Lab & pathology prices at Pomerene Hospital
Millersburg, OH · every code in this section with a posted price and a Medicare benchmark.
621 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $48.80 | $61 | 2.1× |
| Acetylcholine receptor binding antibody (86041) | $28.80 | $36 | 1.6× |
| Acetylcholine receptor blocking antibody (86042) | $28.80 | $36 | 1.6× |
| Acth (82024) | $80 | $100 | 2.1× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $30.40 | $38 | 0.9× |
| Acute hepatitis panel (80074) | $76 | $95 | 1.6× |
| Agglutinins Febrile Each Antigen (86000) | $43.20 | $54 | 6.2× |
| Albumin serum (82040) | $28 | $35 | 5.7× |
| Aldolase (82085) | $20 | $25 | 2.1× |
| Aldosterone urine (82088) | $88 | $110 | 2.2× |
| Alkaline phosphatase isoenzymes (84080) | $30.40 | $38 | 2.1× |
| Allergen spec ige qual multiallergen screen (86005) | $176 | $220 | 22.1× |
| Allergen specific ige (86003) range across 90 matching MRF lines |
$20.80–$132.80 | $26–$166 | varies |
| Allergen specific igg (86001) | $28 | $35 | 3.6× |
| Allg Spec Ige Recomb Ea (86008) range across 4 matching MRF lines |
$60–$61.60 | $75–$77 | varies |
| Alpha-1-antitrypsin total (82103) | $39.20 | $49 | 2.9× |
| Alpha-Fetoprotein Serum (82105) | $46.40 | $58 | 2.8× |
| Alt (sgpt) (84460) | $35.20 | $44 | 6.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $200.80 | $251 | 11.9× |
| Aminolevulinic acid (ala) (82135) | $116 | $145 | 7.1× |
| Ammonia (82140) | $61.60 | $77 | 4.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $132.80 | $166 | 1.4× |
| Amylase urine (82150) | $44.80 | $56 | 6.9× |
| Ana Titer (86039) | $70.40 | $88 | 6.3× |
| Anca screen each antibody (86036) | $20.80 | $26 | 1.7× |
| Androstenedione (82157) | $52.80 | $66 | 1.8× |
| Angiotensin converting enzyme csf (82164) | $29.60 | $37 | 2.0× |
| Anti-Phospholipid Antibody (86148) | $88 | $110 | 5.5× |
| Antibody aspergillus (86606) | $61.60 | $77 | 4.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $52 | $65 | 4.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $52.80 | $66 | 3.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$43.20–$44.80 | $54–$56 | varies |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$44.80–$258.40 | $56–$323 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $35.20 | $44 | 2.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $35.20 | $44 | 2.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $35.20 | $44 | 1.9× |
| Antibody Fungus Not Elsewhere Specified (86671) | $61.60 | $77 | 5.0× |
| Antibody haemophilus influenza (86684) | $35.20 | $44 | 2.2× |
| Antibody helicobacter pylori (86677) range across 6 matching MRF lines |
$38.40–$39.20 | $48–$49 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $27.20 | $34 | 1.9× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$36–$36.80 | $45–$46 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $57.60 | $72 | 4.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $57.60 | $72 | 3.0× |
| Antibody identification leukocyte antibodies (86021) | $72 | $90 | 4.8× |
| Antibody Identification Platelet Immunogl Assay (86023) | $44.80 | $56 | 3.6× |
| Antibody john cunningham virus (86711) | $64 | $80 | 3.8× |
| Antibody Lymphocytic Choriomeningitis (86727) | $26.40 | $33 | 2.1× |
| Antibody Protozoa Nes (86753) | $44.80 | $56 | 3.6× |
| Antibody Titer (86886) | $114.40 | $143 | 22.1× |
| Antibody Treponema Pallidum (86780) range across 6 matching MRF lines |
$25.60–$26.40 | $32–$33 | varies |
| Antibody; encephalitis, st. louis (86653) | $44.80 | $56 | 3.4× |
| Antibody; influenza virus (86710) | $26.40 | $33 | 1.9× |
| Antigen typing (86905) | $88 | $110 | 23.0× |
| Antinuclear antibodies (86038) | $48.80 | $61 | 4.0× |
| Antistreptolysin o titer (86060) | $67.20 | $84 | 9.2× |
| Antithrombin iii activity (85300) | $56 | $70 | 4.7× |
| Apolipoprotein a1 (82172) | $28.80 | $36 | 1.4× |
| Arsenic (82175) range across 3 matching MRF lines |
$47.20–$92.80 | $59–$116 | varies |
| Assay Blood Carbon Dioxide (82374) | $26.40 | $33 | 5.4× |
| Assay Nephelometry Not Spec (83883) | $44.80 | $56 | 3.3× |
| Assay of 5-hiaa (83497) range across 3 matching MRF lines |
$29.60–$30.40 | $37–$38 | varies |
| Assay of blood/uric acid (84550) | $36.80 | $46 | 8.1× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$29.60–$30.40 | $37–$38 | varies |
| Assay of cpk in blood (82552) | $26.40 | $33 | 2.0× |
| Assay of estrone (82679) | $44.80 | $56 | 1.8× |
| Assay of g6pd enzyme (82955) | $44.80 | $56 | 4.6× |
| Assay of gammaglobulin igm (82784) | $57.60 | $72 | 6.2× |
| Assay of lactic acid (83605) | $48.80 | $61 | 4.2× |
| Assay of manganese (83785) | $65.60 | $82 | 2.5× |
| Assay of metanephrines (83835) range across 7 matching MRF lines |
$77.60–$80 | $97–$100 | varies |
| Assay of phosphatase acid total (84060) | $39.20 | $49 | 5.1× |
| Assay of proinsulin (84206) | $52.80 | $66 | 2.0× |
| Assay of pyruvate (84210) | $57.60 | $72 | 4.0× |
| Assay of semen fructose (82757) | $57.60 | $72 | 3.3× |
| Assay of serotonin (84260) | $52.80 | $66 | 1.7× |
| Assay of serum potassium (84132) | $30.40 | $38 | 6.4× |
| Assay of sweat sodium (84302) | $52.80 | $66 | 10.9× |
| Assay of Tyrosine (84510) | $76 | $95 | 7.1× |
| Assay of urea nitrogen (84520) | $28.80 | $36 | 7.3× |
| Assay of urine vma (84585) | $35.20 | $44 | 2.3× |
| Assay of vitamin b-1 (84425) | $44.80 | $56 | 2.1× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$30.40–$31.20 | $38–$39 | varies |
| Assay spec xcp ur&breath ia (82077) | $19.20 | $24 | 1.1× |
| Automated Leukocyte Count (85048) | $26.40 | $33 | 10.4× |
| B cells total count (86355) | $76 | $95 | 2.0× |
| Bartonella antibody (86611) | $52.80 | $66 | 5.2× |
| Bcr/abl1 gene major bp (81206) | $352.80 | $441 | 2.2× |
| Bcr/abl1 gene minor bp (81207) | $352.80 | $441 | 2.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 5 matching MRF lines |
$43.20–$44.80 | $54–$56 | varies |
| Beta hydroxybutyrate (82010) | $12.80 | $16 | 1.6× |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$6.40–$16 | $8–$20 | varies |
| Beta-2 Microglobulin (82232) | $52.80 | $66 | 3.3× |
| Bile acids total (82239) | $44.80 | $56 | 2.6× |
| Bile acids, cholylglycine (82240) | $39.20 | $49 | 1.5× |
| Bilirubin direct (82248) | $24.80 | $31 | 4.9× |
| Bilirubin total (82247) | $31.20 | $39 | 6.2× |
| Bilirubin total transcutaneous (88720) | $31.20 | $39 | 6.2× |
| Blastomyces antibody (86612) | $40 | $50 | 3.1× |
| Bld Typing Serologic Rh Phnt (86906) | $88 | $110 | 11.4× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $19.20 | $24 | 3.8× |
| Blood Count Red Blood Cell Automated (85041) | $35.20 | $44 | 11.7× |
| Blood count reticulocyte automated (85045) | $35.20 | $44 | 8.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $30.40 | $38 | 8.0× |
| Blood count spun microhematocrit (85013) | $30.40 | $38 | 4.3× |
| Blood gas (82803) | $101.60 | $127 | 3.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $26.40 | $33 | 1.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $24 | $30 | 5.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $52.80 | $66 | 8.3× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $220.80 | $276 | 13.5× |
| Blood typing serologic abo (86900) | $44.80 | $56 | 15.0× |
| Bordetella antibody (86615) | $20 | $25 | 1.5× |
| Breath Alcohol Test (82075) | $35.20 | $44 | 1.2× |
| C diff amplified probe (87493) | $72 | $90 | 1.9× |
| C-Peptide (84681) | $64.80 | $81 | 3.1× |
| C-reactive protein (86140) | $52.80 | $66 | 10.2× |
| Ca 19-9 (86301) | $35.20 | $44 | 1.7× |
| Cadmium (82300) | $44.80 | $56 | 1.9× |
| Calcitonin (82308) | $35.20 | $44 | 1.3× |
| Calcium ionized (82330) | $44.80 | $56 | 3.3× |
| Calcium total (82310) | $31.20 | $39 | 6.0× |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$91.20–$93.60 | $114–$117 | varies |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$103.20–$106.40 | $129–$133 | varies |
| Cancer Antigen 125 (86304) | $70.40 | $88 | 3.4× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$36–$36.80 | $45–$46 | varies |
| Candida antibody (86628) | $52.80 | $66 | 4.4× |
| Candida Dna Dir Probe (87480) | $88 | $110 | 4.4× |
| Carbamazepine total (80156) | $88 | $110 | 6.0× |
| Carboxyhemoglobin (82375) | $57.60 | $72 | 4.7× |
| Carcinoembryonic antigen (82378) | $92.80 | $116 | 4.9× |
| Cardiolipin ab iga (86147) | $76 | $95 | 3.0× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$51.20–$52.80 | $64–$66 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$53.60–$98.40 | $67–$123 | varies |
| Cell count csf (89051) | $52.80 | $66 | 9.4× |
| Ceruloplasmin (82390) | $57.60 | $72 | 5.4× |
| Cftr gene com variants (81220) | $529.60 | $662 | 1.0× |
| Chemiluminescent assay (82397) | $30.40 | $38 | 2.2× |
| Chlamydia antibody (86631) | $30.40 | $38 | 2.6× |
| Chlamydia Igm Antibody (86632) | $30.40 | $38 | 2.4× |
| Chloride other source (82438) | $52.80 | $66 | 10.6× |
| Chloride Serum (82435) | $28 | $35 | 6.1× |
| Chloride urine (82436) | $26.40 | $33 | 4.6× |
| Cholesterol total (82465) | $33.60 | $42 | 7.7× |
| Cholinesterase rbc (82482) | $43.20 | $54 | 4.4× |
| Cholinesterase Serum (82480) | $18.40 | $23 | 2.3× |
| Chorionic gonadotropin test (84702) | $57.60 | $72 | 3.8× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $70.40 | $88 | 2.0× |
| Chromium serum (82495) | $48.80 | $61 | 2.4× |
| Chromogranin a (86316) | $88 | $110 | 4.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 6 matching MRF lines |
$112.80–$116 | $141–$145 | varies |
| Citric acid urine (82507) | $44.80 | $56 | 1.6× |
| Ckmb (82553) | $57.60 | $72 | 5.0× |
| Clot Factor VIII Multimetric (85247) | $60 | $75 | 2.6× |
| Clot factor xiii fibrin stab (85290) | $30.40 | $38 | 1.9× |
| Clotting factor xii hageman (85280) | $52.80 | $66 | 2.7× |
| Cns DNA amp probe type 12-25 (87483) | $588 | $735 | 1.4× |
| Coccidioides antibody (86635) | $26.40 | $33 | 2.3× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$65.60–$67.20 | $82–$84 | varies |
| Column Chromotography Quant (82542) range across 7 matching MRF lines |
$88–$361.60 | $110–$452 | varies |
| Compatibility test antiglob (86922) | $57.60 | $72 | 0.4× |
| Complement Antigen Each Component (86160) range across 8 matching MRF lines |
$44–$74.40 | $55–$93 | varies |
| Complement Total (Ch50) (86162) | $28 | $35 | 1.4× |
| Complement/Function Activity (86161) range across 3 matching MRF lines |
$88–$212 | $110–$265 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $160.80 | $201 | 3.3× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $397.60 | $497 | 11.3× |
| Coombs direct (86880) | $50.40 | $63 | 9.4× |
| Copper urine (82525) | $26.40 | $33 | 2.1× |
| Cortisol free (82530) range across 4 matching MRF lines |
$85.60–$88 | $107–$110 | varies |
| Cortisol saliva (82533) | $58.40 | $73 | 3.6× |
| Creatine (82540) | $80 | $100 | 17.2× |
| Creatine kinase total (82550) | $44.80 | $56 | 6.9× |
| Creatinine blood (82565) | $33.60 | $42 | 6.6× |
| Creatinine clearance (82575) | $56 | $70 | 5.9× |
| Creatinine Urine (82570) | $30.40 | $38 | 5.9× |
| Crossmatch electronic (86923) | $52.80 | $66 | 0.3× |
| Crossmatch immediate spin (86920) | $52.80 | $66 | 0.3× |
| Crp High Sensitivity (86141) | $35.20 | $44 | 2.7× |
| Cryofibrinogen (82585) | $44.80 | $56 | 3.2× |
| Cryoglobulin (82595) | $48.80 | $61 | 7.5× |
| Cryptococcal Antigen (87327) | $35.20 | $44 | 2.6× |
| Cryptosporidium ag eia (87328) range across 3 matching MRF lines |
$53.60–$55.20 | $67–$69 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $55.20 | $69 | 6.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $55.20 | $69 | 6.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$103.20–$106.40 | $129–$133 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $299.20 | $374 | 1.4× |
| Culture afb (87116) | $160.80 | $201 | 14.9× |
| Culture Anaerobic (87075) | $56 | $70 | 5.9× |
| Culture blood (87040) | $60.80 | $76 | 5.9× |
| Culture csf (87070) | $64 | $80 | 7.4× |
| Culture fungus (87102) range across 5 matching MRF lines |
$43.20–$44.80 | $54–$56 | varies |
| Culture fungus blood (87103) | $44.80 | $56 | 2.2× |
| Culture screen only (87081) | $36.80 | $46 | 5.6× |
| Culture stool (87045) | $41.60 | $52 | 4.4× |
| Culture typing if ea antiserum (87140) | $26.40 | $33 | 4.7× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $44.80 | $56 | 3.1× |
| Cyclosporine (80158) | $44.80 | $56 | 2.5× |
| Cystatin C (82610) range across 2 matching MRF lines |
$43.20–$44.80 | $54–$56 | varies |
| Cytogenetics 10-30 (88273) | $70.40 | $88 | 2.0× |
| Cytogenetics 100-300 (88275) | $72 | $90 | 1.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,005.60 | $2,507 | 1.7× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$43.20–$44.80 | $54–$56 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $88 | $110 | 4.3× |
| Cytopath Cell Enhance Tech (88112) | $106.40 | $133 | 2.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $88 | $110 | 3.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $64 | $80 | 1.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $65.60 | $82 | 1.9× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $181.60 | $227 | 1.1× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $35.20 | $44 | 1.9× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $61.60 | $77 | 1.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $57.60 | $72 | 2.1× |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$34.40–$35.20 | $43–$44 | varies |
| Detect Agent Nos Dna Amp (87798) range across 10 matching MRF lines |
$89.60–$509.60 | $112–$637 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$85.60–$166.40 | $107–$208 | varies |
| Dgp Antibody Each Ig Class (86258) | $17.60 | $22 | 1.5× |
| Dhea (82626) | $47.20 | $59 | 1.9× |
| Dhea-S (82627) | $88 | $110 | 4.0× |
| Digoxin (80162) | $70.40 | $88 | 5.3× |
| Dihydrotestosterone (82642) | $76 | $95 | 2.6× |
| Dipropylacetic Acid Free (80165) | $70.40 | $88 | 5.2× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$39.20–$120 | $49–$150 | varies |
| Dna/Rna Amplified Probe (87150) | $49.60 | $62 | 1.4× |
| Dna/Rna Sequencing (87153) | $152.80 | $191 | 1.3× |
| Drug Assay Everolimus (80169) | $44.80 | $56 | 3.3× |
| Drug Assay Itraconazole (80189) | $54.40 | $68 | 2.0× |
| Drug Screen Quant Clozapine (80159) | $39.20 | $49 | 1.9× |
| Drug Screen Quant Zonisamide (80203) | $25.60 | $32 | 1.9× |
| Drug Screen Quantitative Gabapentin (80171) | $70.40 | $88 | 3.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $35.20 | $44 | 2.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $44.80 | $56 | 3.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $44.80 | $56 | 3.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $44.80 | $56 | 2.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 8 matching MRF lines |
$106.40–$110.40 | $133–$138 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $26.40 | $33 | 2.1× |
| Ehrlichia antibody (86666) | $57.60 | $72 | 5.7× |
| Electrolyte panel (80051) | $56 | $70 | 8.0× |
| Encephaltis East Eqne Anbdy (86652) | $44.80 | $56 | 3.4× |
| Encephaltis West Eqne Antbdy (86654) | $44.80 | $56 | 3.4× |
| Enterovirus Antibody (86658) | $30.40 | $38 | 2.3× |
| Enzyme cell activity (82657) | $52.80 | $66 | 2.4× |
| Eosinophil Smear (89190) | $35.20 | $44 | 6.1× |
| Erythropoietin (82668) | $39.20 | $49 | 2.1× |
| Estradiol serum (82670) | $70.40 | $88 | 2.5× |
| Estriol (82677) | $36.80 | $46 | 1.5× |
| Estrogen total (82672) | $39.20 | $49 | 1.8× |
| Estrogens fractionated (82671) | $56.80 | $71 | 1.8× |
| Ethosuximide (80168) | $44.80 | $56 | 2.7× |
| Exam Synovial Fluid Crystals (89060) | $30.40 | $38 | 4.1× |
| F2 Gene (81240) | $72.80 | $91 | 1.1× |
| Factor ii activity (85210) | $35.20 | $44 | 2.7× |
| Factor Inhibitor Test (85335) | $212 | $265 | 16.5× |
| Factor ix activity (85250) | $110.40 | $138 | 5.8× |
| Factor v leiden mutation (81241) | $88 | $110 | 1.2× |
| Factor viii assay (85240) | $141.60 | $177 | 7.9× |
| Fat/Lipids Feces Quantitative (82710) | $61.60 | $77 | 3.7× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $97.60 | $122 | 5.7× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $61.60 | $77 | 9.4× |
| Fecal Fat Qualitative (82705) | $30.40 | $38 | 6.0× |
| Ferritin (82728) | $61.60 | $77 | 4.5× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $145.60 | $182 | 2.7× |
| Fetal Fibronectin (82731) | $132.80 | $166 | 2.1× |
| Fibrin degradation products (85362) | $35.20 | $44 | 5.1× |
| Fibrin Degradation Quant (85379) | $76 | $95 | 7.5× |
| Fibrinogen activity (85384) | $48.80 | $61 | 5.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $22.40 | $28 | 1.4× |
| Flow cytometry first marker (88184) | $106.40 | $133 | 0.3× |
| Fluorescent antibody screen (86255) range across 11 matching MRF lines |
$72–$281.60 | $90–$352 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $39.20 | $49 | 3.3× |
| Folic acid rbc (82747) | $52.80 | $66 | 3.0× |
| Folic Acid Serum (82746) | $55.20 | $69 | 3.8× |
| Follicle Stimulating Hormone (83001) | $80 | $100 | 4.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $140 | $175 | 0.9× |
| Frozen Blood Each Unit Thawing (86931) | $274.40 | $343 | 1.7× |
| Frozen Section (88331) | $164 | $205 | 1.0× |
| Fungi Identification Yeast (87106) | $35.20 | $44 | 3.4× |
| Galactose (82760) | $26.40 | $33 | 2.4× |
| Galactose transferase test (82776) | $26.40 | $33 | 2.2× |
| Gammaglobulin ige (82785) | $28.80 | $36 | 1.7× |
| Gardner vag DNA dir probe (87510) | $88 | $110 | 4.4× |
| Gastrin (82941) | $44.80 | $56 | 2.5× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $552 | $690 | 1.3× |
| Gentamicin (80170) | $76 | $95 | 4.6× |
| Ggt (82977) | $36.80 | $46 | 5.1× |
| Giardia antigen (87329) | $39.20 | $49 | 3.3× |
| Giardia lamblia antibody (86674) | $57.60 | $72 | 3.9× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $31.20 | $39 | 5.2× |
| Glucagon (82943) | $65.60 | $82 | 4.6× |
| Glucose 2 hr pp (82950) | $35.20 | $44 | 7.4× |
| Glucose body fluid (82945) | $35.20 | $44 | 9.0× |
| Glucose Serum (82947) | $28 | $35 | 7.1× |
| Glucose tolerance test (gtt) (82951) | $99.20 | $124 | 7.7× |
| Glycated Protein (82985) | $80 | $100 | 4.8× |
| Gonadotropin Chorionic Qualitative (84703) | $52.80 | $66 | 7.0× |
| Growth hormone (83003) range across 3 matching MRF lines |
$38.40–$39.20 | $48–$49 | varies |
| Gtt-added samples (82952) | $32.80 | $41 | 8.4× |
| H Pylori (C-13) Breath (83013) | $132.80 | $166 | 2.0× |
| H Pylori Drug Admin (83014) | $35.20 | $44 | 4.5× |
| Haloperidol (80173) | $57.60 | $72 | 3.7× |
| Haptoglobin (83010) | $29.60 | $37 | 2.4× |
| Hba1/Hba2 Gene (81257) | $244 | $305 | 2.4× |
| Hdl Cholesterol (83718) | $39.20 | $49 | 4.8× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$85.60–$88 | $107–$110 | varies |
| Helminth Antibody (86682) | $78.40 | $98 | 6.0× |
| Hematocrit (85014) | $19.20 | $24 | 8.1× |
| Hemoglobin (85018) | $18.40 | $23 | 7.8× |
| Hemoglobin a1c (83036) | $44 | $55 | 4.5× |
| Hemoglobin Chromotography (83021) | $31.20 | $39 | 1.7× |
| Hemoglobin electrophoresis (83020) | $114.40 | $143 | 8.9× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $19.20 | $24 | 2.0× |
| Hep a ab igm (86709) | $35.20 | $44 | 3.1× |
| Heparin assay (85520) | $50.40 | $63 | 3.9× |
| Hepatitis a antibody total (86708) | $33.60 | $42 | 2.7× |
| Hepatitis b core ab igm (86705) | $35.20 | $44 | 3.0× |
| Hepatitis b core ab total (86704) | $26.40 | $33 | 2.2× |
| Hepatitis B Surface Antibody (86706) | $52.80 | $66 | 4.9× |
| Hepatitis B Surface Antigen (87340) | $49.60 | $62 | 4.8× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$64–$65.60 | $80–$82 | varies |
| Hepatitis c antibody confirmatory test (86804) | $88 | $110 | 5.7× |
| Hepatitis C Genotype (87902) | $362.40 | $453 | 1.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$128.80–$132.80 | $161–$166 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$36–$36.80 | $45–$46 | varies |
| Heterophile Antibody Screen (86308) | $48 | $60 | 9.3× |
| Hfe Gene (81256) | $131.20 | $164 | 2.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $82.40 | $103 | 10.7× |
| Histamine urine (83088) | $76 | $95 | 2.6× |
| Histoplasma antibody (86698) | $35.20 | $44 | 2.6× |
| Histoplasma antigen urine (87385) | $120.80 | $151 | 9.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 3 matching MRF lines |
$34.40–$35.20 | $43–$44 | varies |
| Hiv-1 Antibody (86701) | $30.40 | $38 | 3.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$116.80–$120 | $146–$150 | varies |
| Hla class ii typing high resolution one locus ea (81382) | $202.40 | $253 | 1.6× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $100.80 | $126 | 1.4× |
| Hla ii typing 1 allele hr (81383) | $158.40 | $198 | 1.5× |
| Hla ii typing 1 locus lr (81376) | $172 | $215 | 1.4× |
| Hla-b27 (86812) | $48.80 | $61 | 1.9× |
| Homocysteine (83090) | $80 | $100 | 4.5× |
| Homogenization Tissue (87176) | $7.20 | $9 | 1.2× |
| Hpv High-Risk Types (87624) | $97.60 | $122 | 2.8× |
| Hpv low-risk types (87623) | $97.60 | $122 | 2.8× |
| Hsv Dna Amp Probe (87529) | $106.40 | $133 | 3.0× |
| Human Epididymis Protein 4 (86305) | $70.40 | $88 | 3.4× |
| Hydroxycorticosteroids 17 (83491) | $63.20 | $79 | 3.5× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$39.20–$252.80 | $49–$316 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $48.80 | $61 | 4.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $51.20 | $64 | 1.4× |
| Iaad ia shiga-like toxin (87427) | $23.20 | $29 | 1.9× |
| Iaad Ia Streptococcus Group A (87430) | $39.20 | $49 | 2.3× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $30.40 | $38 | 2.5× |
| Iaadi not otherwise specified each organism (87299) | $52.80 | $66 | 3.3× |
| Iaadi respiratory synctial virus (87280) | $26.40 | $33 | 2.0× |
| Iaadi Varicella Zoster Virus (87290) | $52.80 | $66 | 3.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $66.40 | $83 | 1.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $89.60 | $112 | 2.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $70.40 | $88 | 2.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $65.60 | $82 | 1.9× |
| Iadna Cytomegalovirus Quantification (87497) | $80 | $100 | 1.9× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $66.40 | $83 | 1.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $88 | $110 | 2.1× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $348 | $435 | 4.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $80 | $100 | 2.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $120.80 | $151 | 3.4× |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $44.80 | $56 | 1.5× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$33.60–$336.80 | $42–$421 | varies |
| Igg subclasses (82787) | $33.60 | $42 | 4.2× |
| Immune Complex Assay (86332) | $114.40 | $143 | 4.7× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$48.80–$202.40 | $61–$253 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 8 matching MRF lines |
$58.40–$706.40 | $73–$883 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $30.40 | $38 | 2.0× |
| Immunoassay nonantibody (83516) range across 17 matching MRF lines |
$68–$160 | $85–$200 | varies |
| Immunodiffusion not elsewhere specified (86329) | $30.40 | $38 | 2.2× |
| Immunofixation electrophoresis (86334) range across 4 matching MRF lines |
$44.80–$46.40 | $56–$58 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $340 | $425 | 2.1× |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
$75.20–$275.20 | $94–$344 | varies |
| In situ hybridization 1st probe stain (88365) range across 3 matching MRF lines |
$174.40–$501.60 | $218–$627 | varies |
| Influenza assay w/optic (87804) | $64.80 | $81 | 3.9× |
| Inhibin A (86336) | $97.60 | $122 | 6.3× |
| Inhibin b (83520) range across 15 matching MRF lines |
$47.20–$377.60 | $59–$472 | varies |
| Insulin free (83527) | $35.20 | $44 | 2.7× |
| Insulin total (83525) | $44.80 | $56 | 3.9× |
| Intrinsic factor antibody (86340) | $88 | $110 | 5.8× |
| Iron (83540) | $39.20 | $49 | 6.1× |
| Iron Binding Capacity (83550) range across 3 matching MRF lines |
$38.40–$39.20 | $48–$49 | varies |
| Irradiation Blood Product Each Unit (86945) | $97.60 | $122 | 2.8× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$76–$316.80 | $95–$396 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $309.60 | $387 | 3.4× |
| Koh Prep (87220) | $88 | $110 | 20.6× |
| Kras Gene Analysis Additional Variant(S) (81276) | $254.40 | $318 | 1.3× |
| Kras Gene Variants Exon 2 (81275) | $739.20 | $924 | 3.8× |
| L/s ratio (83661) | $86.40 | $108 | 3.9× |
| Lactate (ld) (ldh) enzyme (83615) | $26.40 | $33 | 4.4× |
| Lactoferrin fecal qualitative (83630) | $52.80 | $66 | 2.7× |
| Ldh Isoenzymes (83625) | $35.20 | $44 | 2.8× |
| LDL direct (83721) | $26.40 | $33 | 2.5× |
| Lead (83655) range across 4 matching MRF lines |
$51.20–$52.80 | $64–$66 | varies |
| Legionella antibody (86713) | $30.40 | $38 | 2.0× |
| Legionella antigen urine (87449) | $44.80 | $56 | 3.7× |
| Legionella pneumophila dfa (87278) | $44.80 | $56 | 2.9× |
| Leucine Aminopeptidase Lap (83670) | $26.40 | $33 | 2.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $48.80 | $61 | 1.8× |
| Level ii surg pathology grossµscopic exam (88302) | $88 | $110 | 2.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $281.60 | $352 | 0.8× |
| Lipase (83690) | $44.80 | $56 | 6.5× |
| Lipoprotein A (83695) | $57.60 | $72 | 4.0× |
| Lipoprotein Bld Quan Part (83704) | $70.40 | $88 | 2.1× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $22.40 | $28 | 2.0× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $88 | $110 | 1.9× |
| Lithium (80178) | $36.80 | $46 | 5.6× |
| Liver ds alys 3 bmrk srm alg (81517) | $232 | $290 | 1.3× |
| Luteinizing Hormone (Lh) (83002) | $80 | $100 | 4.3× |
| Lyme disease antibody (86618) | $59.20 | $74 | 3.5× |
| Lysozyme serum (85549) | $52.80 | $66 | 2.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $281.60 | $352 | 1.7× |
| Macroscopic exam arthropod (87168) range across 2 matching MRF lines |
$30.40–$53.60 | $38–$67 | varies |
| Macroscopic Exam Parasite (87169) | $26.40 | $33 | 6.1× |
| Magnesium Urine (83735) | $44.80 | $56 | 6.7× |
| Mass Spectrometry Quant (83789) | $121.60 | $152 | 5.0× |
| Meat fibers, feces (89160) | $70.40 | $88 | 14.5× |
| Mercury urine (83825) | $52.80 | $66 | 3.2× |
| Methylmalonic acid serum (83921) | $52.80 | $66 | 2.5× |
| Microalbumin, quantitative (82043) | $28 | $35 | 4.8× |
| Microsomal Antibodies Each (86376) | $57.60 | $72 | 4.0× |
| Mitochondrial Antibody Each (86381) | $33.60 | $42 | 1.3× |
| Mlh1 Gene (81288) | $308 | $385 | 1.6× |
| Molecular Pathology Procedure Level 6 (81405) | $264.80 | $331 | 0.9× |
| Mopath procedure level 2 (81401) | $141.60 | $177 | 1.0× |
| Morphometric Analysis Tumor (88358) | $3,177.60 | $3,972 | 19.7× |
| Mrsa Pcr (87641) | $88 | $110 | 2.5× |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$227.20–$234.40 | $284–$293 | varies |
| Mucin Clot Body Fluid (83872) | $26.40 | $33 | 4.5× |
| Mumps antibody (86735) range across 5 matching MRF lines |
$46.40–$48 | $58–$60 | varies |
| Mycobacteric Identification (87118) | $53.60 | $67 | 3.7× |
| Mycoplasma antibody (86738) | $70.40 | $88 | 5.3× |
| Myelin basic protein csf (83873) | $26.40 | $33 | 1.5× |
| Myoglobin urine (83874) | $44.80 | $56 | 3.5× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$33.60–$116 | $42–$145 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) range across 2 matching MRF lines |
$176–$223.20 | $220–$279 | varies |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $188 | $235 | 1.3× |
| Niacin (84591) range across 4 matching MRF lines |
$44.80–$132.80 | $56–$166 | varies |
| Nickel level (83885) | $24.80 | $31 | 1.0× |
| Nk cells total count (86357) | $70.40 | $88 | 1.9× |
| Nras gene variants exon 2&3 (81311) | $932 | $1,165 | 3.2× |
| Nuclear antigen antibody (86235) range across 18 matching MRF lines |
$51.20–$52.80 | $64–$66 | varies |
| Occult blood feces (82272) | $22.40 | $28 | 5.3× |
| Occult Blood Other Sources (82271) | $22.40 | $28 | 4.2× |
| Oligoclonal bands (83916) | $44.80 | $56 | 1.6× |
| Organic Acids Qualitative Each Specimen (83919) | $44.80 | $56 | 2.7× |
| Organic acids urine (83918) | $101.60 | $127 | 4.3× |
| Osmolality serum (83930) | $35.20 | $44 | 5.3× |
| Osmolality Urine (83935) | $35.20 | $44 | 5.2× |
| Osmotic fragility rbc incubated (85557) | $44.80 | $56 | 3.4× |
| Osteocalcin (83937) | $119.20 | $149 | 4.0× |
| Ova and parasites smears (87177) | $22.40 | $28 | 2.5× |
| Oxalate urine (83945) | $176 | $220 | 12.2× |
| Particle Agglut Antbdy Titr (86406) | $39.20 | $49 | 3.7× |
| Particle Agglutination Screen Each Antibody (86403) | $26.40 | $33 | 2.3× |
| Parvovirus antibody (86747) | $80 | $100 | 5.3× |
| Path Clin Consltj Mod 21-40 (80504) | $234.40 | $293 | 1.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $70.40 | $88 | 0.1× |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | $240 | $300 | 1.5× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $78.40 | $98 | 1.6× |
| Ph urine (81003) | $20 | $25 | 8.9× |
| Phenobarbital Level (80184) | $57.60 | $72 | 3.8× |
| Phenylalanine (84030) range across 3 matching MRF lines |
$56–$266.40 | $70–$333 | varies |
| Phenytoin (Dilantin) (80185) | $65.60 | $82 | 5.0× |
| Phosphatase alkaline (84075) | $33.60 | $42 | 6.5× |
| Phosphorus Serum (84100) | $28 | $35 | 5.9× |
| Phosphorus urine (84105) | $22.40 | $28 | 3.9× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$103.20–$256.80 | $129–$321 | varies |
| Platelet count automated (85049) | $30.40 | $38 | 6.8× |
| Platelet neutralization (85597) | $48.80 | $61 | 2.7× |
| Porphobilinogen Urine Qualitative (84106) | $35.20 | $44 | 6.0× |
| Porphobilinogen, urine; quantitative (84110) | $52.80 | $66 | 6.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $44.80 | $56 | 3.0× |
| Porphyrins, urine; qualitative (84119) | $34.40 | $43 | 2.6× |
| Potassium Urine (84133) | $28.80 | $36 | 6.1× |
| Prealbumin (84134) | $61.60 | $77 | 4.2× |
| Pregnenolone (84140) | $35.20 | $44 | 1.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $132.80 | $166 | 2.4× |
| Primidone (80188) | $36.80 | $46 | 2.2× |
| Progesterone (84144) | $48.80 | $61 | 2.3× |
| Prolactin (84146) | $80 | $100 | 4.1× |
| Protein body fluid (84157) | $36.80 | $46 | 9.2× |
| Protein C Activity (85303) | $88 | $110 | 6.4× |
| Protein c antigen (85302) | $39.20 | $49 | 3.3× |
| Protein Electrophoresis Urine (84166) | $65.60 | $82 | 3.7× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$47.20–$48.80 | $59–$61 | varies |
| Protein S Free (85306) | $106.40 | $133 | 6.9× |
| Protein s total (85305) | $88 | $110 | 7.6× |
| Protein total serum (84155) | $38.40 | $48 | 10.5× |
| Protein Total Urine (84156) | $39.20 | $49 | 10.7× |
| Protein Western Blot Test (84182) | $44.80 | $56 | 1.5× |
| PSA free (84154) | $35.20 | $44 | 1.9× |
| Pth Intact (83970) | $88 | $110 | 2.1× |
| Quantiferon tb gold plus (86480) | $145.60 | $182 | 2.3× |
| Quantitative assay drug (80299) range across 9 matching MRF lines |
$44.80–$376.80 | $56–$471 | varies |
| Rbc antibody elution (86860) | $114.40 | $143 | 0.7× |
| Rbc antibody identification (86870) | $101.60 | $127 | 0.3× |
| Rbc antibody screen (86850) | $84 | $105 | 8.6× |
| Rbc pretreatment serum (86978) | $176 | $220 | 3.2× |
| Reagent Strip/Blood Glucose (82948) | $28 | $35 | 5.6× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $97.60 | $122 | 1.4× |
| Renin activity plasma (84244) | $59.20 | $74 | 2.7× |
| Resp virus 12-25 targets (87633) | $629.60 | $787 | 1.5× |
| Rh (86901) | $52.80 | $66 | 17.7× |
| Rheumatoid Factor Qualitative (86430) | $44.80 | $56 | 7.3× |
| Rheumatoid factor quant (86431) | $47.20 | $59 | 8.3× |
| Rickettsia antibody (86757) | $52.80 | $66 | 2.7× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$85.60–$200.80 | $107–$251 | varies |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$43.20–$44.80 | $54–$56 | varies |
| Rpr qualitative (86592) | $39.20 | $49 | 9.2× |
| Rsv ab (86756) | $30.40 | $38 | 1.9× |
| Rsv Assay W/Optic (87807) | $88.80 | $111 | 6.8× |
| Rubella Antibody (86762) | $60 | $75 | 4.2× |
| Rubeola antibody (86765) | $52.80 | $66 | 4.1× |
| Russell Viper Venom Time Diluted (85613) | $88 | $110 | 9.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $94.40 | $118 | 1.8× |
| Sars-cov-2 COVID-19 antibody (86769) | $59.20 | $74 | 1.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $238.40 | $298 | 1.7× |
| Sedimentation rate (85651) | $26.40 | $33 | 6.2× |
| Selenium (84255) | $65.60 | $82 | 2.6× |
| Semen analysis complete (89320) | $44.80 | $56 | 3.6× |
| Sensitivity mic (87186) range across 9 matching MRF lines |
$39.20–$148.80 | $49–$186 | varies |
| Serpina 1 gene (81332) | $76.80 | $96 | 1.8× |
| Sex Hormone Binding Globulin (84270) | $57.60 | $72 | 2.7× |
| Sickling of rbc reduction (85660) | $12.80 | $16 | 2.3× |
| Sirolimus (80195) | $44.80 | $56 | 3.3× |
| Skin test tuberculosis intradermal (86580) | $52 | $65 | 1.9× |
| Smear acid fast (87206) | $30.40 | $38 | 5.6× |
| Smear complex stain (87209) range across 3 matching MRF lines |
$29.60–$30.40 | $37–$38 | varies |
| Smear gram stain (87205) | $44.80 | $56 | 10.5× |
| Smear Special Stain (87207) | $48.80 | $61 | 8.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $26.40 | $33 | 4.5× |
| Sodium Serum (84295) | $32.80 | $41 | 6.8× |
| Sodium Urine (84300) | $30.40 | $38 | 6.0× |
| Soluble Transferrin Receptor (84238) | $80 | $100 | 2.2× |
| Somatomedin (84305) | $50.40 | $63 | 2.4× |
| Special Stains Group 1 (88312) | $58.40 | $73 | 1.2× |
| Special Stains Group 2 (88313) | $58.40 | $73 | 0.5× |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
$25.60–$26.40 | $32–$33 | varies |
| Spectrophotometry (84311) | $49.60 | $62 | 6.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $140.80 | $176 | 0.9× |
| Staph a DNA amp probe (87640) | $88 | $110 | 2.5× |
| Stool cultr aerobic bact ea (87046) | $35.20 | $44 | 3.7× |
| Strep a DNA amp probe (87651) | $88.80 | $111 | 2.5× |
| Strep b DNA amp probe (87653) | $92 | $115 | 2.6× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $132.80 | $166 | 11.5× |
| Sugars Single Qual (84376) | $44.80 | $56 | 8.1× |
| Sulfate urine (84392) | $22.40 | $28 | 4.1× |
| Surg path level iii (88304) | $99.20 | $124 | 2.0× |
| Surgical pathology level IV (88305) | $106.40 | $133 | 2.2× |
| Surgical pathology level vi (88309) | $441.60 | $552 | 0.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$6.40–$27.20 | $8–$34 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $24.80 | $31 | 3.3× |
| Syphilis Test Non-Trep Quant (86593) | $39.20 | $49 | 8.9× |
| T cells absolute cd4 count (86361) | $84 | $105 | 3.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $132.80 | $166 | 2.8× |
| T cells total count (86359) | $84 | $105 | 2.2× |
| T3 Free (84481) | $36.80 | $46 | 2.2× |
| T3 reverse (84482) | $57.60 | $72 | 3.7× |
| T3 Total (84480) | $61.60 | $77 | 4.3× |
| T3 Uptake (84479) | $76 | $95 | 11.7× |
| T4 Free (84439) | $63.20 | $79 | 7.0× |
| T4 total (84436) | $39.20 | $49 | 5.7× |
| Tacrolimus (80197) | $61.60 | $77 | 4.5× |
| Test for acetone/ketones (82009) | $26.40 | $33 | 5.8× |
| Testosterone total (84403) | $57.60 | $72 | 2.2× |
| Testosterone, Free (84402) range across 5 matching MRF lines |
$47.20–$48.80 | $59–$61 | varies |
| Theophylline (80198) | $65.60 | $82 | 4.6× |
| Thrombin Time (85670) | $39.20 | $49 | 6.8× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $22.40 | $28 | 3.5× |
| Thyroglobulin (84432) | $44.80 | $56 | 2.8× |
| Thyroglobulin Antibody (86800) | $39.20 | $49 | 2.5× |
| Thyroid Stimulating Immunoglobulin (84445) | $71.20 | $89 | 1.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$17.60–$70.40 | $22–$88 | varies |
| Tissue Culture (88233) | $1,024.80 | $1,281 | 7.3× |
| Tissue culture bone marrow (88237) | $970.40 | $1,213 | 6.8× |
| Tobramycin peak (80200) | $48.80 | $61 | 3.0× |
| Topiramate (80201) | $61.60 | $77 | 5.2× |
| Touch prep (88161) | $61.60 | $77 | 2.3× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $39.20 | $49 | 2.0× |
| Toxoplasma ab igm (86778) range across 3 matching MRF lines |
$64–$65.60 | $80–$82 | varies |
| Toxoplasma antibody (86777) | $65.60 | $82 | 4.6× |
| Tpmt gene com variants (81335) range across 2 matching MRF lines |
$256.80–$264.80 | $321–$331 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $35.20 | $44 | 6.8× |
| Transferrin (84466) | $48.80 | $61 | 3.8× |
| Trichomonas vagin dir probe (87660) | $88 | $110 | 4.4× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$85.60–$88 | $107–$110 | varies |
| Triglycerides (84478) | $40 | $50 | 7.0× |
| Troponin Quant (84484) range across 5 matching MRF lines |
$76–$80 | $95–$100 | varies |
| Tumor Immunohistochem/Manual (88360) | $297.60 | $372 | 1.8× |
| Unlisted miscellaneous pathology test (89240) | $84 | $105 | 1.7× |
| Unlisted Transfusion Medicine Procedure (86999) range across 4 matching MRF lines |
$101.60–$529.60 | $127–$662 | varies |
| Urea nitrogen urine (84540) | $30.40 | $38 | 5.5× |
| Uric acid other source (84560) | $44.80 | $56 | 8.8× |
| Urinalysis Microscopic Only (81015) | $18.40 | $23 | 6.0× |
| Urinalysis Volume Measure (81050) | $12.80 | $16 | 3.5× |
| Urine Bacteria Culture (87088) | $41.60 | $52 | 5.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $32 | $40 | 10.1× |
| Valproic acid (80164) | $70.40 | $88 | 5.2× |
| Vancomycin (80202) | $52.80 | $66 | 3.9× |
| Varicella-zoster antibody (86787) | $52.80 | $66 | 4.1× |
| Vasopressin (84588) | $48.80 | $61 | 1.4× |
| Very Long Chain Fatty Acids (82726) | $132.80 | $166 | 6.7× |
| Viral Culture (87252) | $88 | $110 | 3.4× |
| Virus antibody nos (86790) | $65.60 | $82 | 5.1× |
| Virus inoculate tissue addl (87253) range across 2 matching MRF lines |
$39.20–$88 | $49–$110 | varies |
| Virus inoculation, shell via (87254) | $61.60 | $77 | 3.1× |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $44.80 | $56 | 2.3× |
| Vit D 1 25-Dihydroxy (82652) | $65.60 | $82 | 1.7× |
| Vitamin A (84590) | $44.80 | $56 | 3.9× |
| Vitamin b-12 (82607) | $70.40 | $88 | 4.7× |
| Vitamin B2 (Riboflavin) (84252) | $114.40 | $143 | 5.7× |
| Vitamin B6 (84207) | $88 | $110 | 3.1× |
| Vitamin c (82180) | $32.80 | $41 | 3.3× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$60–$61.60 | $75–$77 | varies |
| Vitamin E (84446) | $27.20 | $34 | 1.9× |
| Vitamin K (84597) | $35.20 | $44 | 2.6× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $17.60 | $22 | 1.5× |
| Volume Reduction Blood/Blood Product Each Unit (86960) range across 3 matching MRF lines |
$132.80–$582.40 | $166–$728 | varies |
| Von willebrand factor ag (85246) | $89.60 | $112 | 3.9× |
| West nile virus ab igm (86788) | $88 | $110 | 5.2× |
| West Nile Virus Antibody (86789) | $44.80 | $56 | 3.1× |
| Zinc (84630) | $33.60 | $42 | 2.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.