Lab & pathology prices at Phoenix Children’s Hospital – Thomas Campus
Phoenix, AZ · every code in this section with a posted price and a Medicare benchmark.
742 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | — | $30 | — |
| 5 Nucleotidase (83915) | — | $80 | — |
| Acetylcholine receptor binding antibody (86041) | — | $25 | — |
| Acth (82024) | — | $12 | — |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
— | $250–$297 | — |
| Actin smooth muscle antibody each (86015) | — | $10 | — |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
— | $510–$590 | — |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
— | $90–$207 | — |
| Adenovirus antibody (86603) | — | $70 | — |
| Albumin Fluid (82042) range across 3 matching MRF lines |
— | $5–$10 | — |
| Albumin serum (82040) range across 2 matching MRF lines |
— | $16–$59 | — |
| Aldolase (82085) | — | $6 | — |
| Aldosterone urine (82088) range across 2 matching MRF lines |
— | $17–$260 | — |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
— | $6–$30 | — |
| Alpha-1-antitrypsin phenotype (82104) | — | $15 | — |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
— | $9–$61 | — |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
— | $220–$224 | — |
| Alt (sgpt) (84460) | — | $80 | — |
| Aluminum (82108) | — | $14 | — |
| Amikacin trough (80150) range across 4 matching MRF lines |
— | $64–$79 | — |
| Amino Acids 1 Quantitative Each Specimen (82131) | — | $150 | — |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
— | $75–$245 | — |
| Amino Acids Multiple Qualitative Each Specimen (82128) | — | $150 | — |
| Aminolevulinic acid (ala) (82135) | — | $48 | — |
| Ammonia (82140) | — | $225 | — |
| Amylase urine (82150) range across 7 matching MRF lines |
— | $11–$140 | — |
| Ana Titer (86039) range across 2 matching MRF lines |
— | $14–$29 | — |
| Analysis skeletal muscle (88355) | — | $490 | — |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
— | $7–$18 | — |
| Androstenedione (82157) | — | $24 | — |
| Angiotensin converting enzyme csf (82164) | — | $10 | — |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
— | $11–$110 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
— | $8–$22 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
— | $10–$92 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
— | $8–$79 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
— | $8–$151 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
— | $8–$130 | — |
| Antibody Fungus Not Elsewhere Specified (86671) | — | $18 | — |
| Antibody helicobacter pylori (86677) | — | $90 | — |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | — | $11 | — |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
— | $9–$120 | — |
| Antibody HIV-1&HIV-2 single result (86703) range across 4 matching MRF lines |
— | $27–$180 | — |
| Antibody HIV-2 (86702) | — | $50 | — |
| Antibody Hla Class I High Definition Panel Qual (86832) | — | $415 | — |
| Antibody htlv/HIV antibody confirmatory test (86689) | — | $100 | — |
| Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines |
— | $68–$110 | — |
| Antibody Identification Platelet Immunogl Assay (86023) range across 2 matching MRF lines |
— | $26–$29 | — |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
— | $15–$90 | — |
| Antibody Titer (86886) | — | $365 | — |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
— | $11–$15 | — |
| Antibody; influenza virus (86710) range across 2 matching MRF lines |
— | $10–$90 | — |
| Antigen typing (86905) | — | $305 | — |
| Antinuclear antibodies (86038) range across 5 matching MRF lines |
— | $42–$210 | — |
| Antistreptolysin O Screen (86063) | — | $90 | — |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
— | $10–$70 | — |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
— | $156–$170 | — |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
— | $178–$450 | — |
| Aortic dysfunction/dilation dup/del analysis (81411) | — | $4,673 | — |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | — | $2,355 | — |
| Apolipoprotein a1 (82172) | — | $100 | — |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 2 matching MRF lines |
— | $237–$425 | — |
| Aquaporin-4 Antb Cba Each (86052) | — | $250 | — |
| Aquaporin-4 Antb Elisa (86051) | — | $150 | — |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81173) | — | $3,365 | — |
| Arsenic (82175) range across 3 matching MRF lines |
— | $10–$140 | — |
| Ashkenazi Jewish Assoc Dis (81412) | — | $3,860 | — |
| Aspergillus ag eia (87305) | — | $78 | — |
| Assay activated protein c (85307) | — | $21 | — |
| Assay Blood Carbon Dioxide (82374) | — | $75 | — |
| Assay Blood Catecholamines (82383) | — | $140 | — |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
— | $16–$110 | — |
| Assay of 5-hiaa (83497) | — | $50 | — |
| Assay of anti-mullerian hormone (82166) | — | $63 | — |
| Assay of blood/uric acid (84550) | — | $119 | — |
| Assay of calcium in urine (82340) | — | $74 | — |
| Assay of g6pd enzyme (82955) | — | $15 | — |
| Assay of gammaglobulin igm (82784) range across 14 matching MRF lines |
— | $5–$150 | — |
| Assay of lactic acid (83605) range across 6 matching MRF lines |
— | $110–$448 | — |
| Assay of manganese (83785) range across 3 matching MRF lines |
— | $16–$17 | — |
| Assay of metanephrines (83835) range across 4 matching MRF lines |
— | $22–$160 | — |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
— | $27–$110 | — |
| Assay of serum potassium (84132) | — | $89 | — |
| Assay of Sialic Acid (84275) range across 2 matching MRF lines |
— | $180–$190 | — |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
— | $13–$21 | — |
| Assay of urea nitrogen (84520) | — | $159 | — |
| Assay of urine vma (84585) range across 2 matching MRF lines |
— | $15–$160 | — |
| Assay of vasoactive intestinal peptide (84586) | — | $200 | — |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
— | $14–$20 | — |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
— | $21–$40 | — |
| Assay Phosphohexose Enzymes (84087) | — | $170 | — |
| Autol Bld/Component Collj Storage Predeposited (86890) | — | $464 | — |
| Automated Leukocyte Count (85048) | — | $47 | — |
| B cells total count (86355) range across 2 matching MRF lines |
— | $188–$260 | — |
| Bacterial antigens 87802 (87802) | — | $140 | — |
| Bartonella antibody (86611) | — | $11 | — |
| Bckdhb Gene Analysis Common Variants (81205) | — | $439 | — |
| Bcr/abl1 gene major bp (81206) range across 3 matching MRF lines |
— | $54–$244 | — |
| Bcr/abl1 gene minor bp (81207) range across 3 matching MRF lines |
— | $23–$252 | — |
| Bcr/Abl1 Gene Other Bp (81208) | — | $53 | — |
| Beta 2 glycoprotein i antibody each (86146) range across 5 matching MRF lines |
— | $11–$45 | — |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
— | $36–$65 | — |
| Beta-2 Microglobulin (82232) | — | $14 | — |
| Bile acids total (82239) | — | $150 | — |
| Bilirubin direct (82248) | — | $80 | — |
| Bilirubin total (82247) range across 7 matching MRF lines |
— | $8–$50 | — |
| Bilirubin total transcutaneous (88720) | — | $45 | — |
| Blastomyces antibody (86612) | — | $80 | — |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | — | $240 | — |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | — | $183 | — |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | — | $365 | — |
| Bld Typing Serologic Rh Phnt (86906) | — | $105 | — |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | — | $71 | — |
| Blood count reticulocyte automated (85045) | — | $70 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
— | $9–$86 | — |
| Blood gas (82803) | — | $719 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) | — | $325 | — |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
— | $15–$244 | — |
| Body fluid cell count (89050) | — | $113 | — |
| Bone marrow smear interpretation (85097) | — | $1,593 | — |
| Brca1 gene analysis full sequence analysis (81165) | — | $4,486 | — |
| Brca2 gene analysis full sequence analysis (81216) | — | $3,365 | — |
| Brucella antibody (86622) range across 2 matching MRF lines |
— | $13–$80 | — |
| C diff amplified probe (87493) | — | $225 | — |
| C-Peptide (84681) | — | $11 | — |
| C-reactive protein (86140) range across 3 matching MRF lines |
— | $113–$130 | — |
| Ca 19-9 (86301) | — | $11 | — |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) | — | $3,365 | — |
| Caffeine (80155) | — | $39 | — |
| Calcitonin (82308) | — | $150 | — |
| Calcium ionized (82330) | — | $386 | — |
| Calcium total (82310) range across 3 matching MRF lines |
— | $73–$110 | — |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
— | $18–$140 | — |
| Calprotectin Fecal (83993) | — | $90 | — |
| Cancer Antigen 125 (86304) | — | $11 | — |
| Candida antibody (86628) | — | $80 | — |
| Car Ion Chnnlpath Inc 10 Gns (81413) | — | $4,486 | — |
| Car Ion Chnnlpath Inc 2 Gns (81414) | — | $2,025 | — |
| Carbamazepine total (80156) range across 2 matching MRF lines |
— | $30–$254 | — |
| Carbohydrate Deficient Transferrin (82373) | — | $244 | — |
| Carcinoembryonic antigen (82378) | — | $11 | — |
| Cardiolipin ab iga (86147) range across 6 matching MRF lines |
— | $9–$270 | — |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
— | $30–$280 | — |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
— | $25–$220 | — |
| Ccp antibody (86200) range across 2 matching MRF lines |
— | $11–$23 | — |
| Cebpa Gene Analysis Full Gene Sequence (81218) | — | $300 | — |
| Cell count csf (89051) | — | $149 | — |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 4 matching MRF lines |
— | $152–$287 | — |
| Ceruloplasmin (82390) | — | $8 | — |
| Cftr Gene Analysis Known Familial Variants (81221) | — | $638 | — |
| Cftr gene com variants (81220) | — | $205 | — |
| Cftr gene dup/delet variants (81222) | — | $2,850 | — |
| Cftr gene full sequence (81223) | — | $3,365 | — |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
— | $18–$198 | — |
| Chimerism w/comp to baseline w/cell selection ea (81268) range across 3 matching MRF lines |
— | $354–$1,500 | — |
| Chimerism w/comp to baseline w/o cell selection (81267) | — | $170 | — |
| Chlamydia antibody (86631) range across 6 matching MRF lines |
— | $6–$80 | — |
| Chlamydia Igm Antibody (86632) range across 3 matching MRF lines |
— | $8–$9 | — |
| Chlamydia trachomatis ag if (87270) | — | $6 | — |
| Chloride other source (82438) range across 3 matching MRF lines |
— | $15–$147 | — |
| Chloride Serum (82435) | — | $80 | — |
| Chloride urine (82436) | — | $102 | — |
| Cholesterol total (82465) range across 2 matching MRF lines |
— | $143–$190 | — |
| Cholinesterase rbc (82482) | — | $17 | — |
| Cholinesterase Serum (82480) | — | $42 | — |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
— | $17–$280 | — |
| Chrmsm Analysis Addl High Resolution Study (88289) | — | $610 | — |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | — | $190 | — |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | — | $1,200 | — |
| Chrmsm Breakage Synds Score 100 Cll (88249) | — | $1,200 | — |
| Chromium serum (82495) | — | $14 | — |
| Chromogranin a (86316) range across 4 matching MRF lines |
— | $13–$125 | — |
| Chromosome Analysis 15-20 (88262) range across 3 matching MRF lines |
— | $144–$1,200 | — |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
— | $150–$169 | — |
| Chromosome analysis, 5 (88261) | — | $105 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
— | $14–$230 | — |
| Citric acid urine (82507) | — | $13 | — |
| Ckmb (82553) | — | $183 | — |
| Clostridium Difficile (87324) | — | $98 | — |
| Clot Factor VIII Multimetric (85247) | — | $64 | — |
| Clot factor xiii fibrin stab (85290) | — | $143 | — |
| Clotting factor xii hageman (85280) range across 2 matching MRF lines |
— | $76–$100 | — |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
— | $108–$195 | — |
| Coagulation time activated (85347) | — | $38 | — |
| Coccidioides antibody (86635) range across 7 matching MRF lines |
— | $9–$170 | — |
| Collagen crosslinks (82523) | — | $22 | — |
| Column Chromotography Quant (82542) range across 23 matching MRF lines |
— | $45–$264 | — |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 3 matching MRF lines |
— | $154–$1,200 | — |
| Compatibility Each Unit Incubation (86921) | — | $424 | — |
| Compatibility test antiglob (86922) | — | $424 | — |
| Complement Antigen Each Component (86160) range across 9 matching MRF lines |
— | $13–$291 | — |
| Complement Fixation Tests Each Antigen (86171) | — | $53 | — |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
— | $17–$270 | — |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
— | $102–$150 | — |
| Consltj Compre Review Reprt Referred Matrl (88325) | — | $585 | — |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | — | $336 | — |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | — | $338 | — |
| Coombs direct (86880) | — | $128 | — |
| Copper urine (82525) range across 3 matching MRF lines |
— | $10–$99 | — |
| Cortisol free (82530) range across 2 matching MRF lines |
— | $54–$240 | — |
| Cortisol saliva (82533) range across 2 matching MRF lines |
— | $198–$220 | — |
| Creatine (82540) | — | $51 | — |
| Creatine kinase total (82550) | — | $112 | — |
| Creatinine blood (82565) | — | $71 | — |
| Creatinine clearance (82575) | — | $120 | — |
| Creatinine Urine (82570) range across 4 matching MRF lines |
— | $7–$80 | — |
| Crossmatch electronic (86923) | — | $45 | — |
| Crossmatch immediate spin (86920) | — | $365 | — |
| Cryoglobulin (82595) | — | $8 | — |
| Cryptococcal Antigen (87327) range across 2 matching MRF lines |
— | $23–$26 | — |
| Cryptococcus ab (86641) | — | $120 | — |
| Cryptococcus ag titer (87899) | — | $90 | — |
| Cryptosporidium (87272) range across 2 matching MRF lines |
— | $11–$74 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | — | $80 | — |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | — | $90 | — |
| Culture afb (87116) range across 2 matching MRF lines |
— | $16–$28 | — |
| Culture Anaerobic (87075) | — | $218 | — |
| Culture blood (87040) | — | $793 | — |
| Culture chlamydia (87110) | — | $24 | — |
| Culture csf (87070) | — | $216 | — |
| Culture fungus (87102) | — | $184 | — |
| Culture fungus blood (87103) | — | $125 | — |
| Culture screen only (87081) range across 7 matching MRF lines |
— | $113–$150 | — |
| Culture stool (87045) | — | $155 | — |
| Culture typing if ea antiserum (87140) range across 3 matching MRF lines |
— | $20–$26 | — |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | — | $43 | — |
| Culture urine (87086) | — | $133 | — |
| Cyclosporine (80158) range across 2 matching MRF lines |
— | $55–$165 | — |
| Cyp2c19 gene analysis common variants (81225) | — | $1,024 | — |
| Cyp2c9 gene com variants (81227) | — | $1,500 | — |
| Cyp2d6 gene com variants (81226) | — | $1,575 | — |
| Cystatin C (82610) | — | $30 | — |
| Cytogenetics 10-30 (88273) range across 2 matching MRF lines |
— | $80–$165 | — |
| Cytogenetics 100-300 (88275) range across 11 matching MRF lines |
— | $32–$134 | — |
| Cytogenom Const Microarray Copy Number Variants (81228) | — | $3,601 | — |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 4 matching MRF lines |
— | $900–$5,625 | — |
| Cytogenomic neo microra alys (81277) range across 2 matching MRF lines |
— | $1,400–$2,275 | — |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
— | $10–$152 | — |
| Cytopath unlstd proc (88199) | — | $320 | — |
| Cytp Concentration Smears & Interpretation (88108) | — | $310 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | — | $563 | — |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | — | $365 | — |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | — | $216 | — |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | — | $166 | — |
| Deoxycortisol (82634) | — | $31 | — |
| Deoxyribonuclease antibody (86215) | — | $10 | — |
| Detect Agent Nos Dna Amp (87798) range across 33 matching MRF lines |
— | $15–$329 | — |
| Detect Agent Nos Dna Quant (87799) range across 15 matching MRF lines |
— | $256–$350 | — |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
— | $15–$488 | — |
| Dgp Antibody Each Ig Class (86258) range across 5 matching MRF lines |
— | $9–$18 | — |
| Dhea (82626) | — | $22 | — |
| Dhea-S (82627) | — | $11 | — |
| Digoxin (80162) range across 2 matching MRF lines |
— | $31–$64 | — |
| Digoxin free (80163) | — | $117 | — |
| Dihydrotestosterone (82642) | — | $34 | — |
| Diphtheria antitoxoid (86648) | — | $100 | — |
| Dmd Duplication/Deletion Analysis (81161) | — | $1,260 | — |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | — | $238 | — |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
— | $46–$74 | — |
| Dna Antibody Single Stranded (86226) | — | $120 | — |
| Dna/Rna Amplified Probe (87150) | — | $163 | — |
| DNA/RNA direct probe (87149) | — | $140 | — |
| Dna/Rna Sequencing (87153) | — | $400 | — |
| Drug Assay Everolimus (80169) | — | $50 | — |
| Drug assay felbamate (80167) | — | $19 | — |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
— | $180–$197 | — |
| Drug Assay Lacosamide (80235) | — | $89 | — |
| Drug Assay Leflunomide (80193) | — | $72 | — |
| Drug Assay Posaconazole (80187) range across 2 matching MRF lines |
— | $65–$170 | — |
| Drug assay voriconazole (80285) range across 2 matching MRF lines |
— | $100–$170 | — |
| Drug Screen Quant Zonisamide (80203) | — | $42 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $11 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $70 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) | — | $20 | — |
| Drug Screen Quantitative Procainamide Metabolite (80192) | — | $11 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
— | $59–$320 | — |
| El-1 Fecal Quantitative (82653) | — | $72 | — |
| Electrolyte panel (80051) | — | $137 | — |
| Electron Microscopy (88348) range across 4 matching MRF lines |
— | $1,033–$2,300 | — |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
— | $23–$136 | — |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
— | $100–$242 | — |
| Enzyme cell activity (82657) range across 10 matching MRF lines |
— | $66–$800 | — |
| Enzyme histochemistry (88319) | — | $1,283 | — |
| Eosinophil Smear (89190) | — | $113 | — |
| Epilepsy Genomic Sequence Analysis Panel (81419) | — | $7,290 | — |
| Erythropoietin (82668) | — | $15 | — |
| Estradiol serum (82670) range across 2 matching MRF lines |
— | $24–$210 | — |
| Ethylene Glycol (82693) | — | $69 | — |
| Exam Synovial Fluid Crystals (89060) range across 3 matching MRF lines |
— | $21–$43 | — |
| Exome Re-Evaluation (81417) | — | $1,875 | — |
| Exome Sequence Analysis (81415) range across 3 matching MRF lines |
— | $500–$11,951 | — |
| Exome sequence analysis each comparator exome (81416) range across 2 matching MRF lines |
— | $1,000–$19,501 | — |
| F2 Gene (81240) range across 2 matching MRF lines |
— | $50–$109 | — |
| F9 full gene sequence (81238) | — | $3,365 | — |
| Factor ii activity (85210) | — | $180 | — |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
— | $167–$535 | — |
| Factor ix activity (85250) | — | $266 | — |
| Factor v activity (85220) | — | $222 | — |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
— | $40–$120 | — |
| Factor vii assay (85230) | — | $224 | — |
| Factor viii assay (85240) range across 2 matching MRF lines |
— | $21–$192 | — |
| Factor X (85260) | — | $276 | — |
| Factor xi activity (85270) | — | $272 | — |
| Factor xiii screen (85291) | — | $250 | — |
| Fat stain feces urine/respir secretions (89125) | — | $98 | — |
| Fat/Lipids Feces Quantitative (82710) | — | $100 | — |
| Fatty acids free (82725) | — | $30 | — |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | — | $56 | — |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) range across 2 matching MRF lines |
— | $21–$80 | — |
| Fecal Fat Qualitative (82705) | — | $18 | — |
| Ferritin (82728) | — | $213 | — |
| Fetal hemoglobin assay qual (83033) | — | $60 | — |
| Fibrin degradation products (85362) | — | $129 | — |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
— | $263–$300 | — |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
— | $175–$200 | — |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | — | $100 | — |
| Flecainide level (80181) | — | $28 | — |
| Flow cytometry first marker (88184) range across 11 matching MRF lines |
— | $85–$493 | — |
| Flt3 Gene (81245) range across 2 matching MRF lines |
— | $151–$930 | — |
| Flt3 gene analysis (81246) | — | $1,200 | — |
| Fluorescent antibody screen (86255) range across 8 matching MRF lines |
— | $12–$564 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
— | $23–$161 | — |
| Fmr1 Gene Charac Alleles (81244) range across 2 matching MRF lines |
— | $404–$1,875 | — |
| Fmr1 gene detection (81243) range across 2 matching MRF lines |
— | $91–$304 | — |
| Folic acid rbc (82747) | — | $13 | — |
| Folic Acid Serum (82746) | — | $13 | — |
| Follicle Stimulating Hormone (83001) | — | $10 | — |
| Frozen Section (88331) | — | $413 | — |
| Fungi Identification Mold (87107) | — | $88 | — |
| Fungi Identification Yeast (87106) | — | $140 | — |
| Fxn Gene Analysis Full Gene Sequence (81286) | — | $976 | — |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | — | $203 | — |
| G6pd gene analysis full gene sequence (81249) range across 2 matching MRF lines |
— | $855–$4,486 | — |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | — | $117 | — |
| Gammaglobulin ige (82785) | — | $130 | — |
| Gases Blood O2 Saturation Only Direct Meas (82810) | — | $95 | — |
| Gases blood ph only (82800) | — | $113 | — |
| Gastrin (82941) | — | $100 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
— | $425–$1,374 | — |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | — | $2,639 | — |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | — | $10,238 | — |
| Genet Virus Isolate Hsv (87255) | — | $27 | — |
| Genetic Tstg Severe Inh Cond (81443) | — | $1,697 | — |
| Genome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome… (81427) | — | $10,786 | — |
| Genome Sequence Analysis (81425) | — | $17,410 | — |
| Genome sequence analysis each comparator genome (81426) | — | $9,378 | — |
| Gentamicin (80170) range across 4 matching MRF lines |
— | $27–$218 | — |
| Ggt (82977) | — | $92 | — |
| Giardia antigen (87329) range across 2 matching MRF lines |
— | $50–$89 | — |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) | — | $405 | — |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | — | $3,365 | — |
| Gjb6 Gene Analysis Common Variants (81254) | — | $310 | — |
| Glucose 2 hr pp (82950) | — | $114 | — |
| Glucose Blood Test (82962) | — | $36 | — |
| Glucose body fluid (82945) range across 4 matching MRF lines |
— | $7–$105 | — |
| Glucose Serum (82947) | — | $62 | — |
| Glucose tolerance test (gtt) (82951) | — | $130 | — |
| Gonadotropin Chorionic Qualitative (84703) | — | $139 | — |
| Growth hormone (83003) | — | $12 | — |
| Gtt-added samples (82952) | — | $48 | — |
| H Pylori (C-13) Breath (83013) | — | $263 | — |
| H Pylori Drug Admin (83014) | — | $60 | — |
| Haptoglobin (83010) | — | $11 | — |
| Hba1/hba2 full gene sequence (81259) | — | $468 | — |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | — | $350 | — |
| Hbb duplication/deletion variants (81363) | — | $498 | — |
| Hbb Full Gene Sequence (81364) | — | $855 | — |
| Hdl Cholesterol (83718) | — | $117 | — |
| Hearing Loss Dup/Del Analysis (81431) | — | $2,352 | — |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) | — | $4,374 | — |
| Heavy metal qualitative any analytes (83015) | — | $110 | — |
| Helicobacter Pylori Stool (87338) | — | $119 | — |
| Hematocrit (85014) | — | $68 | — |
| Hemoglobin (85018) | — | $57 | — |
| Hemoglobin a1c (83036) | — | $127 | — |
| Hemoglobin Chromotography (83021) range across 4 matching MRF lines |
— | $22–$200 | — |
| Hemoglobin electrophoresis (83020) range across 5 matching MRF lines |
— | $31–$168 | — |
| Hemoglobin F Fetal Chemical (83030) | — | $78 | — |
| Hemoglobin Methemoglobin Quantitative (83050) | — | $80 | — |
| Hemoglobin plasma (83051) | — | $87 | — |
| Hemoglobin stability screen (83068) | — | $80 | — |
| Hemolysins&Agglutinins Auto Screen Each (86940) | — | $68 | — |
| Hep a ab igm (86709) range across 2 matching MRF lines |
— | $160–$195 | — |
| Heparin assay (85520) range across 4 matching MRF lines |
— | $45–$450 | — |
| Heparin Neutralization (85525) range across 2 matching MRF lines |
— | $34–$79 | — |
| Hepatitis a antibody total (86708) | — | $9 | — |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
— | $142–$260 | — |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
— | $9–$15 | — |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
— | $9–$200 | — |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
— | $15–$232 | — |
| Hepatitis Be Antibody (86707) | — | $90 | — |
| Hepatitis Be Antigen (87350) | — | $90 | — |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
— | $15–$386 | — |
| Hepatitis C Probe&Rvrs Trnsc (87521) | — | $190 | — |
| Hepatitis C Revrs Trnscrpj (87522) | — | $80 | — |
| Hepatitis Delta Agent Antibody (86692) | — | $100 | — |
| Hereditary peripheral neuropathy gen seq pnl (81448) | — | $3,365 | — |
| Hereditary Retinal Disorders (81434) | — | $3,365 | — |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
— | $9–$150 | — |
| Heterophile Antibody Screen (86308) | — | $112 | — |
| Histoplasma antibody (86698) | — | $90 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
— | $53–$195 | — |
| Hiv-1 Antibody (86701) | — | $31 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
— | $89–$450 | — |
| HIV-2 probe&revrse trnscripj (87538) | — | $64 | — |
| Hla Class I Typing High Resolution Complete (81379) | — | $1,059 | — |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 2 matching MRF lines |
— | $46–$217 | — |
| Hla class i&ii antibody qual (86828) | — | $322 | — |
| Hla class ii high defin qual (86833) | — | $353 | — |
| Hla class ii typing high resolution one locus ea (81382) range across 3 matching MRF lines |
— | $371–$451 | — |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | — | $714 | — |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | — | $802 | — |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | — | $296 | — |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
— | $92–$217 | — |
| Hla-b27 (86812) | — | $27 | — |
| Homocysteine (83090) | — | $15 | — |
| Homogenization Tissue (87176) | — | $70 | — |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
— | $16–$50 | — |
| Hsv Dna Amp Probe (87529) | — | $233 | — |
| Hsv Dna Quant (87530) range across 3 matching MRF lines |
— | $209–$340 | — |
| Htlv-I Antibody (86687) | — | $15 | — |
| Htlv-ii antibody (86688) | — | $15 | — |
| Hydroxyprogesterone 17-d (83498) | — | $19 | — |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) range across 2 matching MRF lines |
— | $90–$120 | — |
| Iaad Ia Cytomegalovirus (87332) | — | $120 | — |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | — | $156 | — |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | — | $127 | — |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | — | $175 | — |
| Iaad ia shiga-like toxin (87427) | — | $90 | — |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | — | $113 | — |
| Iaadi giardia (87269) range across 2 matching MRF lines |
— | $11–$71 | — |
| Iaadi herpes smplx virus type 1 (87274) | — | $68 | — |
| Iaadi inffluenza a virus (87276) | — | $72 | — |
| Iaadi not otherwise specified each organism (87299) | — | $120 | — |
| Iaadi parainfluenza virus each type (87279) | — | $68 | — |
| Iaadi pneumocustis carinii (87281) | — | $119 | — |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | — | $135 | — |
| Iaadi respiratory synctial virus (87280) | — | $75 | — |
| Iaadi Varicella Zoster Virus (87290) | — | $66 | — |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
— | $88–$108 | — |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | — | $250 | — |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
— | $425–$580 | — |
| Iadna Hepatitis B Virus Quantification (87517) | — | $94 | — |
| Iadna Herpes Virus-6 Quantification (87533) range across 2 matching MRF lines |
— | $199–$331 | — |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | — | $64 | — |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | — | $182 | — |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | — | $381 | — |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | — | $150 | — |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | — | $253 | — |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
— | $70–$91 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 5 matching MRF lines |
— | $11–$220 | — |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | — | $85 | — |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | — | $494 | — |
| Ibmfs sequence analysis panel at least 30 genes (81441) | — | $6,122 | — |
| Igg subclasses (82787) range across 4 matching MRF lines |
— | $2–$13 | — |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | — | $762 | — |
| Immune Complex Assay (86332) | — | $180 | — |
| Immunfix e-phorsis/urine/csf (86335) | — | $250 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 7 matching MRF lines |
— | $122–$260 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
— | $2–$16 | — |
| Immunoassay nonantibody (83516) range across 13 matching MRF lines |
— | $16–$90 | — |
| Immunodiffusion not elsewhere specified (86329) | — | $53 | — |
| Immunodiffusion Ouchterlony (86331) | — | $45 | — |
| Immunofixation electrophoresis (86334) | — | $250 | — |
| Immunofluorescence per spec 1st singl antb stain (88346) | — | $365 | — |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
— | $490–$550 | — |
| In situ hybridization 1st probe stain (88365) | — | $484 | — |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | — | $75 | — |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | — | $72 | — |
| Influenza a/b ag eia (87400) | — | $138 | — |
| Influenza assay w/optic (87804) | — | $200 | — |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
— | $332–$490 | — |
| Inherited Cardmypthy 5 Gns (81439) | — | $4,486 | — |
| Inhibin A (86336) | — | $27 | — |
| Inhibin b (83520) range across 25 matching MRF lines |
— | $20–$740 | — |
| Insulin antibodies (86337) range across 2 matching MRF lines |
— | $35–$41 | — |
| Insulin total (83525) | — | $8 | — |
| Interleukin-6 (83529) range across 2 matching MRF lines |
— | $22–$70 | — |
| Iron (83540) | — | $109 | — |
| Iron Binding Capacity (83550) | — | $100 | — |
| Irradiation Blood Product Each Unit (86945) | — | $172 | — |
| Islet cell antibody (86341) range across 6 matching MRF lines |
— | $24–$564 | — |
| Koh Prep (87220) | — | $52 | — |
| Lactate (ld) (ldh) enzyme (83615) range across 5 matching MRF lines |
— | $8–$94 | — |
| Ldh Isoenzymes (83625) | — | $8 | — |
| Lead (83655) range across 4 matching MRF lines |
— | $7–$80 | — |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
— | $16–$107 | — |
| Leukocyte Assessment Fecal (89055) | — | $197 | — |
| Level I Surg Pathology Gross Examination Only (88300) | — | $144 | — |
| Level ii surg pathology grossµscopic exam (88302) | — | $308 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $1,031 | — |
| Lidocaine (80176) | — | $99 | — |
| Lipase (83690) | — | $173 | — |
| Lipoprotein A (83695) | — | $15 | — |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | — | $120 | — |
| Lithium (80178) range across 2 matching MRF lines |
— | $22–$134 | — |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
— | $9–$15 | — |
| Lyme disease antibody (86618) | — | $90 | — |
| Lymphocyte transformation (86353) range across 5 matching MRF lines |
— | $28–$559 | — |
| Lysozyme serum (85549) range across 2 matching MRF lines |
— | $16–$17 | — |
| Macroscopic exam arthropod (87168) | — | $37 | — |
| Magnesium Urine (83735) | — | $265 | — |
| Mass Spectrometry Quant (83789) range across 5 matching MRF lines |
— | $100–$358 | — |
| Mercury urine (83825) range across 2 matching MRF lines |
— | $11–$15 | — |
| Methotrexate (80204) range across 2 matching MRF lines |
— | $35–$170 | — |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
— | $18–$176 | — |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
— | $2–$140 | — |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
— | $9–$18 | — |
| Mitochondrial Antibody Each (86381) | — | $78 | — |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | — | $425 | — |
| Molecular Cytogenetics Dna Probe Each (88271) range across 7 matching MRF lines |
— | $73–$173 | — |
| Molecular Pathology Procedure Level 3 (81402) | — | $570 | — |
| Molecular Pathology Procedure Level 6 (81405) | — | $754 | — |
| Mononuclear cell antigen (86356) range across 7 matching MRF lines |
— | $12–$135 | — |
| Mopath procedure level 1 (81400) | — | $296 | — |
| Mopath procedure level 2 (81401) range across 3 matching MRF lines |
— | $218–$890 | — |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
— | $410–$599 | — |
| Mopath procedure level 5 (81404) | — | $688 | — |
| Mopath procedure level 7 (81406) | — | $708 | — |
| Mopath procedure level 8 (81407) | — | $2,117 | — |
| Mopath procedure level 9 (81408) | — | $5,001 | — |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
— | $55–$2,355 | — |
| Mumps antibody (86735) range across 3 matching MRF lines |
— | $8–$16 | — |
| Mycophenolic Acid (80180) | — | $24 | — |
| Mycoplasma antibody (86738) | — | $70 | — |
| Mycoplasma culture (87109) | — | $90 | — |
| Myelin basic protein csf (83873) | — | $28 | — |
| Myoglobin urine (83874) range across 2 matching MRF lines |
— | $12–$14 | — |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
— | $149–$346 | — |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) range across 4 matching MRF lines |
— | $113–$150 | — |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | — | $600 | — |
| Nfct ds bv&vaginitis DNA alg (81515) | — | $658 | — |
| Niacin (84591) range across 3 matching MRF lines |
— | $80–$105 | — |
| Nk cells total count (86357) range across 2 matching MRF lines |
— | $207–$288 | — |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) range across 2 matching MRF lines |
— | $150–$256 | — |
| Nuclear antigen antibody (86235) range across 16 matching MRF lines |
— | $7–$100 | — |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) | — | $8,311 | — |
| Occult blood feces (82272) | — | $68 | — |
| Occult Blood Other Sources (82271) | — | $56 | — |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
— | $16–$53 | — |
| Organic acids urine (83918) | — | $100 | — |
| Osmolality serum (83930) | — | $130 | — |
| Osmolality Urine (83935) | — | $120 | — |
| Osmotic fragility rbc incubated (85557) | — | $120 | — |
| Osmotic Fragility RBC Unincubated (85555) | — | $70 | — |
| Osteocalcin (83937) | — | $37 | — |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
— | $34–$60 | — |
| Oxalate urine (83945) range across 2 matching MRF lines |
— | $66–$97 | — |
| Palb2 gene full gene seq (81307) | — | $3,365 | — |
| Particle Agglutination Screen Each Antibody (86403) | — | $90 | — |
| Parvovirus antibody (86747) range across 3 matching MRF lines |
— | $13–$14 | — |
| Path Clin Consltj Mod 21-40 (80504) | — | $365 | — |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | — | $1,283 | — |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | — | $471 | — |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | — | $183 | — |
| Pathology Consultation During Surgery (88329) | — | $198 | — |
| Ph urine (81003) | — | $66 | — |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
— | $27–$219 | — |
| Phenotype Infect Agent Drug (87900) | — | $225 | — |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
— | $27–$400 | — |
| Phenytoin free (80186) range across 2 matching MRF lines |
— | $43–$56 | — |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
— | $7–$56 | — |
| Phospholipid Neutralization Hexagonal (85598) | — | $53 | — |
| Phosphorus Serum (84100) | — | $238 | — |
| Phosphorus urine (84105) | — | $52 | — |
| Pinworm exam (87172) range across 2 matching MRF lines |
— | $18–$56 | — |
| Platelet Aggregation (85576) range across 7 matching MRF lines |
— | $197–$280 | — |
| Platelet Antibodies (86022) range across 7 matching MRF lines |
— | $45–$158 | — |
| Platelet count automated (85049) | — | $77 | — |
| Platelet neutralization (85597) | — | $31 | — |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) range across 2 matching MRF lines |
— | $327–$608 | — |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | — | $3,365 | — |
| Pms2 gene full seq analysis (81317) | — | $3,365 | — |
| Pneumcysts jirovecii amp prb (87594) | — | $270 | — |
| Pooling blood platelets (86965) | — | $293 | — |
| Porphobilinogen Urine Qualitative (84106) | — | $60 | — |
| Porphobilinogen, urine; quantitative (84110) | — | $32 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) | — | $90 | — |
| Potassium Urine (84133) | — | $90 | — |
| Prealbumin (84134) | — | $142 | — |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | — | $140 | — |
| Procalcitonin (Pct) (84145) | — | $288 | — |
| Progesterone (84144) | — | $150 | — |
| Prolactin (84146) | — | $12 | — |
| Protein body fluid (84157) range across 4 matching MRF lines |
— | $8–$104 | — |
| Protein C Activity (85303) range across 2 matching MRF lines |
— | $26–$140 | — |
| Protein c antigen (85302) | — | $14 | — |
| Protein Electrophoresis Urine (84166) | — | $190 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | — | $8 | — |
| Protein S Free (85306) range across 3 matching MRF lines |
— | $30–$220 | — |
| Protein s total (85305) | — | $18 | — |
| Protein total serum (84155) range across 3 matching MRF lines |
— | $6–$40 | — |
| Protein Total Urine (84156) range across 3 matching MRF lines |
— | $80–$90 | — |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | — | $97 | — |
| Pten Gene Analysis Full Sequence Analysis (81321) | — | $2,355 | — |
| Pth Intact (83970) range across 2 matching MRF lines |
— | $341–$370 | — |
| Pyruvate kinase (84220) | — | $79 | — |
| Quantiferon tb gold plus (86480) | — | $40 | — |
| Quantitative assay drug (80299) range across 9 matching MRF lines |
— | $58–$240 | — |
| Rbc antibody elution (86860) | — | $285 | — |
| Rbc antibody identification (86870) | — | $711 | — |
| Rbc antibody screen (86850) range across 11 matching MRF lines |
— | $15–$150 | — |
| Rbc pretreatment serum (86978) | — | $227 | — |
| Rbc pretx incubatj w/enzymes (86971) | — | $365 | — |
| Renin activity plasma (84244) | — | $16 | — |
| Reptilase test (85635) | — | $26 | — |
| Resp virus 12-25 targets (87633) | — | $1,629 | — |
| Reticulated Platelet Assay (85055) | — | $137 | — |
| Reticulocyte Count (85046) | — | $110 | — |
| Reticulocyte Count Manual (85044) | — | $83 | — |
| Rh (86901) range across 4 matching MRF lines |
— | $15–$85 | — |
| Rheumatoid Factor Qualitative (86430) | — | $227 | — |
| Rheumatoid factor quant (86431) | — | $75 | — |
| Rickettsia antibody (86757) range across 3 matching MRF lines |
— | $10–$120 | — |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
— | $26–$54 | — |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
— | $120–$130 | — |
| Rpr qualitative (86592) | — | $6 | — |
| Rsv Assay W/Optic (87807) | — | $130 | — |
| Rubella Antibody (86762) range across 4 matching MRF lines |
— | $9–$90 | — |
| Rubeola antibody (86765) range across 3 matching MRF lines |
— | $9–$18 | — |
| Rufinamide (80210) | — | $64 | — |
| Runx1 gene analysis targeted sequence analysis (81334) | — | $1,195 | — |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
— | $12–$34 | — |
| Salmonella antibody (86768) | — | $90 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 4 matching MRF lines |
— | $43–$140 | — |
| Sars-cov-2 COVID-19 antibody (86769) | — | $27 | — |
| Sarscov2&inf a&b&rsv amp prb (87637) | — | $395 | — |
| Sedimentation rate (85651) | — | $125 | — |
| Sedimentation Rate, Automated (85652) | — | $83 | — |
| Selenium (84255) range across 2 matching MRF lines |
— | $13–$14 | — |
| Sensitivity mic (87186) range across 2 matching MRF lines |
— | $175–$200 | — |
| Serpina 1 gene (81332) | — | $179 | — |
| Serum Bactericidal Titer (87197) | — | $120 | — |
| Sex Hormone Binding Globulin (84270) | — | $6 | — |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
— | $26–$150 | — |
| Sirolimus (80195) range across 2 matching MRF lines |
— | $132–$142 | — |
| Skin test tuberculosis intradermal (86580) | — | $75 | — |
| Smear acid fast (87206) range across 3 matching MRF lines |
— | $16–$33 | — |
| Smear complex stain (87209) range across 2 matching MRF lines |
— | $34–$125 | — |
| Smear gram stain (87205) | — | $122 | — |
| Smear Special Stain (87207) | — | $128 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) | — | $88 | — |
| Snrpn/Ube3a Methylation Analysis (81331) | — | $230 | — |
| Sodium Serum (84295) | — | $79 | — |
| Sodium Urine (84300) | — | $99 | — |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
— | $20–$210 | — |
| Somatomedin (84305) | — | $13 | — |
| Special Stains Group 1 (88312) | — | $307 | — |
| Special Stains Group 2 (88313) | — | $294 | — |
| Specific gravity body fluid (84315) | — | $45 | — |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
— | $16–$26 | — |
| Spectrophotometry (84311) range across 6 matching MRF lines |
— | $67–$110 | — |
| Splitting Blood/Blood Products Each Unit (86985) | — | $365 | — |
| Stem cells total count (86367) range across 2 matching MRF lines |
— | $410–$834 | — |
| Stool cultr aerobic bact ea (87046) | — | $68 | — |
| Strep a assay w/optic (87880) | — | $111 | — |
| Strep a DNA amp probe (87651) | — | $124 | — |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | — | $67 | — |
| Sugars Single Qual (84376) | — | $45 | — |
| Surg path level iii (88304) | — | $426 | — |
| Surgical pathology level IV (88305) | — | $794 | — |
| Surgical pathology level vi (88309) | — | $1,712 | — |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
— | $52–$110 | — |
| Susceptibility Study Antimicrobial Disk Method (87184) | — | $100 | — |
| Sweat Collection Iontophoresis (89230) | — | $309 | — |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
— | $23–$24 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
— | $218–$370 | — |
| T cells total count (86359) range across 2 matching MRF lines |
— | $195–$310 | — |
| T3 Free (84481) range across 2 matching MRF lines |
— | $8–$190 | — |
| T3 reverse (84482) | — | $17 | — |
| T3 Total (84480) | — | $7 | — |
| T3 Uptake (84479) | — | $95 | — |
| T4 Free (84439) range across 2 matching MRF lines |
— | $27–$149 | — |
| T4 total (84436) range across 2 matching MRF lines |
— | $131–$200 | — |
| Tacrolimus (80197) range across 2 matching MRF lines |
— | $74–$201 | — |
| Test for acetone/ketones (82009) | — | $83 | — |
| Testosterone total (84403) range across 2 matching MRF lines |
— | $12–$15 | — |
| Testosterone, Free (84402) | — | $6 | — |
| Tetanus antibody (86774) | — | $120 | — |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | — | $2,308 | — |
| Theophylline (80198) range across 2 matching MRF lines |
— | $30–$61 | — |
| Thiocyanate (84430) | — | $120 | — |
| Thrombin Time (85670) range across 2 matching MRF lines |
— | $15–$110 | — |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
— | $12–$118 | — |
| Thyroglobulin (84432) range across 2 matching MRF lines |
— | $18–$60 | — |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
— | $9–$18 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $38 | — |
| Thyroxine binding globulin (84442) | — | $150 | — |
| Tiss cul neo disorders solid tumor (88239) | — | $340 | — |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
— | $7–$15 | — |
| Tissue Culture (88233) range across 2 matching MRF lines |
— | $141–$214 | — |
| Tissue culture bone marrow (88237) range across 4 matching MRF lines |
— | $93–$1,500 | — |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
— | $93–$166 | — |
| Tobramycin peak (80200) range across 4 matching MRF lines |
— | $27–$143 | — |
| Topiramate (80201) | — | $26 | — |
| Touch prep (88161) | — | $201 | — |
| Toxoplasma ab igm (86778) | — | $11 | — |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
— | $10–$110 | — |
| TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Facility (81353) | — | $829 | — |
| Tp53 gene analysis full gene sequence (81351) | — | $3,365 | — |
| Tp53 gene analysis targeted sequence analysis (81352) | — | $1,041 | — |
| Transferase Aspartate Amino Ast Sgot (84450) | — | $90 | — |
| Transferrin (84466) range across 2 matching MRF lines |
— | $11–$23 | — |
| Trichomonas Vaginalis Amplif (87661) | — | $60 | — |
| Triglycerides (84478) range across 3 matching MRF lines |
— | $9–$129 | — |
| Troponin Quant (84484) | — | $278 | — |
| Tumor Immunohistochem/Manual (88360) | — | $386 | — |
| Unlisted miscellaneous pathology test (89240) | — | $170 | — |
| Urea nitrogen urine (84540) | — | $184 | — |
| Uric acid other source (84560) | — | $125 | — |
| Urinalysis Microscopic Only (81015) | — | $48 | — |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | — | $65 | — |
| Urinalysis Volume Measure (81050) | — | $58 | — |
| Urine Pregnancy Test (81025) | — | $119 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $80 | — |
| Valproic acid (80164) range across 2 matching MRF lines |
— | $28–$195 | — |
| Vancomycin (80202) | — | $188 | — |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
— | $8–$16 | — |
| Vasopressin (84588) | — | $45 | — |
| Very Long Chain Fatty Acids (82726) range across 2 matching MRF lines |
— | $116–$165 | — |
| Viral Culture (87252) range across 4 matching MRF lines |
— | $33–$60 | — |
| Virus antibody nos (86790) range across 6 matching MRF lines |
— | $29–$135 | — |
| Virus inoculate tissue addl (87253) range across 3 matching MRF lines |
— | $42–$52 | — |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
— | $33–$66 | — |
| Vit D 1 25-Dihydroxy (82652) | — | $24 | — |
| Vitamin A (84590) | — | $8 | — |
| Vitamin b-12 (82607) | — | $9 | — |
| Vitamin B2 (Riboflavin) (84252) | — | $33 | — |
| Vitamin B6 (84207) | — | $12 | — |
| Vitamin c (82180) | — | $18 | — |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
— | $204–$310 | — |
| Vitamin E (84446) | — | $8 | — |
| Vitamin K (84597) | — | $30 | — |
| Volatiles (84600) range across 3 matching MRF lines |
— | $42–$120 | — |
| Volume Reduction Blood/Blood Product Each Unit (86960) | — | $896 | — |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
— | $24–$49 | — |
| Wbc Alkaline Phosphatase Count (85540) | — | $90 | — |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
— | $17–$22 | — |
| West Nile Virus Antibody (86789) | — | $13 | — |
| Whole Mitochondrial Genome (81460) | — | $4,454 | — |
| X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis,… (81471) | — | $3,164 | — |
| X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must… (81470) | — | $3,164 | — |
| Zinc (84630) range across 4 matching MRF lines |
— | $7–$110 | — |
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.