Lab & pathology prices at PeaceHealth St. John Medical Center
Longview, WA · every code in this section with a posted price and a Medicare benchmark.
695 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) | $98.15 | $151 | 8.8× |
| Acth (82024) | $352.30 | $542 | 9.1× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
$94.90–$160.55 | $146–$247 | varies |
| Acute hepatitis panel (80074) | $168.35 | $259 | 3.5× |
| Acylcarnitines Quant (82017) | $79.95 | $123 | 4.7× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$72.80–$74.75 | $112–$115 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$45.50–$46.80 | $70–$72 | varies |
| Aldolase (82085) | $81.25 | $125 | 8.4× |
| Aldosterone urine (82088) | $189.15 | $291 | 4.6× |
| Alkaline phosphatase isoenzymes (84080) | $149.50 | $230 | 10.1× |
| Allergen specific ige (86003) | $50.05 | $77 | 9.6× |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$28.60–$171.60 | $44–$264 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $39.65 | $61 | 2.7× |
| Alpha-1-antitrypsin total (82103) | $157.95 | $243 | 11.8× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$78–$272.35 | $120–$419 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$83.85–$86.45 | $129–$133 | varies |
| Aluminum (82108) | $120.90 | $186 | 4.7× |
| Amikacin trough (80150) range across 2 matching MRF lines |
$103.35–$106.60 | $159–$164 | varies |
| 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 |
$160.55–$171.60 | $247–$264 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$353.60–$403 | $544–$620 | varies |
| Amylase urine (82150) range across 2 matching MRF lines |
$98.80–$102.05 | $152–$157 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$167.70–$172.90 | $258–$266 | varies |
| Androstenedione (82157) | $116.35 | $179 | 4.0× |
| Angiotensin converting enzyme csf (82164) | $73.45 | $113 | 5.0× |
| Antibody aspergillus (86606) | $130 | $200 | 8.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$41.60–$624 | $64–$960 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $97.50 | $150 | 6.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$143.65–$148.20 | $221–$228 | 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 |
$334.75–$650 | $515–$1,000 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $76.05 | $117 | 6.2× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$113.10–$116.35 | $174–$179 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$101.40–$104.65 | $156–$161 | varies |
| Antibody HIV-2 (86702) | $39 | $60 | 2.9× |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 2 matching MRF lines |
$287.30–$820.95 | $442–$1,263 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $74.75 | $115 | 3.9× |
| Antibody identification leukocyte antibodies (86021) | $182 | $280 | 12.1× |
| Antibody john cunningham virus (86711) | $56.55 | $87 | 3.3× |
| Antibody Protozoa Nes (86753) | $54.60 | $84 | 4.4× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$89.05–$91.65 | $137–$141 | varies |
| Antibody; campylobacter (86625) | $24.70 | $38 | 1.9× |
| Antigen typing (86905) range across 2 matching MRF lines |
$665.60–$685.75 | $1,024–$1,055 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$183.30–$188.50 | $282–$290 | varies |
| Antistreptolysin o titer (86060) | $105.30 | $162 | 14.4× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$254.15–$261.95 | $391–$403 | varies |
| Apc Gene Analysis Known Familial Variants (81202) | $835.25 | $1,285 | 3.0× |
| Apc gene dup/delet variants (81203) | $596.70 | $918 | 3.0× |
| Apc gene full sequence (81201) | $2,327 | $3,580 | 3.0× |
| Apolipoprotein a1 (82172) | $137.80 | $212 | 6.5× |
| Aquaporin-4 Antb Cba Each (86052) | $24.70 | $38 | 2.0× |
| Arsenic (82175) range across 2 matching MRF lines |
$57.85–$280.80 | $89–$432 | varies |
| Aspergillus ag eia (87305) | $194.35 | $299 | 16.2× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$201.50–$207.35 | $310–$319 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$66.95–$68.90 | $103–$106 | varies |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$248.95–$483.60 | $383–$744 | varies |
| Assay of 5-hiaa (83497) | $88.40 | $136 | 6.9× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$83.85–$86.45 | $129–$133 | varies |
| Assay of calcium in urine (82340) | $86.45 | $133 | 14.3× |
| Assay of cpk in blood (82552) | $37.05 | $57 | 2.8× |
| Assay of g6pd enzyme (82955) | $91.65 | $141 | 9.4× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$173.55–$336.70 | $267–$518 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$138.45–$276.90 | $213–$426 | varies |
| Assay of manganese (83785) | $100.75 | $155 | 3.8× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$208–$214.50 | $320–$330 | varies |
| Assay of proinsulin (84206) | $70.20 | $108 | 2.6× |
| Assay of serotonin (84260) | $73.45 | $113 | 2.4× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$83.85–$86.45 | $129–$133 | varies |
| Assay of sweat sodium (84302) | $16.90 | $26 | 3.5× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$67.60–$69.55 | $104–$107 | varies |
| Assay of urine vma (84585) | $137.15 | $211 | 8.8× |
| Assay of vasoactive intestinal peptide (84586) | $126.10 | $194 | 3.6× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$254.80–$262.60 | $392–$404 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$46.15–$47.45 | $71–$73 | varies |
| Automated Leukocyte Count (85048) | $27.95 | $43 | 11.0× |
| B cells total count (86355) | $149.50 | $230 | 4.0× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$31.20–$62.40 | $48–$96 | varies |
| Bcr/abl1 gene major bp (81206) | $356.20 | $548 | 2.2× |
| Bcr/abl1 gene minor bp (81207) | $432.90 | $666 | 3.0× |
| Bcr/Abl1 Gene Other Bp (81208) | $624.65 | $961 | 2.9× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$224.25–$653.25 | $345–$1,005 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$53.95–$61.75 | $83–$95 | varies |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$36.40–$37.70 | $56–$58 | varies |
| Beta-2 Microglobulin (82232) | $148.85 | $229 | 9.2× |
| Bile acids total (82239) | $66.95 | $103 | 3.9× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$92.30–$94.90 | $142–$146 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$92.30–$94.90 | $142–$146 | varies |
| Bilirubin total transcutaneous (88720) | $36.40 | $56 | 7.3× |
| Bl Smear W/O Diff Wbc Count (85008) | $27.30 | $42 | 8.0× |
| Blastomyces antibody (86612) | $48.75 | $75 | 3.8× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$170.30–$230.75 | $262–$355 | varies |
| 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 |
$66.30–$68.25 | $102–$105 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$51.35–$52.65 | $79–$81 | varies |
| Blood count spun microhematocrit (85013) | $24.70 | $38 | 3.5× |
| Blood gas (82803) range across 3 matching MRF lines |
$219.05–$225.55 | $337–$347 | 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 |
$7.18–$44.20 | $11.04–$68 | varies |
| Blood Sulfhemoglobin Assay (83060) | $35.75 | $55 | 4.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$685.75–$13,312 | $1,055–$20,480 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $101.40 | $156 | 6.2× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$258.05–$265.85 | $397–$409 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$48.10–$49.40 | $74–$76 | varies |
| Bone marrow smear interpretation (85097) range across 2 matching MRF lines |
$352.30–$401.70 | $542–$618 | varies |
| Braf gene analysis (81210) range across 2 matching MRF lines |
$89.70–$205.40 | $138–$316 | varies |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $1,312.35 | $2,019 | 3.0× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $1,118.65 | $1,721 | 3.0× |
| Brca1&2 gen full seq dup/del (81162) | $3,110.90 | $4,786 | 1.7× |
| Brca2 gene analysis full sequence analysis (81216) | $551.85 | $849 | 3.0× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $1,118.65 | $1,721 | 3.0× |
| Breath Alcohol Test (82075) | $72.80 | $112 | 2.4× |
| Brucella antibody (86622) | $65 | $100 | 7.3× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$295.75–$304.85 | $455–$469 | varies |
| C-Peptide (84681) range across 2 matching MRF lines |
$91.65–$185.25 | $141–$285 | varies |
| C-reactive protein (86140) range across 2 matching MRF lines |
$107.90–$111.15 | $166–$171 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$189.15–$195 | $291–$300 | varies |
| Calcitonin (82308) | $163.80 | $252 | 6.1× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$175.50–$180.70 | $270–$278 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$53.30–$104 | $82–$160 | varies |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$208–$214.50 | $320–$330 | varies |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$401.05–$413.40 | $617–$636 | varies |
| Calr gene com variants (81219) | $426.40 | $656 | 3.5× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$146.25–$287.95 | $225–$443 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$91.65–$178.10 | $141–$274 | varies |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$56.55–$58.50 | $87–$90 | varies |
| Carbamazepine free (80157) | $72.80 | $112 | 5.5× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$125.45–$129.35 | $193–$199 | varies |
| Carbohydrate Deficient Transferrin (82373) | $79.95 | $123 | 4.4× |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
$273–$281.45 | $420–$433 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$178.75–$183.95 | $275–$283 | varies |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$121.55–$963.30 | $187–$1,482 | varies |
| 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 |
$91.65–$159.90 | $141–$246 | varies |
| Cell enumeration & id (86152) | $953.55 | $1,467 | 3.8× |
| Ceruloplasmin (82390) | $127.40 | $196 | 11.9× |
| Chemiluminescent assay (82397) | $98.80 | $152 | 7.0× |
| Chlamydia antibody (86631) | $35.10 | $54 | 3.0× |
| Chlamydia Igm Antibody (86632) | $57.85 | $89 | 4.6× |
| Chloride Serum (82435) range across 2 matching MRF lines |
$21.45–$22.10 | $33–$34 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$66.30–$68.25 | $102–$105 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$37.70–$73.45 | $58–$113 | varies |
| Cholinesterase Serum (82480) | $53.95 | $83 | 6.9× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$257.40–$265.20 | $396–$408 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $37.05 | $57 | 1.1× |
| 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 Analysis 15-20 (88262) | $445.25 | $685 | 3.5× |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$166.40–$189.80 | $256–$292 | varies |
| 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) | $166.40 | $256 | 14.4× |
| Clostridium Difficile (87324) | $64.35 | $99 | 5.4× |
| Clot Factor VIII Multimetric (85247) | $270.40 | $416 | 11.8× |
| Clot factor xiii fibrin stab (85290) | $111.15 | $171 | 6.8× |
| Clotting factor viii related antigen (85244) | $97.50 | $150 | 4.8× |
| Clotting factor xii hageman (85280) | $106.60 | $164 | 5.5× |
| Clotting Funct Activity (85397) | $244.40 | $376 | 7.9× |
| Cns DNA amp probe type 12-25 (87483) | $913.25 | $1,405 | 2.2× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$89.70–$103.35 | $138–$159 | varies |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$105.30–$204.10 | $162–$314 | varies |
| Cold agglutinin titer (86157) | $47.45 | $73 | 5.9× |
| 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) | $835.25 | $1,285 | 3.6× |
| Compatibility Each Unit Incubation (86921) | $480.35 | $739 | 2.5× |
| 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 |
$263.25–$510.90 | $405–$786 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$170.30–$175.50 | $262–$270 | varies |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$90.35–$92.95 | $139–$143 | varies |
| Coombs direct (86880) range across 2 matching MRF lines |
$101.40–$490.75 | $156–$755 | varies |
| Copper urine (82525) | $62.40 | $96 | 5.0× |
| Cortisol free (82530) | $79.95 | $123 | 4.8× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$194.35–$200.20 | $299–$308 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$128.70–$132.60 | $198–$204 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$61.10–$63.05 | $94–$97 | varies |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$92.30–$94.90 | $142–$146 | varies |
| Crossmatch electronic (86923) range across 3 matching MRF lines |
$627.25–$646.10 | $965–$994 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$646.10–$2,584.40 | $994–$3,976 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$39–$40.30 | $60–$62 | varies |
| Cryoglobulin (82595) | $55.25 | $85 | 8.5× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$101.40–$196.30 | $156–$302 | varies |
| Cryptosporidium (87272) | $58.50 | $90 | 4.9× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$123.50–$127.40 | $190–$196 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$94.25–$183.30 | $145–$282 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$59.80–$61.75 | $92–$95 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $116.35 | $179 | 15.1× |
| 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–$154.70 | $104–$238 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$138.45–$142.35 | $213–$219 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$154.70–$159.25 | $238–$245 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$167.70–$325 | $258–$500 | varies |
| Culture chlamydia (87110) | $141.70 | $218 | 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 |
$191.10–$196.95 | $294–$303 | varies |
| Culture fungus blood (87103) | $300.30 | $462 | 14.7× |
| Culture screen only (87081) range across 2 matching MRF lines |
$111.80–$115.05 | $172–$177 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$152.75–$157.30 | $235–$242 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $24.05 | $37 | 1.9× |
| Culture typing if ea antiserum (87140) | $118.30 | $182 | 21.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$86.45–$251.55 | $133–$387 | varies |
| 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) | $235.30 | $362 | 13.0× |
| Cyp2c19 gene analysis common variants (81225) | $830.05 | $1,277 | 2.8× |
| Cyp2c9 gene com variants (81227) | $498.55 | $767 | 2.9× |
| Cyp2d6 gene com variants (81226) | $1,285.05 | $1,977 | 2.8× |
| Cystatin C (82610) | $48.10 | $74 | 2.6× |
| Cytogenetics 100-300 (88275) | $105.95 | $163 | 2.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,993.55 | $3,067 | 1.7× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$111.15–$114.40 | $171–$176 | varies |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
$304.85–$313.95 | $469–$483 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $173.55 | $267 | 6.5× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$111.80–$115.05 | $172–$177 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 3 matching MRF lines |
$251.55–$488.80 | $387–$752 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 4 matching MRF lines |
$627.25–$1,254.50 | $965–$1,930 | varies |
| Deoxyribonuclease antibody (86215) | $72.80 | $112 | 5.5× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$370.50–$5,928 | $570–$9,120 | varies |
| Detect Agent Nos Dna Quant (87799) | $484.90 | $746 | 11.3× |
| Detect agnt mult DNA ampli (87801) | $460.20 | $708 | 6.6× |
| Dhea-S (82627) | $110.50 | $170 | 5.0× |
| Dibucaine number (82638) | $55.90 | $86 | 4.6× |
| Digoxin (80162) range across 2 matching MRF lines |
$140.40–$161.20 | $216–$248 | varies |
| Dihydrotestosterone (82642) | $53.30 | $82 | 1.8× |
| Dipropylacetic Acid Free (80165) | $60.45 | $93 | 4.5× |
| Dmd Duplication/Deletion Analysis (81161) | $832.65 | $1,281 | 3.0× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$152.10–$156.65 | $234–$241 | varies |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$107.25–$188.50 | $165–$290 | varies |
| DNA/RNA direct probe (87149) | $319.15 | $491 | 15.9× |
| Dna/Rna Sequencing (87153) | $254.80 | $392 | 2.2× |
| Drug Assay Everolimus (80169) | $92.30 | $142 | 6.7× |
| Drug Assay Infliximab (80230) | $103.35 | $159 | 2.7× |
| Drug Assay Lacosamide (80235) range across 2 matching MRF lines |
$41.60–$42.90 | $64–$66 | 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 |
$31.85–$48.75 | $49–$75 | varies |
| Drug Screen Quantitative Gabapentin (80171) range across 2 matching MRF lines |
$65–$159.90 | $100–$246 | varies |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$79.30–$81.90 | $122–$126 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$109.20–$112.45 | $168–$173 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$58.50–$67.60 | $90–$104 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$366.60–$657.80 | $564–$1,012 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $91.65 | $141 | 7.3× |
| Drug Test Prsmv Instrmnt (80306) | $57.20 | $88 | 3.3× |
| Egfr Gene Analysis Common Variants (81235) | $887.90 | $1,366 | 2.7× |
| Ehrlichia antibody (86666) | $87.75 | $135 | 8.6× |
| Electrolyte panel (80051) | $132.60 | $204 | 18.9× |
| 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 |
$378.95–$432.25 | $583–$665 | varies |
| Enzyme cell activity (82657) | $120.90 | $186 | 5.5× |
| Erythropoietin (82668) range across 2 matching MRF lines |
$92.30–$294.45 | $142–$453 | varies |
| Estradiol serum (82670) range across 2 matching MRF lines |
$111.80–$115.05 | $172–$177 | varies |
| Ethosuximide (80168) | $54.60 | $84 | 3.3× |
| Ethylene Glycol (82693) | $109.20 | $168 | 7.3× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$159.25–$163.80 | $245–$252 | varies |
| F2 Gene (81240) range across 2 matching MRF lines |
$223.60–$230.10 | $344–$354 | varies |
| Factor ii activity (85210) | $38.35 | $59 | 3.0× |
| Factor Inhibitor Test (85335) | $189.15 | $291 | 14.7× |
| Factor ix activity (85250) | $124.80 | $192 | 6.6× |
| 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–$224.25 | $133–$345 | varies |
| Factor xi activity (85270) | $109.20 | $168 | 6.1× |
| Fat/Lipids Feces Quantitative (82710) | $154.70 | $238 | 9.2× |
| Fecal Fat Qualitative (82705) | $42.25 | $65 | 8.3× |
| Ferritin (82728) range across 2 matching MRF lines |
$234.65–$241.80 | $361–$372 | varies |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$390.65–$1,403.35 | $601–$2,159 | varies |
| Fetal hemoglobin assay qual (83033) | $47.45 | $73 | 5.9× |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
$144.30–$164.45 | $222–$253 | varies |
| Fibrin degradation products (85362) | $49.40 | $76 | 7.2× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$200.85–$230.75 | $309–$355 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$128.70–$132.60 | $198–$204 | varies |
| Flow cytometry first marker (88184) | $1,225.25 | $1,885 | 3.1× |
| Flt3 Gene (81245) | $471.90 | $726 | 2.9× |
| Flt3 gene analysis (81246) | $237.25 | $365 | 2.9× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$157.30–$161.85 | $242–$249 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $227.50 | $350 | 18.9× |
| Folic acid rbc (82747) | $128.70 | $198 | 7.3× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$129.35–$133.25 | $199–$205 | varies |
| Follicle Stimulating Hormone (83001) | $68.25 | $105 | 3.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $631.15 | $971 | 3.3× |
| Frozen Section (88331) range across 3 matching MRF lines |
$333.45–$1,372.80 | $513–$2,112 | varies |
| Fungi Identification Mold (87107) | $98.80 | $152 | 9.6× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$117–$120.25 | $180–$185 | varies |
| Gammaglobulin ige (82785) | $178.10 | $274 | 10.8× |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$56.55–$64.35 | $87–$99 | varies |
| Gardner Vag Dna Quant (87512) | $146.90 | $226 | 3.5× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $52.65 | $81 | 5.4× |
| Gastrin (82941) | $193.70 | $298 | 11.0× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,847.95 | $2,843 | 2.4× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $2,310.10 | $3,554 | 0.8× |
| Genet Virus Isolate Hsv (87255) | $128.70 | $198 | 3.8× |
| Gentamicin (80170) | $223.60 | $344 | 13.7× |
| Ggt (82977) range across 2 matching MRF lines |
$111.15–$114.40 | $171–$176 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$111.15–$114.40 | $171–$176 | varies |
| Giardia lamblia antibody (86674) | $128.05 | $197 | 8.7× |
| Glucagon (82943) | $69.55 | $107 | 4.9× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$79.95–$82.55 | $123–$127 | varies |
| Glucose Blood Test (82962) | $5.38 | $8.27 | 1.6× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$83.85–$86.45 | $129–$133 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$83.85–$86.45 | $129–$133 | varies |
| Glycated Protein (82985) | $107.90 | $166 | 6.4× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$132.60–$136.50 | $204–$210 | varies |
| Growth hormone (83003) | $102.70 | $158 | 6.2× |
| H Pylori (C-13) Breath (83013) | $136.50 | $210 | 2.0× |
| Haloperidol (80173) | $49.40 | $76 | 3.1× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$125.45–$129.35 | $193–$199 | varies |
| Hdl Cholesterol (83718) | $26 | $40 | 3.2× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$235.30–$242.45 | $362–$373 | varies |
| Helminth Antibody (86682) | $55.25 | $85 | 4.2× |
| Hematocrit (85014) range across 3 matching MRF lines |
$48.10–$187.20 | $74–$288 | varies |
| Hemoglobin (85018) range across 4 matching MRF lines |
$29.90–$119.60 | $46–$184 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$17.67–$65.65 | $27.19–$101 | varies |
| Hemoglobin Chromotography (83021) | $83.85 | $129 | 4.6× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$80.60–$83.20 | $124–$128 | varies |
| Hemoglobin plasma (83051) | $84.50 | $130 | 11.6× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$180.70–$185.90 | $278–$286 | varies |
| Heparin assay (85520) range across 2 matching MRF lines |
$210.60–$242.45 | $324–$373 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$113.10–$116.35 | $174–$179 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$130–$133.90 | $200–$206 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$195–$200.85 | $300–$309 | varies |
| Hepatitis B Surface Antibody (86706) | $207.35 | $319 | 19.3× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$100.75–$104 | $155–$160 | varies |
| Hepatitis Be Antibody (86707) | $27.30 | $42 | 2.4× |
| Hepatitis Be Antigen (87350) | $48.75 | $75 | 4.2× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$125.45–$129.35 | $193–$199 | varies |
| Hepatitis C Genotype (87902) | $692.90 | $1,066 | 2.7× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$590.20–$607.75 | $908–$935 | varies |
| Hepatitis Delta Agent Antibody (86692) | $49.40 | $76 | 2.9× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $997.10 | $1,534 | 0.8× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$85.15–$87.75 | $131–$135 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$89.70–$92.30 | $138–$142 | varies |
| Hfe Gene (81256) | $305.50 | $470 | 4.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$87.10–$99.45 | $134–$153 | varies |
| Histamine urine (83088) | $56.55 | $87 | 1.9× |
| Histoplasma antibody (86698) | $49.40 | $76 | 3.6× |
| Histoplasma antigen urine (87385) | $80.60 | $124 | 6.1× |
| Hiv Genotype (87901) | $803.40 | $1,236 | 3.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$91–$93.60 | $140–$144 | varies |
| Hiv-1 Antibody (86701) | $143 | $220 | 16.1× |
| HIV-1 p24 antigen (87390) | $68.25 | $105 | 2.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $511.55 | $787 | 6.0× |
| HIV-2 probe&revrse trnscripj (87538) | $136.50 | $210 | 3.9× |
| Hla Class I Typing High Resolution Complete (81379) | $1,302.60 | $2,004 | 3.9× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $687.70 | $1,058 | 3.9× |
| Hla Class I Typing Low Resolution Complete (81372) range across 2 matching MRF lines |
$260–$774.80 | $400–$1,192 | varies |
| 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) | $409.50 | $630 | 3.3× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $252.20 | $388 | 3.4× |
| Hla I Typing 1 Allele Hr (81381) | $365.95 | $563 | 2.2× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $1,340.95 | $2,063 | 3.9× |
| 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) | $851.50 | $1,310 | 3.9× |
| Hla ii type 1 ag equiv lr (81377) | $356.20 | $548 | 3.8× |
| Hla ii typing 1 allele hr (81383) | $423.80 | $652 | 3.9× |
| Hla ii typing 1 locus lr (81376) | $365.30 | $562 | 3.0× |
| Hla-b27 (86812) | $128.05 | $197 | 5.0× |
| Homocysteine (83090) | $117 | $180 | 6.5× |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$39.65–$40.95 | $61–$63 | varies |
| Homovanillic acid urine (83150) | $54.60 | $84 | 2.4× |
| Hpv High-Risk Types (87624) | $134.55 | $207 | 3.8× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$581.75–$1,129.70 | $895–$1,738 | varies |
| Htt Gene Detc Abnor Alleles (81271) | $305.50 | $470 | 2.2× |
| Hydroxyprogesterone 17-d (83498) | $98.80 | $152 | 3.6× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $60.45 | $93 | 5.0× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $113.10 | $174 | 8.1× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$50.70–$52 | $78–$80 | varies |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$111.80–$115.05 | $172–$177 | varies |
| Iaadi pneumocustis carinii (87281) | $102.70 | $158 | 8.6× |
| Iaadi respiratory synctial virus (87280) | $55.25 | $85 | 4.1× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$63.70–$72.80 | $98–$112 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$52–$104 | $80–$160 | 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 |
$258.70–$266.50 | $398–$410 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $388.70 | $598 | 9.1× |
| 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 |
$157.30–$179.40 | $242–$276 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $329.55 | $507 | 9.4× |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) | $167.05 | $257 | 2.8× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $421.85 | $649 | 12.0× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $260.65 | $401 | 5.4× |
| 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 |
$176.80–$199.55 | $272–$307 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$191.10–$196.95 | $294–$303 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $155.35 | $239 | 5.2× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $375.70 | $578 | 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) | $72.15 | $111 | 9.0× |
| 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) | $169.65 | $261 | 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 |
$613.60–$631.80 | $944–$972 | varies |
| Immune Complex Assay (86332) | $116.35 | $179 | 4.8× |
| Immunfix e-phorsis/urine/csf (86335) | $175.50 | $270 | 6.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$202.80–$208.65 | $312–$321 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $77.35 | $119 | 3.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$74.10–$76.05 | $114–$117 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$76.70–$88.40 | $118–$136 | varies |
| Immunodiffusion not elsewhere specified (86329) | $74.75 | $115 | 5.3× |
| Immunodiffusion Ouchterlony (86331) | $56.55 | $87 | 4.7× |
| Immunofixation electrophoresis (86334) | $419.25 | $645 | 18.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $242.45 | $373 | 1.3× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$627.25–$1,254.50 | $965–$1,930 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$627.25–$646.10 | $965–$994 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $68.25 | $105 | 3.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) | $78 | $120 | 3.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) | $78 | $120 | 3.6× |
| Influenza assay w/optic (87804) | $27.11 | $41.71 | 1.6× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$156.92–$497.25 | $241.42–$765 | varies |
| Inhibin A (86336) | $89.70 | $138 | 5.8× |
| Inhibin b (83520) range across 2 matching MRF lines |
$200.20–$206.05 | $308–$317 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$84.50–$103.35 | $130–$159 | varies |
| Insulin free (83527) | $53.30 | $82 | 4.1× |
| Insulin total (83525) | $38.35 | $59 | 3.4× |
| Intrinsic factor antibody (86340) | $157.30 | $242 | 10.4× |
| Iron (83540) range across 2 matching MRF lines |
$144.30–$148.85 | $222–$229 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$144.30–$148.85 | $222–$229 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$323.05–$627.90 | $497–$966 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $323.05 | $497 | 3.5× |
| Jak2 Gene Trgt Sequence Alys (81279) | $278.20 | $428 | 1.5× |
| Koh Prep (87220) range across 2 matching MRF lines |
$47.45–$48.75 | $73–$75 | varies |
| Kras Gene Variants Exon 2 (81275) | $575.90 | $886 | 3.0× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$57.20–$59.15 | $88–$91 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$102.05–$105.30 | $157–$162 | varies |
| Ldh Isoenzymes (83625) | $35.75 | $55 | 2.8× |
| LDL direct (83721) | $56.55 | $87 | 5.4× |
| Lead (83655) range across 2 matching MRF lines |
$113.10–$226.20 | $174–$348 | varies |
| Legionella antibody (86713) | $83.85 | $129 | 5.5× |
| Legionella antigen urine (87449) | $156 | $240 | 13.0× |
| Legionella pneumophila dfa (87278) | $96.85 | $149 | 6.2× |
| Leptospira antibody (86720) | $57.85 | $89 | 3.6× |
| Level I Surg Pathology Gross Examination Only (88300) range across 3 matching MRF lines |
$69.55–$83.20 | $107–$128 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$143–$278.20 | $220–$428 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 3 matching MRF lines |
$1,189.50–$5,947.50 | $1,830–$9,150 | varies |
| Lidocaine (80176) | $174.85 | $269 | 11.9× |
| Lipase (83690) range across 2 matching MRF lines |
$152.10–$156.65 | $234–$241 | varies |
| Lipoprotein A (83695) | $39 | $60 | 2.7× |
| 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) | $96.20 | $148 | 2.8× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $45.50 | $70 | 3.6× |
| 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) | $57.20 | $88 | 3.1× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$109.85–$230.75 | $169–$355 | varies |
| Lysozyme serum (85549) | $61.10 | $94 | 3.3× |
| 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 |
$219.05–$373.10 | $337–$574 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 3 matching MRF lines |
$605.15–$1,095.25 | $931–$1,685 | varies |
| Macroscopic exam arthropod (87168) | $39.65 | $61 | 9.3× |
| Macroscopic Exam Parasite (87169) | $57.85 | $89 | 13.4× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$91.65–$183.30 | $141–$282 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$76.70–$153.40 | $118–$236 | varies |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$98.15–$101.40 | $151–$156 | varies |
| Mgmt methylation analysis (81287) | $335.40 | $516 | 2.7× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$76.70–$79.30 | $118–$122 | varies |
| Microsatellite instability (81301) | $1,123.85 | $1,729 | 3.2× |
| Microsomal Antibodies Each (86376) | $127.40 | $196 | 8.8× |
| Mlh1 Gene (81288) range across 2 matching MRF lines |
$289.25–$518.05 | $445–$797 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $543.40 | $836 | 2.7× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,838.85 | $2,829 | 2.7× |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $737.10 | $1,134 | 2.2× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$127.40–$254.80 | $196–$392 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $448.50 | $690 | 3.0× |
| Molecular Pathology Procedure Level 6 (81405) | $811.85 | $1,249 | 2.7× |
| Mononuclear cell antigen (86356) range across 2 matching MRF lines |
$83.20–$94.90 | $128–$146 | varies |
| Mopath procedure level 1 (81400) | $199.55 | $307 | 3.1× |
| Mopath procedure level 2 (81401) | $454.35 | $699 | 3.3× |
| Mopath procedure level 4 (81403) | $388.70 | $598 | 2.1× |
| Mopath procedure level 5 (81404) | $740.35 | $1,139 | 2.7× |
| Mopath procedure level 7 (81406) | $762.45 | $1,173 | 2.7× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $310.05 | $477 | 1.7× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$136.50–$140.40 | $210–$216 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $636.35 | $979 | 3.0× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $1,138.15 | $1,751 | 3.0× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $1,006.85 | $1,549 | 3.0× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $709.80 | $1,092 | 3.0× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $819.65 | $1,261 | 1.3× |
| Msh6 Gene Known Variants (81299) | $919.10 | $1,414 | 3.0× |
| Mthfr Gene Analysis Common Variants (81291) | $268.45 | $413 | 4.1× |
| Mumps antibody (86735) | $139.75 | $215 | 10.7× |
| Mycobacteric Identification (87118) | $62.40 | $96 | 4.3× |
| Mycophenolic Acid (80180) | $70.85 | $109 | 3.9× |
| Mycoplasma antibody (86738) | $82.55 | $127 | 6.2× |
| Myelin basic protein csf (83873) | $123.50 | $190 | 7.2× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$230.75–$237.90 | $355–$366 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$344.50–$354.90 | $530–$546 | varies |
| 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) | $157.30 | $242 | 9.2× |
| 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 |
$228.80–$1,778.40 | $352–$2,736 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$39–$40.30 | $60–$62 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$47.45–$48.75 | $73–$75 | varies |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$102.05–$293.80 | $157–$452 | varies |
| Osmolality serum (83930) range across 2 matching MRF lines |
$121.55–$125.45 | $187–$193 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$102.05–$105.30 | $157–$162 | varies |
| Osmotic fragility rbc incubated (85557) | $136.50 | $210 | 10.2× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$199.55–$205.40 | $307–$316 | varies |
| Oxalate urine (83945) | $144.30 | $222 | 10.0× |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$52.65–$59.80 | $81–$92 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $91 | $140 | 7.9× |
| Parvovirus antibody (86747) | $70.20 | $108 | 4.7× |
| Path Clin Consltj Mod 21-40 (80504) | $111.15 | $171 | 0.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 3 matching MRF lines |
$674.70–$2,420.60 | $1,038–$3,724 | varies |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | $165.75 | $255 | 0.9× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $55.90 | $86 | 1.0× |
| Pathology Consultation During Surgery (88329) | $64.35 | $99 | 1.0× |
| Ph urine (81003) range across 4 matching MRF lines |
$16.25–$98.80 | $25–$152 | varies |
| Phenobarbital Level (80184) | $115.05 | $177 | 7.5× |
| Phenotype Infect Agent Drug (87900) | $365.30 | $562 | 2.8× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$93.60–$139.75 | $144–$215 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$163.15–$168.35 | $251–$259 | varies |
| Phosphatase alkaline (84075) | $22.10 | $34 | 4.3× |
| Phospholipid Neutralization Hexagonal (85598) | $83.20 | $128 | 4.6× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$48.75–$50.05 | $75–$77 | varies |
| Phosphorus urine (84105) | $59.15 | $91 | 10.2× |
| Pinworm exam (87172) | $35.75 | $55 | 8.4× |
| Platelet Aggregation (85576) | $286.65 | $441 | 11.5× |
| 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) | $55.25 | $85 | 3.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $810.55 | $1,247 | 3.9× |
| PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) | $1,227.85 | $1,889 | 5.9× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $631.15 | $971 | 3.1× |
| Pms2 gene analysis known familial variants (81318) | $525.85 | $809 | 1.6× |
| Pms2 gene full seq analysis (81317) | $2,224.30 | $3,422 | 3.3× |
| Porphobilinogen, urine; quantitative (84110) | $74.75 | $115 | 8.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $141.70 | $218 | 9.6× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$53.95–$55.25 | $83–$85 | varies |
| Prealbumin (84134) | $161.85 | $249 | 11.1× |
| Pregnancy-Associated Plasma Protein-A (84163) | $100.75 | $155 | 6.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$88.40–$91 | $136–$140 | varies |
| Primidone (80188) | $65 | $100 | 3.9× |
| Procalcitonin (Pct) (84145) | $206.70 | $318 | 7.6× |
| Progesterone (84144) | $63.05 | $97 | 3.0× |
| Prolactin (84146) | $89.05 | $137 | 4.6× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$51.35–$52.65 | $79–$81 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$208–$214.50 | $320–$330 | varies |
| Protein Electrophoresis Urine (84166) | $142.35 | $219 | 8.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$137.80–$141.70 | $212–$218 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$212.55–$219.05 | $327–$337 | varies |
| Protein s total (85305) | $142.35 | $219 | 12.3× |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $56.55 | $87 | 2.6× |
| Protein total serum (84155) range across 2 matching MRF lines |
$47.45–$48.75 | $73–$75 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$44.85–$46.15 | $69–$71 | varies |
| Protein Western Blot Test (84182) | $161.85 | $249 | 5.5× |
| PSA free (84154) range across 2 matching MRF lines |
$200.20–$209.95 | $308–$323 | varies |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $672.10 | $1,034 | 2.2× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $1,710.15 | $2,631 | 2.9× |
| Pten gene analysis known familial variant (81322) | $165.10 | $254 | 3.5× |
| Pth Intact (83970) range across 2 matching MRF lines |
$302.90–$312 | $466–$480 | varies |
| Q Fever Antibody (86638) | $42.90 | $66 | 3.5× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$250.25–$258.05 | $385–$397 | varies |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$132.60–$136.50 | $204–$210 | varies |
| Quantitative Screen Metals (83018) | $88.40 | $136 | 4.0× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$395.20–$406.90 | $608–$626 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$650.65–$3,790.80 | $1,001–$5,832 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$137.80–$141.70 | $212–$218 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$306.80–$315.90 | $472–$486 | varies |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$798.20–$910 | $1,228–$1,400 | varies |
| Renin activity plasma (84244) | $117.65 | $181 | 5.4× |
| Resp virus 12-25 targets (87633) | $1,280.50 | $1,970 | 3.1× |
| Resp Virus 6-11 Targets (87632) | $336.70 | $518 | 1.5× |
| Reticulated Platelet Assay (85055) | $75.40 | $116 | 2.1× |
| Rh (86901) range across 2 matching MRF lines |
$70.20–$72.15 | $108–$111 | varies |
| Rheumatoid Factor Qualitative (86430) | $56.55 | $87 | 9.2× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$93.60–$96.20 | $144–$148 | varies |
| Rickettsia antibody (86757) | $101.40 | $156 | 5.2× |
| Ristocetin cofactor (85245) | $230.10 | $354 | 10.0× |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$92.95–$105.95 | $143–$163 | varies |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$94.90–$184.60 | $146–$284 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$24.70–$64.35 | $38–$99 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$85.15–$87.75 | $131–$135 | varies |
| Rubeola antibody (86765) | $50.05 | $77 | 3.9× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$163.15–$168.35 | $251–$259 | varies |
| Salmonella antibody (86768) | $33.15 | $51 | 2.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $66.95 | $103 | 1.3× |
| 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× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$115.70–$224.90 | $178–$346 | varies |
| Sept9 Methylation Analysis (81327) | $261.30 | $402 | 1.4× |
| Sex Chromatin Identification Barr Bodies (88130) | $57.20 | $88 | 3.2× |
| Sex Hormone Binding Globulin (84270) | $159.90 | $246 | 7.4× |
| Sickling of rbc reduction (85660) | $53.95 | $83 | 9.8× |
| Sirolimus (80195) | $195.65 | $301 | 14.2× |
| 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 |
$83.20–$85.80 | $128–$132 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$159.25–$163.80 | $245–$252 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$66.30–$68.25 | $102–$105 | varies |
| Smear Special Stain (87207) | $66.95 | $103 | 11.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$92.30–$94.90 | $142–$146 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $209.95 | $323 | 4.1× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$45.50–$46.80 | $70–$72 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$47.45–$48.75 | $73–$75 | varies |
| Soluble Transferrin Receptor (84238) | $106.60 | $164 | 2.9× |
| Somatomedin (84305) | $65.65 | $101 | 3.1× |
| Somatostatin (84307) | $61.75 | $95 | 3.4× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$224.25–$448.50 | $345–$690 | varies |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$162.50–$650 | $250–$1,000 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$82.55–$85.15 | $127–$131 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$27.30–$66.30 | $42–$102 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$110.50–$214.50 | $170–$330 | varies |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$159.25–$163.80 | $245–$252 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $137.15 | $211 | 1.5× |
| Sugars Single Qual (84376) | $37.05 | $57 | 6.7× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$221–$227.50 | $340–$350 | varies |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$42.25–$1,624.35 | $65–$2,499 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$2,420.60–$2,493.40 | $3,724–$3,836 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $38.35 | $59 | 8.1× |
| 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) | $89.05 | $137 | 12.2× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$20.15–$39 | $31–$60 | varies |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$108.55–$111.80 | $167–$172 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $195 | $300 | 4.2× |
| T cells total count (86359) | $172.90 | $266 | 4.6× |
| T3 Free (84481) | $123.50 | $190 | 7.3× |
| T3 reverse (84482) | $81.25 | $125 | 5.2× |
| T3 Total (84480) range across 2 matching MRF lines |
$167.70–$172.90 | $258–$266 | varies |
| T3 Uptake (84479) | $81.25 | $125 | 12.6× |
| T4 Free (84439) range across 2 matching MRF lines |
$120.90–$124.80 | $186–$192 | varies |
| T4 total (84436) | $83.85 | $129 | 12.2× |
| Tacrolimus (80197) | $299 | $460 | 21.8× |
| Testosterone total (84403) | $235.95 | $363 | 9.1× |
| Testosterone, Free (84402) | $127.40 | $196 | 5.0× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,772.55 | $2,727 | 3.0× |
| Theophylline (80198) | $155.35 | $239 | 11.0× |
| Thrombin Time (85670) | $102.70 | $158 | 17.8× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$159.25–$163.80 | $245–$252 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$65–$355.55 | $100–$547 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $222.30 | $342 | 4.4× |
| Thyroxine binding globulin (84442) | $35.75 | $55 | 2.4× |
| Tissue Culture (88233) | $592.15 | $911 | 4.2× |
| Tissue culture bone marrow (88237) range across 3 matching MRF lines |
$273.65–$535.60 | $421–$824 | varies |
| Tissue Culture Lymphocyte (88230) | $408.85 | $629 | 3.5× |
| Tobramycin peak (80200) | $117.65 | $181 | 7.3× |
| Topiramate (80201) range across 2 matching MRF lines |
$78–$130 | $120–$200 | varies |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $96.20 | $148 | 4.9× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$84.50–$96.20 | $130–$148 | 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 |
$83.85–$86.45 | $129–$133 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$62.40–$75.40 | $96–$116 | varies |
| Trb@ gene rearrange dirprobe (81341) | $192.40 | $296 | 3.9× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $811.20 | $1,248 | 3.9× |
| Trg gene rearrangement anal (81342) | $749.45 | $1,153 | 3.7× |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$56.55–$64.35 | $87–$99 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$176.15–$181.35 | $271–$279 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$49.40–$50.70 | $76–$78 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$196.95–$590.85 | $303–$909 | varies |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$627.25–$2,509 | $965–$3,860 | varies |
| Unlisted reproductive medicine lab procedure (89398) | $125.45 | $193 | 2.2× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$50.70–$52 | $78–$80 | varies |
| Uric acid other source (84560) | $72.80 | $112 | 14.3× |
| Urinalysis Microscopic Only (81015) | $14.95 | $23 | 4.9× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$63.05–$65 | $97–$100 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$53.30–$54.60 | $82–$84 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 3 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 |
$168.35–$193.70 | $259–$298 | varies |
| Varicella-zoster antibody (86787) | $71.50 | $110 | 5.6× |
| Vasopressin (84588) | $129.35 | $199 | 3.8× |
| Viral Culture (87252) | $287.30 | $442 | 11.0× |
| Virus antibody nos (86790) | $74.75 | $115 | 5.8× |
| Virus inoculation, shell via (87254) | $97.50 | $150 | 5.0× |
| Viscosity serum (85810) | $63.05 | $97 | 5.4× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$201.50–$207.35 | $310–$319 | varies |
| Vitamin A (84590) | $68.90 | $106 | 5.9× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$169.65–$174.85 | $261–$269 | varies |
| Vitamin B2 (Riboflavin) (84252) | $121.55 | $187 | 6.0× |
| Vitamin B6 (84207) | $108.55 | $167 | 3.9× |
| Vitamin c (82180) | $101.40 | $156 | 10.3× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$138.45–$142.35 | $213–$219 | varies |
| Vitamin E (84446) | $115.70 | $178 | 8.2× |
| Vitamin K (84597) | $142.35 | $219 | 10.4× |
| Vkorc1 gene (81355) | $263.25 | $405 | 3.0× |
| Volatiles (84600) | $67.60 | $104 | 4.0× |
| Von willebrand factor ag (85246) | $185.25 | $285 | 8.1× |
| 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) | $85.15 | $131 | 5.0× |
| Xm Archive Tissue Molec Anal (88363) | $126.10 | $194 | 3.9× |
| Zinc (84630) | $44.85 | $69 | 3.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.