Lab & pathology prices at Osf Saint Elizabeth Medical Center
Peru, IL · every code in this section with a posted price and a Medicare benchmark.
832 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $150 | $250 | 6.6× |
| 5 Nucleotidase (83915) range across 3 matching MRF lines |
$88.80–$163.20 | $148–$272 | varies |
| Abl1 gene analysis kinase domain variants (81170) | $1,165.20 | $1,942 | 3.9× |
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$109.80–$394.20 | $183–$657 | varies |
| Acetylcholinesterase Assay (82013) | $272.40 | $454 | 22.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $157.80 | $263 | 13.1× |
| Acth (82024) | $69 | $115 | 1.8× |
| Acute hepatitis panel (80074) | $358.20 | $597 | 7.5× |
| Acylcarnitines Quant (82017) | $235.80 | $393 | 14.0× |
| Adenovirus antibody (86603) | $43.80 | $73 | 3.4× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$76.80–$151.80 | $128–$253 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$83.40–$85.80 | $139–$143 | varies |
| Aldolase (82085) | $81 | $135 | 8.3× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$108–$314.40 | $180–$524 | varies |
| Alkaline phosphatase isoenzymes (84080) | $82.80 | $138 | 5.6× |
| Allergen specific ige (86003) range across 12 matching MRF lines |
$52.20–$57 | $87–$95 | varies |
| Allergen specific igg (86001) | $288.60 | $481 | 36.9× |
| Allg Spec Ige Recomb Ea (86008) | $146.40 | $244 | 8.2× |
| Alpha-1-antitrypsin phenotype (82104) | $141 | $235 | 9.8× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$66–$116.40 | $110–$194 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $156 | $260 | 9.2× |
| Alpha-Fetoprotein Serum (82105) | $189.60 | $316 | 11.3× |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$30.60–$42 | $51–$70 | varies |
| Aluminum (82108) | $226.20 | $377 | 8.9× |
| Amikacin trough (80150) | $78 | $130 | 5.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $387 | $645 | 16.8× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 4 matching MRF lines |
$221.40–$891.60 | $369–$1,486 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $292.20 | $487 | 21.1× |
| Amino Acids Quant 2-5 (82136) | $315.60 | $526 | 16.1× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$147.60–$210 | $246–$350 | varies |
| Ammonia (82140) range across 2 matching MRF lines |
$51.60–$177 | $86–$295 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $115.80 | $193 | 1.2× |
| Amniotic fluid scan (82143) | $147 | $245 | 15.7× |
| Amylase urine (82150) range across 2 matching MRF lines |
$77.40–$165.60 | $129–$276 | varies |
| Ana Titer (86039) | $46.80 | $78 | 4.2× |
| Anca screen each antibody (86036) | $27.60 | $46 | 2.3× |
| Androstenedione (82157) range across 2 matching MRF lines |
$114.60–$192 | $191–$320 | varies |
| Angiotensin converting enzyme csf (82164) range across 3 matching MRF lines |
$74.40–$171 | $124–$285 | varies |
| Anti-Phospholipid Antibody (86148) range across 3 matching MRF lines |
$72–$218.40 | $120–$364 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$57.60–$169.20 | $96–$282 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $273 | $455 | 21.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $171 | $285 | 11.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 3 matching MRF lines |
$43.80–$216 | $73–$360 | varies |
| Antibody Encephalitis California La Crosse (86651) | $43.80 | $73 | 3.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $75.60 | $126 | 5.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $102.60 | $171 | 6.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$82.20–$203.40 | $137–$339 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 6 matching MRF lines |
$33.60–$169.20 | $56–$282 | varies |
| Antibody haemophilus influenza (86684) | $50.40 | $84 | 3.2× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$105.60–$108 | $176–$180 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $124.80 | $208 | 8.7× |
| Antibody Herpes Smplx Type 1 (86695) range across 4 matching MRF lines |
$43.80–$135.60 | $73–$226 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $44.40 | $74 | 3.2× |
| Antibody HIV-2 (86702) | $216.60 | $361 | 16.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 4 matching MRF lines |
$142.20–$411 | $237–$685 | varies |
| Antibody identification leukocyte antibodies (86021) | $244.80 | $408 | 16.3× |
| Antibody Identification Platelet Immunogl Assay (86023) | $210.60 | $351 | 16.9× |
| Antibody Lymphocytic Choriomeningitis (86727) | $36 | $60 | 2.8× |
| Antibody Protozoa Nes (86753) | $124.20 | $207 | 10.0× |
| Antibody Titer (86886) | $283.80 | $473 | 54.8× |
| Antibody Treponema Pallidum (86780) | $109.20 | $182 | 8.2× |
| Antibody; encephalitis, st. louis (86653) | $43.80 | $73 | 3.3× |
| Antibody; influenza virus (86710) range across 4 matching MRF lines |
$43.80–$110.40 | $73–$184 | varies |
| Antigen typing (86905) range across 8 matching MRF lines |
$219–$366 | $365–$610 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $108 | $180 | 18.9× |
| Antinuclear antibodies (86038) | $55.80 | $93 | 4.6× |
| Antistreptolysin O Screen (86063) | $84.60 | $141 | 14.7× |
| Antistreptolysin o titer (86060) | $150 | $250 | 20.5× |
| Antithrombin iii activity (85300) | $157.80 | $263 | 13.3× |
| Antithrombin iii antigen (85301) | $135 | $225 | 12.5× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) range across 2 matching MRF lines |
$4,184.40–$7,207.80 | $6,974–$12,013 | varies |
| Apolipoprotein a1 (82172) range across 6 matching MRF lines |
$133.20–$235.20 | $222–$392 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 9 matching MRF lines |
$163.80–$730.20 | $273–$1,217 | varies |
| Arsenic (82175) | $170.40 | $284 | 9.0× |
| Aspergillus ag eia (87305) | $142.20 | $237 | 11.9× |
| Assay activated protein c (85307) | $133.20 | $222 | 8.7× |
| Assay Blood Carbon Dioxide (82374) | $85.80 | $143 | 17.6× |
| Assay Nephelometry Not Spec (83883) range across 9 matching MRF lines |
$88.20–$352.80 | $147–$588 | varies |
| Assay of 5-hiaa (83497) | $53.40 | $89 | 4.1× |
| Assay of anti-mullerian hormone (82166) | $94.80 | $158 | 2.5× |
| Assay of blood/uric acid (84550) | $44.40 | $74 | 9.8× |
| Assay of calcium in urine (82340) range across 4 matching MRF lines |
$22.20–$172.80 | $37–$288 | varies |
| Assay of cpk in blood (82552) | $46.80 | $78 | 3.5× |
| Assay of estrone (82679) | $226.20 | $377 | 9.1× |
| Assay of g6pd enzyme (82955) | $135.60 | $226 | 14.0× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$46.80–$120 | $78–$200 | varies |
| Assay of lactic acid (83605) | $196.80 | $328 | 17.0× |
| Assay of manganese (83785) range across 3 matching MRF lines |
$75.60–$507 | $126–$845 | varies |
| Assay of metanephrines (83835) | $193.20 | $322 | 11.4× |
| Assay of proinsulin (84206) | $253.20 | $422 | 9.5× |
| Assay of pyruvate (84210) | $127.80 | $213 | 8.8× |
| Assay of serotonin (84260) | $155.40 | $259 | 5.0× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$42–$69 | $70–$115 | varies |
| Assay of sweat sodium (84302) | $54.60 | $91 | 11.2× |
| Assay of Tyrosine (84510) | $120.60 | $201 | 11.3× |
| Assay of urea nitrogen (84520) | $44.40 | $74 | 11.2× |
| Assay of urine vma (84585) | $98.40 | $164 | 6.3× |
| Assay of vasoactive intestinal peptide (84586) | $126.60 | $211 | 3.6× |
| Assay of vitamin b-1 (84425) | $90.60 | $151 | 4.3× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$12–$50.40 | $20–$84 | varies |
| Assay Phosphohexose Enzymes (84087) | $85.80 | $143 | 8.0× |
| Assay spec xcp ur&breath ia (82077) | $171.60 | $286 | 9.9× |
| Asy carbamazepin 10,11-epxid (80161) | $50.40 | $84 | 2.7× |
| Automated Leukocyte Count (85048) | $67.80 | $113 | 26.7× |
| B cells total count (86355) | $176.40 | $294 | 4.7× |
| Babesia microti amp prb (87469) | $34.20 | $57 | 1.0× |
| Bartonella antibody (86611) range across 4 matching MRF lines |
$30.60–$122.40 | $51–$204 | varies |
| Bcr/abl1 gene major bp (81206) | $857.40 | $1,429 | 5.2× |
| Bcr/abl1 gene minor bp (81207) | $349.80 | $583 | 2.4× |
| Bcr/Abl1 Gene Other Bp (81208) | $420 | $700 | 2.0× |
| Beta 2 glycoprotein i antibody each (86146) | $140.40 | $234 | 5.5× |
| Beta hydroxybutyrate (82010) | $113.40 | $189 | 13.9× |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$40.20–$67.80 | $67–$113 | varies |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$63.60–$64.20 | $106–$107 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) range across 2 matching MRF lines |
$332.40–$333 | $554–$555 | varies |
| Bile acids total (82239) | $114.60 | $191 | 6.7× |
| Bilirubin direct (82248) | $42 | $70 | 8.4× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$30.60–$42 | $51–$70 | varies |
| Bilirubin total transcutaneous (88720) | $126 | $210 | 25.1× |
| Biotinidase (82261) | $83.40 | $139 | 4.9× |
| Blastomyces antibody (86612) | $69.60 | $116 | 5.4× |
| Bld Typing Serologic Rh Phnt (86906) | $144 | $240 | 18.6× |
| Blood Count Red Blood Cell Automated (85041) | $61.20 | $102 | 20.3× |
| Blood count reticulocyte automated (85045) | $85.80 | $143 | 21.5× |
| Blood gas (82803) range across 2 matching MRF lines |
$69–$279.60 | $115–$466 | varies |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$69–$667.80 | $115–$1,113 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $54.60 | $91 | 3.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 6 matching MRF lines |
$219–$366 | $365–$610 | varies |
| Blood typing serologic abo (86900) | $94.20 | $157 | 31.5× |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$123.60–$144.60 | $206–$241 | varies |
| Bone marrow smear interpretation (85097) | $531 | $885 | 0.6× |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$119.40–$154.80 | $199–$258 | varies |
| Borrelia miyamotoi amp prb (87478) | $34.20 | $57 | 1.0× |
| Braf gene analysis (81210) | $637.20 | $1,062 | 3.6× |
| Brca1&2 gen full seq dup/del (81162) range across 5 matching MRF lines |
$2,260.20–$5,228.40 | $3,767–$8,714 | varies |
| Breath Alcohol Test (82075) | $25.80 | $43 | 0.9× |
| Brucella antibody (86622) range across 5 matching MRF lines |
$57–$406.80 | $95–$678 | varies |
| C diff amplified probe (87493) | $123.60 | $206 | 3.3× |
| C-Peptide (84681) | $88.80 | $148 | 4.3× |
| C-reactive protein (86140) | $74.40 | $124 | 14.4× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$48.60–$354.60 | $81–$591 | varies |
| Cadmium (82300) range across 6 matching MRF lines |
$35.40–$399.60 | $59–$666 | varies |
| Calcitonin (82308) | $55.20 | $92 | 2.1× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$49.20–$69 | $82–$115 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$44.40–$129 | $74–$215 | varies |
| Calculus Spectroscopy (82365) | $111.60 | $186 | 8.7× |
| Calprotectin Fecal (83993) | $540.60 | $901 | 27.5× |
| Calr gene com variants (81219) | $1,393.80 | $2,323 | 11.5× |
| Cancer Antigen 125 (86304) | $73.20 | $122 | 3.5× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$61.20–$73.20 | $102–$122 | varies |
| Candida Dna Dir Probe (87480) | $41.40 | $69 | 2.1× |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$63.60–$129 | $106–$215 | varies |
| Carbohydrate Deficient Transferrin (82373) | $139.20 | $232 | 7.7× |
| Carboxyhemoglobin (82375) | $70.80 | $118 | 5.7× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$72.60–$87 | $121–$145 | varies |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$135.60–$209.40 | $226–$349 | varies |
| Carnitine Quantitative Each Specimen (82379) | $301.80 | $503 | 17.9× |
| Catecholamines fractionated (82384) | $199.80 | $333 | 7.9× |
| Ccp antibody (86200) | $25.20 | $42 | 1.9× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $882 | $1,470 | 3.6× |
| Cell count csf (89051) | $123.60 | $206 | 22.1× |
| Cell marker study (88182) range across 2 matching MRF lines |
$178.20–$405.60 | $297–$676 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $458.40 | $764 | 3.4× |
| Ceruloplasmin (82390) | $70.80 | $118 | 6.6× |
| Cftr Gene Analysis Known Familial Variants (81221) | $1,311.60 | $2,186 | 13.5× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$451.80–$2,023.20 | $753–$3,372 | varies |
| Cftr gene dup/delet variants (81222) | $2,305.80 | $3,843 | 5.3× |
| Cftr gene full sequence (81223) | $2,305.80 | $3,843 | 4.6× |
| Chemiluminescent assay (82397) | $100.20 | $167 | 7.1× |
| Chlamydia antibody (86631) range across 6 matching MRF lines |
$22.20–$144 | $37–$240 | varies |
| Chlamydia Igm Antibody (86632) range across 4 matching MRF lines |
$23.40–$126 | $39–$210 | varies |
| Chlmy trch&neisra gonor mult (87494) | $72.60 | $121 | 1.0× |
| Chloride other source (82438) | $55.80 | $93 | 11.2× |
| Chloride Serum (82435) | $44.40 | $74 | 9.7× |
| Chloride urine (82436) range across 3 matching MRF lines |
$18.60–$172.80 | $31–$288 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$44.40–$60.60 | $74–$101 | varies |
| Cholinesterase rbc (82482) | $57.60 | $96 | 5.9× |
| Cholinesterase Serum (82480) | $217.20 | $362 | 27.6× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$109.20–$342.60 | $182–$571 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $282.60 | $471 | 10.5× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$75–$240.60 | $125–$401 | varies |
| Chromium serum (82495) | $51.60 | $86 | 2.5× |
| Chromogenic Substrate Assay (85130) | $182.40 | $304 | 15.3× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$240–$477.60 | $400–$796 | varies |
| Chromosome analys amniotic (88269) | $267 | $445 | 1.5× |
| Chromosome Analysis 15-20 (88262) | $782.40 | $1,304 | 6.2× |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$616.80–$856.80 | $1,028–$1,428 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$147–$202.80 | $245–$338 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$88.20–$183 | $147–$305 | varies |
| Ckmb (82553) | $102.60 | $171 | 8.9× |
| Clostridium Difficile (87324) | $126 | $210 | 10.5× |
| Clot Factor VIII Multimetric (85247) | $250.80 | $418 | 10.9× |
| Clot factor xiii fibrin stab (85290) | $453 | $755 | 27.7× |
| Clotting factor xii hageman (85280) | $177 | $295 | 9.1× |
| Clotting Funct Activity (85397) | $350.40 | $584 | 11.4× |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$742.20–$1,156.20 | $1,237–$1,927 | varies |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$76.80–$81.60 | $128–$136 | varies |
| Coccidioides antibody (86635) | $69.60 | $116 | 6.1× |
| Cold agglutinin titer (86157) | $31.80 | $53 | 3.9× |
| Collagen crosslinks (82523) | $159 | $265 | 8.5× |
| Column Chromotography Quant (82542) range across 10 matching MRF lines |
$121.20–$678.60 | $202–$1,131 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 2 matching MRF lines |
$872.40–$1,048.80 | $1,454–$1,748 | varies |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $466.20 | $777 | 1.5× |
| Compatibility Each Unit Incubation (86921) | $108 | $180 | 0.6× |
| Compatibility test antiglob (86922) | $157.80 | $263 | 0.9× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$48.60–$166.80 | $81–$278 | varies |
| Complement Total (Ch50) (86162) | $114 | $190 | 5.6× |
| Complement/Function Activity (86161) | $364.80 | $608 | 30.4× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $286.20 | $477 | 1.6× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $881.40 | $1,469 | 15.8× |
| Coombs direct (86880) | $91.20 | $152 | 16.9× |
| Copper urine (82525) | $120 | $200 | 9.7× |
| Cortisol free (82530) | $99.60 | $166 | 6.0× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$106.20–$258 | $177–$430 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$44.40–$102 | $74–$170 | varies |
| Creatinine blood (82565) | $42 | $70 | 8.2× |
| Creatinine clearance (82575) | $196.80 | $328 | 20.8× |
| Creatinine Urine (82570) | $43.80 | $73 | 8.5× |
| Crossmatch electronic (86923) | $277.80 | $463 | 1.5× |
| Crossmatch immediate spin (86920) | $108 | $180 | 0.6× |
| Crp High Sensitivity (86141) | $190.80 | $318 | 14.7× |
| Cryofibrinogen (82585) | $208.20 | $347 | 14.7× |
| Cryoglobulin (82595) | $87 | $145 | 13.4× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) range across 3 matching MRF lines |
$77.40–$595.80 | $129–$993 | varies |
| Cryptococcal Antigen (87327) | $271.20 | $452 | 20.2× |
| Cryptococcus ab (86641) | $235.80 | $393 | 16.4× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$42.60–$87.60 | $71–$146 | varies |
| Cryptosporidium ag eia (87328) | $96.60 | $161 | 7.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $63 | $105 | 7.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $76.80 | $128 | 9.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $82.20 | $137 | 10.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $619.80 | $1,033 | 2.8× |
| Culture aerobic quant other (87071) range across 2 matching MRF lines |
$701.40–$709.20 | $1,169–$1,182 | varies |
| Culture afb (87116) | $242.40 | $404 | 22.4× |
| Culture Anaerobic (87075) | $76.80 | $128 | 8.1× |
| Culture bacteria anaerobic (87073) range across 2 matching MRF lines |
$329.40–$334.20 | $549–$557 | varies |
| Culture blood (87040) | $150.60 | $251 | 14.6× |
| Culture chlamydia (87110) | $205.20 | $342 | 10.5× |
| Culture csf (87070) range across 3 matching MRF lines |
$138.60–$184.20 | $231–$307 | varies |
| Culture fungus (87102) | $38.40 | $64 | 4.6× |
| Culture fungus blood (87103) | $242.40 | $404 | 11.8× |
| Culture screen only (87081) range across 3 matching MRF lines |
$58.80–$60 | $98–$100 | varies |
| Culture stool (87045) | $104.40 | $174 | 11.1× |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$65.40–$67.20 | $109–$112 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$27–$67.20 | $45–$112 | varies |
| Culture urine (87086) | $68.40 | $114 | 8.5× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $309.60 | $516 | 40.0× |
| Cyclosporine (80158) | $98.40 | $164 | 5.5× |
| Cyp2c19 gene analysis common variants (81225) range across 4 matching MRF lines |
$851.40–$1,747.80 | $1,419–$2,913 | varies |
| Cyp2d6 gene com variants (81226) | $2,226 | $3,710 | 4.9× |
| Cystatin C (82610) range across 3 matching MRF lines |
$30–$96.60 | $50–$161 | varies |
| Cytogenetics 10-30 (88273) | $126 | $210 | 3.6× |
| Cytogenetics 100-300 (88275) range across 7 matching MRF lines |
$81–$410.40 | $135–$684 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $4,978.80 | $8,298 | 5.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$3,931.80–$4,421.40 | $6,553–$7,369 | varies |
| Cytogenomic neo microra alys (81277) | $5,195.40 | $8,659 | 4.5× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$43.80–$166.80 | $73–$278 | varies |
| Cytopath Cell Enhance Tech (88112) | $165 | $275 | 3.0× |
| Cytotoxic pra quick (86808) | $735.60 | $1,226 | 24.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $81.60 | $136 | 3.1× |
| Cytp Concentration Smears & Interpretation (88108) | $30.60 | $51 | 0.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $193.20 | $322 | 3.5× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $108 | $180 | 0.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $120 | $200 | 3.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) range across 2 matching MRF lines |
$568.80–$774 | $948–$1,290 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $81.60 | $136 | 4.4× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $124.20 | $207 | 2.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $155.40 | $259 | 5.0× |
| Deoxycortisol (82634) | $192 | $320 | 6.6× |
| Deoxyribonuclease antibody (86215) | $110.40 | $184 | 8.3× |
| Desoxycorticosterone (82633) range across 2 matching MRF lines |
$203.40–$300 | $339–$500 | varies |
| Detect Agent Nos Dna Amp (87798) range across 9 matching MRF lines |
$77.40–$823.80 | $129–$1,373 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$366.60–$495.60 | $611–$826 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$160.20–$228.60 | $267–$381 | varies |
| Dhea (82626) | $166.20 | $277 | 6.6× |
| Dhea-S (82627) | $262.20 | $437 | 11.8× |
| Digoxin (80162) | $88.20 | $147 | 6.6× |
| Dihydrotestosterone (82642) | $103.80 | $173 | 3.5× |
| Diphtheria antitoxoid (86648) range across 2 matching MRF lines |
$69.60–$150.60 | $116–$251 | varies |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$52.80–$148.20 | $88–$247 | varies |
| Dna Antibody Native/Double Stranded (86225) | $60 | $100 | 4.4× |
| Dna/Rna Amplified Probe (87150) | $411 | $685 | 11.7× |
| Dna/Rna Sequencing (87153) | $348.60 | $581 | 3.0× |
| Dpyd gene common variants (81232) range across 2 matching MRF lines |
$1,310.40–$1,547.40 | $2,184–$2,579 | varies |
| Drug assay acetaminophen (80143) | $222.60 | $371 | 11.9× |
| Drug assay adalimumab (80145) | $657 | $1,095 | 17.0× |
| Drug Assay Amiodarone (80151) | $51.60 | $86 | 2.8× |
| Drug Assay Everolimus (80169) | $499.20 | $832 | 36.4× |
| Drug assay felbamate (80167) | $88.80 | $148 | 4.8× |
| Drug Assay Infliximab (80230) | $443.40 | $739 | 11.5× |
| Drug Assay Itraconazole (80189) | $101.40 | $169 | 3.7× |
| Drug Assay Lacosamide (80235) | $280.80 | $468 | 10.4× |
| Drug Assay Leflunomide (80193) | $379.80 | $633 | 9.8× |
| Drug Assay Posaconazole (80187) | $151.80 | $253 | 5.6× |
| Drug Assay Vedolizumab (80280) | $347.40 | $579 | 9.0× |
| Drug assay voriconazole (80285) | $126.60 | $211 | 4.7× |
| Drug Screen Quant Clozapine (80159) | $128.40 | $214 | 6.4× |
| Drug Screen Quant Zonisamide (80203) | $157.80 | $263 | 11.9× |
| Drug Screen Quantitative Gabapentin (80171) | $166.20 | $277 | 7.7× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$135–$166.20 | $225–$277 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $166.20 | $277 | 12.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $166.20 | $277 | 12.5× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 16 matching MRF lines |
$60–$342.60 | $100–$571 | varies |
| Drug Test Prsmv Instrmnt (80306) | $54.60 | $91 | 3.2× |
| Egfr Gene Analysis Common Variants (81235) | $5,157.60 | $8,596 | 15.9× |
| Ehrlichia antibody (86666) | $166.80 | $278 | 16.4× |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$184.20–$222.60 | $307–$371 | varies |
| Electrolyte panel (80051) | $110.40 | $184 | 15.7× |
| Electron Microscopy (88348) | $1,747.20 | $2,912 | 2.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $147 | $245 | 2.4× |
| Encephaltis East Eqne Anbdy (86652) | $43.80 | $73 | 3.3× |
| Encephaltis West Eqne Antbdy (86654) | $43.80 | $73 | 3.3× |
| Enterovirus Antibody (86658) range across 3 matching MRF lines |
$43.80–$124.20 | $73–$207 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$322.80–$405 | $538–$675 | varies |
| Enzyme cell activity (82657) | $469.20 | $782 | 21.2× |
| Enzyme histochemistry (88319) | $531 | $885 | 0.6× |
| Eosinophil Smear (89190) | $76.80 | $128 | 13.3× |
| Erythropoietin (82668) | $103.80 | $173 | 5.5× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$133.20–$177 | $222–$295 | varies |
| Estriol (82677) | $148.20 | $247 | 6.1× |
| Estrogens fractionated (82671) | $72 | $120 | 2.2× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$64.80–$184.20 | $108–$307 | varies |
| Ethylene Glycol (82693) | $135 | $225 | 9.1× |
| Euglobulin lysis (85360) range across 2 matching MRF lines |
$235.20–$246.60 | $392–$411 | varies |
| Exam Synovial Fluid Crystals (89060) | $122.40 | $204 | 16.7× |
| F2 Gene (81240) | $585.60 | $976 | 8.9× |
| Factor ii activity (85210) | $144.60 | $241 | 11.1× |
| Factor Inhibitor Test (85335) range across 5 matching MRF lines |
$295.20–$751.20 | $492–$1,252 | varies |
| Factor ix activity (85250) | $153.60 | $256 | 8.1× |
| Factor v activity (85220) | $223.20 | $372 | 12.6× |
| Factor v leiden mutation (81241) | $585.60 | $976 | 8.0× |
| Factor vii assay (85230) | $144.60 | $241 | 8.1× |
| Factor viii assay (85240) | $55.20 | $92 | 3.1× |
| Factor X (85260) | $155.40 | $259 | 8.7× |
| Factor xi activity (85270) | $171 | $285 | 9.6× |
| Factor xiii screen (85291) | $161.40 | $269 | 17.7× |
| Fancc Gene (81242) | $950.40 | $1,584 | 26.0× |
| Fat/Lipids Feces Quantitative (82710) | $93.60 | $156 | 5.6× |
| Fatty acids free (82725) | $63 | $105 | 3.4× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $215.40 | $359 | 27.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $538.80 | $898 | 31.3× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $259.80 | $433 | 39.8× |
| Fecal Fat Qualitative (82705) | $52.20 | $87 | 10.2× |
| Ferritin (82728) | $135 | $225 | 9.9× |
| Fetal Chrmoml Aneuploidy (81420) range across 2 matching MRF lines |
$1,519.20–$2,431.80 | $2,532–$4,053 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $275.40 | $459 | 1.8× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $496.20 | $827 | 9.1× |
| Fetal Fibronectin (82731) | $663 | $1,105 | 10.3× |
| Fetal hemoglobin assay qual (83033) | $99 | $165 | 12.4× |
| Fetal screen rosette (85461) | $61.80 | $103 | 6.6× |
| Fibrin Degradation Quant (85379) | $199.80 | $333 | 19.6× |
| Fibrinogen activity (85384) | $83.40 | $139 | 8.6× |
| Fibrinogen antigen (85385) range across 2 matching MRF lines |
$151.20–$318 | $252–$530 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $420 | $700 | 27.1× |
| Flow cytometry first marker (88184) | $258.60 | $431 | 0.7× |
| Flt3 Gene (81245) range across 2 matching MRF lines |
$766.20–$1,005.60 | $1,277–$1,676 | varies |
| Flt3 gene analysis (81246) | $694.80 | $1,158 | 8.4× |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$33–$1,083 | $55–$1,805 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 8 matching MRF lines |
$53.40–$463.80 | $89–$773 | varies |
| Fmr1 Gene Charac Alleles (81244) | $528 | $880 | 11.8× |
| Fmr1 gene detection (81243) | $1,059 | $1,765 | 18.6× |
| Folic acid rbc (82747) | $140.40 | $234 | 8.0× |
| Folic Acid Serum (82746) | $222.60 | $371 | 15.1× |
| Follicle Stimulating Hormone (83001) | $163.20 | $272 | 8.8× |
| Francisella tularensis (86668) | $100.20 | $167 | 7.1× |
| Frozen Section (88331) | $303.60 | $506 | 1.7× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$94.80–$466.20 | $158–$777 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$72–$84.60 | $120–$141 | varies |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $122.40 | $204 | 2.1× |
| G6pd gene analysis full gene sequence (81249) | $1,470.60 | $2,451 | 2.5× |
| Galactose transferase test (82776) | $34.80 | $58 | 3.0× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $256.20 | $427 | 12.2× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$43.80–$130.20 | $73–$217 | varies |
| Gardner vag DNA dir probe (87510) | $41.40 | $69 | 2.1× |
| Gases blood ph only (82800) | $94.80 | $158 | 8.6× |
| Gastrin (82941) | $42.60 | $71 | 2.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$795.60–$1,134.60 | $1,326–$1,891 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 4 matching MRF lines |
$1,619.40–$5,242.80 | $2,699–$8,738 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$3,019.20–$3,592.80 | $5,032–$5,988 | varies |
| Genet Virus Isolate Hsv (87255) | $43.20 | $72 | 1.3× |
| Genetic Tstg Severe Inh Cond (81443) range across 3 matching MRF lines |
$5,230.80–$7,077.60 | $8,718–$11,796 | varies |
| Gentamicin (80170) | $202.80 | $338 | 12.4× |
| Ggt (82977) range across 3 matching MRF lines |
$30.60–$33.60 | $51–$56 | varies |
| Giardia antigen (87329) | $53.40 | $89 | 4.5× |
| Glucose 2 hr pp (82950) | $94.20 | $157 | 19.8× |
| Glucose Blood Test (82962) | $25.80 | $43 | 7.9× |
| Glucose body fluid (82945) | $109.20 | $182 | 27.8× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$44.40–$69 | $74–$115 | varies |
| Glucose tolerance test (gtt) (82951) | $171 | $285 | 13.3× |
| Glutathione (82978) | $122.40 | $204 | 7.9× |
| Glycated Protein (82985) | $114 | $190 | 6.8× |
| Gonadotropin Chorionic Qualitative (84703) | $115.80 | $193 | 15.4× |
| Growth hormone (83003) | $49.20 | $82 | 3.0× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$44.40–$94.20 | $74–$157 | varies |
| H Pylori (C-13) Breath (83013) | $165 | $275 | 2.4× |
| Haptoglobin (83010) range across 3 matching MRF lines |
$72–$180 | $120–$300 | varies |
| Hba1/hba2 full gene sequence (81259) range across 2 matching MRF lines |
$927.60–$949.20 | $1,546–$1,582 | varies |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 3 matching MRF lines |
$672–$946.80 | $1,120–$1,578 | varies |
| Hbb duplication/deletion variants (81363) range across 2 matching MRF lines |
$866.40–$885.60 | $1,444–$1,476 | varies |
| Hbb Full Gene Sequence (81364) range across 2 matching MRF lines |
$927.60–$949.20 | $1,546–$1,582 | varies |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$82.20–$135.60 | $137–$226 | varies |
| Helicobacter Pylori Stool (87338) | $52.20 | $87 | 3.6× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$87–$87.60 | $145–$146 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$64.80–$69 | $108–$115 | varies |
| Hemoglobin (85018) | $64.80 | $108 | 27.3× |
| Hemoglobin a1c (83036) | $69.60 | $116 | 7.2× |
| Hemoglobin Chromotography (83021) range across 7 matching MRF lines |
$34.80–$685.20 | $58–$1,142 | varies |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$93.60–$94.80 | $156–$158 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$69.60–$219.60 | $116–$366 | varies |
| Hemoglobin plasma (83051) | $136.80 | $228 | 18.7× |
| Hemoglobin stability screen (83068) range across 3 matching MRF lines |
$75–$434.40 | $125–$724 | varies |
| Hemoglobin-Oxygen Affinity (82820) | $268.80 | $448 | 20.1× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$74.40–$273 | $124–$455 | varies |
| Heparin assay (85520) | $182.40 | $304 | 13.9× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$74.40–$87 | $124–$145 | varies |
| Hepatitis b core ab igm (86705) | $85.80 | $143 | 7.3× |
| Hepatitis b core ab total (86704) | $115.20 | $192 | 9.6× |
| Hepatitis B Surface Antibody (86706) | $124.20 | $207 | 11.6× |
| Hepatitis B Surface Antigen (87340) | $103.80 | $173 | 10.0× |
| Hepatitis Be Antibody (86707) | $159 | $265 | 13.7× |
| Hepatitis Be Antigen (87350) | $65.40 | $109 | 5.7× |
| Hepatitis C Antibody (86803) | $293.40 | $489 | 20.6× |
| Hepatitis C Genotype (87902) | $755.40 | $1,259 | 2.9× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $247.80 | $413 | 7.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $372 | $620 | 8.7× |
| Hepatitis d quantification (87523) | $1,470.60 | $2,451 | 34.3× |
| Hepatitis Delta Agent Antibody (86692) | $348.60 | $581 | 20.3× |
| 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 |
$5,679–$6,975 | $9,465–$11,625 | varies |
| Herpes simplex type 2 (86696) range across 4 matching MRF lines |
$43.80–$135.60 | $73–$226 | varies |
| Heterophile Antibody Screen (86308) | $126.60 | $211 | 24.4× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$411.60–$709.20 | $686–$1,182 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $157.80 | $263 | 20.4× |
| Histamine urine (83088) | $312.60 | $521 | 10.6× |
| Histoplasma antibody (86698) range across 6 matching MRF lines |
$63–$206.40 | $105–$344 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$195.60–$290.40 | $326–$484 | varies |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$951–$1,056 | $1,585–$1,760 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $195 | $325 | 8.1× |
| Hiv-1 Antibody (86701) | $263.40 | $439 | 29.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $226.20 | $377 | 2.7× |
| HIV-2 probe&revrse trnscripj (87538) | $52.80 | $88 | 1.5× |
| Hla Class I Typing Low Resolution Complete (81372) | $709.80 | $1,183 | 1.8× |
| Hla class ii typing high resolution one locus ea (81382) range across 3 matching MRF lines |
$443.40–$825 | $739–$1,375 | varies |
| Hla I Typing 1 Allele Hr (81381) range across 4 matching MRF lines |
$445.20–$829.20 | $742–$1,382 | varies |
| Hla ii typing 1 locus lr (81376) | $226.20 | $377 | 1.9× |
| Hla Typing Dr/Dq Single Antigen (86816) | $363 | $605 | 12.0× |
| Hla-b27 (86812) | $125.40 | $209 | 4.9× |
| Homocysteine (83090) range across 2 matching MRF lines |
$89.40–$106.20 | $149–$177 | varies |
| Homogenization Tissue (87176) | $45 | $75 | 7.7× |
| Homovanillic acid urine (83150) | $229.80 | $383 | 10.3× |
| Hsv Dna Amp Probe (87529) | $342 | $570 | 9.7× |
| Htlv-I Antibody (86687) | $171 | $285 | 18.8× |
| Htt Gene Detc Abnor Alleles (81271) | $874.20 | $1,457 | 6.4× |
| Human Epididymis Protein 4 (86305) | $363.60 | $606 | 17.5× |
| Hydroxyprogesterone 17-d (83498) | $115.20 | $192 | 4.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $105 | $175 | 10.2× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $54.60 | $91 | 1.5× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) range across 2 matching MRF lines |
$34.20–$37.20 | $57–$62 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$54.60–$361.80 | $91–$603 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $129 | $215 | 3.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $57.60 | $96 | 1.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $352.80 | $588 | 10.1× |
| Iadna Cytomegalovirus Quantification (87497) | $426.60 | $711 | 10.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $198.60 | $331 | 2.8× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 2 matching MRF lines |
$34.20–$37.20 | $57–$62 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $562.80 | $938 | 13.1× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $229.80 | $383 | 6.5× |
| 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–$126.60 | $88–$211 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$318.60–$339 | $531–$565 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $450.60 | $751 | 12.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$144–$202.80 | $240–$338 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) range across 3 matching MRF lines |
$130.80–$209.40 | $218–$349 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $273 | $455 | 1.9× |
| Idh1 common variants (81120) | $586.80 | $978 | 3.0× |
| Idh2 common variants (81121) | $897.60 | $1,496 | 3.0× |
| Ifnl3 gene analysis rs12979860 variant (81283) range across 2 matching MRF lines |
$866.40–$1,018.80 | $1,444–$1,698 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$106.20–$109.20 | $177–$182 | varies |
| Igg subclasses (82787) | $191.40 | $319 | 23.9× |
| Igh gene rearrange amp meth (81261) | $705 | $1,175 | 3.6× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,635 | $2,725 | 5.6× |
| Igk rearrangeabn clonal pop (81264) | $532.20 | $887 | 3.1× |
| Ikbkap Gene Analysis Common Variants (81260) | $1,669.80 | $2,783 | 42.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $226.80 | $378 | 0.6× |
| Immunfix e-phorsis/urine/csf (86335) | $165.60 | $276 | 5.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 13 matching MRF lines |
$52.80–$2,833.80 | $88–$4,723 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
$22.80–$310.20 | $38–$517 | varies |
| Immunoassay nonantibody (83516) range across 14 matching MRF lines |
$22.20–$2,467.80 | $37–$4,113 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$197.40–$790.80 | $329–$1,318 | varies |
| Immunofixation electrophoresis (86334) | $244.80 | $408 | 11.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
$295.80–$517.80 | $493–$863 | varies |
| Immunohistochemistry (88342) | $197.40 | $329 | 1.1× |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$417–$437.40 | $695–$729 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $553.20 | $922 | 3.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $115.20 | $192 | 7.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $276 | $460 | 3.9× |
| Influenza a/b ag eia (87400) | $125.40 | $209 | 8.9× |
| Influenza assay w/optic (87804) | $97.80 | $163 | 5.9× |
| Influenza DNA amp probe (87502) | $325.20 | $542 | 3.4× |
| Inherited Cardmypthy 5 Gns (81439) range across 4 matching MRF lines |
$4,300.80–$8,592 | $7,168–$14,320 | varies |
| Inhibin A (86336) | $120.60 | $201 | 7.7× |
| Inhibin b (83520) range across 25 matching MRF lines |
$44.40–$736.80 | $74–$1,228 | varies |
| Insitu hybridization auto (88367) range across 2 matching MRF lines |
$385.80–$553.80 | $643–$923 | varies |
| Insitu hybridization manual (88368) | $532.20 | $887 | 1.4× |
| Insulin antibodies (86337) | $280.20 | $467 | 13.1× |
| Insulin free (83527) range across 2 matching MRF lines |
$56.40–$111.60 | $94–$186 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$50.40–$60 | $84–$100 | varies |
| Interleukin-6 (83529) range across 4 matching MRF lines |
$38.40–$74.40 | $64–$124 | varies |
| Intrinsic factor antibody (86340) | $94.80 | $158 | 6.3× |
| Iron (83540) | $120 | $200 | 18.5× |
| Iron Binding Capacity (83550) | $153 | $255 | 17.5× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$74.40–$609 | $124–$1,015 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $1,214.40 | $2,024 | 13.2× |
| Jt spc pthgn&rx rsist gen26+ (87627) | $1,717.20 | $2,862 | 2.5× |
| Kit Gene Analysis D816 Variant(S) (81273) range across 3 matching MRF lines |
$1,330.20–$1,528.80 | $2,217–$2,548 | varies |
| Koh Prep (87220) | $64.80 | $108 | 15.2× |
| Kras Gene Analysis Additional Variant(S) (81276) | $735.60 | $1,226 | 3.8× |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$953.40–$987 | $1,589–$1,645 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$27.60–$67.20 | $46–$112 | varies |
| Lactoferrin fecal qualitative (83630) | $170.40 | $284 | 8.6× |
| Lamellar Body Count (83664) | $25.80 | $43 | 1.3× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$57–$61.20 | $95–$102 | varies |
| LDL direct (83721) | $55.20 | $92 | 5.3× |
| Lead (83655) range across 2 matching MRF lines |
$48.60–$89.40 | $81–$149 | varies |
| Legionella antibody (86713) | $86.40 | $144 | 5.6× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$69.60–$331.20 | $116–$552 | varies |
| Legionella pneumophila dfa (87278) | $198.60 | $331 | 12.7× |
| Leptospira antibody (86720) | $120.60 | $201 | 7.4× |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$349.20–$466.20 | $582–$777 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $199.80 | $333 | 6.4× |
| Level ii surg pathology grossµscopic exam (88302) | $229.80 | $383 | 5.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$334.20–$362.40 | $557–$604 | varies |
| Lidocaine (80176) | $115.80 | $193 | 7.9× |
| Lipase (83690) | $78 | $130 | 11.3× |
| Lipoprotein A (83695) | $111.60 | $186 | 7.8× |
| Lipoprotein Bld Quan Part (83704) | $192 | $320 | 5.6× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $354 | $590 | 7.6× |
| Lithium (80178) | $123.60 | $206 | 18.7× |
| Liver ds alys 3 bmrk srm alg (81517) | $612 | $1,020 | 3.5× |
| Luteinizing Hormone (Lh) (83002) | $70.20 | $117 | 3.8× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$81.60–$176.40 | $136–$294 | varies |
| Lysozyme serum (85549) | $114.60 | $191 | 6.1× |
| M. Genitalium Amp Probe (87563) | $192.60 | $321 | 5.5× |
| Macroscopic exam arthropod (87168) | $75.60 | $126 | 17.7× |
| Macroscopic Exam Parasite (87169) | $60.60 | $101 | 14.1× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$24–$191.40 | $40–$319 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$88.80–$193.20 | $148–$322 | varies |
| Mecp2 gene dup/delet variant (81304) | $1,155 | $1,925 | 7.7× |
| Mecp2 gene full seq (81302) | $1,155 | $1,925 | 2.2× |
| Mercury urine (83825) | $110.40 | $184 | 6.8× |
| Metabolic panel ionized ca (80047) | $54 | $90 | 3.9× |
| Methotrexate (80204) | $96.60 | $161 | 2.5× |
| Methylmalonic acid serum (83921) | $208.20 | $347 | 9.8× |
| Mgmt methylation analysis (81287) | $1,072.80 | $1,788 | 8.6× |
| Microalbumin, quantitative (82043) | $61.80 | $103 | 10.7× |
| Microsatellite instability (81301) | $953.40 | $1,589 | 2.7× |
| Microsomal Antibodies Each (86376) | $113.40 | $189 | 7.8× |
| Mitochondrial Antibody Each (86381) | $55.20 | $92 | 2.2× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) range across 3 matching MRF lines |
$754.20–$1,840.80 | $1,257–$3,068 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 5 matching MRF lines |
$163.80–$628.80 | $273–$1,048 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $191.40 | $319 | 4.7× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 7 matching MRF lines |
$69.60–$864 | $116–$1,440 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $291.60 | $486 | 6.9× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$1,992.60–$2,328.60 | $3,321–$3,881 | varies |
| Mononuclear cell antigen (86356) | $211.20 | $352 | 7.9× |
| Mopath procedure level 1 (81400) | $1,536 | $2,560 | 24.0× |
| Mopath procedure level 2 (81401) range across 3 matching MRF lines |
$724.80–$820.80 | $1,208–$1,368 | varies |
| Mopath procedure level 4 (81403) | $1,038.60 | $1,731 | 5.6× |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$1,536–$1,992.60 | $2,560–$3,321 | varies |
| Mopath procedure level 7 (81406) range across 3 matching MRF lines |
$1,992.60–$9,057 | $3,321–$15,095 | varies |
| Mopath procedure level 8 (81407) | $5,903.40 | $9,839 | 7.0× |
| Mopath procedure level 9 (81408) range across 7 matching MRF lines |
$2,208.60–$5,603.40 | $3,681–$9,339 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) | $804 | $1,340 | 4.3× |
| Mrsa Pcr (87641) | $169.20 | $282 | 4.8× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) range across 3 matching MRF lines |
$426–$1,040.40 | $710–$1,734 | varies |
| Msh6 Gene Analysis Full Sequence Analysis (81298) range across 3 matching MRF lines |
$714.60–$1,750.20 | $1,191–$2,917 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $976.80 | $1,628 | 14.9× |
| Mucin Clot Body Fluid (83872) | $159 | $265 | 27.1× |
| Mucopolysaccharides acid quantitative (83864) range across 3 matching MRF lines |
$133.80–$358.80 | $223–$598 | varies |
| Mumps antibody (86735) range across 4 matching MRF lines |
$35.40–$186 | $59–$310 | varies |
| Muscle-Specific Kinase Antb (86366) | $709.20 | $1,182 | 38.5× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$247.20–$253.20 | $412–$422 | varies |
| Mycophenolic Acid (80180) | $166.20 | $277 | 9.2× |
| Mycoplasma antibody (86738) range across 4 matching MRF lines |
$72.60–$89.40 | $121–$149 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $1,018.80 | $1,698 | 5.8× |
| Myoglobin urine (83874) | $43.20 | $72 | 3.3× |
| Natriuretic peptide (83880) | $132 | $220 | 3.4× |
| Neurofilament light chain (83884) | $1,806.60 | $3,011 | 15.5× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $45 | $75 | 1.5× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) range across 2 matching MRF lines |
$426.60–$486.60 | $711–$811 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $633.60 | $1,056 | 8.8× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $1,137.60 | $1,896 | 8.8× |
| Niacin (84591) range across 2 matching MRF lines |
$349.20–$371.40 | $582–$619 | varies |
| Nickel level (83885) | $607.80 | $1,013 | 24.8× |
| Nk cells total count (86357) | $124.20 | $207 | 3.3× |
| Noonan Spectrum Disorders (81442) | $3,719.40 | $6,199 | 1.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $1,067.40 | $1,779 | 4.3× |
| Nras gene variants exon 2&3 (81311) | $637.80 | $1,063 | 2.2× |
| Nuclear antigen antibody (86235) range across 5 matching MRF lines |
$83.40–$241.80 | $139–$403 | varies |
| Obstetric panel (80081) | $987 | $1,645 | 13.2× |
| Occult blood feces (82272) | $46.80 | $78 | 11.1× |
| Occult Blood Other Sources (82271) | $61.20 | $102 | 11.5× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$171.60–$191.40 | $286–$319 | varies |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$225–$389.40 | $375–$649 | varies |
| Osmolality serum (83930) | $111.60 | $186 | 16.9× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$23.40–$95.40 | $39–$159 | varies |
| Osmotic fragility rbc incubated (85557) | $203.40 | $339 | 15.2× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$22.80–$59.40 | $38–$99 | varies |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) | $206.40 | $344 | 16.3× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$43.80–$103.20 | $73–$172 | varies |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$190.20–$227.40 | $317–$379 | varies |
| Particle Agglut Antbdy Titr (86406) range across 2 matching MRF lines |
$148.80–$182.40 | $248–$304 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $73.20 | $122 | 6.3× |
| Parvovirus antibody (86747) | $138 | $230 | 9.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $531 | $885 | 0.6× |
| Pathology Consultation During Surgery (88329) | $198 | $330 | 3.1× |
| Ph urine (81003) | $44.40 | $74 | 19.7× |
| Phenobarbital Level (80184) range across 3 matching MRF lines |
$25.80–$135 | $43–$225 | varies |
| Phenotype Infect Agent Drug (87900) range across 3 matching MRF lines |
$336–$644.40 | $560–$1,074 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$154.80–$255.60 | $258–$426 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$126–$196.80 | $210–$328 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$105–$214.20 | $175–$357 | varies |
| Phosphatase acid prostatic (84066) | $99 | $165 | 10.2× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$42–$99.60 | $70–$166 | varies |
| Phosphatidylglycerol (84081) | $222.60 | $371 | 13.5× |
| Phospholipid Neutralization Hexagonal (85598) range across 4 matching MRF lines |
$158.40–$318 | $264–$530 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$44.40–$101.40 | $74–$169 | varies |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$19.80–$104.40 | $33–$174 | varies |
| Pinworm exam (87172) | $28.80 | $48 | 6.7× |
| Platelet Aggregation (85576) | $91.20 | $152 | 3.7× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$375.60–$1,024.20 | $626–$1,707 | varies |
| Platelet count automated (85049) | $76.80 | $128 | 17.1× |
| Platelet neutralization (85597) | $202.80 | $338 | 11.3× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $753 | $1,255 | 3.6× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $1,992.60 | $3,321 | 2.6× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | $1,992.60 | $3,321 | 2.6× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) range across 3 matching MRF lines |
$226.20–$555 | $377–$925 | varies |
| Pms2 gene full seq analysis (81317) range across 2 matching MRF lines |
$754.20–$1,122 | $1,257–$1,870 | varies |
| Pneumcysts jirovecii amp prb (87594) | $235.20 | $392 | 6.7× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$94.20–$166.20 | $157–$277 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $290.40 | $484 | 19.7× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$14.40–$115.20 | $24–$192 | varies |
| Prealbumin (84134) | $69.60 | $116 | 4.8× |
| Pregnancy-Associated Plasma Protein-A (84163) | $153.60 | $256 | 10.2× |
| Pregnenolone (84140) | $172.80 | $288 | 8.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $104.40 | $174 | 1.7× |
| Pretx serum rbc antibody identification dilution (86976) | $30 | $50 | 1.0× |
| Primidone (80188) range across 2 matching MRF lines |
$36.60–$140.40 | $61–$234 | varies |
| Procalcitonin (Pct) (84145) | $231.60 | $386 | 8.5× |
| Progesterone (84144) range across 2 matching MRF lines |
$104.40–$136.80 | $174–$228 | varies |
| Prolactin (84146) range across 3 matching MRF lines |
$78.60–$138.60 | $131–$231 | varies |
| Prostaglandin (84150) | $96 | $160 | 2.3× |
| Protein body fluid (84157) | $158.40 | $264 | 39.6× |
| Protein C Activity (85303) | $144.60 | $241 | 10.4× |
| Protein c antigen (85302) | $334.20 | $557 | 27.8× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$131.40–$194.40 | $219–$324 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $117.60 | $196 | 10.9× |
| Protein S Free (85306) range across 2 matching MRF lines |
$311.40–$379.20 | $519–$632 | varies |
| Protein s total (85305) | $237 | $395 | 20.4× |
| Protein total serum (84155) | $42 | $70 | 11.4× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$77.40–$94.20 | $129–$157 | varies |
| Protein Western Blot Test (84182) range across 5 matching MRF lines |
$133.20–$736.20 | $222–$1,227 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$165–$171.60 | $275–$286 | varies |
| Protoporphyrin rbc quantitative (84202) | $294 | $490 | 20.5× |
| PSA free (84154) | $114.60 | $191 | 6.2× |
| Pten Gene Analysis Full Sequence Analysis (81321) range across 4 matching MRF lines |
$669–$3,959.40 | $1,115–$6,599 | varies |
| Pth Intact (83970) | $88.80 | $148 | 2.2× |
| Pyruvate kinase (84220) | $103.80 | $173 | 11.0× |
| Q Fever Antibody (86638) range across 5 matching MRF lines |
$53.40–$107.40 | $89–$179 | varies |
| Quantiferon tb gold plus (86480) | $158.40 | $264 | 2.6× |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$60–$339 | $100–$565 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$193.20–$340.80 | $322–$568 | varies |
| Rbc antibody elution (86860) | $109.20 | $182 | 0.6× |
| Rbc antibody identification (86870) | $226.80 | $378 | 0.6× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$61.80–$66 | $103–$110 | varies |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$199.20–$208.80 | $332–$348 | varies |
| Renin activity plasma (84244) | $78 | $130 | 3.5× |
| Reptilase test (85635) range across 2 matching MRF lines |
$101.40–$105 | $169–$175 | varies |
| Resp virus 12-25 targets (87633) | $672.60 | $1,121 | 1.6× |
| Reticulocyte Count (85046) | $238.20 | $397 | 42.8× |
| Reticulocyte separation (86972) | $125.40 | $209 | 0.7× |
| Rh (86901) | $41.40 | $69 | 13.8× |
| Rheumatoid Factor Qualitative (86430) | $138 | $230 | 22.5× |
| Rheumatoid factor quant (86431) | $91.20 | $152 | 16.1× |
| Rickettsia antibody (86757) | $280.20 | $467 | 14.5× |
| Ristocetin cofactor (85245) | $247.80 | $413 | 10.8× |
| Rotavirus ag eia (87425) | $126.60 | $211 | 10.6× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$92.40–$94.80 | $154–$158 | varies |
| Rsv Assay W/Optic (87807) | $271.80 | $453 | 20.7× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$85.80–$201.60 | $143–$336 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$43.80–$78 | $73–$130 | varies |
| Rufinamide (80210) | $101.40 | $169 | 3.7× |
| Russell Viper Venom Time Diluted (85613) | $43.80 | $73 | 4.6× |
| Rx metab gen seq alys pnl 6 (81418) | $2,400 | $4,000 | 2.6× |
| Salicylate Level (80179) | $193.80 | $323 | 10.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$45–$48.60 | $75–$81 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$30–$31.80 | $50–$53 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $262.80 | $438 | 1.8× |
| Sedimentation rate (85651) | $70.80 | $118 | 16.6× |
| Sedimentation Rate, Automated (85652) | $70.80 | $118 | 26.2× |
| Selenium (84255) | $250.20 | $417 | 9.8× |
| Sensitivity mic (87186) | $70.80 | $118 | 8.2× |
| Sex Hormone Binding Globulin (84270) | $148.20 | $247 | 6.8× |
| Sickling of rbc reduction (85660) | $82.20 | $137 | 14.9× |
| Sirolimus (80195) | $76.80 | $128 | 5.6× |
| Skin test tuberculosis intradermal (86580) | $42.60 | $71 | 1.4× |
| Smear acid fast (87206) | $109.20 | $182 | 20.3× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$70.20–$90.60 | $117–$151 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$61.20–$67.20 | $102–$112 | varies |
| Smear Special Stain (87207) | $43.20 | $72 | 7.2× |
| Smn1 Gene Dos/Deletion Alys (81329) range across 2 matching MRF lines |
$495–$1,732.80 | $825–$2,888 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $67.20 | $112 | 11.5× |
| Snrpn/Ube3a Methylation Analysis (81331) range across 2 matching MRF lines |
$1,211.40–$1,552.80 | $2,019–$2,588 | 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) range across 2 matching MRF lines |
$42–$69 | $70–$115 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$18–$94.20 | $30–$157 | varies |
| Soluble fibrin monomer (85366) range across 2 matching MRF lines |
$393–$582 | $655–$970 | varies |
| Soluble Transferrin Receptor (84238) | $127.80 | $213 | 3.5× |
| Somatomedin (84305) | $120 | $200 | 5.6× |
| Somatostatin (84307) | $632.40 | $1,054 | 34.6× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$59.40–$86.40 | $99–$144 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$82.20–$86.40 | $137–$144 | varies |
| Specific gravity body fluid (84315) | $42 | $70 | 12.8× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$28.80–$63.60 | $48–$106 | varies |
| Spectrophotometry (84311) | $147 | $245 | 18.1× |
| Staph a DNA amp probe (87640) | $163.80 | $273 | 4.7× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$22.20–$92.40 | $37–$154 | varies |
| Strep a assay w/optic (87880) | $61.80 | $103 | 3.7× |
| Strep a DNA amp probe (87651) | $105 | $175 | 3.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $108.60 | $181 | 1.2× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $271.80 | $453 | 23.6× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$53.40–$110.40 | $89–$184 | varies |
| Sulfate urine (84392) range across 2 matching MRF lines |
$18–$60.60 | $30–$101 | varies |
| Surg path level iii (88304) | $244.20 | $407 | 4.4× |
| Surgical pathology level IV (88305) | $306 | $510 | 5.5× |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$506.40–$970.20 | $844–$1,617 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $27 | $45 | 5.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$41.40–$78 | $69–$130 | varies |
| Sweat Collection Iontophoresis (89230) | $108.60 | $181 | 1.9× |
| Syphilis Test Non-Trep Quant (86593) | $72.60 | $121 | 16.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $246 | $410 | 5.2× |
| T cells total count (86359) | $204.60 | $341 | 5.4× |
| T3 Free (84481) | $67.80 | $113 | 4.0× |
| T3 reverse (84482) | $91.80 | $153 | 5.8× |
| T3 Total (84480) | $59.40 | $99 | 4.2× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$78.60–$135.60 | $131–$226 | varies |
| T4 Free (84439) | $117 | $195 | 13.0× |
| T4 total (84436) range across 2 matching MRF lines |
$61.80–$84.60 | $103–$141 | varies |
| Tacrolimus (80197) | $60 | $100 | 4.4× |
| 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 |
$1,933.80–$2,338.80 | $3,223–$3,898 | varies |
| Test for acetone/ketones (82009) | $24 | $40 | 5.3× |
| Testosterone Bioavailable (84410) | $72.60 | $121 | 1.4× |
| Testosterone total (84403) range across 4 matching MRF lines |
$46.80–$175.20 | $78–$292 | varies |
| Testosterone, Free (84402) range across 6 matching MRF lines |
$27–$195 | $45–$325 | varies |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$66.60–$148.20 | $111–$247 | varies |
| 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) | $3,203.40 | $5,339 | 5.4× |
| Theophylline (80198) | $113.40 | $189 | 8.0× |
| Thiocyanate (84430) range across 2 matching MRF lines |
$139.20–$160.80 | $232–$268 | varies |
| Thiopurine methyltransferase (84433) | $295.20 | $492 | 13.3× |
| Thrombin Time (85670) | $117 | $195 | 20.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $357.60 | $596 | 55.3× |
| Thyroglobulin (84432) | $120 | $200 | 7.5× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$53.40–$124.80 | $89–$208 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $201 | $335 | 4.0× |
| Thyroxine binding globulin (84442) | $49.80 | $83 | 3.4× |
| Tiss cul neo disorders solid tumor (88239) range across 2 matching MRF lines |
$1,516.20–$1,530 | $2,527–$2,550 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$750.60–$1,092 | $1,251–$1,820 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 3 matching MRF lines |
$282.60–$1,124.40 | $471–$1,874 | varies |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$579.60–$629.40 | $966–$1,049 | varies |
| Tissue Culture Lymphocyte (88230) | $724.20 | $1,207 | 6.2× |
| Tobramycin peak (80200) | $87 | $145 | 5.4× |
| Topiramate (80201) range across 2 matching MRF lines |
$130.20–$181.20 | $217–$302 | varies |
| Total Tau (84394) range across 3 matching MRF lines |
$230.40–$333 | $384–$555 | varies |
| Touch prep (88161) | $123.60 | $206 | 4.0× |
| Toxoplasma ab igm (86778) | $201.60 | $336 | 14.0× |
| Toxoplasma antibody (86777) | $201.60 | $336 | 14.0× |
| Tp53 gene analysis full gene sequence (81351) | $634.20 | $1,057 | 1.0× |
| Tp53 gene analysis targeted sequence analysis (81352) range across 2 matching MRF lines |
$871.80–$949.20 | $1,453–$1,582 | varies |
| Tpmt gene com variants (81335) range across 2 matching MRF lines |
$963–$1,135.80 | $1,605–$1,893 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $42 | $70 | 8.1× |
| Transferrin (84466) | $60.60 | $101 | 4.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $777 | $1,295 | 3.7× |
| Trg gene rearrangement anal (81342) | $777 | $1,295 | 3.9× |
| Trichomonas vagin dir probe (87660) | $41.40 | $69 | 2.1× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$114.60–$145.80 | $191–$243 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$70.80–$165.60 | $118–$276 | varies |
| Troponin Quant (84484) | $184.20 | $307 | 14.8× |
| Trypsin feces qual (84488) | $178.20 | $297 | 24.4× |
| Tumor immunohistochem/comput (88361) | $341.40 | $569 | 0.9× |
| Tumor Immunohistochem/Manual (88360) | $259.80 | $433 | 1.4× |
| Unlisted Cytogenetic Study (88299) range across 2 matching MRF lines |
$810.60–$1,516.20 | $1,351–$2,527 | varies |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$18–$115.20 | $30–$192 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$18–$113.40 | $30–$189 | varies |
| Urinalysis Microscopic Only (81015) | $69.60 | $116 | 22.8× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $78 | $130 | 35.9× |
| Urine Bacteria Culture (87088) | $92.40 | $154 | 11.4× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$85.80–$103.80 | $143–$173 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $48.60 | $81 | 15.3× |
| Valproic acid (80164) range across 4 matching MRF lines |
$52.80–$148.20 | $88–$247 | varies |
| Vancomycin (80202) | $287.40 | $479 | 21.2× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$43.80–$102.60 | $73–$171 | varies |
| Vasopressin (84588) | $279.60 | $466 | 8.2× |
| Very Long Chain Fatty Acids (82726) | $538.80 | $898 | 27.3× |
| Viral Culture (87252) range across 2 matching MRF lines |
$114–$160.80 | $190–$268 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$33–$436.80 | $55–$728 | varies |
| Virus inoculate tissue addl (87253) | $81.60 | $136 | 4.0× |
| Virus inoculation, shell via (87254) | $134.40 | $224 | 6.9× |
| Viscosity serum (85810) | $183.60 | $306 | 15.7× |
| Vit D 1 25-Dihydroxy (82652) | $424.80 | $708 | 11.0× |
| Vitamin A (84590) | $102.60 | $171 | 8.8× |
| Vitamin b-12 (82607) | $105 | $175 | 7.0× |
| Vitamin B2 (Riboflavin) (84252) | $325.20 | $542 | 16.1× |
| Vitamin B6 (84207) | $307.80 | $513 | 11.0× |
| Vitamin c (82180) | $459 | $765 | 46.4× |
| Vitamin D 25-Hydroxy (82306) | $127.80 | $213 | 4.3× |
| Vitamin E (84446) | $171 | $285 | 12.1× |
| Vitamin K (84597) | $167.40 | $279 | 12.2× |
| Volatiles (84600) | $126 | $210 | 7.4× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 4 matching MRF lines |
$27.60–$232.80 | $46–$388 | varies |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$43.20–$291.60 | $72–$486 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$40.80–$43.80 | $68–$73 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$34.80–$43.80 | $58–$73 | varies |
| Western Blot Test (84181) | $335.40 | $559 | 19.7× |
| Whole Mitochondrial Genome (81460) | $5,825.40 | $9,709 | 4.5× |
| Whole mitochondrial genome analysis panel (81465) | $1,839.60 | $3,066 | 2.0× |
| Xm Archive Tissue Molec Anal (88363) | $115.20 | $192 | 3.7× |
| Xylose Absorption Test (84620) | $230.40 | $384 | 17.8× |
| Zika Virus Dna/Rna Amp Probe (87662) range across 3 matching MRF lines |
$301.80–$612 | $503–$1,020 | varies |
| Zika Virus Igm Antibody (86794) | $462.60 | $771 | 27.5× |
| Zinc (84630) | $76.80 | $128 | 6.7× |
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.