Lab & pathology prices at Pointe Coupee General Hospital
New Roads, LA · every code in this section with a posted price and a Medicare benchmark.
628 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $57.75 | $57.75 | 3.7× |
| 17-Hydroxypregnenolone (84143) | $232.10 | $232.10 | 10.2× |
| 5 Nucleotidase (83915) | $36 | $36 | 3.2× |
| Abl1 gene analysis kinase domain variants (81170) | $972 | $972 | 3.2× |
| Acth (82024) | $232.20 | $232.20 | 6.0× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$286–$510 | $286–$510 | varies |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$55–$233 | $55–$233 | varies |
| Adenovirus antibody (86603) range across 4 matching MRF lines |
$45.10–$103.40 | $45.10–$103.40 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $209 | $209 | 3.2× |
| Agglutinins Febrile Each Antigen (86000) | $23 | $23 | 3.3× |
| Albumin Fluid (82042) range across 4 matching MRF lines |
$39–$129.80 | $39–$129.80 | varies |
| Albumin serum (82040) | $31.34 | $31.34 | 6.3× |
| Aldolase (82085) | $119.70 | $119.70 | 12.3× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$278.10–$307 | $278.10–$307 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$118.80–$122 | $118.80–$122 | varies |
| Allergen specific ige (86003) range across 176 matching MRF lines |
$16.63–$1,287 | $16.63–$1,287 | varies |
| Allergen specific igg (86001) | $53 | $53 | 6.8× |
| Allg Spec Ige Recomb Ea (86008) | $58 | $58 | 3.2× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$102.60–$474 | $102.60–$474 | varies |
| Alpha-Fetoprotein Serum (82105) | $145.29 | $145.29 | 8.7× |
| Alt (sgpt) (84460) | $63.08 | $63.08 | 11.9× |
| Aluminum (82108) | $156.75 | $156.75 | 6.2× |
| Amikacin trough (80150) | $129.31 | $129.31 | 8.6× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$71.50–$74 | $71.50–$74 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$100–$132 | $100–$132 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $86.90 | $86.90 | 6.3× |
| Aminolevulinic acid (ala) (82135) | $71.65 | $71.65 | 4.4× |
| Ammonia (82140) range across 4 matching MRF lines |
$47–$72.60 | $47–$72.60 | varies |
| Amylase urine (82150) range across 6 matching MRF lines |
$85.53–$86.83 | $85.53–$86.83 | varies |
| Ana Titer (86039) | $45 | $45 | 4.0× |
| Androstenedione (82157) | $95 | $95 | 3.2× |
| Angiotensin converting enzyme csf (82164) | $291.60 | $291.60 | 20.0× |
| Anti-Phospholipid Antibody (86148) | $131.29 | $131.29 | 8.2× |
| Antibody aspergillus (86606) | $87 | $87 | 5.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $59.40 | $59.40 | 3.8× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $154 | $154 | 9.1× |
| Antibody Encephalitis California La Crosse (86651) | $45.10 | $45.10 | 3.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$43–$210 | $43–$210 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $109.80 | $109.80 | 7.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$109.80–$110.25 | $109.80–$110.25 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 4 matching MRF lines |
$81.25–$303.88 | $81.25–$303.88 | varies |
| Antibody haemophilus influenza (86684) range across 2 matching MRF lines |
$237.50–$286 | $237.50–$286 | varies |
| Antibody helicobacter pylori (86677) range across 5 matching MRF lines |
$55–$140.40 | $55–$140.40 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$47–$52.25 | $47–$52.25 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$43–$218 | $43–$218 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$98.32–$142.20 | $98.32–$142.20 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$117.70–$231 | $117.70–$231 | varies |
| Antibody Lymphocytic Choriomeningitis (86727) | $45.10 | $45.10 | 3.5× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$69–$256 | $69–$256 | varies |
| Antibody Titer (86886) | $84 | $84 | 16.2× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$57.20–$171.28 | $57.20–$171.28 | varies |
| Antibody; encephalitis, st. louis (86653) range across 3 matching MRF lines |
$45.10–$47.30 | $45.10–$47.30 | varies |
| Antibody; influenza virus (86710) range across 12 matching MRF lines |
$45.10–$90.20 | $45.10–$90.20 | varies |
| Antigen typing (86905) | $98 | $98 | 25.6× |
| Antinuclear antibodies (86038) range across 8 matching MRF lines |
$44.10–$1,820 | $44.10–$1,820 | varies |
| Antistreptolysin o titer (86060) | $39.60 | $39.60 | 5.4× |
| Antithrombin iii activity (85300) | $172.18 | $172.18 | 14.5× |
| Antithrombin iii antigen (85301) | $132.30 | $132.30 | 12.2× |
| Apolipoprotein a1 (82172) range across 6 matching MRF lines |
$68–$476 | $68–$476 | varies |
| Aquaporin-4 Antb Elisa (86051) | $802.20 | $802.20 | 69.6× |
| Arsenic (82175) range across 3 matching MRF lines |
$108.90–$286 | $108.90–$286 | varies |
| Assay activated protein c (85307) | $170.10 | $170.10 | 11.1× |
| Assay Blood Carbon Dioxide (82374) | $19.80 | $19.80 | 4.1× |
| Assay myeloperoxidase (83876) | $165 | $165 | 3.2× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$71.34–$295.90 | $71.34–$295.90 | varies |
| Assay of 5-hiaa (83497) range across 3 matching MRF lines |
$42–$121.50 | $42–$121.50 | varies |
| Assay of blood/uric acid (84550) | $57.11 | $57.11 | 12.6× |
| Assay of calcium in urine (82340) range across 4 matching MRF lines |
$20–$34.10 | $20–$34.10 | varies |
| Assay of corticosterone (82528) | $308 | $308 | 13.7× |
| Assay of cpk in blood (82552) | $89.10 | $89.10 | 6.7× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$196–$220.50 | $196–$220.50 | varies |
| Assay of feces for trypsin (84490) | $72 | $72 | 7.3× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$31–$48.40 | $31–$48.40 | varies |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$40.63–$1,307.25 | $40.63–$1,307.25 | varies |
| Assay of lactic acid (83605) | $111.10 | $111.10 | 9.6× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$180.90–$363 | $180.90–$363 | varies |
| Assay of procainamide (80190) | $194 | $194 | 3.2× |
| Assay of proinsulin (84206) | $206.80 | $206.80 | 7.7× |
| Assay of prostate specific antigen complexed (84152) | $75.90 | $75.90 | 4.1× |
| Assay of pyruvate (84210) | $86 | $86 | 5.9× |
| Assay of serotonin (84260) | $352 | $352 | 11.4× |
| Assay of serum potassium (84132) | $33.85 | $33.85 | 7.1× |
| Assay of sweat sodium (84302) | $88 | $88 | 18.1× |
| Assay of transcortin (84449) | $84.34 | $84.34 | 4.7× |
| Assay of urea nitrogen (84520) | $57.06 | $57.06 | 14.4× |
| Assay of vasoactive intestinal peptide (84586) | $187 | $187 | 5.3× |
| Assay of vitamin b-1 (84425) range across 3 matching MRF lines |
$69–$154 | $69–$154 | varies |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$14.85–$82.50 | $14.85–$82.50 | varies |
| Atomic Absorption (82190) | $198 | $198 | 12.5× |
| Automated Leukocyte Count (85048) | $85.80 | $85.80 | 33.8× |
| B cells total count (86355) range across 3 matching MRF lines |
$194–$694 | $194–$694 | varies |
| Bartonella antibody (86611) range across 6 matching MRF lines |
$33–$165 | $33–$165 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$531–$583 | $531–$583 | varies |
| Bcr/abl1 gene minor bp (81207) | $583 | $583 | 4.0× |
| Beta 2 glycoprotein i antibody each (86146) | $96.80 | $96.80 | 3.8× |
| Beta hydroxybutyrate (82010) | $99 | $99 | 12.1× |
| Beta Lactamase (87185) | $137 | $137 | 28.8× |
| Beta-2 Microglobulin (82232) | $154 | $154 | 9.5× |
| Bile acids total (82239) | $66 | $66 | 3.9× |
| Bilirubin direct (82248) | $44.86 | $44.86 | 8.9× |
| Bilirubin total (82247) | $39.64 | $39.64 | 7.9× |
| Blastomyces antibody (86612) | $42 | $42 | 3.3× |
| Bld Typing Serologic Rh Phnt (86906) range across 4 matching MRF lines |
$228–$510 | $228–$510 | varies |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $28.60 | $28.60 | 5.6× |
| Blood Count Red Blood Cell Automated (85041) | $15 | $15 | 5.0× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$25.30–$63 | $25.30–$63 | varies |
| Blood gas (82803) | $247.50 | $247.50 | 9.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $55 | $55 | 3.5× |
| Blood Sulfhemoglobin Assay (83060) range across 2 matching MRF lines |
$33–$124.30 | $33–$124.30 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 5 matching MRF lines |
$42–$1,140 | $42–$1,140 | varies |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$25.30–$130 | $25.30–$130 | varies |
| Bordetella antibody (86615) range across 6 matching MRF lines |
$97.33–$115.50 | $97.33–$115.50 | varies |
| Brca1&2 gen full seq dup/del (81162) | $2,500 | $2,500 | 1.4× |
| Brucella antibody (86622) range across 5 matching MRF lines |
$29–$119 | $29–$119 | varies |
| C diff amplified probe (87493) | $312.50 | $312.50 | 8.4× |
| C-Peptide (84681) | $143 | $143 | 6.9× |
| C-reactive protein (86140) | $75.46 | $75.46 | 14.6× |
| Ca 19-9 (86301) | $143 | $143 | 6.9× |
| Cadmium (82300) | $99 | $99 | 4.2× |
| Caffeine (80155) | $155.75 | $155.75 | 4.0× |
| Calcitonin (82308) | $165 | $165 | 6.2× |
| Calcium ionized (82330) | $112.20 | $112.20 | 8.2× |
| Calcium total (82310) | $49.01 | $49.01 | 9.5× |
| Calculus assay quant (82360) | $55.15 | $55.15 | 4.3× |
| Calprotectin Fecal (83993) | $400 | $400 | 20.4× |
| Calr gene com variants (81219) | $623.70 | $623.70 | 5.1× |
| Cancer Antigen 125 (86304) | $163.01 | $163.01 | 7.8× |
| Cancer Antigen 27.29 (86300) | $143 | $143 | 6.9× |
| Candida antibody (86628) range across 3 matching MRF lines |
$125–$137.50 | $125–$137.50 | varies |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$90.20–$134.40 | $90.20–$134.40 | varies |
| Carbon monoxide, (carboxyhemoglobin); qualitative (82376) | $46 | $46 | 3.3× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$48–$118.80 | $48–$118.80 | varies |
| Carcinoembryonic antigen (82378) | $130.18 | $130.18 | 6.9× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$100.47–$138 | $100.47–$138 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$260.70–$298.10 | $260.70–$298.10 | varies |
| Carotene (82380) | $52.80 | $52.80 | 5.7× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$83–$187 | $83–$187 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$277.20–$277.75 | $277.20–$277.75 | varies |
| Cell count csf (89051) range across 3 matching MRF lines |
$42.01–$162.75 | $42.01–$162.75 | varies |
| Cell marker study (88182) | $160 | $160 | 3.4× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $440 | $440 | 3.2× |
| Ceruloplasmin (82390) | $120.60 | $120.60 | 11.2× |
| Cftr gene com variants (81220) | $1,803 | $1,803 | 3.2× |
| Cftr gene full sequence (81223) | $1,512 | $1,512 | 3.0× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$123–$254 | $123–$254 | varies |
| Chlamydia antibody (86631) | $125.50 | $125.50 | 10.6× |
| Chlamydia Igm Antibody (86632) | $125.50 | $125.50 | 9.9× |
| Chloride other source (82438) range across 2 matching MRF lines |
$35.20–$213 | $35.20–$213 | varies |
| Chloride Serum (82435) | $63.90 | $63.90 | 13.9× |
| Chloride urine (82436) range across 2 matching MRF lines |
$19–$35.20 | $19–$35.20 | varies |
| Chlorinated Hydrocarbons Screen (82441) | $73.70 | $73.70 | 12.3× |
| Cholesterol total (82465) | $36.07 | $36.07 | 8.3× |
| Cholinesterase rbc (82482) | $51.70 | $51.70 | 5.3× |
| Cholinesterase Serum (82480) | $43.10 | $43.10 | 5.5× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$69.30–$132 | $69.30–$132 | varies |
| Chromium serum (82495) range across 2 matching MRF lines |
$93.75–$139.65 | $93.75–$139.65 | varies |
| Chromogranin a (86316) | $391.87 | $391.87 | 18.8× |
| Chromosome Analysis 15-20 (88262) | $490 | $490 | 3.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$114–$258.30 | $114–$258.30 | varies |
| Citric acid urine (82507) | $90 | $90 | 3.2× |
| Ckmb (82553) | $82.41 | $82.41 | 7.1× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$50–$83.60 | $50–$83.60 | varies |
| Clot Factor VIII Multimetric (85247) | $312 | $312 | 13.6× |
| Clot factor xiii fibrin stab (85290) | $308 | $308 | 18.8× |
| Clotting factor xii hageman (85280) | $214.48 | $214.48 | 11.1× |
| Cns DNA amp probe type 12-25 (87483) | $1,350 | $1,350 | 3.2× |
| Coccidioides antibody (86635) | $38 | $38 | 3.3× |
| Cold agglutinin titer (86157) | $63.90 | $63.90 | 7.9× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$61.60–$442.75 | $61.60–$442.75 | varies |
| Column Chromotography Quant (82542) range across 16 matching MRF lines |
$78–$775 | $78–$775 | varies |
| Compatibility test antiglob (86922) | $465 | $465 | 3.0× |
| Complement Antigen Each Component (86160) range across 7 matching MRF lines |
$109.35–$264 | $109.35–$264 | varies |
| Complement Total (Ch50) (86162) | $169.20 | $169.20 | 8.3× |
| Complement/Function Activity (86161) | $264 | $264 | 22.0× |
| Coombs direct (86880) range across 3 matching MRF lines |
$59.40–$86 | $59.40–$86 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$71–$109.63 | $71–$109.63 | varies |
| Cortisol free (82530) range across 4 matching MRF lines |
$112.15–$209 | $112.15–$209 | varies |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$84–$197.50 | $84–$197.50 | varies |
| Creatine kinase total (82550) | $44.89 | $44.89 | 6.9× |
| Creatinine blood (82565) range across 3 matching MRF lines |
$37–$68.10 | $37–$68.10 | varies |
| Creatinine clearance (82575) | $67.80 | $67.80 | 7.2× |
| Creatinine Urine (82570) range across 12 matching MRF lines |
$17–$269 | $17–$269 | varies |
| Crp High Sensitivity (86141) | $85.80 | $85.80 | 6.6× |
| Cryoglobulin (82595) range across 3 matching MRF lines |
$88.65–$188.10 | $88.65–$188.10 | varies |
| Cryptococcus ag titer (87899) range across 6 matching MRF lines |
$52–$221.65 | $52–$221.65 | varies |
| Cryptosporidium ag eia (87328) | $210 | $210 | 15.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $99 | $99 | 12.8× |
| Culture afb (87116) range across 3 matching MRF lines |
$125.28–$537.60 | $125.28–$537.60 | varies |
| Culture Anaerobic (87075) | $186.73 | $186.73 | 19.7× |
| Culture blood (87040) | $86.52 | $86.52 | 8.4× |
| Culture chlamydia (87110) | $132 | $132 | 6.7× |
| Culture csf (87070) range across 11 matching MRF lines |
$31.95–$195 | $31.95–$195 | varies |
| Culture fungus (87102) | $112.62 | $112.62 | 13.4× |
| Culture fungus blood (87103) | $85.80 | $85.80 | 4.2× |
| Culture screen only (87081) range across 6 matching MRF lines |
$21–$253 | $21–$253 | varies |
| Culture stool (87045) | $86.20 | $86.20 | 9.1× |
| Cyanide (82600) | $132 | $132 | 6.8× |
| Cyclosporine (80158) | $277.20 | $277.20 | 15.4× |
| Cystatin C (82610) | $60 | $60 | 3.2× |
| Cytogenetics 10-30 (88273) | $193.60 | $193.60 | 5.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,646 | $2,646 | 2.3× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$47–$99.42 | $47–$99.42 | varies |
| Cytopath C/V Index Add-On (88155) | $47 | $47 | 3.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $66 | $66 | 3.3× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$177.50–$695 | $177.50–$695 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $104.50 | $104.50 | 3.9× |
| Cytp Concentration Smears & Interpretation (88108) | $108.10 | $108.10 | 3.2× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $977.43 | $977.43 | 6.3× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) range across 3 matching MRF lines |
$49–$75.75 | $49–$75.75 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $74 | $74 | 2.8× |
| Deoxycortisol (82634) | $204 | $204 | 7.0× |
| Deoxyribonuclease antibody (86215) | $107.25 | $107.25 | 8.1× |
| Desoxycorticosterone (82633) | $180 | $180 | 5.8× |
| Detect Agent Nos Dna Amp (87798) range across 21 matching MRF lines |
$112–$761.20 | $112–$761.20 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$547.60–$907.50 | $547.60–$907.50 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$112–$227 | $112–$227 | varies |
| Dhea (82626) | $100 | $100 | 4.0× |
| Dhea-S (82627) | $176 | $176 | 7.9× |
| Digoxin (80162) | $73.40 | $73.40 | 5.5× |
| Dihydrotestosterone (82642) | $190 | $190 | 6.5× |
| Diphtheria antitoxoid (86648) | $198 | $198 | 13.0× |
| Dipropylacetic Acid Free (80165) | $143 | $143 | 10.6× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$153.30–$259 | $153.30–$259 | varies |
| Dna Antibody Single Stranded (86226) | $264 | $264 | 21.8× |
| Drug Assay Everolimus (80169) | $182.75 | $182.75 | 13.3× |
| Drug Assay Infliximab (80230) | $508 | $508 | 13.2× |
| Drug Assay Lacosamide (80235) | $225 | $225 | 8.3× |
| Drug Assay Vedolizumab (80280) | $480 | $480 | 12.4× |
| Drug Screen Quant Clozapine (80159) | $65 | $65 | 3.2× |
| Drug Screen Quant Zonisamide (80203) | $275 | $275 | 20.8× |
| Drug Screen Quantitative Gabapentin (80171) | $231 | $231 | 10.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $209 | $209 | 15.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $220 | $220 | 16.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $148 | $148 | 11.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $117.70 | $117.70 | 7.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 18 matching MRF lines |
$201–$692 | $201–$692 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$49.50–$96.80 | $49.50–$96.80 | varies |
| Ehrlichia antibody (86666) range across 6 matching MRF lines |
$108.90–$286 | $108.90–$286 | varies |
| Electrolyte panel (80051) | $110.48 | $110.48 | 15.8× |
| Encephaltis East Eqne Anbdy (86652) | $45.10 | $45.10 | 3.4× |
| Encephaltis West Eqne Antbdy (86654) | $45.10 | $45.10 | 3.4× |
| Enterovirus Antibody (86658) range across 22 matching MRF lines |
$42.59–$215 | $42.59–$215 | varies |
| Enterovirus PCR (87498) | $380 | $380 | 10.8× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$254–$370 | $254–$370 | varies |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$27.50–$47.63 | $27.50–$47.63 | varies |
| Erythropoietin (82668) | $179.66 | $179.66 | 9.6× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$91–$200.19 | $91–$200.19 | varies |
| Estriol (82677) | $143 | $143 | 5.9× |
| Estrogen total (82672) | $224.40 | $224.40 | 10.3× |
| Ethosuximide (80168) | $102.30 | $102.30 | 6.3× |
| Ethylene Glycol (82693) | $112.75 | $112.75 | 7.6× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$42.01–$48.16 | $42.01–$48.16 | varies |
| F2 Gene (81240) range across 2 matching MRF lines |
$360–$2,890 | $360–$2,890 | varies |
| Factor ix activity (85250) range across 2 matching MRF lines |
$330–$375 | $330–$375 | varies |
| Factor v activity (85220) range across 2 matching MRF lines |
$297–$480 | $297–$480 | varies |
| Factor v leiden mutation (81241) | $330 | $330 | 4.5× |
| Factor vii assay (85230) | $466.40 | $466.40 | 26.1× |
| Factor viii assay (85240) | $228.20 | $228.20 | 12.7× |
| Factor X (85260) | $275 | $275 | 15.4× |
| Factor xi activity (85270) | $222.20 | $222.20 | 12.4× |
| Fat/Lipids Feces Quantitative (82710) | $154 | $154 | 9.2× |
| Fatty acids free (82725) | $591.25 | $591.25 | 31.5× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$17–$34.10 | $17–$34.10 | varies |
| Ferritin (82728) range across 4 matching MRF lines |
$63–$111.10 | $63–$111.10 | varies |
| Fetal Chrmoml Aneuploidy (81420) | $1,925 | $1,925 | 2.5× |
| Fibrin degradation products (85362) | $103.40 | $103.40 | 15.0× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $140.26 | $140.26 | 14.4× |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$102.52–$584.85 | $102.52–$584.85 | varies |
| Flow cytometry first marker (88184) | $918 | $918 | 2.8× |
| Fluorescent antibody screen (86255) range across 12 matching MRF lines |
$122–$756 | $122–$756 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 10 matching MRF lines |
$59–$466.88 | $59–$466.88 | varies |
| Fmr1 gene detection (81243) range across 2 matching MRF lines |
$391–$410.75 | $391–$410.75 | varies |
| Folic acid rbc (82747) | $176 | $176 | 10.0× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$63–$107.36 | $63–$107.36 | varies |
| Follicle Stimulating Hormone (83001) | $143.10 | $143.10 | 7.7× |
| Francisella tularensis (86668) | $72.60 | $72.60 | 5.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $465 | $465 | 3.0× |
| Fungi Identification Yeast (87106) | $130.50 | $130.50 | 12.6× |
| Galectin-3 (82777) | $575 | $575 | 13.0× |
| Gammaglobulin ige (82785) | $128.70 | $128.70 | 7.8× |
| Gastrin (82941) | $264 | $264 | 15.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $852 | $852 | 2.0× |
| Gentamicin (80170) range across 3 matching MRF lines |
$108–$175.98 | $108–$175.98 | varies |
| Ggt (82977) | $59.67 | $59.67 | 8.3× |
| Giardia antigen (87329) | $141.30 | $141.30 | 11.8× |
| Giardia lamblia antibody (86674) | $297 | $297 | 20.2× |
| Glucagon (82943) | $115.50 | $115.50 | 8.1× |
| Glucose 2 hr pp (82950) | $19.80 | $19.80 | 4.2× |
| Glucose body fluid (82945) range across 4 matching MRF lines |
$37–$61.49 | $37–$61.49 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$13–$60.93 | $13–$60.93 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$94.50–$162 | $94.50–$162 | varies |
| Glutathione (82978) | $122.50 | $122.50 | 7.9× |
| Glycated Protein (82985) | $54 | $54 | 3.2× |
| Gonadotropin Chorionic Qualitative (84703) | $68.67 | $68.67 | 9.1× |
| Gonadotropin releasing hormone (83727) | $602.50 | $602.50 | 35.0× |
| Growth hormone (83003) | $148.50 | $148.50 | 8.9× |
| Gtt-added samples (82952) | $44 | $44 | 11.2× |
| Haloperidol (80173) | $165 | $165 | 10.5× |
| Haptoglobin (83010) | $92.40 | $92.40 | 7.3× |
| Hba1/Hba2 Gene (81257) | $540 | $540 | 5.3× |
| Hdl Cholesterol (83718) | $57.20 | $57.20 | 7.0× |
| Helicobacter Pylori Stool (87338) | $252.50 | $252.50 | 17.6× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$111–$314 | $111–$314 | varies |
| Hemagglutination Inhibition (86280) | $40.70 | $40.70 | 5.0× |
| Hematocrit (85014) | $22.43 | $22.43 | 9.5× |
| Hemoglobin (85018) | $31.70 | $31.70 | 13.4× |
| Hemoglobin a1c (83036) range across 7 matching MRF lines |
$49.50–$100.10 | $49.50–$100.10 | varies |
| Hemoglobin Chromotography (83021) | $140.80 | $140.80 | 7.8× |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$106.20–$205.70 | $106.20–$205.70 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$33–$124.30 | $33–$124.30 | varies |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $30 | $30 | 3.2× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$94.60–$99.75 | $94.60–$99.75 | varies |
| Heparin assay (85520) | $312 | $312 | 23.8× |
| Hepatitis a antibody total (86708) | $168.30 | $168.30 | 13.6× |
| Hepatitis b core ab igm (86705) | $178.20 | $178.20 | 15.1× |
| Hepatitis b core ab total (86704) | $173.93 | $173.93 | 14.4× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$81.90–$252 | $81.90–$252 | varies |
| Hepatitis B Surface Antigen (87340) | $74.70 | $74.70 | 7.2× |
| Hepatitis Be Antibody (86707) | $83.60 | $83.60 | 7.2× |
| Hepatitis Be Antigen (87350) | $83.60 | $83.60 | 7.3× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$143–$262 | $143–$262 | varies |
| Hepatitis C Genotype (87902) range across 6 matching MRF lines |
$834–$1,335 | $834–$1,335 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $605 | $605 | 17.2× |
| Hepatitis C Revrs Trnscrpj (87522) range across 6 matching MRF lines |
$278.68–$756.25 | $278.68–$756.25 | varies |
| Hepatitis Delta Agent Antibody (86692) | $177.38 | $177.38 | 10.3× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$63–$120.63 | $63–$120.63 | varies |
| Heterophile antibodies titer (86309) | $42.90 | $42.90 | 6.6× |
| Heterophile Antibody Screen (86308) | $64 | $64 | 12.4× |
| Hfe Gene (81256) | $221.63 | $221.63 | 3.4× |
| Histamine urine (83088) range across 2 matching MRF lines |
$447.70–$473 | $447.70–$473 | varies |
| Histoplasma antibody (86698) range across 5 matching MRF lines |
$45–$80.30 | $45–$80.30 | varies |
| Histoplasma antigen urine (87385) | $288.10 | $288.10 | 21.7× |
| Hiv Antigen W/Hiv Antibodies (87806) | $106 | $106 | 3.2× |
| Hiv Genotype (87901) | $1,500 | $1,500 | 5.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $150 | $150 | 6.2× |
| Hiv-1 Antibody (86701) | $198 | $198 | 22.3× |
| HIV-1 p24 antigen (87390) | $209 | $209 | 8.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 4 matching MRF lines |
$360–$704 | $360–$704 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 3 matching MRF lines |
$262.50–$413 | $262.50–$413 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $241 | $241 | 3.2× |
| Hla I Typing 1 Allele Hr (81381) | $550 | $550 | 3.2× |
| Hla ii type 1 ag equiv lr (81377) | $446.87 | $446.87 | 4.7× |
| Hla ii typing 1 allele hr (81383) | $446.87 | $446.87 | 4.1× |
| Hla-b27 (86812) | $198 | $198 | 7.7× |
| Homocysteine (83090) | $220 | $220 | 12.3× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$112.35–$185.35 | $112.35–$185.35 | varies |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$237.50–$297.50 | $237.50–$297.50 | varies |
| Hpv low-risk types (87623) | $114 | $114 | 3.2× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$149.45–$182.85 | $149.45–$182.85 | varies |
| Hsv Dna Quant (87530) | $506 | $506 | 11.8× |
| Htt Gene Detc Abnor Alleles (81271) | $371.70 | $371.70 | 2.7× |
| Human Epididymis Protein 4 (86305) | $273 | $273 | 13.1× |
| Hydroxycorticosteroids 17 (83491) | $198 | $198 | 11.1× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$126.23–$143 | $126.23–$143 | varies |
| Iaad ia shiga-like toxin (87427) | $96 | $96 | 8.0× |
| Iaad Ia Streptococcus Group A (87430) | $54 | $54 | 3.2× |
| Iaadi Varicella Zoster Virus (87290) | $276.38 | $276.38 | 20.6× |
| Iadna Bartonella Amplified Probe Technique (87471) | $378 | $378 | 10.8× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $572 | $572 | 16.3× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 3 matching MRF lines |
$128–$166.67 | $128–$166.67 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $897.60 | $897.60 | 25.6× |
| Iadna Cytomegalovirus Quantification (87497) | $985.60 | $985.60 | 23.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$73.50–$227 | $73.50–$227 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) | $204 | $204 | 5.8× |
| Iadna Hepatitis B Virus Quantification (87517) range across 3 matching MRF lines |
$380–$1,301.88 | $380–$1,301.88 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$313.50–$396 | $313.50–$396 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $415.65 | $415.65 | 10.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $446 | $446 | 12.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $149.45 | $149.45 | 4.3× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $852 | $852 | 3.2× |
| Ig Light Chains Free Each (83521) | $295 | $295 | 17.1× |
| Igg subclasses (82787) range across 5 matching MRF lines |
$40.63–$126 | $40.63–$126 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $159.72 | $159.72 | 5.4× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 11 matching MRF lines |
$63.75–$1,159.20 | $63.75–$1,159.20 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 49 matching MRF lines |
$47.75–$113 | $47.75–$113 | varies |
| Immunoassay nonantibody (83516) range across 27 matching MRF lines |
$37–$2,263.80 | $37–$2,263.80 | varies |
| Immunodiffusion Ouchterlony (86331) | $166.10 | $166.10 | 13.9× |
| Immunoelectrophoresis Serum (86320) | $222.46 | $222.46 | 7.4× |
| Immunofixation electrophoresis (86334) | $128.46 | $128.46 | 5.8× |
| Immunohistochemistry (88342) | $465 | $465 | 3.0× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $240 | $240 | 16.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $166.67 | $166.67 | 4.7× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $29.22 | $29.22 | 0.6× |
| Influenza assay w/optic (87804) | $54 | $54 | 3.3× |
| Influenza DNA amp probe (87502) | $310 | $310 | 3.2× |
| Inhibin A (86336) | $506 | $506 | 32.5× |
| Inhibin b (83520) range across 40 matching MRF lines |
$59–$741 | $59–$741 | varies |
| Insulin antibodies (86337) | $815.85 | $815.85 | 38.1× |
| Insulin free (83527) | $42 | $42 | 3.2× |
| Insulin total (83525) range across 5 matching MRF lines |
$97.20–$192.50 | $97.20–$192.50 | varies |
| Intrinsic factor antibody (86340) | $231 | $231 | 15.3× |
| Iron (83540) range across 3 matching MRF lines |
$50.63–$63 | $50.63–$63 | varies |
| Iron Binding Capacity (83550) range across 3 matching MRF lines |
$63–$74.24 | $63–$74.24 | varies |
| Islet cell antibody (86341) range across 6 matching MRF lines |
$76–$756 | $76–$756 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$504–$567 | $504–$567 | varies |
| Ketosteroids 17 total (83586) | $176 | $176 | 13.8× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $1,067 | $1,067 | 3.2× |
| Koh Prep (87220) | $23.10 | $23.10 | 5.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$38.50–$57.20 | $38.50–$57.20 | varies |
| Lactoferrin Fecal Quantitative (83631) | $240 | $240 | 12.2× |
| Ldh Isoenzymes (83625) | $102.30 | $102.30 | 8.0× |
| LDL direct (83721) range across 3 matching MRF lines |
$34–$63.80 | $34–$63.80 | varies |
| Lead (83655) range across 3 matching MRF lines |
$108.90–$112.50 | $108.90–$112.50 | varies |
| Legionella antibody (86713) | $143 | $143 | 9.3× |
| Legionella antigen urine (87449) range across 7 matching MRF lines |
$49.50–$61.75 | $49.50–$61.75 | varies |
| Legionella pneumophila dfa (87278) | $253 | $253 | 16.2× |
| Leptospira antibody (86720) | $242 | $242 | 14.9× |
| Leukocyte Assessment Fecal (89055) | $48.50 | $48.50 | 11.4× |
| Leukocyte Histamine Release (86343) | $450 | $450 | 36.1× |
| Leukocyte phagocytosis (86344) | $104.50 | $104.50 | 10.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $74 | $74 | 2.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $918 | $918 | 2.8× |
| Lipase (83690) range across 3 matching MRF lines |
$86.83–$231 | $86.83–$231 | varies |
| Lipoprotein A (83695) | $46 | $46 | 3.2× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$111–$290 | $111–$290 | varies |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $78.10 | $78.10 | 6.9× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $354.38 | $354.38 | 10.5× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $187.50 | $187.50 | 4.0× |
| Listeria Monocytogenes (86723) | $212 | $212 | 16.1× |
| Lithium (80178) | $73.90 | $73.90 | 11.2× |
| Luteinizing Hormone (Lh) (83002) | $195.30 | $195.30 | 10.5× |
| Lyme disease antibody (86618) range across 6 matching MRF lines |
$55–$173.70 | $55–$173.70 | varies |
| Lymphocyte transformation (86353) range across 7 matching MRF lines |
$165–$1,017.50 | $165–$1,017.50 | varies |
| Lysozyme serum (85549) | $132 | $132 | 7.0× |
| M. Genitalium Amp Probe (87563) | $300 | $300 | 8.5× |
| Macroscopic Exam Parasite (87169) | $44.25 | $44.25 | 10.3× |
| Magnesium Urine (83735) range across 7 matching MRF lines |
$20.75–$92 | $20.75–$92 | varies |
| Mass Spectrometry Quant (83789) | $151.25 | $151.25 | 6.3× |
| Mercury urine (83825) range across 4 matching MRF lines |
$95.46–$143 | $95.46–$143 | varies |
| Methylmalonic acid serum (83921) | $396 | $396 | 18.7× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$110–$114.40 | $110–$114.40 | varies |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$47–$126.95 | $47–$126.95 | varies |
| Mitochondrial Antibody Each (86381) | $132 | $132 | 5.2× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) range across 2 matching MRF lines |
$2,880–$5,307 | $2,880–$5,307 | varies |
| Mog-Igg1 Antb Cba Each (86362) | $850.50 | $850.50 | 70.6× |
| Molecular Cytogenetics Dna Probe Each (88271) | $193.60 | $193.60 | 9.0× |
| Molecular Pathology Procedure Level 3 (81402) | $648 | $648 | 4.3× |
| Mononuclear cell antigen (86356) range across 3 matching MRF lines |
$140–$796.95 | $140–$796.95 | varies |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$200–$444 | $200–$444 | varies |
| Mopath procedure level 9 (81408) | $1,333.33 | $1,333.33 | 0.7× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$180–$236.25 | $180–$236.25 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $356.25 | $356.25 | 5.5× |
| Mumps antibody (86735) range across 8 matching MRF lines |
$45.10–$114 | $45.10–$114 | varies |
| Mycoplasma antibody (86738) range across 4 matching MRF lines |
$43–$96.80 | $43–$96.80 | varies |
| Mycoplasma culture (87109) range across 3 matching MRF lines |
$148–$210 | $148–$210 | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$71.50–$128.92 | $71.50–$128.92 | varies |
| Natriuretic peptide (83880) | $176 | $176 | 4.5× |
| Niacin (84591) range across 2 matching MRF lines |
$312.50–$517 | $312.50–$517 | varies |
| Nickel level (83885) | $110 | $110 | 4.5× |
| Nk cells total count (86357) | $194 | $194 | 5.1× |
| Nuclear antigen antibody (86235) range across 26 matching MRF lines |
$103–$259 | $103–$259 | varies |
| Occult Blood Other Sources (82271) | $17 | $17 | 3.2× |
| Oligoclonal bands (83916) | $93.50 | $93.50 | 3.4× |
| Oncoprotein dcp (83951) | $243 | $243 | 3.8× |
| Oncoprotein Her-2/Neu (83950) | $264 | $264 | 4.1× |
| Organic Acids Qualitative Each Specimen (83919) | $250 | $250 | 15.2× |
| Organic acids urine (83918) | $76 | $76 | 3.2× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$51.30–$126.50 | $51.30–$126.50 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$22–$51.30 | $22–$51.30 | varies |
| Osmotic Fragility RBC Unincubated (85555) | $84.70 | $84.70 | 11.3× |
| Ova and parasites smears (87177) | $44 | $44 | 4.9× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$47–$108.90 | $47–$108.90 | varies |
| Pancreatic Elastase Fecal (82656) | $690.25 | $690.25 | 59.9× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$115.50–$144.38 | $115.50–$144.38 | varies |
| Ph urine (81003) | $12.25 | $12.25 | 5.4× |
| Phenobarbital Level (80184) range across 3 matching MRF lines |
$74.75–$132 | $74.75–$132 | varies |
| Phenytoin (Dilantin) (80185) | $75.61 | $75.61 | 5.7× |
| Phenytoin free (80186) | $50 | $50 | 3.6× |
| Phosphatase acid prostatic (84066) | $38.50 | $38.50 | 4.0× |
| Phosphatase alkaline (84075) range across 4 matching MRF lines |
$62.68–$235.60 | $62.68–$235.60 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$242–$1,299.90 | $242–$1,299.90 | varies |
| Phosphorus Serum (84100) range across 3 matching MRF lines |
$37–$46.20 | $37–$46.20 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$19–$33 | $19–$33 | varies |
| Pinworm exam (87172) | $23.10 | $23.10 | 5.4× |
| Platelet Antibodies (86022) range across 5 matching MRF lines |
$153.23–$306 | $153.23–$306 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$12.80–$85.80 | $12.80–$85.80 | varies |
| Platelet neutralization (85597) | $308.55 | $308.55 | 17.2× |
| Porphobilinogen Urine Qualitative (84106) | $51.70 | $51.70 | 8.9× |
| Porphobilinogen, urine; quantitative (84110) | $32.68 | $32.68 | 3.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 3 matching MRF lines |
$48–$272.25 | $48–$272.25 | varies |
| Porphyrins, urine; qualitative (84119) range across 2 matching MRF lines |
$45.10–$53.90 | $45.10–$53.90 | varies |
| Potassium Urine (84133) range across 3 matching MRF lines |
$15–$41 | $15–$41 | varies |
| Prealbumin (84134) | $66 | $66 | 4.5× |
| Pregnenolone (84140) | $202.13 | $202.13 | 9.8× |
| Primidone (80188) | $54 | $54 | 3.3× |
| Procalcitonin (Pct) (84145) | $90 | $90 | 3.3× |
| Progesterone (84144) | $141.30 | $141.30 | 6.8× |
| Prolactin (84146) | $173.70 | $173.70 | 9.0× |
| Protein body fluid (84157) | $63.90 | $63.90 | 16.0× |
| Protein C Activity (85303) | $256.27 | $256.27 | 18.5× |
| Protein c antigen (85302) | $39 | $39 | 3.2× |
| Protein Electrophoresis Urine (84166) | $119.27 | $119.27 | 6.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$82.05–$151.80 | $82.05–$151.80 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$192–$246 | $192–$246 | varies |
| Protein s total (85305) | $216 | $216 | 18.6× |
| Protein total serum (84155) | $71.81 | $71.81 | 19.6× |
| Protein Total Urine (84156) range across 5 matching MRF lines |
$61.56–$381.15 | $61.56–$381.15 | varies |
| Protein Western Blot Test (84182) | $2,520 | $2,520 | 86.3× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $178.75 | $178.75 | 45.4× |
| Protoporphyrin rbc quantitative (84202) range across 3 matching MRF lines |
$87–$111.65 | $87–$111.65 | varies |
| PSA free (84154) | $132 | $132 | 7.2× |
| Pth Intact (83970) | $240.35 | $240.35 | 5.8× |
| Q Fever Antibody (86638) | $51.70 | $51.70 | 4.3× |
| Quantiferon tb gold plus (86480) | $227 | $227 | 3.7× |
| Quantitative assay drug (80299) range across 17 matching MRF lines |
$62.50–$1,137.50 | $62.50–$1,137.50 | varies |
| Quantitative Screen Metals (83018) range across 9 matching MRF lines |
$71–$184.80 | $71–$184.80 | varies |
| Quinidine (80194) | $100.10 | $100.10 | 6.9× |
| Rbc antibody elution (86860) | $465 | $465 | 3.0× |
| Rbc antibody identification (86870) | $918 | $918 | 2.8× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$75.90–$257.50 | $75.90–$257.50 | varies |
| Rbc pretreatment serum (86978) | $108 | $108 | 2.0× |
| Rbc pretx incubatj w/enzymes (86971) | $918 | $918 | 6.0× |
| Receptor assay estrogen (84233) | $285 | $285 | 3.2× |
| Receptor assay progesterone (84234) | $231 | $231 | 3.6× |
| Renin activity plasma (84244) | $161.10 | $161.10 | 7.3× |
| Rh (86901) | $25.30 | $25.30 | 8.5× |
| Rheumatoid factor quant (86431) range across 4 matching MRF lines |
$62.14–$96 | $62.14–$96 | varies |
| Rickettsia antibody (86757) range across 5 matching MRF lines |
$119–$304.50 | $119–$304.50 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$228.20–$407 | $228.20–$407 | varies |
| Rotavirus ag eia (87425) | $63.80 | $63.80 | 5.3× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$57.13–$176 | $57.13–$176 | varies |
| Rsv ab (86756) | $117 | $117 | 7.4× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$47–$72.60 | $47–$72.60 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$45.10–$187 | $45.10–$187 | varies |
| Russell Viper Venom Time Diluted (85613) | $128 | $128 | 13.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $100 | $100 | 1.9× |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$51–$100 | $51–$100 | varies |
| Sedimentation rate (85651) | $39.56 | $39.56 | 9.3× |
| Sedimentation Rate, Automated (85652) | $61.20 | $61.20 | 22.7× |
| Selenium (84255) range across 2 matching MRF lines |
$83–$154 | $83–$154 | varies |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $40.70 | $40.70 | 4.1× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$64.13–$192 | $64.13–$192 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$116.50–$337 | $116.50–$337 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$38.40–$53.04 | $38.40–$53.04 | varies |
| Sirolimus (80195) | $217.25 | $217.25 | 15.8× |
| Skin test tuberculosis intradermal (86580) | $74 | $74 | 2.8× |
| Smear acid fast (87206) range across 4 matching MRF lines |
$41.80–$625 | $41.80–$625 | varies |
| Smear gram stain (87205) range across 3 matching MRF lines |
$48.50–$49 | $48.50–$49 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$35.20–$40.50 | $35.20–$40.50 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $420 | $420 | 3.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$38.74–$41.80 | $38.74–$41.80 | varies |
| Sodium Serum (84295) | $39.92 | $39.92 | 8.3× |
| Sodium Urine (84300) range across 3 matching MRF lines |
$16–$35.55 | $16–$35.55 | varies |
| Soluble Transferrin Receptor (84238) | $194.25 | $194.25 | 5.3× |
| Somatomedin (84305) range across 2 matching MRF lines |
$112.50–$239.40 | $112.50–$239.40 | varies |
| Special Stains Group 1 (88312) | $160 | $160 | 3.4× |
| Special Stains Group 2 (88313) | $122.22 | $122.22 | 1.0× |
| Specific gravity body fluid (84315) | $33 | $33 | 10.1× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$40.50–$56.53 | $40.50–$56.53 | varies |
| Spectrophotometry (84311) | $275 | $275 | 34.0× |
| Sperm Antibodies (89325) | $264 | $264 | 24.7× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$44–$104.38 | $44–$104.38 | varies |
| Streptokinase, antibody Facility (86590) | $165 | $165 | 13.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $120.96 | $120.96 | 1.3× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $63.90 | $63.90 | 5.5× |
| Sugars Single Qual (84376) | $170 | $170 | 30.9× |
| Sulfate urine (84392) | $18 | $18 | 3.3× |
| Surg path level iii (88304) | $160 | $160 | 3.4× |
| Surgical pathology level IV (88305) | $160 | $160 | 3.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $78.30 | $78.30 | 10.5× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 4 matching MRF lines |
$24–$356.25 | $24–$356.25 | varies |
| Syphilis Test Non-Trep Quant (86593) | $58.30 | $58.30 | 13.2× |
| T cells absolute cd4 count (86361) | $198 | $198 | 7.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$152–$356.25 | $152–$356.25 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$194–$513 | $194–$513 | varies |
| T3 Free (84481) | $180.40 | $180.40 | 10.6× |
| T3 reverse (84482) | $144.53 | $144.53 | 9.2× |
| T3 Total (84480) | $113 | $113 | 8.0× |
| T3 Uptake (84479) | $71.91 | $71.91 | 11.1× |
| T4 Free (84439) range across 6 matching MRF lines |
$40.70–$192 | $40.70–$192 | varies |
| T4 total (84436) range across 3 matching MRF lines |
$30.60–$61.29 | $30.60–$61.29 | varies |
| Tacrolimus (80197) | $178.94 | $178.94 | 13.0× |
| Test for acetone/ketones (82009) | $18.70 | $18.70 | 4.1× |
| Testosterone Bioavailable (84410) | $402 | $402 | 7.8× |
| Testosterone total (84403) | $220.53 | $220.53 | 8.5× |
| Testosterone, Free (84402) | $233 | $233 | 9.1× |
| Theophylline (80198) | $106.05 | $106.05 | 7.5× |
| Thrombin Time (85670) | $65.75 | $65.75 | 11.4× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 4 matching MRF lines |
$112.50–$115 | $112.50–$115 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$53.55–$122 | $53.55–$122 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$53.55–$122 | $53.55–$122 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $440 | $440 | 8.7× |
| Thyroxine binding globulin (84442) | $119 | $119 | 8.1× |
| Tissue Culture Lymphocyte (88230) | $377 | $377 | 3.2× |
| Tobramycin peak (80200) | $99 | $99 | 6.1× |
| Topiramate (80201) | $209 | $209 | 17.5× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $83.60 | $83.60 | 4.2× |
| Toxoplasma ab igm (86778) | $52 | $52 | 3.6× |
| Toxoplasma antibody (86777) | $47 | $47 | 3.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$59.58–$81.40 | $59.58–$81.40 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$73.55–$99 | $73.55–$99 | varies |
| Trichinella Antibody (86784) | $94.60 | $94.60 | 7.5× |
| Trichomonas Vaginalis Amplif (87661) range across 5 matching MRF lines |
$112–$166.67 | $112–$166.67 | varies |
| Triglycerides (84478) | $73.80 | $73.80 | 12.9× |
| Troponin Quant (84484) range across 5 matching MRF lines |
$46–$91.30 | $46–$91.30 | varies |
| Ugt1a1 gene analysis common variants (81350) | $758 | $758 | 3.2× |
| Urea Nitrogen Clearance (84545) | $73.70 | $73.70 | 10.2× |
| Urea nitrogen urine (84540) | $18 | $18 | 3.2× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$15–$35.20 | $15–$35.20 | varies |
| Urinalysis Volume Measure (81050) | $15 | $15 | 4.1× |
| Urine Bacteria Culture (87088) | $42.90 | $42.90 | 5.3× |
| Urine Pregnancy Test (81025) | $60.42 | $60.42 | 7.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $66.63 | $66.63 | 21.0× |
| Valproic acid (80164) range across 3 matching MRF lines |
$91.30–$97.19 | $91.30–$97.19 | varies |
| Vancomycin (80202) | $121 | $121 | 8.9× |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$42–$85.20 | $42–$85.20 | varies |
| Vasopressin (84588) | $126.50 | $126.50 | 3.7× |
| Viral Culture (87252) range across 3 matching MRF lines |
$85–$198 | $85–$198 | varies |
| Virus antibody nos (86790) range across 7 matching MRF lines |
$41.80–$1,043.70 | $41.80–$1,043.70 | varies |
| Virus inoculate tissue addl (87253) | $78.10 | $78.10 | 3.9× |
| Virus inoculation, shell via (87254) | $214 | $214 | 10.9× |
| Viscosity serum (85810) | $103.40 | $103.40 | 8.9× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$125–$185.35 | $125–$185.35 | varies |
| Vitamin A (84590) | $132 | $132 | 11.4× |
| Vitamin b-12 (82607) range across 4 matching MRF lines |
$63–$430 | $63–$430 | varies |
| Vitamin B2 (Riboflavin) (84252) | $73.50 | $73.50 | 3.6× |
| Vitamin B6 (84207) | $198 | $198 | 7.0× |
| Vitamin c (82180) | $51.73 | $51.73 | 5.2× |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$202.95–$375.90 | $202.95–$375.90 | varies |
| Vitamin E (84446) | $119 | $119 | 8.4× |
| Vitamin K (84597) | $343.76 | $343.76 | 25.1× |
| Volatiles (84600) range across 5 matching MRF lines |
$53–$220 | $53–$220 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $756 | $756 | 62.7× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$228.80–$297 | $228.80–$297 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $68.40 | $68.40 | 8.0× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$55–$100.94 | $55–$100.94 | varies |
| West Nile Virus Antibody (86789) | $100.94 | $100.94 | 7.0× |
| Zinc (84630) range across 3 matching MRF lines |
$111–$131.40 | $111–$131.40 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.