Lab & pathology prices at Osf Little Company of Mary Medical Center
Evergreen Park, IL · every code in this section with a posted price and a Medicare benchmark.
882 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) range across 2 matching MRF lines |
$139.80–$151.80 | $233–$253 | varies |
| 5 Nucleotidase (83915) range across 3 matching MRF lines |
$92.40–$163.20 | $154–$272 | varies |
| Abl1 gene analysis kinase domain variants (81170) | $1,085.40 | $1,809 | 3.6× |
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$109.80–$394.20 | $183–$657 | varies |
| Acetylcholinesterase Assay (82013) | $222.60 | $371 | 18.1× |
| Acetylcholn Rcptr Modlg Antb (86043) | $157.80 | $263 | 13.1× |
| Acth (82024) | $210 | $350 | 5.4× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $504 | $840 | 15.5× |
| Acute hepatitis panel (80074) | $522 | $870 | 11.0× |
| Acylcarnitines Quant (82017) | $432 | $720 | 25.6× |
| Adenovirus antibody (86603) | $46.80 | $78 | 3.6× |
| Agglutinins Febrile Each Antigen (86000) | $293.40 | $489 | 42.0× |
| Albumin Fluid (82042) range across 8 matching MRF lines |
$12.60–$138.60 | $21–$231 | varies |
| Albumin serum (82040) | $73.20 | $122 | 14.8× |
| Aldolase (82085) | $98.40 | $164 | 10.1× |
| Aldosterone urine (82088) | $238.80 | $398 | 5.9× |
| Alkaline phosphatase isoenzymes (84080) range across 4 matching MRF lines |
$57.60–$76.80 | $96–$128 | varies |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$55.20–$55.80 | $92–$93 | varies |
| Allergen specific igg (86001) | $108 | $180 | 13.8× |
| Allg Spec Ige Recomb Ea (86008) | $141 | $235 | 7.9× |
| Alpha-1-antitrypsin phenotype (82104) | $154.80 | $258 | 10.7× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$58.80–$183 | $98–$305 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $135.60 | $226 | 8.0× |
| Alpha-Fetoprotein Serum (82105) | $221.40 | $369 | 13.2× |
| Alt (sgpt) (84460) range across 4 matching MRF lines |
$31.20–$99 | $52–$165 | varies |
| Aluminum (82108) | $138.60 | $231 | 5.4× |
| Amikacin trough (80150) | $180 | $300 | 11.9× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $723 | $1,205 | 31.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $472.80 | $788 | 28.0× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $535.20 | $892 | 38.6× |
| Amino Acids Quant 2-5 (82136) | $349.80 | $583 | 17.8× |
| Aminolevulinic acid (ala) (82135) | $201 | $335 | 12.2× |
| Ammonia (82140) | $134.40 | $224 | 9.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$127.20–$166.80 | $212–$278 | varies |
| Amniotic fluid scan (82143) | $149.40 | $249 | 16.0× |
| Amylase urine (82150) range across 2 matching MRF lines |
$168.60–$180.60 | $281–$301 | varies |
| Ana Titer (86039) | $128.40 | $214 | 11.5× |
| Anca screen each antibody (86036) | $30 | $50 | 2.5× |
| Androstenedione (82157) range across 4 matching MRF lines |
$178.80–$195 | $298–$325 | varies |
| Angiotensin converting enzyme csf (82164) | $223.20 | $372 | 15.3× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$145.20–$231 | $242–$385 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$177.60–$205.80 | $296–$343 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 3 matching MRF lines |
$43.80–$283.20 | $73–$472 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $298.80 | $498 | 19.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$46.80–$118.80 | $78–$198 | varies |
| Antibody Encephalitis California La Crosse (86651) | $46.80 | $78 | 3.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $77.40 | $129 | 5.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$21–$121.80 | $35–$203 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $141 | $235 | 7.8× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$177.60–$265.80 | $296–$443 | varies |
| Antibody haemophilus influenza (86684) range across 3 matching MRF lines |
$54–$84 | $90–$140 | varies |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$173.40–$177.60 | $289–$296 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $163.80 | $273 | 11.4× |
| Antibody Herpes Smplx Type 1 (86695) range across 4 matching MRF lines |
$46.80–$128.40 | $78–$214 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $183 | $305 | 13.3× |
| Antibody HIV-2 (86702) | $201.60 | $336 | 14.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$216.60–$441 | $361–$735 | varies |
| Antibody identification leukocyte antibodies (86021) | $243 | $405 | 16.1× |
| Antibody Identification Platelet Immunogl Assay (86023) | $303.60 | $506 | 24.4× |
| Antibody Lymphocytic Choriomeningitis (86727) range across 3 matching MRF lines |
$39–$157.80 | $65–$263 | varies |
| Antibody plasmodium malaria (86750) | $115.20 | $192 | 8.7× |
| Antibody Protozoa Nes (86753) | $173.40 | $289 | 14.0× |
| Antibody Titer (86886) | $273.60 | $456 | 52.8× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$99.60–$110.40 | $166–$184 | varies |
| Antibody; encephalitis, st. louis (86653) | $46.80 | $78 | 3.5× |
| Antibody; influenza virus (86710) range across 6 matching MRF lines |
$45.60–$222.60 | $76–$371 | varies |
| Antigen typing (86905) range across 8 matching MRF lines |
$226.80–$325.20 | $378–$542 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 3 matching MRF lines |
$121.80–$424.80 | $203–$708 | varies |
| Antinuclear antibodies (86038) | $199.80 | $333 | 16.5× |
| Antistreptolysin o titer (86060) | $154.80 | $258 | 21.2× |
| Antithrombin iii activity (85300) | $167.40 | $279 | 14.1× |
| Antithrombin iii antigen (85301) | $166.20 | $277 | 15.4× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) range across 2 matching MRF lines |
$4,394.40–$6,714.60 | $7,324–$11,191 | varies |
| Apolipoprotein a1 (82172) | $171 | $285 | 8.1× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 9 matching MRF lines |
$174–$787.20 | $290–$1,312 | varies |
| Arsenic (82175) | $124.80 | $208 | 6.6× |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$115.20–$141.60 | $192–$236 | varies |
| Assay activated protein c (85307) | $243.60 | $406 | 15.9× |
| Assay Blood Carbon Dioxide (82374) | $59.40 | $99 | 12.2× |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$133.80–$197.40 | $223–$329 | varies |
| Assay of 5-hiaa (83497) range across 3 matching MRF lines |
$46.80–$186.60 | $78–$311 | varies |
| Assay of anti-mullerian hormone (82166) | $94.80 | $158 | 2.5× |
| Assay of blood/uric acid (84550) | $79.80 | $133 | 17.7× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$73.80–$178.20 | $123–$297 | varies |
| Assay of cpk in blood (82552) | $49.20 | $82 | 3.7× |
| Assay of estrone (82679) | $151.80 | $253 | 6.1× |
| Assay of g6pd enzyme (82955) range across 4 matching MRF lines |
$79.80–$154.80 | $133–$258 | varies |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$117.60–$201 | $196–$335 | varies |
| Assay of lactic acid (83605) | $100.20 | $167 | 8.7× |
| Assay of manganese (83785) | $303 | $505 | 11.4× |
| Assay of metanephrines (83835) | $198.60 | $331 | 11.7× |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$180.60–$266.40 | $301–$444 | varies |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
$122.40–$127.20 | $204–$212 | varies |
| Assay of serotonin (84260) | $58.80 | $98 | 1.9× |
| Assay of serum potassium (84132) | $73.20 | $122 | 15.4× |
| Assay of sweat sodium (84302) | $140.40 | $234 | 28.9× |
| Assay of Tyrosine (84510) range across 2 matching MRF lines |
$97.20–$121.80 | $162–$203 | varies |
| Assay of urea nitrogen (84520) | $100.20 | $167 | 25.4× |
| Assay of urine vma (84585) | $183 | $305 | 11.8× |
| Assay of vasoactive intestinal peptide (84586) | $118.80 | $198 | 3.4× |
| Assay of vitamin b-1 (84425) | $210.60 | $351 | 9.9× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$74.40–$100.20 | $124–$167 | varies |
| Assay Phosphohexose Enzymes (84087) | $165.60 | $276 | 15.4× |
| Assay spec xcp ur&breath ia (82077) | $273 | $455 | 15.8× |
| Asy carbamazepin 10,11-epxid (80161) | $54.60 | $91 | 2.9× |
| Automated Leukocyte Count (85048) | $45 | $75 | 17.7× |
| B cells total count (86355) | $216.60 | $361 | 5.7× |
| Babesia microti amp prb (87469) | $36 | $60 | 1.0× |
| Bartonella antibody (86611) | $28.80 | $48 | 2.8× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$365.40–$369.60 | $609–$616 | varies |
| Bcr/abl1 gene minor bp (81207) | $322.80 | $538 | 2.2× |
| Bcr/Abl1 Gene Other Bp (81208) | $348 | $580 | 1.6× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$305.40–$426 | $509–$710 | varies |
| Beta hydroxybutyrate (82010) | $90.60 | $151 | 11.1× |
| Beta Lactamase (87185) | $39 | $65 | 8.2× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$132–$292.80 | $220–$488 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) range across 2 matching MRF lines |
$332.40–$333 | $554–$555 | varies |
| Bile acids total (82239) | $115.80 | $193 | 6.8× |
| Bilirubin direct (82248) | $109.20 | $182 | 21.8× |
| Bilirubin total (82247) | $128.40 | $214 | 25.6× |
| Bilirubin total transcutaneous (88720) | $35.40 | $59 | 7.1× |
| Biotinidase (82261) range across 2 matching MRF lines |
$33–$34.80 | $55–$58 | varies |
| Blastomyces antibody (86612) | $31.20 | $52 | 2.4× |
| Bld Typing Serologic Rh Phnt (86906) | $149.40 | $249 | 19.3× |
| Blm Gene (81209) | $437.40 | $729 | 11.1× |
| Blood Count Red Blood Cell Automated (85041) | $37.20 | $62 | 12.3× |
| Blood count reticulocyte automated (85045) | $87 | $145 | 21.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $69.60 | $116 | 18.3× |
| Blood count spun microhematocrit (85013) | $63 | $105 | 9.0× |
| Blood gas (82803) | $258.60 | $431 | 9.9× |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$232.80–$344.40 | $388–$574 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $82.80 | $138 | 5.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$48–$81.60 | $80–$136 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 6 matching MRF lines |
$226.80–$325.20 | $378–$542 | varies |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$90–$420 | $150–$700 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$135–$220.20 | $225–$367 | varies |
| Bone marrow smear interpretation (85097) | $552.60 | $921 | 0.6× |
| Bordetella antibody (86615) | $135 | $225 | 10.2× |
| Borrelia miyamotoi amp prb (87478) | $36 | $60 | 1.0× |
| Braf gene analysis (81210) | $800.40 | $1,334 | 4.6× |
| Brca1&2 gen full seq dup/del (81162) range across 5 matching MRF lines |
$2,104.20–$5,128.20 | $3,507–$8,547 | varies |
| Breath Alcohol Test (82075) | $16.20 | $27 | 0.5× |
| Brucella antibody (86622) range across 5 matching MRF lines |
$61.20–$379.20 | $102–$632 | varies |
| C diff amplified probe (87493) | $237 | $395 | 6.4× |
| C-Peptide (84681) | $136.80 | $228 | 6.6× |
| C-reactive protein (86140) | $109.20 | $182 | 21.1× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$274.20–$324 | $457–$540 | varies |
| Cadmium (82300) range across 6 matching MRF lines |
$39–$372 | $65–$620 | varies |
| Calcitonin (82308) | $165 | $275 | 6.2× |
| Calcium ionized (82330) | $180.60 | $301 | 13.2× |
| Calcium total (82310) | $124.20 | $207 | 24.1× |
| Calculus Spectroscopy (82365) range across 3 matching MRF lines |
$40.20–$157.80 | $67–$263 | varies |
| Calprotectin Fecal (83993) range across 3 matching MRF lines |
$142.80–$549 | $238–$915 | varies |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$881.40–$1,412.40 | $1,469–$2,354 | varies |
| Cancer Antigen 125 (86304) | $229.80 | $383 | 11.0× |
| Cancer Antigen 27.29 (86300) | $184.80 | $308 | 8.9× |
| Candida antibody (86628) | $126.60 | $211 | 10.5× |
| Candida Dna Dir Probe (87480) | $56.40 | $94 | 2.8× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$198.60–$287.40 | $331–$479 | varies |
| Carbohydrate Deficient Transferrin (82373) | $394.80 | $658 | 21.9× |
| Carboxyhemoglobin (82375) | $59.40 | $99 | 4.8× |
| Carcinoembryonic antigen (82378) | $201 | $335 | 10.6× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$67.20–$94.20 | $112–$157 | varies |
| Carnitine Quantitative Each Specimen (82379) | $92.40 | $154 | 5.5× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$200.40–$306 | $334–$510 | varies |
| Ccp antibody (86200) | $212.40 | $354 | 16.4× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $894 | $1,490 | 3.7× |
| Cell count csf (89051) | $135 | $225 | 24.1× |
| Cell marker study (88182) | $460.80 | $768 | 8.3× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 3 matching MRF lines |
$416.40–$469.80 | $694–$783 | varies |
| Ceruloplasmin (82390) | $114.60 | $191 | 10.7× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $1,768.20 | $2,947 | 10.5× |
| Cftr Gene Analysis Known Familial Variants (81221) | $1,475.40 | $2,459 | 15.2× |
| Cftr gene com variants (81220) | $2,301 | $3,835 | 4.1× |
| Cftr gene dup/delet variants (81222) range across 3 matching MRF lines |
$321.60–$2,337.60 | $536–$3,896 | varies |
| Cftr gene full sequence (81223) range across 5 matching MRF lines |
$1,540.80–$3,174.60 | $2,568–$5,291 | varies |
| Chemiluminescent assay (82397) | $108 | $180 | 7.6× |
| Chlamydia antibody (86631) range across 6 matching MRF lines |
$22.80–$81 | $38–$135 | varies |
| Chlamydia Igm Antibody (86632) range across 4 matching MRF lines |
$24.60–$27 | $41–$45 | varies |
| Chlmy trch&neisra gonor mult (87494) | $72.60 | $121 | 1.0× |
| Chloride other source (82438) range across 2 matching MRF lines |
$108.60–$141.60 | $181–$236 | varies |
| Chloride Serum (82435) | $73.20 | $122 | 15.9× |
| Chloride urine (82436) range across 2 matching MRF lines |
$73.20–$178.20 | $122–$297 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$63–$76.80 | $105–$128 | varies |
| Cholinesterase rbc (82482) | $113.40 | $189 | 11.6× |
| Cholinesterase Serum (82480) | $217.80 | $363 | 27.7× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$180–$232.80 | $300–$388 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $345.60 | $576 | 12.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$421.20–$591 | $702–$985 | varies |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $324 | $540 | 1.9× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $633.60 | $1,056 | 3.7× |
| Chromium serum (82495) range across 5 matching MRF lines |
$135–$287.40 | $225–$479 | varies |
| Chromogenic Substrate Assay (85130) | $126 | $210 | 10.6× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$100.20–$492.60 | $167–$821 | varies |
| Chromosome analys amniotic (88269) | $407.40 | $679 | 2.3× |
| Chromosome Analysis 15-20 (88262) | $1,331.40 | $2,219 | 10.6× |
| Chromosome Analysis 20-25 (88264) range across 3 matching MRF lines |
$944.40–$1,444.20 | $1,574–$2,407 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$110.40–$183 | $184–$305 | varies |
| Citric acid urine (82507) | $198 | $330 | 7.1× |
| Ckmb (82553) | $156.60 | $261 | 13.6× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$81.60–$189 | $136–$315 | varies |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$184.20–$259.20 | $307–$432 | varies |
| Clot factor xiii fibrin stab (85290) range across 2 matching MRF lines |
$442.80–$462.60 | $738–$771 | varies |
| Clotting factor xii hageman (85280) | $373.20 | $622 | 19.3× |
| Clotting Funct Activity (85397) range across 7 matching MRF lines |
$260.40–$403.20 | $434–$672 | varies |
| Clotting hi molec weight kininogen assay (85293) | $445.80 | $743 | 23.5× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $445.80 | $743 | 23.5× |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$799.80–$1,203.60 | $1,333–$2,006 | varies |
| Coagulation time activated (85347) range across 3 matching MRF lines |
$64.80–$82.80 | $108–$138 | varies |
| Coccidioides antibody (86635) range across 5 matching MRF lines |
$27.60–$81.60 | $46–$136 | varies |
| Cold agglutinin titer (86157) | $43.80 | $73 | 5.4× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$67.20–$318 | $112–$530 | varies |
| Column Chromotography Quant (82542) | $345 | $575 | 14.3× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $917.40 | $1,529 | 3.9× |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $472.80 | $788 | 1.6× |
| Compatibility Each Unit Incubation (86921) | $108 | $180 | 0.6× |
| Compatibility test antiglob (86922) | $121.20 | $202 | 0.7× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$177–$219.60 | $295–$366 | varies |
| Complement Total (Ch50) (86162) | $280.80 | $468 | 13.8× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$147.60–$373.20 | $246–$622 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) | $599.40 | $999 | 3.3× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $539.40 | $899 | 9.7× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $231 | $385 | 5.8× |
| Coombs direct (86880) | $117.60 | $196 | 21.8× |
| Copper urine (82525) | $223.20 | $372 | 18.0× |
| Cortisol free (82530) | $234.60 | $391 | 14.0× |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$54–$156.60 | $90–$261 | varies |
| Creatine kinase total (82550) | $167.40 | $279 | 25.7× |
| Creatinine blood (82565) | $74.40 | $124 | 14.5× |
| Creatinine clearance (82575) | $195.60 | $326 | 20.7× |
| Creatinine Urine (82570) | $43.80 | $73 | 8.5× |
| Crossmatch electronic (86923) | $276.60 | $461 | 1.5× |
| Crossmatch immediate spin (86920) | $121.20 | $202 | 0.7× |
| Crp High Sensitivity (86141) | $132 | $220 | 10.2× |
| Cryofibrinogen (82585) | $36.60 | $61 | 2.6× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$16.80–$76.80 | $28–$128 | varies |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) range across 2 matching MRF lines |
$346.20–$910.80 | $577–$1,518 | varies |
| Cryptococcus ab (86641) | $249 | $415 | 17.3× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$88.20–$98.40 | $147–$164 | varies |
| Cryptosporidium ag eia (87328) | $98.40 | $164 | 7.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $63 | $105 | 7.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $203.40 | $339 | 25.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $108 | $180 | 14.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $645 | $1,075 | 3.0× |
| Culture aerobic quant other (87071) range across 2 matching MRF lines |
$222–$682.20 | $370–$1,137 | varies |
| Culture afb (87116) | $238.80 | $398 | 22.1× |
| Culture Anaerobic (87075) | $180 | $300 | 19.0× |
| Culture bacteria anaerobic (87073) range across 2 matching MRF lines |
$320.40–$370.80 | $534–$618 | varies |
| Culture blood (87040) | $177.60 | $296 | 17.2× |
| Culture chlamydia (87110) | $190.80 | $318 | 9.7× |
| Culture csf (87070) | $141.60 | $236 | 16.4× |
| Culture fungus (87102) range across 2 matching MRF lines |
$85.80–$123 | $143–$205 | varies |
| Culture fungus blood (87103) | $267.60 | $446 | 13.1× |
| Culture screen only (87081) range across 3 matching MRF lines |
$58.80–$62.40 | $98–$104 | varies |
| Culture stool (87045) | $69 | $115 | 7.3× |
| Culture typing if ea antiserum (87140) range across 4 matching MRF lines |
$51.60–$76.80 | $86–$128 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$34.80–$76.80 | $58–$128 | varies |
| Culture urine (87086) | $68.40 | $114 | 8.5× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $357 | $595 | 46.1× |
| Cyclosporine (80158) | $189 | $315 | 10.5× |
| Cyp2c19 gene analysis common variants (81225) range across 2 matching MRF lines |
$948.60–$1,586.40 | $1,581–$2,644 | varies |
| Cyp2d6 gene com variants (81226) | $2,528.40 | $4,214 | 5.6× |
| Cystatin C (82610) | $294.60 | $491 | 15.9× |
| Cytogenetics 10-30 (88273) | $234 | $390 | 6.7× |
| Cytogenetics 100-300 (88275) range across 7 matching MRF lines |
$97.80–$479.40 | $163–$799 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $5,657.40 | $9,429 | 6.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $4,977 | $8,295 | 4.3× |
| Cytogenomic neo microra alys (81277) | $5,601 | $9,335 | 4.8× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$46.80–$118.80 | $78–$198 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $163.80 | $273 | 8.1× |
| Cytopath Cell Enhance Tech (88112) | $270.60 | $451 | 4.8× |
| Cytotoxic pra quick (86808) range across 2 matching MRF lines |
$477–$794.40 | $795–$1,324 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $145.20 | $242 | 5.5× |
| Cytp Concentration Smears & Interpretation (88108) | $34.80 | $58 | 0.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$342–$610.20 | $570–$1,017 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $258.60 | $431 | 1.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $136.80 | $228 | 3.4× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $644.40 | $1,074 | 3.5× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $91.80 | $153 | 5.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $133.20 | $222 | 2.4× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $81.60 | $136 | 2.6× |
| Deoxycortisol (82634) range across 2 matching MRF lines |
$178.80–$195 | $298–$325 | varies |
| Deoxyribonuclease antibody (86215) | $99.60 | $166 | 7.5× |
| Desoxycorticosterone (82633) | $367.20 | $612 | 11.9× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$66–$287.40 | $110–$479 | varies |
| Detect Agent Nos Dna Quant (87799) | $527.40 | $879 | 12.3× |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
$163.80–$747 | $273–$1,245 | varies |
| Dhea (82626) | $155.40 | $259 | 6.1× |
| Dhea-S (82627) | $319.80 | $533 | 14.4× |
| Digoxin (80162) | $187.80 | $313 | 14.1× |
| Dihydrotestosterone (82642) | $103.20 | $172 | 3.5× |
| Diphtheria antitoxoid (86648) | $151.20 | $252 | 9.9× |
| Dipropylacetic Acid Free (80165) | $175.80 | $293 | 13.0× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$178.80–$300.60 | $298–$501 | varies |
| Dna/Rna Amplified Probe (87150) range across 3 matching MRF lines |
$43.20–$139.80 | $72–$233 | varies |
| DNA/RNA direct probe (87149) | $181.20 | $302 | 9.0× |
| Dna/Rna Sequencing (87153) | $333.60 | $556 | 2.9× |
| Dpyd gene common variants (81232) range across 2 matching MRF lines |
$1,392.60–$1,666.80 | $2,321–$2,778 | varies |
| Drug assay acetaminophen (80143) | $135 | $225 | 7.2× |
| Drug assay adalimumab (80145) | $610.80 | $1,018 | 15.8× |
| Drug Assay Amiodarone (80151) | $55.80 | $93 | 3.0× |
| Drug Assay Everolimus (80169) | $465.60 | $776 | 33.9× |
| Drug assay felbamate (80167) | $97.20 | $162 | 5.2× |
| Drug Assay Infliximab (80230) | $414 | $690 | 10.7× |
| Drug Assay Itraconazole (80189) | $111.60 | $186 | 4.1× |
| Drug Assay Lacosamide (80235) | $261.60 | $436 | 9.6× |
| Drug Assay Leflunomide (80193) | $416.40 | $694 | 10.8× |
| Drug Assay Posaconazole (80187) | $141.60 | $236 | 5.2× |
| Drug Assay Vedolizumab (80280) | $321.60 | $536 | 8.3× |
| Drug assay voriconazole (80285) | $118.80 | $198 | 4.4× |
| Drug Screen Quant Clozapine (80159) | $153 | $255 | 7.6× |
| Drug Screen Quant Zonisamide (80203) | $160.20 | $267 | 12.1× |
| Drug Screen Quantitative Gabapentin (80171) | $198 | $330 | 9.1× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$124.80–$141 | $208–$235 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $234 | $390 | 17.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $221.40 | $369 | 16.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 12 matching MRF lines |
$66–$1,186.20 | $110–$1,977 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$180.60–$349.80 | $301–$583 | varies |
| Drug Test Prsmv Instrmnt (80306) | $66 | $110 | 3.9× |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
$616.20–$5,860.80 | $1,027–$9,768 | varies |
| Ehrlichia antibody (86666) | $220.80 | $368 | 21.7× |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$193.80–$240 | $323–$400 | varies |
| Electrolyte panel (80051) | $247.80 | $413 | 35.3× |
| Electron Microscopy (88348) | $958.80 | $1,598 | 1.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $149.40 | $249 | 2.4× |
| Encephaltis East Eqne Anbdy (86652) | $46.80 | $78 | 3.5× |
| Encephaltis West Eqne Antbdy (86654) | $46.80 | $78 | 3.5× |
| Enterovirus Antibody (86658) | $46.80 | $78 | 3.6× |
| Enterovirus PCR (87498) | $258 | $430 | 7.4× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$38.40–$374.40 | $64–$624 | varies |
| Enzyme histochemistry (88319) | $552.60 | $921 | 0.6× |
| Eosinophil Smear (89190) | $99 | $165 | 17.1× |
| Erythropoietin (82668) | $180 | $300 | 9.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$157.20–$198.60 | $262–$331 | varies |
| Estriol (82677) | $122.40 | $204 | 5.1× |
| Estrogens fractionated (82671) | $73.80 | $123 | 2.3× |
| Ethosuximide (80168) | $175.80 | $293 | 10.8× |
| Ethylene Glycol (82693) | $260.40 | $434 | 17.5× |
| Euglobulin lysis (85360) | $186.60 | $311 | 22.2× |
| Exam Synovial Fluid Crystals (89060) | $60 | $100 | 8.2× |
| F2 Gene (81240) range across 2 matching MRF lines |
$407.40–$856.20 | $679–$1,427 | varies |
| Factor ii activity (85210) | $504 | $840 | 38.8× |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
$303.60–$754.20 | $506–$1,257 | varies |
| Factor ix activity (85250) | $181.20 | $302 | 9.5× |
| Factor v activity (85220) | $201 | $335 | 11.4× |
| Factor v leiden mutation (81241) | $480 | $800 | 6.5× |
| Factor vii assay (85230) | $237 | $395 | 13.2× |
| Factor viii assay (85240) | $366.60 | $611 | 20.5× |
| Factor X (85260) | $504 | $840 | 28.2× |
| Factor xi activity (85270) | $343.80 | $573 | 19.2× |
| Factor xiii screen (85291) range across 2 matching MRF lines |
$163.20–$287.40 | $272–$479 | varies |
| Fancc Gene (81242) | $886.20 | $1,477 | 24.2× |
| Fat/Lipids Feces Quantitative (82710) | $175.80 | $293 | 10.5× |
| Fatty acids free (82725) range across 2 matching MRF lines |
$161.40–$203.40 | $269–$339 | varies |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) range across 2 matching MRF lines |
$138.60–$192.60 | $231–$321 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $552.60 | $921 | 32.1× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $206.40 | $344 | 31.6× |
| Fecal Fat Qualitative (82705) | $87.60 | $146 | 17.2× |
| Ferritin (82728) | $157.20 | $262 | 11.5× |
| Fetal Chrmoml Aneuploidy (81420) range across 2 matching MRF lines |
$1,914.60–$3,064.20 | $3,191–$5,107 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $664.80 | $1,108 | 4.3× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $521.40 | $869 | 9.6× |
| Fetal Fibronectin (82731) | $459 | $765 | 7.1× |
| Fetal hemoglobin assay qual (83033) | $96 | $160 | 12.0× |
| Fetal screen rosette (85461) | $147.60 | $246 | 15.8× |
| Fibrin Degradation Quant (85379) | $117 | $195 | 11.5× |
| Fibrinogen activity (85384) | $144 | $240 | 14.8× |
| Fibrinogen antigen (85385) range across 3 matching MRF lines |
$92.40–$285.60 | $154–$476 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $73.20 | $122 | 4.7× |
| Flow cytometry first marker (88184) | $276 | $460 | 0.7× |
| Flt3 Gene (81245) | $1,131 | $1,885 | 6.8× |
| Flt3 gene analysis (81246) | $705.60 | $1,176 | 8.5× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$110.40–$485.40 | $184–$809 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$171–$485.40 | $285–$809 | varies |
| Fmr1 Gene Charac Alleles (81244) | $535.80 | $893 | 11.9× |
| Fmr1 gene detection (81243) | $1,073.40 | $1,789 | 18.8× |
| Folic acid rbc (82747) | $162.60 | $271 | 9.2× |
| Folic Acid Serum (82746) | $174.60 | $291 | 11.9× |
| Follicle Stimulating Hormone (83001) | $134.40 | $224 | 7.2× |
| Francisella tularensis (86668) | $100.20 | $167 | 7.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $147 | $245 | 0.8× |
| Frozen Section (88331) | $190.80 | $318 | 1.0× |
| Fungi Identification Mold (87107) | $115.80 | $193 | 11.2× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$106.80–$117 | $178–$195 | varies |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $114 | $190 | 1.9× |
| G6pd gene analysis full gene sequence (81249) | $1,470.60 | $2,451 | 2.5× |
| Galactokinase rbc (82759) | $919.80 | $1,533 | 42.8× |
| Galactose (82760) | $451.20 | $752 | 40.3× |
| Galactose transferase test (82776) | $33 | $55 | 2.8× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) range across 2 matching MRF lines |
$426.60–$483.60 | $711–$806 | varies |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$126–$157.80 | $210–$263 | varies |
| Gardner vag DNA dir probe (87510) | $56.40 | $94 | 2.8× |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 2 matching MRF lines |
$28.80–$113.40 | $48–$189 | varies |
| Gases blood ph only (82800) | $42.60 | $71 | 3.9× |
| Gastrin (82941) | $307.20 | $512 | 17.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$744.60–$1,218 | $1,241–$2,030 | varies |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $1,070.40 | $1,784 | 22.7× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 4 matching MRF lines |
$1,619.40–$4,882.80 | $2,699–$8,138 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$3,207.60–$3,592.80 | $5,346–$5,988 | varies |
| Genet Virus Isolate Hsv (87255) | $153 | $255 | 4.5× |
| Genetic Tstg Severe Inh Cond (81443) range across 3 matching MRF lines |
$5,493.60–$7,627.80 | $9,156–$12,713 | varies |
| Gentamicin (80170) | $229.20 | $382 | 14.0× |
| Ggt (82977) range across 4 matching MRF lines |
$31.20–$99 | $52–$165 | varies |
| Giardia antigen (87329) | $98.40 | $164 | 8.2× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $1,009.80 | $1,683 | 10.0× |
| Glucose 2 hr pp (82950) | $97.80 | $163 | 20.6× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$19.20–$28.80 | $32–$48 | varies |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$22.20–$113.40 | $37–$189 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$71.40–$86.40 | $119–$144 | varies |
| Glucose tolerance test (gtt) (82951) | $183.60 | $306 | 14.3× |
| Glutathione (82978) | $127.80 | $213 | 8.3× |
| Glycated Protein (82985) | $82.80 | $138 | 4.9× |
| Gonadotropin Chorionic Qualitative (84703) | $181.20 | $302 | 24.1× |
| Growth hormone (83003) | $154.80 | $258 | 9.3× |
| Gtt-added samples (82952) | $56.40 | $94 | 14.4× |
| H Pylori (C-13) Breath (83013) | $258.60 | $431 | 3.8× |
| Haptoglobin (83010) | $114.60 | $191 | 9.1× |
| Hba1/hba2 full gene sequence (81259) range across 2 matching MRF lines |
$1,000.80–$1,041.60 | $1,668–$1,736 | varies |
| Hba1/Hba2 Gene (81257) | $944.40 | $1,574 | 9.2× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 3 matching MRF lines |
$672–$881.40 | $1,120–$1,469 | varies |
| Hbb duplication/deletion variants (81363) range across 2 matching MRF lines |
$934.20–$971.40 | $1,557–$1,619 | varies |
| Hbb Full Gene Sequence (81364) range across 2 matching MRF lines |
$1,000.80–$1,041.60 | $1,668–$1,736 | varies |
| Hdl Cholesterol (83718) | $83.40 | $139 | 10.2× |
| Helicobacter Pylori Stool (87338) | $81.60 | $136 | 5.7× |
| Helminth Antibody (86682) | $231.60 | $386 | 17.8× |
| Hematocrit (85014) | $37.20 | $62 | 15.7× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$43.80–$63 | $73–$105 | varies |
| Hemoglobin a1c (83036) | $69.60 | $116 | 7.2× |
| Hemoglobin Chromotography (83021) | $189 | $315 | 10.5× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$154.80–$183 | $258–$305 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$59.40–$70.80 | $99–$118 | varies |
| Hemoglobin plasma (83051) | $141.60 | $236 | 19.4× |
| Hemoglobin stability screen (83068) range across 4 matching MRF lines |
$63–$476.40 | $105–$794 | varies |
| Hemoglobin-Oxygen Affinity (82820) | $274.20 | $457 | 20.6× |
| Hemolysins&Agglutinins Incubated (86941) | $163.20 | $272 | 13.5× |
| Hemosiderin urine (83070) | $97.80 | $163 | 20.6× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$154.80–$293.40 | $258–$489 | varies |
| Heparin assay (85520) | $181.20 | $302 | 13.8× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$124.80–$135 | $208–$225 | varies |
| Hepatitis b core ab igm (86705) | $134.40 | $224 | 11.4× |
| Hepatitis b core ab total (86704) | $46.80 | $78 | 3.9× |
| Hepatitis B Surface Antibody (86706) | $115.20 | $192 | 10.7× |
| Hepatitis B Surface Antigen (87340) | $138.60 | $231 | 13.4× |
| Hepatitis Be Antibody (86707) | $285.60 | $476 | 24.7× |
| Hepatitis Be Antigen (87350) | $93.60 | $156 | 8.1× |
| Hepatitis C Antibody (86803) | $193.20 | $322 | 13.5× |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$220.80–$894.60 | $368–$1,491 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $388.80 | $648 | 11.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $406.80 | $678 | 9.5× |
| Hepatitis d quantification (87523) | $1,470.60 | $2,451 | 34.3× |
| Hepatitis Delta Agent Antibody (86692) | $363.60 | $606 | 21.2× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $3,677.40 | $6,129 | 2.8× |
| Hereditary peripheral neuropathy gen seq pnl (81448) range across 7 matching MRF lines |
$5,291.40–$7,324.80 | $8,819–$12,208 | varies |
| Herpes simplex type 2 (86696) range across 4 matching MRF lines |
$46.80–$123.60 | $78–$206 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$108.60–$160.20 | $181–$267 | varies |
| Hfe Gene (81256) | $806.40 | $1,344 | 12.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $134.40 | $224 | 17.4× |
| Histamine urine (83088) | $291 | $485 | 9.9× |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$97.80–$119.40 | $163–$199 | varies |
| Histoplasma antigen urine (87385) | $286.80 | $478 | 21.6× |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$808.80–$1,035 | $1,348–$1,725 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $312 | $520 | 13.0× |
| Hiv-1 Antibody (86701) | $201.60 | $336 | 22.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $376.20 | $627 | 4.4× |
| HIV-2 probe&revrse trnscripj (87538) | $52.80 | $88 | 1.5× |
| Hla Class I Typing Low Resolution Complete (81372) range across 3 matching MRF lines |
$329.40–$927.60 | $549–$1,546 | varies |
| Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines |
$603.60–$1,237.80 | $1,006–$2,063 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $472.80 | $788 | 6.4× |
| Hla I Typing 1 Allele Hr (81381) range across 4 matching MRF lines |
$480–$863.40 | $800–$1,439 | varies |
| Hla ii typing 1 allele hr (81383) | $2,741.40 | $4,569 | 25.1× |
| Hla ii typing 1 locus lr (81376) range across 4 matching MRF lines |
$117–$276 | $195–$460 | varies |
| Hla Typing Dr/Dq Single Antigen (86816) | $384.60 | $641 | 12.7× |
| Hla-b27 (86812) | $212.40 | $354 | 8.2× |
| Homocysteine (83090) | $245.40 | $409 | 13.7× |
| Homogenization Tissue (87176) | $78.60 | $131 | 13.4× |
| Homovanillic acid urine (83150) range across 3 matching MRF lines |
$152.40–$195.60 | $254–$326 | varies |
| Hpv High-Risk Types (87624) | $142.20 | $237 | 4.1× |
| Hsv Dna Amp Probe (87529) range across 5 matching MRF lines |
$232.80–$274.80 | $388–$458 | varies |
| Htlv-I Antibody (86687) | $177.60 | $296 | 19.5× |
| Htt Gene Detc Abnor Alleles (81271) | $813.60 | $1,356 | 5.9× |
| Human Epididymis Protein 4 (86305) | $301.20 | $502 | 14.5× |
| Hydroxycorticosteroids 17 (83491) | $157.20 | $262 | 8.8× |
| Hydroxyprogesterone 17-d (83498) range across 4 matching MRF lines |
$33–$165 | $55–$275 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 2 matching MRF lines |
$202.80–$243 | $338–$405 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $58.20 | $97 | 1.6× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) range across 2 matching MRF lines |
$36–$39 | $60–$65 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $310.20 | $517 | 8.8× |
| Iadna Candida Species Amplified Probe Tq (87481) | $129 | $215 | 3.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $66 | $110 | 1.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 3 matching MRF lines |
$117.60–$336.60 | $196–$561 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $594 | $990 | 13.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $210.60 | $351 | 3.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 2 matching MRF lines |
$36–$39 | $60–$65 | varies |
| Iadna Hepatitis B Virus Quantification (87517) range across 3 matching MRF lines |
$203.40–$348 | $339–$580 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $269.40 | $449 | 7.7× |
| Iadna Herpes Virus-6 Quantification (87533) | $525.60 | $876 | 12.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$52.80–$118.80 | $88–$198 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$184.80–$402.60 | $308–$671 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$66–$301.80 | $110–$503 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$183–$223.20 | $305–$372 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) range across 3 matching MRF lines |
$139.80–$220.20 | $233–$367 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $290.40 | $484 | 2.0× |
| Idh1 common variants (81120) | $632.40 | $1,054 | 3.3× |
| Idh2 common variants (81121) | $967.80 | $1,613 | 3.3× |
| Ifnl3 gene analysis rs12979860 variant (81283) range across 2 matching MRF lines |
$934.20–$950.40 | $1,557–$1,584 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$110.40–$115.80 | $184–$193 | varies |
| Igg subclasses (82787) range across 3 matching MRF lines |
$133.20–$216 | $222–$360 | varies |
| Igh gene rearrange amp meth (81261) | $353.40 | $589 | 1.8× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,666.80 | $2,778 | 5.7× |
| Igk rearrangeabn clonal pop (81264) | $292.20 | $487 | 1.7× |
| Ikbkap Gene Analysis Common Variants (81260) | $1,896.60 | $3,161 | 48.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $256.20 | $427 | 0.7× |
| Immunfix e-phorsis/urine/csf (86335) | $229.80 | $383 | 7.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$231.60–$2,916.60 | $386–$4,861 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$151.20–$326.40 | $252–$544 | varies |
| Immunoassay nonantibody (83516) range across 11 matching MRF lines |
$29.40–$2,541 | $49–$4,235 | varies |
| Immunodiffusion not elsewhere specified (86329) | $5,722.20 | $9,537 | 407.3× |
| Immunodiffusion Ouchterlony (86331) range across 3 matching MRF lines |
$51.60–$823.20 | $86–$1,372 | varies |
| Immunofixation electrophoresis (86334) | $296.40 | $494 | 13.3× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$242.40–$603 | $404–$1,005 | varies |
| Immunohistochemistry (88342) | $314.40 | $524 | 1.7× |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$324.60–$496.20 | $541–$827 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $666 | $1,110 | 3.6× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $131.40 | $219 | 8.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $293.40 | $489 | 4.2× |
| Influenza assay w/optic (87804) | $108 | $180 | 6.5× |
| Influenza DNA amp probe (87502) | $265.20 | $442 | 2.8× |
| Inherited Cardmypthy 5 Gns (81439) range across 4 matching MRF lines |
$4,516.80–$8,003.40 | $7,528–$13,339 | varies |
| Inhibin A (86336) | $259.20 | $432 | 16.6× |
| Inhibin b (83520) range across 7 matching MRF lines |
$117–$759.60 | $195–$1,266 | varies |
| Insitu hybridization auto (88367) range across 3 matching MRF lines |
$408–$629.40 | $680–$1,049 | varies |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$249–$548.40 | $415–$914 | varies |
| Insulin antibodies (86337) | $589.20 | $982 | 27.5× |
| Insulin free (83527) range across 2 matching MRF lines |
$58.20–$105 | $97–$175 | varies |
| Insulin total (83525) | $193.20 | $322 | 16.9× |
| Interleukin-6 (83529) range across 4 matching MRF lines |
$41.40–$79.80 | $69–$133 | varies |
| Intrinsic factor antibody (86340) | $193.80 | $323 | 12.9× |
| Iron (83540) | $82.80 | $138 | 12.8× |
| Iron Binding Capacity (83550) | $124.20 | $207 | 14.2× |
| Islet cell antibody (86341) | $201.60 | $336 | 8.6× |
| Jak2 gene analysis p.val617phe variant (81270) range across 5 matching MRF lines |
$602.40–$1,251 | $1,004–$2,085 | varies |
| Jt spc pthgn&rx rsist gen26+ (87627) | $1,717.20 | $2,862 | 2.5× |
| Ketosteroids 17 total (83586) | $157.20 | $262 | 12.3× |
| Kit Gene Analysis D816 Variant(S) (81273) range across 3 matching MRF lines |
$1,425–$1,456.80 | $2,375–$2,428 | varies |
| Koh Prep (87220) | $112.20 | $187 | 26.3× |
| Kras Gene Analysis Additional Variant(S) (81276) | $923.40 | $1,539 | 4.8× |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$923.40–$1,123.20 | $1,539–$1,872 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $100.20 | $167 | 16.6× |
| Lactoferrin fecal qualitative (83630) | $73.20 | $122 | 3.7× |
| Lamellar Body Count (83664) | $25.80 | $43 | 1.3× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$58.20–$104.40 | $97–$174 | varies |
| LDL direct (83721) | $79.20 | $132 | 7.5× |
| Lead (83655) range across 2 matching MRF lines |
$91.80–$117 | $153–$195 | varies |
| Legionella antibody (86713) | $243.60 | $406 | 15.9× |
| Legionella antigen urine (87449) | $363.60 | $606 | 30.4× |
| Legionella pneumophila dfa (87278) | $187.80 | $313 | 12.0× |
| Leptospira antibody (86720) | $152.40 | $254 | 9.4× |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$371.40–$432 | $619–$720 | varies |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$84–$100.20 | $140–$167 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$123.60–$241.80 | $206–$403 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$467.40–$571.80 | $779–$953 | varies |
| Lidocaine (80176) | $162.60 | $271 | 11.1× |
| Lipase (83690) | $157.20 | $262 | 22.8× |
| Lipoprotein A (83695) | $100.20 | $167 | 7.0× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$100.20–$197.40 | $167–$329 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $132 | $220 | 3.9× |
| Lipoprotein-Associated Phospholipase A2 (83698) range across 2 matching MRF lines |
$282–$363.60 | $470–$606 | varies |
| Lithium (80178) | $132 | $220 | 20.0× |
| Liver ds alys 3 bmrk srm alg (81517) | $612 | $1,020 | 3.5× |
| Luteinizing Hormone (Lh) (83002) | $228 | $380 | 12.3× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$159–$183 | $265–$305 | varies |
| Lymphocyte transformation (86353) | $1,702.80 | $2,838 | 34.7× |
| Lysozyme serum (85549) | $126.60 | $211 | 6.8× |
| M. Genitalium Amp Probe (87563) | $200.40 | $334 | 5.7× |
| M/phmtrc alys ishquant/semiq (88374) | $438 | $730 | 2.4× |
| Macroscopic exam arthropod (87168) | $43.80 | $73 | 10.3× |
| Macroscopic Exam Parasite (87169) | $129.60 | $216 | 30.1× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$117–$198.60 | $195–$331 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$108–$238.80 | $180–$398 | varies |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $703.80 | $1,173 | 17.9× |
| Mecp2 gene dup/delet variant (81304) range across 2 matching MRF lines |
$481.20–$1,171.80 | $802–$1,953 | varies |
| Mecp2 gene full seq (81302) range across 2 matching MRF lines |
$1,171.80–$1,690.20 | $1,953–$2,817 | varies |
| Mercury urine (83825) range across 5 matching MRF lines |
$27–$204.60 | $45–$341 | varies |
| Metabolic panel ionized ca (80047) | $189 | $315 | 13.8× |
| Methotrexate (80204) | $177 | $295 | 4.6× |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$37.80–$209.40 | $63–$349 | varies |
| Mgmt methylation analysis (81287) range across 2 matching MRF lines |
$1,067.40–$1,087.80 | $1,779–$1,813 | varies |
| Microalbumin, quantitative (82043) | $61.80 | $103 | 10.7× |
| Microsatellite instability (81301) | $1,197 | $1,995 | 3.4× |
| Microsomal Antibodies Each (86376) | $159 | $265 | 10.9× |
| Mitochondrial Antibody Each (86381) | $57.60 | $96 | 2.3× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $843 | $1,405 | 4.2× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $2,856 | $4,760 | 4.2× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 5 matching MRF lines |
$174–$667.20 | $290–$1,112 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $292.80 | $488 | 7.2× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 5 matching MRF lines |
$64.80–$585.60 | $108–$976 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $446.40 | $744 | 10.5× |
| Molecular Pathology Procedure Level 6 (81405) | $2,265.60 | $3,776 | 7.5× |
| Mononuclear cell antigen (86356) | $210 | $350 | 7.8× |
| Mopath procedure level 1 (81400) range across 2 matching MRF lines |
$950.40–$1,582.20 | $1,584–$2,637 | varies |
| Mopath procedure level 2 (81401) | $923.40 | $1,539 | 6.7× |
| Mopath procedure level 4 (81403) | $1,180.80 | $1,968 | 6.4× |
| Mopath procedure level 5 (81404) | $2,265.60 | $3,776 | 8.2× |
| Mopath procedure level 7 (81406) | $2,265.60 | $3,776 | 8.0× |
| Mopath procedure level 8 (81407) range across 6 matching MRF lines |
$1,647–$6,075 | $2,745–$10,125 | varies |
| Mopath procedure level 9 (81408) range across 7 matching MRF lines |
$2,319.60–$5,218.20 | $3,866–$8,697 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) | $867 | $1,445 | 4.7× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$181.20–$186.60 | $302–$311 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $670.20 | $1,117 | 3.1× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $670.20 | $1,117 | 1.8× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) range across 3 matching MRF lines |
$665.40–$1,886.40 | $1,109–$3,144 | varies |
| Msh6 Gene Known Variants (81299) | $4,180.20 | $6,967 | 13.6× |
| Mthfr Gene Analysis Common Variants (81291) range across 3 matching MRF lines |
$174–$601.20 | $290–$1,002 | varies |
| Mucin Clot Body Fluid (83872) | $39 | $65 | 6.7× |
| Mucopolysaccharides acid quantitative (83864) range across 3 matching MRF lines |
$163.20–$369 | $272–$615 | varies |
| Mumps antibody (86735) range across 4 matching MRF lines |
$37.20–$159.60 | $62–$266 | varies |
| Muscle-Specific Kinase Antb (86366) | $738 | $1,230 | 40.1× |
| Mycobacteric Identification (87118) | $432 | $720 | 29.6× |
| Mycophenolic Acid (80180) | $221.40 | $369 | 12.3× |
| Mycoplasma antibody (86738) | $86.40 | $144 | 6.5× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $950.40 | $1,584 | 5.4× |
| Myelin basic protein csf (83873) | $231.60 | $386 | 13.5× |
| Myoglobin urine (83874) | $183 | $305 | 14.2× |
| Natriuretic peptide (83880) | $273 | $455 | 7.0× |
| Neurofilament light chain (83884) | $1,806.60 | $3,011 | 15.5× |
| Neutralization Test Viral (86382) | $223.80 | $373 | 13.2× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $73.80 | $123 | 2.5× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) range across 2 matching MRF lines |
$453–$506.40 | $755–$844 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $723.60 | $1,206 | 10.0× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $1,144.80 | $1,908 | 8.9× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $139.80 | $233 | 5.4× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $1,810.20 | $3,017 | 3.7× |
| Niacin (84591) | $224.40 | $374 | 13.2× |
| Nickel level (83885) | $428.40 | $714 | 17.5× |
| Nk cells total count (86357) | $123.60 | $206 | 3.3× |
| Noonan Spectrum Disorders (81442) | $3,906.60 | $6,511 | 1.8× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) range across 2 matching MRF lines |
$1,087.80–$1,116 | $1,813–$1,860 | varies |
| Nras gene variants exon 2&3 (81311) | $594 | $990 | 2.0× |
| Nuclear antigen antibody (86235) range across 21 matching MRF lines |
$84–$223.80 | $140–$373 | varies |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $48 | $80 | 1.1× |
| Obstetric panel (80081) | $1,069.80 | $1,783 | 14.3× |
| Occult blood feces (82272) | $98.40 | $164 | 23.3× |
| Occult Blood Other Sources (82271) | $39 | $65 | 7.3× |
| Oligoclonal bands (83916) | $177.60 | $296 | 6.5× |
| Oncology breast mrna gene expression 21 genes (81519) | $2,821.20 | $4,702 | 0.7× |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$249–$400.20 | $415–$667 | varies |
| Osmolality serum (83930) | $140.40 | $234 | 21.2× |
| Osmolality Urine (83935) range across 3 matching MRF lines |
$17.40–$67.20 | $29–$112 | varies |
| Osmotic fragility rbc incubated (85557) range across 3 matching MRF lines |
$67.20–$205.20 | $112–$342 | varies |
| Osteocalcin (83937) | $92.40 | $154 | 3.1× |
| Ova and parasites smears (87177) range across 3 matching MRF lines |
$13.80–$120.60 | $23–$201 | varies |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) | $82.80 | $138 | 6.5× |
| Oxalate urine (83945) range across 4 matching MRF lines |
$37.20–$133.20 | $62–$222 | varies |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$52.20–$177.60 | $87–$296 | varies |
| Particle Agglut Antbdy Titr (86406) | $109.20 | $182 | 10.3× |
| Particle Agglutination Screen Each Antibody (86403) | $108.60 | $181 | 9.4× |
| Parvovirus antibody (86747) range across 4 matching MRF lines |
$45.60–$223.80 | $76–$373 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $552.60 | $921 | 0.6× |
| Ph urine (81003) | $44.40 | $74 | 19.7× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$162.60–$166.80 | $271–$278 | varies |
| Phenotype Infect Agent Drug (87900) | $231 | $385 | 1.8× |
| Phenylalanine (84030) | $262.80 | $438 | 47.8× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$244.20–$316.80 | $407–$528 | varies |
| Phenytoin free (80186) | $316.80 | $528 | 23.0× |
| Phosphatase acid prostatic (84066) | $100.20 | $167 | 10.4× |
| Phosphatase alkaline (84075) | $127.80 | $213 | 24.7× |
| Phosphatidylglycerol (84081) | $216 | $360 | 13.1× |
| Phospholipid Neutralization Hexagonal (85598) range across 4 matching MRF lines |
$147.60–$285.60 | $246–$476 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$65.40–$73.80 | $109–$123 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$74.40–$159.60 | $124–$266 | varies |
| Pinworm exam (87172) | $79.80 | $133 | 18.7× |
| Platelet Aggregation (85576) range across 5 matching MRF lines |
$136.80–$207.60 | $228–$346 | varies |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$357–$775.80 | $595–$1,293 | varies |
| Platelet count automated (85049) | $63.60 | $106 | 14.2× |
| Platelet neutralization (85597) | $188.40 | $314 | 10.5× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $774 | $1,290 | 3.7× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $2,265.60 | $3,776 | 3.0× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | $2,265.60 | $3,776 | 2.9× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) range across 3 matching MRF lines |
$210.60–$598.20 | $351–$997 | varies |
| Pms2 gene full seq analysis (81317) range across 2 matching MRF lines |
$702–$1,045.80 | $1,170–$1,743 | varies |
| Pneumcysts jirovecii amp prb (87594) | $235.20 | $392 | 6.7× |
| Porphobilinogen, urine; quantitative (84110) | $99 | $165 | 11.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 3 matching MRF lines |
$50.40–$141.60 | $84–$236 | varies |
| Potassium Urine (84133) | $73.20 | $122 | 15.5× |
| Prealbumin (84134) | $112.80 | $188 | 7.7× |
| Pregnancy-Associated Plasma Protein-A (84163) | $159 | $265 | 10.6× |
| Pregnenolone (84140) | $179.40 | $299 | 8.7× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $235.20 | $392 | 1.3× |
| Pretx serum rbc antibody identification dilution (86976) | $37.80 | $63 | 1.2× |
| Primidone (80188) | $166.80 | $278 | 10.1× |
| Procalcitonin (Pct) (84145) | $201.60 | $336 | 7.4× |
| Progesterone (84144) | $256.20 | $427 | 12.3× |
| Prolactin (84146) | $324 | $540 | 16.7× |
| Prostaglandin (84150) | $102 | $170 | 2.4× |
| Protein body fluid (84157) | $135.60 | $226 | 33.9× |
| Protein C Activity (85303) | $231 | $385 | 16.7× |
| Protein c antigen (85302) range across 2 matching MRF lines |
$141.60–$207 | $236–$345 | varies |
| Protein Electrophoresis Urine (84166) | $123.60 | $206 | 6.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $123.60 | $206 | 11.5× |
| Protein S Free (85306) | $264.60 | $441 | 17.3× |
| Protein s total (85305) | $207 | $345 | 17.8× |
| Protein total serum (84155) | $67.20 | $112 | 18.3× |
| Protein Total Urine (84156) | $189 | $315 | 51.5× |
| Protein Western Blot Test (84182) range across 3 matching MRF lines |
$136.20–$759 | $227–$1,265 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $153 | $255 | 38.8× |
| Protoporphyrin rbc quantitative (84202) | $294.60 | $491 | 20.5× |
| PSA free (84154) | $315 | $525 | 17.1× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $1,819.20 | $3,032 | 3.0× |
| Pth Intact (83970) range across 2 matching MRF lines |
$232.80–$294 | $388–$490 | varies |
| Pyruvate kinase (84220) | $118.80 | $198 | 12.6× |
| Q Fever Antibody (86638) range across 5 matching MRF lines |
$49.80–$114 | $83–$190 | varies |
| Quantiferon tb gold plus (86480) | $381 | $635 | 6.1× |
| Quantitative assay drug (80299) | $197.40 | $329 | 10.6× |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
$192.60–$345.60 | $321–$576 | varies |
| Quinidine (80194) | $93 | $155 | 6.4× |
| Rbc antibody elution (86860) | $121.20 | $202 | 0.7× |
| Rbc antibody identification (86870) | $226.80 | $378 | 0.6× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$115.80–$135.60 | $193–$226 | varies |
| Rbc pretreatment serum (86978) | $341.40 | $569 | 5.4× |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$203.40–$222 | $339–$370 | varies |
| Reagent Strip/Blood Glucose (82948) | $35.40 | $59 | 7.0× |
| Renin activity plasma (84244) | $148.20 | $247 | 6.7× |
| Reptilase test (85635) | $94.80 | $158 | 9.6× |
| Resp virus 12-25 targets (87633) | $609 | $1,015 | 1.5× |
| Reticulocyte Count (85046) | $255.60 | $426 | 45.9× |
| Reticulocyte separation (86972) | $186 | $310 | 1.0× |
| Rh (86901) | $82.80 | $138 | 27.7× |
| Rheumatoid Factor Qualitative (86430) | $104.40 | $174 | 17.0× |
| Rheumatoid factor quant (86431) | $79.20 | $132 | 14.0× |
| Rickettsia antibody (86757) | $131.40 | $219 | 6.8× |
| Ristocetin cofactor (85245) | $252 | $420 | 11.0× |
| Rotavirus ag eia (87425) | $108 | $180 | 9.0× |
| Rpr qualitative (86592) | $100.20 | $167 | 23.5× |
| Rsv Assay W/Optic (87807) | $108 | $180 | 8.2× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$148.80–$171.60 | $248–$286 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$46.80–$159 | $78–$265 | varies |
| Rufinamide (80210) | $111.60 | $186 | 4.1× |
| Russell Viper Venom Time Diluted (85613) | $192.60 | $321 | 20.1× |
| Rx metab gen seq alys pnl 6 (81418) | $2,498.40 | $4,164 | 2.7× |
| Salicylate Level (80179) | $135 | $225 | 7.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$45–$51 | $75–$85 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$30–$34.20 | $50–$57 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $262.80 | $438 | 1.8× |
| Sedimentation rate (85651) | $115.80 | $193 | 27.1× |
| Sedimentation Rate, Automated (85652) | $115.80 | $193 | 42.9× |
| Selenium (84255) | $199.80 | $333 | 7.8× |
| Sensitivity mic (87186) | $70.80 | $118 | 8.2× |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$45–$165 | $75–$275 | varies |
| Sickling of rbc reduction (85660) | $82.80 | $138 | 15.0× |
| Sirolimus (80195) | $154.80 | $258 | 11.3× |
| Skin test tuberculosis intradermal (86580) | $27 | $45 | 0.9× |
| Smear acid fast (87206) | $79.80 | $133 | 14.8× |
| Smear complex stain (87209) range across 3 matching MRF lines |
$28.20–$165 | $47–$275 | varies |
| Smear gram stain (87205) | $124.80 | $208 | 29.2× |
| Smear Special Stain (87207) | $114.60 | $191 | 19.1× |
| Smn1 Gene Dos/Deletion Alys (81329) range across 2 matching MRF lines |
$534–$1,614.60 | $890–$2,691 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$100.80–$131.40 | $168–$219 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) range across 2 matching MRF lines |
$1,227.60–$1,597.20 | $2,046–$2,662 | varies |
| So neo gsap DNA mcrstl ins (81457) range across 2 matching MRF lines |
$5,406–$8,194.80 | $9,010–$13,658 | varies |
| Sodium Serum (84295) | $73.20 | $122 | 15.2× |
| Sodium Urine (84300) | $73.20 | $122 | 14.5× |
| Soluble fibrin monomer (85366) | $206.40 | $344 | 2.6× |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$30.60–$60 | $51–$100 | varies |
| Somatomedin (84305) | $312.60 | $521 | 14.7× |
| Somatostatin (84307) | $643.80 | $1,073 | 35.2× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$133.80–$172.80 | $223–$288 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$133.80–$158.40 | $223–$264 | varies |
| Specific gravity body fluid (84315) | $66 | $110 | 20.1× |
| Specimen infect agnt concntj (87015) | $82.80 | $138 | 12.4× |
| Spectrophotometry (84311) | $69.60 | $116 | 8.6× |
| Staph a DNA amp probe (87640) range across 2 matching MRF lines |
$151.20–$168.60 | $252–$281 | varies |
| Stool cultr aerobic bact ea (87046) | $29.40 | $49 | 3.1× |
| Strep a assay w/optic (87880) | $98.40 | $164 | 6.0× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$58.20–$61.20 | $97–$102 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $108.60 | $181 | 1.2× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $638.40 | $1,064 | 55.4× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $251.40 | $419 | 45.7× |
| Sugars Single Qual (84376) range across 3 matching MRF lines |
$94.80–$118.80 | $158–$198 | varies |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $280.20 | $467 | 7.2× |
| Sulfate urine (84392) | $55.20 | $92 | 10.1× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$202.80–$307.80 | $338–$513 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$376.20–$385.20 | $627–$642 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$685.80–$1,009.20 | $1,143–$1,682 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$51–$69 | $85–$115 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$55.20–$152.40 | $92–$254 | varies |
| Sweat Collection Iontophoresis (89230) | $175.80 | $293 | 3.1× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$50.40–$95.40 | $84–$159 | varies |
| T cells absolute cd4 count (86361) | $267.60 | $446 | 10.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $216.60 | $361 | 4.6× |
| T cells total count (86359) | $203.40 | $339 | 5.4× |
| T3 Free (84481) | $135.60 | $226 | 8.0× |
| T3 reverse (84482) | $145.80 | $243 | 9.3× |
| T3 Total (84480) | $128.40 | $214 | 9.1× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$82.80–$94.80 | $138–$158 | varies |
| T4 Free (84439) | $117 | $195 | 13.0× |
| T4 total (84436) | $73.80 | $123 | 10.7× |
| Tacrolimus (80197) | $192 | $320 | 14.0× |
| Tau phosphorylated each (84393) range across 4 matching MRF lines |
$230.40–$1,050.60 | $384–$1,751 | varies |
| Tert gene targeted seq alys (81345) range across 3 matching MRF lines |
$2,031.60–$2,484 | $3,386–$4,140 | varies |
| Test for acetone/ketones (82009) | $97.20 | $162 | 21.5× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$66–$181.80 | $110–$303 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$106.80–$133.80 | $178–$223 | varies |
| Testosterone, Free (84402) | $36 | $60 | 1.4× |
| Tetanus antibody (86774) | $155.40 | $259 | 10.5× |
| Tgsap so/hl 51/< RNA alys (81456) range across 2 matching MRF lines |
$3,592.80–$7,031.40 | $5,988–$11,719 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $2,983.80 | $4,973 | 5.0× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) | $124.20 | $207 | 10.3× |
| Theophylline (80198) | $265.20 | $442 | 18.8× |
| Thiocyanate (84430) | $144 | $240 | 12.4× |
| Thiopurine methyltransferase (84433) | $313.20 | $522 | 14.1× |
| Thrombin Time (85670) | $81.60 | $136 | 14.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $207 | $345 | 32.0× |
| Thyroglobulin (84432) | $119.40 | $199 | 7.4× |
| Thyroglobulin Antibody (86800) | $142.20 | $237 | 8.9× |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$189–$322.20 | $315–$537 | varies |
| Thyroxine binding globulin (84442) | $49.20 | $82 | 3.3× |
| Tiss cul neo disorders solid tumor (88239) range across 3 matching MRF lines |
$597–$2,319.60 | $995–$3,866 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$1,147.80–$1,669.80 | $1,913–$2,783 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 2 matching MRF lines |
$521.40–$1,585.20 | $869–$2,642 | varies |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$961.80–$1,446.60 | $1,603–$2,411 | varies |
| Tissue Culture Lymphocyte (88230) | $1,379.40 | $2,299 | 11.8× |
| Tobramycin peak (80200) | $229.20 | $382 | 14.2× |
| Topiramate (80201) | $162 | $270 | 13.6× |
| Total Tau (84394) range across 3 matching MRF lines |
$230.40–$333 | $384–$555 | varies |
| Touch prep (88161) | $134.40 | $224 | 4.3× |
| Toxoplasma ab igm (86778) | $141.60 | $236 | 9.8× |
| Toxoplasma antibody (86777) | $154.80 | $258 | 10.8× |
| Tp53 gene analysis full gene sequence (81351) | $694.20 | $1,157 | 1.1× |
| Tp53 gene analysis targeted sequence analysis (81352) range across 2 matching MRF lines |
$916.20–$1,041.60 | $1,527–$1,736 | varies |
| Tpmt gene com variants (81335) range across 2 matching MRF lines |
$1,037.40–$1,058.40 | $1,729–$1,764 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $97.20 | $162 | 18.8× |
| Transferrin (84466) | $121.80 | $203 | 9.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $799.80 | $1,333 | 3.8× |
| Trg gene rearrangement anal (81342) | $799.80 | $1,333 | 4.0× |
| Trichomonas vagin dir probe (87660) | $56.40 | $94 | 2.8× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$106.20–$155.40 | $177–$259 | varies |
| Triglycerides (84478) range across 3 matching MRF lines |
$16.20–$78 | $27–$130 | varies |
| Troponin Quant (84484) | $177.60 | $296 | 14.2× |
| Tumor immunohistochem/comput (88361) | $388.20 | $647 | 1.0× |
| Tumor Immunohistochem/Manual (88360) | $354.60 | $591 | 1.9× |
| Unlisted Cytogenetic Study (88299) range across 2 matching MRF lines |
$1,147.80–$2,319.60 | $1,913–$3,866 | varies |
| Unlisted Transfusion Medicine Procedure (86999) | $171.60 | $286 | 5.5× |
| Urea nitrogen urine (84540) range across 5 matching MRF lines |
$14.40–$67.20 | $24–$112 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$115.20–$124.20 | $192–$207 | varies |
| Urinalysis Microscopic Only (81015) | $72 | $120 | 23.6× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $69 | $115 | 31.8× |
| Urinalysis Volume Measure (81050) | $43.80 | $73 | 12.0× |
| Urine Bacteria Culture (87088) | $98.40 | $164 | 12.2× |
| Urine Pregnancy Test (81025) | $86.40 | $144 | 10.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $31.80 | $53 | 10.0× |
| Valproic acid (80164) | $219.60 | $366 | 16.2× |
| Vancomycin (80202) | $229.20 | $382 | 16.9× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$46.80–$159 | $78–$265 | varies |
| Vasopressin (84588) range across 3 matching MRF lines |
$138.60–$280.20 | $231–$467 | varies |
| Very Long Chain Fatty Acids (82726) | $541.20 | $902 | 27.4× |
| Viral Culture (87252) | $145.20 | $242 | 5.6× |
| Virus antibody nos (86790) | $307.80 | $513 | 23.9× |
| Virus inoculate tissue addl (87253) | $88.20 | $147 | 4.4× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$115.80–$124.80 | $193–$208 | varies |
| Viscosity serum (85810) range across 2 matching MRF lines |
$66.60–$138.60 | $111–$231 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$33.60–$256.80 | $56–$428 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$121.80–$145.20 | $203–$242 | varies |
| Vitamin b-12 (82607) | $105 | $175 | 7.0× |
| Vitamin B2 (Riboflavin) (84252) | $95.40 | $159 | 4.7× |
| Vitamin B6 (84207) | $319.20 | $532 | 11.4× |
| Vitamin c (82180) | $152.40 | $254 | 15.4× |
| Vitamin D 25-Hydroxy (82306) | $127.80 | $213 | 4.3× |
| Vitamin E (84446) | $123.60 | $206 | 8.7× |
| Vitamin K (84597) | $223.80 | $373 | 16.3× |
| Volatiles (84600) | $100.20 | $167 | 5.9× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 4 matching MRF lines |
$29.40–$249.60 | $49–$416 | varies |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$73.20–$184.80 | $122–$308 | varies |
| West nile virus ab igm (86788) | $46.80 | $78 | 2.8× |
| West Nile Virus Antibody (86789) | $46.80 | $78 | 3.3× |
| Western Blot Test (84181) range across 2 matching MRF lines |
$247.20–$334.80 | $412–$558 | varies |
| Whole Mitochondrial Genome (81460) | $5,424.60 | $9,041 | 4.2× |
| Whole mitochondrial genome analysis panel (81465) | $1,954.80 | $3,258 | 2.1× |
| Xm Archive Tissue Molec Anal (88363) | $131.40 | $219 | 4.2× |
| Xylose Absorption Test (84620) | $237 | $395 | 18.4× |
| Zika Virus Dna/Rna Amp Probe (87662) range across 3 matching MRF lines |
$317.40–$570 | $529–$950 | varies |
| Zika Virus Igm Antibody (86794) | $427.80 | $713 | 25.4× |
| Zinc (84630) | $157.80 | $263 | 13.9× |
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.