Lab & pathology prices at Providence Sacred Heart Medical Center & Children's Hospital
Spokane, WA · every code in this section with a posted price and a Medicare benchmark.
760 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $82.60 | $118 | 3.6× |
| 5 Nucleotidase (83915) | $63 | $90 | 5.7× |
| Acetylcholine receptor binding antibody (86041) | $74.90 | $107 | 4.1× |
| Acetylcholine receptor blocking antibody (86042) | $74.90 | $107 | 4.1× |
| Acetylcholinesterase Assay (82013) | $63 | $90 | 5.1× |
| Acetylcholn Rcptr Modlg Antb (86043) | $74.90 | $107 | 6.2× |
| Acth (82024) | $203 | $290 | 5.3× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $170.80 | $244 | 5.2× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$79.10–$84 | $113–$120 | varies |
| Acute hepatitis panel (80074) | $151.90 | $217 | 3.2× |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$32.90–$93.10 | $47–$133 | varies |
| Agglutinins Febrile Each Antigen (86000) | $57.40 | $82 | 8.2× |
| Albumin Fluid (82042) range across 6 matching MRF lines |
$29.40–$30.80 | $42–$44 | varies |
| Albumin serum (82040) range across 4 matching MRF lines |
$28–$28.70 | $40–$41 | varies |
| Aldolase (82085) | $56 | $80 | 5.8× |
| Aldosterone urine (82088) | $224.70 | $321 | 5.5× |
| Alkaline phosphatase isoenzymes (84080) | $108.50 | $155 | 7.3× |
| Allergen specific ige (86003) | $43.40 | $62 | 8.3× |
| Allergen specific igg (86001) | $43.40 | $62 | 5.5× |
| Allg Spec Ige Recomb Ea (86008) | $39.90 | $57 | 2.2× |
| Alpha-1-antitrypsin phenotype (82104) | $81.90 | $117 | 5.7× |
| Alpha-1-antitrypsin total (82103) | $75.60 | $108 | 5.6× |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$72.10–$95.20 | $103–$136 | varies |
| Alt (sgpt) (84460) | $31.50 | $45 | 5.9× |
| Aluminum (82108) | $142.10 | $203 | 5.6× |
| Amikacin trough (80150) | $96.60 | $138 | 6.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $95.20 | $136 | 4.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $32.90 | $47 | 2.0× |
| Aminolevulinic acid (ala) (82135) | $91.70 | $131 | 5.6× |
| Ammonia (82140) | $82.60 | $118 | 5.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $356.30 | $509 | 3.6× |
| Amniotic fluid scan (82143) | $39.90 | $57 | 4.3× |
| Amylase urine (82150) range across 9 matching MRF lines |
$37.80–$219.80 | $54–$314 | varies |
| Ana Titer (86039) | $92.40 | $132 | 8.3× |
| Anca Titer Each Antibody (86037) range across 3 matching MRF lines |
$32.20–$35 | $46–$50 | varies |
| Androstenedione (82157) | $163.10 | $233 | 5.6× |
| Angiotensin converting enzyme csf (82164) | $82.60 | $118 | 5.7× |
| Anti-Phospholipid Antibody (86148) | $130.20 | $186 | 8.1× |
| Antibody aspergillus (86606) | $121.80 | $174 | 8.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$27.30–$34.30 | $39–$49 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$44.80–$74.90 | $64–$107 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $136.50 | $195 | 8.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $105.70 | $151 | 8.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $122.50 | $175 | 8.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $145.60 | $208 | 8.0× |
| Antibody Fungus Not Elsewhere Specified (86671) | $62.30 | $89 | 5.1× |
| Antibody helicobacter pylori (86677) | $117.60 | $168 | 7.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $106.40 | $152 | 7.4× |
| Antibody Herpes Smplx Type 1 (86695) | $106.40 | $152 | 8.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $109.90 | $157 | 8.0× |
| Antibody HIV-2 (86702) | $108.50 | $155 | 8.0× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $1,072.40 | $1,532 | 3.3× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $350.70 | $501 | 4.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $156.10 | $223 | 8.1× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$578.20–$1,154.30 | $826–$1,649 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $101.50 | $145 | 8.1× |
| Antibody Protozoa Nes (86753) | $101.50 | $145 | 8.2× |
| Antibody Titer (86886) | $64.40 | $92 | 12.4× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$96.60–$106.40 | $138–$152 | varies |
| Antigen typing (86905) range across 5 matching MRF lines |
$27.30–$56 | $39–$80 | varies |
| Antinomyces antibody (86602) range across 2 matching MRF lines |
$21.70–$26.60 | $31–$38 | varies |
| Antinuclear antibodies (86038) | $97.30 | $139 | 8.0× |
| Antistreptolysin O Screen (86063) | $42.70 | $61 | 7.4× |
| Antistreptolysin o titer (86060) | $58.80 | $84 | 8.1× |
| Antithrombin iii activity (85300) | $53.90 | $77 | 4.5× |
| Antithrombin iii antigen (85301) | $49.70 | $71 | 4.6× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$54.60–$88.20 | $78–$126 | varies |
| Arsenic (82175) range across 5 matching MRF lines |
$81.90–$88.20 | $117–$126 | varies |
| Aspergillus ag eia (87305) | $106.40 | $152 | 8.9× |
| Assay activated protein c (85307) | $70 | $100 | 4.6× |
| Assay Blood Carbon Dioxide (82374) | $28.70 | $41 | 5.9× |
| Assay Nephelometry Not Spec (83883) range across 6 matching MRF lines |
$49–$76.30 | $70–$109 | varies |
| Assay of 5-hiaa (83497) range across 4 matching MRF lines |
$69.30–$72.10 | $99–$103 | varies |
| Assay of blood/uric acid (84550) | $25.90 | $37 | 5.7× |
| Assay of calcium in urine (82340) | $35 | $50 | 5.8× |
| Assay of estrone (82679) range across 3 matching MRF lines |
$68.60–$123.90 | $98–$177 | varies |
| Assay of g6pd enzyme (82955) | $39.90 | $57 | 4.1× |
| Assay of gammaglobulin igm (82784) range across 19 matching MRF lines |
$43.40–$52.50 | $62–$75 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$59.50–$60.20 | $85–$86 | varies |
| Assay of manganese (83785) | $60.20 | $86 | 2.3× |
| Assay of metanephrines (83835) | $95.90 | $137 | 5.7× |
| Assay of proinsulin (84206) | $99.40 | $142 | 3.7× |
| Assay of pyruvate (84210) | $61.60 | $88 | 4.3× |
| Assay of serotonin (84260) | $172.20 | $246 | 5.6× |
| Assay of serum potassium (84132) range across 6 matching MRF lines |
$22.40–$25.90 | $32–$37 | varies |
| Assay of sweat sodium (84302) | $28.70 | $41 | 5.9× |
| Assay of urea nitrogen (84520) | $22.40 | $32 | 5.7× |
| Assay of urine vma (84585) range across 5 matching MRF lines |
$78.40–$91.70 | $112–$131 | varies |
| Assay of vasoactive intestinal peptide (84586) | $197.40 | $282 | 5.6× |
| Assay of vitamin b-1 (84425) | $118.30 | $169 | 5.6× |
| Assay Ph Body Fluid Nos (83986) | $18.90 | $27 | 5.3× |
| Assay spec xcp ur&breath ia (82077) | $371.70 | $531 | 21.5× |
| Automated Leukocyte Count (85048) | $11.90 | $17 | 4.7× |
| B cells total count (86355) | $302.40 | $432 | 8.0× |
| Bacterial antigens 87802 (87802) | $30.80 | $44 | 2.4× |
| Bartonella antibody (86611) range across 5 matching MRF lines |
$73.50–$83.30 | $105–$119 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$474.60–$546 | $678–$780 | varies |
| Bcr/abl1 gene minor bp (81207) | $291.90 | $417 | 2.0× |
| Beta 2 glycoprotein i antibody each (86146) range across 6 matching MRF lines |
$176.40–$203.70 | $252–$291 | varies |
| Beta hydroxybutyrate (82010) | $44.80 | $64 | 5.5× |
| Beta Lactamase (87185) | $27.30 | $39 | 5.7× |
| Beta-2 Microglobulin (82232) | $91 | $130 | 5.6× |
| Bile acids total (82239) | $96.60 | $138 | 5.6× |
| Bilirubin direct (82248) | $25.90 | $37 | 5.2× |
| Bilirubin total (82247) | $25.90 | $37 | 5.2× |
| Bilirubin total transcutaneous (88720) | $25.90 | $37 | 5.2× |
| Bl Smear W/O Diff Wbc Count (85008) | $21 | $30 | 6.1× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$95.20–$105 | $136–$150 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $380.80 | $544 | 2.0× |
| Bld Typing Serologic Rh Phnt (86906) | $189.70 | $271 | 24.5× |
| Bleeding time test (85002) | $21 | $30 | 4.4× |
| Blood Count Red Blood Cell Automated (85041) | $14 | $20 | 4.6× |
| Blood count reticulocyte automated (85045) | $18.20 | $26 | 4.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $29.40 | $42 | 7.7× |
| Blood count spun microhematocrit (85013) | $11.20 | $16 | 1.6× |
| Blood gas (82803) | $67.90 | $97 | 2.6× |
| Blood gases w/02 saturation (82805) range across 7 matching MRF lines |
$67.90–$135.80 | $97–$194 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $78.40 | $112 | 4.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $19.60 | $28 | 4.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$56–$64.40 | $80–$92 | varies |
| Blood typing serologic abo (86900) | $27.30 | $39 | 9.1× |
| Body fluid cell count (89050) | $25.20 | $36 | 5.3× |
| Bone marrow smear interpretation (85097) | $82.60 | $118 | 0.1× |
| Bordetella antibody (86615) | $106.40 | $152 | 8.1× |
| Borrelia Antibody (86619) | $107.10 | $153 | 8.0× |
| Braf gene analysis (81210) | $667.80 | $954 | 3.8× |
| Breath Alcohol Test (82075) | $67.20 | $96 | 2.2× |
| Brucella antibody (86622) | $189.70 | $271 | 21.2× |
| C diff amplified probe (87493) | $308 | $440 | 8.3× |
| C-Peptide (84681) | $114.80 | $164 | 5.5× |
| C-reactive protein (86140) | $43.40 | $62 | 8.4× |
| Ca 19-9 (86301) | $166.60 | $238 | 8.0× |
| Caffeine (80155) | $82.60 | $118 | 2.1× |
| Calcitonin (82308) | $148.40 | $212 | 5.5× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$75.60–$76.30 | $108–$109 | varies |
| Calcium total (82310) | $30.80 | $44 | 6.0× |
| Calculus Spectroscopy (82365) | $72.10 | $103 | 5.6× |
| Calprotectin Fecal (83993) | $211.40 | $302 | 10.8× |
| Calr gene com variants (81219) range across 3 matching MRF lines |
$254.10–$1,066.80 | $363–$1,524 | varies |
| Cancer Antigen 125 (86304) | $166.60 | $238 | 8.0× |
| Cancer Antigen 27.29 (86300) | $166.60 | $238 | 8.0× |
| Candida Dna Dir Probe (87480) | $177.10 | $253 | 8.8× |
| Carbamazepine total (80156) | $94.50 | $135 | 6.5× |
| Carboxyhemoglobin (82375) | $67.90 | $97 | 5.5× |
| Carcinoembryonic antigen (82378) | $105.70 | $151 | 5.6× |
| Cardiolipin ab iga (86147) | $203.70 | $291 | 8.0× |
| Carnitine Quantitative Each Specimen (82379) | $32.90 | $47 | 2.0× |
| Carotene (82380) | $52.50 | $75 | 5.7× |
| Catecholamines fractionated (82384) | $97.30 | $139 | 3.9× |
| Ccp antibody (86200) | $105 | $150 | 8.1× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $774.90 | $1,107 | 3.2× |
| Cell count csf (89051) | $30.80 | $44 | 5.5× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $1,081.50 | $1,545 | 8.0× |
| Ceruloplasmin (82390) | $60.20 | $86 | 5.6× |
| Cftr gene com variants (81220) | $944.30 | $1,349 | 1.7× |
| Cftr gene full sequence (81223) | $44.80 | $64 | 0.1× |
| Chemiluminescent assay (82397) | $72.80 | $104 | 5.2× |
| Chlamydia antibody (86631) | $96.60 | $138 | 8.2× |
| Chlamydia Igm Antibody (86632) | $102.90 | $147 | 8.1× |
| Chloride other source (82438) range across 6 matching MRF lines |
$22.40–$23.80 | $32–$34 | varies |
| Chloride Serum (82435) | $25.90 | $37 | 5.6× |
| Chloride urine (82436) range across 5 matching MRF lines |
$28–$28.70 | $40–$41 | varies |
| Cholesterol total (82465) | $25.20 | $36 | 5.8× |
| Cholinesterase rbc (82482) | $44.10 | $63 | 4.5× |
| Cholinesterase Serum (82480) | $44.10 | $63 | 5.6× |
| Chorionic gonadotropin test (84702) range across 7 matching MRF lines |
$77–$90.30 | $110–$129 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $935.90 | $1,337 | 5.0× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $100.80 | $144 | 3.7× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $181.30 | $259 | 5.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $132.30 | $189 | 4.0× |
| Chrmsm Analysis Addl Specialized Banding (88283) range across 2 matching MRF lines |
$149.10–$158.90 | $213–$227 | varies |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $902.30 | $1,289 | 5.2× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $776.30 | $1,109 | 4.5× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $902.30 | $1,289 | 5.2× |
| Chromium serum (82495) | $112.70 | $161 | 5.6× |
| Chromogenic Substrate Assay (85130) | $81.90 | $117 | 6.9× |
| Chromogranin a (86316) | $166.60 | $238 | 8.0× |
| Chromosome Analysis 15-20 (88262) | $649.60 | $928 | 5.2× |
| Chromosome Analysis 20-25 (88264) | $649.60 | $928 | 4.5× |
| Chromosome analysis 45 cells (88263) | $783.30 | $1,119 | 5.2× |
| Chromosome analysis, 5 (88261) | $919.80 | $1,314 | 3.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$268.10–$308 | $383–$440 | varies |
| Citric acid urine (82507) | $152.60 | $218 | 5.5× |
| Ckmb (82553) | $65.10 | $93 | 5.6× |
| Clostridium Difficile (87324) | $106.40 | $152 | 8.9× |
| Clot Factor VIII Multimetric (85247) | $105.70 | $151 | 4.6× |
| Clotting factor xii hageman (85280) | $88.90 | $127 | 4.6× |
| Clotting Funct Activity (85397) | $105.70 | $151 | 3.4× |
| Cns DNA amp probe type 12-25 (87483) | $3,590.30 | $5,129 | 8.6× |
| Coagulation time activated (85347) | $19.60 | $28 | 4.6× |
| Coccidioides antibody (86635) range across 10 matching MRF lines |
$51.80–$93.80 | $74–$134 | varies |
| Cold agglutinin titer (86157) | $66.50 | $95 | 8.3× |
| Collagen crosslinks (82523) | $103.60 | $148 | 5.5× |
| Column Chromotography Quant (82542) | $212.10 | $303 | 8.8× |
| Compatibility test antiglob (86922) | $397.60 | $568 | 2.1× |
| Complement Antigen Each Component (86160) range across 9 matching MRF lines |
$84.70–$97.30 | $121–$139 | varies |
| Complement Total (Ch50) (86162) | $164.50 | $235 | 8.1× |
| Complement/Function Activity (86161) | $97.30 | $139 | 8.1× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $440.30 | $629 | 2.3× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $262.50 | $375 | 4.5× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $142.10 | $203 | 3.4× |
| Coombs direct (86880) | $27.30 | $39 | 5.1× |
| Copper urine (82525) | $61.60 | $88 | 5.0× |
| Cortisol free (82530) | $92.40 | $132 | 5.5× |
| Cortisol saliva (82533) range across 8 matching MRF lines |
$89.60–$96.60 | $128–$138 | varies |
| Creatine kinase total (82550) | $37.80 | $54 | 5.8× |
| Creatinine blood (82565) | $30.80 | $44 | 6.0× |
| Creatinine clearance (82575) | $53.90 | $77 | 5.7× |
| Creatinine Urine (82570) range across 11 matching MRF lines |
$25.20–$30.80 | $36–$44 | varies |
| Crossmatch electronic (86923) | $64.40 | $92 | 0.3× |
| Crossmatch immediate spin (86920) | $64.40 | $92 | 0.3× |
| Crp High Sensitivity (86141) | $105 | $150 | 8.1× |
| Cryofibrinogen (82585) | $48.30 | $69 | 3.4× |
| Cryoglobulin (82595) | $37.80 | $54 | 5.8× |
| Cryptococcal Antigen (87327) | $65.80 | $94 | 4.9× |
| Cryptococcus ab (86641) | $53.90 | $77 | 3.7× |
| Cryptococcus ag titer (87899) | $106.40 | $152 | 6.6× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$52.50–$60.20 | $75–$86 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $72.80 | $104 | 9.0× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $72.80 | $104 | 9.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$60.20–$70 | $86–$100 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,024.10 | $1,463 | 4.7× |
| Culture afb (87116) | $95.90 | $137 | 8.9× |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$73.50–$84.70 | $105–$121 | varies |
| Culture blood (87040) | $94.50 | $135 | 9.2× |
| Culture chlamydia (87110) | $175 | $250 | 8.9× |
| Culture csf (87070) range across 16 matching MRF lines |
$67.20–$77 | $96–$110 | varies |
| Culture fungus (87102) range across 5 matching MRF lines |
$64.40–$74.20 | $92–$106 | varies |
| Culture fungus blood (87103) | $81.20 | $116 | 4.0× |
| Culture screen only (87081) range across 12 matching MRF lines |
$38.50–$60.20 | $55–$86 | varies |
| Culture stool (87045) | $84.70 | $121 | 9.0× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $111.30 | $159 | 8.9× |
| Culture typing if ea antiserum (87140) range across 3 matching MRF lines |
$46.20–$49 | $66–$70 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$25.90–$30.10 | $37–$43 | varies |
| Culture urine (87086) | $72.80 | $104 | 9.0× |
| Cyanide (82600) | $108.50 | $155 | 5.6× |
| Cyclosporine (80158) | $66.50 | $95 | 3.7× |
| Cystatin C (82610) | $49 | $70 | 2.6× |
| Cytogenetics 10-30 (88273) | $168 | $240 | 4.8× |
| Cytogenetics 100-300 (88275) | $210 | $300 | 4.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 4 matching MRF lines |
$1,073.80–$2,143.40 | $1,534–$3,062 | varies |
| Cytomegalovirus igg (86644) | $106.40 | $152 | 7.4× |
| Cytopath C/V Index Add-On (88155) | $56.70 | $81 | 3.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $188.30 | $269 | 9.3× |
| Cytopath Cell Enhance Tech (88112) | $262.50 | $375 | 4.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $244.30 | $349 | 9.2× |
| Cytp Concentration Smears & Interpretation (88108) | $142.10 | $203 | 3.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $262.50 | $375 | 4.5× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $154 | $220 | 0.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $142.10 | $203 | 3.4× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $387.80 | $554 | 2.0× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) range across 3 matching MRF lines |
$42–$90.30 | $60–$129 | varies |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $142.10 | $203 | 2.4× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 2 matching MRF lines |
$60.90–$114.80 | $87–$164 | varies |
| Deoxycortisol (82634) | $112.70 | $161 | 3.8× |
| Deoxyribonuclease antibody (86215) | $106.40 | $152 | 8.0× |
| Desoxycorticosterone (82633) | $92.40 | $132 | 3.0× |
| Detect Agent Nos Dna Amp (87798) range across 13 matching MRF lines |
$281.40–$324.10 | $402–$463 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$328.30–$378 | $469–$540 | varies |
| Detect agnt mult DNA ampli (87801) | $616.70 | $881 | 8.8× |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$31.50–$33.60 | $45–$48 | varies |
| Dhea (82626) | $141.40 | $202 | 5.6× |
| Dhea-S (82627) | $123.90 | $177 | 5.6× |
| Digoxin (80162) | $85.40 | $122 | 6.4× |
| Diphtheria antitoxoid (86648) | $100.80 | $144 | 6.6× |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$102.90–$113.40 | $147–$162 | varies |
| Dna Antibody Single Stranded (86226) | $91.70 | $131 | 7.6× |
| Dna/Rna Amplified Probe (87150) | $42.70 | $61 | 1.2× |
| DNA/RNA direct probe (87149) | $177.10 | $253 | 8.8× |
| Drug assay acetaminophen (80143) | $227.50 | $325 | 12.2× |
| Drug assay adalimumab (80145) | $74.90 | $107 | 1.9× |
| Drug Assay Everolimus (80169) | $80.50 | $115 | 5.9× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$161.70–$168 | $231–$240 | varies |
| Drug Assay Lacosamide (80235) | $41.30 | $59 | 1.5× |
| Drug Assay Leflunomide (80193) | $117.60 | $168 | 3.0× |
| Drug Screen Quant Clozapine (80159) | $88.20 | $126 | 4.4× |
| Drug Screen Quant Zonisamide (80203) | $189 | $270 | 14.3× |
| Drug Screen Quantitative Gabapentin (80171) | $88.20 | $126 | 4.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $72.10 | $103 | 5.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $85.40 | $122 | 6.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $77.70 | $111 | 5.9× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $108.50 | $155 | 6.5× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 18 matching MRF lines |
$51.80–$275.10 | $74–$393 | varies |
| Drug Test Prsmv Instrmnt (80306) | $49 | $70 | 2.9× |
| Egfr Gene Analysis Common Variants (81235) | $631.40 | $902 | 1.9× |
| El-1 Fecal Quantitative (82653) | $62.30 | $89 | 2.7× |
| Electrolyte panel (80051) | $20.30 | $29 | 2.9× |
| Electron Microscopy (88348) | $1,276.80 | $1,824 | 1.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $143.50 | $205 | 2.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$32.20–$34.30 | $46–$49 | varies |
| Enterovirus Antibody (86658) | $105.70 | $151 | 8.1× |
| Enterovirus PCR (87498) | $308 | $440 | 8.8× |
| Enzyme cell activity (82657) | $101.50 | $145 | 4.6× |
| Enzyme histochemistry (88319) | $1,276.80 | $1,824 | 1.4× |
| Eosinophil Smear (89190) | $25.20 | $36 | 4.4× |
| Erythropoietin (82668) | $105 | $150 | 5.6× |
| Estradiol serum (82670) range across 6 matching MRF lines |
$134.40–$155.40 | $192–$222 | varies |
| Estriol (82677) | $134.40 | $192 | 5.6× |
| Estrogen total (82672) | $45.50 | $65 | 2.1× |
| Ethosuximide (80168) | $105 | $150 | 6.4× |
| Euglobulin lysis (85360) | $39.20 | $56 | 4.7× |
| Exam Synovial Fluid Crystals (89060) | $38.50 | $55 | 5.3× |
| F2 Gene (81240) range across 3 matching MRF lines |
$165.20–$251.30 | $236–$359 | varies |
| Factor ii activity (85210) | $28 | $40 | 2.2× |
| Factor Inhibitor Test (85335) | $58.80 | $84 | 4.6× |
| Factor ix activity (85250) | $74.90 | $107 | 3.9× |
| Factor v activity (85220) | $74.90 | $107 | 4.2× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$155.40–$235.90 | $222–$337 | varies |
| Factor vii assay (85230) | $64.40 | $92 | 3.6× |
| Factor viii assay (85240) | $81.90 | $117 | 4.6× |
| Factor X (85260) | $81.90 | $117 | 4.6× |
| Factor xi activity (85270) | $74.90 | $107 | 4.2× |
| Factor xiii screen (85291) | $40.60 | $58 | 4.5× |
| Fat stain feces urine/respir secretions (89125) | $23.80 | $34 | 4.0× |
| Fat/Lipids Feces Quantitative (82710) | $95.20 | $136 | 5.7× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $30.10 | $43 | 4.6× |
| Fecal Fat Qualitative (82705) | $25.90 | $37 | 5.1× |
| Ferritin (82728) | $76.30 | $109 | 5.6× |
| Fetal Chrmoml Aneuploidy (81420) | $929.60 | $1,328 | 1.2× |
| Fetal Fibronectin (82731) | $356.30 | $509 | 5.5× |
| Fetal hemoglobin assay qual (83033) | $30.80 | $44 | 3.9× |
| Fetal screen rosette (85461) | $30.80 | $44 | 3.3× |
| Fibrin Degradation Quant (85379) | $46.90 | $67 | 4.6× |
| Fibrinogen activity (85384) | $37.10 | $53 | 3.8× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $37.80 | $54 | 2.4× |
| Flow cytometry first marker (88184) range across 6 matching MRF lines |
$207.90–$262.50 | $297–$375 | varies |
| Flt3 Gene (81245) | $1,010.80 | $1,444 | 6.1× |
| Fluorescent antibody screen (86255) range across 9 matching MRF lines |
$84.70–$97.30 | $121–$139 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $97.30 | $139 | 8.1× |
| Folic acid rbc (82747) range across 3 matching MRF lines |
$95.90–$97.30 | $137–$139 | varies |
| Folic Acid Serum (82746) | $82.60 | $118 | 5.6× |
| Follicle Stimulating Hormone (83001) | $96.60 | $138 | 5.2× |
| Francisella tularensis (86668) | $84.70 | $121 | 6.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $215.60 | $308 | 1.1× |
| Frozen Section (88331) | $262.50 | $375 | 1.4× |
| Fungi Identification Mold (87107) | $94.50 | $135 | 9.2× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$81.20–$94.50 | $116–$135 | varies |
| Gammaglobulin ige (82785) range across 9 matching MRF lines |
$78.40–$91.70 | $112–$131 | varies |
| Gardner vag DNA dir probe (87510) | $177.10 | $253 | 8.8× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $49 | $70 | 5.0× |
| Gases blood ph only (82800) | $37.80 | $54 | 3.4× |
| Gastrin (82941) | $98 | $140 | 5.6× |
| Genet Virus Isolate Hsv (87255) | $298.90 | $427 | 8.8× |
| Gentamicin (80170) | $105 | $150 | 6.4× |
| Ggt (82977) | $42 | $60 | 5.8× |
| Giardia antigen (87329) | $106.40 | $152 | 8.9× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $632.10 | $903 | 6.3× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $36.40 | $52 | 6.0× |
| Glucagon (82943) | $79.10 | $113 | 5.5× |
| Glucose 2 hr pp (82950) | $23.80 | $34 | 5.0× |
| Glucose Blood Test (82962) | $11.20 | $16 | 3.4× |
| Glucose body fluid (82945) range across 7 matching MRF lines |
$20.30–$22.40 | $29–$32 | varies |
| Glucose Serum (82947) | $22.40 | $32 | 5.7× |
| Glucose tolerance test (gtt) (82951) | $72.10 | $103 | 5.6× |
| Glycated Protein (82985) | $65.80 | $94 | 3.9× |
| Gonadotropin Chorionic Qualitative (84703) | $43.40 | $62 | 5.8× |
| Growth hormone (83003) | $92.40 | $132 | 5.5× |
| Growth Hormone Stimulation Panel (80428) | $345.80 | $494 | 5.2× |
| Gtt-added samples (82952) | $38.50 | $55 | 9.8× |
| H Pylori (C-13) Breath (83013) range across 3 matching MRF lines |
$357.70–$371 | $511–$530 | varies |
| H Pylori Drug Admin (83014) | $18.20 | $26 | 2.3× |
| Haptoglobin (83010) | $71.40 | $102 | 5.7× |
| Hdl Cholesterol (83718) | $44.80 | $64 | 5.5× |
| Helicobacter Pylori Stool (87338) | $106.40 | $152 | 7.4× |
| Helminth Antibody (86682) | $60.20 | $86 | 4.6× |
| Hematocrit (85014) | $11.20 | $16 | 4.7× |
| Hemoglobin (85018) range across 6 matching MRF lines |
$7.70–$11.20 | $11–$16 | varies |
| Hemoglobin a1c (83036) | $56 | $80 | 5.8× |
| Hemoglobin Chromotography (83021) range across 9 matching MRF lines |
$88.20–$107.10 | $126–$153 | varies |
| Hemoglobin electrophoresis (83020) | $57.40 | $82 | 4.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $35 | $50 | 4.3× |
| Hemoglobin plasma (83051) | $42.70 | $61 | 5.8× |
| Hemoglobin stability screen (83068) | $48.30 | $69 | 5.1× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $21 | $30 | 2.4× |
| Hemosiderin urine (83070) | $28 | $40 | 5.9× |
| Hep a ab igm (86709) range across 3 matching MRF lines |
$83.30–$92.40 | $119–$132 | varies |
| Heparin assay (85520) | $60.20 | $86 | 4.6× |
| Heparin Neutralization (85525) | $51.10 | $73 | 4.3× |
| Hepatitis a antibody total (86708) | $101.50 | $145 | 8.2× |
| Hepatitis b core ab igm (86705) range across 4 matching MRF lines |
$88.90–$96.60 | $127–$138 | varies |
| Hepatitis b core ab total (86704) range across 4 matching MRF lines |
$89.60–$97.30 | $128–$139 | varies |
| Hepatitis B Surface Antibody (86706) range across 4 matching MRF lines |
$81.90–$86.80 | $117–$124 | varies |
| Hepatitis B Surface Antigen (87340) | $94.50 | $135 | 9.1× |
| Hepatitis Be Antibody (86707) | $93.80 | $134 | 8.1× |
| Hepatitis Be Antigen (87350) | $102.90 | $147 | 8.9× |
| Hepatitis C Antibody (86803) | $115.50 | $165 | 8.1× |
| Hepatitis c antibody confirmatory test (86804) | $124.60 | $178 | 8.0× |
| Hepatitis C Genotype (87902) | $2,257.50 | $3,225 | 8.8× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $308 | $440 | 8.8× |
| Hepatitis C Revrs Trnscrpj (87522) range across 7 matching MRF lines |
$328.30–$378 | $469–$540 | varies |
| Hepatitis Delta Agent Antibody (86692) | $139.30 | $199 | 8.1× |
| Herpes simplex type 2 (86696) | $156.10 | $223 | 8.1× |
| Heterophile Antibody Screen (86308) | $43.40 | $62 | 8.4× |
| Hfe Gene (81256) | $414.40 | $592 | 6.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $11.90 | $17 | 1.5× |
| Histamine urine (83088) range across 2 matching MRF lines |
$106.40–$123.20 | $152–$176 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$68.60–$101.50 | $98–$145 | varies |
| Histoplasma antigen urine (87385) | $106.40 | $152 | 8.0× |
| Hiv Antigen W/Hiv Antibodies (87806) | $160.30 | $229 | 4.9× |
| Hiv Genotype (87901) | $2,257.50 | $3,225 | 8.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$139.30–$160.30 | $199–$229 | varies |
| Hiv-1 Antibody (86701) | $63 | $90 | 7.1× |
| HIV-1 p24 antigen (87390) | $119 | $170 | 4.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $747.60 | $1,068 | 8.8× |
| Hla class i&ii antibody qual (86828) | $213.50 | $305 | 3.3× |
| Hla class ii high defin qual (86833) | $1,080.10 | $1,543 | 3.3× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $583.80 | $834 | 5.3× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $688.80 | $984 | 9.3× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $1,215.20 | $1,736 | 5.5× |
| Hla ii typing 1 locus lr (81376) range across 3 matching MRF lines |
$949.20–$1,547.70 | $1,356–$2,211 | varies |
| Hla-b27 (86812) | $208.60 | $298 | 8.1× |
| Homocysteine (83090) | $95.20 | $136 | 5.3× |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$41.30–$47.60 | $59–$68 | varies |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$35–$39.90 | $50–$57 | varies |
| Hpv High-Risk Types (87624) | $233.80 | $334 | 6.7× |
| Hpv Types 16 & 18 Only (87625) | $233.80 | $334 | 5.8× |
| Hsv Dna Amp Probe (87529) | $308 | $440 | 8.8× |
| Hydroxycorticosteroids 17 (83491) | $98 | $140 | 5.5× |
| Hydroxyprogesterone 17-d (83498) | $151.90 | $217 | 5.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $94.50 | $135 | 9.1× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $106.40 | $152 | 7.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $139.30 | $199 | 3.9× |
| Iaad Ia Streptococcus Group A (87430) | $106.40 | $152 | 6.3× |
| Iaadi inffluenza a virus (87276) | $106.40 | $152 | 6.6× |
| Iaadi not otherwise specified each organism (87299) | $106.40 | $152 | 6.6× |
| Iaadi parainfluenza virus each type (87279) | $106.40 | $152 | 6.5× |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$94.50–$106.40 | $135–$152 | varies |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $106.40 | $152 | 8.9× |
| Iaadi respiratory synctial virus (87280) | $106.40 | $152 | 7.9× |
| Iaadi Varicella Zoster Virus (87290) | $106.40 | $152 | 7.9× |
| Iadna Candida Species Amplified Probe Tq (87481) | $85.40 | $122 | 2.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 4 matching MRF lines |
$281.40–$324.10 | $402–$463 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $308 | $440 | 8.8× |
| Iadna Cytomegalovirus Quantification (87497) | $378 | $540 | 8.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $529.90 | $757 | 7.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $378 | $540 | 8.8× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $308 | $440 | 8.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 5 matching MRF lines |
$281.40–$324.10 | $402–$463 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 5 matching MRF lines |
$268.10–$308 | $383–$440 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $81.90 | $117 | 1.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 3 matching MRF lines |
$267.40–$739.90 | $382–$1,057 | varies |
| Ig Light Chains Free Each (83521) | $65.80 | $94 | 3.8× |
| Igg subclasses (82787) | $23.80 | $34 | 3.0× |
| Igh gene rearrange amp meth (81261) range across 2 matching MRF lines |
$315–$739.20 | $450–$1,056 | varies |
| Igk rearrangeabn clonal pop (81264) | $382.20 | $546 | 2.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $266 | $380 | 0.7× |
| Immune Complex Assay (86332) | $133.70 | $191 | 5.5× |
| Immunfix e-phorsis/urine/csf (86335) | $234.50 | $335 | 8.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $71.40 | $102 | 3.9× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 5 matching MRF lines |
$86.80–$109.90 | $124–$157 | varies |
| Immunoassay nonantibody (83516) range across 15 matching MRF lines |
$63–$88.20 | $90–$126 | varies |
| Immunodiffusion Ouchterlony (86331) range across 4 matching MRF lines |
$25.20–$77.70 | $36–$111 | varies |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$163.10–$179.20 | $233–$256 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $262.50 | $375 | 1.4× |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
$60.90–$215.60 | $87–$308 | varies |
| In situ hybridization 1st probe stain (88365) | $262.50 | $375 | 1.4× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $106.40 | $152 | 7.4× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $106.40 | $152 | 7.9× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $106.40 | $152 | 8.7× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $87.50 | $125 | 2.5× |
| Influenza a/b ag eia (87400) | $106.40 | $152 | 7.5× |
| Influenza assay w/optic (87804) | $106.40 | $152 | 6.4× |
| Influenza DNA amp probe (87502) | $655.90 | $937 | 6.8× |
| Inhibin A (86336) | $105 | $150 | 6.7× |
| Inhibin b (83520) range across 11 matching MRF lines |
$65.10–$72.10 | $93–$103 | varies |
| Insitu hybridization manual (88368) | $266 | $380 | 0.7× |
| Insulin antibodies (86337) | $117.60 | $168 | 5.5× |
| Insulin free (83527) range across 2 matching MRF lines |
$27.30–$29.40 | $39–$42 | varies |
| Insulin total (83525) | $65.10 | $93 | 5.7× |
| Intrinsic factor antibody (86340) | $121.80 | $174 | 8.1× |
| Iron (83540) | $37.80 | $54 | 5.8× |
| Iron Binding Capacity (83550) | $49 | $70 | 5.6× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$140–$159.60 | $200–$228 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$133.70–$382.20 | $191–$546 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) range across 2 matching MRF lines |
$291.90–$328.30 | $417–$469 | varies |
| Ketosteroids 17 total (83586) | $72.10 | $103 | 5.6× |
| Koh Prep (87220) range across 3 matching MRF lines |
$25.90–$39.20 | $37–$56 | varies |
| Kras Gene Variants Exon 2 (81275) | $679.70 | $971 | 3.5× |
| Lactate (ld) (ldh) enzyme (83615) | $35 | $50 | 5.8× |
| Lactoferrin fecal qualitative (83630) | $110.60 | $158 | 5.6× |
| Lactoferrin Fecal Quantitative (83631) | $110.60 | $158 | 5.6× |
| Lamellar Body Count (83664) | $105.70 | $151 | 5.5× |
| Ldh Isoenzymes (83625) | $130.20 | $186 | 10.2× |
| LDL direct (83721) | $53.90 | $77 | 5.1× |
| Lead (83655) range across 9 matching MRF lines |
$67.20–$72.10 | $96–$103 | varies |
| Legionella antibody (86713) | $122.50 | $175 | 8.0× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$106.40–$130.90 | $152–$187 | varies |
| Legionella pneumophila dfa (87278) range across 2 matching MRF lines |
$91.70–$106.40 | $131–$152 | varies |
| Leptospira antibody (86720) | $106.40 | $152 | 6.6× |
| Leukocyte Assessment Fecal (89055) | $19.60 | $28 | 4.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $142.10 | $203 | 4.4× |
| Level ii surg pathology grossµscopic exam (88302) | $142.10 | $203 | 3.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $440.30 | $629 | 1.1× |
| Lidocaine (80176) | $94.50 | $135 | 6.4× |
| Lipase (83690) | $39.90 | $57 | 5.8× |
| Lipoprotein A (83695) | $76.30 | $109 | 5.3× |
| Lipoprotein Bld Quan Part (83704) | $83.30 | $119 | 2.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $64.40 | $92 | 5.7× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $188.30 | $269 | 4.1× |
| Lithium (80178) | $44.10 | $63 | 6.7× |
| Luteinizing Hormone (Lh) (83002) | $97.30 | $139 | 5.3× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$125.30–$137.90 | $179–$197 | varies |
| Lymphocyte transformation (86353) | $391.30 | $559 | 8.0× |
| Lymphocytotoxicity Assay (86805) | $885.50 | $1,265 | 4.7× |
| Lysozyme serum (85549) | $39.90 | $57 | 2.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $324.80 | $464 | 1.7× |
| M/phmtrc alys ishquant/semiq (88374) | $387.80 | $554 | 2.0× |
| Macroscopic exam arthropod (87168) | $39.20 | $56 | 9.2× |
| Macroscopic Exam Parasite (87169) | $39.20 | $56 | 9.1× |
| Magnesium Urine (83735) | $38.50 | $55 | 5.7× |
| Mass Spectrometry Quant (83789) | $101.50 | $145 | 4.2× |
| Mecp2 gene full seq (81302) | $1,093.40 | $1,562 | 2.1× |
| Mercury urine (83825) range across 4 matching MRF lines |
$91–$96.60 | $130–$138 | varies |
| Methotrexate (80204) | $44.80 | $64 | 1.2× |
| Methylmalonic acid serum (83921) | $91.70 | $131 | 4.3× |
| Microalbumin, quantitative (82043) | $33.60 | $48 | 5.8× |
| Microbe Suscept Macrobroth (87188) | $60.20 | $86 | 9.1× |
| Microsomal Antibodies Each (86376) | $117.60 | $168 | 8.1× |
| Mitochondrial Antibody Each (86381) | $73.50 | $105 | 2.9× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $140.70 | $201 | 3.5× |
| Molecular Cytogenetics Dna Probe Each (88271) | $112.70 | $161 | 5.3× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
$183.40–$210 | $262–$300 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $406.70 | $581 | 2.7× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$321.30–$773.50 | $459–$1,105 | varies |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$481.60–$632.10 | $688–$903 | varies |
| Mopath procedure level 5 (81404) | $1,241.80 | $1,774 | 4.5× |
| Mopath procedure level 7 (81406) | $1,288.70 | $1,841 | 4.6× |
| Mpl gene common variants (81338) range across 2 matching MRF lines |
$254.10–$328.30 | $363–$469 | varies |
| Mrsa Pcr (87641) | $308 | $440 | 8.8× |
| Mthfr Gene Analysis Common Variants (81291) | $436.80 | $624 | 6.7× |
| Mucopolysaccharides acid quantitative (83864) | $111.30 | $159 | 3.9× |
| Mumps antibody (86735) | $105.70 | $151 | 8.1× |
| Mycobacteric Identification (87118) range across 3 matching MRF lines |
$84–$96.60 | $120–$138 | varies |
| Mycophenolic Acid (80180) | $148.40 | $212 | 8.2× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$93.80–$106.40 | $134–$152 | varies |
| Mycoplasma culture (87109) | $95.90 | $137 | 6.2× |
| Myelin basic protein csf (83873) | $96.60 | $138 | 5.6× |
| Myoglobin urine (83874) | $72.10 | $103 | 5.6× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$186.20–$188.30 | $266–$269 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $567.70 | $811 | 4.4× |
| Nfct ds chrnc hcv 6 assays (81596) range across 4 matching MRF lines |
$354.20–$408.10 | $506–$583 | varies |
| Nk cells total count (86357) | $302.40 | $432 | 8.0× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $389.90 | $557 | 1.6× |
| Nuclear antigen antibody (86235) range across 24 matching MRF lines |
$13.30–$203.70 | $19–$291 | varies |
| Occult blood feces (82272) | $19.60 | $28 | 4.6× |
| Occult Blood Other Sources (82271) | $67.90 | $97 | 12.8× |
| Oligoclonal bands (83916) range across 4 matching MRF lines |
$75.60–$78.40 | $108–$112 | varies |
| Organic Acids Qualitative Each Specimen (83919) | $132.30 | $189 | 8.0× |
| Organic acids urine (83918) | $91.70 | $131 | 3.9× |
| Osmolality serum (83930) | $37.80 | $54 | 5.7× |
| Osmolality Urine (83935) | $37.10 | $53 | 5.4× |
| Osmotic fragility rbc incubated (85557) | $61.60 | $88 | 4.6× |
| Osmotic Fragility RBC Unincubated (85555) | $26.60 | $38 | 3.6× |
| Ova and parasites smears (87177) | $79.80 | $114 | 9.0× |
| Oxalate urine (83945) | $72.10 | $103 | 5.0× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$78.40–$83.30 | $112–$119 | varies |
| Parvovirus antibody (86747) | $121.80 | $174 | 8.1× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $262.50 | $375 | 0.3× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) range across 3 matching MRF lines |
$112.70–$128.10 | $161–$183 | varies |
| Ph urine (81003) range across 7 matching MRF lines |
$10.50–$11.20 | $15–$16 | varies |
| Phenobarbital Level (80184) | $73.50 | $105 | 4.8× |
| Phenotype Infect Agent Drug (87900) | $114.80 | $164 | 0.9× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$23.80–$31.50 | $34–$45 | varies |
| Phenytoin (Dilantin) (80185) | $85.40 | $122 | 6.4× |
| Phenytoin free (80186) | $88.20 | $126 | 6.4× |
| Phosphatase alkaline (84075) | $30.80 | $44 | 5.9× |
| Phosphatidylglycerol (84081) | $92.40 | $132 | 5.6× |
| Phospholipid Neutralization Hexagonal (85598) | $82.60 | $118 | 4.6× |
| Phosphorus Serum (84100) | $28 | $40 | 5.9× |
| Phosphorus urine (84105) | $30.80 | $44 | 5.3× |
| Pinworm exam (87172) | $39.20 | $56 | 9.2× |
| Platelet Aggregation (85576) | $98.70 | $141 | 4.0× |
| Platelet Antibodies (86022) | $121.80 | $174 | 6.6× |
| Platelet count automated (85049) | $21 | $30 | 4.7× |
| Pooling blood platelets (86965) | $252.70 | $361 | 1.3× |
| Porphobilinogen, urine; quantitative (84110) | $44.80 | $64 | 5.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $82.60 | $118 | 5.6× |
| Potassium Urine (84133) | $25.20 | $36 | 5.3× |
| Prealbumin (84134) | $82.60 | $118 | 5.7× |
| Pregnancy-Associated Plasma Protein-A (84163) | $84.70 | $121 | 5.6× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $359.86 | $514.08 | 1.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $124.74 | $178.20 | 1.9× |
| Pretx serum rbc antibody identification dilution (86976) | $54.87 | $78.39 | 1.7× |
| Primidone (80188) | $105.70 | $151 | 6.4× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$143.50–$148.40 | $205–$212 | varies |
| Progesterone (84144) | $114.10 | $163 | 5.5× |
| Prolactin (84146) | $108.50 | $155 | 5.6× |
| Protein body fluid (84157) | $22.40 | $32 | 5.6× |
| Protein C Activity (85303) | $63.70 | $91 | 4.6× |
| Protein c antigen (85302) | $55.30 | $79 | 4.6× |
| Protein Electrophoresis Urine (84166) range across 5 matching MRF lines |
$99.40–$105 | $142–$150 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 5 matching MRF lines |
$56.70–$65.10 | $81–$93 | varies |
| Protein S Free (85306) | $70 | $100 | 4.6× |
| Protein s total (85305) | $53.20 | $76 | 4.6× |
| Protein total serum (84155) range across 4 matching MRF lines |
$19.60–$22.40 | $28–$32 | varies |
| Protein Total Urine (84156) range across 9 matching MRF lines |
$21.70–$22.40 | $31–$32 | varies |
| Protein Western Blot Test (84182) | $61.60 | $88 | 2.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $18.20 | $26 | 4.6× |
| Protoporphyrin rbc quantitative (84202) | $64.40 | $92 | 4.5× |
| Protoporphyrin, RBC; screen Facility (84203) | $49 | $70 | 5.0× |
| PSA free (84154) | $108.50 | $155 | 5.9× |
| Pth Intact (83970) | $228.20 | $326 | 5.5× |
| Q Fever Antibody (86638) range across 3 matching MRF lines |
$46.20–$136.50 | $66–$195 | varies |
| Quantiferon tb gold plus (86480) | $494.90 | $707 | 8.0× |
| Quantitative assay drug (80299) range across 16 matching MRF lines |
$63–$88.20 | $90–$126 | varies |
| Quantitative Screen Metals (83018) | $45.50 | $65 | 2.1× |
| Quinidine (80194) | $94.50 | $135 | 6.5× |
| Rbc antibody elution (86860) | $125.30 | $179 | 0.7× |
| Rbc antibody identification (86870) | $64.40 | $92 | 0.2× |
| Rbc antibody screen (86850) | $27.30 | $39 | 2.8× |
| Rbc pretreatment serum (86978) | $64.40 | $92 | 1.0× |
| Rbc pretx incubatj w/enzymes (86971) | $359.86 | $514.08 | 1.9× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$11.20–$19.60 | $16–$28 | varies |
| Renin activity plasma (84244) | $122.50 | $175 | 5.6× |
| Reptilase test (85635) | $39.90 | $57 | 4.1× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$955.50–$1,099.70 | $1,365–$1,571 | varies |
| Reticulocyte Count (85046) | $20.30 | $29 | 3.6× |
| Reticulocyte Count Manual (85044) | $20.30 | $29 | 4.7× |
| Rh (86901) | $27.30 | $39 | 9.1× |
| Rheumatoid factor quant (86431) | $46.90 | $67 | 8.3× |
| Rickettsia antibody (86757) | $156.10 | $223 | 8.1× |
| Ristocetin cofactor (85245) | $105.70 | $151 | 4.6× |
| Rotavirus ag eia (87425) | $106.40 | $152 | 8.9× |
| Rpr qualitative (86592) | $35.70 | $51 | 8.4× |
| Rsv Assay W/Optic (87807) | $106.40 | $152 | 8.1× |
| Rubella Antibody (86762) | $106.40 | $152 | 7.4× |
| Rubeola antibody (86765) | $105 | $150 | 8.2× |
| Russell Viper Venom Time Diluted (85613) | $44.10 | $63 | 4.6× |
| Salicylate Level (80179) | $227.50 | $325 | 12.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $184.80 | $264 | 3.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $44.10 | $63 | 1.0× |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$232.40–$267.40 | $332–$382 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $739.90 | $1,057 | 5.2× |
| Sedimentation Rate, Automated (85652) | $13.30 | $19 | 4.9× |
| Selenium (84255) | $142.10 | $203 | 5.6× |
| Semen Anal Sperm Detection (89321) | $101.50 | $145 | 8.4× |
| Semen analysis complete (89322) | $127.40 | $182 | 8.2× |
| Semen analysis complete (89320) range across 2 matching MRF lines |
$53.20–$60.90 | $76–$87 | varies |
| Semen analysis motility and count (89310) | $32.20 | $46 | 3.7× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $46.90 | $67 | 4.8× |
| Sensitivity mic (87186) | $77 | $110 | 8.9× |
| Serum Bactericidal Titer (87197) | $133.70 | $191 | 8.9× |
| Sex Hormone Binding Globulin (84270) | $121.10 | $173 | 5.6× |
| Sickling of rbc reduction (85660) | $23.10 | $33 | 4.2× |
| Sirolimus (80195) | $88.20 | $126 | 6.4× |
| Skin Test Candida (86485) | $79.10 | $113 | 2.5× |
| Skin test tuberculosis intradermal (86580) | $79.10 | $113 | 2.5× |
| Smear acid fast (87206) range across 8 matching MRF lines |
$42–$48.30 | $60–$69 | varies |
| Smear complex stain (87209) | $159.60 | $228 | 8.9× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$34.30–$39.20 | $49–$56 | varies |
| Smear Special Stain (87207) | $53.90 | $77 | 9.0× |
| Smn1 Gene Dos/Deletion Alys (81329) | $812 | $1,160 | 5.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$25.90–$39.20 | $37–$56 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $690.20 | $986 | 13.5× |
| Sodium Serum (84295) range across 5 matching MRF lines |
$23.80–$28 | $34–$40 | varies |
| Sodium Urine (84300) range across 7 matching MRF lines |
$28–$28.70 | $40–$41 | varies |
| Soluble fibrin monomer (85366) | $39.90 | $57 | 0.5× |
| Soluble Transferrin Receptor (84238) | $203 | $290 | 5.6× |
| Somatomedin (84305) range across 3 matching MRF lines |
$102.20–$118.30 | $146–$169 | varies |
| Special Stains Group 1 (88312) | $142.10 | $203 | 2.4× |
| Special Stains Group 2 (88313) | $142.10 | $203 | 1.0× |
| Specific gravity body fluid (84315) | $10.50 | $15 | 3.2× |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
$52.50–$60.20 | $75–$86 | varies |
| Spectrophotometry (84311) | $39.90 | $57 | 4.9× |
| Splitting Blood/Blood Products Each Unit (86985) | $125.30 | $179 | 0.7× |
| Staph a DNA amp probe (87640) | $233.80 | $334 | 6.7× |
| Stool cultr aerobic bact ea (87046) | $84.70 | $121 | 9.0× |
| Strep a assay w/optic (87880) | $106.40 | $152 | 6.4× |
| Strep a DNA amp probe (87651) | $273 | $390 | 7.8× |
| Strep b DNA amp probe (87653) | $308 | $440 | 8.8× |
| Sugars Single Qual (84376) | $32.90 | $47 | 6.0× |
| Surg path level iii (88304) | $262.50 | $375 | 4.5× |
| Surgical pathology level IV (88305) | $262.50 | $375 | 4.5× |
| Surgical pathology level vi (88309) | $1,276.80 | $1,824 | 1.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $44.80 | $64 | 9.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $63 | $90 | 8.4× |
| Sweat Collection Iontophoresis (89230) | $149.10 | $213 | 2.6× |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
$33.60–$36.40 | $48–$52 | varies |
| T cells absolute cd4 count (86361) | $258.30 | $369 | 9.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 5 matching MRF lines |
$122.50–$203.70 | $175–$291 | varies |
| T cells total count (86359) | $302.40 | $432 | 8.0× |
| T3 Free (84481) | $42.70 | $61 | 2.5× |
| T3 reverse (84482) range across 2 matching MRF lines |
$57.40–$88.90 | $82–$127 | varies |
| T3 Total (84480) | $79.10 | $113 | 5.6× |
| T3 Uptake (84479) | $37.80 | $54 | 5.8× |
| T4 Free (84439) | $49 | $70 | 5.4× |
| T4 total (84436) | $39.90 | $57 | 5.8× |
| Tacrolimus (80197) | $88.20 | $126 | 6.4× |
| Test for acetone/ketones (82009) | $25.90 | $37 | 5.7× |
| Testosterone Bioavailable (84410) | $226.80 | $324 | 4.4× |
| Testosterone total (84403) | $142.80 | $204 | 5.5× |
| Testosterone, Free (84402) range across 5 matching MRF lines |
$110.60–$142.10 | $158–$203 | varies |
| Theophylline (80198) | $91.70 | $131 | 6.5× |
| Thiocyanate (84430) | $60.20 | $86 | 5.2× |
| Thrombin Time (85670) | $26.60 | $38 | 4.6× |
| Thrombin time titer (85675) | $24.50 | $35 | 3.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $29.40 | $42 | 4.5× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) | $95.20 | $136 | 2.7× |
| Thyroglobulin (84432) | $58.10 | $83 | 3.6× |
| Thyroglobulin Antibody (86800) range across 6 matching MRF lines |
$114.10–$128.10 | $163–$183 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $280.70 | $401 | 5.5× |
| Tiss cul neo disorders solid tumor (88239) | $769.30 | $1,099 | 5.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $62.30 | $89 | 5.4× |
| Tissue Culture (88233) | $733.60 | $1,048 | 5.2× |
| Tissue Culture Amniotic Fluid (88235) | $766.50 | $1,095 | 5.1× |
| Tissue culture bone marrow (88237) | $658.70 | $941 | 4.6× |
| Tissue Culture Lymphocyte (88230) range across 4 matching MRF lines |
$606.90–$639.10 | $867–$913 | varies |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$90.30–$103.60 | $129–$148 | varies |
| Topiramate (80201) | $76.30 | $109 | 6.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $175.70 | $251 | 8.9× |
| Toxoplasma ab igm (86778) | $116.20 | $166 | 8.1× |
| Toxoplasma antibody (86777) | $106.40 | $152 | 7.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $30.80 | $44 | 5.9× |
| Transferrin (84466) | $72.10 | $103 | 5.7× |
| Trg gene rearrangement anal (81342) | $508.20 | $726 | 2.5× |
| Trichomonas vagin dir probe (87660) | $177.10 | $253 | 8.8× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$90.30–$98 | $129–$140 | varies |
| Triglycerides (84478) | $33.60 | $48 | 5.9× |
| Troponin Quant (84484) | $56.70 | $81 | 4.5× |
| Troponin, qualitative (84512) | $44.10 | $63 | 4.4× |
| Tumor Immunohistochem/Manual (88360) | $262.50 | $375 | 1.4× |
| Unlisted Cytogenetic Study (88299) | $81.20 | $116 | 1.4× |
| Unlisted Surgical Pathology Procedure (88399) | $142.10 | $203 | 2.4× |
| Urea Nitrogen Clearance (84545) | $36.40 | $52 | 5.1× |
| Urea nitrogen urine (84540) | $25.90 | $37 | 4.7× |
| Uric acid other source (84560) | $28 | $40 | 5.5× |
| Urinalysis Microscopic Only (81015) | $15.40 | $22 | 5.0× |
| Urinalysis Volume Measure (81050) | $15.40 | $22 | 4.2× |
| Urine Bacteria Culture (87088) | $57.40 | $82 | 7.1× |
| Urine Pregnancy Test (81025) | $18.90 | $27 | 2.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $16.10 | $23 | 5.1× |
| Urobilinogen urine qual (84578) | $19.60 | $28 | 4.4× |
| Valproic acid (80164) | $87.50 | $125 | 6.5× |
| Vancomycin (80202) | $87.50 | $125 | 6.5× |
| Varicella-zoster antibody (86787) | $105 | $150 | 8.2× |
| Vasopressin (84588) | $188.30 | $269 | 5.5× |
| Very Long Chain Fatty Acids (82726) | $101.50 | $145 | 5.1× |
| Viral Culture (87252) | $231 | $330 | 8.9× |
| Virus antibody nos (86790) | $105 | $150 | 8.2× |
| Virus inoculate tissue addl (87253) | $178.50 | $255 | 8.8× |
| Virus inoculation, shell via (87254) | $169.40 | $242 | 8.7× |
| Viscosity serum (85810) | $37.80 | $54 | 3.2× |
| Vit D 1 25-Dihydroxy (82652) | $214.20 | $306 | 5.6× |
| Vitamin A (84590) | $65.80 | $94 | 5.7× |
| Vitamin b-12 (82607) | $84.70 | $121 | 5.6× |
| Vitamin B6 (84207) | $96.60 | $138 | 3.4× |
| Vitamin c (82180) | $42.70 | $61 | 4.3× |
| Vitamin D 25-Hydroxy (82306) | $164.50 | $235 | 5.6× |
| Vitamin E (84446) | $79.10 | $113 | 5.6× |
| Vitamin K (84597) | $76.30 | $109 | 5.6× |
| Volatiles (84600) | $90.30 | $129 | 5.3× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $53.90 | $77 | 4.5× |
| Von willebrand factor ag (85246) | $105.70 | $151 | 4.6× |
| Wbc Alkaline Phosphatase Count (85540) | $39.90 | $57 | 4.6× |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$119.70–$136.50 | $171–$195 | varies |
| West Nile Virus Antibody (86789) | $106.40 | $152 | 7.4× |
| Western Blot Test (84181) | $95.90 | $137 | 5.6× |
| Xm Archive Tissue Molec Anal (88363) | $142.10 | $203 | 4.4× |
| Xylose Absorption Test (84620) | $65.80 | $94 | 5.1× |
| Zinc (84630) | $60.20 | $86 | 5.3× |
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.