.50 | $81 | 8.0× |
| Soluble Transferrin Receptor (84238) | $113 | $226 | 3.1× |
| Somatomedin (84305) | $142 | $284 | 6.7× |
| Special Stains Group 1 (88312) | $160 | $320 | 2.9× |
| Special Stains Group 2 (88313) | $225 | $450 | 1.6× |
| Specimen infect agnt concntj (87015) | $35 | $70 | 5.2× |
| Splitting Blood/Blood Products Each Unit (86985) | $136 | $272 | 0.8× |
| Staph a DNA amp probe (87640) | $155.50 | $311 | 4.4× |
| Stool cultr aerobic bact ea (87046) | $21 | $42 | 2.2× |
| Strep a DNA amp probe (87651) | $92 | $184 | 2.6× |
| Strep b DNA amp probe (87653) | $110 | $220 | 3.1× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $60 | $120 | 0.7× |
| Surg path level iii (88304) | $268.50 | $537 | 4.9× |
| Surgical pathology level IV (88305) | $340 | $680 | 6.2× |
| Surgical pathology level vi (88309) | $742.50 | $1,485 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$43–$45 | $86–$90 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $66.50 | $133 | 8.9× |
| Sweat Collection Iontophoresis (89230) | $199 | $398 | 3.6× |
| Syphilis Test Non-Trep Quant (86593) | $81 | $162 | 18.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $228.50 | $457 | 4.9× |
| T cells total count (86359) | $177.50 | $355 | 4.7× |
| T3 Free (84481) | $103 | $206 | 6.1× |
| T3 reverse (84482) | $122.50 | $245 | 7.8× |
| T3 Total (84480) | $125 | $250 | 8.8× |
| T3 Uptake (84479) | $82.50 | $165 | 12.8× |
| T4 Free (84439) | $74.50 | $149 | 8.3× |
| T4 total (84436) | $47.50 | $95 | 6.9× |
| Tacrolimus (80197) | $232.50 | $465 | 16.9× |
| Tb ag response t-cell susp (86481) | $396 | $792 | 4.0× |
| Testosterone total (84403) | $165 | $330 | 6.4× |
| Testosterone, Free (84402) | $68.50 | $137 | 2.7× |
| Tetanus antibody (86774) | $140 | $280 | 9.5× |
| Theophylline (80198) | $178.50 | $357 | 12.6× |
| Thiopurine methyltransferase (84433) | $115 | $230 | 5.2× |
| Thrombin Time (85670) | $36 | $72 | 6.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $71.50 | $143 | 11.1× |
| Thyroglobulin (84432) | $86 | $172 | 5.4× |
| Thyroglobulin Antibody (86800) | $86 | $172 | 5.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $259.50 | $519 | 5.1× |
| Thyroxine binding globulin (84442) | $150 | $300 | 10.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$68–$71.50 | $136–$143 | varies |
| Tissue culture bone marrow (88237) | $579.50 | $1,159 | 4.0× |
| Tissue Culture Lymphocyte (88230) | $353.50 | $707 | 3.0× |
| Tobramycin peak (80200) | $210.50 | $421 | 13.1× |
| Topiramate (80201) | $166 | $332 | 13.9× |
| Total Tau (84394) | $248.50 | $497 | 1.9× |
| Toxoplasma ab igm (86778) | $142 | $284 | 9.9× |
| Toxoplasma antibody (86777) | $129 | $258 | 9.0× |
| Tpmt gene com variants (81335) | $419 | $838 | 2.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $29 | $58 | 5.6× |
| Transferrin (84466) | $69.50 | $139 | 5.4× |
| Trichomonas vagin dir probe (87660) | $87 | $174 | 4.3× |
| Trichomonas Vaginalis Amplif (87661) | $99 | $198 | 2.8× |
| Triglycerides (84478) | $37 | $74 | 6.4× |
| Troponin Quant (84484) | $157 | $314 | 12.6× |
| Tumor Immunohistochem/Manual (88360) | $329.50 | $659 | 1.8× |
| Urea Nitrogen Clearance (84545) | $116 | $232 | 16.1× |
| Urea nitrogen urine (84540) | $61.50 | $123 | 11.1× |
| Uric acid other source (84560) | $55.50 | $111 | 10.9× |
| Urinalysis Microscopic Only (81015) | $14.50 | $29 | 4.8× |
| Urinalysis Volume Measure (81050) | $8.50 | $17 | 2.3× |
| Urine Bacteria Culture (87088) | $72 | $144 | 8.9× |
| Urine Pregnancy Test (81025) | $55.50 | $111 | 6.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $43.50 | $87 | 13.7× |
| Valproic acid (80164) | $148.50 | $297 | 11.0× |
| Vancomycin (80202) | $90 | $180 | 6.6× |
| Varicella-zoster antibody (86787) | $122.50 | $245 | 9.5× |
| Very Long Chain Fatty Acids (82726) | $235 | $470 | 11.9× |
| Virus antibody nos (86790) | $122 | $244 | 9.5× |
| Virus inoculation, shell via (87254) | $83 | $166 | 4.2× |
| Viscosity serum (85810) | $43.50 | $87 | 3.7× |
| Vit D 1 25-Dihydroxy (82652) | $223.50 | $447 | 5.8× |
| Vitamin A (84590) | $93 | $186 | 8.0× |
| Vitamin b-12 (82607) | $105 | $210 | 7.0× |
| Vitamin B2 (Riboflavin) (84252) | $139 | $278 | 6.9× |
| Vitamin B6 (84207) | $170 | $340 | 6.0× |
| Vitamin c (82180) | $97.50 | $195 | 9.9× |
| Vitamin D 25-Hydroxy (82306) | $141.50 | $283 | 4.8× |
| Vitamin E (84446) | $101.50 | $203 | 7.2× |
| Vitamin K (84597) | $179 | $358 | 13.0× |
| Volatiles (84600) | $429 | $858 | 25.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $50 | $100 | 4.1× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$150–$158 | $300–$316 | varies |
| West nile virus ab igm (86788) | $128.50 | $257 | 7.6× |
| West Nile Virus Antibody (86789) | $123 | $246 | 8.5× |
| Western Blot Test (84181) | $85.50 | $171 | 5.0× |
| Zinc (84630) | $57 | $114 | 5.0× |
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.