Lab & pathology prices at Our Lady of Lourdes Regional Medical Center
Lafayette, LA · every code in this section with a posted price and a Medicare benchmark.
878 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $20 | $40 | 1.3× |
| 17-Hydroxypregnenolone (84143) | $111 | $222 | 4.9× |
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$64–$286 | $128–$572 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 3 matching MRF lines |
$86–$229 | $172–$458 | varies |
| Acetylcholinesterase Assay (82013) | $108 | $216 | 8.8× |
| Acetylcholn Rcptr Modlg Antb (86043) range across 3 matching MRF lines |
$61–$234.50 | $122–$469 | varies |
| Acth (82024) | $283 | $566 | 7.3× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $219.50 | $439 | 6.7× |
| Actin smooth muscle antibody each (86015) | $41.50 | $83 | 3.4× |
| Acute hepatitis panel (80074) | $701 | $1,402 | 14.7× |
| Acylcarnitines Quant (82017) | $99 | $198 | 5.9× |
| Adenovirus antibody (86603) | $96.50 | $193 | 7.5× |
| Agglutinins Febrile Each Antigen (86000) range across 2 matching MRF lines |
$26–$130.50 | $52–$261 | varies |
| Albumin Fluid (82042) | $60.50 | $121 | 7.8× |
| Albumin serum (82040) range across 6 matching MRF lines |
$11–$124 | $22–$248 | varies |
| Aldolase (82085) | $68.50 | $137 | 7.1× |
| Aldosterone urine (82088) | $248 | $496 | 6.1× |
| Alkaline phosphatase isoenzymes (84080) | $49.50 | $99 | 3.3× |
| Allergen specific ige (86003) range across 4 matching MRF lines |
$6.50–$96.50 | $13–$193 | varies |
| Allg Spec Ige Recomb Ea (86008) | $34 | $68 | 1.9× |
| Alpha-1-antitrypsin phenotype (82104) | $148 | $296 | 10.2× |
| Alpha-1-antitrypsin total (82103) | $144.50 | $289 | 10.8× |
| Alpha-Fetoprotein Serum (82105) | $182.50 | $365 | 10.9× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$35.50–$45.50 | $71–$91 | varies |
| Aluminum (82108) | $163.50 | $327 | 6.4× |
| Amikacin trough (80150) | $127 | $254 | 8.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $114 | $228 | 5.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $588 | $1,176 | 34.9× |
| Amino Acids Quant 2-5 (82136) | $76.50 | $153 | 3.9× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $68 | $136 | 4.8× |
| Aminolevulinic acid (ala) (82135) | $137.50 | $275 | 8.4× |
| Ammonia (82140) | $126 | $252 | 8.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $115.50 | $231 | 1.2× |
| Amniotic fluid scan (82143) | $9 | $18 | 1.0× |
| Amylase urine (82150) range across 4 matching MRF lines |
$39–$280 | $78–$560 | varies |
| Ana Titer (86039) range across 3 matching MRF lines |
$69–$138 | $138–$276 | varies |
| Anca Titer Each Antibody (86037) range across 2 matching MRF lines |
$29.50–$73.50 | $59–$147 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$139.50–$212 | $279–$424 | varies |
| Angiotensin converting enzyme csf (82164) | $170 | $340 | 11.6× |
| Angiotensin II (82163) | $69 | $138 | 3.4× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$33.50–$73 | $67–$146 | varies |
| Antibody aspergillus (86606) | $69 | $138 | 4.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 4 matching MRF lines |
$49.50–$214 | $99–$428 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$46.50–$48 | $93–$96 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 5 matching MRF lines |
$27.50–$84.50 | $55–$169 | varies |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$30–$55 | $60–$110 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $69 | $138 | 5.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $62.50 | $125 | 4.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $62.50 | $125 | 3.4× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$35.50–$73.50 | $71–$147 | varies |
| Antibody haemophilus influenza (86684) | $70.50 | $141 | 4.5× |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$80–$174.50 | $160–$349 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$25–$65.50 | $50–$131 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 4 matching MRF lines |
$22–$112.50 | $44–$225 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $56 | $112 | 4.1× |
| Antibody HIV-2 (86702) | $131 | $262 | 9.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$73.50–$194.50 | $147–$389 | varies |
| Antibody identification leukocyte antibodies (86021) | $105 | $210 | 7.0× |
| Antibody Identification Platelet Immunogl Assay (86023) | $57 | $114 | 4.6× |
| Antibody leishmania (86717) | $48 | $96 | 3.9× |
| Antibody Lymphocytic Choriomeningitis (86727) | $39 | $78 | 3.0× |
| Antibody plasmodium malaria (86750) | $51 | $102 | 3.9× |
| Antibody Protozoa Nes (86753) range across 4 matching MRF lines |
$36–$268 | $72–$536 | varies |
| Antibody rotavirus (86759) | $63.50 | $127 | 3.5× |
| Antibody Titer (86886) | $47.50 | $95 | 9.2× |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$41.50–$135 | $83–$270 | varies |
| Antibody; campylobacter (86625) | $90.50 | $181 | 6.9× |
| Antibody; encephalitis, st. louis (86653) range across 4 matching MRF lines |
$30–$58.50 | $60–$117 | varies |
| Antibody; influenza virus (86710) range across 3 matching MRF lines |
$13–$90.50 | $26–$181 | varies |
| Antigen typing (86905) | $65.50 | $131 | 17.1× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$49–$69 | $98–$138 | varies |
| Antistreptolysin O Screen (86063) | $33.50 | $67 | 5.8× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$13–$60 | $26–$120 | varies |
| Antithrombin iii activity (85300) | $175.50 | $351 | 14.8× |
| Antithrombin iii antigen (85301) | $234 | $468 | 21.6× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$75.50–$129.50 | $151–$259 | varies |
| Aquaporin-4 Antb Elisa (86051) range across 2 matching MRF lines |
$14.50–$16.50 | $29–$33 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$51.50–$55 | $103–$110 | varies |
| Aspergillus ag eia (87305) | $109.50 | $219 | 9.1× |
| Assay activated protein c (85307) | $170 | $340 | 11.1× |
| Assay Blood Carbon Dioxide (82374) | $84.50 | $169 | 17.3× |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$73–$92.50 | $146–$185 | varies |
| Assay of 5-hiaa (83497) | $130 | $260 | 10.1× |
| Assay of anti-mullerian hormone (82166) range across 2 matching MRF lines |
$126.50–$470 | $253–$940 | varies |
| Assay of b-hexosaminidase each assay (83080) | $84 | $168 | 5.0× |
| Assay of blood/uric acid (84550) | $33.50 | $67 | 7.4× |
| Assay of calcium in urine (82340) | $84.50 | $169 | 14.0× |
| Assay of cpk in blood (82552) | $61 | $122 | 4.6× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$75.50–$135.50 | $151–$271 | varies |
| Assay of feces for trypsin (84490) | $10 | $20 | 1.0× |
| Assay of g6pd enzyme (82955) | $79 | $158 | 8.1× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$29.50–$185 | $59–$370 | varies |
| Assay of lactic acid (83605) | $64.50 | $129 | 5.6× |
| Assay of manganese (83785) | $97.50 | $195 | 3.7× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$141.50–$147 | $283–$294 | varies |
| Assay of phosphatase acid total (84060) | $33 | $66 | 4.3× |
| Assay of procainamide (80190) | $41 | $82 | 0.7× |
| Assay of proinsulin (84206) | $132.50 | $265 | 5.0× |
| Assay of prostate specific antigen complexed (84152) | $50.50 | $101 | 2.7× |
| Assay of pyruvate (84210) | $122.50 | $245 | 8.5× |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$94.50–$154 | $189–$308 | varies |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$29.50–$30 | $59–$60 | varies |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$72.50–$81 | $145–$162 | varies |
| Assay of Tyrosine (84510) | $40 | $80 | 3.8× |
| Assay of urea nitrogen (84520) | $23.50 | $47 | 5.9× |
| Assay of urine vma (84585) | $114.50 | $229 | 7.4× |
| Assay of vasoactive intestinal peptide (84586) | $338.50 | $677 | 9.6× |
| Assay of vitamin b-1 (84425) | $115.50 | $231 | 5.4× |
| Assay Ph Body Fluid Nos (83986) | $23.50 | $47 | 6.6× |
| Assay Phosphohexose Enzymes (84087) | $78 | $156 | 7.3× |
| Assay spec xcp ur&breath ia (82077) | $75 | $150 | 4.3× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $264 | $528 | 1.7× |
| Autol bld/component collj storage salvage (86891) | $618.50 | $1,237 | 0.8× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$37–$51 | $74–$102 | varies |
| B cells total count (86355) | $48.50 | $97 | 1.3× |
| Bartonella antibody (86611) | $46.50 | $93 | 4.6× |
| Bcr/abl1 gene major bp (81206) range across 3 matching MRF lines |
$283–$522.50 | $566–$1,045 | varies |
| Bcr/abl1 gene minor bp (81207) range across 3 matching MRF lines |
$155–$477 | $310–$954 | varies |
| Bcr/Abl1 Gene Other Bp (81208) range across 2 matching MRF lines |
$169.50–$176 | $339–$352 | varies |
| Beta 2 glycoprotein i antibody each (86146) | $32.50 | $65 | 1.3× |
| Beta hydroxybutyrate (82010) | $73 | $146 | 8.9× |
| Beta Lactamase (87185) | $31 | $62 | 6.5× |
| Beta-2 Microglobulin (82232) | $139 | $278 | 8.6× |
| Bile acids total (82239) | $78 | $156 | 4.6× |
| Bilirubin direct (82248) | $23.50 | $47 | 4.7× |
| Bilirubin total (82247) | $75 | $150 | 14.9× |
| Bilirubin total transcutaneous (88720) | $34 | $68 | 6.8× |
| Biotinidase (82261) range across 2 matching MRF lines |
$76.50–$167 | $153–$334 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $41.50 | $83 | 12.1× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$19.50–$38.50 | $39–$77 | varies |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$68.50–$146.50 | $137–$293 | varies |
| Blood count reticulocyte automated (85045) | $66.50 | $133 | 16.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$11.50–$15 | $23–$30 | varies |
| Blood count spun microhematocrit (85013) | $20 | $40 | 2.9× |
| Blood gas (82803) | $132.50 | $265 | 5.1× |
| Blood gases w/02 saturation (82805) | $126 | $252 | 1.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $37.50 | $75 | 2.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $20 | $40 | 4.6× |
| Blood Sulfhemoglobin Assay (83060) | $100 | $200 | 11.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$63–$65.50 | $126–$131 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $60.50 | $121 | 3.7× |
| Blood typing serologic abo (86900) | $60 | $120 | 20.1× |
| Body fluid cell count (89050) | $84.50 | $169 | 17.9× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$83.50–$192.50 | $167–$385 | varies |
| Braf gene analysis (81210) | $260.50 | $521 | 1.5× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $230 | $460 | 0.5× |
| Breath Alcohol Test (82075) | $19 | $38 | 0.6× |
| Brucella antibody (86622) range across 4 matching MRF lines |
$41.50–$195 | $83–$390 | varies |
| C diff amplified probe (87493) | $195 | $390 | 5.2× |
| C-Peptide (84681) | $163.50 | $327 | 7.9× |
| C-reactive protein (86140) | $117 | $234 | 22.6× |
| Ca 19-9 (86301) | $142.50 | $285 | 6.8× |
| Cadmium (82300) range across 2 matching MRF lines |
$37–$51.50 | $74–$103 | varies |
| Caffeine (80155) | $102.50 | $205 | 2.7× |
| Calcitonin (82308) | $111 | $222 | 4.1× |
| Calcium ionized (82330) | $48.50 | $97 | 3.5× |
| Calcium total (82310) range across 3 matching MRF lines |
$20–$84.50 | $40–$169 | varies |
| Calculus Spectroscopy (82365) | $64 | $128 | 5.0× |
| Calprotectin Fecal (83993) | $226 | $452 | 11.5× |
| Cancer Antigen 125 (86304) | $142.50 | $285 | 6.8× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$194–$223 | $388–$446 | varies |
| Candida antibody (86628) | $26 | $52 | 2.2× |
| Carbamazepine free (80157) | $58.50 | $117 | 4.4× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$53–$167 | $106–$334 | varies |
| Carbohydrate Deficient Transferrin (82373) | $81.50 | $163 | 4.5× |
| Carboxyhemoglobin (82375) | $78 | $156 | 6.3× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$96.50–$169.50 | $193–$339 | varies |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$44–$58 | $88–$116 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$127–$128 | $254–$256 | varies |
| Carotene (82380) | $75 | $150 | 8.1× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$74–$170.50 | $148–$341 | varies |
| Ccp antibody (86200) | $84.50 | $169 | 6.5× |
| Cell count csf (89051) range across 2 matching MRF lines |
$34.50–$151 | $69–$302 | varies |
| Cell marker study (88182) | $102.50 | $205 | 2.2× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $147 | $294 | 1.1× |
| Ceruloplasmin (82390) | $128 | $256 | 11.9× |
| Cftr gene com variants (81220) | $1,217.50 | $2,435 | 2.2× |
| Cftr gene dup/delet variants (81222) | $951.50 | $1,903 | 2.2× |
| Cftr gene full sequence (81223) | $1,091.50 | $2,183 | 2.2× |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$53.50–$142.50 | $107–$285 | varies |
| Chlamydia antibody (86631) range across 5 matching MRF lines |
$26–$108.50 | $52–$217 | varies |
| Chlamydia Igm Antibody (86632) range across 5 matching MRF lines |
$28–$130.50 | $56–$261 | varies |
| Chlamydia trachomatis ag if (87270) | $79 | $158 | 6.6× |
| Chloramphenicol level (82415) | $27 | $54 | 2.1× |
| Chloride other source (82438) range across 4 matching MRF lines |
$30.50–$90.50 | $61–$181 | varies |
| Chloride Serum (82435) | $84.50 | $169 | 18.4× |
| Chloride urine (82436) | $33 | $66 | 5.7× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$30.50–$31.50 | $61–$63 | varies |
| Cholinesterase rbc (82482) | $57.50 | $115 | 5.9× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$23.50–$146 | $47–$292 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$69–$97.50 | $138–$195 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $1,820.50 | $3,641 | 9.7× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) range across 2 matching MRF lines |
$68–$74 | $136–$148 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) | $122.50 | $245 | 3.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $75 | $150 | 2.2× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $68 | $136 | 1.0× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $314 | $628 | 1.8× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $314 | $628 | 1.8× |
| Chromium serum (82495) | $73.50 | $147 | 3.6× |
| Chromogenic Substrate Assay (85130) | $99 | $198 | 8.3× |
| Chromogranin a (86316) range across 3 matching MRF lines |
$94–$334 | $188–$668 | varies |
| Chromosome Analysis 15-20 (88262) | $406.50 | $813 | 3.2× |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$351–$706.50 | $702–$1,413 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $144 | $288 | 4.1× |
| Citric acid urine (82507) | $261.50 | $523 | 9.4× |
| Ckmb (82553) | $113 | $226 | 9.8× |
| Clostridium Difficile (87324) | $75.50 | $151 | 6.3× |
| Clot Factor VIII Multimetric (85247) | $108.50 | $217 | 4.7× |
| Clot factor xiii fibrin stab (85290) range across 2 matching MRF lines |
$95.50–$129.50 | $191–$259 | varies |
| Clotting factor viii related antigen (85244) | $111.50 | $223 | 5.5× |
| Clotting factor xii hageman (85280) | $320.50 | $641 | 16.6× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$257–$271.50 | $514–$543 | varies |
| Clotting prekallikrein assay fletcher fact assay (85292) | $109 | $218 | 5.8× |
| Cns DNA amp probe type 12-25 (87483) | $556 | $1,112 | 1.3× |
| Coagulation time activated (85347) | $41.50 | $83 | 9.7× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$14–$117.50 | $28–$235 | varies |
| Cold agglutinin screen (86156) | $31.50 | $63 | 3.9× |
| Cold agglutinin titer (86157) | $78.50 | $157 | 9.7× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$94.50–$103 | $189–$206 | varies |
| Column Chromotography Quant (82542) range across 6 matching MRF lines |
$55–$489.50 | $110–$979 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $580.50 | $1,161 | 2.5× |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $159.50 | $319 | 0.5× |
| Compatibility test antiglob (86922) | $191 | $382 | 1.2× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$59–$136.50 | $118–$273 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$273–$273.50 | $546–$547 | varies |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$59–$112.50 | $118–$225 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $99.50 | $199 | 2.1× |
| Coombs direct (86880) | $77.50 | $155 | 14.4× |
| Copper urine (82525) | $165.50 | $331 | 13.3× |
| Cortisol free (82530) | $156 | $312 | 9.3× |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$75–$152.50 | $150–$305 | varies |
| Creatine (82540) | $28.50 | $57 | 6.1× |
| Creatine kinase total (82550) | $89.50 | $179 | 13.7× |
| Creatinine blood (82565) | $53 | $106 | 10.4× |
| Creatinine clearance (82575) | $75 | $150 | 7.9× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$29–$33 | $58–$66 | varies |
| Crossmatch immediate spin (86920) | $118 | $236 | 0.8× |
| Crp High Sensitivity (86141) | $78 | $156 | 6.0× |
| Cryofibrinogen (82585) | $39 | $78 | 2.8× |
| Cryoglobulin (82595) | $55 | $110 | 8.5× |
| Cryptococcal Antigen (87327) | $85.50 | $171 | 6.4× |
| Cryptococcus ab (86641) range across 2 matching MRF lines |
$35.50–$152 | $71–$304 | varies |
| Cryptococcus ag titer (87899) range across 5 matching MRF lines |
$37–$77.50 | $74–$155 | varies |
| Cryptosporidium ag eia (87328) | $128 | $256 | 9.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $56 | $112 | 6.9× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$73–$83.50 | $146–$167 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $167.50 | $335 | 21.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $292 | $584 | 1.3× |
| Culture aerobic quant other (87071) range across 2 matching MRF lines |
$258.50–$277 | $517–$554 | varies |
| Culture afb (87116) range across 3 matching MRF lines |
$95–$216.50 | $190–$433 | varies |
| Culture Anaerobic (87075) | $304.50 | $609 | 32.2× |
| Culture blood (87040) range across 3 matching MRF lines |
$119.50–$124 | $239–$248 | varies |
| Culture chlamydia (87110) | $278 | $556 | 14.2× |
| Culture csf (87070) range across 7 matching MRF lines |
$19–$173.50 | $38–$347 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$89.50–$167.50 | $179–$335 | varies |
| Culture fungus blood (87103) | $259.50 | $519 | 12.7× |
| Culture screen only (87081) range across 2 matching MRF lines |
$107.50–$111.50 | $215–$223 | varies |
| Culture stool (87045) | $156 | $312 | 16.5× |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$47.50–$113 | $95–$226 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$19–$25.50 | $38–$51 | varies |
| Culture urine (87086) | $36 | $72 | 4.5× |
| Cyanide (82600) | $119 | $238 | 6.1× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $150 | $300 | 10.5× |
| Cyclic amp (82030) | $45.50 | $91 | 1.8× |
| Cyclosporine (80158) | $248 | $496 | 13.7× |
| Cyp2c19 gene analysis common variants (81225) | $803.50 | $1,607 | 2.8× |
| Cystatin C (82610) | $61 | $122 | 3.3× |
| Cytogenetics 10-30 (88273) | $202.50 | $405 | 5.8× |
| Cytogenetics 100-300 (88275) | $165.50 | $331 | 3.2× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $1,968.50 | $3,937 | 2.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,649.50 | $5,299 | 2.3× |
| Cytomegalovirus igg (86644) range across 5 matching MRF lines |
$12.50–$84.50 | $25–$169 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $38 | $76 | 1.9× |
| Cytopath Cell Enhance Tech (88112) | $97 | $194 | 2.1× |
| Cytopath Fl Nongyn Filter (88106) | $55.50 | $111 | 2.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $211.50 | $423 | 7.9× |
| Cytp Concentration Smears & Interpretation (88108) | $63.50 | $127 | 1.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $114.50 | $229 | 2.4× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $37.50 | $75 | 0.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $64.50 | $129 | 1.9× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $476 | $952 | 3.1× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $18.50 | $37 | 1.0× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $230 | $460 | 1.5× |
| Deoxycortisol (82634) range across 2 matching MRF lines |
$96.50–$379 | $193–$758 | varies |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$42–$64 | $84–$128 | varies |
| Desoxycorticosterone (82633) range across 2 matching MRF lines |
$222–$370 | $444–$740 | varies |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$47–$379.50 | $94–$759 | varies |
| Detect Agent Nos Dna Quant (87799) range across 7 matching MRF lines |
$248–$701 | $496–$1,402 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$194.50–$273.50 | $389–$547 | varies |
| Dgp Antibody Each Ig Class (86258) | $16 | $32 | 1.3× |
| Dhea (82626) | $101.50 | $203 | 4.0× |
| Dhea-S (82627) | $92.50 | $185 | 4.2× |
| Dibucaine number (82638) | $31.50 | $63 | 2.6× |
| Digoxin (80162) | $61 | $122 | 4.6× |
| Dihydrotestosterone (82642) | $89 | $178 | 3.0× |
| Diphtheria antitoxoid (86648) range across 2 matching MRF lines |
$19.50–$135.50 | $39–$271 | varies |
| Dipropylacetic Acid Free (80165) | $61.50 | $123 | 4.5× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $45 | $90 | 1.3× |
| Dmd Duplication/Deletion Analysis (81161) | $187 | $374 | 0.7× |
| Dna Antibody Native/Double Stranded (86225) | $161 | $322 | 11.7× |
| Dna/Rna Amplified Probe (87150) | $86 | $172 | 2.5× |
| DNA/RNA direct probe (87149) | $78.50 | $157 | 3.9× |
| Dna/Rna Sequencing (87153) range across 2 matching MRF lines |
$214–$244 | $428–$488 | varies |
| Drug assay acetaminophen (80143) | $33 | $66 | 1.8× |
| Drug assay adalimumab (80145) range across 2 matching MRF lines |
$445.50–$452.50 | $891–$905 | varies |
| Drug Assay Everolimus (80169) | $405 | $810 | 29.5× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$299–$340 | $598–$680 | varies |
| Drug Assay Lacosamide (80235) | $180 | $360 | 6.6× |
| Drug Assay Vedolizumab (80280) | $188 | $376 | 4.9× |
| Drug assay voriconazole (80285) | $65 | $130 | 2.4× |
| Drug Screen Quant Clozapine (80159) | $43.50 | $87 | 2.2× |
| Drug Screen Quant Zonisamide (80203) | $101 | $202 | 7.6× |
| Drug Screen Quantitative Gabapentin (80171) | $195.50 | $391 | 9.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $104.50 | $209 | 7.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $134.50 | $269 | 10.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $93 | $186 | 7.0× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $66 | $132 | 3.9× |
| Drug Screen Quantitative Tiagabine (80199) | $65 | $130 | 2.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 18 matching MRF lines |
$19–$238 | $38–$476 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $20.50 | $41 | 1.6× |
| Egfr Gene Analysis Common Variants (81235) | $515 | $1,030 | 1.6× |
| Ehrlichia antibody (86666) | $70.50 | $141 | 6.9× |
| El-1 Fecal Quantitative (82653) | $28.50 | $57 | 1.2× |
| Electrolyte panel (80051) | $65.50 | $131 | 9.3× |
| Electron Microscopy (88348) | $773.50 | $1,547 | 1.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $83.50 | $167 | 1.4× |
| Encephaltis East Eqne Anbdy (86652) range across 3 matching MRF lines |
$30–$64 | $60–$128 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 4 matching MRF lines |
$30–$64 | $60–$128 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $18 | $36 | 1.5× |
| Enterovirus Antibody (86658) range across 6 matching MRF lines |
$34.50–$587.50 | $69–$1,175 | varies |
| Enterovirus PCR (87498) range across 4 matching MRF lines |
$42–$193 | $84–$386 | varies |
| Enzyme cell activity (82657) range across 6 matching MRF lines |
$77.50–$141 | $155–$282 | varies |
| Enzyme histochemistry (88319) | $516.50 | $1,033 | 0.7× |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$42.50–$118 | $85–$236 | varies |
| Erythropoietin (82668) | $185 | $370 | 9.8× |
| Estradiol serum (82670) | $151 | $302 | 5.4× |
| Estriol (82677) range across 2 matching MRF lines |
$78–$234 | $156–$468 | varies |
| Estrogen total (82672) | $71 | $142 | 3.3× |
| Estrogens fractionated (82671) | $147 | $294 | 4.6× |
| Ethosuximide (80168) | $61 | $122 | 3.7× |
| Ethylene Glycol (82693) | $68.50 | $137 | 4.6× |
| Exam Synovial Fluid Crystals (89060) | $47 | $94 | 6.4× |
| F2 Gene (81240) | $321.50 | $643 | 4.9× |
| Factor ii activity (85210) | $176 | $352 | 13.6× |
| Factor Inhibitor Test (85335) range across 4 matching MRF lines |
$58.50–$521 | $117–$1,042 | varies |
| Factor ix activity (85250) | $253 | $506 | 13.3× |
| Factor v activity (85220) | $176 | $352 | 10.0× |
| Factor v leiden mutation (81241) | $161 | $322 | 2.2× |
| Factor vii assay (85230) | $281 | $562 | 15.7× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$163.50–$243 | $327–$486 | varies |
| Factor X (85260) | $234 | $468 | 13.1× |
| Factor xi activity (85270) | $263.50 | $527 | 14.7× |
| Factor xiii screen (85291) | $66.50 | $133 | 7.3× |
| Fat stain feces urine/respir secretions (89125) | $29 | $58 | 4.9× |
| Fat/Lipids Feces Quantitative (82710) | $83.50 | $167 | 5.0× |
| Fatty acids free (82725) | $226 | $452 | 12.0× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $133.50 | $267 | 17.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $89 | $178 | 5.2× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $138 | $276 | 21.1× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$25–$45 | $50–$90 | varies |
| Ferritin (82728) | $77.50 | $155 | 5.7× |
| Fetal Chrmoml Aneuploidy (81420) | $1,660 | $3,320 | 2.2× |
| Fetal Chrmoml Microdeltj (81422) | $640.50 | $1,281 | 0.8× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $272 | $544 | 1.8× |
| Fetal Fibronectin (82731) | $294 | $588 | 4.6× |
| Fetal hemoglobin assay qual (83033) | $22.50 | $45 | 2.8× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $24 | $48 | 1.3× |
| Fetal screen rosette (85461) | $39 | $78 | 4.2× |
| Fibrin degradation products (85362) | $137 | $274 | 19.9× |
| Fibrin Degradation Quant (85379) | $157 | $314 | 15.4× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $72.50 | $145 | 7.5× |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) | $150.50 | $301 | 14.8× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $39.50 | $79 | 3.2× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$97–$151 | $194–$302 | varies |
| Fibrinogen antigen (85385) | $206 | $412 | 14.2× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 2 matching MRF lines |
$87–$90.50 | $174–$181 | varies |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$108.50–$268 | $217–$536 | varies |
| Fluorescent antibody screen (86255) range across 11 matching MRF lines |
$56–$825 | $112–$1,650 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 9 matching MRF lines |
$14–$747.50 | $28–$1,495 | varies |
| Fmr1 Gene Charac Alleles (81244) | $363 | $726 | 8.1× |
| Fmr1 gene detection (81243) | $401.50 | $803 | 7.0× |
| Folic Acid Serum (82746) | $185 | $370 | 12.6× |
| Follicle Stimulating Hormone (83001) | $288 | $576 | 15.5× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $15 | $30 | 0.5× |
| Francisella tularensis (86668) | $42.50 | $85 | 3.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) range across 2 matching MRF lines |
$27–$267.50 | $54–$535 | varies |
| Frozen Section (88331) | $147 | $294 | 1.0× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$193.50–$201.50 | $387–$403 | varies |
| Fungi Identification Yeast (87106) range across 3 matching MRF lines |
$29–$75 | $58–$150 | varies |
| Galactose (82760) | $14.50 | $29 | 1.3× |
| Galactose transferase test (82776) | $87 | $174 | 7.4× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) range across 2 matching MRF lines |
$154–$378 | $308–$756 | varies |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$68–$135.50 | $136–$271 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $40.50 | $81 | 4.1× |
| Gases blood ph only (82800) | $42 | $84 | 3.8× |
| Gastrin (82941) | $148 | $296 | 8.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $618.50 | $1,237 | 1.5× |
| Genet Virus Isolate Hsv (87255) | $94.50 | $189 | 2.8× |
| Genome Sequence Analysis (81425) unusually low: confirm this is the full procedure |
$2,515.50 | $5,031 | 0.5× |
| Genome sequence analysis each comparator genome (81426) | $1,355 | $2,710 | 0.5× |
| Gentamicin (80170) | $151 | $302 | 9.2× |
| Ggt (82977) | $79 | $158 | 11.0× |
| Giardia antigen (87329) | $237 | $474 | 19.8× |
| Giardia lamblia antibody (86674) | $58.50 | $117 | 4.0× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $221.50 | $443 | 2.2× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $35.50 | $71 | 5.9× |
| Glucagon (82943) | $215.50 | $431 | 15.1× |
| Glucose 2 hr pp (82950) | $102 | $204 | 21.5× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$12–$24 | $24–$48 | varies |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$39.50–$116.50 | $79–$233 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$21–$28 | $42–$56 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$85–$85.50 | $170–$171 | varies |
| Glucosidase beta (82963) | $28 | $56 | 1.3× |
| Glutathione (82978) | $41.50 | $83 | 2.7× |
| Glycated Protein (82985) range across 2 matching MRF lines |
$47–$115.50 | $94–$231 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $57.50 | $115 | 7.6× |
| Growth hormone (83003) | $135.50 | $271 | 8.1× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$18–$20 | $36–$40 | varies |
| H Pylori (C-13) Breath (83013) | $132 | $264 | 2.0× |
| H Pylori Drug Admin (83014) | $23 | $46 | 2.9× |
| Haloperidol (80173) | $65 | $130 | 4.1× |
| Haptoglobin (83010) | $75 | $150 | 6.0× |
| Hba1/Hba2 Gene (81257) | $522.50 | $1,045 | 5.1× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $522.50 | $1,045 | 2.6× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$31.50–$32 | $63–$64 | varies |
| Heavy metal qualitative any analytes (83015) | $95.50 | $191 | 4.6× |
| Helicobacter Pylori Stool (87338) | $101.50 | $203 | 7.1× |
| Helminth Antibody (86682) | $113.50 | $227 | 8.7× |
| Hematocrit (85014) | $24.50 | $49 | 10.3× |
| Hemoglobin (85018) | $24.50 | $49 | 10.3× |
| Hemoglobin a1c (83036) | $44.50 | $89 | 4.6× |
| Hemoglobin Chromotography (83021) range across 5 matching MRF lines |
$39.50–$108.50 | $79–$217 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$43.50–$95.50 | $87–$191 | varies |
| Hemoglobin F Fetal Chemical (83030) | $26.50 | $53 | 2.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $33.50 | $67 | 4.1× |
| Hemoglobin plasma (83051) | $59 | $118 | 8.1× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $122 | $244 | 13.0× |
| Hemoglobin urine (83069) | $10 | $20 | 2.5× |
| Hemoglobin-Oxygen Affinity (82820) | $165.50 | $331 | 12.4× |
| Hemolysin Acid (85475) | $14.50 | $29 | 1.6× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $41 | $82 | 4.7× |
| Hemosiderin urine (83070) | $23.50 | $47 | 4.9× |
| Hep a ab igm (86709) | $95 | $190 | 8.4× |
| Heparin assay (85520) | $225 | $450 | 17.2× |
| Hepatitis a antibody total (86708) | $181.50 | $363 | 14.6× |
| Hepatitis b core ab igm (86705) | $102 | $204 | 8.7× |
| Hepatitis b core ab total (86704) | $237.50 | $475 | 19.7× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$39–$74.50 | $78–$149 | varies |
| Hepatitis B Surface Antigen (87340) | $65.50 | $131 | 6.3× |
| Hepatitis Be Antibody (86707) | $152 | $304 | 13.1× |
| Hepatitis Be Antigen (87350) | $183 | $366 | 15.9× |
| Hepatitis C Antibody (86803) | $95 | $190 | 6.7× |
| Hepatitis c antibody confirmatory test (86804) | $148 | $296 | 9.6× |
| Hepatitis C Genotype (87902) | $1,175.50 | $2,351 | 4.6× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $185 | $370 | 5.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $453 | $906 | 10.6× |
| Hepatitis delta ag (87380) | $127.50 | $255 | 6.9× |
| Hepatitis Delta Agent Antibody (86692) | $130.50 | $261 | 7.6× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$28–$112.50 | $56–$225 | varies |
| Heterophile Antibody Screen (86308) | $53 | $106 | 10.2× |
| Hexa gene analysis common variants (81255) | $321.50 | $643 | 6.2× |
| Hfe Gene (81256) | $502.50 | $1,005 | 7.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $125 | $250 | 16.2× |
| Histamine urine (83088) | $135 | $270 | 4.6× |
| Histoplasma antibody (86698) range across 6 matching MRF lines |
$37–$93.50 | $74–$187 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$181–$195.50 | $362–$391 | varies |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$1,353–$1,504 | $2,706–$3,008 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$52–$116.50 | $104–$233 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$58–$116.50 | $116–$233 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$162–$388 | $324–$776 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $308 | $616 | 8.8× |
| Hla Class I Typing Low Resolution Complete (81372) | $250 | $500 | 0.6× |
| Hla class ii typing high resolution one locus ea (81382) | $378.50 | $757 | 3.1× |
| Hla I Typing 1 Allele Hr (81381) | $390.50 | $781 | 2.3× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $1,084.50 | $2,169 | 3.1× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $884.50 | $1,769 | 2.2× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $321.50 | $643 | 1.5× |
| Hla ii type 1 ag equiv lr (81377) | $40 | $80 | 0.4× |
| Hla ii typing 1 allele hr (81383) | $61 | $122 | 0.6× |
| Hla Typing a/B/C Multiple Antigens (86813) | $217 | $434 | 3.7× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $219.50 | $439 | 2.1× |
| Hla-b27 (86812) | $432 | $864 | 16.7× |
| Homocysteine (83090) | $90.50 | $181 | 5.1× |
| Homogenization Tissue (87176) | $100 | $200 | 17.0× |
| Homovanillic acid urine (83150) | $238.50 | $477 | 10.6× |
| Hpv High-Risk Types (87624) | $158.50 | $317 | 4.5× |
| Hpv low-risk types (87623) | $91.50 | $183 | 2.6× |
| Hpv Types 16 & 18 Only (87625) | $98.50 | $197 | 2.4× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$57–$112 | $114–$224 | varies |
| Hsv Dna Quant (87530) range across 2 matching MRF lines |
$73–$94.50 | $146–$189 | varies |
| Htlv-I Antibody (86687) | $148 | $296 | 16.3× |
| Human Epididymis Protein 4 (86305) | $249.50 | $499 | 12.0× |
| Hydroxycorticosteroids 17 (83491) | $50 | $100 | 2.8× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$63.50–$124 | $127–$248 | varies |
| Hydroxyproline total (83505) | $33 | $66 | 1.4× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $75 | $150 | 6.3× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $67.50 | $135 | 5.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $145.50 | $291 | 14.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $112 | $224 | 8.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $42 | $84 | 1.2× |
| Iaad ia shiga-like toxin (87427) | $43 | $86 | 3.6× |
| Iaad Ia Streptococcus Group A (87430) | $59.50 | $119 | 3.5× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $30.50 | $61 | 2.5× |
| Iaadi herpes smplx virus type 1 (87274) | $49.50 | $99 | 4.1× |
| Iaadi herpes smplx virus type 2 (87273) | $49.50 | $99 | 4.1× |
| Iaadi inffluenza a virus (87276) | $26 | $52 | 1.6× |
| Iaadi not otherwise specified each organism (87299) | $26 | $52 | 1.6× |
| Iaadi parainfluenza virus each type (87279) | $30.50 | $61 | 1.9× |
| Iaadi pneumocustis carinii (87281) | $67.50 | $135 | 5.6× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $59 | $118 | 4.9× |
| Iaadi respiratory synctial virus (87280) | $26 | $52 | 1.9× |
| Iaadi Varicella Zoster Virus (87290) | $49.50 | $99 | 3.7× |
| Iadna Bartonella Amplified Probe Technique (87471) | $189.50 | $379 | 5.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $136.50 | $273 | 3.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 3 matching MRF lines |
$105–$249.50 | $210–$499 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$42–$169 | $84–$338 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$139–$213 | $278–$426 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) | $148 | $296 | 4.2× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$212–$499 | $424–$998 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$42–$166 | $84–$332 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $308.50 | $617 | 8.8× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) range across 3 matching MRF lines |
$135.50–$194.50 | $271–$389 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$237–$257 | $474–$514 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$101.50–$364.50 | $203–$729 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $160.50 | $321 | 4.6× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $78.50 | $157 | 1.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $227 | $454 | 1.6× |
| Ig Light Chains Free Each (83521) | $21.50 | $43 | 1.2× |
| Igg subclasses (82787) | $41 | $82 | 5.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $209 | $418 | 0.6× |
| Immune Complex Assay (86332) range across 2 matching MRF lines |
$75.50–$141 | $151–$282 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$117.50–$271.50 | $235–$543 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$150–$556.50 | $300–$1,113 | varies |
| Immunoassay infectious agent (86318) | $46 | $92 | 2.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$46–$121 | $92–$242 | varies |
| Immunoassay nonantibody (83516) range across 13 matching MRF lines |
$31.50–$305 | $63–$610 | varies |
| Immunodiffusion Ouchterlony (86331) | $62.50 | $125 | 5.2× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $94.50 | $189 | 4.1× |
| Immunoelectrophoresis Serum (86320) | $94.50 | $189 | 3.2× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$135.50–$238 | $271–$476 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 4 matching MRF lines |
$26–$137 | $52–$274 | varies |
| Immunohistochemistry (88342) | $121.50 | $243 | 0.8× |
| In situ hybridization 1st probe stain (88365) | $134.50 | $269 | 0.9× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $126.50 | $253 | 1.8× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) range across 2 matching MRF lines |
$26–$29.50 | $52–$59 | varies |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $141 | $282 | 10.5× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $26 | $52 | 2.1× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $40.50 | $81 | 3.3× |
| Influenza a/b ag eia (87400) | $47.50 | $95 | 3.4× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$40–$112 | $80–$224 | varies |
| Influenza DNA amp probe (87502) | $98 | $196 | 1.0× |
| Inhibin A (86336) range across 2 matching MRF lines |
$103–$111 | $206–$222 | varies |
| Inhibin b (83520) range across 17 matching MRF lines |
$13–$1,150 | $26–$2,300 | varies |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$168.50–$222 | $337–$444 | varies |
| Insulin antibodies (86337) | $89.50 | $179 | 4.2× |
| Insulin free (83527) | $178 | $356 | 13.7× |
| Insulin total (83525) | $126 | $252 | 11.0× |
| Interleukin-6 (83529) | $22 | $44 | 1.3× |
| Intrinsic factor antibody (86340) | $102 | $204 | 6.8× |
| Iron (83540) | $27.50 | $55 | 4.3× |
| Iron Binding Capacity (83550) | $45 | $90 | 5.1× |
| Irradiation Blood Product Each Unit (86945) | $83 | $166 | 2.5× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$115.50–$187.50 | $231–$375 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $563 | $1,126 | 6.1× |
| Koh Prep (87220) range across 2 matching MRF lines |
$19–$53.50 | $38–$107 | varies |
| Kras Gene Variants Exon 2 (81275) | $939.50 | $1,879 | 4.9× |
| L/s ratio (83661) | $29 | $58 | 1.3× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$31–$45.50 | $62–$91 | varies |
| Lactoferrin fecal qualitative (83630) | $74 | $148 | 3.8× |
| Ldh Isoenzymes (83625) | $182 | $364 | 14.2× |
| LDL direct (83721) | $39.50 | $79 | 3.8× |
| Lead (83655) range across 4 matching MRF lines |
$26.50–$121 | $53–$242 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$34.50–$93 | $69–$186 | varies |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$26–$257 | $52–$514 | varies |
| Legionella pneumophila dfa (87278) | $85 | $170 | 5.4× |
| Leptospira antibody (86720) | $123.50 | $247 | 7.6× |
| Leukocyte Assessment Fecal (89055) | $46.50 | $93 | 10.9× |
| Leukocyte Histamine Release (86343) | $66 | $132 | 5.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $40 | $80 | 1.5× |
| Level ii surg pathology grossµscopic exam (88302) | $73 | $146 | 2.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $201.50 | $403 | 0.6× |
| Lidocaine (80176) | $78 | $156 | 5.3× |
| Lipase (83690) | $81 | $162 | 11.8× |
| Lipoprotein A (83695) | $78 | $156 | 5.4× |
| Lipoprotein Bld Quan Part (83704) | $92 | $184 | 2.7× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $33.50 | $67 | 3.0× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $69.50 | $139 | 2.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $60 | $120 | 1.3× |
| Lithium (80178) | $93.50 | $187 | 14.1× |
| Luteinizing Hormone (Lh) (83002) | $215.50 | $431 | 11.6× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$60–$190.50 | $120–$381 | varies |
| Lymphocyte transformation (86353) range across 2 matching MRF lines |
$236.50–$388.50 | $473–$777 | varies |
| Lysozyme serum (85549) | $61 | $122 | 3.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $640.50 | $1,281 | 4.2× |
| M/phmtrc alys ishquant/semiq (88374) | $180.50 | $361 | 1.2× |
| Macroscopic Exam Parasite (87169) | $26.50 | $53 | 6.1× |
| Magnesium Urine (83735) | $56 | $112 | 8.4× |
| Mass Spectrometry Quant (83789) | $97 | $194 | 4.0× |
| Mecp2 gene full seq (81302) | $1,154.50 | $2,309 | 2.2× |
| Mercury urine (83825) | $166.50 | $333 | 10.2× |
| Metabolic panel ionized ca (80047) | $133 | $266 | 9.7× |
| Methotrexate (80204) | $55 | $110 | 1.4× |
| Methylmalonic acid serum (83921) | $96 | $192 | 4.5× |
| Microalbumin, quantitative (82043) | $89.50 | $179 | 15.5× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$32–$146.50 | $64–$293 | varies |
| Mitochondrial Antibody Each (86381) | $46.50 | $93 | 1.8× |
| Mog-Igg1 Antb Cba Each (86362) | $17 | $34 | 1.4× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
$83.50–$119 | $167–$238 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $142.50 | $285 | 3.4× |
| Molecular Pathology Procedure Level 3 (81402) | $329 | $658 | 2.2× |
| Molecular Pathology Procedure Level 6 (81405) | $659 | $1,318 | 2.2× |
| Mononuclear cell antigen (86356) range across 2 matching MRF lines |
$43.50–$104.50 | $87–$209 | varies |
| Mopath procedure level 2 (81401) range across 3 matching MRF lines |
$329–$612.50 | $658–$1,225 | varies |
| Mopath procedure level 4 (81403) | $911 | $1,822 | 4.9× |
| Mopath procedure level 5 (81404) | $601 | $1,202 | 2.2× |
| Mopath procedure level 7 (81406) range across 2 matching MRF lines |
$694–$2,272 | $1,388–$4,544 | varies |
| Mopath procedure level 8 (81407) | $1,851 | $3,702 | 2.2× |
| Mopath procedure level 9 (81408) | $4,374.50 | $8,749 | 2.2× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$68–$84.50 | $136–$169 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $462.50 | $925 | 7.1× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$31–$108.50 | $62–$217 | varies |
| Muscle-Specific Kinase Antb (86366) range across 2 matching MRF lines |
$1,236–$1,667.50 | $2,472–$3,335 | varies |
| Mycobacteric Identification (87118) | $75.50 | $151 | 5.2× |
| Mycophenolic Acid (80180) | $147 | $294 | 8.1× |
| Mycoplasma antibody (86738) range across 4 matching MRF lines |
$30–$90.50 | $60–$181 | varies |
| Mycoplasma culture (87109) | $63.50 | $127 | 4.1× |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
$38–$94 | $76–$188 | varies |
| Myoglobin urine (83874) | $87 | $174 | 6.7× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$115–$154 | $230–$308 | varies |
| Neutralization Test Viral (86382) | $147 | $294 | 8.7× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $98 | $196 | 3.4× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $376 | $752 | 1.5× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $617 | $1,234 | 2.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $566 | $1,132 | 7.8× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $678.50 | $1,357 | 5.3× |
| Niacin (84591) range across 3 matching MRF lines |
$96.50–$154 | $193–$308 | varies |
| Nk cells total count (86357) | $48.50 | $97 | 1.3× |
| Nuclear antigen antibody (86235) range across 7 matching MRF lines |
$20–$244.50 | $40–$489 | varies |
| Obstetric panel (80081) | $246 | $492 | 3.3× |
| Occult blood feces (82272) | $22.50 | $45 | 5.3× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$15.50–$20 | $31–$40 | varies |
| Oligoclonal bands (83916) range across 5 matching MRF lines |
$87.50–$137.50 | $175–$275 | varies |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $721.50 | $1,443 | 2.8× |
| Oncoprotein Her-2/Neu (83950) | $142.50 | $285 | 2.2× |
| Organic Acids Qualitative Each Specimen (83919) | $308 | $616 | 18.7× |
| Organic acids urine (83918) | $287.50 | $575 | 12.2× |
| Osmolality serum (83930) | $92 | $184 | 13.9× |
| Osmolality Urine (83935) | $92 | $184 | 13.5× |
| Osmotic fragility rbc incubated (85557) | $137 | $274 | 10.3× |
| Osmotic Fragility RBC Unincubated (85555) | $68 | $136 | 9.1× |
| Osteocalcin (83937) | $184.50 | $369 | 6.2× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$23.50–$109.50 | $47–$219 | varies |
| Oxalate urine (83945) | $257.50 | $515 | 17.8× |
| Pancreatic Elastase Fecal (82656) | $118 | $236 | 10.2× |
| Particle Agglut Antbdy Titr (86406) | $77.50 | $155 | 7.3× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$61–$110 | $122–$220 | varies |
| Parvovirus antibody (86747) | $61.50 | $123 | 4.1× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 2 matching MRF lines |
$45–$60 | $90–$120 | varies |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $300.50 | $601 | 1.2× |
| Ph urine (81003) range across 2 matching MRF lines |
$35.50–$37 | $71–$74 | varies |
| Phenobarbital Level (80184) | $120 | $240 | 7.8× |
| Phenotype Infect Agent Drug (87900) | $224 | $448 | 1.7× |
| Phenylalanine (84030) | $60 | $120 | 10.9× |
| Phenytoin (Dilantin) (80185) | $104 | $208 | 7.8× |
| Phenytoin free (80186) | $118.50 | $237 | 8.6× |
| Phosphatase acid prostatic (84066) | $61.50 | $123 | 6.4× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$36.50–$42.50 | $73–$85 | varies |
| Phosphatidylglycerol (84081) | $21 | $42 | 1.3× |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$68.50–$129 | $137–$258 | varies |
| Phosphorus Serum (84100) range across 3 matching MRF lines |
$24.50–$84.50 | $49–$169 | varies |
| Phosphorus urine (84105) | $86.50 | $173 | 15.0× |
| Pinworm exam (87172) | $268.50 | $537 | 62.9× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$112–$192.50 | $224–$385 | varies |
| Platelet Antibodies (86022) range across 4 matching MRF lines |
$62.50–$284 | $125–$568 | varies |
| Platelet count automated (85049) | $66.50 | $133 | 14.8× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$77.50–$157 | $155–$314 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $374 | $748 | 1.8× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $1,658.50 | $3,317 | 2.2× |
| Pooling blood platelets (86965) | $112 | $224 | 0.7× |
| Porphobilinogen Urine Qualitative (84106) | $18.50 | $37 | 3.2× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$36–$78 | $72–$156 | varies |
| Porphyrins Feces Quantitative (84126) | $90.50 | $181 | 2.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$61–$98.50 | $122–$197 | varies |
| Porphyrins, urine; qualitative (84119) | $30 | $60 | 2.2× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$19–$84.50 | $38–$169 | varies |
| Prealbumin (84134) | $33 | $66 | 2.3× |
| Pregnanediol (84135) | $24 | $48 | 1.1× |
| Pregnanetriol (84138) | $24.50 | $49 | 1.2× |
| Pregnenolone (84140) | $90.50 | $181 | 4.4× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $89.50 | $179 | 0.6× |
| Primidone (80188) | $72 | $144 | 4.3× |
| Procalcitonin (Pct) (84145) | $552.50 | $1,105 | 20.3× |
| Progesterone (84144) | $80 | $160 | 3.8× |
| Prolactin (84146) | $185.50 | $371 | 9.6× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$56–$58 | $112–$116 | varies |
| Protein C Activity (85303) | $234 | $468 | 16.9× |
| Protein c antigen (85302) | $359.50 | $719 | 29.9× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$57–$84 | $114–$168 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $50.50 | $101 | 4.7× |
| Protein S Free (85306) | $139.50 | $279 | 9.1× |
| Protein s total (85305) range across 3 matching MRF lines |
$59–$179 | $118–$358 | varies |
| Protein total serum (84155) | $28 | $56 | 7.6× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$46–$58 | $92–$116 | varies |
| Protein Western Blot Test (84182) range across 4 matching MRF lines |
$174–$446 | $348–$892 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 3 matching MRF lines |
$10.50–$58.50 | $21–$117 | varies |
| Protoporphyrin rbc quantitative (84202) | $36 | $72 | 2.5× |
| PSA free (84154) | $67.50 | $135 | 3.7× |
| Pth Intact (83970) | $167.50 | $335 | 4.1× |
| Pyruvate kinase (84220) | $98.50 | $197 | 10.4× |
| Q Fever Antibody (86638) | $127.50 | $255 | 10.5× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$137–$200 | $274–$400 | varies |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$52–$202 | $104–$404 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$38.50–$119.50 | $77–$239 | varies |
| Quinidine (80194) | $41 | $82 | 2.8× |
| Rbc antibody elution (86860) | $176.50 | $353 | 1.1× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$42.50–$135.50 | $85–$271 | varies |
| Rbc antibody screen (86850) | $71.50 | $143 | 7.3× |
| Rbc pretreatment serum (86978) | $176.50 | $353 | 3.3× |
| Rbc pretx incubatj w/enzymes (86971) | $136.50 | $273 | 0.9× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$42–$185 | $84–$370 | varies |
| Reptilase test (85635) | $155 | $310 | 15.7× |
| Resp virus 12-25 targets (87633) | $543.50 | $1,087 | 1.3× |
| Reticulocyte Count (85046) | $39.50 | $79 | 7.1× |
| Reticulocyte Count Manual (85044) | $32 | $64 | 7.4× |
| Rh (86901) | $46.50 | $93 | 15.6× |
| Rheumatoid Factor Qualitative (86430) | $56 | $112 | 9.1× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$39–$41 | $78–$82 | varies |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$77.50–$192.50 | $155–$385 | varies |
| Ristocetin cofactor (85245) range across 3 matching MRF lines |
$138–$195 | $276–$390 | varies |
| Rotavirus ag eia (87425) | $85.50 | $171 | 7.1× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$24–$93 | $48–$186 | varies |
| Rsv ab (86756) range across 2 matching MRF lines |
$62.50–$66 | $125–$132 | varies |
| Rsv Assay W/Optic (87807) | $85.50 | $171 | 6.5× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$22–$92.50 | $44–$185 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$35.50–$43.50 | $71–$87 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$43.50–$345 | $87–$690 | varies |
| Salicylate Level (80179) | $77.50 | $155 | 4.2× |
| Salmonella antibody (86768) | $54 | $108 | 4.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$15–$99 | $30–$198 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $34.50 | $69 | 0.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$150.50–$218.50 | $301–$437 | varies |
| Sedimentation rate (85651) | $33 | $66 | 7.7× |
| Sedimentation Rate, Automated (85652) | $30 | $60 | 11.1× |
| Selenium (84255) | $97.50 | $195 | 3.8× |
| Semen Anal Sperm Detection (89321) | $47.50 | $95 | 3.9× |
| Sensitivity mic (87186) range across 5 matching MRF lines |
$40–$63.50 | $80–$127 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$47.50–$53.50 | $95–$107 | varies |
| Sickling of rbc reduction (85660) | $42.50 | $85 | 7.7× |
| Sirolimus (80195) | $101 | $202 | 7.4× |
| Skin Test Candida (86485) | $27.50 | $55 | 1.1× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$11–$31 | $22–$62 | varies |
| Skin test unlisted antigen each (86486) | $19 | $38 | 0.7× |
| Smear acid fast (87206) range across 8 matching MRF lines |
$24–$143.50 | $48–$287 | varies |
| Smear complex stain (87209) | $72 | $144 | 4.0× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$19–$107.50 | $38–$215 | varies |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$34–$143.50 | $68–$287 | varies |
| Smn1 Gene Analysis Full Gene Sequence (81336) | $659 | $1,318 | 2.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$19–$53.50 | $38–$107 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $222 | $444 | 4.3× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$21.50–$84.50 | $43–$169 | varies |
| Sodium Urine (84300) | $84.50 | $169 | 16.7× |
| Soluble fibrin monomer (85366) | $335 | $670 | 4.2× |
| Soluble Transferrin Receptor (84238) | $80 | $160 | 2.2× |
| Somatomedin (84305) | $136.50 | $273 | 6.4× |
| Somatostatin (84307) | $264.50 | $529 | 14.5× |
| Special Stains Group 1 (88312) | $107.50 | $215 | 2.3× |
| Special Stains Group 2 (88313) | $92 | $184 | 0.8× |
| Specific gravity body fluid (84315) | $11.50 | $23 | 3.5× |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
$50.50–$111.50 | $101–$223 | varies |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$77–$169.50 | $154–$339 | varies |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $106 | $212 | 2.2× |
| Splitting Blood/Blood Products Each Unit (86985) | $58 | $116 | 0.4× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $46.50 | $93 | 0.3× |
| Staph a DNA amp probe (87640) | $68 | $136 | 1.9× |
| Stem cells total count (86367) | $178 | $356 | 2.3× |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$30.50–$46.50 | $61–$93 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$40–$43 | $80–$86 | varies |
| Strep a DNA amp probe (87651) | $98 | $196 | 2.8× |
| Strep b DNA amp probe (87653) | $42 | $84 | 1.2× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $106.50 | $213 | 9.2× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $38.50 | $77 | 7.0× |
| Sugars Single Qual (84376) | $102 | $204 | 18.5× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $26.50 | $53 | 0.7× |
| Sulfate urine (84392) | $16.50 | $33 | 3.0× |
| Surg path level iii (88304) | $90.50 | $181 | 1.9× |
| Surgical pathology level IV (88305) | $82 | $164 | 1.7× |
| Surgical pathology level vi (88309) | $274.50 | $549 | 0.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $41.50 | $83 | 8.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$30.50–$47.50 | $61–$95 | varies |
| Sweat Collection Iontophoresis (89230) | $102.50 | $205 | 2.2× |
| Syphilis Test Non-Trep Quant (86593) | $40.50 | $81 | 9.2× |
| T cells absolute cd4 count (86361) | $72 | $144 | 2.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $70 | $140 | 1.5× |
| T cells total count (86359) | $48.50 | $97 | 1.3× |
| T3 Free (84481) | $71 | $142 | 4.2× |
| T3 reverse (84482) | $97.50 | $195 | 6.2× |
| T3 Total (84480) | $69.50 | $139 | 4.9× |
| T3 Uptake (84479) | $41 | $82 | 6.3× |
| T4 Free (84439) range across 2 matching MRF lines |
$73.50–$95 | $147–$190 | varies |
| T4 total (84436) | $26 | $52 | 3.8× |
| T4-neonatal (84437) | $10.50 | $21 | 1.6× |
| Tacrolimus (80197) | $101 | $202 | 7.4× |
| Tb ag response t-cell susp (86481) | $130.50 | $261 | 1.3× |
| Test for acetone/ketones (82009) | $32.50 | $65 | 7.2× |
| Testosterone Bioavailable (84410) | $62 | $124 | 1.2× |
| Testosterone total (84403) range across 4 matching MRF lines |
$76–$138.50 | $152–$277 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$56.50–$76 | $113–$152 | varies |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$19.50–$121 | $39–$242 | varies |
| Theophylline (80198) | $118.50 | $237 | 8.4× |
| Thiocyanate (84430) | $29 | $58 | 2.5× |
| Thrombin Time (85670) range across 4 matching MRF lines |
$34–$99 | $68–$198 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 5 matching MRF lines |
$33–$164.50 | $66–$329 | varies |
| Thyroglobulin (84432) | $69 | $138 | 4.3× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$61–$136.50 | $122–$273 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $121 | $242 | 2.4× |
| Thyroxine binding globulin (84442) | $46.50 | $93 | 3.1× |
| Tiss cul neo disorders solid tumor (88239) | $202.50 | $405 | 1.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$14.50–$52 | $29–$104 | varies |
| Tissue Culture (88233) | $202.50 | $405 | 1.4× |
| Tissue Culture Amniotic Fluid (88235) | $444.50 | $889 | 3.0× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$133.50–$345.50 | $267–$691 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$260.50–$277 | $521–$554 | varies |
| Tobramycin peak (80200) | $120 | $240 | 7.4× |
| Topiramate (80201) | $123 | $246 | 10.3× |
| Touch prep (88161) | $56 | $112 | 2.1× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $206 | $412 | 10.4× |
| Toxoplasma ab igm (86778) range across 6 matching MRF lines |
$22–$206 | $44–$412 | varies |
| Toxoplasma antibody (86777) range across 3 matching MRF lines |
$22–$160 | $44–$320 | varies |
| Tpmt gene com variants (81335) | $383 | $766 | 2.2× |
| Transferase Aspartate Amino Ast Sgot (84450) | $84.50 | $169 | 16.3× |
| Transferrin (84466) | $75 | $150 | 5.9× |
| Trichinella Antibody (86784) | $83.50 | $167 | 6.6× |
| Trichomonas Vaginalis Amplif (87661) | $185.50 | $371 | 5.3× |
| Triglycerides (84478) range across 4 matching MRF lines |
$28–$169.50 | $56–$339 | varies |
| Troponin Quant (84484) | $112.50 | $225 | 9.0× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$178.50–$206.50 | $357–$413 | varies |
| Tumor Immunohistochem/Manual (88360) | $97 | $194 | 0.6× |
| Unlisted Surgical Pathology Procedure (88399) | $29 | $58 | 0.6× |
| Unlisted Transfusion Medicine Procedure (86999) | $93 | $186 | 3.6× |
| Urea nitrogen urine (84540) | $23.50 | $47 | 4.2× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$87–$115.50 | $174–$231 | varies |
| Urinalysis Microscopic Only (81015) | $37 | $74 | 12.1× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $20 | $40 | 9.2× |
| Urinalysis Volume Measure (81050) | $17 | $34 | 4.7× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$37–$38.50 | $74–$77 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$45.50–$53.50 | $91–$107 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $37.50 | $75 | 11.8× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $34.50 | $69 | 3.6× |
| Valproic acid (80164) | $97 | $194 | 7.2× |
| Vancomycin (80202) | $108.50 | $217 | 8.0× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$51–$57 | $102–$114 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$197–$435 | $394–$870 | varies |
| Very Long Chain Fatty Acids (82726) | $230 | $460 | 11.6× |
| Viral Culture (87252) range across 3 matching MRF lines |
$83.50–$192.50 | $167–$385 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$100.50–$180 | $201–$360 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$81–$147 | $162–$294 | varies |
| Viscosity serum (85810) | $89 | $178 | 7.6× |
| Vit D 1 25-Dihydroxy (82652) | $105.50 | $211 | 2.7× |
| Vitamin A (84590) | $60.50 | $121 | 5.2× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$49–$72 | $98–$144 | varies |
| Vitamin B2 (Riboflavin) (84252) | $90 | $180 | 4.4× |
| Vitamin B6 (84207) | $94.50 | $189 | 3.4× |
| Vitamin c (82180) | $121 | $242 | 12.2× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$160–$166.50 | $320–$333 | varies |
| Vitamin E (84446) | $61.50 | $123 | 4.3× |
| Vitamin K (84597) | $160 | $320 | 11.7× |
| Vkorc1 gene (81355) | $277.50 | $555 | 3.1× |
| Volatiles (84600) | $44.50 | $89 | 2.6× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $26 | $52 | 2.2× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $47.50 | $95 | 0.3× |
| Von willebrand factor ag (85246) | $107 | $214 | 4.7× |
| Wbc Alkaline Phosphatase Count (85540) | $53 | $106 | 6.2× |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$52–$77.50 | $104–$155 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$65–$77.50 | $130–$155 | varies |
| Western Blot Test (84181) range across 2 matching MRF lines |
$61–$230.50 | $122–$461 | varies |
| Zika Virus Dna/Rna Amp Probe (87662) | $176 | $352 | 3.4× |
| Zika Virus Igm Antibody (86794) | $44 | $88 | 2.6× |
| Zinc (84630) | $77.50 | $155 | 6.8× |
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.