Lab & pathology prices at Osf Saint Paul Medical Center
Mendota, IL · every code in this section with a posted price and a Medicare benchmark.
802 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $224.80 | $281 | 9.9× |
| 5 Nucleotidase (83915) | $132 | $165 | 11.8× |
| Abl1 gene analysis kinase domain variants (81170) | $1,323.20 | $1,654 | 4.4× |
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$146.40–$525.60 | $183–$657 | varies |
| Acetylcholinesterase Assay (82013) | $240 | $300 | 19.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $210.40 | $263 | 17.5× |
| Acth (82024) | $296.80 | $371 | 7.7× |
| Acute hepatitis panel (80074) | $560.80 | $701 | 11.8× |
| Acylcarnitines Quant (82017) | $365.60 | $457 | 21.7× |
| Agglutinins Febrile Each Antigen (86000) | $244.80 | $306 | 35.1× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$20–$26.40 | $25–$33 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$20–$24.80 | $25–$31 | varies |
| Aldolase (82085) | $180.80 | $226 | 18.6× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$236–$308 | $295–$385 | varies |
| Alkaline phosphatase isoenzymes (84080) | $156 | $195 | 10.6× |
| Allergen specific ige (86003) | $14.40 | $18 | 2.8× |
| Allergen specific igg (86001) | $58.40 | $73 | 7.5× |
| Allg Spec Ige Recomb Ea (86008) range across 8 matching MRF lines |
$165.60–$563.20 | $207–$704 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $101.60 | $127 | 7.0× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$148–$251.20 | $185–$314 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$68–$207.20 | $85–$259 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$50.40–$128 | $63–$160 | varies |
| Amikacin trough (80150) | $136.80 | $171 | 9.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$164.80–$658.40 | $206–$823 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$332.80–$1,340.80 | $416–$1,676 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $754.40 | $943 | 54.4× |
| Aminolevulinic acid (ala) (82135) | $84 | $105 | 5.1× |
| Ammonia (82140) | $32 | $40 | 2.2× |
| Amylase urine (82150) range across 4 matching MRF lines |
$154.40–$270.40 | $193–$338 | varies |
| Ana Titer (86039) | $80.80 | $101 | 7.2× |
| Anca screen each antibody (86036) | $36 | $45 | 3.0× |
| Androstanediol Glucuronide (82154) | $140 | $175 | 4.9× |
| Androstenedione (82157) range across 2 matching MRF lines |
$297.60–$391.20 | $372–$489 | varies |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$166.40–$174.40 | $208–$218 | varies |
| Anti-Phospholipid Antibody (86148) | $106.40 | $133 | 6.6× |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
$61.60–$122.40 | $77–$153 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $200.80 | $251 | 15.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $205.60 | $257 | 13.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 3 matching MRF lines |
$51.20–$151.20 | $64–$189 | varies |
| Antibody Encephalitis California La Crosse (86651) range across 7 matching MRF lines |
$47.20–$75.20 | $59–$94 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $204.80 | $256 | 15.6× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$27.20–$194.40 | $34–$243 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$32–$152.80 | $40–$191 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 6 matching MRF lines |
$41.60–$232.80 | $52–$291 | varies |
| Antibody haemophilus influenza (86684) range across 3 matching MRF lines |
$64–$142.40 | $80–$178 | varies |
| Antibody helicobacter pylori (86677) | $214.40 | $268 | 12.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $160 | $200 | 11.1× |
| Antibody Herpes Smplx Type 1 (86695) | $146.40 | $183 | 11.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $178.40 | $223 | 13.0× |
| Antibody HIV-2 (86702) | $140.80 | $176 | 10.4× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 3 matching MRF lines |
$212.80–$493.60 | $266–$617 | varies |
| Antibody identification leukocyte antibodies (86021) | $208.80 | $261 | 13.9× |
| Antibody Identification Platelet Immunogl Assay (86023) | $156.80 | $196 | 12.6× |
| Antibody Protozoa Nes (86753) | $142.40 | $178 | 11.5× |
| Antibody Titer (86886) | $185.60 | $232 | 35.8× |
| Antibody Treponema Pallidum (86780) range across 7 matching MRF lines |
$23.20–$176 | $29–$220 | varies |
| Antibody; campylobacter (86625) | $285.60 | $357 | 21.8× |
| Antibody; encephalitis, st. louis (86653) range across 7 matching MRF lines |
$22.40–$75.20 | $28–$94 | varies |
| Antibody; influenza virus (86710) | $278.40 | $348 | 20.5× |
| Antigen typing (86905) range across 8 matching MRF lines |
$302.40–$476 | $378–$595 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $144 | $180 | 25.2× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$84–$138.40 | $105–$173 | varies |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$93.60–$369.60 | $117–$462 | varies |
| Antithrombin iii antigen (85301) | $348 | $435 | 32.2× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) range across 2 matching MRF lines |
$5,624.80–$8,192.80 | $7,031–$10,241 | varies |
| Apolipoprotein a1 (82172) range across 7 matching MRF lines |
$67.20–$364.80 | $84–$456 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 7 matching MRF lines |
$224.80–$936.80 | $281–$1,171 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$264–$277.60 | $330–$347 | varies |
| Aspergillus ag eia (87305) | $161.60 | $202 | 13.5× |
| Assay activated protein c (85307) range across 3 matching MRF lines |
$120–$187.20 | $150–$234 | varies |
| Assay Blood Carbon Dioxide (82374) | $112.80 | $141 | 23.1× |
| Assay Nephelometry Not Spec (83883) range across 7 matching MRF lines |
$42.40–$476 | $53–$595 | varies |
| Assay of 5-hiaa (83497) | $169.60 | $212 | 13.1× |
| Assay of anti-mullerian hormone (82166) | $126.40 | $158 | 3.3× |
| Assay of blood/uric acid (84550) | $97.60 | $122 | 21.6× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$20–$145.60 | $25–$182 | varies |
| Assay of cpk in blood (82552) | $63.20 | $79 | 4.7× |
| Assay of estrone (82679) | $371.20 | $464 | 14.9× |
| Assay of g6pd enzyme (82955) | $156 | $195 | 16.1× |
| Assay of gammaglobulin igm (82784) range across 11 matching MRF lines |
$49.60–$180.80 | $62–$226 | varies |
| Assay of lactic acid (83605) range across 4 matching MRF lines |
$33.60–$408 | $42–$510 | varies |
| Assay of manganese (83785) range across 4 matching MRF lines |
$113.60–$762.40 | $142–$953 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$98.40–$389.60 | $123–$487 | varies |
| Assay of proinsulin (84206) | $169.60 | $212 | 6.4× |
| Assay of serotonin (84260) | $375.20 | $469 | 12.1× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$109.60–$118.40 | $137–$148 | varies |
| Assay of sweat sodium (84302) | $118.40 | $148 | 24.4× |
| Assay of Tyrosine (84510) | $124 | $155 | 11.7× |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$45.60–$100 | $57–$125 | varies |
| Assay of urine vma (84585) | $156.80 | $196 | 10.1× |
| Assay of vasoactive intestinal peptide (84586) range across 2 matching MRF lines |
$122.40–$189.60 | $153–$237 | varies |
| Assay of vitamin b-1 (84425) | $194.40 | $243 | 9.2× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$20–$113.60 | $25–$142 | varies |
| Assay Phosphohexose Enzymes (84087) | $113.60 | $142 | 10.6× |
| Assay spec xcp ur&breath ia (82077) | $281.60 | $352 | 16.3× |
| Asy carbamazepin 10,11-epxid (80161) | $65.60 | $82 | 3.5× |
| Automated Leukocyte Count (85048) | $51.20 | $64 | 20.2× |
| B cells total count (86355) range across 3 matching MRF lines |
$171.20–$643.20 | $214–$804 | varies |
| Babesia microti amp prb (87469) | $47.20 | $59 | 1.3× |
| Bartonella antibody (86611) range across 5 matching MRF lines |
$36.80–$313.60 | $46–$392 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$451.20–$924.80 | $564–$1,156 | varies |
| Bcr/abl1 gene minor bp (81207) | $397.60 | $497 | 2.7× |
| Bcr/Abl1 Gene Other Bp (81208) | $477.60 | $597 | 2.2× |
| Beta 2 glycoprotein i antibody each (86146) | $101.60 | $127 | 4.0× |
| Beta hydroxybutyrate (82010) | $72 | $90 | 8.8× |
| Beta Lactamase (87185) | $55.20 | $69 | 11.6× |
| Beta-2 Microglobulin (82232) range across 4 matching MRF lines |
$101.60–$580 | $127–$725 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) range across 2 matching MRF lines |
$443.20–$444 | $554–$555 | varies |
| Bilirubin direct (82248) | $107.20 | $134 | 21.4× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$50.40–$96 | $63–$120 | varies |
| Bilirubin total transcutaneous (88720) | $80.80 | $101 | 16.1× |
| Biotinidase (82261) | $52 | $65 | 3.1× |
| Blastomyces antibody (86612) | $116 | $145 | 9.0× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $168.80 | $211 | 0.9× |
| Bld Typing Serologic Rh Phnt (86906) | $118.40 | $148 | 15.3× |
| Bleeding time test (85002) | $88.80 | $111 | 18.4× |
| Blood Count Red Blood Cell Automated (85041) | $48.80 | $61 | 16.2× |
| Blood count reticulocyte automated (85045) | $109.60 | $137 | 27.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $90.40 | $113 | 23.8× |
| Blood gas (82803) | $252.80 | $316 | 9.7× |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$343.20–$356.80 | $429–$446 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $117.60 | $147 | 7.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$76–$146.40 | $95–$183 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 6 matching MRF lines |
$302.40–$476 | $378–$595 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$103.20–$108 | $129–$135 | varies |
| Body fluid cell count (89050) | $174.40 | $218 | 36.9× |
| Bone marrow smear interpretation (85097) | $699.20 | $874 | 0.8× |
| Borrelia miyamotoi amp prb (87478) | $47.20 | $59 | 1.3× |
| Braf gene analysis (81210) | $834.40 | $1,043 | 4.8× |
| Brca1&2 gen full seq dup/del (81162) range across 5 matching MRF lines |
$2,568–$6,561.60 | $3,210–$8,202 | varies |
| Breath Alcohol Test (82075) | $45.60 | $57 | 1.5× |
| Brucella antibody (86622) range across 6 matching MRF lines |
$74.40–$472.80 | $93–$591 | varies |
| C diff amplified probe (87493) | $179.20 | $224 | 4.8× |
| C-Peptide (84681) | $223.20 | $279 | 10.7× |
| C-reactive protein (86140) | $78.40 | $98 | 15.1× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$165.60–$425.60 | $207–$532 | varies |
| Cadmium (82300) range across 2 matching MRF lines |
$94.40–$188 | $118–$235 | varies |
| Caffeine (80155) | $248.80 | $311 | 6.5× |
| Calcitonin (82308) | $227.20 | $284 | 8.5× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$131.20–$160 | $164–$200 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$119.20–$142.40 | $149–$178 | varies |
| Calculus assay quant (82360) | $187.20 | $234 | 14.5× |
| Calculus Spectroscopy (82365) | $172 | $215 | 13.3× |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$337.60–$631.20 | $422–$789 | varies |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$1,038.40–$1,076 | $1,298–$1,345 | varies |
| Cancer Antigen 125 (86304) | $164.80 | $206 | 7.9× |
| Cancer Antigen 27.29 (86300) | $165.60 | $207 | 8.0× |
| Candida antibody (86628) | $89.60 | $112 | 7.5× |
| Candida Dna Dir Probe (87480) | $55.20 | $69 | 2.8× |
| Carbamazepine total (80156) | $87.20 | $109 | 6.0× |
| Carbohydrate Deficient Transferrin (82373) | $208.80 | $261 | 11.6× |
| Carboxyhemoglobin (82375) | $90.40 | $113 | 7.3× |
| Carcinoembryonic antigen (82378) | $118.40 | $148 | 6.2× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$154.40–$226.40 | $193–$283 | varies |
| Carnitine Quantitative Each Specimen (82379) | $204 | $255 | 12.1× |
| Carotene (82380) | $172 | $215 | 18.7× |
| Catecholamines fractionated (82384) | $252 | $315 | 10.0× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$57.60–$203.20 | $72–$254 | varies |
| Cell count csf (89051) | $186.40 | $233 | 33.3× |
| Cell marker study (88182) | $239.20 | $299 | 4.3× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $528.80 | $661 | 3.9× |
| Ceruloplasmin (82390) | $185.60 | $232 | 17.3× |
| Cftr gene com variants (81220) | $756 | $945 | 1.4× |
| Cftr gene dup/delet variants (81222) range across 2 matching MRF lines |
$411.20–$2,018.40 | $514–$2,523 | varies |
| Cftr gene full sequence (81223) range across 4 matching MRF lines |
$2,054.40–$4,062.40 | $2,568–$5,078 | varies |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$42.40–$44 | $53–$55 | varies |
| Chlamydia antibody (86631) range across 7 matching MRF lines |
$29.60–$172 | $37–$215 | varies |
| Chlamydia Igm Antibody (86632) range across 4 matching MRF lines |
$31.20–$152 | $39–$190 | varies |
| Chlmy trch&neisra gonor mult (87494) | $96.80 | $121 | 1.4× |
| Chloride Serum (82435) | $100 | $125 | 21.7× |
| Chloride urine (82436) | $109.60 | $137 | 19.1× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$104–$106.40 | $130–$133 | varies |
| Cholinesterase rbc (82482) | $161.60 | $202 | 16.5× |
| Cholinesterase Serum (82480) | $161.60 | $202 | 20.5× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$66.40–$200 | $83–$250 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) | $272 | $340 | 7.9× |
| Chromium serum (82495) | $112 | $140 | 5.5× |
| Chromogenic Substrate Assay (85130) range across 5 matching MRF lines |
$237.60–$1,064 | $297–$1,330 | varies |
| Chromogranin a (86316) range across 2 matching MRF lines |
$174.40–$297.60 | $218–$372 | varies |
| Chromosome Analysis 15-20 (88262) | $916.80 | $1,146 | 7.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 5 matching MRF lines |
$66.40–$1,118.40 | $83–$1,398 | varies |
| Citric acid urine (82507) | $555.20 | $694 | 20.0× |
| Ckmb (82553) | $176 | $220 | 15.2× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$97.60–$152 | $122–$190 | varies |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$122.40–$216.80 | $153–$271 | varies |
| Clot factor xiii fibrin stab (85290) | $504 | $630 | 30.8× |
| Clotting factor xii hageman (85280) range across 2 matching MRF lines |
$133.60–$200 | $167–$250 | varies |
| Clotting Funct Activity (85397) range across 11 matching MRF lines |
$248–$613.60 | $310–$767 | varies |
| Clotting hi molec weight kininogen assay (85293) | $123.20 | $154 | 6.5× |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$952.80–$1,536.80 | $1,191–$1,921 | varies |
| Coagulation time activated (85347) | $133.60 | $167 | 31.2× |
| Coccidioides antibody (86635) range across 5 matching MRF lines |
$45.60–$152.80 | $57–$191 | varies |
| Cold agglutinin titer (86157) | $129.60 | $162 | 16.1× |
| Collagen crosslinks (82523) | $285.60 | $357 | 15.3× |
| Column Chromotography Quant (82542) range across 25 matching MRF lines |
$52–$1,093.60 | $65–$1,367 | varies |
| Compatibility Each Unit Incubation (86921) | $144 | $180 | 0.8× |
| Compatibility test antiglob (86922) | $144 | $180 | 0.8× |
| Complement Antigen Each Component (86160) | $120 | $150 | 10.0× |
| Complement Total (Ch50) (86162) | $143.20 | $179 | 7.0× |
| Complement/Function Activity (86161) | $188 | $235 | 15.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $180.80 | $226 | 1.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $962.40 | $1,203 | 17.2× |
| Coombs direct (86880) range across 2 matching MRF lines |
$71.20–$95.20 | $89–$119 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$140–$146.40 | $175–$183 | varies |
| Cortisol free (82530) | $336.80 | $421 | 20.2× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$161.60–$420.80 | $202–$526 | varies |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$20–$145.60 | $25–$182 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$95.20–$110.40 | $119–$138 | varies |
| Creatinine clearance (82575) | $180.80 | $226 | 19.1× |
| Creatinine Urine (82570) | $49.60 | $62 | 9.6× |
| Crossmatch electronic (86923) | $361.60 | $452 | 2.0× |
| Crossmatch immediate spin (86920) | $144 | $180 | 0.8× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$169.60–$386.40 | $212–$483 | varies |
| Cryofibrinogen (82585) | $44 | $55 | 3.1× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$20–$194.40 | $25–$243 | varies |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) range across 3 matching MRF lines |
$76.80–$911.20 | $96–$1,139 | varies |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$84–$137.60 | $105–$172 | varies |
| Cryptosporidium ag eia (87328) | $130.40 | $163 | 9.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $72 | $90 | 8.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$186.40–$234.40 | $233–$293 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $823.20 | $1,029 | 3.8× |
| Culture afb (87116) | $218.40 | $273 | 20.2× |
| Culture Anaerobic (87075) | $171.20 | $214 | 18.1× |
| Culture bacteria anaerobic (87073) | $452 | $565 | 46.8× |
| Culture blood (87040) range across 2 matching MRF lines |
$130.40–$228 | $163–$285 | varies |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$268.80–$330.40 | $336–$413 | varies |
| Culture csf (87070) range across 3 matching MRF lines |
$159.20–$171.20 | $199–$214 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$243.20–$245.60 | $304–$307 | varies |
| Culture fungus blood (87103) | $240.80 | $301 | 11.8× |
| Culture screen only (87081) range across 6 matching MRF lines |
$66.40–$154.40 | $83–$193 | varies |
| Culture stool (87045) | $224.80 | $281 | 23.8× |
| Culture typing if ea antiserum (87140) | $89.60 | $112 | 16.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$50.40–$109.60 | $63–$137 | varies |
| Culture urine (87086) | $77.60 | $97 | 9.6× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$82.40–$211.20 | $103–$264 | varies |
| Cyp2c19 gene analysis common variants (81225) range across 3 matching MRF lines |
$1,906.40–$1,986.40 | $2,383–$2,483 | varies |
| Cyp2d6 gene com variants (81226) | $1,224.80 | $1,531 | 2.7× |
| Cystatin C (82610) range across 3 matching MRF lines |
$40–$145.60 | $50–$182 | varies |
| Cytogenetics 10-30 (88273) | $173.60 | $217 | 5.0× |
| Cytogenetics 100-300 (88275) | $204 | $255 | 4.0× |
| Cytogenom Const Microarray Copy Number Variants (81228) range across 3 matching MRF lines |
$1,139.20–$1,697.60 | $1,424–$2,122 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$2,661.60–$4,965.60 | $3,327–$6,207 | varies |
| Cytogenomic neo microra alys (81277) | $6,670.40 | $8,338 | 5.8× |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$51.20–$248.80 | $64–$311 | varies |
| Cytopath Cell Enhance Tech (88112) | $181.60 | $227 | 3.3× |
| Cytotoxic pra quick (86808) | $879.20 | $1,099 | 29.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$168–$780.80 | $210–$976 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $144 | $180 | 0.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$178.40–$206.40 | $223–$258 | varies |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,011.20 | $1,264 | 5.5× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $124 | $155 | 6.7× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $159.20 | $199 | 2.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $206.40 | $258 | 6.7× |
| Deoxycortisol (82634) | $290.40 | $363 | 9.9× |
| Deoxyribonuclease antibody (86215) | $217.60 | $272 | 16.4× |
| Desoxycorticosterone (82633) | $304.80 | $381 | 9.8× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$144.80–$294.40 | $181–$368 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$517.60–$700 | $647–$875 | varies |
| Detect agnt mult DNA ampli (87801) | $1,050.40 | $1,313 | 15.0× |
| Dhea (82626) | $248.80 | $311 | 9.8× |
| Dhea-S (82627) | $416 | $520 | 18.7× |
| Digoxin (80162) range across 2 matching MRF lines |
$144.80–$145.60 | $181–$182 | varies |
| Dihydrotestosterone (82642) | $156.80 | $196 | 5.4× |
| Diphtheria antitoxoid (86648) | $134.40 | $168 | 8.8× |
| Dna Antibody Native/Double Stranded (86225) | $217.60 | $272 | 15.8× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$94.40–$158.40 | $118–$198 | varies |
| Dna/Rna Sequencing (87153) | $456 | $570 | 4.0× |
| Dpyd gene common variants (81232) | $1,984.80 | $2,481 | 11.4× |
| Drug assay acetaminophen (80143) | $191.20 | $239 | 10.3× |
| Drug assay adalimumab (80145) | $987.20 | $1,234 | 25.6× |
| Drug Assay Amiodarone (80151) | $66.40 | $83 | 3.6× |
| Drug Assay Everolimus (80169) | $749.60 | $937 | 54.6× |
| Drug assay felbamate (80167) | $115.20 | $144 | 6.2× |
| Drug Assay Infliximab (80230) | $666.40 | $833 | 17.3× |
| Drug Assay Itraconazole (80189) | $132 | $165 | 4.9× |
| Drug Assay Lacosamide (80235) | $422.40 | $528 | 15.6× |
| Drug Assay Leflunomide (80193) | $497.60 | $622 | 12.9× |
| Drug Assay Posaconazole (80187) | $228.80 | $286 | 8.4× |
| Drug Assay Vedolizumab (80280) | $521.60 | $652 | 13.5× |
| Drug assay voriconazole (80285) | $189.60 | $237 | 7.0× |
| Drug Screen Quant Clozapine (80159) | $111.20 | $139 | 5.5× |
| Drug Screen Quant Zonisamide (80203) | $230.40 | $288 | 17.4× |
| Drug Screen Quantitative Gabapentin (80171) | $271.20 | $339 | 12.5× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$126.40–$203.20 | $158–$254 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $271.20 | $339 | 20.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $156 | $195 | 11.8× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $131.20 | $164 | 7.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$512.80–$528 | $641–$660 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $156.80 | $196 | 12.4× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$224.80–$278.40 | $281–$348 | varies |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
$641.60–$2,317.60 | $802–$2,897 | varies |
| Ehrlichia antibody (86666) | $76 | $95 | 7.5× |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$248–$285.60 | $310–$357 | varies |
| Electrolyte panel (80051) | $211.20 | $264 | 30.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 3 matching MRF lines |
$56–$231.20 | $70–$289 | varies |
| Encephaltis East Eqne Anbdy (86652) range across 7 matching MRF lines |
$22.40–$75.20 | $28–$94 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 7 matching MRF lines |
$47.20–$75.20 | $59–$94 | varies |
| Enterovirus Antibody (86658) | $53.60 | $67 | 4.1× |
| Enterovirus PCR (87498) | $627.20 | $784 | 17.9× |
| Enzyme cell activity (82657) | $763.20 | $954 | 34.4× |
| Enzyme histochemistry (88319) | $699.20 | $874 | 0.8× |
| Eosinophil Smear (89190) | $96 | $120 | 16.6× |
| Erythropoietin (82668) | $392.80 | $491 | 20.9× |
| Estradiol serum (82670) | $92 | $115 | 3.3× |
| Estriol (82677) | $161.60 | $202 | 6.7× |
| Estrogen total (82672) | $122.40 | $153 | 5.6× |
| Estrogens fractionated (82671) | $364.80 | $456 | 11.3× |
| Ethosuximide (80168) | $133.60 | $167 | 8.2× |
| Ethylene Glycol (82693) | $235.20 | $294 | 15.8× |
| Euglobulin lysis (85360) range across 2 matching MRF lines |
$308–$316.80 | $385–$396 | varies |
| Exam Synovial Fluid Crystals (89060) | $136 | $170 | 18.6× |
| F2 Gene (81240) range across 3 matching MRF lines |
$419.20–$642.40 | $524–$803 | varies |
| Factor ii activity (85210) | $200 | $250 | 15.4× |
| Factor Inhibitor Test (85335) | $1,012 | $1,265 | 78.6× |
| Factor ix activity (85250) range across 2 matching MRF lines |
$135.20–$200 | $169–$250 | varies |
| Factor v activity (85220) range across 2 matching MRF lines |
$134.40–$200 | $168–$250 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$165.60–$439.20 | $207–$549 | varies |
| Factor vii assay (85230) range across 2 matching MRF lines |
$160–$200 | $200–$250 | varies |
| Factor viii assay (85240) range across 3 matching MRF lines |
$126.40–$220.80 | $158–$276 | varies |
| Factor X (85260) range across 3 matching MRF lines |
$200–$562.40 | $250–$703 | varies |
| Factor xi activity (85270) range across 2 matching MRF lines |
$200–$229.60 | $250–$287 | varies |
| Fancc Gene (81242) | $1,080.80 | $1,351 | 29.5× |
| Fat stain feces urine/respir secretions (89125) | $124 | $155 | 21.1× |
| Fat/Lipids Feces Quantitative (82710) | $397.60 | $497 | 23.7× |
| Fatty acids free (82725) | $101.60 | $127 | 5.4× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $165.60 | $207 | 21.5× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $497.60 | $622 | 28.9× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $340 | $425 | 52.1× |
| Fecal Fat Qualitative (82705) | $80 | $100 | 15.7× |
| Ferritin (82728) range across 2 matching MRF lines |
$146.40–$221.60 | $183–$277 | varies |
| Fetal Chrmoml Aneuploidy (81420) range across 2 matching MRF lines |
$1,986.40–$3,177.60 | $2,483–$3,972 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $360 | $450 | 2.3× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $667.20 | $834 | 12.3× |
| Fetal Fibronectin (82731) | $1,095.20 | $1,369 | 17.0× |
| Fetal screen rosette (85461) | $93.60 | $117 | 10.0× |
| Fibrin degradation products (85362) | $104 | $130 | 15.1× |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$80.80–$234.40 | $101–$293 | varies |
| Fibrinogen activity (85384) range across 6 matching MRF lines |
$67.20–$172.80 | $84–$216 | varies |
| Fibrinogen antigen (85385) range across 2 matching MRF lines |
$203.20–$428 | $254–$535 | varies |
| Flow cytometry first marker (88184) range across 19 matching MRF lines |
$302.40–$2,969.60 | $378–$3,712 | varies |
| Fluorescent antibody screen (86255) range across 8 matching MRF lines |
$40.80–$490.40 | $51–$613 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$63.20–$517.60 | $79–$647 | varies |
| Fmr1 gene detection (81243) | $604 | $755 | 10.6× |
| Folic acid rbc (82747) | $216.80 | $271 | 12.3× |
| Folic Acid Serum (82746) | $186.40 | $233 | 12.7× |
| Follicle Stimulating Hormone (83001) | $61.60 | $77 | 3.3× |
| Francisella tularensis (86668) | $133.60 | $167 | 9.4× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $144 | $180 | 0.8× |
| Frozen Section (88331) | $260 | $325 | 1.4× |
| Fungi Identification Mold (87107) | $132 | $165 | 12.8× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$140–$156 | $175–$195 | varies |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $138.40 | $173 | 2.4× |
| G6pd gene analysis full gene sequence (81249) | $1,960.80 | $2,451 | 3.3× |
| Galactose transferase test (82776) | $52 | $65 | 4.4× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $148 | $185 | 7.0× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$36.80–$148 | $46–$185 | varies |
| Gardner vag DNA dir probe (87510) | $55.20 | $69 | 2.8× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $179.20 | $224 | 18.3× |
| Gases blood ph only (82800) | $120.80 | $151 | 11.0× |
| Gastrin (82941) | $332.80 | $416 | 18.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$1,050.40–$1,456 | $1,313–$1,820 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 4 matching MRF lines |
$1,835.20–$5,959.20 | $2,294–$7,449 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$4,151.20–$4,790.40 | $5,189–$5,988 | varies |
| Genetic Tstg Severe Inh Cond (81443) range across 3 matching MRF lines |
$7,030.40–$9,084 | $8,788–$11,355 | varies |
| Gentamicin (80170) | $164.80 | $206 | 10.1× |
| Ggt (82977) range across 2 matching MRF lines |
$50.40–$133.60 | $63–$167 | varies |
| Giardia antigen (87329) | $187.20 | $234 | 15.6× |
| Giardia lamblia antibody (86674) | $140 | $175 | 9.5× |
| Glucagon (82943) | $172 | $215 | 12.0× |
| Glucose 2 hr pp (82950) | $121.60 | $152 | 25.6× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$47.20–$48 | $59–$60 | varies |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$28.80–$125.60 | $36–$157 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$97.60–$100 | $122–$125 | varies |
| Glucose tolerance test (gtt) (82951) | $193.60 | $242 | 15.0× |
| Glutathione (82978) | $163.20 | $204 | 10.6× |
| Glycated Protein (82985) | $76 | $95 | 4.5× |
| Gonadotropin Chorionic Qualitative (84703) | $97.60 | $122 | 13.0× |
| Growth hormone (83003) | $180.80 | $226 | 10.8× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$73.60–$74.40 | $92–$93 | varies |
| H Pylori (C-13) Breath (83013) | $247.20 | $309 | 3.7× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$154.40–$278.40 | $193–$348 | varies |
| Hba1/hba2 full gene sequence (81259) range across 2 matching MRF lines |
$1,190.40–$1,241.60 | $1,488–$1,552 | varies |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 3 matching MRF lines |
$896–$1,076 | $1,120–$1,345 | varies |
| Hbb duplication/deletion variants (81363) range across 2 matching MRF lines |
$1,112–$1,158.40 | $1,390–$1,448 | varies |
| Hbb Full Gene Sequence (81364) range across 2 matching MRF lines |
$1,190.40–$1,241.60 | $1,488–$1,552 | varies |
| Hdl Cholesterol (83718) range across 3 matching MRF lines |
$31.20–$155.20 | $39–$194 | varies |
| Helicobacter Pylori Stool (87338) | $94.40 | $118 | 6.6× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$111.20–$182.40 | $139–$228 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$52–$97.60 | $65–$122 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$27.20–$52 | $34–$65 | varies |
| Hemoglobin a1c (83036) | $79.20 | $99 | 8.2× |
| Hemoglobin Chromotography (83021) range across 8 matching MRF lines |
$52–$921.60 | $65–$1,152 | varies |
| Hemoglobin electrophoresis (83020) range across 10 matching MRF lines |
$32.80–$656 | $41–$820 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$98.40–$441.60 | $123–$552 | varies |
| Hemoglobin plasma (83051) | $93.60 | $117 | 12.8× |
| Hemoglobin stability screen (83068) range across 3 matching MRF lines |
$99.20–$568 | $124–$710 | varies |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $69.60 | $87 | 7.9× |
| Hep a ab igm (86709) range across 3 matching MRF lines |
$61.60–$326.40 | $77–$408 | varies |
| Heparin assay (85520) | $634.40 | $793 | 48.5× |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$67.20–$137.60 | $84–$172 | varies |
| Hepatitis b core ab igm (86705) | $160 | $200 | 13.6× |
| Hepatitis b core ab total (86704) | $131.20 | $164 | 10.9× |
| Hepatitis B Surface Antibody (86706) | $152 | $190 | 14.2× |
| Hepatitis B Surface Antigen (87340) | $151.20 | $189 | 14.6× |
| Hepatitis Be Antibody (86707) | $119.20 | $149 | 10.3× |
| Hepatitis Be Antigen (87350) | $123.20 | $154 | 10.7× |
| Hepatitis C Antibody (86803) | $224 | $280 | 15.7× |
| Hepatitis C Genotype (87902) | $309.60 | $387 | 1.2× |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$174.40–$309.60 | $218–$387 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$276–$280 | $345–$350 | varies |
| Hepatitis d quantification (87523) | $1,960.80 | $2,451 | 45.8× |
| Hepatitis Delta Agent Antibody (86692) range across 3 matching MRF lines |
$161.60–$240 | $202–$300 | varies |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $4,903.20 | $6,129 | 3.8× |
| Hereditary peripheral neuropathy gen seq pnl (81448) range across 7 matching MRF lines |
$6,456.80–$9,374.40 | $8,071–$11,718 | varies |
| Herpes simplex type 2 (86696) range across 4 matching MRF lines |
$51.20–$156 | $64–$195 | varies |
| Heterophile Antibody Screen (86308) range across 3 matching MRF lines |
$108–$122.40 | $135–$153 | varies |
| Hfe Gene (81256) | $683.20 | $854 | 10.5× |
| Histamine urine (83088) | $480 | $600 | 16.3× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$162.40–$165.60 | $203–$207 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$203.20–$400 | $254–$500 | varies |
| Hiv Genotype (87901) | $1,282.40 | $1,603 | 5.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $280.80 | $351 | 11.7× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$140.80–$145.60 | $176–$182 | varies |
| HIV-1 p24 antigen (87390) | $424.80 | $531 | 17.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$265.60–$460 | $332–$575 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $70.40 | $88 | 2.0× |
| Hla Class I Typing Low Resolution Complete (81372) | $392.80 | $491 | 1.0× |
| Hla I Typing 1 Allele Hr (81381) range across 4 matching MRF lines |
$572–$1,101.60 | $715–$1,377 | varies |
| Hla ii typing 1 locus lr (81376) | $337.60 | $422 | 2.8× |
| Hla Typing a/B/C Multiple Antigens (86813) | $943.20 | $1,179 | 16.3× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $751.20 | $939 | 7.1× |
| Hla-b27 (86812) | $190.40 | $238 | 7.4× |
| Homocysteine (83090) | $145.60 | $182 | 8.1× |
| Homovanillic acid urine (83150) | $108 | $135 | 4.8× |
| Hpv High-Risk Types (87624) | $276.80 | $346 | 7.9× |
| Hsv Dna Amp Probe (87529) range across 16 matching MRF lines |
$55.20–$447.20 | $69–$559 | varies |
| Htlv-I Antibody (86687) | $205.60 | $257 | 22.6× |
| Htt Gene Detc Abnor Alleles (81271) | $994.40 | $1,243 | 7.3× |
| Human Epididymis Protein 4 (86305) | $422.40 | $528 | 20.3× |
| Hydroxycorticosteroids 17 (83491) | $164.80 | $206 | 9.2× |
| Hydroxyprogesterone 17-d (83498) | $132 | $165 | 4.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $243.20 | $304 | 23.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $156.80 | $196 | 11.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $75.20 | $94 | 2.1× |
| Iaadi Varicella Zoster Virus (87290) | $328 | $410 | 24.4× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) range across 2 matching MRF lines |
$47.20–$51.20 | $59–$64 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$73.60–$76.80 | $92–$96 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $172 | $215 | 4.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$74.40–$418.40 | $93–$523 | varies |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $130.40 | $163 | 5.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $279.20 | $349 | 8.0× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$508.80–$656 | $636–$820 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $272.80 | $341 | 3.9× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 2 matching MRF lines |
$47.20–$51.20 | $59–$64 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $796.80 | $996 | 18.6× |
| Iadna Herpes Virus-6 Quantification (87533) | $700.80 | $876 | 16.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$70.40–$165.60 | $88–$207 | varies |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $122.40 | $153 | 2.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $237.60 | $297 | 5.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 4 matching MRF lines |
$74.40–$667.20 | $93–$834 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$66.40–$134.40 | $83–$168 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) range across 3 matching MRF lines |
$180.80–$280.80 | $226–$351 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $375.20 | $469 | 2.6× |
| Idh1 common variants (81120) | $753.60 | $942 | 3.9× |
| Idh2 common variants (81121) | $1,152.80 | $1,441 | 3.9× |
| Ifnl3 gene analysis rs12979860 variant (81283) range across 2 matching MRF lines |
$1,112–$1,158.40 | $1,390–$1,448 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$141.60–$150.40 | $177–$188 | varies |
| Igg subclasses (82787) | $53.60 | $67 | 6.7× |
| Igh gene rearrange amp meth (81261) | $801.60 | $1,002 | 4.0× |
| Igk rearrangeabn clonal pop (81264) | $606.40 | $758 | 3.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $302.40 | $378 | 0.8× |
| Immune Complex Assay (86332) | $80.80 | $101 | 3.3× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$211.20–$271.20 | $264–$339 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 15 matching MRF lines |
$76.80–$540 | $96–$675 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$13.60–$108 | $17–$135 | varies |
| Immunoassay nonantibody (83516) range across 13 matching MRF lines |
$65.60–$1,200 | $82–$1,500 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$262.40–$1,051.20 | $328–$1,314 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$284–$428.80 | $355–$536 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 4 matching MRF lines |
$274.40–$796 | $343–$995 | varies |
| Immunohistochemistry (88342) | $189.60 | $237 | 1.0× |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$144–$676 | $180–$845 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $379.20 | $474 | 5.4× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $258.40 | $323 | 19.3× |
| Influenza a/b ag eia (87400) range across 2 matching MRF lines |
$76.80–$148 | $96–$185 | varies |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$131.20–$154.40 | $164–$193 | varies |
| Influenza DNA amp probe (87502) | $412 | $515 | 4.3× |
| Inherited Cardmypthy 5 Gns (81439) range across 4 matching MRF lines |
$5,780.80–$9,766.40 | $7,226–$12,208 | varies |
| Inhibin A (86336) | $337.60 | $422 | 21.7× |
| Inhibin b (83520) range across 28 matching MRF lines |
$68.80–$974.40 | $86–$1,218 | varies |
| Insulin antibodies (86337) | $164.80 | $206 | 7.7× |
| Insulin total (83525) | $76.80 | $96 | 6.7× |
| Interleukin-6 (83529) range across 4 matching MRF lines |
$52.80–$95.20 | $66–$119 | varies |
| Intrinsic factor antibody (86340) | $261.60 | $327 | 17.3× |
| Iron (83540) | $140 | $175 | 21.6× |
| Iron Binding Capacity (83550) | $156.80 | $196 | 17.9× |
| Irradiation Blood Product Each Unit (86945) | $114.40 | $143 | 2.9× |
| Islet cell antibody (86341) range across 26 matching MRF lines |
$122.40–$1,054.40 | $153–$1,318 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $478.40 | $598 | 5.2× |
| Jt spc pthgn&rx rsist gen26+ (87627) | $2,289.60 | $2,862 | 3.4× |
| Ketosteroids 17 total (83586) | $171.20 | $214 | 13.4× |
| Kit Gene Analysis D816 Variant(S) (81273) | $1,738.40 | $2,173 | 13.9× |
| Koh Prep (87220) | $96.80 | $121 | 22.7× |
| Kras Gene Analysis Additional Variant(S) (81276) | $962.40 | $1,203 | 5.0× |
| Kras Gene Variants Exon 2 (81275) | $526.40 | $658 | 2.7× |
| L/s ratio (83661) | $462.40 | $578 | 21.0× |
| Lactate (ld) (ldh) enzyme (83615) | $44 | $55 | 7.3× |
| Lactoferrin fecal qualitative (83630) | $156 | $195 | 7.9× |
| Ldh Isoenzymes (83625) | $148 | $185 | 11.6× |
| LDL direct (83721) | $117.60 | $147 | 11.2× |
| Lead (83655) range across 7 matching MRF lines |
$24–$245.60 | $30–$307 | varies |
| Legionella antibody (86713) | $360.80 | $451 | 23.6× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$360.80–$409.60 | $451–$512 | varies |
| Legionella pneumophila dfa (87278) | $263.20 | $329 | 16.9× |
| Leptospira antibody (86720) range across 2 matching MRF lines |
$192.80–$345.60 | $241–$432 | varies |
| Leukocyte Histamine Release (86343) | $541.60 | $677 | 43.5× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$99.20–$280.80 | $124–$351 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$204–$206.40 | $255–$258 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$416–$588.80 | $520–$736 | varies |
| Lidocaine (80176) range across 2 matching MRF lines |
$132–$136 | $165–$170 | varies |
| Lipase (83690) range across 2 matching MRF lines |
$163.20–$308.80 | $204–$386 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$330.40–$690.40 | $413–$863 | varies |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$104–$189.60 | $130–$237 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $56 | $70 | 1.7× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $476 | $595 | 10.3× |
| Lithium (80178) | $111.20 | $139 | 16.8× |
| Liver ds alys 3 bmrk srm alg (81517) | $816 | $1,020 | 4.6× |
| Luteinizing Hormone (Lh) (83002) | $62.40 | $78 | 3.4× |
| Lyme disease antibody (86618) range across 6 matching MRF lines |
$94.40–$536.80 | $118–$671 | varies |
| Lysozyme serum (85549) | $105.60 | $132 | 5.6× |
| M. Genitalium Amp Probe (87563) | $256 | $320 | 7.3× |
| Macroscopic exam arthropod (87168) | $108 | $135 | 25.3× |
| Macroscopic Exam Parasite (87169) | $177.60 | $222 | 41.2× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$37.60–$126.40 | $47–$158 | varies |
| Mass Spectrometry Quant (83789) range across 11 matching MRF lines |
$52–$1,228.80 | $65–$1,536 | varies |
| Mecp2 gene dup/delet variant (81304) | $585.60 | $732 | 3.9× |
| Mecp2 gene full seq (81302) | $2,063.20 | $2,579 | 3.9× |
| Mercury urine (83825) | $72.80 | $91 | 4.5× |
| Methotrexate (80204) | $168 | $210 | 4.4× |
| Methylmalonic acid serum (83921) | $185.60 | $232 | 8.8× |
| Mgmt methylation analysis (81287) | $1,270.40 | $1,588 | 10.2× |
| Microalbumin, quantitative (82043) | $70.40 | $88 | 12.2× |
| Microsatellite instability (81301) | $1,246.40 | $1,558 | 3.6× |
| Microsomal Antibodies Each (86376) | $140 | $175 | 9.6× |
| Mitochondrial Antibody Each (86381) | $73.60 | $92 | 2.9× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) range across 3 matching MRF lines |
$856.80–$2,363.20 | $1,071–$2,954 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 5 matching MRF lines |
$224.80–$863.20 | $281–$1,079 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 20 matching MRF lines |
$172–$1,416 | $215–$1,770 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 3 matching MRF lines |
$401.60–$684.80 | $502–$856 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 21 matching MRF lines |
$382.40–$4,765.60 | $478–$5,957 | varies |
| Mononuclear cell antigen (86356) range across 3 matching MRF lines |
$47.20–$456.80 | $59–$571 | varies |
| Mopath procedure level 1 (81400) | $1,158.40 | $1,448 | 18.1× |
| Mopath procedure level 2 (81401) range across 5 matching MRF lines |
$644.80–$1,986.40 | $806–$2,483 | varies |
| Mopath procedure level 4 (81403) | $1,151.20 | $1,439 | 6.2× |
| Mopath procedure level 5 (81404) range across 16 matching MRF lines |
$653.60–$3,930.40 | $817–$4,913 | varies |
| Mopath procedure level 7 (81406) range across 27 matching MRF lines |
$358.40–$8,159.20 | $448–$10,199 | varies |
| Mopath procedure level 8 (81407) range across 5 matching MRF lines |
$2,010.40–$7,030.40 | $2,513–$8,788 | varies |
| Mopath procedure level 9 (81408) range across 7 matching MRF lines |
$2,968.80–$6,369.60 | $3,711–$7,962 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) | $1,032 | $1,290 | 5.6× |
| Mrsa Pcr (87641) | $256 | $320 | 7.3× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) range across 3 matching MRF lines |
$484–$1,336.80 | $605–$1,671 | varies |
| Msh6 Gene Analysis Full Sequence Analysis (81298) range across 3 matching MRF lines |
$812.80–$2,247.20 | $1,016–$2,809 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $553.60 | $692 | 8.5× |
| Mucopolysaccharides acid quantitative (83864) | $208 | $260 | 7.3× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$44–$227.20 | $55–$284 | varies |
| Muscle-Specific Kinase Antb (86366) | $942.40 | $1,178 | 51.2× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$317.60–$331.20 | $397–$414 | varies |
| Mycophenolic Acid (80180) | $208 | $260 | 11.5× |
| Mycoplasma antibody (86738) range across 4 matching MRF lines |
$128–$153.60 | $160–$192 | varies |
| Mycoplasma culture (87109) | $175.20 | $219 | 11.4× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $1,158.40 | $1,448 | 6.6× |
| Myelin basic protein csf (83873) | $129.60 | $162 | 7.5× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$60.80–$191.20 | $76–$239 | varies |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$111.20–$208.80 | $139–$261 | varies |
| Neurofilament light chain (83884) | $2,408.80 | $3,011 | 20.7× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $646.40 | $808 | 2.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $828 | $1,035 | 11.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) range across 3 matching MRF lines |
$448–$1,275.20 | $560–$1,594 | varies |
| Niacin (84591) range across 2 matching MRF lines |
$476–$480.80 | $595–$601 | varies |
| Nickel level (83885) | $816.80 | $1,021 | 33.3× |
| Noonan Spectrum Disorders (81442) | $4,999.20 | $6,249 | 2.3× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $1,158.40 | $1,448 | 4.7× |
| Nras gene variants exon 2&3 (81311) | $724.80 | $906 | 2.5× |
| Nuclear antigen antibody (86235) range across 32 matching MRF lines |
$82.40–$604.80 | $103–$756 | varies |
| Occult blood feces (82272) | $90.40 | $113 | 21.4× |
| Occult Blood Other Sources (82271) | $88.80 | $111 | 16.7× |
| Oligoclonal bands (83916) | $106.40 | $133 | 3.9× |
| Organic acids urine (83918) | $472.80 | $591 | 20.0× |
| Osmolality serum (83930) | $149.60 | $187 | 22.6× |
| Osmolality Urine (83935) | $32 | $40 | 4.7× |
| Osmotic fragility rbc incubated (85557) | $140.80 | $176 | 10.5× |
| Ova and parasites smears (87177) | $117.60 | $147 | 13.2× |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) | $257.60 | $322 | 20.3× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$32–$68.80 | $40–$86 | varies |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$284.80–$342.40 | $356–$428 | varies |
| Particle Agglut Antbdy Titr (86406) | $145.60 | $182 | 13.7× |
| Particle Agglutination Screen Each Antibody (86403) | $96.80 | $121 | 8.4× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$165.60–$180.80 | $207–$226 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $699.20 | $874 | 0.8× |
| Ph urine (81003) | $59.20 | $74 | 26.3× |
| Phenobarbital Level (80184) | $36.80 | $46 | 2.4× |
| Phenotype Infect Agent Drug (87900) range across 3 matching MRF lines |
$448–$827.20 | $560–$1,034 | varies |
| Phenylalanine (84030) | $252 | $315 | 45.8× |
| Phenytoin (Dilantin) (80185) | $162.40 | $203 | 12.3× |
| Phenytoin free (80186) | $52 | $65 | 3.8× |
| Phosphatase acid prostatic (84066) | $133.60 | $167 | 13.8× |
| Phosphatase alkaline (84075) | $163.20 | $204 | 31.5× |
| Phospholipid Neutralization Hexagonal (85598) range across 4 matching MRF lines |
$207.20–$428 | $259–$535 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$110.40–$173.60 | $138–$217 | varies |
| Phosphorus urine (84105) | $156 | $195 | 27.0× |
| Pinworm exam (87172) | $49.60 | $62 | 11.6× |
| Platelet Aggregation (85576) range across 8 matching MRF lines |
$60.80–$248 | $76–$310 | varies |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$244–$275.20 | $305–$344 | varies |
| Platelet count automated (85049) | $82.40 | $103 | 18.4× |
| Platelet neutralization (85597) | $264.80 | $331 | 14.7× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $1,621.60 | $2,027 | 2.1× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) range across 3 matching MRF lines |
$258.40–$712.80 | $323–$891 | varies |
| Pms2 gene full seq analysis (81317) range across 2 matching MRF lines |
$856.80–$1,276 | $1,071–$1,595 | varies |
| Pneumcysts jirovecii amp prb (87594) | $313.60 | $392 | 8.9× |
| Pooling blood platelets (86965) | $144 | $180 | 0.8× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$140–$194.40 | $175–$243 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $282.40 | $353 | 19.2× |
| Potassium Urine (84133) | $24 | $30 | 5.1× |
| Prealbumin (84134) | $190.40 | $238 | 13.1× |
| Pregnenolone (84140) | $220 | $275 | 10.6× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $144 | $180 | 0.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $120 | $150 | 1.9× |
| Pretx serum rbc antibody identification dilution (86976) | $44 | $55 | 1.4× |
| Primidone (80188) | $125.60 | $157 | 7.6× |
| Procalcitonin (Pct) (84145) | $298.40 | $373 | 11.0× |
| Progesterone (84144) | $212 | $265 | 10.2× |
| Prolactin (84146) range across 4 matching MRF lines |
$118.40–$122.40 | $148–$153 | varies |
| Prostaglandin (84150) | $132 | $165 | 3.2× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$52.80–$128.80 | $66–$161 | varies |
| Protein C Activity (85303) range across 3 matching MRF lines |
$109.60–$381.60 | $137–$477 | varies |
| Protein c antigen (85302) | $377.60 | $472 | 31.4× |
| Protein Electrophoresis Urine (84166) | $308 | $385 | 17.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $193.60 | $242 | 18.0× |
| Protein S Free (85306) | $136 | $170 | 8.9× |
| Protein s total (85305) | $472.80 | $591 | 40.7× |
| Protein total serum (84155) | $97.60 | $122 | 26.6× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$131.20–$155.20 | $164–$194 | varies |
| Protein Western Blot Test (84182) range across 22 matching MRF lines |
$128.80–$990.40 | $161–$1,238 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 3 matching MRF lines |
$42.40–$231.20 | $53–$289 | varies |
| Protoporphyrin rbc quantitative (84202) | $36.80 | $46 | 2.6× |
| PSA free (84154) | $146.40 | $183 | 8.0× |
| Pten Gene Analysis Full Sequence Analysis (81321) range across 4 matching MRF lines |
$760–$5,082.40 | $950–$6,353 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$197.60–$318.40 | $247–$398 | varies |
| Pyruvate kinase (84220) range across 2 matching MRF lines |
$99.20–$143.20 | $124–$179 | varies |
| Q Fever Antibody (86638) range across 5 matching MRF lines |
$61.60–$147.20 | $77–$184 | varies |
| Quantiferon tb gold plus (86480) | $148 | $185 | 2.4× |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$167.20–$268.80 | $209–$336 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$111.20–$120 | $139–$150 | varies |
| Quinidine (80194) | $131.20 | $164 | 9.0× |
| Rbc antibody elution (86860) | $144 | $180 | 0.8× |
| Rbc antibody identification (86870) | $302.40 | $378 | 0.8× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$100–$106.40 | $125–$133 | varies |
| Rbc pretreatment serum (86978) | $154.40 | $193 | 2.4× |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$274.40–$286.40 | $343–$358 | varies |
| Reagent Strip/Blood Glucose (82948) | $100 | $125 | 19.8× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $312.80 | $391 | 4.4× |
| Renin activity plasma (84244) | $285.60 | $357 | 13.0× |
| Reptilase test (85635) range across 3 matching MRF lines |
$99.20–$142.40 | $124–$178 | varies |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$766.40–$888.80 | $958–$1,111 | varies |
| Reticulocyte separation (86972) | $144 | $180 | 0.8× |
| Rh (86901) | $69.60 | $87 | 23.3× |
| Rheumatoid Factor Qualitative (86430) | $110.40 | $138 | 18.0× |
| Rheumatoid factor quant (86431) | $72.80 | $91 | 12.8× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$110.40–$335.20 | $138–$419 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$132–$188 | $165–$235 | varies |
| Rotavirus ag eia (87425) | $202.40 | $253 | 16.9× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$32–$89.60 | $40–$112 | varies |
| Rsv Assay W/Optic (87807) | $424.80 | $531 | 32.4× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$110.40–$216.80 | $138–$271 | varies |
| Rubeola antibody (86765) | $91.20 | $114 | 7.1× |
| Rufinamide (80210) | $132 | $165 | 4.9× |
| Russell Viper Venom Time Diluted (85613) range across 9 matching MRF lines |
$75.20–$301.60 | $94–$377 | varies |
| Rx metab gen seq alys pnl 6 (81418) | $3,189.60 | $3,987 | 3.5× |
| Salicylate Level (80179) | $192.80 | $241 | 10.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$60–$66.40 | $75–$83 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$40–$44 | $50–$55 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $350.40 | $438 | 2.5× |
| Sedimentation Rate, Automated (85652) | $76 | $95 | 28.1× |
| Selenium (84255) | $252 | $315 | 9.9× |
| Semen Anal Sperm Detection (89321) | $96 | $120 | 8.0× |
| Semen analysis complete (89320) | $317.60 | $397 | 25.8× |
| Sensitivity mic (87186) | $80.80 | $101 | 9.3× |
| Sex Hormone Binding Globulin (84270) | $174.40 | $218 | 8.0× |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$82.40–$98.40 | $103–$123 | varies |
| Sirolimus (80195) | $129.60 | $162 | 9.4× |
| Skin test tuberculosis intradermal (86580) | $48 | $60 | 1.5× |
| Smear acid fast (87206) | $65.60 | $82 | 12.2× |
| Smear complex stain (87209) | $128 | $160 | 7.1× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$74.40–$75.20 | $93–$94 | varies |
| Smear Special Stain (87207) | $158.40 | $198 | 26.4× |
| Smn1 Gene Dos/Deletion Alys (81329) range across 2 matching MRF lines |
$635.20–$1,969.60 | $794–$2,462 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $98.40 | $123 | 16.9× |
| So neo gsap DNA mcrstl ins (81457) range across 2 matching MRF lines |
$7,208–$10,926.40 | $9,010–$13,658 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$107.20–$118.40 | $134–$148 | varies |
| Sodium Urine (84300) | $26.40 | $33 | 5.2× |
| Soluble fibrin monomer (85366) range across 2 matching MRF lines |
$514.40–$784 | $643–$980 | varies |
| Soluble Transferrin Receptor (84238) | $259.20 | $324 | 7.1× |
| Somatomedin (84305) | $573.60 | $717 | 27.0× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$106.40–$136 | $133–$170 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$108–$130.40 | $135–$163 | varies |
| Specific gravity body fluid (84315) | $100 | $125 | 30.5× |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$82.40–$260 | $103–$325 | varies |
| Spectrophotometry (84311) | $138.40 | $173 | 17.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $58.40 | $73 | 0.3× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$188.80–$201.60 | $236–$252 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$88.80–$124 | $111–$155 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$69.60–$72.80 | $87–$91 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $144.80 | $181 | 1.6× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $408 | $510 | 35.4× |
| Sugars Single Qual (84376) range across 3 matching MRF lines |
$165.60–$189.60 | $207–$237 | varies |
| Sulfate urine (84392) | $32 | $40 | 5.8× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$206.40–$252.80 | $258–$316 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$297.60–$500.80 | $372–$626 | varies |
| Surgical pathology level vi (88309) | $668.80 | $836 | 0.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$73.60–$112.80 | $92–$141 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $118.40 | $148 | 15.8× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$60–$92 | $75–$115 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $271.20 | $339 | 5.8× |
| T cells total count (86359) | $171.20 | $214 | 4.5× |
| T3 Free (84481) | $314.40 | $393 | 18.6× |
| T3 reverse (84482) | $296.80 | $371 | 18.8× |
| T3 Total (84480) | $185.60 | $232 | 13.1× |
| T3 Uptake (84479) | $120 | $150 | 18.5× |
| T4 Free (84439) | $132.80 | $166 | 14.7× |
| T4 total (84436) | $111.20 | $139 | 16.2× |
| Tacrolimus (80197) | $346.40 | $433 | 25.2× |
| Tau phosphorylated each (84393) range across 4 matching MRF lines |
$307.20–$1,400.80 | $384–$1,751 | varies |
| Tert gene targeted seq alys (81345) range across 2 matching MRF lines |
$2,600–$2,642.40 | $3,250–$3,303 | varies |
| Test for acetone/ketones (82009) | $80.80 | $101 | 17.9× |
| Testosterone Bioavailable (84410) | $105.60 | $132 | 2.1× |
| Testosterone total (84403) range across 4 matching MRF lines |
$68–$264 | $85–$330 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$41.60–$72.80 | $52–$91 | varies |
| Tetanus antibody (86774) | $134.40 | $168 | 9.1× |
| Tgsap so/hl 51/< RNA alys (81456) range across 2 matching MRF lines |
$4,790.40–$9,375.20 | $5,988–$11,719 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $3,642.40 | $4,553 | 6.1× |
| Theophylline (80198) | $173.60 | $217 | 12.3× |
| Thiopurine methyltransferase (84433) | $405.60 | $507 | 18.3× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$45.60–$161.60 | $57–$202 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$44–$231.20 | $55–$289 | varies |
| Thyroglobulin (84432) | $88 | $110 | 5.5× |
| Thyroglobulin Antibody (86800) | $148 | $185 | 9.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $812 | $1,015 | 16.0× |
| Thyroxine binding globulin (84442) | $159.20 | $199 | 10.8× |
| Tiss cul neo disorders solid tumor (88239) range across 2 matching MRF lines |
$2,134.40–$4,223.20 | $2,668–$5,279 | varies |
| Tissue Culture (88233) | $1,332.80 | $1,666 | 9.5× |
| Tissue culture bone marrow (88237) range across 5 matching MRF lines |
$556.80–$976 | $696–$1,220 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$272–$716 | $340–$895 | varies |
| Tobramycin peak (80200) | $165.60 | $207 | 10.3× |
| Topiramate (80201) range across 2 matching MRF lines |
$100–$171.20 | $125–$214 | varies |
| Total Tau (84394) range across 3 matching MRF lines |
$307.20–$444 | $384–$555 | varies |
| Toxoplasma ab igm (86778) | $184.80 | $231 | 12.8× |
| Toxoplasma antibody (86777) | $144 | $180 | 10.0× |
| Tp53 gene analysis full gene sequence (81351) | $829.60 | $1,037 | 1.3× |
| Tp53 gene analysis targeted sequence analysis (81352) range across 2 matching MRF lines |
$1,172–$1,241.60 | $1,465–$1,552 | varies |
| Tpmt gene com variants (81335) range across 2 matching MRF lines |
$1,236–$1,292 | $1,545–$1,615 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $118.40 | $148 | 22.9× |
| Transferrin (84466) | $162.40 | $203 | 12.7× |
| Trichomonas vagin dir probe (87660) | $55.20 | $69 | 2.8× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$149.60–$200.80 | $187–$251 | varies |
| Triglycerides (84478) range across 3 matching MRF lines |
$24.80–$131.20 | $31–$164 | varies |
| Troponin Quant (84484) | $176 | $220 | 14.1× |
| Tumor Immunohistochem/Manual (88360) | $360.80 | $451 | 2.0× |
| Unlisted Cytogenetic Study (88299) | $2,134.40 | $2,668 | 38.2× |
| Urea nitrogen urine (84540) | $26.40 | $33 | 4.7× |
| Uric acid other source (84560) | $26.40 | $33 | 5.2× |
| Urinalysis Microscopic Only (81015) | $66.40 | $83 | 21.8× |
| Urinalysis Volume Measure (81050) | $53.60 | $67 | 14.7× |
| Urine Bacteria Culture (87088) | $75.20 | $94 | 9.3× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$114.40–$144 | $143–$180 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $92.80 | $116 | 29.3× |
| Valproic acid (80164) range across 2 matching MRF lines |
$71.20–$118.40 | $89–$148 | varies |
| Vancomycin (80202) | $162.40 | $203 | 12.0× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$222.40–$308.80 | $278–$386 | varies |
| Vasopressin (84588) | $288.80 | $361 | 8.5× |
| Viral Culture (87252) | $218.40 | $273 | 8.4× |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$93.60–$506.40 | $117–$633 | varies |
| Virus inoculation, shell via (87254) | $499.20 | $624 | 25.5× |
| Viscosity serum (85810) | $160.80 | $201 | 13.8× |
| Vit D 1 25-Dihydroxy (82652) | $350.40 | $438 | 9.1× |
| Vitamin A (84590) | $193.60 | $242 | 16.7× |
| Vitamin b-12 (82607) | $119.20 | $149 | 7.9× |
| Vitamin B6 (84207) | $462.40 | $578 | 16.5× |
| Vitamin c (82180) | $135.20 | $169 | 13.7× |
| Vitamin D 25-Hydroxy (82306) | $144.80 | $181 | 4.9× |
| Vitamin E (84446) | $274.40 | $343 | 19.4× |
| Vitamin K (84597) | $204.80 | $256 | 14.9× |
| Volatiles (84600) | $184.80 | $231 | 10.8× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 3 matching MRF lines |
$84.80–$297.60 | $106–$372 | varies |
| Von willebrand factor ag (85246) range across 3 matching MRF lines |
$82.40–$409.60 | $103–$512 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $114.40 | $143 | 13.3× |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$48–$97.60 | $60–$122 | varies |
| West Nile Virus Antibody (86789) range across 3 matching MRF lines |
$41.60–$97.60 | $52–$122 | varies |
| Western Blot Test (84181) | $313.60 | $392 | 18.4× |
| Whole Mitochondrial Genome (81460) | $6,620.80 | $8,276 | 5.1× |
| Xylose Absorption Test (84620) | $276 | $345 | 21.4× |
| Zika Virus Dna/Rna Amp Probe (87662) range across 3 matching MRF lines |
$406.40–$800 | $508–$1,000 | varies |
| Zika Virus Igm Antibody (86794) | $536.80 | $671 | 31.9× |
| Zinc (84630) | $146.40 | $183 | 12.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.