Lab & pathology prices at Osf Saint Katharine Medical Center
Dixon, IL · every code in this section with a posted price and a Medicare benchmark.
639 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $128.80 | $184 | 11.6× |
| Acetylcholine receptor binding antibody (86041) | $128.10 | $183 | 7.0× |
| Acetylcholn Rcptr Modlg Antb (86043) | $101.50 | $145 | 8.4× |
| Acth (82024) | $224.70 | $321 | 5.8× |
| Actin smooth muscle antibody each (86015) | $101.50 | $145 | 8.4× |
| Acute hepatitis panel (80074) | $620.90 | $887 | 13.0× |
| Acylcarnitines Quant (82017) | $203.70 | $291 | 12.1× |
| Albumin Fluid (82042) | $70.70 | $101 | 9.1× |
| Albumin serum (82040) | $62.30 | $89 | 12.6× |
| Aldolase (82085) | $112.70 | $161 | 11.6× |
| Aldosterone urine (82088) | $274.40 | $392 | 6.7× |
| Alkaline phosphatase isoenzymes (84080) | $93.10 | $133 | 6.3× |
| Allergen specific ige (86003) | $51.80 | $74 | 9.9× |
| Allg Spec Ige Recomb Ea (86008) | $152.60 | $218 | 8.5× |
| Alpha-1-antitrypsin phenotype (82104) | $139.30 | $199 | 9.6× |
| Alpha-1-antitrypsin total (82103) | $125.30 | $179 | 9.3× |
| Alpha-Fetoprotein Serum (82105) | $177.80 | $254 | 10.6× |
| Alt (sgpt) (84460) | $65.80 | $94 | 12.4× |
| Amikacin trough (80150) | $139.30 | $199 | 9.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $327.60 | $468 | 14.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $354.20 | $506 | 21.0× |
| Aminolevulinic acid (ala) (82135) | $221.20 | $316 | 13.4× |
| Ammonia (82140) | $110.60 | $158 | 7.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $443.10 | $633 | 4.5× |
| Amylase urine (82150) | $108.50 | $155 | 16.7× |
| Ana Titer (86039) | $72.10 | $103 | 6.5× |
| Anca screen each antibody (86036) | $64.40 | $92 | 5.3× |
| Anca Titer Each Antibody (86037) | $101.50 | $145 | 8.4× |
| Androstenedione (82157) | $203.70 | $291 | 7.0× |
| Angiotensin converting enzyme csf (82164) | $168 | $240 | 11.5× |
| Anti-Phospholipid Antibody (86148) | $173.60 | $248 | 10.8× |
| Antibody aspergillus (86606) | $105 | $150 | 7.0× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 4 matching MRF lines |
$75.60–$147 | $108–$210 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $182.70 | $261 | 11.8× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $179.90 | $257 | 10.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $144.20 | $206 | 11.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $113.40 | $162 | 7.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $137.90 | $197 | 7.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $90.30 | $129 | 7.4× |
| Antibody haemophilus influenza (86684) | $45.50 | $65 | 2.9× |
| Antibody helicobacter pylori (86677) | $166.60 | $238 | 9.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $156.10 | $223 | 10.8× |
| Antibody Herpes Smplx Type 1 (86695) | $118.30 | $169 | 9.0× |
| Antibody HIV-2 (86702) | $172.90 | $247 | 12.8× |
| Antibody identification leukocyte antibodies (86021) | $170.80 | $244 | 11.3× |
| Antibody Protozoa Nes (86753) | $151.90 | $217 | 12.3× |
| Antibody Titer (86886) | $436.80 | $624 | 84.3× |
| Antibody Treponema Pallidum (86780) | $121.10 | $173 | 9.1× |
| Antigen typing (86905) | $625.80 | $894 | 163.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $322 | $460 | 56.3× |
| Antinomyces antibody (86602) | $85.40 | $122 | 8.4× |
| Antinuclear antibodies (86038) | $142.10 | $203 | 11.8× |
| Antistreptolysin o titer (86060) | $106.40 | $152 | 14.6× |
| Antithrombin iii activity (85300) | $152.60 | $218 | 12.9× |
| Antithrombin iii antigen (85301) | $137.20 | $196 | 12.7× |
| Apolipoprotein a1 (82172) | $158.90 | $227 | 7.5× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $409.50 | $585 | 10.9× |
| Aquaporin-4 Antb Elisa (86051) | $96.60 | $138 | 8.4× |
| Arsenic (82175) | $219.80 | $314 | 11.6× |
| Aspergillus ag eia (87305) | $176.40 | $252 | 14.7× |
| Assay activated protein c (85307) | $189.70 | $271 | 12.4× |
| Assay Blood Carbon Dioxide (82374) | $67.20 | $96 | 13.8× |
| Assay Nephelometry Not Spec (83883) | $186.90 | $267 | 13.7× |
| Assay of 5-hiaa (83497) | $115.50 | $165 | 9.0× |
| Assay of anti-mullerian hormone (82166) | $110.60 | $158 | 2.9× |
| Assay of blood/uric acid (84550) | $58.10 | $83 | 12.9× |
| Assay of calcium in urine (82340) | $67.20 | $96 | 11.1× |
| Assay of cpk in blood (82552) | $137.20 | $196 | 10.2× |
| Assay of estrone (82679) | $172.20 | $246 | 6.9× |
| Assay of g6pd enzyme (82955) | $107.10 | $153 | 11.0× |
| Assay of gammaglobulin igm (82784) | $98 | $140 | 10.5× |
| Assay of lactic acid (83605) | $139.30 | $199 | 12.0× |
| Assay of metanephrines (83835) | $141.40 | $202 | 8.3× |
| Assay of proinsulin (84206) | $272.30 | $389 | 10.2× |
| Assay of pyruvate (84210) | $140.70 | $201 | 9.7× |
| Assay of serotonin (84260) | $234.50 | $335 | 7.6× |
| Assay of serum potassium (84132) | $57.40 | $82 | 12.1× |
| Assay of sweat sodium (84302) | $58.10 | $83 | 12.0× |
| Assay of urea nitrogen (84520) | $52.50 | $75 | 13.3× |
| Assay of urine vma (84585) | $151.90 | $217 | 9.8× |
| Assay of vasoactive intestinal peptide (84586) | $228.90 | $327 | 6.5× |
| Assay of vitamin b-1 (84425) | $179.90 | $257 | 8.5× |
| Assay Ph Body Fluid Nos (83986) | $44.10 | $63 | 12.3× |
| Assay spec xcp ur&breath ia (82077) | $260.40 | $372 | 15.1× |
| Asy carbamazepin 10,11-epxid (80161) | $102.90 | $147 | 5.5× |
| B cells total count (86355) | $380.80 | $544 | 10.1× |
| Bacterial antigens 87802 (87802) | $107.10 | $153 | 8.4× |
| Bartonella antibody (86611) | $75.60 | $108 | 7.4× |
| Bcr/abl1 gene major bp (81206) | $1,155.70 | $1,651 | 7.0× |
| Bcr/abl1 gene minor bp (81207) | $693 | $990 | 4.8× |
| Beta 2 glycoprotein i antibody each (86146) | $319.90 | $457 | 12.6× |
| Beta hydroxybutyrate (82010) | $93.10 | $133 | 11.4× |
| Beta Lactamase (87185) | $63.70 | $91 | 13.4× |
| Beta-2 Microglobulin (82232) | $191.10 | $273 | 11.8× |
| Bile acids total (82239) | $130.90 | $187 | 7.6× |
| Bilirubin direct (82248) | $58.80 | $84 | 11.7× |
| Bilirubin total (82247) | $64.40 | $92 | 12.8× |
| Bilirubin total transcutaneous (88720) range across 2 matching MRF lines |
$40.60–$66.50 | $58–$95 | varies |
| Biotinidase (82261) | $40.60 | $58 | 2.4× |
| Blastomyces antibody (86612) | $109.20 | $156 | 8.5× |
| Bld Typing Serologic Rh Phnt (86906) | $235.20 | $336 | 30.3× |
| Blood Count Red Blood Cell Automated (85041) | $47.60 | $68 | 15.8× |
| Blood count reticulocyte automated (85045) | $100.10 | $143 | 25.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $53.20 | $76 | 14.0× |
| Blood gas (82803) | $248.50 | $355 | 9.5× |
| Blood gases w/02 saturation (82805) | $499.80 | $714 | 6.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $63.70 | $91 | 4.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $49 | $70 | 11.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $631.40 | $902 | 99.4× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $499.10 | $713 | 30.5× |
| Blood typing serologic abo (86900) | $238.70 | $341 | 79.8× |
| Braf gene analysis (81210) | $1,065.40 | $1,522 | 6.1× |
| Brucella antibody (86622) | $131.60 | $188 | 14.7× |
| C diff amplified probe (87493) | $254.80 | $364 | 6.8× |
| C-Peptide (84681) | $169.40 | $242 | 8.1× |
| C-reactive protein (86140) | $65.10 | $93 | 12.6× |
| Ca 19-9 (86301) | $226.10 | $323 | 10.9× |
| Caffeine (80155) | $133.70 | $191 | 3.5× |
| Calcitonin (82308) | $181.30 | $259 | 6.8× |
| Calcium ionized (82330) | $157.50 | $225 | 11.5× |
| Calcium total (82310) | $70 | $100 | 13.6× |
| Calculus Spectroscopy (82365) | $107.10 | $153 | 8.3× |
| Calprotectin Fecal (83993) | $336.70 | $481 | 17.2× |
| Calr gene com variants (81219) | $858.90 | $1,227 | 7.1× |
| Cancer Antigen 125 (86304) | $190.40 | $272 | 9.1× |
| Cancer Antigen 27.29 (86300) | $196 | $280 | 9.4× |
| Carbamazepine free (80157) | $111.30 | $159 | 8.4× |
| Carbamazepine total (80156) | $133.70 | $191 | 9.2× |
| Carboxyhemoglobin (82375) | $167.30 | $239 | 13.6× |
| Carcinoembryonic antigen (82378) | $235.90 | $337 | 12.4× |
| Cardiolipin ab iga (86147) | $231 | $330 | 9.1× |
| Carnitine Quantitative Each Specimen (82379) | $190.40 | $272 | 11.3× |
| Carotene (82380) | $85.40 | $122 | 9.3× |
| Catecholamines fractionated (82384) | $256.90 | $367 | 10.2× |
| Ccp antibody (86200) | $95.20 | $136 | 7.4× |
| Cell count csf (89051) | $88.20 | $126 | 15.8× |
| Ceruloplasmin (82390) | $116.90 | $167 | 10.9× |
| Cftr gene com variants (81220) | $1,497.30 | $2,139 | 2.7× |
| Chemiluminescent assay (82397) | $183.40 | $262 | 13.0× |
| Chlmy trch&neisra gonor mult (87494) | $83.30 | $119 | 1.2× |
| Chloride other source (82438) | $71.40 | $102 | 14.3× |
| Chloride Serum (82435) | $51.10 | $73 | 11.1× |
| Chloride urine (82436) | $70.70 | $101 | 12.3× |
| Cholesterol total (82465) range across 3 matching MRF lines |
$56–$56.70 | $80–$81 | varies |
| Chorionic gonadotropin test (84702) | $202.30 | $289 | 13.4× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $297.50 | $425 | 8.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $237.30 | $339 | 7.1× |
| Chromium serum (82495) | $225.40 | $322 | 11.1× |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
$350.70–$416.50 | $501–$595 | varies |
| Chromogranin a (86316) | $256.20 | $366 | 12.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $284.90 | $407 | 8.1× |
| Citric acid urine (82507) | $207.90 | $297 | 7.5× |
| Ckmb (82553) | $130.90 | $187 | 11.3× |
| Clostridium Difficile (87324) | $87.50 | $125 | 7.3× |
| Clot Factor VIII Multimetric (85247) | $251.30 | $359 | 11.0× |
| Clot factor xiii fibrin stab (85290) | $471.10 | $673 | 28.8× |
| Clotting factor xii hageman (85280) | $249.20 | $356 | 12.9× |
| Clotting Funct Activity (85397) | $122.50 | $175 | 4.0× |
| Cold agglutinin screen (86156) | $67.90 | $97 | 8.4× |
| Cold agglutinin titer (86157) | $89.60 | $128 | 11.1× |
| Collagen crosslinks (82523) | $256.90 | $367 | 13.8× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$195.30–$365.40 | $279–$522 | varies |
| Compatibility Each Unit Incubation (86921) | $409.50 | $585 | 2.2× |
| Compatibility test antiglob (86922) | $611.80 | $874 | 3.4× |
| Complement Antigen Each Component (86160) | $161.70 | $231 | 13.5× |
| Complement Total (Ch50) (86162) | $193.90 | $277 | 9.5× |
| Complement/Function Activity (86161) | $193.20 | $276 | 16.1× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $993.30 | $1,419 | 5.4× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $575.40 | $822 | 10.3× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $237.30 | $339 | 5.9× |
| Coombs direct (86880) | $298.90 | $427 | 55.5× |
| Copper urine (82525) | $110.60 | $158 | 8.9× |
| Cortisol free (82530) | $179.20 | $256 | 10.7× |
| Cortisol saliva (82533) | $176.40 | $252 | 10.8× |
| Creatine kinase total (82550) | $79.80 | $114 | 12.3× |
| Creatinine blood (82565) | $58.80 | $84 | 11.5× |
| Creatinine clearance (82575) | $146.30 | $209 | 15.5× |
| Creatinine Urine (82570) | $49.70 | $71 | 9.6× |
| Crossmatch immediate spin (86920) | $364.70 | $521 | 2.0× |
| Crp High Sensitivity (86141) | $171.50 | $245 | 13.2× |
| Cryoglobulin (82595) | $81.90 | $117 | 12.7× |
| Cryptococcal Antigen (87327) | $217 | $310 | 16.2× |
| Cryptococcus ag titer (87899) | $103.60 | $148 | 6.4× |
| Cryptosporidium ag eia (87328) | $112.70 | $161 | 8.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $71.40 | $102 | 8.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $97.30 | $139 | 12.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $108.50 | $155 | 14.1× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,222.90 | $1,747 | 5.6× |
| Culture afb (87116) | $151.20 | $216 | 14.0× |
| Culture Anaerobic (87075) | $114.10 | $163 | 12.0× |
| Culture blood (87040) | $143.50 | $205 | 13.9× |
| Culture chlamydia (87110) | $231.70 | $331 | 11.8× |
| Culture csf (87070) | $128.10 | $183 | 14.9× |
| Culture screen only (87081) range across 6 matching MRF lines |
$58.80–$66.50 | $84–$95 | varies |
| Culture stool (87045) | $114.10 | $163 | 12.1× |
| Culture typing if ea antiserum (87140) | $77 | $110 | 13.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $65.10 | $93 | 12.6× |
| Culture urine (87086) | $77.70 | $111 | 9.6× |
| Cyclosporine (80158) | $167.30 | $239 | 9.3× |
| Cystatin C (82610) | $120.40 | $172 | 6.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $7,379.40 | $10,542 | 6.4× |
| Cytomegalovirus igg (86644) | $170.10 | $243 | 11.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $188.30 | $269 | 7.1× |
| Cytp Concentration Smears & Interpretation (88108) | $214.20 | $306 | 5.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $366.10 | $523 | 6.6× |
| Deoxyribonuclease antibody (86215) | $95.20 | $136 | 7.2× |
| Detect Agent Nos Dna Amp (87798) | $254.80 | $364 | 7.3× |
| Detect Agent Nos Dna Quant (87799) | $447.30 | $639 | 10.4× |
| Detect agnt mult DNA ampli (87801) | $473.20 | $676 | 6.7× |
| Dgp Antibody Each Ig Class (86258) | $101.50 | $145 | 8.4× |
| Dhea (82626) | $186.90 | $267 | 7.4× |
| Dhea-S (82627) | $287 | $410 | 12.9× |
| Digoxin (80162) | $147.70 | $211 | 11.1× |
| Dipropylacetic Acid Free (80165) | $109.20 | $156 | 8.1× |
| Dna Antibody Native/Double Stranded (86225) | $204.40 | $292 | 14.9× |
| Dna/Rna Amplified Probe (87150) | $479.50 | $685 | 13.7× |
| DNA/RNA direct probe (87149) | $168.70 | $241 | 8.4× |
| Dna/Rna Sequencing (87153) | $707 | $1,010 | 6.1× |
| Drug assay acetaminophen (80143) | $252 | $360 | 13.5× |
| Drug assay adalimumab (80145) | $572.60 | $818 | 14.8× |
| Drug Assay Amiodarone (80151) | $103.60 | $148 | 5.6× |
| Drug Assay Everolimus (80169) | $350 | $500 | 25.5× |
| Drug assay felbamate (80167) | $126 | $180 | 6.8× |
| Drug Assay Infliximab (80230) | $542.50 | $775 | 14.1× |
| Drug Assay Itraconazole (80189) | $166.60 | $238 | 6.1× |
| Drug Assay Lacosamide (80235) | $340.20 | $486 | 12.5× |
| Drug Assay Leflunomide (80193) | $326.20 | $466 | 8.5× |
| Drug Assay Posaconazole (80187) | $179.90 | $257 | 6.6× |
| Drug assay voriconazole (80285) | $184.10 | $263 | 6.8× |
| Drug Screen Quant Clozapine (80159) | $160.30 | $229 | 8.0× |
| Drug Screen Quant Zonisamide (80203) | $189 | $270 | 14.3× |
| Drug Screen Quantitative Gabapentin (80171) | $191.10 | $273 | 8.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $170.80 | $244 | 12.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $184.80 | $264 | 13.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $193.20 | $276 | 14.6× |
| Drug Test Prsmv Chem Anlyzr (80307) | $400.40 | $572 | 6.4× |
| Drug Test Prsmv Dir Opt Obs (80305) | $400.40 | $572 | 31.8× |
| Egfr Gene Analysis Common Variants (81235) | $3,257.80 | $4,654 | 10.0× |
| Ehrlichia antibody (86666) | $135.10 | $193 | 13.3× |
| El-1 Fecal Quantitative (82653) | $228.90 | $327 | 10.0× |
| Electrolyte panel (80051) | $99.40 | $142 | 14.2× |
| Electron Microscopy (88348) | $2,004.80 | $2,864 | 2.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $112 | $160 | 9.3× |
| Enterovirus Antibody (86658) | $81.20 | $116 | 6.2× |
| Enterovirus PCR (87498) | $339.50 | $485 | 9.7× |
| Enzyme cell activity (82657) | $351.40 | $502 | 15.9× |
| Enzyme histochemistry (88319) range across 3 matching MRF lines |
$593.60–$1,381.80 | $848–$1,974 | varies |
| Eosinophil Smear (89190) | $79.10 | $113 | 13.7× |
| Estradiol serum (82670) | $177.10 | $253 | 6.3× |
| Estriol (82677) | $158.90 | $227 | 6.6× |
| Estrogen total (82672) | $305.20 | $436 | 14.1× |
| Estrogens fractionated (82671) | $84 | $120 | 2.6× |
| Ethosuximide (80168) | $124.60 | $178 | 7.6× |
| Exam Synovial Fluid Crystals (89060) | $98.70 | $141 | 13.5× |
| F2 Gene (81240) | $586.60 | $838 | 8.9× |
| Factor ii activity (85210) | $186.90 | $267 | 14.4× |
| Factor ix activity (85250) | $217.70 | $311 | 11.4× |
| Factor v leiden mutation (81241) | $527.10 | $753 | 7.2× |
| Factor vii assay (85230) | $210.70 | $301 | 11.8× |
| Factor viii assay (85240) | $182 | $260 | 10.2× |
| Factor X (85260) | $248.50 | $355 | 13.9× |
| Factor xi activity (85270) | $223.30 | $319 | 12.5× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $130.20 | $186 | 16.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $350.70 | $501 | 20.4× |
| Fecal Fat Qualitative (82705) | $71.40 | $102 | 14.0× |
| Ferritin (82728) | $156.80 | $224 | 11.5× |
| Fetal Fibronectin (82731) | $760.20 | $1,086 | 11.8× |
| Fetal hemoglobin assay qual (83033) | $99.40 | $142 | 12.4× |
| Fibrin degradation products (85362) | $67.20 | $96 | 9.8× |
| Fibrin Degradation Quant (85379) | $113.40 | $162 | 11.1× |
| Fibrinogen activity (85384) | $111.30 | $159 | 11.5× |
| Fibrinogen antigen (85385) | $187.60 | $268 | 13.0× |
| Flow cytometry first marker (88184) | $831.60 | $1,188 | 2.2× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$49–$352.10 | $70–$503 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$71.40–$147.70 | $102–$211 | varies |
| Fmr1 Gene Charac Alleles (81244) | $557.20 | $796 | 12.4× |
| Fmr1 gene detection (81243) | $718.90 | $1,027 | 12.6× |
| Folic acid rbc (82747) | $186.20 | $266 | 10.5× |
| Folic Acid Serum (82746) | $204.40 | $292 | 13.9× |
| Follicle Stimulating Hormone (83001) | $147.70 | $211 | 7.9× |
| Francisella tularensis (86668) | $135.10 | $193 | 9.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $303.80 | $434 | 1.7× |
| Frozen Section (88331) | $887.60 | $1,268 | 4.9× |
| Fungi Identification Mold (87107) | $135.80 | $194 | 13.2× |
| Galactose transferase test (82776) | $40.60 | $58 | 3.5× |
| Gammaglobulin ige (82785) | $155.40 | $222 | 9.4× |
| Gastrin (82941) | $121.10 | $173 | 6.9× |
| Genet Virus Isolate Hsv (87255) | $205.10 | $293 | 6.1× |
| Gentamicin (80170) | $184.10 | $263 | 11.2× |
| Ggt (82977) | $64.40 | $92 | 8.9× |
| Giardia antigen (87329) | $62.30 | $89 | 5.2× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $849.10 | $1,213 | 8.4× |
| Glucose 2 hr pp (82950) | $67.90 | $97 | 14.3× |
| Glucose Blood Test (82962) | $41.30 | $59 | 12.6× |
| Glucose body fluid (82945) | $53.20 | $76 | 13.5× |
| Glucose Serum (82947) | $53.20 | $76 | 13.5× |
| Glucose tolerance test (gtt) (82951) | $191.10 | $273 | 14.8× |
| Glutathione (82978) | $136.50 | $195 | 8.8× |
| Glycated Protein (82985) | $133.70 | $191 | 8.0× |
| Gonadotropin Chorionic Qualitative (84703) | $105 | $150 | 14.0× |
| Growth hormone (83003) | $131.60 | $188 | 7.9× |
| Gtt-added samples (82952) | $51.80 | $74 | 13.2× |
| H Pylori (C-13) Breath (83013) | $392 | $560 | 5.8× |
| Haloperidol (80173) | $132.30 | $189 | 8.4× |
| Haptoglobin (83010) | $143.50 | $205 | 11.4× |
| Hdl Cholesterol (83718) | $95.90 | $137 | 11.7× |
| Helicobacter Pylori Stool (87338) | $142.80 | $204 | 9.9× |
| Helminth Antibody (86682) | $97.30 | $139 | 7.5× |
| Hematocrit (85014) | $42 | $60 | 17.7× |
| Hemoglobin (85018) | $39.90 | $57 | 16.8× |
| Hemoglobin a1c (83036) | $79.10 | $113 | 8.1× |
| Hemoglobin Chromotography (83021) | $211.40 | $302 | 11.7× |
| Hemoglobin electrophoresis (83020) | $147.70 | $211 | 11.5× |
| Hemosiderin urine (83070) | $39.90 | $57 | 8.4× |
| Hep a ab igm (86709) | $144.90 | $207 | 12.9× |
| Heparin assay (85520) | $222.60 | $318 | 17.0× |
| Hepatitis a antibody total (86708) | $102.90 | $147 | 8.3× |
| Hepatitis b core ab igm (86705) | $155.40 | $222 | 13.2× |
| Hepatitis b core ab total (86704) | $170.80 | $244 | 14.2× |
| Hepatitis B Surface Antibody (86706) | $140 | $200 | 13.0× |
| Hepatitis B Surface Antigen (87340) | $136.50 | $195 | 13.2× |
| Hepatitis Be Antibody (86707) | $102.90 | $147 | 8.9× |
| Hepatitis Be Antigen (87350) | $88.20 | $126 | 7.6× |
| Hepatitis C Antibody (86803) | $213.50 | $305 | 15.0× |
| Hepatitis C Genotype (87902) | $1,469.30 | $2,099 | 5.7× |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$347.20–$439.60 | $496–$628 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $439.60 | $628 | 10.3× |
| Hepatitis Delta Agent Antibody (86692) | $192.50 | $275 | 11.2× |
| Herpes simplex type 2 (86696) | $145.60 | $208 | 7.5× |
| Heterophile Antibody Screen (86308) range across 3 matching MRF lines |
$64.40–$79.10 | $92–$113 | varies |
| Hfe Gene (81256) | $529.20 | $756 | 8.1× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $180.60 | $258 | 23.4× |
| Histoplasma antibody (86698) | $109.20 | $156 | 7.9× |
| Histoplasma antigen urine (87385) | $184.80 | $264 | 13.9× |
| Hiv Antigen W/Hiv Antibodies (87806) | $275.10 | $393 | 8.4× |
| Hiv Genotype (87901) | $1,610.70 | $2,301 | 6.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $200.90 | $287 | 8.3× |
| Hiv-1 Antibody (86701) | $140.70 | $201 | 15.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $548.10 | $783 | 6.4× |
| HIV-2 probe&revrse trnscripj (87538) | $324.10 | $463 | 9.2× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $686.70 | $981 | 9.2× |
| Hla I Typing 1 Allele Hr (81381) | $1,036.70 | $1,481 | 6.1× |
| Hla ii type 1 ag equiv lr (81377) | $875.70 | $1,251 | 9.2× |
| Hla ii typing 1 allele hr (81383) | $1,008.70 | $1,441 | 9.2× |
| Homocysteine (83090) | $184.80 | $264 | 10.3× |
| Hpv High-Risk Types (87624) | $324.10 | $463 | 9.2× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $172.20 | $246 | 2.5× |
| Hpv Types 16 & 18 Only (87625) | $217 | $310 | 5.4× |
| Hsv Dna Amp Probe (87529) | $226.10 | $323 | 6.4× |
| Htlv-I Antibody (86687) | $130.90 | $187 | 14.4× |
| Human Epididymis Protein 4 (86305) | $270.90 | $387 | 13.0× |
| Hydroxyprogesterone 17-d (83498) | $193.20 | $276 | 7.1× |
| Iaad Ia Cytomegalovirus (87332) | $100.80 | $144 | 8.4× |
| Iaad ia shiga-like toxin (87427) | $100.80 | $144 | 8.4× |
| Iaad Ia Streptococcus Group A (87430) | $141.40 | $202 | 8.4× |
| Iadna Bartonella Amplified Probe Technique (87471) | $324.10 | $463 | 9.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $256.90 | $367 | 7.3× |
| Iadna Candida Species Amplified Probe Tq (87481) | $150.50 | $215 | 4.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $217 | $310 | 6.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $268.80 | $384 | 7.7× |
| Iadna Cytomegalovirus Quantification (87497) | $439.60 | $628 | 10.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $250.60 | $358 | 3.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $385 | $550 | 9.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $212.80 | $304 | 6.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $345.10 | $493 | 8.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $316.40 | $452 | 9.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $228.20 | $326 | 6.5× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $137.90 | $197 | 2.7× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $731.50 | $1,045 | 5.1× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $2,209.20 | $3,156 | 8.4× |
| Ig Light Chains Free Each (83521) | $122.50 | $175 | 7.1× |
| Igg subclasses (82787) | $118.30 | $169 | 14.8× |
| Igh gene rearrange amp meth (81261) range across 2 matching MRF lines |
$508.90–$1,159.90 | $727–$1,657 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,793.40 | $2,562 | 6.1× |
| Igk rearrangeabn clonal pop (81264) range across 2 matching MRF lines |
$443.10–$968.80 | $633–$1,384 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$533.40–$1,348.20 | $762–$1,926 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $214.90 | $307 | 7.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $142.80 | $204 | 7.8× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $136.50 | $195 | 9.1× |
| Immunoassay nonantibody (83516) | $192.50 | $275 | 16.7× |
| Immunodiffusion Ouchterlony (86331) | $158.20 | $226 | 13.2× |
| Immunofixation electrophoresis (86334) | $248.50 | $355 | 11.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $709.10 | $1,013 | 3.9× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$376.60–$861.70 | $538–$1,231 | varies |
| In situ hybridization 1st probe stain (88365) | $968.10 | $1,383 | 5.3× |
| Influenza assay w/optic (87804) | $143.50 | $205 | 8.7× |
| Influenza DNA amp probe (87502) | $554.40 | $792 | 5.8× |
| Inhibin A (86336) | $142.80 | $204 | 9.2× |
| Inhibin b (83520) range across 3 matching MRF lines |
$51.10–$416.50 | $73–$595 | varies |
| Insitu hybridization auto (88367) | $847.70 | $1,211 | 2.2× |
| Insitu hybridization manual (88368) | $637 | $910 | 1.7× |
| Insulin antibodies (86337) | $265.30 | $379 | 12.4× |
| Insulin total (83525) | $85.40 | $122 | 7.5× |
| Interleukin-6 (83529) | $103.60 | $148 | 6.0× |
| Intrinsic factor antibody (86340) | $144.90 | $207 | 9.6× |
| Iron (83540) | $78.40 | $112 | 12.1× |
| Iron Binding Capacity (83550) | $99.40 | $142 | 11.4× |
| Irradiation Blood Product Each Unit (86945) | $177.10 | $253 | 4.4× |
| Islet cell antibody (86341) | $355.60 | $508 | 15.1× |
| Jak2 gene analysis p.val617phe variant (81270) | $849.80 | $1,214 | 9.3× |
| Ketosteroids 17 total (83586) | $107.80 | $154 | 8.4× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $2,767.80 | $3,954 | 8.4× |
| Koh Prep (87220) | $60.20 | $86 | 14.1× |
| Kras Gene Analysis Additional Variant(S) (81276) | $1,192.80 | $1,704 | 6.2× |
| Kras Gene Variants Exon 2 (81275) | $1,248.80 | $1,784 | 6.5× |
| Lactate (ld) (ldh) enzyme (83615) | $70 | $100 | 11.6× |
| Lactoferrin fecal qualitative (83630) | $198.80 | $284 | 10.1× |
| LDL direct (83721) | $90.30 | $129 | 8.6× |
| Lead (83655) | $96.60 | $138 | 8.0× |
| Legionella antibody (86713) | $36.40 | $52 | 2.4× |
| Legionella antigen urine (87449) range across 12 matching MRF lines |
$205.80–$207.90 | $294–$297 | varies |
| Leptospira antibody (86720) | $214.90 | $307 | 13.3× |
| Leukocyte Assessment Fecal (89055) | $39.20 | $56 | 9.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $203 | $290 | 6.6× |
| Level ii surg pathology grossµscopic exam (88302) | $207.90 | $297 | 5.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $861.70 | $1,231 | 2.2× |
| Lipase (83690) | $113.40 | $162 | 16.5× |
| Lipoprotein A (83695) | $205.80 | $294 | 14.4× |
| Lipoprotein Bld Quan Part (83704) | $216.30 | $309 | 6.3× |
| Lithium (80178) | $92.40 | $132 | 14.0× |
| Luteinizing Hormone (Lh) (83002) | $271.60 | $388 | 14.7× |
| Lyme disease antibody (86618) | $214.20 | $306 | 12.6× |
| Lysozyme serum (85549) | $112 | $160 | 6.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,439.20 | $2,056 | 7.9× |
| M/phmtrc alys ishquant/semiq (88374) | $1,583.40 | $2,262 | 8.7× |
| Macroscopic exam arthropod (87168) | $58.80 | $84 | 13.8× |
| Magnesium Urine (83735) | $76.30 | $109 | 11.4× |
| Mass Spectrometry Quant (83789) | $322 | $460 | 13.4× |
| Mercury urine (83825) | $103.60 | $148 | 6.4× |
| Methotrexate (80204) | $169.40 | $242 | 4.4× |
| Methylmalonic acid serum (83921) | $250.60 | $358 | 11.8× |
| Microalbumin, quantitative (82043) | $70 | $100 | 12.1× |
| Microbe Suscept Macrobroth (87188) | $56 | $80 | 8.4× |
| Microsatellite instability (81301) | $1,940.40 | $2,772 | 5.6× |
| Microsomal Antibodies Each (86376) | $149.10 | $213 | 10.2× |
| Mitochondrial Antibody Each (86381) | $133.70 | $191 | 5.3× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $363.30 | $519 | 9.6× |
| Molecular Pathology Procedure Level 6 (81405) | $1,826.30 | $2,609 | 6.1× |
| Mononuclear cell antigen (86356) | $271.60 | $388 | 10.1× |
| Mopath procedure level 4 (81403) | $1,145.20 | $1,636 | 6.2× |
| Mopath procedure level 5 (81404) | $1,705.20 | $2,436 | 6.2× |
| Mopath procedure level 7 (81406) | $3,042.20 | $4,346 | 10.8× |
| Mrsa Pcr (87641) | $222.60 | $318 | 6.3× |
| Mthfr Gene Analysis Common Variants (81291) | $716.10 | $1,023 | 11.0× |
| Mumps antibody (86735) | $144.20 | $206 | 11.0× |
| Muscle-Specific Kinase Antb (86366) | $476 | $680 | 25.9× |
| Mycophenolic Acid (80180) | $195.30 | $279 | 10.8× |
| Mycoplasma antibody (86738) | $124.60 | $178 | 9.4× |
| Mycoplasma culture (87109) | $142.10 | $203 | 9.2× |
| Myelin basic protein csf (83873) | $114.80 | $164 | 6.7× |
| Myoglobin urine (83874) | $105.70 | $151 | 8.2× |
| Natriuretic peptide (83880) | $241.50 | $345 | 6.2× |
| Neutralization Test Viral (86382) | $142.10 | $203 | 8.4× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $567.70 | $811 | 2.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $767.20 | $1,096 | 10.6× |
| Niacin (84591) | $247.80 | $354 | 14.5× |
| Nk cells total count (86357) | $241.50 | $345 | 6.4× |
| Nuclear antigen antibody (86235) | $182 | $260 | 10.2× |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $194.60 | $278 | 4.4× |
| Obstetric panel (80081) | $1,063.30 | $1,519 | 14.2× |
| Occult blood feces (82272) | $52.50 | $75 | 12.4× |
| Occult Blood Other Sources (82271) | $58.10 | $83 | 10.9× |
| Oligoclonal bands (83916) | $179.90 | $257 | 6.6× |
| Organic Acids Qualitative Each Specimen (83919) | $266 | $380 | 16.2× |
| Osmolality serum (83930) | $84 | $120 | 12.7× |
| Osmolality Urine (83935) | $58.10 | $83 | 8.5× |
| Ova and parasites smears (87177) | $56 | $80 | 6.3× |
| Oxalate urine (83945) | $96.60 | $138 | 6.7× |
| Pancreatic Elastase Fecal (82656) | $168.70 | $241 | 14.6× |
| Parvovirus antibody (86747) | $111.30 | $159 | 7.4× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $328.30 | $469 | 0.4× |
| Pathology Consultation During Surgery (88329) | $172.20 | $246 | 2.7× |
| Ph urine (81003) range across 2 matching MRF lines |
$4.20–$34.30 | $6–$49 | varies |
| Phenobarbital Level (80184) | $106.40 | $152 | 7.0× |
| Phenotype Infect Agent Drug (87900) | $884.10 | $1,263 | 6.8× |
| Phenylalanine (84030) | $125.30 | $179 | 22.8× |
| Phenytoin (Dilantin) (80185) | $161 | $230 | 12.2× |
| Phenytoin free (80186) | $164.50 | $235 | 12.0× |
| Phosphatase alkaline (84075) | $61.60 | $88 | 11.9× |
| Phospholipid Neutralization Hexagonal (85598) | $259 | $370 | 14.4× |
| Phosphorus Serum (84100) | $62.30 | $89 | 13.1× |
| Phosphorus urine (84105) | $73.50 | $105 | 12.7× |
| Pinworm exam (87172) | $64.40 | $92 | 15.1× |
| Platelet Aggregation (85576) | $236.60 | $338 | 9.5× |
| Platelet Antibodies (86022) | $349.30 | $499 | 19.0× |
| Platelet count automated (85049) | $61.60 | $88 | 13.7× |
| Platelet neutralization (85597) | $220.50 | $315 | 12.3× |
| Porphobilinogen, urine; quantitative (84110) | $114.80 | $164 | 13.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $168 | $240 | 11.4× |
| Potassium Urine (84133) | $58.80 | $84 | 12.4× |
| Prealbumin (84134) | $168 | $240 | 11.5× |
| Pregnenolone (84140) | $257.60 | $368 | 12.5× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $511.70 | $731 | 2.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $287.70 | $411 | 4.6× |
| Pretx serum rbc antibody identification dilution (86976) | $88.90 | $127 | 2.9× |
| Primidone (80188) | $118.30 | $169 | 7.1× |
| Procalcitonin (Pct) (84145) | $317.80 | $454 | 11.7× |
| Progesterone (84144) | $216.30 | $309 | 10.4× |
| Prolactin (84146) | $146.30 | $209 | 7.5× |
| Protein body fluid (84157) | $65.80 | $94 | 16.5× |
| Protein C Activity (85303) | $172.90 | $247 | 12.5× |
| Protein c antigen (85302) | $183.40 | $262 | 15.3× |
| Protein Electrophoresis Urine (84166) | $203.70 | $291 | 11.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $126.70 | $181 | 11.8× |
| Protein S Free (85306) | $207.20 | $296 | 13.5× |
| Protein s total (85305) | $196.70 | $281 | 16.9× |
| Protein total serum (84155) | $48.30 | $69 | 13.2× |
| Protein Total Urine (84156) | $63.70 | $91 | 17.4× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $111.30 | $159 | 28.2× |
| Protoporphyrin rbc quantitative (84202) | $231 | $330 | 16.1× |
| PSA free (84154) | $163.10 | $233 | 8.9× |
| Pth Intact (83970) | $278.60 | $398 | 6.7× |
| Q Fever Antibody (86638) | $85.40 | $122 | 7.0× |
| Quantiferon tb gold plus (86480) | $380.80 | $544 | 6.1× |
| Quantitative assay drug (80299) | $257.60 | $368 | 13.8× |
| Quantitative Screen Metals (83018) | $327.60 | $468 | 14.9× |
| Rbc antibody elution (86860) | $492.10 | $703 | 2.7× |
| Rbc antibody identification (86870) | $690.90 | $987 | 1.8× |
| Rbc antibody screen (86850) | $261.10 | $373 | 26.7× |
| Rbc pretreatment serum (86978) | $345.10 | $493 | 5.5× |
| Rbc pretx incubatj w/enzymes (86971) | $600.60 | $858 | 3.3× |
| Renin activity plasma (84244) | $186.20 | $266 | 8.5× |
| Resp virus 12-25 targets (87633) | $2,045.40 | $2,922 | 4.9× |
| Reticulated Platelet Assay (85055) | $300.30 | $429 | 8.4× |
| Reticulocyte Count (85046) | $46.90 | $67 | 8.4× |
| Reticulocyte Count Manual (85044) | $36.40 | $52 | 8.4× |
| Reticulocyte separation (86972) | $322.70 | $461 | 1.8× |
| Rh (86901) | $190.40 | $272 | 63.7× |
| Rheumatoid Factor Qualitative (86430) | $88.20 | $126 | 14.4× |
| Rheumatoid factor quant (86431) | $79.10 | $113 | 14.0× |
| Rickettsia antibody (86757) | $234.50 | $335 | 12.1× |
| Ristocetin cofactor (85245) | $207.90 | $297 | 9.1× |
| Rpr qualitative (86592) | $57.40 | $82 | 13.4× |
| Rsv Assay W/Optic (87807) | $181.30 | $259 | 13.8× |
| Rubella Antibody (86762) | $178.50 | $255 | 12.4× |
| Rubeola antibody (86765) | $123.20 | $176 | 9.6× |
| Rufinamide (80210) | $166.60 | $238 | 6.1× |
| Russell Viper Venom Time Diluted (85613) | $123.20 | $176 | 12.9× |
| Salicylate Level (80179) | $192.50 | $275 | 10.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $107.10 | $153 | 2.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $187.60 | $268 | 4.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $201.60 | $288 | 1.4× |
| Sedimentation Rate, Automated (85652) | $46.90 | $67 | 17.4× |
| Selenium (84255) | $188.30 | $269 | 7.4× |
| Sensitivity mic (87186) | $80.50 | $115 | 9.3× |
| Serpina 1 gene (81332) | $403.20 | $576 | 9.2× |
| Sex Hormone Binding Globulin (84270) | $149.80 | $214 | 6.9× |
| Sickling of rbc reduction (85660) | $67.20 | $96 | 12.2× |
| Sirolimus (80195) | $167.30 | $239 | 12.2× |
| Skin test tuberculosis intradermal (86580) | $16.10 | $23 | 0.5× |
| Smear acid fast (87206) | $72.80 | $104 | 13.5× |
| Smear complex stain (87209) | $126.70 | $181 | 7.0× |
| Smear gram stain (87205) | $57.40 | $82 | 13.4× |
| Smear Special Stain (87207) | $67.20 | $96 | 11.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $84 | $120 | 14.4× |
| Sodium Serum (84295) | $70 | $100 | 14.6× |
| Sodium Urine (84300) | $52.50 | $75 | 10.4× |
| Soluble Transferrin Receptor (84238) | $231 | $330 | 6.3× |
| Somatomedin (84305) range across 3 matching MRF lines |
$210–$617.40 | $300–$882 | varies |
| Special Stains Group 1 (88312) | $294.70 | $421 | 5.3× |
| Special Stains Group 2 (88313) | $329 | $470 | 2.3× |
| Specimen infect agnt concntj (87015) | $70 | $100 | 10.5× |
| Spectrophotometry (84311) | $124.60 | $178 | 15.4× |
| Stool cultr aerobic bact ea (87046) | $81.20 | $116 | 8.6× |
| Strep a DNA amp probe (87651) | $197.40 | $282 | 5.6× |
| Strep b DNA amp probe (87653) | $324.10 | $463 | 9.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $126.70 | $181 | 1.4× |
| Sugars Single Qual (84376) | $82.60 | $118 | 15.0× |
| Sulfate urine (84392) | $36.40 | $52 | 6.6× |
| Surg path level iii (88304) | $370.30 | $529 | 6.6× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$341.60–$416.50 | $488–$595 | varies |
| Surgical pathology level vi (88309) | $1,117.20 | $1,596 | 1.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $66.50 | $95 | 14.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $94.50 | $135 | 12.6× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $61.60 | $88 | 8.4× |
| Syphilis Test Non-Trep Quant (86593) | $52.50 | $75 | 11.9× |
| T cells absolute cd4 count (86361) | $182.70 | $261 | 6.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $344.40 | $492 | 7.3× |
| T cells total count (86359) | $282.80 | $404 | 7.5× |
| T3 Free (84481) | $157.50 | $225 | 9.3× |
| T3 reverse (84482) | $170.80 | $244 | 10.8× |
| T3 Total (84480) | $138.60 | $198 | 9.8× |
| T3 Uptake (84479) | $80.50 | $115 | 12.4× |
| T4 Free (84439) | $132.30 | $189 | 14.7× |
| T4 total (84436) | $84.70 | $121 | 12.3× |
| Tacrolimus (80197) | $185.50 | $265 | 13.5× |
| Test for acetone/ketones (82009) | $49.70 | $71 | 11.0× |
| Testosterone Bioavailable (84410) | $284.20 | $406 | 5.5× |
| Testosterone total (84403) | $165.20 | $236 | 6.4× |
| Testosterone, Free (84402) | $168 | $240 | 6.6× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $4,054.40 | $5,792 | 6.8× |
| Theophylline (80198) | $166.60 | $238 | 11.8× |
| Thrombin Time (85670) | $70.70 | $101 | 12.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $136.50 | $195 | 21.1× |
| Thyroglobulin (84432) | $157.50 | $225 | 9.8× |
| Thyroglobulin Antibody (86800) | $105.70 | $151 | 6.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $322 | $460 | 6.3× |
| Thyroxine binding globulin (84442) | $99.40 | $142 | 6.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $106.40 | $152 | 9.2× |
| Tissue Culture Lymphocyte (88230) | $869.40 | $1,242 | 7.5× |
| Topiramate (80201) | $177.10 | $253 | 14.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $165.90 | $237 | 8.4× |
| Toxoplasma ab igm (86778) | $184.10 | $263 | 12.8× |
| Toxoplasma antibody (86777) | $193.90 | $277 | 13.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $65.10 | $93 | 12.6× |
| Transferrin (84466) | $144.20 | $206 | 11.3× |
| Trichomonas Vaginalis Amplif (87661) | $207.20 | $296 | 5.9× |
| Triglycerides (84478) | $78.40 | $112 | 13.7× |
| Troponin Quant (84484) | $163.10 | $233 | 13.1× |
| Tumor immunohistochem/comput (88361) | $676.90 | $967 | 1.8× |
| Tumor Immunohistochem/Manual (88360) | $862.40 | $1,232 | 4.7× |
| Urea nitrogen urine (84540) | $62.30 | $89 | 11.2× |
| Uric acid other source (84560) | $58.10 | $83 | 11.4× |
| Urinalysis Microscopic Only (81015) | $49.70 | $71 | 16.3× |
| Urine Pregnancy Test (81025) | $123.90 | $177 | 14.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $52.50 | $75 | 16.6× |
| Valproic acid (80164) | $107.80 | $154 | 8.0× |
| Vancomycin (80202) | $186.20 | $266 | 13.8× |
| Varicella-zoster antibody (86787) | $136.50 | $195 | 10.6× |
| Vasopressin (84588) | $331.10 | $473 | 9.8× |
| Viral Culture (87252) | $210 | $300 | 8.1× |
| Virus antibody nos (86790) | $177.80 | $254 | 13.8× |
| Virus inoculate tissue addl (87253) | $148.40 | $212 | 7.3× |
| Virus inoculation, shell via (87254) | $210.70 | $301 | 10.8× |
| Viscosity serum (85810) | $123.90 | $177 | 10.6× |
| Vit D 1 25-Dihydroxy (82652) | $469.70 | $671 | 12.2× |
| Vitamin A (84590) | $162.40 | $232 | 14.0× |
| Vitamin b-12 (82607) | $119 | $170 | 7.9× |
| Vitamin B2 (Riboflavin) (84252) | $280 | $400 | 13.8× |
| Vitamin B6 (84207) | $315.70 | $451 | 11.2× |
| Vitamin D 25-Hydroxy (82306) | $203.70 | $291 | 6.9× |
| Vitamin E (84446) | $165.90 | $237 | 11.7× |
| Vitamin K (84597) | $191.10 | $273 | 13.9× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $126.70 | $181 | 10.5× |
| Von willebrand factor ag (85246) | $238.70 | $341 | 10.4× |
| West nile virus ab igm (86788) range across 8 matching MRF lines |
$106.40–$133.70 | $152–$191 | varies |
| West Nile Virus Antibody (86789) range across 8 matching MRF lines |
$95.20–$116.20 | $136–$166 | varies |
| Zika Virus Dna/Rna Amp Probe (87662) | $578.90 | $827 | 11.3× |
| Zinc (84630) | $87.50 | $125 | 7.7× |
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.