Lab & pathology prices at PeaceHealth Southwest Medical Center
Vancouver, WA · every code in this section with a posted price and a Medicare benchmark.
759 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $67.60 | $104 | 3.0× |
| 5 Nucleotidase (83915) | $85.15 | $131 | 7.6× |
| Acth (82024) range across 2 matching MRF lines |
$580.45–$598 | $893–$920 | varies |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
$94.90–$506.35 | $146–$779 | varies |
| Acute hepatitis panel (80074) | $168.35 | $259 | 3.5× |
| Acylcarnitines Quant (82017) | $79.95 | $123 | 4.7× |
| Agglutinins Febrile Each Antigen (86000) | $61.10 | $94 | 8.8× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$70.20–$72.15 | $108–$111 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$46.80–$48.10 | $72–$74 | varies |
| Aldolase (82085) | $81.25 | $125 | 8.4× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$189.15–$519.35 | $291–$799 | varies |
| Alkaline phosphatase isoenzymes (84080) | $91.65 | $141 | 6.2× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$72.15–$3,246.75 | $111–$4,995 | varies |
| Allergen specific igg (86001) | $28.60 | $44 | 3.7× |
| Allg Spec Ige Recomb Ea (86008) | $36.40 | $56 | 2.0× |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$105.95–$109.20 | $163–$168 | varies |
| Alpha-1-antitrypsin total (82103) | $189.15 | $291 | 14.1× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$78–$224.90 | $120–$346 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$53.95–$55.25 | $83–$85 | varies |
| Aluminum (82108) | $119.60 | $184 | 4.7× |
| Amikacin trough (80150) | $106.60 | $164 | 7.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $216.45 | $333 | 12.8× |
| Aminolevulinic acid (ala) (82135) | $114.40 | $176 | 7.0× |
| Ammonia (82140) range across 2 matching MRF lines |
$195–$200.85 | $300–$309 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$314.60–$355.55 | $484–$547 | varies |
| Amylase urine (82150) range across 2 matching MRF lines |
$98.80–$102.05 | $152–$157 | varies |
| Ana Titer (86039) | $154.05 | $237 | 13.8× |
| Androstenedione (82157) | $115.05 | $177 | 3.9× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$73.45–$180.70 | $113–$278 | varies |
| Antibody aspergillus (86606) | $95.55 | $147 | 6.3× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $41.60 | $64 | 3.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$113.10–$219.70 | $174–$338 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$104–$107.25 | $160–$165 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$58.50–$60.45 | $90–$93 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$93.60–$96.20 | $144–$148 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$115.05–$223.60 | $177–$344 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $76.05 | $117 | 6.2× |
| Antibody Herpes Smplx Type 1 (86695) | $82.55 | $127 | 6.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $101.40 | $156 | 7.4× |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$44.85–$46.15 | $69–$71 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) | $820.95 | $1,263 | 2.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $78.65 | $121 | 4.1× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$297.05–$594.10 | $457–$914 | varies |
| Antibody john cunningham virus (86711) range across 2 matching MRF lines |
$90.35–$453.70 | $139–$698 | varies |
| Antibody Protozoa Nes (86753) | $54.60 | $84 | 4.4× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$178.10–$183.30 | $274–$282 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$555.10–$572 | $854–$880 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $63.05 | $97 | 11.0× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$191.75–$197.60 | $295–$304 | varies |
| Antistreptolysin o titer (86060) | $105.95 | $163 | 14.5× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$159.25–$163.80 | $245–$252 | varies |
| Apc Gene Analysis Known Familial Variants (81202) | $828.10 | $1,274 | 3.0× |
| Apc gene dup/delet variants (81203) | $591.50 | $910 | 3.0× |
| Apc gene full sequence (81201) | $2,306.20 | $3,548 | 3.0× |
| Apolipoprotein a1 (82172) | $137.80 | $212 | 6.5× |
| Aquaporin-4 Antb Cba Each (86052) | $22.75 | $35 | 1.9× |
| Arsenic (82175) range across 2 matching MRF lines |
$57.85–$87.75 | $89–$135 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$188.50–$194.35 | $290–$299 | varies |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$111.15–$114.40 | $171–$176 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$33.15–$34.45 | $51–$53 | varies |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$170.30–$330.20 | $262–$508 | varies |
| Assay of 5-hiaa (83497) | $109.85 | $169 | 8.5× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$46.80–$48.10 | $72–$74 | varies |
| Assay of calcium in urine (82340) | $81.90 | $126 | 13.6× |
| Assay of cpk in blood (82552) | $37.05 | $57 | 2.8× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$78.65–$81.25 | $121–$125 | varies |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$155.35–$301.60 | $239–$464 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$111.15–$222.30 | $171–$342 | varies |
| Assay of manganese (83785) | $100.10 | $154 | 3.8× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$226.85–$233.35 | $349–$359 | varies |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$106.60–$109.85 | $164–$169 | varies |
| Assay of serotonin (84260) | $193.05 | $297 | 6.2× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$61.10–$63.05 | $94–$97 | varies |
| Assay of sweat sodium (84302) | $17.55 | $27 | 3.6× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$46.80–$48.10 | $72–$74 | varies |
| Assay of urine vma (84585) | $118.30 | $182 | 7.6× |
| Assay of vasoactive intestinal peptide (84586) | $126.10 | $194 | 3.6× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$131.95–$135.85 | $203–$209 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$46.15–$47.45 | $71–$73 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $472.55 | $727 | 2.5× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$27.30–$27.95 | $42–$43 | varies |
| B cells total count (86355) range across 2 matching MRF lines |
$144.95–$149.50 | $223–$230 | varies |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$81.25–$314.60 | $125–$484 | varies |
| Bcr/abl1 gene major bp (81206) | $366.60 | $564 | 2.2× |
| Bcr/abl1 gene minor bp (81207) | $432.90 | $666 | 3.0× |
| Bcr/Abl1 Gene Other Bp (81208) | $619.45 | $953 | 2.9× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$278.20–$811.20 | $428–$1,248 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$108.55–$124.80 | $167–$192 | varies |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$73.45–$75.40 | $113–$116 | varies |
| Beta-2 Microglobulin (82232) | $104.65 | $161 | 6.5× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $181.35 | $279 | 1.4× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $201.50 | $310 | 1.6× |
| Bile acids total (82239) | $66.95 | $103 | 3.9× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$61.10–$63.05 | $94–$97 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$51.35–$52.65 | $79–$81 | varies |
| Bilirubin total transcutaneous (88720) | $40.30 | $62 | 8.0× |
| Bl Smear W/O Diff Wbc Count (85008) | $28.60 | $44 | 8.3× |
| Blastomyces antibody (86612) | $48.75 | $75 | 3.8× |
| Bld Typing Serologic Rh Phnt (86906) | $170.30 | $262 | 22.0× |
| Blood Count Automated Differential Wbc Count (85004) | $26 | $40 | 4.0× |
| Blood Count Manual Cell Count Each (85032) | $16.90 | $26 | 3.9× |
| Blood Count Red Blood Cell Automated (85041) | $21.45 | $33 | 7.1× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$53.95–$55.25 | $83–$85 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$45.50–$46.80 | $70–$72 | varies |
| Blood count spun microhematocrit (85013) | $24.05 | $37 | 3.4× |
| Blood gas (82803) range across 2 matching MRF lines |
$211.25–$217.75 | $325–$335 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $56.55 | $87 | 3.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$41.60–$42.90 | $64–$66 | varies |
| Blood Sulfhemoglobin Assay (83060) | $187.20 | $288 | 21.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$572–$9,991.80 | $880–$15,372 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $191.75 | $295 | 11.7× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$215.80–$222.30 | $332–$342 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$62.40–$64.35 | $96–$99 | varies |
| Bone marrow smear interpretation (85097) range across 2 matching MRF lines |
$455–$514.15 | $700–$791 | varies |
| Braf gene analysis (81210) range across 2 matching MRF lines |
$89.70–$203.45 | $138–$313 | varies |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $1,300.65 | $2,001 | 3.0× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $1,108.90 | $1,706 | 3.0× |
| Brca1&2 gen full seq dup/del (81162) | $3,083.60 | $4,744 | 1.7× |
| Brca2 gene analysis full sequence analysis (81216) | $547.30 | $842 | 3.0× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $1,108.90 | $1,706 | 3.0× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$61.10–$63.05 | $94–$97 | varies |
| Brucella antibody (86622) | $72.80 | $112 | 8.2× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$383.50–$395.20 | $590–$608 | varies |
| C-Peptide (84681) range across 2 matching MRF lines |
$91.65–$219.70 | $141–$338 | varies |
| C-reactive protein (86140) range across 2 matching MRF lines |
$107.90–$111.15 | $166–$171 | varies |
| Ca 19-9 (86301) range across 3 matching MRF lines |
$247.65–$254.80 | $381–$392 | varies |
| Cadmium (82300) | $87.10 | $134 | 3.7× |
| Caffeine (80155) | $108.55 | $167 | 2.8× |
| Calcitonin (82308) | $165.75 | $255 | 6.2× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$183.30–$188.50 | $282–$290 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$68.25–$70.20 | $105–$108 | varies |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$96.85–$99.45 | $149–$153 | varies |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$400.40–$412.10 | $616–$634 | varies |
| Calr gene com variants (81219) | $439.40 | $676 | 3.6× |
| Cancer Antigen 125 (86304) range across 3 matching MRF lines |
$146.25–$259.35 | $225–$399 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$128.70–$132.60 | $198–$204 | varies |
| Candida antibody (86628) | $54.60 | $84 | 4.5× |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$124.80–$128.70 | $192–$198 | varies |
| Carbamazepine free (80157) | $72.80 | $112 | 5.5× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$244.40–$251.55 | $376–$387 | varies |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$165.10–$170.30 | $254–$262 | varies |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
$217.10–$223.60 | $334–$344 | varies |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$121.55–$473.85 | $187–$729 | varies |
| Carnitine Quantitative Each Specimen (82379) | $106.60 | $164 | 6.3× |
| Catecholamines fractionated (82384) | $141.05 | $217 | 5.6× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$174.20–$179.40 | $268–$276 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$115.05–$127.40 | $177–$196 | varies |
| Cell enumeration & id (86152) | $945.10 | $1,454 | 3.8× |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$85.15–$87.75 | $131–$135 | varies |
| Cftr gene com variants (81220) | $575.90 | $886 | 1.0× |
| Chemiluminescent assay (82397) | $98.80 | $152 | 7.0× |
| Chlamydia antibody (86631) | $35.10 | $54 | 3.0× |
| Chlamydia Igm Antibody (86632) | $57.20 | $88 | 4.5× |
| Chlamydia trachomatis ag if (87270) | $103.35 | $159 | 8.6× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$46.80–$48.10 | $72–$74 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$77.35–$79.95 | $119–$123 | varies |
| Cholesterol total (82465) | $37.70 | $58 | 8.7× |
| Cholinesterase Serum (82480) | $53.95 | $83 | 6.9× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$241.15–$248.30 | $371–$382 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $150.15 | $231 | 5.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$37.05–$109.85 | $57–$169 | varies |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $327.60 | $504 | 1.9× |
| Chromium serum (82495) | $74.10 | $114 | 3.7× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$140.40–$144.30 | $216–$222 | varies |
| Chromosome analys amniotic (88269) | $1,531.40 | $2,356 | 8.8× |
| Chromosome Analysis 15-20 (88262) | $601.25 | $925 | 4.8× |
| Chromosome Analysis 20-25 (88264) | $187.85 | $289 | 1.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$224.25–$230.75 | $345–$355 | varies |
| Citric acid urine (82507) | $97.50 | $150 | 3.5× |
| Ckmb (82553) | $163.15 | $251 | 14.1× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$64.35–$168.35 | $99–$259 | varies |
| Clot Factor VIII Multimetric (85247) | $316.55 | $487 | 13.8× |
| Clot factor xiii fibrin stab (85290) | $110.50 | $170 | 6.8× |
| Clotting factor viii related antigen (85244) | $97.50 | $150 | 4.8× |
| Clotting factor xii hageman (85280) | $290.55 | $447 | 15.0× |
| Clotting Funct Activity (85397) | $316.55 | $487 | 10.3× |
| Cns DNA amp probe type 12-25 (87483) | $913.25 | $1,405 | 2.2× |
| Coagulation time activated (85347) range across 3 matching MRF lines |
$63.05–$72.80 | $97–$112 | varies |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$74.10–$144.30 | $114–$222 | varies |
| Cold agglutinin titer (86157) | $47.45 | $73 | 5.9× |
| Collagen crosslinks (82523) | $111.80 | $172 | 6.0× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$137.15–$141.05 | $211–$217 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $828.10 | $1,274 | 3.6× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$430.95–$2,093 | $663–$3,220 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$158.60–$462.15 | $244–$711 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$160.55–$165.10 | $247–$254 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$187.85–$193.70 | $289–$298 | varies |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$118.95–$122.20 | $183–$188 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $343.20 | $528 | 5.9× |
| Coombs direct (86880) range across 2 matching MRF lines |
$95.55–$101.40 | $147–$156 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$102.05–$105.30 | $157–$162 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$79.95–$103.35 | $123–$159 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$252.20–$260 | $388–$400 | varies |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$87.75–$90.35 | $135–$139 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$42.25–$43.55 | $65–$67 | varies |
| Creatinine clearance (82575) | $104 | $160 | 11.0× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$70.20–$72.15 | $108–$111 | varies |
| Crossmatch electronic (86923) range across 2 matching MRF lines |
$313.30–$322.40 | $482–$496 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$321.10–$624 | $494–$960 | varies |
| Crp High Sensitivity (86141) | $52 | $80 | 4.0× |
| Cryofibrinogen (82585) | $57.85 | $89 | 4.1× |
| Cryoglobulin (82595) | $49.40 | $76 | 7.6× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$123.50–$239.20 | $190–$368 | varies |
| Cryptosporidium (87272) | $86.45 | $133 | 7.2× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$107.25–$110.50 | $165–$170 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$91.65–$188.50 | $141–$290 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$72.80–$74.75 | $112–$115 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $146.25 | $225 | 19.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) range across 2 matching MRF lines |
$412.75–$425.10 | $635–$654 | varies |
| Culture aerobic quant other (87071) range across 2 matching MRF lines |
$67.60–$126.75 | $104–$195 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$145.60–$150.15 | $224–$231 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$104.65–$107.90 | $161–$166 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$167.70–$325 | $258–$500 | varies |
| Culture chlamydia (87110) | $140.40 | $216 | 7.2× |
| Culture csf (87070) range across 2 matching MRF lines |
$116.35–$119.60 | $179–$184 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$174.85–$180.05 | $269–$277 | varies |
| Culture fungus blood (87103) | $156.65 | $241 | 7.7× |
| Culture screen only (87081) range across 2 matching MRF lines |
$85.15–$87.75 | $131–$135 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$126.75–$130.65 | $195–$201 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $24.05 | $37 | 1.9× |
| Culture typing if ea antiserum (87140) | $46.80 | $72 | 8.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$70.20–$72.15 | $108–$111 | varies |
| Culture typing other methods (87158) | $158.60 | $244 | 20.5× |
| Culture urine (87086) range across 2 matching MRF lines |
$98.80–$102.05 | $152–$157 | varies |
| Cyanide (82600) | $138.45 | $213 | 7.1× |
| Cyclosporine (80158) | $166.40 | $256 | 9.2× |
| Cyp2c19 gene analysis common variants (81225) | $822.90 | $1,266 | 2.8× |
| Cyp2c9 gene com variants (81227) | $494 | $760 | 2.8× |
| Cyp2d6 gene com variants (81226) | $1,273.35 | $1,959 | 2.8× |
| Cystatin C (82610) | $48.10 | $74 | 2.6× |
| Cytogenetics 100-300 (88275) | $355.55 | $547 | 6.9× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,976 | $3,040 | 1.7× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$82.55–$85.15 | $127–$131 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$323.05–$332.80 | $497–$512 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$173.55–$178.75 | $267–$275 | varies |
| Cytp Concentration Smears & Interpretation (88108) range across 3 matching MRF lines |
$111.80–$223.60 | $172–$344 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$263.25–$271.05 | $405–$417 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 3 matching MRF lines |
$285.35–$570.70 | $439–$878 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $108.55 | $167 | 3.4× |
| Deoxyribonuclease antibody (86215) | $82.55 | $127 | 6.2× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$470.60–$969.80 | $724–$1,492 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$614.90–$633.10 | $946–$974 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$434.20–$447.20 | $668–$688 | varies |
| Dhea (82626) | $115.05 | $177 | 4.6× |
| Dhea-S (82627) range across 2 matching MRF lines |
$107.25–$110.50 | $165–$170 | varies |
| Dibucaine number (82638) | $55.25 | $85 | 4.5× |
| Digoxin (80162) range across 2 matching MRF lines |
$178.10–$183.30 | $274–$282 | varies |
| Dihydrotestosterone (82642) | $72.15 | $111 | 2.5× |
| Dipropylacetic Acid Free (80165) | $50.05 | $77 | 3.7× |
| Dmd Duplication/Deletion Analysis (81161) | $825.50 | $1,270 | 3.0× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$183.95–$189.15 | $283–$291 | varies |
| Dna Antibody Single Stranded (86226) | $48.75 | $75 | 4.0× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$267.80–$474.50 | $412–$730 | varies |
| DNA/RNA direct probe (87149) | $183.95 | $283 | 9.2× |
| Dna/Rna Sequencing (87153) range across 2 matching MRF lines |
$254.80–$713.05 | $392–$1,097 | varies |
| Drug assay adalimumab (80145) | $58.50 | $90 | 1.5× |
| Drug Assay Everolimus (80169) | $55.25 | $85 | 4.0× |
| Drug Assay Infliximab (80230) | $103.35 | $159 | 2.7× |
| Drug Assay Lacosamide (80235) range across 2 matching MRF lines |
$65.65–$67.60 | $101–$104 | varies |
| Drug Assay Posaconazole (80187) | $135.85 | $209 | 5.0× |
| Drug assay voriconazole (80285) | $41.60 | $64 | 1.5× |
| Drug Screen Quant Clozapine (80159) | $58.50 | $90 | 2.9× |
| Drug Screen Quant Zonisamide (80203) range across 2 matching MRF lines |
$48.75–$183.30 | $75–$282 | varies |
| Drug Screen Quantitative Gabapentin (80171) range across 2 matching MRF lines |
$65–$183.30 | $100–$282 | varies |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$183.30–$188.50 | $282–$290 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$183.30–$188.50 | $282–$290 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$183.30–$188.50 | $282–$290 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$328.90–$366.60 | $506–$564 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 3 matching MRF lines |
$20.64–$91.65 | $31.75–$141 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$51.35–$57.85 | $79–$89 | varies |
| Egfr Gene Analysis Common Variants (81235) | $880.10 | $1,354 | 2.7× |
| Ehrlichia antibody (86666) | $86.45 | $133 | 8.5× |
| Electrolyte panel (80051) | $79.30 | $122 | 11.3× |
| Electron Microscopy (88348) | $1,134.90 | $1,746 | 1.3× |
| Enterovirus Antibody (86658) | $40.30 | $62 | 3.1× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$313.30–$354.25 | $482–$545 | varies |
| Enzyme cell activity (82657) | $120.90 | $186 | 5.5× |
| Enzyme histochemistry (88319) | $872.30 | $1,342 | 1.0× |
| Eosinophil Smear (89190) | $42.90 | $66 | 7.4× |
| Erythropoietin (82668) range across 2 matching MRF lines |
$92.30–$271.70 | $142–$418 | varies |
| Estradiol serum (82670) range across 2 matching MRF lines |
$174.20–$179.40 | $268–$276 | varies |
| Estriol (82677) | $172.90 | $266 | 7.2× |
| Estrogens fractionated (82671) | $72.15 | $111 | 2.2× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$48.10–$54.60 | $74–$84 | varies |
| Ethylene Glycol (82693) | $95.55 | $147 | 6.4× |
| Euglobulin lysis (85360) | $123.50 | $190 | 14.7× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$94.25–$96.85 | $145–$149 | varies |
| F2 Gene (81240) range across 2 matching MRF lines |
$240.50–$247.65 | $370–$381 | varies |
| Factor ii activity (85210) | $38.35 | $59 | 3.0× |
| Factor Inhibitor Test (85335) | $189.15 | $291 | 14.7× |
| Factor ix activity (85250) | $128.70 | $198 | 6.8× |
| Factor v activity (85220) | $101.40 | $156 | 5.7× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$269.75–$277.55 | $415–$427 | varies |
| Factor vii assay (85230) | $296.40 | $456 | 16.6× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$86.45–$240.50 | $133–$370 | varies |
| Factor X (85260) range across 2 matching MRF lines |
$113.75–$188.50 | $175–$290 | varies |
| Factor xi activity (85270) | $109.20 | $168 | 6.1× |
| Fat/Lipids Feces Quantitative (82710) | $224.90 | $346 | 13.4× |
| Fatty acids free (82725) | $37.05 | $57 | 2.0× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $98.15 | $151 | 5.7× |
| Fecal Fat Qualitative (82705) | $61.10 | $94 | 12.0× |
| Ferritin (82728) range across 2 matching MRF lines |
$157.30–$161.85 | $242–$249 | varies |
| Fetal Chrmoml Aneuploidy (81420) | $1,620.45 | $2,493 | 2.1× |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$330.85–$390.65 | $509–$601 | varies |
| Fetal hemoglobin assay qual (83033) | $46.80 | $72 | 5.9× |
| Fetal screen rosette (85461) | $139.10 | $214 | 14.9× |
| Fibrin degradation products (85362) | $49.40 | $76 | 7.2× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$173.55–$199.55 | $267–$307 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$128.70–$132.60 | $198–$204 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $77.35 | $119 | 5.0× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$538.20–$554.45 | $828–$853 | varies |
| Flt3 Gene (81245) | $468 | $720 | 2.8× |
| Flt3 gene analysis (81246) | $235.30 | $362 | 2.8× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$160.55–$165.10 | $247–$254 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $175.50 | $270 | 14.6× |
| Fmr1 gene detection (81243) | $263.90 | $406 | 4.6× |
| Folic acid rbc (82747) | $128.05 | $197 | 7.3× |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$209.95–$216.45 | $323–$333 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$107.25–$110.50 | $165–$170 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $628.55 | $967 | 3.3× |
| Frozen Section (88331) range across 3 matching MRF lines |
$293.80–$570.70 | $452–$878 | varies |
| Fungi Identification Mold (87107) | $96.85 | $149 | 9.4× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$89.70–$174.20 | $138–$268 | varies |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$195.65–$201.50 | $301–$310 | varies |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$124.80–$141.05 | $192–$217 | varies |
| Gardner Vag Dna Quant (87512) | $145.60 | $224 | 3.5× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $133.90 | $206 | 13.7× |
| Gastrin (82941) | $251.55 | $387 | 14.3× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,831.70 | $2,818 | 2.4× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $2,310.10 | $3,554 | 0.8× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$287.95–$296.40 | $443–$456 | varies |
| Genetic Tstg Severe Inh Cond (81443) | $3,689.40 | $5,676 | 1.5× |
| Gentamicin (80170) | $150.15 | $231 | 9.2× |
| Ggt (82977) range across 2 matching MRF lines |
$72.15–$74.10 | $111–$114 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$107.25–$110.50 | $165–$170 | varies |
| Giardia lamblia antibody (86674) | $126.75 | $195 | 8.6× |
| Glucagon (82943) | $139.75 | $215 | 9.8× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$39–$40.30 | $60–$62 | varies |
| Glucose Blood Test (82962) | $5.38 | $8.27 | 1.6× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$52.65–$53.95 | $81–$83 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$41.60–$42.90 | $64–$66 | varies |
| Glycated Protein (82985) | $107.90 | $166 | 6.4× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$118.30–$121.55 | $182–$187 | varies |
| Growth hormone (83003) range across 2 matching MRF lines |
$105.95–$513.50 | $163–$790 | varies |
| Haloperidol (80173) | $48.75 | $75 | 3.1× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$159.90–$164.45 | $246–$253 | varies |
| Hba1/Hba2 Gene (81257) | $242.45 | $373 | 2.4× |
| Hdl Cholesterol (83718) | $26.65 | $41 | 3.3× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$134.55–$138.45 | $207–$213 | varies |
| Helminth Antibody (86682) | $55.25 | $85 | 4.2× |
| Hematocrit (85014) range across 3 matching MRF lines |
$46.80–$48.10 | $72–$74 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$29.90–$30.55 | $46–$47 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$17.67–$65.65 | $27.19–$101 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$83.85–$284.05 | $129–$437 | varies |
| Hemoglobin electrophoresis (83020) | $33.80 | $52 | 2.6× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$111.80–$115.05 | $172–$177 | varies |
| Hemoglobin plasma (83051) | $87.10 | $134 | 11.9× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$150.15–$154.70 | $231–$238 | varies |
| Heparin assay (85520) range across 2 matching MRF lines |
$242.45–$631.80 | $373–$972 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$165.75–$170.95 | $255–$263 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$104–$107.25 | $160–$165 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$160.55–$165.10 | $247–$254 | varies |
| Hepatitis b surface ag quan (87467) | $44.85 | $69 | 1.8× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$144.30–$148.85 | $222–$229 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$100.75–$104 | $155–$160 | varies |
| Hepatitis Be Antibody (86707) | $74.10 | $114 | 6.4× |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$48.75–$154.70 | $75–$238 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$125.45–$129.35 | $193–$199 | varies |
| Hepatitis C Genotype (87902) | $943.80 | $1,452 | 3.7× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$398.45–$410.15 | $613–$631 | varies |
| Hepatitis Delta Agent Antibody (86692) | $49.40 | $76 | 2.9× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $988.65 | $1,521 | 0.8× |
| Herpes simplex type 2 (86696) | $118.95 | $183 | 6.1× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$89.70–$92.30 | $138–$142 | varies |
| Hfe Gene (81256) | $365.95 | $563 | 5.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$75.40–$85.15 | $116–$131 | varies |
| Histamine urine (83088) | $56.55 | $87 | 1.9× |
| Histoplasma antibody (86698) | $49.40 | $76 | 3.6× |
| Histoplasma antigen urine (87385) | $202.80 | $312 | 15.3× |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$780–$803.40 | $1,200–$1,236 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$82.55–$85.15 | $127–$131 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$165.75–$170.95 | $255–$263 | varies |
| HIV-1 p24 antigen (87390) | $67.60 | $104 | 2.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$496.60–$511.55 | $764–$787 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $135.20 | $208 | 3.9× |
| Hla Class I Typing High Resolution Complete (81379) | $1,291.55 | $1,987 | 3.9× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $681.85 | $1,049 | 3.8× |
| Hla Class I Typing Low Resolution Complete (81372) | $774.80 | $1,192 | 1.9× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $391.30 | $602 | 3.1× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $1,410.50 | $2,170 | 3.5× |
| Hla class ii typing high resolution one locus ea (81382) | $430.95 | $663 | 3.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $252.20 | $388 | 3.4× |
| Hla I Typing 1 Allele Hr (81381) range across 2 matching MRF lines |
$313.30–$322.40 | $482–$496 | varies |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $1,329.25 | $2,045 | 3.8× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $845 | $1,300 | 2.1× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $843.70 | $1,298 | 3.8× |
| Hla ii type 1 ag equiv lr (81377) | $353.60 | $544 | 3.7× |
| Hla ii typing 1 allele hr (81383) | $419.90 | $646 | 3.8× |
| Hla ii typing 1 locus lr (81376) | $365.30 | $562 | 3.0× |
| Hla-b27 (86812) | $180.70 | $278 | 7.0× |
| Homocysteine (83090) range across 2 matching MRF lines |
$117–$120.25 | $180–$185 | varies |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$52.65–$53.95 | $81–$83 | varies |
| Homovanillic acid urine (83150) | $54.60 | $84 | 2.4× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$130.65–$134.55 | $201–$207 | varies |
| Hpv Types 16 & 18 Only (87625) | $83.20 | $128 | 2.1× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$470.60–$484.90 | $724–$746 | varies |
| Htt Gene Detc Abnor Alleles (81271) | $723.45 | $1,113 | 5.3× |
| Human Epididymis Protein 4 (86305) | $136.50 | $210 | 6.6× |
| Hydroxyprogesterone 17-d (83498) | $98.80 | $152 | 3.6× |
| Iaad Ia Entamoeba Histolytica Grp (87337) range across 2 matching MRF lines |
$60.45–$92.95 | $93–$143 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $160.55 | $247 | 11.5× |
| Iaad ia shiga-like toxin (87427) | $52 | $80 | 4.3× |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$110.50–$113.75 | $170–$175 | varies |
| Iaadi inffluenza a virus (87276) | $176.15 | $271 | 11.0× |
| Iaadi not otherwise specified each organism (87299) | $176.15 | $271 | 10.9× |
| Iaadi parainfluenza virus each type (87279) | $152.10 | $234 | 9.3× |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$213.20–$219.70 | $328–$338 | varies |
| Iaadi respiratory synctial virus (87280) | $55.25 | $85 | 4.1× |
| Iaadi Varicella Zoster Virus (87290) | $176.15 | $271 | 13.1× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$91.65–$103.35 | $141–$159 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$111.15–$114.40 | $171–$176 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $132.60 | $204 | 3.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$279.50–$287.95 | $430–$443 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$574.60–$592.15 | $884–$911 | varies |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$247.65–$254.80 | $381–$392 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$514.15–$581.10 | $791–$894 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $329.55 | $507 | 9.4× |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) | $165.10 | $254 | 2.8× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $484.90 | $746 | 13.8× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $295.10 | $454 | 6.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$226.20–$232.70 | $348–$358 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$199.55–$217.10 | $307–$334 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$217.10–$223.60 | $334–$344 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $294.45 | $453 | 9.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $372.45 | $573 | 2.6× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $398.45 | $613 | 1.5× |
| Ig Light Chains Free Each (83521) | $92.95 | $143 | 5.4× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$77.35–$79.95 | $119–$123 | varies |
| Igh gene rearrange amp meth (81261) | $593.45 | $913 | 3.0× |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) | $168.35 | $259 | 2.5× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,014.65 | $1,561 | 3.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$538.20–$554.45 | $828–$853 | varies |
| Immune Complex Assay (86332) | $116.35 | $179 | 4.8× |
| Immunfix e-phorsis/urine/csf (86335) | $470.60 | $724 | 16.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$208.65–$608.40 | $321–$936 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $76.70 | $118 | 3.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$117.65–$120.90 | $181–$186 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$86.45–$150.80 | $133–$232 | varies |
| Immunodiffusion not elsewhere specified (86329) | $74.75 | $115 | 5.3× |
| Immunodiffusion Ouchterlony (86331) | $58.50 | $90 | 4.9× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$137.80–$141.70 | $212–$218 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $554.45 | $853 | 2.9× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$285.35–$570.70 | $439–$878 | varies |
| In situ hybridization 1st probe stain (88365) range across 3 matching MRF lines |
$492.05–$507 | $757–$780 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $67.60 | $104 | 3.1× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $152.10 | $234 | 10.5× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $176.15 | $271 | 14.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) | $77.35 | $119 | 3.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) | $77.35 | $119 | 3.5× |
| Influenza assay w/optic (87804) | $27.11 | $41.71 | 1.6× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$156.92–$953.55 | $241.42–$1,467 | varies |
| Inhibin A (86336) range across 2 matching MRF lines |
$98.15–$101.40 | $151–$156 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$174.20–$179.40 | $268–$276 | varies |
| Insitu hybridization manual (88368) | $1,014.65 | $1,561 | 2.5× |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$84.50–$103.35 | $130–$159 | varies |
| Insulin free (83527) range across 2 matching MRF lines |
$46.80–$52.65 | $72–$81 | varies |
| Insulin total (83525) | $157.30 | $242 | 13.8× |
| Intrinsic factor antibody (86340) | $161.85 | $249 | 10.7× |
| Iron (83540) range across 2 matching MRF lines |
$94.25–$96.85 | $145–$149 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$70.20–$72.15 | $108–$111 | varies |
| Irradiation Blood Product Each Unit (86945) | $78.65 | $121 | 1.9× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$148.85–$432.90 | $229–$666 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $399.75 | $615 | 4.4× |
| Jak2 Gene Trgt Sequence Alys (81279) | $313.30 | $482 | 1.7× |
| Kit Gene Analysis D816 Variant(S) (81273) | $386.10 | $594 | 3.1× |
| Koh Prep (87220) range across 2 matching MRF lines |
$63.05–$65 | $97–$100 | varies |
| Kras Gene Variants Exon 2 (81275) | $570.70 | $878 | 3.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$62.40–$64.35 | $96–$99 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$121.55–$125.45 | $187–$193 | varies |
| Ldh Isoenzymes (83625) | $101.40 | $156 | 7.9× |
| LDL direct (83721) range across 3 matching MRF lines |
$54.60–$56.55 | $84–$87 | varies |
| Lead (83655) range across 2 matching MRF lines |
$74.75–$76.70 | $115–$118 | varies |
| Legionella antibody (86713) | $83.20 | $128 | 5.4× |
| Legionella antigen urine (87449) | $199.55 | $307 | 16.7× |
| Legionella pneumophila dfa (87278) range across 2 matching MRF lines |
$213.85–$241.80 | $329–$372 | varies |
| Leptospira antibody (86720) range across 2 matching MRF lines |
$84.50–$95.55 | $130–$147 | varies |
| Leukocyte Assessment Fecal (89055) | $53.95 | $83 | 12.6× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$69.55–$139.75 | $107–$215 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 3 matching MRF lines |
$160.55–$321.10 | $247–$494 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 4 matching MRF lines |
$538.20–$6,458.40 | $828–$9,936 | varies |
| Lidocaine (80176) | $229.45 | $353 | 15.6× |
| Lipase (83690) range across 2 matching MRF lines |
$152.10–$156.65 | $234–$241 | varies |
| Lipoprotein A (83695) | $58.50 | $90 | 4.1× |
| Lipoprotein Bld Quan Part (83704) | $94.25 | $145 | 2.8× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $34.45 | $53 | 3.1× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $95.55 | $147 | 2.8× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $44.85 | $69 | 3.5× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $118.95 | $183 | 2.6× |
| Lithium (80178) range across 2 matching MRF lines |
$126.10–$130 | $194–$200 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$229.45–$236.60 | $353–$364 | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$106.60–$109.85 | $164–$169 | varies |
| Lysozyme serum (85549) | $61.10 | $94 | 3.3× |
| M. Genitalium Amp Probe (87563) | $85.15 | $131 | 2.4× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $126.10 | $194 | 3.6× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$210.60–$373.10 | $324–$574 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 4 matching MRF lines |
$219.05–$1,095.25 | $337–$1,685 | varies |
| Macroscopic exam arthropod (87168) | $39.65 | $61 | 9.3× |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$55.90–$57.85 | $86–$89 | varies |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$91.65–$94.25 | $141–$145 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$76.70–$98.80 | $118–$152 | varies |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$220.35–$226.85 | $339–$349 | varies |
| Mgmt methylation analysis (81287) | $403 | $620 | 3.2× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$74.75–$76.70 | $115–$118 | varies |
| Microbe Suscept Macrobroth (87188) | $78.65 | $121 | 11.8× |
| Microsatellite instability (81301) | $1,114.10 | $1,714 | 3.2× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$163.80–$169 | $252–$260 | varies |
| Mlh1 Gene (81288) | $518.05 | $797 | 2.7× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $538.20 | $828 | 2.7× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,823.25 | $2,805 | 2.7× |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $730.60 | $1,124 | 2.2× |
| Molecular Cytogenetics Dna Probe Each (88271) | $127.40 | $196 | 5.9× |
| Molecular Pathology Procedure Level 3 (81402) | $529.10 | $814 | 3.5× |
| Molecular Pathology Procedure Level 6 (81405) | $811.85 | $1,249 | 2.7× |
| Mononuclear cell antigen (86356) | $96.85 | $149 | 3.6× |
| Mopath procedure level 1 (81400) | $197.60 | $304 | 3.1× |
| Mopath procedure level 2 (81401) | $414.70 | $638 | 3.0× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$388.70–$777.40 | $598–$1,196 | varies |
| Mopath procedure level 5 (81404) | $740.35 | $1,139 | 2.7× |
| Mopath procedure level 7 (81406) | $858 | $1,320 | 3.0× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $349.05 | $537 | 1.9× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$310.05–$319.15 | $477–$491 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $631.15 | $971 | 3.0× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $1,128.40 | $1,736 | 3.0× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $998.40 | $1,536 | 3.0× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $703.95 | $1,083 | 3.0× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $812.50 | $1,250 | 1.3× |
| Msh6 Gene Known Variants (81299) | $910.65 | $1,401 | 3.0× |
| Mthfr Gene Analysis Common Variants (81291) | $299 | $460 | 4.6× |
| Mumps antibody (86735) | $106.60 | $164 | 8.2× |
| Mycobacteric Identification (87118) | $48.10 | $74 | 3.3× |
| Mycophenolic Acid (80180) | $70.85 | $109 | 3.9× |
| Mycoplasma antibody (86738) | $82.55 | $127 | 6.2× |
| Mycoplasma culture (87109) | $92.95 | $143 | 6.0× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $303.55 | $467 | 1.7× |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
$123.50–$139.75 | $190–$215 | varies |
| Myoglobin urine (83874) | $190.45 | $293 | 14.7× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$344.50–$354.90 | $530–$546 | varies |
| Neutralization Test Viral (86382) | $129.35 | $199 | 7.6× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $321.10 | $494 | 1.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $182.65 | $281 | 2.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $473.20 | $728 | 3.7× |
| Niacin (84591) range across 2 matching MRF lines |
$152.75–$157.30 | $235–$242 | varies |
| Nk cells total count (86357) | $153.40 | $236 | 4.1× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $630.50 | $970 | 2.6× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$248.95–$1,209 | $383–$1,860 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$39–$40.30 | $60–$62 | varies |
| Occult Blood Other Sources (82271) | $59.15 | $91 | 11.1× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$102.05–$103.35 | $157–$159 | varies |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $427.05 | $657 | 1.6× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$107.25–$123.50 | $165–$190 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$85.80–$87.10 | $132–$134 | varies |
| Osmotic fragility rbc incubated (85557) | $135.20 | $208 | 10.1× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$91.65–$94.25 | $141–$145 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$140.40–$144.30 | $216–$222 | varies |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$52.65–$59.80 | $81–$92 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $90.35 | $139 | 7.8× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$70.20–$202.80 | $108–$312 | varies |
| Path Clin Consltj Mod 21-40 (80504) | $110.50 | $170 | 0.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 3 matching MRF lines |
$674.70–$2,259.40 | $1,038–$3,476 | varies |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | $164.45 | $253 | 0.9× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $55.25 | $85 | 1.0× |
| Pathology Consultation During Surgery (88329) range across 2 matching MRF lines |
$63.05–$71.50 | $97–$110 | varies |
| Ph urine (81003) range across 3 matching MRF lines |
$16.25–$93.60 | $25–$144 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$111.80–$115.05 | $172–$177 | varies |
| Phenotype Infect Agent Drug (87900) range across 2 matching MRF lines |
$354.90–$365.30 | $546–$562 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$93.60–$205.40 | $144–$316 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$152.75–$157.30 | $235–$242 | varies |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$22.10–$46.80 | $34–$72 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $83.20 | $128 | 4.6× |
| Phosphorus Serum (84100) range across 3 matching MRF lines |
$62.40–$64.35 | $96–$99 | varies |
| Phosphorus urine (84105) | $73.45 | $113 | 12.7× |
| Pinworm exam (87172) | $35.10 | $54 | 8.2× |
| Platelet Aggregation (85576) range across 3 matching MRF lines |
$265.85–$273.65 | $409–$421 | varies |
| Platelet Antibodies (86022) | $241.80 | $372 | 13.2× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$65.65–$67.60 | $101–$104 | varies |
| Platelet neutralization (85597) | $64.35 | $99 | 3.6× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $803.40 | $1,236 | 3.9× |
| PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) | $1,216.80 | $1,872 | 5.9× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $625.95 | $963 | 3.1× |
| Pms2 gene analysis known familial variants (81318) | $521.30 | $802 | 1.6× |
| Pms2 gene full seq analysis (81317) | $2,204.80 | $3,392 | 3.3× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$52.65–$74.75 | $81–$115 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $99.45 | $153 | 6.8× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$57.20–$59.15 | $88–$91 | varies |
| Prealbumin (84134) range across 2 matching MRF lines |
$145.60–$150.15 | $224–$231 | varies |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $417.30 | $642 | 2.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $91 | $140 | 1.4× |
| Pretx serum rbc antibody identification dilution (86976) | $140.40 | $216 | 4.4× |
| Primidone (80188) | $65 | $100 | 3.9× |
| Procalcitonin (Pct) (84145) | $206.70 | $318 | 7.6× |
| Progesterone (84144) range across 2 matching MRF lines |
$60.45–$62.40 | $93–$96 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$89.05–$243.10 | $137–$374 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$50.05–$51.35 | $77–$79 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$184.60–$190.45 | $284–$293 | varies |
| Protein Electrophoresis Urine (84166) | $260.65 | $401 | 14.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$147.55–$152.10 | $227–$234 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$204.75–$210.60 | $315–$324 | varies |
| Protein s total (85305) range across 2 matching MRF lines |
$71.50–$80.60 | $110–$124 | varies |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $55.90 | $86 | 2.6× |
| Protein total serum (84155) | $51.35 | $79 | 14.0× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$56.55–$58.50 | $87–$90 | varies |
| Protein Western Blot Test (84182) | $436.80 | $672 | 15.0× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $30.55 | $47 | 7.8× |
| Protoporphyrin rbc quantitative (84202) | $71.50 | $110 | 5.0× |
| PSA free (84154) range across 3 matching MRF lines |
$107.90–$113.10 | $166–$174 | varies |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $666.25 | $1,025 | 2.2× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $1,695.20 | $2,608 | 2.8× |
| Pten gene analysis known familial variant (81322) | $163.80 | $252 | 3.5× |
| Pth Intact (83970) range across 2 matching MRF lines |
$322.40–$332.15 | $496–$511 | varies |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$42.90–$338 | $66–$520 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$383.50–$395.20 | $590–$608 | varies |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$215.80–$222.30 | $332–$342 | varies |
| Quantitative Screen Metals (83018) | $88.40 | $136 | 4.0× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$319.80–$621.40 | $492–$956 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$538.20–$554.45 | $828–$853 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$137.80–$141.70 | $212–$218 | varies |
| Rbc pretreatment serum (86978) | $315.90 | $486 | 4.8× |
| Rbc pretx incubatj w/enzymes (86971) | $902.20 | $1,388 | 4.8× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$117.65–$338.65 | $181–$521 | varies |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$1,273.35–$1,439.10 | $1,959–$2,214 | varies |
| Resp Virus 6-11 Targets (87632) range across 2 matching MRF lines |
$326.95–$336.70 | $503–$518 | varies |
| Reticulated Platelet Assay (85055) range across 2 matching MRF lines |
$111.80–$115.05 | $172–$177 | varies |
| Rh (86901) range across 2 matching MRF lines |
$69.55–$135.20 | $107–$208 | varies |
| Rheumatoid Factor Qualitative (86430) | $55.90 | $86 | 9.1× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$91.65–$94.25 | $141–$145 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$101.40–$405.60 | $156–$624 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$307.45–$316.55 | $473–$487 | varies |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$92.95–$105.30 | $143–$162 | varies |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$66.95–$68.90 | $103–$106 | varies |
| Rsv Assay W/Optic (87807) | $63.70 | $98 | 4.9× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$82.55–$85.15 | $127–$131 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$105.95–$205.40 | $163–$316 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$128.05–$131.95 | $197–$203 | varies |
| Salmonella antibody (86768) | $33.15 | $51 | 2.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$66.95–$101.40 | $103–$156 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $54.60 | $84 | 1.3× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $40.30 | $62 | 1.0× |
| Sarscov2 & inf a&b amp prb (87636) | $128.70 | $198 | 0.9× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $230.75 | $355 | 1.6× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$39.65–$40.95 | $61–$63 | varies |
| Selenium (84255) | $92.95 | $143 | 3.6× |
| Semen Anal Sperm Detection (89321) | $49.40 | $76 | 4.1× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$137.80–$267.80 | $212–$412 | varies |
| Sept9 Methylation Analysis (81327) | $259.35 | $399 | 1.4× |
| Sex Hormone Binding Globulin (84270) | $138.45 | $213 | 6.4× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$52.65–$102.70 | $81–$158 | varies |
| Sirolimus (80195) | $208.65 | $321 | 15.2× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$219.28–$281.18 | $337.35–$432.59 | varies |
| Smear acid fast (87206) range across 2 matching MRF lines |
$72.15–$74.10 | $111–$114 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$111.15–$114.40 | $171–$176 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$57.20–$59.15 | $88–$91 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$61.10–$66.95 | $94–$103 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$70.20–$72.15 | $108–$111 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $208 | $320 | 4.1× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$46.80–$48.10 | $72–$74 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$66.30–$68.25 | $102–$105 | varies |
| Soluble Transferrin Receptor (84238) | $106.60 | $164 | 2.9× |
| Somatomedin (84305) | $135.85 | $209 | 6.4× |
| Somatostatin (84307) | $61.10 | $94 | 3.3× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$228.80–$235.95 | $352–$363 | varies |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$165.10–$330.20 | $254–$508 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$65.65–$67.60 | $101–$104 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$66.30–$101.40 | $102–$156 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $311.35 | $479 | 1.6× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$130.65–$253.50 | $201–$390 | varies |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$237.25–$244.40 | $365–$376 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $137.15 | $211 | 1.5× |
| Sugars Single Qual (84376) | $32.50 | $50 | 5.9× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$185.25–$191.10 | $285–$294 | varies |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$259.35–$1,257.75 | $399–$1,935 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$1,096.55–$1,129.70 | $1,687–$1,738 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$37.05–$38.35 | $57–$59 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$54.60–$56.55 | $84–$87 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $88.40 | $136 | 12.1× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$37.70–$39 | $58–$60 | varies |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$105.30–$108.55 | $162–$167 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$195–$200.85 | $300–$309 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$167.70–$172.90 | $258–$266 | varies |
| T3 Free (84481) range across 2 matching MRF lines |
$143–$147.55 | $220–$227 | varies |
| T3 reverse (84482) | $81.25 | $125 | 5.2× |
| T3 Total (84480) range across 2 matching MRF lines |
$189.15–$195 | $291–$300 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$117–$120.25 | $180–$185 | varies |
| T4 total (84436) | $92.30 | $142 | 13.4× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$183.30–$188.50 | $282–$290 | varies |
| Tb ag response t-cell susp (86481) | $198.90 | $306 | 2.0× |
| Testosterone total (84403) range across 2 matching MRF lines |
$159.90–$164.45 | $246–$253 | varies |
| Testosterone, Free (84402) | $127.40 | $196 | 5.0× |
| Tetanus antibody (86774) | $59.80 | $92 | 4.0× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,756.95 | $2,703 | 2.9× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $1,097.85 | $1,689 | 1.8× |
| Theophylline (80198) | $158.60 | $244 | 11.2× |
| Thrombin Time (85670) | $79.30 | $122 | 13.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $59.80 | $92 | 9.2× |
| Thyroglobulin (84432) | $104 | $160 | 6.5× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$65–$219.05 | $100–$337 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $222.30 | $342 | 4.4× |
| Thyroxine binding globulin (84442) | $35.75 | $55 | 2.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $18.85 | $29 | 1.6× |
| Tissue Culture Amniotic Fluid (88235) | $1,068.60 | $1,644 | 7.1× |
| Tissue culture bone marrow (88237) range across 3 matching MRF lines |
$263.25–$366.60 | $405–$564 | varies |
| Tissue Culture Lymphocyte (88230) | $408.85 | $629 | 3.5× |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$117.65–$161.20 | $181–$248 | varies |
| Topiramate (80201) range across 2 matching MRF lines |
$78–$159.90 | $120–$246 | varies |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $74.10 | $114 | 3.8× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$84.50–$95.55 | $130–$147 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$61.75–$63.70 | $95–$98 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$53.95–$55.25 | $83–$85 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$75.40–$117 | $116–$180 | varies |
| Trb@ gene rearrange dirprobe (81341) | $191.10 | $294 | 3.9× |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 2 matching MRF lines |
$711.75–$804.05 | $1,095–$1,237 | varies |
| Trg gene rearrangement anal (81342) range across 2 matching MRF lines |
$686.40–$707.20 | $1,056–$1,088 | varies |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$63.70–$72.15 | $98–$111 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$217.10–$223.60 | $334–$344 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$62.40–$64.35 | $96–$99 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$176.15–$528.45 | $271–$813 | varies |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$285.35–$1,141.40 | $439–$1,756 | varies |
| Unlisted reproductive medicine lab procedure (89398) | $124.15 | $191 | 2.1× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$61.10–$63.05 | $94–$97 | varies |
| Uric acid other source (84560) | $72.15 | $111 | 14.2× |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$14.95–$66.30 | $23–$102 | varies |
| Urine Bacteria Culture (87088) range across 3 matching MRF lines |
$63.05–$65 | $97–$100 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$50.05–$51.35 | $77–$79 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$70.85–$74.10 | $109–$114 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$185.90–$191.75 | $286–$295 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$180.70–$208 | $278–$320 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$78.65–$81.25 | $121–$125 | varies |
| Vasopressin (84588) | $209.95 | $323 | 6.2× |
| Viral Culture (87252) | $284.70 | $438 | 10.9× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$89.05–$157.30 | $137–$242 | varies |
| Virus inoculation, shell via (87254) | $97.50 | $150 | 5.0× |
| Viscosity serum (85810) | $52.65 | $81 | 4.5× |
| Vit D 1 25-Dihydroxy (82652) | $207.35 | $319 | 5.4× |
| Vitamin A (84590) range across 2 matching MRF lines |
$66.95–$68.90 | $103–$106 | varies |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$232.70–$239.85 | $358–$369 | varies |
| Vitamin B2 (Riboflavin) (84252) | $125.45 | $193 | 6.2× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$145.60–$150.15 | $224–$231 | varies |
| Vitamin c (82180) | $63.05 | $97 | 6.4× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$138.45–$142.35 | $213–$219 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$183.95–$189.15 | $283–$291 | varies |
| Vitamin K (84597) range across 2 matching MRF lines |
$138.45–$142.35 | $213–$219 | varies |
| Vkorc1 gene (81355) | $260.65 | $401 | 3.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $47 | $72.30 | 3.9× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$180.05–$185.25 | $277–$285 | varies |
| West nile virus ab igm (86788) | $76.70 | $118 | 4.6× |
| West Nile Virus Antibody (86789) | $64.35 | $99 | 4.5× |
| Western Blot Test (84181) range across 2 matching MRF lines |
$82.55–$85.15 | $127–$131 | varies |
| Xm Archive Tissue Molec Anal (88363) | $124.80 | $192 | 3.9× |
| Zika Virus Dna/Rna Amp Probe (87662) | $93.60 | $144 | 1.8× |
| Zinc (84630) range across 2 matching MRF lines |
$44.85–$83.20 | $69–$128 | 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.