Lab & pathology prices at Pomona Valley Hospital Medical Center
Pomona, CA · every code in this section with a posted price and a Medicare benchmark.
807 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $32.09 | — | 1.4× |
| 5 Nucleotidase (83915) | $48.89 | — | 4.4× |
| Acetylcholine receptor binding antibody (86041) | $100.11 | — | 5.4× |
| Acth (82024) | $9.65 | — | 0.2× |
| Acute hepatitis panel (80074) | $54.77 | — | 1.1× |
| Acylcarnitines Quant (82017) | $82.99 | — | 4.9× |
| Adenovirus antibody (86603) range across 2 matching MRF lines |
$13.08–$210 | — | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) range across 2 matching MRF lines |
$40–$242.25 | — | varies |
| Agglutinins Febrile Each Antigen (86000) | $63 | — | 9.0× |
| Albumin Fluid (82042) range across 4 matching MRF lines |
$6.76–$28 | — | varies |
| Albumin serum (82040) | $112.56 | — | 22.7× |
| Aldolase (82085) | $5.79 | — | 0.6× |
| Aldosterone urine (82088) range across 6 matching MRF lines |
$11.58–$569 | — | varies |
| Alkaline phosphatase isoenzymes (84080) | $9.65 | — | 0.7× |
| Allergen specific ige (86003) range across 22 matching MRF lines |
$5.50–$282.14 | — | varies |
| Allergen specific igg (86001) range across 13 matching MRF lines |
$5.58–$157.44 | — | varies |
| Allg Spec Ige Recomb Ea (86008) range across 16 matching MRF lines |
$5.45–$39.31 | — | varies |
| Alpha-1-antitrypsin phenotype (82104) | $22 | — | 1.5× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$12.79–$57 | — | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$11.23–$19.28 | — | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$6.09–$112.56 | — | varies |
| Aluminum (82108) range across 3 matching MRF lines |
$9.55–$65.50 | — | varies |
| Amikacin trough (80150) | $17.34 | — | 1.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $421.54 | — | 18.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$7.38–$277.83 | — | varies |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$42.50–$50 | — | varies |
| Ammonia (82140) | $16.75 | — | 1.1× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $112.82 | — | 1.1× |
| Amylase urine (82150) range across 6 matching MRF lines |
$7.45–$208.50 | — | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$20.27–$1,210 | — | varies |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$8.69–$34.50 | — | varies |
| Anti-Phospholipid Antibody (86148) | $64.18 | — | 4.0× |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
$17.86–$269.11 | — | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 6 matching MRF lines |
$24.13–$135.20 | — | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$8.69–$150.54 | — | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$10.62–$18.34 | — | varies |
| Antibody Encephalitis California La Crosse (86651) | $62.12 | — | 4.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $6.76 | — | 0.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $67.50 | — | 4.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$9.12–$27.84 | — | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$51.30–$365.67 | — | varies |
| Antibody haemophilus influenza (86684) | $42.68 | — | 2.7× |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$9.65–$34.50 | — | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$6.76–$40.33 | — | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 6 matching MRF lines |
$3.38–$512 | — | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $15.76 | — | 1.1× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $372.31 | — | 1.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $71.93 | — | 3.7× |
| Antibody identification leukocyte antibodies (86021) range across 7 matching MRF lines |
$14.48–$125 | — | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 3 matching MRF lines |
$14.32–$82.50 | — | varies |
| Antibody john cunningham virus (86711) range across 2 matching MRF lines |
$363.56–$1,315.30 | — | varies |
| Antibody leishmania (86717) | $94.69 | — | 7.7× |
| Antibody Lymphocytic Choriomeningitis (86727) range across 2 matching MRF lines |
$46.50–$162.95 | — | varies |
| Antibody plasmodium malaria (86750) | $108.75 | — | 8.2× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$19–$88.30 | — | varies |
| Antibody Titer (86886) range across 4 matching MRF lines |
$5.95–$112.45 | — | varies |
| Antibody Treponema Pallidum (86780) range across 6 matching MRF lines |
$5.79–$58 | — | varies |
| Antibody yersinia (86793) | $55 | — | 4.2× |
| Antibody; campylobacter (86625) | $8.46 | — | 0.6× |
| Antibody; encephalitis, st. louis (86653) | $132 | — | 10.0× |
| Antibody; influenza virus (86710) range across 3 matching MRF lines |
$29.61–$36 | — | varies |
| Antigen typing (86905) | $4.40 | — | 1.1× |
| Antinuclear antibodies (86038) range across 5 matching MRF lines |
$4.68–$351.65 | — | varies |
| Antistreptolysin O Screen (86063) | $6.63 | — | 1.1× |
| Antistreptolysin o titer (86060) range across 3 matching MRF lines |
$8.39–$35.97 | — | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$12.55–$339.45 | — | varies |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
$13–$25.09 | — | varies |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $2,535 | — | 5.0× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$16.91–$411.08 | — | varies |
| Arsenic (82175) | $37.21 | — | 2.0× |
| Aspergillus ag eia (87305) | $100.66 | — | 8.4× |
| Assay Blood Carbon Dioxide (82374) | $5.61 | — | 1.1× |
| Assay Blood Catecholamines (82383) range across 2 matching MRF lines |
$29.75–$75 | — | varies |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$17.37–$288.75 | — | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$6.95–$7.20 | — | varies |
| Assay of b-hexosaminidase each assay (83080) | $100.56 | — | 6.0× |
| Assay of blood/uric acid (84550) | $5.19 | — | 1.1× |
| Assay of calcium in urine (82340) | $6.93 | — | 1.1× |
| Assay of cpk in blood (82552) | $31.71 | — | 2.4× |
| Assay of estrone (82679) range across 3 matching MRF lines |
$26.74–$206.75 | — | varies |
| Assay of g6pd enzyme (82955) | $13.51 | — | 1.4× |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$5–$43.86 | — | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$13.30–$210.85 | — | varies |
| Assay of manganese (83785) range across 4 matching MRF lines |
$39.78–$94.32 | — | varies |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$17–$33.78 | — | varies |
| Assay of proinsulin (84206) | $38.60 | — | 1.4× |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
$15–$39 | — | varies |
| Assay of semen fructose (82757) | $68.75 | — | 4.0× |
| Assay of serotonin (84260) | $47.29 | — | 1.5× |
| Assay of serum potassium (84132) | $5.47 | — | 1.1× |
| Assay of Sialic Acid (84275) | $39.50 | — | 2.9× |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$13–$31.62 | — | varies |
| Assay of Tyrosine (84510) | $41.85 | — | 3.9× |
| Assay of urea nitrogen (84520) | $4.54 | — | 1.1× |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$12–$37 | — | varies |
| Assay of vasoactive intestinal peptide (84586) | $102 | — | 2.9× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$11.58–$67.50 | — | varies |
| Assay Ph Body Fluid Nos (83986) | $4.11 | — | 1.1× |
| Atomic Absorption (82190) | $14.95 | — | 0.9× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $251.98 | — | 1.1× |
| B cells total count (86355) range across 3 matching MRF lines |
$75.90–$100 | — | varies |
| Bartonella antibody (86611) range across 4 matching MRF lines |
$24.13–$37 | — | varies |
| Bcr/abl1 gene major bp (81206) range across 4 matching MRF lines |
$114.64–$150 | — | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$100–$114.64 | — | varies |
| Beta 2 glycoprotein i antibody each (86146) | $79.03 | — | 3.1× |
| Beta hydroxybutyrate (82010) range across 3 matching MRF lines |
$9.39–$98 | — | varies |
| Beta Lactamase (87185) | $5.46 | — | 1.1× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$34.76–$45 | — | varies |
| Bile acids total (82239) range across 2 matching MRF lines |
$19.50–$27.26 | — | varies |
| Bilirubin direct (82248) | $5.77 | — | 1.1× |
| Bilirubin total (82247) | $5.77 | — | 1.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $3.94 | — | 1.1× |
| Blastomyces antibody (86612) range across 3 matching MRF lines |
$18.67–$57.31 | — | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $251.98 | — | 1.1× |
| Bld Typing Serologic Rh Phnt (86906) | $8.91 | — | 1.1× |
| Blood Count Automated Differential Wbc Count (85004) | $7.44 | — | 1.1× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $5.83 | — | 1.1× |
| Blood count reticulocyte automated (85045) | $4.58 | — | 1.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $4.37 | — | 1.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $18.34 | — | 1.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $7.30 | — | 1.1× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $18.79 | — | 1.1× |
| Blood typing serologic abo (86900) | $3.43 | — | 1.1× |
| Body fluid cell count (89050) | $5.42 | — | 1.1× |
| Bone marrow smear interpretation (85097) | $1,191.67 | — | 1.1× |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$20.37–$175 | — | varies |
| Braf gene analysis (81210) range across 2 matching MRF lines |
$110–$225 | — | varies |
| Brca1&2 gen full seq dup/del (81162) | $2,074.75 | — | 1.1× |
| Brucella antibody (86622) | $23.98 | — | 2.7× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$42.86–$95 | — | varies |
| C-Peptide (84681) | $10.62 | — | 0.5× |
| C-reactive protein (86140) | $5.95 | — | 1.1× |
| Ca 19-9 (86301) range across 3 matching MRF lines |
$10.62–$34.66 | — | varies |
| Cadmium (82300) range across 2 matching MRF lines |
$50–$54.50 | — | varies |
| Caffeine (80155) | $19.30 | — | 0.5× |
| Calcitonin (82308) | $26.54 | — | 1.0× |
| Calcium ionized (82330) | $15.73 | — | 1.1× |
| Calcium total (82310) | $5.93 | — | 1.1× |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$11.58–$25.99 | — | varies |
| Calprotectin Fecal (83993) | $62.73 | — | 3.2× |
| Calr gene com variants (81219) range across 3 matching MRF lines |
$175–$345 | — | varies |
| Cancer Antigen 125 (86304) | $23.93 | — | 1.1× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$9.65–$11.58 | — | varies |
| Candida antibody (86628) range across 2 matching MRF lines |
$40.53–$53.95 | — | varies |
| Carbamazepine total (80156) | $16.75 | — | 1.1× |
| Carbohydrate Deficient Transferrin (82373) | $95 | — | 5.3× |
| Carboxyhemoglobin (82375) | $24.37 | — | 2.0× |
| Carcinoembryonic antigen (82378) range across 4 matching MRF lines |
$9–$125 | — | varies |
| Cardiolipin ab iga (86147) range across 6 matching MRF lines |
$5.30–$83 | — | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$29.92–$200 | — | varies |
| Carotene (82380) | $15 | — | 1.6× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$17.19–$145 | — | varies |
| Catecholamines total urine (82382) | $26.54 | — | 1.0× |
| Ccp antibody (86200) | $7 | — | 0.5× |
| Cell count csf (89051) range across 3 matching MRF lines |
$6.44–$31.46 | — | varies |
| Cell marker study (88182) | $2,580 | — | 38.5× |
| Ceruloplasmin (82390) | $6.76 | — | 0.6× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $285 | — | 1.7× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$82.03–$786.48 | — | varies |
| Cftr gene full sequence (81223) | $940 | — | 1.9× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$23.50–$120.63 | — | varies |
| Chlamydia antibody (86631) | $26.89 | — | 2.3× |
| Chlamydia Igm Antibody (86632) | $52.50 | — | 4.1× |
| Chlamydia trachomatis ag if (87270) | $14.48 | — | 1.2× |
| Chlmy trch&neisra gonor mult (87494) | $344 | — | 4.9× |
| Chloride other source (82438) range across 2 matching MRF lines |
$5.75–$99.84 | — | varies |
| Chloride Serum (82435) | $5.29 | — | 1.2× |
| Chloride urine (82436) | $6.61 | — | 1.1× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$5–$55.88 | — | varies |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$30–$48.30 | — | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$11.58–$17.30 | — | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $33 | — | 1.2× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $337.75 | — | 9.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $45 | — | 1.3× |
| Chromium serum (82495) | $53.95 | — | 2.7× |
| Chromogranin a (86316) range across 6 matching MRF lines |
$14.48–$62.78 | — | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$174.14–$220.50 | — | varies |
| Chromosome Analysis 20-25 (88264) range across 3 matching MRF lines |
$150–$174.14 | — | varies |
| Chromosome analysis, 5 (88261) | $246.93 | — | 0.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 8 matching MRF lines |
$24.13–$700 | — | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$23.88–$69.20 | — | varies |
| Ckmb (82553) | $13.28 | — | 1.1× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$13.77–$67.50 | — | varies |
| Clot Factor VIII Multimetric (85247) | $43.93 | — | 1.9× |
| Clot factor xiii fibrin stab (85290) | $73 | — | 4.5× |
| Clotting factor viii related antigen (85244) | $180 | — | 8.8× |
| Clotting factor xii hageman (85280) | $37.44 | — | 1.9× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$35.48–$212.30 | — | varies |
| Cns DNA amp probe type 12-25 (87483) range across 3 matching MRF lines |
$365–$501.40 | — | varies |
| Coagulation time activated (85347) | $4.92 | — | 1.1× |
| Coccidioides antibody (86635) | $68.16 | — | 5.9× |
| Cold agglutinin screen (86156) | $9.28 | — | 1.1× |
| Cold agglutinin titer (86157) | $9.26 | — | 1.1× |
| Collagen crosslinks (82523) range across 5 matching MRF lines |
$21.23–$143 | — | varies |
| Column Chromotography Quant (82542) | $255 | — | 10.6× |
| Compatibility test antiglob (86922) | $251.98 | — | 1.1× |
| Complement Antigen Each Component (86160) range across 16 matching MRF lines |
$6.76–$90 | — | varies |
| Complement Fixation Tests Each Antigen (86171) range across 2 matching MRF lines |
$42–$53 | — | varies |
| Complement Total (Ch50) (86162) | $8.44 | — | 0.4× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$17–$92.95 | — | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 5 matching MRF lines |
$29.40–$115.50 | — | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 2 matching MRF lines |
$100–$415.70 | — | varies |
| Coombs direct (86880) | $6.19 | — | 1.1× |
| Copper urine (82525) | $72 | — | 5.8× |
| Cortisol free (82530) range across 4 matching MRF lines |
$11.58–$33.78 | — | varies |
| Cortisol saliva (82533) | $168.90 | — | 10.4× |
| Creatine (82540) | $5.79 | — | 1.2× |
| Creatine kinase total (82550) | $7.48 | — | 1.1× |
| Creatinine blood (82565) | $5.88 | — | 1.1× |
| Creatinine clearance (82575) | $10.87 | — | 1.1× |
| Creatinine Urine (82570) range across 8 matching MRF lines |
$5.95–$320.76 | — | varies |
| Crossmatch electronic (86923) | $251.98 | — | 1.1× |
| Crossmatch immediate spin (86920) | $251.98 | — | 1.1× |
| Crp High Sensitivity (86141) | $13.81 | — | 1.1× |
| Cryofibrinogen (82585) | $17 | — | 1.2× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$17.99–$25.34 | — | varies |
| Cryptococcus ab (86641) | $38.60 | — | 2.7× |
| Cryptococcus ag titer (87899) range across 7 matching MRF lines |
$18.48–$27 | — | varies |
| Cryptosporidium ag eia (87328) | $65.25 | — | 4.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$4.67–$22.50 | — | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 4 matching MRF lines |
$4.67–$50 | — | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$8.86–$31.27 | — | varies |
| Culture aerobic quant other (87071) | $11.37 | — | 1.1× |
| Culture afb (87116) range across 2 matching MRF lines |
$12.42–$16 | — | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$10.89–$104.25 | — | varies |
| Culture blood (87040) | $11.86 | — | 1.1× |
| Culture chlamydia (87110) range across 3 matching MRF lines |
$22.20–$108.50 | — | varies |
| Culture csf (87070) range across 8 matching MRF lines |
$9.91–$108.75 | — | varies |
| Culture fungus (87102) range across 3 matching MRF lines |
$9.67–$23.90 | — | varies |
| Culture fungus blood (87103) range across 3 matching MRF lines |
$23.52–$37.50 | — | varies |
| Culture screen only (87081) range across 20 matching MRF lines |
$7.62–$159 | — | varies |
| Culture stool (87045) | $10.85 | — | 1.1× |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$30–$32.30 | — | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 7 matching MRF lines |
$5.95–$114 | — | varies |
| Culture urine (87086) | $9.28 | — | 1.1× |
| Cyanide (82600) | $44.87 | — | 2.3× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $31.48 | — | 2.2× |
| Cyclic amp (82030) | $81.50 | — | 3.2× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$28.57–$64.71 | — | varies |
| Cyp2c19 gene analysis common variants (81225) range across 2 matching MRF lines |
$168.88–$446.40 | — | varies |
| Cyp2d6 gene com variants (81226) | $199.76 | — | 0.4× |
| Cystatin C (82610) | $54 | — | 2.9× |
| Cytogenetics 10-30 (88273) range across 3 matching MRF lines |
$120–$1,100 | — | varies |
| Cytogenetics 100-300 (88275) range across 6 matching MRF lines |
$43–$535 | — | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$825–$1,400 | — | varies |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$5.73–$58.92 | — | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$21–$35 | — | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $72.38 | — | 2.7× |
| Cytp Concentration Smears & Interpretation (88108) | $55.24 | — | 1.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $77.07 | — | 1.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $251.98 | — | 1.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $55.24 | — | 1.1× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $13 | — | 0.7× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) range across 2 matching MRF lines |
$14–$25 | — | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $42.78 | — | 1.2× |
| Deoxycortisol (82634) | $26.21 | — | 0.9× |
| Deoxyribonuclease antibody (86215) | $16 | — | 1.2× |
| Desoxycorticosterone (82633) | $83.92 | — | 2.7× |
| Detect Agent Nos Dna Amp (87798) | $282.30 | — | 8.0× |
| Detect Agent Nos Dna Quant (87799) range across 14 matching MRF lines |
$75–$600 | — | varies |
| Detect agnt mult DNA ampli (87801) range across 5 matching MRF lines |
$130.28–$450.28 | — | varies |
| Dhea (82626) | $14.48 | — | 0.6× |
| Dhea-S (82627) | $7 | — | 0.3× |
| Digoxin (80162) | $15.27 | — | 1.1× |
| Dihydrotestosterone (82642) | $28.95 | — | 1.0× |
| Diphtheria antitoxoid (86648) | $20 | — | 1.3× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $25 | — | 0.7× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$8.50–$222.34 | — | varies |
| Dna Antibody Single Stranded (86226) range across 2 matching MRF lines |
$7.53–$62.84 | — | varies |
| Dna/Rna Amplified Probe (87150) | $40.35 | — | 1.1× |
| DNA/RNA direct probe (87149) range across 8 matching MRF lines |
$23.05–$223.50 | — | varies |
| Drug assay adalimumab (80145) | $212.50 | — | 5.5× |
| Drug Assay Infliximab (80230) | $212.50 | — | 5.5× |
| Drug Assay Posaconazole (80187) | $183.56 | — | 6.8× |
| Drug Assay Vedolizumab (80280) | $388.50 | — | 10.1× |
| Drug Screen Quantitative Gabapentin (80171) | $26 | — | 1.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $14.72 | — | 1.1× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $70 | — | 4.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 18 matching MRF lines |
$29.44–$495 | — | varies |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
$443–$525 | — | varies |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$55.49–$115 | — | varies |
| Electrolyte panel (80051) | $8.06 | — | 1.1× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$404–$412.58 | — | varies |
| Enterovirus Antibody (86658) range across 9 matching MRF lines |
$34.86–$197.07 | — | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$86.85–$87.82 | — | varies |
| Enzyme cell activity (82657) range across 4 matching MRF lines |
$38.60–$265 | — | varies |
| Erythropoietin (82668) | $19.71 | — | 1.0× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$17.85–$150.25 | — | varies |
| Estriol (82677) | $21.73 | — | 0.9× |
| Estrogen total (82672) | $14.48 | — | 0.7× |
| Ethosuximide (80168) | $17.10 | — | 1.0× |
| Ethylene Glycol (82693) range across 2 matching MRF lines |
$12–$24.92 | — | varies |
| Euglobulin lysis (85360) | $36 | — | 4.3× |
| Exam Synovial Fluid Crystals (89060) | $8.42 | — | 1.1× |
| F2 Gene (81240) | $22.68 | — | 0.3× |
| Factor ii activity (85210) | $37.44 | — | 2.9× |
| Factor Inhibitor Test (85335) range across 4 matching MRF lines |
$65–$212.30 | — | varies |
| Factor ix activity (85250) range across 3 matching MRF lines |
$65.14–$182 | — | varies |
| Factor v activity (85220) | $47.29 | — | 2.7× |
| Factor v leiden mutation (81241) | $38.60 | — | 0.5× |
| Factor vii assay (85230) | $37.44 | — | 2.1× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$27.02–$127 | — | varies |
| Factor X (85260) | $37.44 | — | 2.1× |
| Factor xi activity (85270) | $37.44 | — | 2.1× |
| Fat stain feces urine/respir secretions (89125) | $6.76 | — | 1.1× |
| Fat/Lipids Feces Quantitative (82710) | $64 | — | 3.8× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $37.45 | — | 4.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $190 | — | 11.1× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $70 | — | 10.7× |
| Fecal Fat Qualitative (82705) | $22.11 | — | 4.3× |
| Ferritin (82728) | $15.67 | — | 1.1× |
| Fetal Chrmoml Aneuploidy (81420) | $650 | — | 0.9× |
| Fetal Fibronectin (82731) | $74.07 | — | 1.1× |
| Fetal hemoglobin assay qual (83033) | $9.20 | — | 1.2× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $74 | — | 3.9× |
| Fetal screen rosette (85461) | $10.76 | — | 1.1× |
| Fibrin degradation products (85362) range across 2 matching MRF lines |
$7.92–$40.50 | — | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $11.17 | — | 1.1× |
| Fibrinogen activity (85384) | $11.17 | — | 1.1× |
| Fibrinogen antigen (85385) | $37.60 | — | 2.6× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $17.80 | — | 1.1× |
| Flow cytometry first marker (88184) range across 13 matching MRF lines |
$40–$608.80 | — | varies |
| Fluorescent antibody screen (86255) | $2,075 | — | 172.2× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 25 matching MRF lines |
$7.34–$786.19 | — | varies |
| Fmr1 Gene Charac Alleles (81244) range across 2 matching MRF lines |
$25.65–$1,510.45 | — | varies |
| Fmr1 gene detection (81243) | $96.50 | — | 1.7× |
| Folic acid rbc (82747) | $6.27 | — | 0.4× |
| Folic Acid Serum (82746) | $16.90 | — | 1.1× |
| Follicle Stimulating Hormone (83001) | $21.36 | — | 1.1× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $98 | — | 3.4× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $251.98 | — | 1.1× |
| Frozen blood freeze/thaw (86932) | $55.24 | — | 1.1× |
| Frozen Section (88331) | $251.98 | — | 1.1× |
| Fungi Identification Yeast (87106) range across 4 matching MRF lines |
$11.86–$47.25 | — | varies |
| Galactose (82760) | $88.75 | — | 7.9× |
| Galectin-3 (82777) | $75 | — | 1.7× |
| Gammaglobulin ige (82785) range across 6 matching MRF lines |
$5.64–$141.64 | — | varies |
| Gardner Vag Dna Quant (87512) | $92.64 | — | 2.2× |
| Gases blood ph only (82800) | $12.65 | — | 1.2× |
| Gastrin (82941) | $12 | — | 0.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $479.29 | — | 1.1× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $159 | — | 3.4× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 5 matching MRF lines |
$840–$2,592.50 | — | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $3,400 | — | 1.2× |
| Genet Virus Isolate Hsv (87255) | $21 | — | 0.6× |
| Gentamicin (80170) | $18.83 | — | 1.1× |
| Ggt (82977) range across 2 matching MRF lines |
$8.28–$133.50 | — | varies |
| Giardia antigen (87329) | $9.65 | — | 0.8× |
| Giardia lamblia antibody (86674) | $58 | — | 3.9× |
| Glucagon (82943) | $33.43 | — | 2.3× |
| Glucose 2 hr pp (82950) | $5.46 | — | 1.1× |
| Glucose body fluid (82945) | $4.51 | — | 1.1× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$4.51–$112.56 | — | varies |
| Glucose tolerance test (gtt) (82951) range across 5 matching MRF lines |
$14.80–$20.35 | — | varies |
| Glutathione (82978) | $61 | — | 3.9× |
| Glycated Protein (82985) | $5.79 | — | 0.3× |
| Gonadotropin Chorionic Qualitative (84703) | $8.64 | — | 1.1× |
| Gonadotropin releasing hormone (83727) range across 2 matching MRF lines |
$187–$260 | — | varies |
| Growth hormone (83003) | $12.06 | — | 0.7× |
| Gtt-added samples (82952) | $4.50 | — | 1.1× |
| H Pylori (C-13) Breath (83013) | $50 | — | 0.7× |
| Haptoglobin (83010) | $8.44 | — | 0.7× |
| Hba1/hba2 full gene sequence (81259) range across 2 matching MRF lines |
$549–$950 | — | varies |
| Hba1/Hba2 Gene (81257) | $460 | — | 4.5× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $431.25 | — | 2.1× |
| Hbb Full Gene Sequence (81364) | $1,340 | — | 4.1× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$2–$9.41 | — | varies |
| Heavy metal qualitative any analytes (83015) | $132.10 | — | 6.3× |
| Helicobacter Pylori Stool (87338) | $22.78 | — | 1.6× |
| Helminth Antibody (86682) range across 7 matching MRF lines |
$35.46–$163.20 | — | varies |
| Hematocrit (85014) | $2.72 | — | 1.1× |
| Hemoglobin (85018) | $2.72 | — | 1.1× |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$11.16–$13.17 | — | varies |
| Hemoglobin Chromotography (83021) | $5 | — | 0.3× |
| Hemoglobin electrophoresis (83020) | $12 | — | 0.9× |
| Hemoglobin plasma (83051) | $25 | — | 3.4× |
| Hemolysins&Agglutinins Incubated (86941) range across 2 matching MRF lines |
$12–$13.92 | — | varies |
| Hemosiderin urine (83070) | $41.90 | — | 8.8× |
| Hep a ab igm (86709) | $12.94 | — | 1.1× |
| Heparin assay (85520) | $73.82 | — | 5.6× |
| Hepatitis a antibody total (86708) | $8.44 | — | 0.7× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$8–$13.53 | — | varies |
| Hepatitis b core ab total (86704) | $9.65 | — | 0.8× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$4–$12.35 | — | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$6.42–$11.87 | — | varies |
| Hepatitis Be Antibody (86707) | $7.72 | — | 0.7× |
| Hepatitis Be Antigen (87350) | $7.72 | — | 0.7× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$6–$16.41 | — | varies |
| Hepatitis c antibody confirmatory test (86804) | $25.75 | — | 1.7× |
| Hepatitis C Genotype (87902) range across 4 matching MRF lines |
$120.63–$630 | — | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $56.94 | — | 1.6× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$57.90–$85 | — | varies |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$24.13–$72.10 | — | varies |
| Hereditary brst ca-related gen seq analys 10 gen (81432) range across 2 matching MRF lines |
$1,139.77–$1,188 | — | varies |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) range across 2 matching MRF lines |
$1,139.77–$1,188 | — | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$7.98–$150 | — | varies |
| Heterophile Antibody Screen (86308) | $5.95 | — | 1.1× |
| Hexa gene analysis common variants (81255) | $114.59 | — | 2.2× |
| Hfe Gene (81256) | $72.38 | — | 1.1× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $8.88 | — | 1.1× |
| Histamine urine (83088) | $64.17 | — | 2.2× |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$18–$88.25 | — | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$103–$109 | — | varies |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$241.25–$1,985 | — | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $25 | — | 1.0× |
| Hiv-1 Antibody (86701) | $25 | — | 2.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 4 matching MRF lines |
$72.38–$85 | — | varies |
| HIV-2 probe&revrse trnscripj (87538) | $195 | — | 5.6× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $140 | — | 0.8× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $146.54 | — | 1.1× |
| Hla class ii typing high resolution one locus ea (81382) | $215 | — | 1.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 2 matching MRF lines |
$80–$95 | — | varies |
| Hla I Typing 1 Allele Hr (81381) range across 3 matching MRF lines |
$173.70–$185 | — | varies |
| Hla ii typing 1 allele hr (81383) | $200 | — | 1.8× |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$96.50–$157.50 | — | varies |
| Hla Typing a/B/C Multiple Antigens (86813) range across 2 matching MRF lines |
$66.70–$340 | — | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $275 | — | 2.6× |
| Hla Typing Dr/Dq Single Antigen (86816) | $72.38 | — | 2.4× |
| Hla-b27 (86812) range across 3 matching MRF lines |
$15.44–$200 | — | varies |
| Homocysteine (83090) | $19.48 | — | 1.1× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$33–$58.50 | — | varies |
| Hpa-1 genotyping gene analysis common variant (81105) | $123.04 | — | 1.0× |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$37.44–$431 | — | varies |
| Hpv Types 16 & 18 Only (87625) | $60 | — | 1.5× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$74.88–$160 | — | varies |
| Htlv-I Antibody (86687) | $16 | — | 1.8× |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$96.50–$149.50 | — | varies |
| Hydroxycorticosteroids 17 (83491) | $36.75 | — | 2.1× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$13.99–$200 | — | varies |
| Hydroxyproline free (83500) range across 2 matching MRF lines |
$66–$120.75 | — | varies |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $21.71 | — | 1.8× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $34 | — | 2.8× |
| Iaad Ia Escherichia Coli 0157 (87335) | $14.55 | — | 1.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $24 | — | 2.3× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $15.99 | — | 1.1× |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
$13.77–$96 | — | varies |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) range across 2 matching MRF lines |
$41.60–$96.35 | — | varies |
| Iaadi herpes smplx virus type 1 (87274) | $33.84 | — | 2.8× |
| Iaadi inffluenza a virus (87276) range across 2 matching MRF lines |
$32–$80.25 | — | varies |
| Iaadi parainfluenza virus each type (87279) range across 5 matching MRF lines |
$32–$119.20 | — | varies |
| Iaadi pneumocustis carinii (87281) | $82.68 | — | 6.9× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $31.36 | — | 2.6× |
| Iaadi respiratory synctial virus (87280) | $32 | — | 2.4× |
| Iaadi Varicella Zoster Virus (87290) | $84.75 | — | 6.3× |
| Iadna Bartonella Amplified Probe Technique (87471) | $120.63 | — | 3.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $226.78 | — | 6.5× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 3 matching MRF lines |
$40.35–$675.50 | — | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 4 matching MRF lines |
$40.35–$261 | — | varies |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) range across 2 matching MRF lines |
$6–$12 | — | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$72.38–$255 | — | varies |
| Iadna Cytomegalovirus Quantification (87497) | $67.55 | — | 1.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $80.73 | — | 1.2× |
| Iadna hepatitis b virus amplified probe tq (87516) | $47.75 | — | 1.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $57.90 | — | 1.4× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $149 | — | 4.2× |
| Iadna Herpes Virus-6 Quantification (87533) | $265.38 | — | 6.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$120.63–$180 | — | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $40.13 | — | 1.1× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $16 | — | 0.4× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $305.89 | — | 6.3× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $66.75 | — | 3.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 4 matching MRF lines |
$85–$202.65 | — | varies |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $28.80 | — | 1.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$40.35–$261 | — | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$24.13–$140 | — | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $29.20 | — | 1.0× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $45 | — | 0.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $164.02 | — | 1.1× |
| Igg subclasses (82787) range across 3 matching MRF lines |
$8.62–$64.94 | — | varies |
| Igh gene rearrange amp meth (81261) range across 4 matching MRF lines |
$160–$758 | — | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 3 matching MRF lines |
$105–$365.66 | — | varies |
| Immune Complex Assay (86332) range across 4 matching MRF lines |
$17.96–$118.50 | — | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$12.55–$55.11 | — | varies |
| Immunoassay analyte qual/semiqual single step (83518) | $68 | — | 7.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 26 matching MRF lines |
$19.30–$1,760 | — | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 13 matching MRF lines |
$5–$641.87 | — | varies |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$19.82–$407.20 | — | varies |
| Immunodiffusion not elsewhere specified (86329) | $19.30 | — | 1.4× |
| Immunodiffusion Ouchterlony (86331) range across 3 matching MRF lines |
$32–$45 | — | varies |
| Immunoelectrophoresis Serum (86320) | $29 | — | 1.0× |
| Immunofixation electrophoresis (86334) range across 4 matching MRF lines |
$11.58–$129.04 | — | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 6 matching MRF lines |
$58.80–$690 | — | varies |
| Immunohistochemistry (88342) range across 7 matching MRF lines |
$40–$144 | — | varies |
| In situ hybridization 1st probe stain (88365) range across 7 matching MRF lines |
$96–$428.25 | — | varies |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) range across 2 matching MRF lines |
$36.23–$44.50 | — | varies |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) range across 2 matching MRF lines |
$32–$42.68 | — | varies |
| Influenza a/b ag eia (87400) | $16.24 | — | 1.1× |
| Influenza assay w/optic (87804) | $19.03 | — | 1.1× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$110.17–$127.50 | — | varies |
| Inhibin A (86336) | $19.30 | — | 1.2× |
| Inhibin b (83520) | $89.30 | — | 5.2× |
| Insitu hybridization auto (88367) range across 2 matching MRF lines |
$133.75–$175 | — | varies |
| Insitu hybridization manual (88368) range across 4 matching MRF lines |
$133.75–$400 | — | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$19.30–$42.50 | — | varies |
| Insulin free (83527) | $27.99 | — | 2.2× |
| Insulin total (83525) range across 4 matching MRF lines |
$6.76–$68.09 | — | varies |
| Interleukin-6 (83529) | $90 | — | 5.2× |
| Intrinsic factor antibody (86340) | $12.06 | — | 0.8× |
| Iron (83540) range across 3 matching MRF lines |
$7.44–$252.60 | — | varies |
| Iron Binding Capacity (83550) | $10.05 | — | 1.1× |
| Irradiation Blood Product Each Unit (86945) | $55.24 | — | 1.1× |
| Islet cell antibody (86341) range across 9 matching MRF lines |
$25–$696.25 | — | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 5 matching MRF lines |
$78.16–$1,035 | — | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $210 | — | 1.1× |
| Ketosteroids 17 total (83586) | $32.50 | — | 2.5× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $334.66 | — | 1.0× |
| Koh Prep (87220) range across 2 matching MRF lines |
$4.91–$29.25 | — | varies |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$275–$500 | — | varies |
| L/s ratio (83661) range across 2 matching MRF lines |
$50–$136 | — | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$6.94–$13.51 | — | varies |
| Lactoferrin fecal qualitative (83630) | $62.50 | — | 3.2× |
| Ldh Isoenzymes (83625) | $37.99 | — | 3.0× |
| LDL direct (83721) range across 2 matching MRF lines |
$12.07–$13.51 | — | varies |
| Lead (83655) range across 2 matching MRF lines |
$4.83–$5.73 | — | varies |
| Legionella antibody (86713) range across 5 matching MRF lines |
$10.13–$80.10 | — | varies |
| Legionella antigen urine (87449) range across 13 matching MRF lines |
$11.58–$130 | — | varies |
| Legionella pneumophila dfa (87278) | $47.48 | — | 3.0× |
| Leptospira antibody (86720) | $17.72 | — | 1.1× |
| Leukocyte Assessment Fecal (89055) | $4.91 | — | 1.1× |
| Leukocyte Histamine Release (86343) | $100 | — | 8.0× |
| Leukocyte phagocytosis (86344) | $11.94 | — | 1.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $42.78 | — | 1.2× |
| Level ii surg pathology grossµscopic exam (88302) | $55.24 | — | 1.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $530.17 | — | 1.1× |
| Lidocaine (80176) | $18.38 | — | 1.3× |
| Lipase (83690) | $26.72 | — | 3.9× |
| Lipoprotein A (83695) | $12 | — | 0.8× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$22.61–$30 | — | varies |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $24.13 | — | 2.1× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines |
$47–$58.50 | — | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) | $178.50 | — | 3.9× |
| Listeria Monocytogenes (86723) | $91.50 | — | 6.9× |
| Lithium (80178) range across 2 matching MRF lines |
$4.83–$7.60 | — | varies |
| Liver ds alys 3 bmrk srm alg (81517) | $340 | — | 1.9× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$21.29–$49.50 | — | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$18.34–$37.10 | — | varies |
| Lymphocyte transformation (86353) | $70.60 | — | 1.4× |
| Lysozyme serum (85549) | $25.84 | — | 1.4× |
| M. Genitalium Amp Probe (87563) | $112 | — | 3.2× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $282 | — | 8.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 5 matching MRF lines |
$111.24–$335.50 | — | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 3 matching MRF lines |
$267.50–$461.04 | — | varies |
| Macroscopic exam arthropod (87168) | $4.91 | — | 1.1× |
| Macroscopic Exam Parasite (87169) | $4.95 | — | 1.1× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$7.70–$34.42 | — | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$40.50–$57.90 | — | varies |
| Meat fibers, feces (89160) range across 3 matching MRF lines |
$5.57–$79.03 | — | varies |
| Mecp2 gene full seq (81302) | $110 | — | 0.2× |
| Mercury urine (83825) | $14.25 | — | 0.9× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$14–$131.92 | — | varies |
| Microalbumin, quantitative (82043) | $6.64 | — | 1.1× |
| Microbe Suscept Macrobroth (87188) | $47 | — | 7.1× |
| Microsatellite instability (81301) range across 2 matching MRF lines |
$275.52–$350 | — | varies |
| Microsomal Antibodies Each (86376) range across 5 matching MRF lines |
$8.11–$138 | — | varies |
| Mitochondrial Antibody Each (86381) | $75 | — | 2.9× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,350 | — | 2.0× |
| Molecular Cytogenetics Dna Probe Each (88271) | $961 | — | 44.9× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $225 | — | 5.3× |
| Molecular Pathology Procedure Level 3 (81402) range across 5 matching MRF lines |
$210–$375 | — | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 4 matching MRF lines |
$320–$2,632 | — | varies |
| Mononuclear cell antigen (86356) | $75 | — | 2.8× |
| Mopath procedure level 1 (81400) range across 3 matching MRF lines |
$73.55–$143.30 | — | varies |
| Mopath procedure level 2 (81401) range across 6 matching MRF lines |
$85.38–$1,577.50 | — | varies |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$175–$282.61 | — | varies |
| Mopath procedure level 5 (81404) range across 4 matching MRF lines |
$406–$1,145 | — | varies |
| Mopath procedure level 7 (81406) range across 2 matching MRF lines |
$986–$2,850 | — | varies |
| Mopath procedure level 9 (81408) | $1,625 | — | 0.8× |
| Mpl gene common variants (81338) | $350 | — | 2.3× |
| Mthfr Gene Analysis Common Variants (81291) | $168.88 | — | 2.6× |
| Mucopolysaccharides acid quantitative (83864) | $100 | — | 3.5× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$8.42–$18.14 | — | varies |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$45–$79.50 | — | varies |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$14.48–$46.25 | — | varies |
| Mycoplasma culture (87109) range across 5 matching MRF lines |
$20.36–$198 | — | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) range across 3 matching MRF lines |
$290–$442.94 | — | varies |
| Myelin basic protein csf (83873) range across 3 matching MRF lines |
$18.34–$95.50 | — | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$14.48–$26.50 | — | varies |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$40–$129 | — | varies |
| Neutralization Test Viral (86382) | $637.75 | — | 37.7× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $147.53 | — | 1.1× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $33.60 | — | 1.1× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $120.63 | — | 0.5× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) range across 3 matching MRF lines |
$277.92–$627.25 | — | varies |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $860 | — | 6.7× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $250 | — | 0.5× |
| Niacin (84591) range across 3 matching MRF lines |
$54.15–$75 | — | varies |
| Nk cells total count (86357) | $26.06 | — | 0.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $1,580.93 | — | 6.4× |
| Nras gene variants exon 2&3 (81311) range across 2 matching MRF lines |
$275–$580 | — | varies |
| Nuclear antigen antibody (86235) range across 24 matching MRF lines |
$8.18–$1,392.16 | — | varies |
| Occult blood feces (82272) | $4.86 | — | 1.1× |
| Occult Blood Other Sources (82271) | $6.11 | — | 1.1× |
| Oligoclonal bands (83916) range across 3 matching MRF lines |
$16.89–$187.50 | — | varies |
| Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping),… (81520) | $3,360 | — | 1.3× |
| Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) | $4,750 | — | 1.3× |
| Oncoprotein dcp (83951) | $195 | — | 3.0× |
| Organic Acids Qualitative Each Specimen (83919) | $209 | — | 12.7× |
| Organic acids urine (83918) | $180 | — | 7.6× |
| Osmolality serum (83930) | $7.60 | — | 1.1× |
| Osmolality Urine (83935) | $7.84 | — | 1.1× |
| Osmotic fragility rbc incubated (85557) | $25.81 | — | 1.9× |
| Osteocalcin (83937) | $30 | — | 1.0× |
| Ova and parasites smears (87177) range across 4 matching MRF lines |
$10.23–$76.50 | — | varies |
| Oxalate urine (83945) range across 3 matching MRF lines |
$13.61–$93 | — | varies |
| Pancreatic Elastase Fecal (82656) | $112 | — | 9.7× |
| Particle Agglut Antbdy Titr (86406) range across 3 matching MRF lines |
$35.50–$93 | — | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 6 matching MRF lines |
$9.65–$221.59 | — | varies |
| Parvovirus antibody (86747) | $28.95 | — | 1.9× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,191.67 | — | 1.1× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $250 | — | 1.0× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $395 | — | 1.2× |
| Ph urine (81003) | $2.58 | — | 1.1× |
| Phenobarbital Level (80184) | $17.59 | — | 1.1× |
| Phenotype Infect Agent Drug (87900) | $890 | — | 6.8× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$49.90–$210 | — | varies |
| Phenytoin (Dilantin) (80185) | $15.23 | — | 1.1× |
| Phenytoin free (80186) | $21.71 | — | 1.6× |
| Phosphatase acid prostatic (84066) | $9.41 | — | 1.0× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$5.95–$13 | — | varies |
| Phosphatidylglycerol (84081) range across 3 matching MRF lines |
$20.27–$85.50 | — | varies |
| Phosphorus Serum (84100) | $5.45 | — | 1.1× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$6.64–$10.51 | — | varies |
| Pinworm exam (87172) | $4.91 | — | 1.1× |
| Platelet Aggregation (85576) | $28.64 | — | 1.1× |
| Platelet Antibodies (86022) range across 9 matching MRF lines |
$21.12–$315 | — | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$5.15–$112.56 | — | varies |
| Platelet neutralization (85597) range across 6 matching MRF lines |
$11–$43 | — | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) range across 2 matching MRF lines |
$162.12–$280 | — | varies |
| Pooling blood platelets (86965) | $251.98 | — | 1.1× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$24.13–$24.50 | — | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 5 matching MRF lines |
$16.41–$76.61 | — | varies |
| Potassium Urine (84133) | $5.43 | — | 1.1× |
| Prealbumin (84134) range across 2 matching MRF lines |
$16.77–$300 | — | varies |
| Pregnenolone (84140) | $35.22 | — | 1.7× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $251.98 | — | 1.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $87.25 | — | 1.1× |
| Pretx serum rbc antibody identification dilution (86976) | $42.78 | — | 1.2× |
| Primidone (80188) | $37.76 | — | 2.3× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$31.30–$245 | — | varies |
| Progesterone (84144) range across 2 matching MRF lines |
$12–$23.98 | — | varies |
| Prolactin (84146) range across 3 matching MRF lines |
$22.28–$130 | — | varies |
| Protein body fluid (84157) range across 3 matching MRF lines |
$4.60–$94.78 | — | varies |
| Protein C Activity (85303) | $32.09 | — | 2.3× |
| Protein c antigen (85302) | $21.23 | — | 1.8× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$12–$85.35 | — | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $39.57 | — | 3.7× |
| Protein S Free (85306) range across 2 matching MRF lines |
$33.78–$150 | — | varies |
| Protein s total (85305) | $12.37 | — | 1.1× |
| Protein Total Refractometry Any Src (84160) | $6.45 | — | 1.1× |
| Protein total serum (84155) | $4.22 | — | 1.1× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$4.22–$75 | — | varies |
| Protein Western Blot Test (84182) range across 26 matching MRF lines |
$50–$1,038.45 | — | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $11.08 | — | 2.8× |
| Protoporphyrin rbc quantitative (84202) range across 2 matching MRF lines |
$31–$47.50 | — | varies |
| PSA free (84154) | $30.49 | — | 1.7× |
| Pth Intact (83970) range across 3 matching MRF lines |
$18.09–$47.47 | — | varies |
| Pyruvate kinase (84220) | $170.20 | — | 18.0× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$28.23–$47.32 | — | varies |
| Quantiferon tb gold plus (86480) | $43.43 | — | 0.7× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$89–$285 | — | varies |
| Quantitative Screen Metals (83018) range across 8 matching MRF lines |
$33.85–$138 | — | varies |
| Quinidine (80194) | $25 | — | 1.7× |
| Rbc antibody elution (86860) | $251.98 | — | 1.1× |
| Rbc antibody identification (86870) | $530.17 | — | 1.1× |
| Rbc antibody screen (86850) | $11.23 | — | 1.1× |
| Rbc pretreatment serum (86978) | $87.25 | — | 1.1× |
| Rbc pretx incubatj w/enzymes (86971) | $251.98 | — | 1.1× |
| Rbc serum pretx incubj drugs (86975) | $660.74 | — | 1.1× |
| Reagent Strip/Blood Glucose (82948) | $5.79 | — | 1.1× |
| Renin activity plasma (84244) | $12 | — | 0.5× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$262–$479.29 | — | varies |
| Resp Virus 6-11 Targets (87632) range across 2 matching MRF lines |
$329.55–$1,133.14 | — | varies |
| Reticulocyte separation (86972) | $251.98 | — | 1.1× |
| Rh (86901) | $3.43 | — | 1.1× |
| Rheumatoid Factor Qualitative (86430) | $22.50 | — | 3.7× |
| Rheumatoid factor quant (86431) range across 4 matching MRF lines |
$6.52–$1,636.74 | — | varies |
| Rickettsia antibody (86757) range across 13 matching MRF lines |
$22–$50 | — | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$28–$60 | — | varies |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$13.77–$68.25 | — | varies |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$2.92–$19.17 | — | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$5.73–$16.54 | — | varies |
| Rubeola antibody (86765) | $91.23 | — | 7.1× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$13.05–$28.95 | — | varies |
| Salmonella antibody (86768) | $34.98 | — | 2.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$65–$298 | — | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 5 matching MRF lines |
$48.45–$65 | — | varies |
| Sedimentation rate (85651) | $4.91 | — | 1.1× |
| Selenium (84255) range across 2 matching MRF lines |
$24.61–$64.66 | — | varies |
| Semen Anal Sperm Detection (89321) | $13.85 | — | 1.1× |
| Sensitivity mic (87186) range across 35 matching MRF lines |
$9.94–$528 | — | varies |
| Serpina 1 gene (81332) | $223.64 | — | 5.1× |
| Sex Hormone Binding Globulin (84270) | $14.96 | — | 0.7× |
| Sickling of rbc reduction (85660) | $6.33 | — | 1.1× |
| Sirolimus (80195) | $123 | — | 9.0× |
| Smear acid fast (87206) range across 4 matching MRF lines |
$4.83–$48 | — | varies |
| Smear complex stain (87209) | $20.67 | — | 1.1× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$4.91–$48.22 | — | varies |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$6.88–$80.25 | — | varies |
| Smn1 Gene Dos/Deletion Alys (81329) range across 3 matching MRF lines |
$262.16–$607 | — | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$6.69–$39.75 | — | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $296.25 | — | 5.8× |
| So neo gsap DNA mcrstl ins (81457) | $1,523 | — | 1.7× |
| Sodium Serum (84295) | $5.53 | — | 1.1× |
| Sodium Urine (84300) | $5.81 | — | 1.1× |
| Soluble Transferrin Receptor (84238) range across 4 matching MRF lines |
$43.43–$359.50 | — | varies |
| Somatomedin (84305) | $18.34 | — | 0.9× |
| Somatostatin (84307) | $82 | — | 4.5× |
| Special Stains Group 1 (88312) range across 4 matching MRF lines |
$25–$77.25 | — | varies |
| Special Stains Group 2 (88313) range across 7 matching MRF lines |
$25–$196.78 | — | varies |
| Specimen infect agnt concntj (87015) range across 5 matching MRF lines |
$7.68–$92.25 | — | varies |
| Spectrophotometry (84311) range across 6 matching MRF lines |
$10–$150 | — | varies |
| Sperm Antibodies (89325) | $58 | — | 5.4× |
| Splitting Blood/Blood Products Each Unit (86985) | $251.98 | — | 1.1× |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$10.85–$37.59 | — | varies |
| Strep a assay w/optic (87880) | $19 | — | 1.1× |
| Strep a DNA amp probe (87651) | $40.35 | — | 1.1× |
| Strep b DNA amp probe (87653) | $40.35 | — | 1.1× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) range across 2 matching MRF lines |
$35–$307.23 | — | varies |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$6.32–$112.38 | — | varies |
| Surg path level iii (88304) range across 2 matching MRF lines |
$39.97–$77.07 | — | varies |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$44–$80 | — | varies |
| Surgical pathology level vi (88309) | $1,191.67 | — | 1.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 14 matching MRF lines |
$5.46–$186.73 | — | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 9 matching MRF lines |
$8.60–$67.50 | — | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 8 matching MRF lines |
$35–$303 | — | varies |
| Syphilis Test Non-Trep Quant (86593) | $5.06 | — | 1.2× |
| T cells absolute cd4 count (86361) | $29.45 | — | 1.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $45.36 | — | 1.0× |
| T cells total count (86359) range across 2 matching MRF lines |
$37.15–$396.07 | — | varies |
| T3 Free (84481) range across 3 matching MRF lines |
$7–$19.48 | — | varies |
| T3 reverse (84482) | $14.23 | — | 0.9× |
| T3 Total (84480) | $16.30 | — | 1.1× |
| T3 Uptake (84479) | $5 | — | 0.8× |
| T4 Free (84439) range across 2 matching MRF lines |
$10.37–$14.33 | — | varies |
| T4 total (84436) range across 3 matching MRF lines |
$3.86–$14.48 | — | varies |
| Tacrolimus (80197) | $20 | — | 1.5× |
| Tb ag response t-cell susp (86481) | $84 | — | 0.8× |
| Testosterone total (84403) range across 3 matching MRF lines |
$8.69–$29.68 | — | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$15.44–$28.47 | — | varies |
| Tetanus antibody (86774) | $18.72 | — | 1.3× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 2 matching MRF lines |
$1,300–$5,000 | — | varies |
| Theophylline (80198) | $13.58 | — | 1.0× |
| Thrombin Time (85670) | $4 | — | 0.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$7.44–$8.10 | — | varies |
| Thyroglobulin (84432) range across 4 matching MRF lines |
$15.86–$160 | — | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$7.41–$21.41 | — | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $33.78 | — | 0.7× |
| Thyroxine binding globulin (84442) | $25 | — | 1.7× |
| Tiss cul neo disorders solid tumor (88239) | $451.50 | — | 3.1× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$490–$560 | — | varies |
| Tissue Culture Amniotic Fluid (88235) | $362 | — | 2.4× |
| Tissue culture bone marrow (88237) range across 10 matching MRF lines |
$125–$680 | — | varies |
| Tissue Culture Lymphocyte (88230) range across 5 matching MRF lines |
$100–$435 | — | varies |
| Tobramycin peak (80200) | $18.54 | — | 1.1× |
| Topiramate (80201) | $33.78 | — | 2.8× |
| Touch prep (88161) | $42.78 | — | 1.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 3 matching MRF lines |
$63.95–$120.63 | — | varies |
| Toxoplasma ab igm (86778) range across 4 matching MRF lines |
$5.73–$160 | — | varies |
| Toxoplasma antibody (86777) range across 8 matching MRF lines |
$11.62–$186 | — | varies |
| Tpmt gene com variants (81335) | $395 | — | 2.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$5.95–$112.56 | — | varies |
| Transferrin (84466) | $14.67 | — | 1.1× |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 4 matching MRF lines |
$300–$1,333.50 | — | varies |
| Trg gene rearrangement anal (81342) range across 3 matching MRF lines |
$137.76–$748.80 | — | varies |
| Trichinella Antibody (86784) | $48.25 | — | 3.8× |
| Trichomonas Vaginalis Amplif (87661) | $108.88 | — | 3.1× |
| Triglycerides (84478) | $6.60 | — | 1.1× |
| Troponin Quant (84484) range across 4 matching MRF lines |
$14.34–$16.75 | — | varies |
| Tumor immunohistochem/comput (88361) range across 3 matching MRF lines |
$45–$157 | — | varies |
| Tumor Immunohistochem/Manual (88360) range across 12 matching MRF lines |
$48–$154.50 | — | varies |
| Urea nitrogen urine (84540) | $6.39 | — | 1.1× |
| Uric acid other source (84560) | $5.84 | — | 1.1× |
| Urinalysis Microscopic Only (81015) | $3.50 | — | 1.1× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $12.25 | — | 5.6× |
| Urinalysis Volume Measure (81050) | $4.18 | — | 1.1× |
| Urine Bacteria Culture (87088) | $9.30 | — | 1.1× |
| Urine Pregnancy Test (81025) | $9.90 | — | 1.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $3.64 | — | 1.1× |
| Valproic acid (80164) range across 2 matching MRF lines |
$15.57–$41.05 | — | varies |
| Vancomycin (80202) | $15.57 | — | 1.1× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$3.86–$59.50 | — | varies |
| Vasopressin (84588) | $38.10 | — | 1.1× |
| Very Long Chain Fatty Acids (82726) range across 2 matching MRF lines |
$111.18–$218.28 | — | varies |
| Viral Culture (87252) | $40 | — | 1.5× |
| Virus antibody nos (86790) range across 9 matching MRF lines |
$13.99–$91.68 | — | varies |
| Virus inoculation, shell via (87254) range across 7 matching MRF lines |
$33.78–$199.50 | — | varies |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | $81 | — | 4.1× |
| Viscosity serum (85810) range across 2 matching MRF lines |
$12–$57.04 | — | varies |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$15.44–$220 | — | varies |
| Vitamin A (84590) | $11.58 | — | 1.0× |
| Vitamin b-12 (82607) | $17.34 | — | 1.1× |
| Vitamin B2 (Riboflavin) (84252) | $53.08 | — | 2.6× |
| Vitamin B6 (84207) | $13.51 | — | 0.5× |
| Vitamin c (82180) | $13.51 | — | 1.4× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$9–$34.04 | — | varies |
| Vitamin E (84446) | $13.51 | — | 1.0× |
| Vitamin K (84597) | $107 | — | 7.8× |
| Volatiles (84600) range across 3 matching MRF lines |
$28–$80 | — | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $195 | — | 16.2× |
| Von willebrand factor ag (85246) | $28 | — | 1.2× |
| Wbc Alkaline Phosphatase Count (85540) | $83.20 | — | 9.7× |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$33.78–$58.87 | — | varies |
| Western Blot Test (84181) range across 10 matching MRF lines |
$27–$600 | — | varies |
| Xylose Absorption Test (84620) | $39 | — | 3.0× |
| Zika Virus Dna/Rna Amp Probe (87662) | $385 | — | 7.5× |
| Zika Virus Igm Antibody (86794) range across 2 matching MRF lines |
$275–$1,045 | — | varies |
| Zinc (84630) range across 3 matching MRF lines |
$8.93–$27.08 | — | 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.