Lab & pathology prices at Peacehealth Cottage Grove Community Medical Center
Cottage Grove, OR · every code in this section with a posted price and a Medicare benchmark.
644 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $205.40 | $316 | 5.3× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $82.55 | $127 | 2.5× |
| Actin smooth muscle antibody each (86015) | $23.50 | $36.15 | 2.0× |
| Acute hepatitis panel (80074) | $141.70 | $218 | 3.0× |
| Acylcarnitines Quant (82017) | $67.60 | $104 | 4.0× |
| Albumin Fluid (82042) | $18.85 | $29 | 2.4× |
| Albumin serum (82040) | $13.65 | $21 | 2.8× |
| Aldolase (82085) | $65 | $100 | 6.7× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$49.40–$154.70 | $76–$238 | varies |
| Alkaline phosphatase isoenzymes (84080) | $107.25 | $165 | 7.3× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$77.35–$1,856.40 | $119–$2,856 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$22.10–$81.90 | $34–$126 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$31.85–$95.55 | $49–$147 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $43.55 | $67 | 3.0× |
| Alpha-1-antitrypsin total (82103) | $91 | $140 | 6.8× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$55.90–$67.60 | $86–$104 | varies |
| Alt (sgpt) (84460) | $20.80 | $32 | 3.9× |
| Aluminum (82108) | $89.05 | $137 | 3.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $178.10 | $274 | 10.6× |
| Aminolevulinic acid (ala) (82135) | $96.20 | $148 | 5.8× |
| Ammonia (82140) | $121.55 | $187 | 8.3× |
| Amylase urine (82150) | $50.05 | $77 | 7.7× |
| Ana Titer (86039) | $44.20 | $68 | 4.0× |
| Anca screen each antibody (86036) | $19.50 | $30 | 1.6× |
| Androstenedione (82157) | $88.40 | $136 | 3.0× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$35.75–$61.75 | $55–$95 | varies |
| Antibody aspergillus (86606) | $33.15 | $51 | 2.2× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$36.40–$451.75 | $56–$695 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$54.60–$109.20 | $84–$168 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $70.85 | $109 | 4.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $48.75 | $75 | 3.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $66.30 | $102 | 4.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$63.05–$126.10 | $97–$194 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$66.30–$132.60 | $102–$204 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $46.80 | $72 | 3.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $85.15 | $131 | 6.2× |
| Antibody HIV-2 (86702) | $32.50 | $50 | 2.4× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $538.20 | $828 | 1.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $57.20 | $88 | 3.0× |
| Antibody identification leukocyte antibodies (86021) | $59.15 | $91 | 3.9× |
| Antibody john cunningham virus (86711) | $61.75 | $95 | 3.7× |
| Antibody leishmania (86717) | $42.25 | $65 | 3.4× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$41.60–$47.45 | $64–$73 | varies |
| Antibody Treponema Pallidum (86780) | $24.05 | $37 | 1.8× |
| Antigen typing (86905) | $65.65 | $101 | 17.1× |
| Antinuclear antibodies (86038) | $64.35 | $99 | 5.3× |
| Antistreptolysin o titer (86060) | $42.90 | $66 | 5.9× |
| Antithrombin iii activity (85300) | $178.75 | $275 | 15.1× |
| Apc Gene Analysis Known Familial Variants (81202) | $637 | $980 | 2.3× |
| Apc gene dup/delet variants (81203) | $455 | $700 | 2.3× |
| Apc gene full sequence (81201) | $1,774.50 | $2,730 | 2.3× |
| Apolipoprotein a1 (82172) | $116.35 | $179 | 5.5× |
| Arsenic (82175) range across 2 matching MRF lines |
$29.90–$50.70 | $46–$78 | varies |
| Aspergillus ag eia (87305) | $148.20 | $228 | 12.4× |
| Assay activated protein c (85307) | $172.25 | $265 | 11.2× |
| Assay Blood Carbon Dioxide (82374) | $19.50 | $30 | 4.0× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$87.75–$175.50 | $135–$270 | varies |
| Assay of 5-hiaa (83497) | $52.65 | $81 | 4.1× |
| Assay of blood/uric acid (84550) | $45.50 | $70 | 10.1× |
| Assay of calcium in urine (82340) | $29.90 | $46 | 5.0× |
| Assay of corticosterone (82528) | $36.40 | $56 | 1.6× |
| Assay of cpk in blood (82552) | $36.40 | $56 | 2.7× |
| Assay of estrone (82679) | $54.60 | $84 | 2.2× |
| Assay of g6pd enzyme (82955) | $56.55 | $87 | 5.8× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$66.95–$200.85 | $103–$309 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$82.55–$165.10 | $127–$254 | varies |
| Assay of manganese (83785) | $76.70 | $118 | 2.9× |
| Assay of metanephrines (83835) | $182.65 | $281 | 10.8× |
| Assay of proinsulin (84206) | $53.30 | $82 | 2.0× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$28.60–$57.20 | $44–$88 | varies |
| Assay of sweat sodium (84302) | $15.60 | $24 | 3.2× |
| Assay of urea nitrogen (84520) | $42.25 | $65 | 10.7× |
| Assay of vitamin b-1 (84425) | $49.40 | $76 | 2.3× |
| Assay Ph Body Fluid Nos (83986) | $55.90 | $86 | 15.6× |
| Automated Leukocyte Count (85048) | $22.10 | $34 | 8.7× |
| B cells total count (86355) | $126.10 | $194 | 3.3× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$39.65–$79.30 | $61–$122 | varies |
| Bcr/abl1 gene major bp (81206) | $300.95 | $463 | 1.8× |
| Bcr/abl1 gene minor bp (81207) | $365.95 | $563 | 2.5× |
| Bcr/Abl1 Gene Other Bp (81208) | $476.45 | $733 | 2.2× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$80.60–$241.80 | $124–$372 | varies |
| Beta hydroxybutyrate (82010) | $83.20 | $128 | 10.2× |
| Beta Lactamase (87185) | $50.70 | $78 | 10.7× |
| Beta-2 Microglobulin (82232) | $96.85 | $149 | 6.0× |
| Bile acids total (82239) | $54.60 | $84 | 3.2× |
| Bilirubin direct (82248) | $16.90 | $26 | 3.4× |
| Bilirubin total (82247) | $20.80 | $32 | 4.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $20.80 | $32 | 6.1× |
| Blastomyces antibody (86612) | $42.90 | $66 | 3.3× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$143–$193.70 | $220–$298 | varies |
| Blood Count Automated Differential Wbc Count (85004) | $19.50 | $30 | 3.0× |
| Blood Count Manual Cell Count Each (85032) | $13 | $20 | 3.0× |
| Blood Count Red Blood Cell Automated (85041) | $18.20 | $28 | 6.0× |
| Blood count reticulocyte automated (85045) | $18.20 | $28 | 4.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $25.35 | $39 | 6.7× |
| Blood count spun microhematocrit (85013) | $18.85 | $29 | 2.7× |
| Blood gas (82803) | $187.85 | $289 | 7.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$29.90–$49.40 | $46–$76 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$5.20–$28.60 | $8–$44 | varies |
| Blood Sulfhemoglobin Assay (83060) | $18.85 | $29 | 2.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$59.80–$239.20 | $92–$368 | varies |
| Blood typing serologic abo (86900) | $37.05 | $57 | 12.4× |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$34.45–$68.90 | $53–$106 | varies |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $1,001 | $1,540 | 2.3× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $853.45 | $1,313 | 2.3× |
| Brca1&2 gen full seq dup/del (81162) | $2,372.50 | $3,650 | 1.3× |
| Brca2 gene analysis full sequence analysis (81216) | $421.20 | $648 | 2.3× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $853.45 | $1,313 | 2.3× |
| Brucella antibody (86622) | $41.60 | $64 | 4.7× |
| C diff amplified probe (87493) | $300.30 | $462 | 8.1× |
| C-Peptide (84681) range across 2 matching MRF lines |
$31.20–$77.35 | $48–$119 | varies |
| C-reactive protein (86140) | $40.95 | $63 | 7.9× |
| Ca 19-9 (86301) | $55.25 | $85 | 2.7× |
| Cadmium (82300) | $55.90 | $86 | 2.4× |
| Calcium ionized (82330) | $31.20 | $48 | 2.3× |
| Calcium total (82310) | $16.90 | $26 | 3.3× |
| Calculus Spectroscopy (82365) | $54.60 | $84 | 4.2× |
| Calprotectin Fecal (83993) | $151.45 | $233 | 7.7× |
| Calr gene com variants (81219) | $360.10 | $554 | 3.0× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$49.40–$122.85 | $76–$189 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$51.35–$102.70 | $79–$158 | varies |
| Candida antibody (86628) | $31.85 | $49 | 2.7× |
| Candida Dna Dir Probe (87480) | $78.65 | $121 | 3.9× |
| Carbamazepine free (80157) | $61.75 | $95 | 4.7× |
| Carbamazepine total (80156) | $99.45 | $153 | 6.8× |
| Carboxyhemoglobin (82375) | $37.70 | $58 | 3.1× |
| Carcinoembryonic antigen (82378) | $36.40 | $56 | 1.9× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$102.70–$241.80 | $158–$372 | varies |
| Carnitine Quantitative Each Specimen (82379) | $85.15 | $131 | 5.0× |
| Carotene (82380) | $39.65 | $61 | 4.3× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$118.95–$120.25 | $183–$185 | varies |
| Ccp antibody (86200) | $109.85 | $169 | 8.5× |
| Cell count csf (89051) | $68.25 | $105 | 12.2× |
| Cell enumeration & id (86152) | $727.35 | $1,119 | 2.9× |
| Ceruloplasmin (82390) | $33.15 | $51 | 3.1× |
| Chemiluminescent assay (82397) | $83.20 | $128 | 5.9× |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$23.40–$46.80 | $36–$72 | varies |
| Chlamydia Igm Antibody (86632) | $26 | $40 | 2.1× |
| Chlamydia trachomatis ag if (87270) | $79.95 | $123 | 6.7× |
| Chloride Serum (82435) | $26.65 | $41 | 5.8× |
| Chloride urine (82436) | $26 | $40 | 4.5× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$13.65–$31.20 | $21–$48 | varies |
| Chorionic gonadotropin test (84702) | $78.65 | $121 | 5.2× |
| Chromium serum (82495) | $64.35 | $99 | 3.2× |
| Chromogranin a (86316) | $118.95 | $183 | 5.7× |
| Chromosome Analysis 15-20 (88262) | $304.20 | $468 | 2.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$144.30–$432.90 | $222–$666 | varies |
| Citric acid urine (82507) | $81.25 | $125 | 2.9× |
| Ckmb (82553) | $120.25 | $185 | 10.4× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$25.35–$55.90 | $39–$86 | varies |
| Clot Factor VIII Multimetric (85247) | $69.55 | $107 | 3.0× |
| Clot factor xiii fibrin stab (85290) | $80.60 | $124 | 4.9× |
| Cns DNA amp probe type 12-25 (87483) | $791.70 | $1,218 | 1.9× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$37.70–$75.40 | $58–$116 | varies |
| Collagen crosslinks (82523) | $107.25 | $165 | 5.7× |
| Column Chromotography Quant (82542) | $115.70 | $178 | 4.8× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $637 | $980 | 2.7× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$213.20–$426.40 | $328–$656 | varies |
| Compatibility test antiglob (86922) | $131.30 | $202 | 0.7× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$51.35–$102.70 | $79–$158 | varies |
| Complement Total (Ch50) (86162) | $102.70 | $158 | 5.1× |
| Complement/Function Activity (86161) | $95.55 | $147 | 8.0× |
| Coombs direct (86880) | $59.80 | $92 | 11.1× |
| Copper urine (82525) | $57.20 | $88 | 4.6× |
| Cortisol free (82530) range across 2 matching MRF lines |
$66.95–$115.05 | $103–$177 | varies |
| Cortisol saliva (82533) | $92.30 | $142 | 5.7× |
| Creatine kinase total (82550) | $64.35 | $99 | 9.9× |
| Creatinine blood (82565) | $43.55 | $67 | 8.5× |
| Creatinine clearance (82575) | $55.90 | $86 | 5.9× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$43.55–$87.10 | $67–$134 | varies |
| Crossmatch electronic (86923) | $58.50 | $90 | 0.3× |
| Crossmatch immediate spin (86920) | $70.85 | $109 | 0.4× |
| Crp High Sensitivity (86141) | $33.80 | $52 | 2.6× |
| Cryofibrinogen (82585) | $40.95 | $63 | 2.9× |
| Cryoglobulin (82595) | $25.35 | $39 | 3.9× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$333.45–$666.90 | $513–$1,026 | varies |
| Cryptosporidium (87272) | $40.95 | $63 | 3.4× |
| Cryptosporidium ag eia (87328) | $44.20 | $68 | 3.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$68.25–$273 | $105–$420 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $55.90 | $86 | 6.9× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $339.30 | $522 | 1.6× |
| Culture aerobic quant other (87071) | $58.50 | $90 | 5.9× |
| Culture afb (87116) | $76.70 | $118 | 7.1× |
| Culture Anaerobic (87075) | $118.30 | $182 | 12.5× |
| Culture blood (87040) range across 2 matching MRF lines |
$97.50–$195 | $150–$300 | varies |
| Culture chlamydia (87110) | $107.90 | $166 | 5.5× |
| Culture csf (87070) | $94.90 | $146 | 11.0× |
| Culture fungus (87102) | $100.75 | $155 | 12.0× |
| Culture fungus blood (87103) | $115.05 | $177 | 5.6× |
| Culture screen only (87081) | $108.55 | $167 | 16.4× |
| Culture stool (87045) | $58.50 | $90 | 6.2× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $20.80 | $32 | 1.7× |
| Culture typing if ea antiserum (87140) | $100.10 | $154 | 18.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$35.75–$107.25 | $55–$165 | varies |
| Culture urine (87086) | $52.65 | $81 | 6.5× |
| Cyclosporine (80158) | $72.80 | $112 | 4.0× |
| Cyp2c19 gene analysis common variants (81225) | $633.10 | $974 | 2.2× |
| Cyp2c9 gene com variants (81227) | $380.25 | $585 | 2.2× |
| Cyp2d6 gene com variants (81226) | $980.20 | $1,508 | 2.2× |
| Cystatin C (82610) | $40.95 | $63 | 2.2× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$152.75–$458.25 | $235–$705 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,515.15 | $2,331 | 1.3× |
| Cytomegalovirus igg (86644) | $105.30 | $162 | 7.3× |
| Cytopath Cell Enhance Tech (88112) | $83.85 | $129 | 1.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $65 | $100 | 2.4× |
| Cytp Concentration Smears & Interpretation (88108) | $76.70 | $118 | 1.8× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $107.25 | $165 | 0.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $126.75 | $195 | 3.0× |
| Deoxycortisol (82634) | $68.90 | $106 | 2.4× |
| Deoxyribonuclease antibody (86215) | $56.55 | $87 | 4.3× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$237.90–$951.60 | $366–$1,464 | varies |
| Detect Agent Nos Dna Quant (87799) | $287.30 | $442 | 6.7× |
| Detect agnt mult DNA ampli (87801) | $436.15 | $671 | 6.2× |
| Dgp Antibody Each Ig Class (86258) | $19.50 | $30 | 1.6× |
| Dhea (82626) | $93.60 | $144 | 3.7× |
| Dhea-S (82627) | $89.70 | $138 | 4.0× |
| Digoxin (80162) | $42.90 | $66 | 3.2× |
| Dihydrotestosterone (82642) | $40.95 | $63 | 1.4× |
| Dipropylacetic Acid Free (80165) | $44.20 | $68 | 3.3× |
| Dmd Duplication/Deletion Analysis (81161) | $635.05 | $977 | 2.3× |
| Dna Antibody Native/Double Stranded (86225) | $46.80 | $72 | 3.4× |
| Dna/Rna Amplified Probe (87150) | $47.45 | $73 | 1.4× |
| DNA/RNA direct probe (87149) | $230.10 | $354 | 11.5× |
| Dna/Rna Sequencing (87153) | $221 | $340 | 1.9× |
| Drug assay adalimumab (80145) | $62.40 | $96 | 1.6× |
| Drug Assay Everolimus (80169) | $53.30 | $82 | 3.9× |
| Drug Assay Infliximab (80230) | $94.25 | $145 | 2.4× |
| Drug Assay Lacosamide (80235) | $35.10 | $54 | 1.3× |
| Drug Assay Vedolizumab (80280) | $63.05 | $97 | 1.6× |
| Drug assay voriconazole (80285) | $35.10 | $54 | 1.3× |
| Drug Screen Quant Clozapine (80159) | $37.70 | $58 | 1.9× |
| Drug Screen Quant Zonisamide (80203) | $40.95 | $63 | 3.1× |
| Drug Screen Quantitative Gabapentin (80171) range across 2 matching MRF lines |
$55.90–$135.20 | $86–$208 | varies |
| Drug Screen Quantitative Lamotrigine (80175) | $42.90 | $66 | 3.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $51.35 | $79 | 3.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $125.45 | $193 | 9.5× |
| Drug Test Prsmv Chem Anlyzr (80307) | $153.40 | $236 | 2.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $75.40 | $116 | 6.0× |
| Drug Test Prsmv Instrmnt (80306) | $43.55 | $67 | 2.5× |
| Ehrlichia antibody (86666) | $66.95 | $103 | 6.6× |
| Electrolyte panel (80051) | $52.65 | $81 | 7.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $19.50 | $30 | 1.6× |
| Enterovirus Antibody (86658) | $35.10 | $54 | 2.7× |
| Enterovirus PCR (87498) | $254.80 | $392 | 7.3× |
| Enzyme cell activity (82657) | $105.30 | $162 | 4.7× |
| Erythropoietin (82668) range across 2 matching MRF lines |
$39.65–$80.60 | $61–$124 | varies |
| Estradiol serum (82670) | $113.10 | $174 | 4.0× |
| Estrogen total (82672) | $129.35 | $199 | 6.0× |
| Estrogens fractionated (82671) | $61.10 | $94 | 1.9× |
| Ethosuximide (80168) | $27.95 | $43 | 1.7× |
| Euglobulin lysis (85360) | $92.30 | $142 | 11.0× |
| Exam Synovial Fluid Crystals (89060) | $61.10 | $94 | 8.3× |
| F2 Gene (81240) | $143 | $220 | 2.2× |
| Factor ii activity (85210) | $33.15 | $51 | 2.6× |
| Factor Inhibitor Test (85335) | $151.45 | $233 | 11.8× |
| Factor ix activity (85250) | $109.85 | $169 | 5.8× |
| Factor v leiden mutation (81241) | $180.05 | $277 | 2.5× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$46.80–$72.80 | $72–$112 | varies |
| Factor xi activity (85270) | $94.25 | $145 | 5.3× |
| Fat/Lipids Feces Quantitative (82710) | $83.20 | $128 | 5.0× |
| Fecal Fat Qualitative (82705) | $17.55 | $27 | 3.4× |
| Ferritin (82728) | $56.55 | $87 | 4.1× |
| Fibrin degradation products (85362) | $45.50 | $70 | 6.6× |
| Fibrin Degradation Quant (85379) | $195 | $300 | 19.2× |
| Fibrinogen activity (85384) | $65 | $100 | 6.7× |
| Flow cytometry first marker (88184) | $173.55 | $267 | 0.4× |
| Flt3 Gene (81245) | $360.10 | $554 | 2.2× |
| Flt3 gene analysis (81246) | $180.70 | $278 | 2.2× |
| Fluorescent antibody screen (86255) | $139.75 | $215 | 11.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $77.35 | $119 | 6.4× |
| Fmr1 gene detection (81243) | $215.15 | $331 | 3.8× |
| Folic acid rbc (82747) | $93.60 | $144 | 5.3× |
| Folic Acid Serum (82746) | $102.70 | $158 | 7.0× |
| Follicle Stimulating Hormone (83001) | $40.30 | $62 | 2.2× |
| Fungi Identification Mold (87107) | $94.25 | $145 | 9.1× |
| Fungi Identification Yeast (87106) | $93.60 | $144 | 9.1× |
| Gammaglobulin ige (82785) | $90.35 | $139 | 5.5× |
| Gardner vag DNA dir probe (87510) | $78.65 | $121 | 3.9× |
| Gardner Vag Dna Quant (87512) | $53.95 | $83 | 1.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $26 | $40 | 2.7× |
| Gastrin (82941) | $90.35 | $139 | 5.1× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,409.85 | $2,169 | 1.9× |
| Genet Virus Isolate Hsv (87255) | $125.45 | $193 | 3.7× |
| Ggt (82977) | $27.30 | $42 | 3.8× |
| Giardia antigen (87329) | $37.70 | $58 | 3.1× |
| Giardia lamblia antibody (86674) | $97.50 | $150 | 6.6× |
| Glucose 2 hr pp (82950) | $29.25 | $45 | 6.2× |
| Glucose Blood Test (82962) | $9.10 | $14 | 2.8× |
| Glucose body fluid (82945) | $37.70 | $58 | 9.6× |
| Glucose Serum (82947) | $14.30 | $22 | 3.6× |
| Glutathione (82978) | $59.80 | $92 | 3.9× |
| Glycated Protein (82985) | $26.65 | $41 | 1.6× |
| Gonadotropin Chorionic Qualitative (84703) | $87.75 | $135 | 11.7× |
| Growth hormone (83003) | $44.85 | $69 | 2.7× |
| Haptoglobin (83010) | $47.45 | $73 | 3.8× |
| Hdl Cholesterol (83718) | $41.60 | $64 | 5.1× |
| Helicobacter Pylori Stool (87338) | $65.65 | $101 | 4.6× |
| Helminth Antibody (86682) | $39.65 | $61 | 3.0× |
| Hematocrit (85014) | $25.35 | $39 | 10.7× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$11.70–$25.35 | $18–$39 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$20.15–$35.75 | $31–$55 | varies |
| Hemoglobin Chromotography (83021) | $72.80 | $112 | 4.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $83.20 | $128 | 10.1× |
| Hep a ab igm (86709) | $89.70 | $138 | 8.0× |
| Heparin assay (85520) | $278.85 | $429 | 21.3× |
| Hepatitis a antibody total (86708) | $91 | $140 | 7.3× |
| Hepatitis b core ab igm (86705) | $75.40 | $116 | 6.4× |
| Hepatitis b core ab total (86704) | $78 | $120 | 6.5× |
| Hepatitis b surface ag quan (87467) | $34.45 | $53 | 1.4× |
| Hepatitis B Surface Antibody (86706) | $74.10 | $114 | 6.9× |
| Hepatitis B Surface Antigen (87340) | $44.85 | $69 | 4.3× |
| Hepatitis Be Antigen (87350) | $42.25 | $65 | 3.7× |
| Hepatitis C Antibody (86803) | $59.15 | $91 | 4.1× |
| Hepatitis C Genotype (87902) | $759.20 | $1,168 | 2.9× |
| Hepatitis C Revrs Trnscrpj (87522) | $237.25 | $365 | 5.5× |
| Hepatitis Delta Agent Antibody (86692) | $42.90 | $66 | 2.5× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $760.50 | $1,170 | 0.6× |
| Herpes simplex type 2 (86696) | $87.10 | $134 | 4.5× |
| Heterophile Antibody Screen (86308) | $45.50 | $70 | 8.8× |
| Hfe Gene (81256) | $250.25 | $385 | 3.8× |
| Histamine urine (83088) | $37.05 | $57 | 1.3× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$41.60–$124.80 | $64–$192 | varies |
| Hiv Genotype (87901) | $668.20 | $1,028 | 2.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $89.70 | $138 | 3.7× |
| Hiv-1 Antibody (86701) | $120.90 | $186 | 13.6× |
| HIV-1 p24 antigen (87390) | $52 | $80 | 2.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $419.25 | $645 | 4.9× |
| HIV-2 probe&revrse trnscripj (87538) | $104 | $160 | 3.0× |
| Hla Class I Typing High Resolution Complete (81379) | $993.85 | $1,529 | 3.0× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $524.55 | $807 | 3.0× |
| Hla Class I Typing Low Resolution Complete (81372) | $653.90 | $1,006 | 1.6× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $330.20 | $508 | 2.6× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $1,190.80 | $1,832 | 3.0× |
| Hla class ii typing high resolution one locus ea (81382) | $312.65 | $481 | 2.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $213.20 | $328 | 2.9× |
| Hla I Typing 1 Allele Hr (81381) | $272.35 | $419 | 1.6× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $1,023.10 | $1,574 | 3.0× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $713.05 | $1,097 | 1.8× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $649.35 | $999 | 2.9× |
| Hla ii type 1 ag equiv lr (81377) | $271.70 | $418 | 2.9× |
| Hla ii typing 1 allele hr (81383) | $323.05 | $497 | 3.0× |
| Hla ii typing 1 locus lr (81376) | $308.75 | $475 | 2.5× |
| Hla-b27 (86812) | $66.30 | $102 | 2.6× |
| Homocysteine (83090) | $98.80 | $152 | 5.5× |
| Homogenization Tissue (87176) | $81.25 | $125 | 13.8× |
| Hpv High-Risk Types (87624) | $108.55 | $167 | 3.1× |
| Hpv Types 16 & 18 Only (87625) | $63.70 | $98 | 1.6× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$252.20–$504.40 | $388–$776 | varies |
| Htt Gene Detc Abnor Alleles (81271) | $232.05 | $357 | 1.7× |
| Hydroxyprogesterone 17-d (83498) | $91 | $140 | 3.3× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $52.65 | $81 | 4.4× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$35.75–$43.55 | $55–$67 | varies |
| Iaad Ia Streptococcus Group A (87430) | $52.65 | $81 | 3.1× |
| Iaadi inffluenza a virus (87276) | $104 | $160 | 6.5× |
| Iaadi respiratory synctial virus (87280) | $48.10 | $74 | 3.6× |
| Iaadiadoo trichomonas vaginalis (87808) | $95.55 | $147 | 6.2× |
| Iadna Bartonella Amplified Probe Technique (87471) | $186.55 | $287 | 5.3× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$52.65–$105.30 | $81–$162 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $115.05 | $177 | 3.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $481 | $740 | 13.7× |
| Iadna Cytomegalovirus Quantification (87497) | $245.05 | $377 | 5.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $204.75 | $315 | 4.8× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $109.85 | $169 | 3.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $278.20 | $428 | 7.9× |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) | $127.40 | $196 | 2.2× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $93.60 | $144 | 2.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$173.55–$204.10 | $267–$314 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$144.30–$432.90 | $222–$666 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $278.20 | $428 | 2.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $335.40 | $516 | 1.3× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$71.50–$143 | $110–$220 | varies |
| Igg subclasses (82787) | $85.15 | $131 | 10.6× |
| Igh gene rearrange amp meth (81261) | $500.50 | $770 | 2.5× |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) | $129.35 | $199 | 1.9× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $814.45 | $1,253 | 2.8× |
| Immune Complex Assay (86332) | $102.70 | $158 | 4.2× |
| Immunfix e-phorsis/urine/csf (86335) | $209.95 | $323 | 7.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$125.45–$752.70 | $193–$1,158 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $58.50 | $90 | 2.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $15.60 | $24 | 1.0× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$62.40–$249.60 | $96–$384 | varies |
| Immunodiffusion not elsewhere specified (86329) | $65 | $100 | 4.6× |
| Immunodiffusion Ouchterlony (86331) | $40.95 | $63 | 3.4× |
| Immunofixation electrophoresis (86334) | $58.50 | $90 | 2.6× |
| Immunohistochemistry (88342) | $195 | $300 | 1.0× |
| In situ hybridization 1st probe stain (88365) | $213.20 | $328 | 1.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $52 | $80 | 2.4× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $104 | $160 | 8.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) | $59.15 | $91 | 2.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) | $59.15 | $91 | 2.7× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$156.92–$230.75 | $241.42–$355 | varies |
| Inhibin b (83520) | $119.60 | $184 | 6.9× |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$55.90–$73.45 | $86–$113 | varies |
| Insulin free (83527) | $35.75 | $55 | 2.8× |
| Insulin total (83525) | $35.10 | $54 | 3.1× |
| Intrinsic factor antibody (86340) | $37.70 | $58 | 2.5× |
| Iron (83540) | $51.35 | $79 | 7.9× |
| Iron Binding Capacity (83550) | $71.50 | $110 | 8.2× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$55.25–$110.50 | $85–$170 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $273 | $420 | 3.0× |
| Jak2 Gene Trgt Sequence Alys (81279) | $270.40 | $416 | 1.5× |
| Koh Prep (87220) | $25.35 | $39 | 5.9× |
| Kras Gene Variants Exon 2 (81275) | $439.40 | $676 | 2.3× |
| Lactate (ld) (ldh) enzyme (83615) | $44.20 | $68 | 7.3× |
| Lactoferrin fecal qualitative (83630) | $29.90 | $46 | 1.5× |
| Ldh Isoenzymes (83625) | $48.75 | $75 | 3.8× |
| LDL direct (83721) | $46.15 | $71 | 4.4× |
| Lead (83655) | $28.60 | $44 | 2.4× |
| Legionella antigen urine (87449) | $87.75 | $135 | 7.3× |
| Leukocyte Assessment Fecal (89055) | $45.50 | $70 | 10.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $326.30 | $502 | 0.8× |
| Lipase (83690) | $34.45 | $53 | 5.0× |
| Lipoprotein A (83695) | $32.50 | $50 | 2.3× |
| Lipoprotein Bld Quan Part (83704) | $79.95 | $123 | 2.3× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $28.60 | $44 | 2.5× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $73.45 | $113 | 2.2× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $34.45 | $53 | 2.7× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $100.75 | $155 | 2.2× |
| Lithium (80178) | $44.20 | $68 | 6.7× |
| Luteinizing Hormone (Lh) (83002) | $45.50 | $70 | 2.5× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$89.05–$92.95 | $137–$143 | varies |
| Lysozyme serum (85549) | $67.60 | $104 | 3.6× |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$39–$65.65 | $60–$101 | varies |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$64.35–$193.05 | $99–$297 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$26–$65 | $40–$100 | varies |
| Methylmalonic acid serum (83921) | $64.35 | $99 | 3.0× |
| Mgmt methylation analysis (81287) | $283.40 | $436 | 2.3× |
| Microalbumin, quantitative (82043) | $44.20 | $68 | 7.6× |
| Microsatellite instability (81301) | $857.35 | $1,319 | 2.5× |
| Microsomal Antibodies Each (86376) | $77.35 | $119 | 5.3× |
| Mitochondrial Antibody Each (86381) | $29.90 | $46 | 1.2× |
| Mlh1 Gene (81288) | $437.45 | $673 | 2.3× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $414.05 | $637 | 2.0× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,402.70 | $2,158 | 2.1× |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $562.25 | $865 | 1.7× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$79.95–$479.70 | $123–$738 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $341.90 | $526 | 2.3× |
| Molecular Pathology Procedure Level 6 (81405) | $685.75 | $1,055 | 2.3× |
| Mononuclear cell antigen (86356) | $69.55 | $107 | 2.6× |
| Mopath procedure level 1 (81400) | $152.10 | $234 | 2.4× |
| Mopath procedure level 2 (81401) | $312 | $480 | 2.3× |
| Mopath procedure level 4 (81403) | $328.25 | $505 | 1.8× |
| Mopath procedure level 5 (81404) | $625.30 | $962 | 2.3× |
| Mopath procedure level 7 (81406) | $643.50 | $990 | 2.3× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $300.95 | $463 | 1.6× |
| Mrsa Pcr (87641) | $258.05 | $397 | 7.4× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $485.55 | $747 | 2.3× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $868.40 | $1,336 | 2.3× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $768.30 | $1,182 | 2.3× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $541.45 | $833 | 2.3× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $625.30 | $962 | 1.0× |
| Msh6 Gene Known Variants (81299) | $700.70 | $1,078 | 2.3× |
| Mthfr Gene Analysis Common Variants (81291) | $204.75 | $315 | 3.1× |
| Mumps antibody (86735) | $35.10 | $54 | 2.7× |
| Mycophenolic Acid (80180) | $90.35 | $139 | 5.0× |
| Mycoplasma culture (87109) | $78.65 | $121 | 5.1× |
| Myoglobin urine (83874) | $77.35 | $119 | 6.0× |
| Natriuretic peptide (83880) | $291.20 | $448 | 7.4× |
| Neutralization Test Viral (86382) | $87.10 | $134 | 5.2× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $232.05 | $357 | 1.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $117 | $180 | 1.6× |
| Niacin (84591) | $127.40 | $196 | 7.5× |
| Nk cells total count (86357) | $129.35 | $199 | 3.4× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $532.35 | $819 | 2.2× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$83.20–$748.80 | $128–$1,152 | varies |
| Obstetric panel (80081) | $267.15 | $411 | 3.6× |
| Occult blood feces (82272) | $26 | $40 | 6.1× |
| Occult Blood Other Sources (82271) | $29.25 | $45 | 5.5× |
| Osmolality serum (83930) | $76.05 | $117 | 11.5× |
| Osmolality Urine (83935) | $23.40 | $36 | 3.4× |
| Ova and parasites smears (87177) | $13 | $20 | 1.5× |
| Oxalate urine (83945) | $81.25 | $125 | 5.6× |
| Pancreatic Elastase Fecal (82656) | $39.65 | $61 | 3.4× |
| Particle Agglutination Screen Each Antibody (86403) | $68.25 | $105 | 5.9× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$52–$59.15 | $80–$91 | varies |
| Path Clin Consltj Mod 21-40 (80504) | $84.50 | $130 | 0.4× |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | $126.75 | $195 | 0.7× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $42.25 | $65 | 0.7× |
| Ph urine (81003) range across 2 matching MRF lines |
$16.25–$27.30 | $25–$42 | varies |
| Phenobarbital Level (80184) | $108.55 | $167 | 7.1× |
| Phenotype Infect Agent Drug (87900) | $304.85 | $469 | 2.3× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$38.35–$81.25 | $59–$125 | varies |
| Phenytoin free (80186) | $38.35 | $59 | 2.8× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$14.30–$18.20 | $22–$28 | varies |
| Phosphorus Serum (84100) | $44.85 | $69 | 9.5× |
| Phosphorus urine (84105) | $30.55 | $47 | 5.3× |
| Pinworm exam (87172) | $26 | $40 | 6.1× |
| Platelet Aggregation (85576) | $95.55 | $147 | 3.8× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$276.90–$553.80 | $426–$852 | varies |
| Platelet count automated (85049) | $39 | $60 | 8.7× |
| Platelet neutralization (85597) | $46.80 | $72 | 2.6× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $618.15 | $951 | 3.0× |
| PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) | $936.65 | $1,441 | 4.5× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $481.65 | $741 | 2.4× |
| Pms2 gene analysis known familial variants (81318) | $401.05 | $617 | 1.2× |
| Pms2 gene full seq analysis (81317) | $1,696.50 | $2,610 | 2.5× |
| Porphobilinogen, urine; quantitative (84110) | $63.05 | $97 | 7.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $38.35 | $59 | 2.6× |
| Potassium Urine (84133) | $28.60 | $44 | 6.0× |
| Prealbumin (84134) | $42.25 | $65 | 2.9× |
| Pregnenolone (84140) | $94.25 | $145 | 4.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $67.60 | $104 | 1.0× |
| Primidone (80188) | $53.30 | $82 | 3.2× |
| Procalcitonin (Pct) (84145) | $169.65 | $261 | 6.2× |
| Progesterone (84144) | $92.30 | $142 | 4.4× |
| Prolactin (84146) range across 2 matching MRF lines |
$44.20–$74.10 | $68–$114 | varies |
| Protein body fluid (84157) | $44.85 | $69 | 11.2× |
| Protein C Activity (85303) | $285.35 | $439 | 20.6× |
| Protein Electrophoresis Urine (84166) | $119.60 | $184 | 6.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $50.05 | $77 | 4.7× |
| Protein S Free (85306) | $285.35 | $439 | 18.6× |
| Protein s total (85305) | $61.10 | $94 | 5.3× |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $42.90 | $66 | 2.0× |
| Protein total serum (84155) | $24.05 | $37 | 6.6× |
| Protein Total Urine (84156) | $16.90 | $26 | 4.6× |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$111.15–$1,222.65 | $171–$1,881 | varies |
| PSA free (84154) | $30.55 | $47 | 1.7× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $512.85 | $789 | 1.7× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $1,304.55 | $2,007 | 2.2× |
| Pten gene analysis known familial variant (81322) | $126.10 | $194 | 2.7× |
| Pth Intact (83970) | $152.10 | $234 | 3.7× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$35.10–$140.40 | $54–$216 | varies |
| Quantiferon tb gold plus (86480) | $111.80 | $172 | 1.8× |
| Quantitative assay drug (80299) | $65.65 | $101 | 3.5× |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$76.70–$85.15 | $118–$131 | varies |
| Rbc antibody elution (86860) | $130 | $200 | 0.7× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$302.90–$1,817.40 | $466–$2,796 | varies |
| Rbc antibody screen (86850) | $70.20 | $108 | 7.2× |
| Rbc pretreatment serum (86978) | $224.25 | $345 | 3.4× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$26.65–$96.20 | $41–$148 | varies |
| Resp virus 12-25 targets (87633) | $893.75 | $1,375 | 2.1× |
| Reticulated Platelet Assay (85055) | $98.80 | $152 | 2.8× |
| Rh (86901) | $37.05 | $57 | 12.4× |
| Rheumatoid Factor Qualitative (86430) | $42.90 | $66 | 7.0× |
| Rheumatoid factor quant (86431) | $43.55 | $67 | 7.7× |
| Rickettsia antibody (86757) | $85.15 | $131 | 4.4× |
| Ristocetin cofactor (85245) | $58.50 | $90 | 2.6× |
| Rotavirus ag eia (87425) | $74.75 | $115 | 6.2× |
| Rpr qualitative (86592) | $42.90 | $66 | 10.0× |
| Rsv Assay W/Optic (87807) | $49.40 | $76 | 3.8× |
| Rubella Antibody (86762) | $29.90 | $46 | 2.1× |
| Rubeola antibody (86765) | $55.25 | $85 | 4.3× |
| Russell Viper Venom Time Diluted (85613) | $114.40 | $176 | 11.9× |
| Salmonella antibody (86768) | $26.65 | $41 | 2.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$66.95–$81.25 | $103–$125 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $54.60 | $84 | 1.3× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $31.85 | $49 | 0.8× |
| Sarscov2 & inf a&b amp prb (87636) | $108.55 | $167 | 0.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $195 | $300 | 1.4× |
| Sedimentation Rate, Automated (85652) | $21.45 | $33 | 7.9× |
| Selenium (84255) | $78.65 | $121 | 3.1× |
| Semen Anal Sperm Detection (89321) | $37.70 | $58 | 3.1× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$50.70–$202.80 | $78–$312 | varies |
| Sept9 Methylation Analysis (81327) | $198.90 | $306 | 1.0× |
| Sex Hormone Binding Globulin (84270) | $52 | $80 | 2.4× |
| Sickling of rbc reduction (85660) | $28.60 | $44 | 5.2× |
| Sirolimus (80195) | $65 | $100 | 4.7× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$219.28–$281.18 | $337.35–$432.59 | varies |
| Smear acid fast (87206) | $77.35 | $119 | 14.4× |
| Smear complex stain (87209) | $26 | $40 | 1.4× |
| Smear gram stain (87205) | $39.65 | $61 | 9.3× |
| Smear Special Stain (87207) | $57.85 | $89 | 9.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $14.95 | $23 | 2.6× |
| Sodium Serum (84295) | $28.60 | $44 | 5.9× |
| Sodium Urine (84300) | $28.60 | $44 | 5.7× |
| Soluble Transferrin Receptor (84238) | $86.45 | $133 | 2.4× |
| Somatomedin (84305) | $60.45 | $93 | 2.8× |
| Special Stains Group 2 (88313) | $158.60 | $244 | 1.1× |
| Specimen infect agnt concntj (87015) | $45.50 | $70 | 6.8× |
| Spectrophotometry (84311) | $57.20 | $88 | 7.1× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$33.80–$67.60 | $52–$104 | varies |
| Strep a assay w/optic (87880) | $27.30 | $42 | 1.7× |
| Strep a DNA amp probe (87651) | $65 | $100 | 1.9× |
| Strep b DNA amp probe (87653) | $229.45 | $353 | 6.5× |
| Sulfate urine (84392) | $28.60 | $44 | 5.2× |
| Surg path level iii (88304) | $74.75 | $115 | 1.3× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$44.20–$70.85 | $68–$109 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $20.80 | $32 | 4.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $50.70 | $78 | 6.8× |
| Syphilis Test Non-Trep Quant (86593) | $30.55 | $47 | 6.9× |
| T cells absolute cd4 count (86361) | $91.65 | $141 | 3.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $164.45 | $253 | 3.5× |
| T cells total count (86359) | $145.60 | $224 | 3.9× |
| T3 Free (84481) | $101.40 | $156 | 6.0× |
| T3 reverse (84482) | $68.25 | $105 | 4.3× |
| T3 Total (84480) | $36.40 | $56 | 2.6× |
| T3 Uptake (84479) | $30.55 | $47 | 4.7× |
| T4 Free (84439) | $49.40 | $76 | 5.5× |
| T4 total (84436) | $18.20 | $28 | 2.6× |
| Tacrolimus (80197) | $59.15 | $91 | 4.3× |
| Testosterone total (84403) | $56.55 | $87 | 2.2× |
| Testosterone, Free (84402) | $102.70 | $158 | 4.0× |
| Thrombin Time (85670) | $50.70 | $78 | 8.8× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) | $23.40 | $36 | 0.7× |
| Thyroglobulin (84432) | $44.20 | $68 | 2.8× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$53.95–$55.90 | $83–$86 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $179.40 | $276 | 3.5× |
| Thyroxine binding globulin (84442) | $31.20 | $48 | 2.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $16.25 | $25 | 1.4× |
| Tissue Culture Lymphocyte (88230) | $351.65 | $541 | 3.0× |
| Tobramycin peak (80200) | $98.80 | $152 | 6.1× |
| Topiramate (80201) range across 2 matching MRF lines |
$68.25–$101.40 | $105–$156 | varies |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $83.85 | $129 | 4.2× |
| Toxoplasma ab igm (86778) | $70.85 | $109 | 4.9× |
| Toxoplasma antibody (86777) | $52 | $80 | 3.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $16.90 | $26 | 3.3× |
| Transferrin (84466) | $61.75 | $95 | 4.8× |
| Trb@ gene rearrange dirprobe (81341) | $146.90 | $226 | 3.0× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $618.80 | $952 | 3.0× |
| Trg gene rearrangement anal (81342) | $596.70 | $918 | 3.0× |
| Trichomonas vagin dir probe (87660) | $55.25 | $85 | 2.8× |
| Trichomonas Vaginalis Amplif (87661) | $209.95 | $323 | 6.0× |
| Triglycerides (84478) | $14.95 | $23 | 2.6× |
| Troponin Quant (84484) range across 2 matching MRF lines |
$162.50–$325 | $250–$500 | varies |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$206.05–$412.10 | $317–$634 | varies |
| Unlisted reproductive medicine lab procedure (89398) | $95.55 | $147 | 1.6× |
| Urea nitrogen urine (84540) | $23.40 | $36 | 4.2× |
| Uric acid other source (84560) | $20.15 | $31 | 4.0× |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$11.05–$12.35 | $17–$19 | varies |
| Urine Bacteria Culture (87088) | $57.85 | $89 | 7.2× |
| Urine Pregnancy Test (81025) | $48.75 | $75 | 5.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $30.55 | $47 | 9.6× |
| Valproic acid (80164) | $64.35 | $99 | 4.8× |
| Vancomycin (80202) | $146.90 | $226 | 10.8× |
| Varicella-zoster antibody (86787) | $39 | $60 | 3.0× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$90.35–$180.70 | $139–$278 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$80.60–$84.50 | $124–$130 | varies |
| Viscosity serum (85810) | $53.30 | $82 | 4.6× |
| Vit D 1 25-Dihydroxy (82652) | $170.30 | $262 | 4.4× |
| Vitamin A (84590) | $55.90 | $86 | 4.8× |
| Vitamin b-12 (82607) | $72.15 | $111 | 4.8× |
| Vitamin B2 (Riboflavin) (84252) | $100.10 | $154 | 4.9× |
| Vitamin B6 (84207) | $46.80 | $72 | 1.7× |
| Vitamin c (82180) | $27.95 | $43 | 2.8× |
| Vitamin D 25-Hydroxy (82306) | $117 | $180 | 4.0× |
| Vitamin E (84446) | $29.90 | $46 | 2.1× |
| Vitamin K (84597) | $122.20 | $188 | 8.9× |
| Vkorc1 gene (81355) | $200.85 | $309 | 2.3× |
| Von willebrand factor ag (85246) | $149.50 | $230 | 6.5× |
| West nile virus ab igm (86788) | $57.20 | $88 | 3.4× |
| West Nile Virus Antibody (86789) | $55.90 | $86 | 3.9× |
| Western Blot Test (84181) | $41.60 | $64 | 2.4× |
| Xm Archive Tissue Molec Anal (88363) | $95.55 | $147 | 3.0× |
| Zinc (84630) range across 2 matching MRF lines |
$23.40–$39 | $36–$60 | varies |
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.