Lab & pathology prices at Providence Santa Rosa Memorial Hospital

Santa Rosa, CA · every code in this section with a posted price and a Medicare benchmark.

661 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acetylcholine receptor binding antibody (86041)
range across 4 matching MRF lines
$12.75–$22.57 $25–$44.25 varies
Acetylcholine receptor blocking antibody (86042)
range across 3 matching MRF lines
$14.44–$17.46 $28.31–$34.23 varies
Acetylcholn Rcptr Modlg Antb (86043)
range across 3 matching MRF lines
$14.44–$22.57 $28.31–$44.25 varies
Acth (82024) $56.10 $110 1.5×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$2.55–$35.19 $5–$69 varies
Acute hepatitis panel (80074) $358.02 $702 7.5×
Acylcarnitines Quant (82017) $87.72 $172 5.2×
Adenovirus antibody (86603) $12.16 $23.85 0.9×
Afp-l3 fraction isoform & total afp w/ratio (82107) $68.85 $135 1.1×
Albumin Fluid (82042) $40.80 $80 5.2×
Albumin serum (82040) $40.80 $80 8.2×
Aldolase (82085) $12.37 $24.25 1.3×
Aldosterone urine (82088)
range across 3 matching MRF lines
$10.20–$54.62 $20–$107.10 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$1.53–$18.48 $3–$36.23 varies
Allergen specific ige (86003) $33.66 $66 6.4×
Allergen specific igg (86001)
range across 4 matching MRF lines
$2.55–$18.89 $5–$37.04 varies
Allg Spec Ige Recomb Ea (86008) $2.55 $5 0.1×
Alpha-1-antitrypsin phenotype (82104)
range across 2 matching MRF lines
$40.59–$61.58 $79.58–$120.75 varies
Alpha-1-antitrypsin total (82103) $108.12 $212 8.0×
Alpha-Fetoprotein Serum (82105) $135.66 $266 8.1×
Alt (sgpt) (84460) $43.35 $85 8.2×
Aluminum (82108) $6.12 $12 0.2×
Amikacin trough (80150) $55.85 $109.50 3.7×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $283.51 $555.90 16.8×
Ammonia (82140) $117.81 $231 8.1×
Amniotic fluid protein test on cervicovaginal fluid (84112) $394.74 $774 4.0×
Amylase urine (82150) $53.04 $104 8.2×
Ana Titer (86039)
range across 2 matching MRF lines
$6.50–$126.99 $12.75–$249 varies
Anca screen each antibody (86036)
range across 2 matching MRF lines
$6.38–$51 $12.50–$100 varies
Androstenedione (82157) $92.13 $180.65 3.1×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$20.48–$49.55 $40.15–$97.15 varies
Anti-Phospholipid Antibody (86148)
range across 3 matching MRF lines
$4.15–$4.59 $8.13–$9 varies
Antibody aspergillus (86606)
range across 5 matching MRF lines
$2.30–$20 $4.50–$39.22 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 4 matching MRF lines
$4.08–$20.45 $8–$40.10 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 3 matching MRF lines
$13.27–$52.54 $26.02–$103.02 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 3 matching MRF lines
$4.33–$45.97 $8.49–$90.13 varies
Antibody Encephalitis California La Crosse (86651)
range across 3 matching MRF lines
$9.69–$43.79 $19–$85.86 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $45.90 $90 3.5×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $46.23 $90.65 3.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 2 matching MRF lines
$11.25–$46.23 $22.05–$90.65 varies
Antibody Fungus Not Elsewhere Specified (86671) $51 $100 4.2×
Antibody haemophilus influenza (86684) $33.15 $65 2.1×
Antibody helicobacter pylori (86677) $121.38 $238 7.2×
Antibody Herpes Smplx Type 1 (86695)
range across 9 matching MRF lines
$3.83–$43.86 $7.50–$86 varies
Antibody HIV-1&HIV-2 single result (86703) $41.64 $81.65 3.0×
Antibody HIV-2 (86702)
range across 2 matching MRF lines
$6.38–$39.93 $12.50–$78.30 varies
Antibody htlv/HIV antibody confirmatory test (86689) $28.05 $55 1.4×
Antibody identification leukocyte antibodies (86021)
range across 9 matching MRF lines
$6.38–$51 $12.50–$100 varies
Antibody Identification Platelet Immunogl Assay (86023) $94.35 $185 7.6×
Antibody john cunningham virus (86711)
range across 2 matching MRF lines
$297.84–$770.65 $584–$1,511.08 varies
Antibody Lymphocytic Choriomeningitis (86727)
range across 2 matching MRF lines
$9.69–$43.76 $19–$85.81 varies
Antibody Protozoa Nes (86753)
range across 3 matching MRF lines
$9.23–$95.37 $18.10–$187 varies
Antibody Titer (86886) $212.16 $416 41.0×
Antibody Treponema Pallidum (86780) $130.05 $255 9.8×
Antibody; campylobacter (86625) $81.52 $159.84 6.2×
Antibody; encephalitis, st. louis (86653)
range across 3 matching MRF lines
$5.81–$43.76 $11.39–$85.81 varies
Antibody; influenza virus (86710) $50.62 $99.25 3.7×
Antigen typing (86905) $324.87 $637 84.8×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $87.72 $172 15.3×
Antinuclear antibodies (86038)
range across 6 matching MRF lines
$3.44–$10.20 $6.75–$20 varies
Antistreptolysin o titer (86060) $22.87 $44.85 3.1×
Antithrombin iii activity (85300)
range across 3 matching MRF lines
$5.61–$100.22 $11–$196.50 varies
Antithrombin iii antigen (85301) $100.22 $196.50 9.3×
Apolipoprotein a1 (82172)
range across 4 matching MRF lines
$5.10–$27.08 $10–$53.10 varies
Aquaporin-4 Antb Elisa (86051) $285.60 $560 24.8×
Arsenic (82175)
range across 3 matching MRF lines
$48.45–$66.81 $95–$131 varies
Aspergillus ag eia (87305) $58.78 $115.26 4.9×
Assay activated protein c (85307) $53.30 $104.50 3.5×
Assay Blood Carbon Dioxide (82374) $39.78 $78 8.2×
Assay Dir Meas Fr Estradiol (82681) $47.97 $94.06 1.7×
Assay Nephelometry Not Spec (83883)
range across 4 matching MRF lines
$2.55–$15.81 $5–$31 varies
Assay of 5-hiaa (83497) $3.06 $6 0.2×
Assay of anti-mullerian hormone (82166) $10.20 $20 0.3×
Assay of blood/uric acid (84550) $37.74 $74 8.3×
Assay of calcium in urine (82340) $49.47 $97 8.2×
Assay of cpk in blood (82552) $26.69 $52.34 2.0×
Assay of estrone (82679) $85.73 $168.10 3.4×
Assay of g6pd enzyme (82955) $19.18 $37.60 2.0×
Assay of gammaglobulin igm (82784) $63.24 $124 6.8×
Assay of lactic acid (83605) $87.21 $171 7.5×
Assay of metanephrines (83835)
range across 3 matching MRF lines
$4.72–$94.35 $9.25–$185 varies
Assay of proinsulin (84206)
range across 2 matching MRF lines
$23.59–$87.21 $46.25–$171 varies
Assay of pyruvate (84210) $51.74 $101.45 3.6×
Assay of serotonin (84260) $79.25 $155.40 2.6×
Assay of serum potassium (84132) $38.25 $75 8.0×
Assay of sweat sodium (84302)
range across 2 matching MRF lines
$13.26–$26.86 $26–$52.66 varies
Assay of urea nitrogen (84520) $33.15 $65 8.4×
Assay of urine vma (84585)
range across 2 matching MRF lines
$5.67–$11.33 $11.11–$22.22 varies
Assay of vasoactive intestinal peptide (84586) $15.30 $30 0.4×
Assay of vitamin b-1 (84425) $58.65 $115 2.8×
Assay Ph Body Fluid Nos (83986) $30.09 $59 8.4×
Automated Leukocyte Count (85048) $27.03 $53 10.6×
B cells total count (86355)
range across 2 matching MRF lines
$7.40–$47.89 $14.50–$93.91 varies
Bartonella antibody (86611)
range across 4 matching MRF lines
$10.97–$19.97 $21.50–$39.15 varies
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$21.68–$43.35 $42.50–$85 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines
$21.68–$43.35 $42.50–$85 varies
Beta 2 glycoprotein i antibody each (86146)
range across 5 matching MRF lines
$2.55–$44.80 $5–$87.85 varies
Beta hydroxybutyrate (82010) $66.81 $131 8.2×
Beta Lactamase (87185) $23.97 $47 5.0×
Beta-2 Microglobulin (82232) $130.05 $255 8.0×
Bile acids total (82239) $28.82 $56.50 1.7×
Bilirubin direct (82248) $41.31 $81 8.2×
Bilirubin total (82247) $41.31 $81 8.2×
Blastomyces antibody (86612)
range across 2 matching MRF lines
$5.61–$10.71 $11–$21 varies
Bld Typing Serologic Rh Phnt (86906) $42.33 $83 5.5×
Blood Count Red Blood Cell Automated (85041) $30.09 $59 10.0×
Blood gas (82803)
range across 3 matching MRF lines
$142.29–$156.06 $279–$306 varies
Blood gases w/02 saturation (82805)
range across 2 matching MRF lines
$206.55–$227.46 $405–$446 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $27.54 $54 1.7×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $20.91 $41 4.8×
Blood Type Antigen Donor Reagent Serum Each (86902) $324.87 $637 51.2×
Blood typing serologic abo (86900) $125.46 $246 42.0×
Body fluid cell count (89050) $55.08 $108 11.7×
Bone marrow smear interpretation (85097) $1,255.11 $2,461 1.1×
Brucella antibody (86622)
range across 2 matching MRF lines
$27.54–$46.41 $54–$91 varies
C diff amplified probe (87493) $366.18 $718 9.8×
C-Peptide (84681) $32.26 $63.25 1.6×
C-reactive protein (86140) $42.84 $84 8.3×
Ca 19-9 (86301) $167.79 $329 8.1×
Calcitonin (82308) $79.05 $155 3.0×
Calcium ionized (82330) $111.18 $218 8.1×
Calcium total (82310) $42.84 $84 8.3×
Calculus assay quant (82360) $97.92 $192 7.6×
Calculus Spectroscopy (82365) $31.62 $62 2.5×
Calprotectin Fecal (83993) $89.25 $175 4.5×
Calr gene com variants (81219) $175.95 $345 1.4×
Cancer Antigen 125 (86304)
range across 2 matching MRF lines
$65.28–$168.30 $128–$330 varies
Cancer Antigen 27.29 (86300)
range across 3 matching MRF lines
$59.16–$168.30 $116–$330 varies
Candida antibody (86628)
range across 3 matching MRF lines
$6.12–$21.96 $12–$43.05 varies
Carbamazepine total (80156)
range across 2 matching MRF lines
$107.10–$175.95 $210–$345 varies
Carboxyhemoglobin (82375)
range across 3 matching MRF lines
$90.78–$99.96 $178–$196 varies
Carcinoembryonic antigen (82378) $154.02 $302 8.1×
Cardiolipin ab iga (86147) $52.02 $102 2.0×
Carnitine Quantitative Each Specimen (82379) $85.17 $167 5.0×
Carotene (82380) $33.89 $66.45 3.7×
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$3.06–$99.07 $6–$194.25 varies
Ccp antibody (86200)
range across 3 matching MRF lines
$4.34–$45.90 $8.50–$90 varies
Cell count csf (89051) $63.75 $125 11.4×
Ceruloplasmin (82390) $78.54 $154 7.3×
Cftr gene com variants (81220)
range across 2 matching MRF lines
$32.13–$285.60 $63–$560 varies
Chemiluminescent assay (82397)
range across 5 matching MRF lines
$10.88–$32.13 $21.34–$63 varies
Chlamydia antibody (86631) $10.24 $20.07 0.9×
Chlamydia Igm Antibody (86632) $10.23 $20.06 0.8×
Chlamydia trachomatis ag if (87270) $9.05 $17.74 0.8×
Chlmy trch&neisra gonor mult (87494)
range across 3 matching MRF lines
$61.20–$104.04 $120–$204 varies
Chloride other source (82438) $26.86 $52.66 5.4×
Chloride Serum (82435) $38.25 $75 8.3×
Chloride urine (82436) $5.49 $10.76 1.0×
Cholesterol total (82465) $35.19 $69 8.1×
Chorionic gonadotropin test (84702) $117.30 $230 7.8×
Chromium serum (82495)
range across 3 matching MRF lines
$14.28–$23.97 $28–$47 varies
Chromogranin a (86316)
range across 2 matching MRF lines
$15.13–$46.59 $29.67–$91.35 varies
Chromosome Analysis 15-20 (88262) $161.93 $317.50 1.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $210.63 $413 6.0×
Citric acid urine (82507) $17.85 $35 0.6×
Ckmb (82553) $93.84 $184 8.1×
Clostridium Difficile (87324) $80.58 $158 6.7×
Clot Factor VIII Multimetric (85247)
range across 2 matching MRF lines
$76.34–$109.14 $149.69–$214 varies
Clot factor xiii fibrin stab (85290) $59.62 $116.90 3.6×
Clotting factor viii related antigen (85244) $91.80 $180 4.5×
Clotting Funct Activity (85397)
range across 3 matching MRF lines
$51.51–$130.05 $101–$255 varies
Cns DNA amp probe type 12-25 (87483) $697.68 $1,368 1.7×
Coagulation time activated (85347) $39.78 $78 9.3×
Coccidioides antibody (86635)
range across 7 matching MRF lines
$6.12–$38.91 $12–$76.30 varies
Cold agglutinin titer (86157)
range across 2 matching MRF lines
$4.49–$12.48 $8.80–$24.47 varies
Collagen crosslinks (82523)
range across 4 matching MRF lines
$5.10–$70.89 $10–$139 varies
Column Chromotography Quant (82542)
range across 8 matching MRF lines
$12.75–$84.15 $25–$165 varies
Compatibility test antiglob (86922) $187.68 $368 0.8×
Complement Antigen Each Component (86160) $14.79 $29 1.2×
Complement Fixation Tests Each Antigen (86171) $4.59 $9 0.5×
Complement Total (Ch50) (86162) $28.69 $56.25 1.4×
Complement/Function Activity (86161) $34.55 $67.75 2.9×
Consltj Compre Review Reprt Referred Matrl (88325) $298.35 $585 1.2×
Consltj&Reprt Slides Prepared Elsewhere (88321) $243.78 $478 4.6×
Coombs direct (86880) $144.84 $284 26.9×
Copper urine (82525)
range across 3 matching MRF lines
$15.56–$41.13 $30.50–$80.65 varies
Cortisol free (82530)
range across 3 matching MRF lines
$6.12–$64.80 $12–$127.05 varies
Cortisol saliva (82533) $132.09 $259 8.1×
Creatine (82540) $21.40 $41.96 4.6×
Creatine kinase total (82550) $53.04 $104 8.1×
Creatinine blood (82565) $42.84 $84 8.4×
Creatinine clearance (82575) $76.50 $150 8.1×
Creatinine Urine (82570) $42.84 $84 8.3×
Crossmatch electronic (86923) $166.26 $326 0.7×
Crossmatch immediate spin (86920) $187.68 $368 0.8×
Crp High Sensitivity (86141) $105.06 $206 8.1×
Cryoglobulin (82595)
range across 2 matching MRF lines
$17.85–$35.96 $35–$70.50 varies
Cryptococcus ab (86641) $23.97 $47 1.7×
Cryptococcus ag titer (87899) $98.94 $194 6.2×
Cryptosporidium (87272) $31.62 $62 2.6×
Cryptosporidium ag eia (87328) $82.62 $162 6.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $72.42 $142 9.0×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $85.68 $168 10.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 3 matching MRF lines
$29.58–$104.55 $58–$205 varies
Cul Typ ID Bld Pthgn 6+ Trgt (87154)
range across 2 matching MRF lines
$222.36–$277.95 $436–$545 varies
Culture afb (87116)
range across 8 matching MRF lines
$1.53–$159.63 $3–$313 varies
Culture Anaerobic (87075) $84.15 $165 8.9×
Culture blood (87040) $91.80 $180 8.9×
Culture chlamydia (87110) $34.97 $68.57 1.8×
Culture csf (87070) $76.50 $150 8.9×
Culture fungus (87102)
range across 2 matching MRF lines
$29.58–$152.49 $58–$299 varies
Culture fungus blood (87103) $4.28 $8.39 0.2×
Culture screen only (87081) $59.67 $117 9.0×
Culture stool (87045) $84.15 $165 8.9×
Culture typing if ea antiserum (87140)
range across 4 matching MRF lines
$4.79–$34.98 $9.39–$68.58 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $42.33 $83 8.2×
Culture urine (87086) $71.40 $140 8.8×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $12.34 $24.20 0.9×
Cyclosporine (80158) $159.12 $312 8.8×
Cystatin C (82610) $57.83 $113.40 3.1×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,224 $2,400 1.1×
Cytomegalovirus igg (86644) $116.79 $229 8.1×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $90.27 $177 4.5×
Cytopath Cell Enhance Tech (88112) $275.40 $540 3.7×
Cytp Concentration Smears & Interpretation (88108) $47.43 $93 0.9×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $90.78 $178 1.2×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $208.08 $408 0.9×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $49.47 $97 0.9×
Cytp smrs any oth src extnd std > 5 slides (88162) $99.45 $195 1.3×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $49.47 $97 1.2×
Deoxyribonuclease antibody (86215) $49.14 $96.35 3.7×
Detect Agent Nos Dna Amp (87798) $319.77 $627 9.1×
Detect Agent Nos Dna Quant (87799)
range across 7 matching MRF lines
$6.38–$190.74 $12.50–$374 varies
Detect agnt mult DNA ampli (87801) $151.98 $298 2.2×
Dgp Antibody Each Ig Class (86258)
range across 2 matching MRF lines
$5.10–$43.35 $10–$85 varies
Dhea (82626) $51.69 $101.35 2.0×
Dhea-S (82627) $76.50 $150 3.4×
Digoxin (80162) $160.14 $314 12.1×
Dihydrotestosterone (82642) $93.18 $182.70 3.2×
Diphtheria antitoxoid (86648) $46.50 $91.17 3.1×
Dipropylacetic Acid Free (80165) $20.99 $41.15 1.6×
Dna Antibody Native/Double Stranded (86225)
range across 4 matching MRF lines
$3.57–$3.88 $7–$7.60 varies
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines
$59.67–$123.93 $117–$243 varies
DNA/RNA direct probe (87149)
range across 2 matching MRF lines
$21.96–$172.89 $43.06–$339 varies
Drug assay acetaminophen (80143) $576.81 $1,131 30.9×
Drug Assay Amiodarone (80151) $65.33 $128.10 3.5×
Drug Assay Everolimus (80169) $57.12 $112 4.2×
Drug assay felbamate (80167) $39.45 $77.36 2.1×
Drug Assay Lacosamide (80235) $79.56 $156 2.9×
Drug Assay Leflunomide (80193) $71.40 $140 1.9×
Drug assay voriconazole (80285) $81.09 $159 3.0×
Drug Screen Quant Clozapine (80159) $8.67 $17 0.4×
Drug Screen Quant Zonisamide (80203) $52.75 $103.44 4.0×
Drug Screen Quantitative Lamotrigine (80175) $38.22 $74.95 2.9×
Drug Screen Quantitative Levetiracetam (80177) $33.28 $65.25 2.5×
Drug Screen Quantitative Oxcarbazepine (80183) $36.21 $71 2.7×
Drug Test Prsmv Chem Anlyzr (80307) $576.81 $1,131 9.3×
El-1 Fecal Quantitative (82653)
range across 2 matching MRF lines
$20.40–$114.24 $40–$224 varies
Electrolyte panel (80051) $62.73 $123 8.9×
Electron Microscopy (88348) $1,052.13 $2,063 0.9×
Encephaltis East Eqne Anbdy (86652)
range across 2 matching MRF lines
$9.69–$43.76 $19–$85.81 varies
Encephaltis West Eqne Antbdy (86654)
range across 4 matching MRF lines
$9.69–$68.89 $19–$135.08 varies
Endomysial Antibody Each Immunoglobulin Class (86231) $5.10 $10 0.4×
Enterovirus Antibody (86658)
range across 4 matching MRF lines
$1.28–$13.62 $2.50–$26.70 varies
Enterovirus PCR (87498) $178.50 $350 5.1×
Enzyme cell activity (82657) $41.95 $82.25 1.9×
Enzyme histochemistry (88319) $1,311.72 $2,572 1.1×
Eosinophil Smear (89190) $53.55 $105 9.2×
Erythropoietin (82668) $68.37 $134.05 3.6×
Estradiol serum (82670) $225.42 $442 8.1×
Estriol (82677) $4.85 $9.50 0.2×
Estrogen total (82672) $73.90 $144.90 3.4×
Estrogens fractionated (82671) $212.72 $417.10 6.6×
Ethosuximide (80168) $43.76 $85.80 2.7×
Ethylene Glycol (82693) $51 $100 3.4×
Euglobulin lysis (85360) $46.03 $90.25 5.5×
Exam Synovial Fluid Crystals (89060) $82.11 $161 11.2×
F2 Gene (81240)
range across 2 matching MRF lines
$22.95–$83 $45–$162.75 varies
Factor ii activity (85210) $102.06 $200.12 7.9×
Factor Inhibitor Test (85335)
range across 3 matching MRF lines
$64.77–$103.04 $127–$202.03 varies
Factor ix activity (85250) $93.87 $184.05 4.9×
Factor v activity (85220)
range across 2 matching MRF lines
$16.32–$93.87 $32–$184.05 varies
Factor v leiden mutation (81241) $130.92 $256.70 1.8×
Factor vii assay (85230) $93.87 $184.05 5.2×
Factor viii assay (85240)
range across 5 matching MRF lines
$15.30–$103.03 $30–$202.02 varies
Factor X (85260) $93.87 $184.05 5.2×
Factor xi activity (85270) $93.87 $184.05 5.2×
Fat/Lipids Feces Quantitative (82710) $71.71 $140.60 4.3×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $58.91 $115.50 3.4×
Fecal Fat Qualitative (82705) $16.17 $31.70 3.2×
Ferritin (82728) $111.18 $218 8.2×
Fetal Congenital Abnor Assay Four Anal (81511) $247.35 $485 1.6×
Fetal Fibronectin (82731) $1,085.79 $2,129 16.9×
Fetal screen rosette (85461) $95.37 $187 10.2×
Fibrin degradation products (85362)
range across 2 matching MRF lines
$16.32–$41.31 $32–$81 varies
Fibrin Degradation Quant (85379) $108.63 $213 10.7×
Fibrinogen activity (85384) $86.19 $169 8.9×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $58.65 $115 3.8×
Flow cytometry first marker (88184) $35.87 $70.33 0.1×
Fluorescent antibody screen (86255)
range across 10 matching MRF lines
$2.04–$76.50 $4–$150 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 6 matching MRF lines
$3.57–$25.50 $7–$50 varies
Folic acid rbc (82747)
range across 2 matching MRF lines
$3.06–$31.03 $6–$60.85 varies
Folic Acid Serum (82746) $119.85 $235 8.2×
Follicle Stimulating Hormone (83001) $150.96 $296 8.1×
Fresh Frozen Plasma Thawing Each Unit (86927) $190.74 $374 0.8×
Frozen Section (88331) $307.02 $602 1.3×
Fungi Identification Mold (87107) $17.85 $35 1.7×
Fungi Identification Yeast (87106) $91.80 $180 8.9×
Gammaglobulin ige (82785) $104.55 $205 6.4×
Gardner Vag Dna Quant (87512)
range across 2 matching MRF lines
$6.38–$83.13 $12.50–$163 varies
Gastrin (82941) $21.45 $42.05 1.2×
Genet Virus Isolate Hsv (87255)
range across 2 matching MRF lines
$3.57–$34.17 $7–$67 varies
Gentamicin (80170) $179.52 $352 11.0×
Ggt (82977) $59.16 $116 8.2×
Giardia antigen (87329) $83.13 $163 6.9×
Glucagon (82943) $69.32 $135.92 4.9×
Glucose 2 hr pp (82950)
range across 4 matching MRF lines
$35.19–$39.78 $69–$78 varies
Glucose Blood Test (82962) $24.48 $48 7.5×
Glucose body fluid (82945) $33.15 $65 8.4×
Glucose Serum (82947) $33.15 $65 8.4×
Glucose tolerance test (gtt) (82951) $104.55 $205 8.1×
Glycated Protein (82985) $19.38 $38 1.2×
Gonadotropin Chorionic Hcg Free Beta Chain (84704) $3.57 $7 0.2×
Gonadotropin Chorionic Qualitative (84703) $60.69 $119 8.1×
Growth hormone (83003) $20.60 $40.40 1.2×
Gtt-added samples (82952) $33.15 $65 8.5×
H Pylori (C-13) Breath (83013) $375.36 $736 5.6×
Haloperidol (80173) $72.42 $142 4.6×
Haptoglobin (83010) $102 $200 8.1×
Hba1/Hba2 Gene (81257) $234.60 $460 2.3×
Hdl Cholesterol (83718) $66.81 $131 8.2×
Helicobacter Pylori Stool (87338) $73.95 $145 5.1×
Helminth Antibody (86682) $19.89 $39 1.5×
Hematocrit (85014) $24.48 $48 10.3×
Hemoglobin (85018) $24.48 $48 10.3×
Hemoglobin a1c (83036) $79.05 $155 8.1×
Hemoglobin Chromotography (83021)
range across 3 matching MRF lines
$1.88–$4.75 $3.68–$9.32 varies
Hemoglobin electrophoresis (83020) $9.51 $18.64 0.7×
Hemoglobin Methemoglobin Quantitative (83050) $60.18 $118 7.3×
Hemoglobin plasma (83051) $37.77 $74.05 5.2×
Hep a ab igm (86709) $88.74 $174 7.9×
Heparin assay (85520)
range across 2 matching MRF lines
$88.74–$111.18 $174–$218 varies
Hepatitis a antibody total (86708) $108.12 $212 8.7×
Hepatitis b core ab igm (86705) $92.31 $181 7.8×
Hepatitis b core ab total (86704) $94.35 $185 7.8×
Hepatitis B Surface Antibody (86706) $84.66 $166 7.9×
Hepatitis B Surface Antigen (87340) $89.25 $175 8.6×
Hepatitis Be Antibody (86707) $32.64 $64 2.8×
Hepatitis Be Antigen (87350) $32.64 $64 2.8×
Hepatitis C Antibody (86803) $112.71 $221 7.9×
Hepatitis C Genotype (87902)
range across 3 matching MRF lines
$56.10–$209.10 $110–$410 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $30.09 $59 0.9×
Hepatitis C Revrs Trnscrpj (87522)
range across 4 matching MRF lines
$29.53–$215.22 $57.90–$422 varies
Hepatitis Delta Agent Antibody (86692)
range across 2 matching MRF lines
$13.66–$51.28 $26.79–$100.55 varies
Herpes simplex type 2 (86696)
range across 10 matching MRF lines
$3.83–$43.86 $7.50–$86 varies
Heterophile Antibody Screen (86308) $42.84 $84 8.3×
Hfe Gene (81256) $200.43 $393 3.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $84.15 $165 10.9×
Histamine urine (83088) $69.87 $137 2.4×
Histoplasma antibody (86698)
range across 5 matching MRF lines
$3.13–$13.65 $6.13–$26.77 varies
Histoplasma antigen urine (87385) $58.97 $115.63 4.5×
Hiv Antigen W/Hiv Antibodies (87806) $55.59 $109 1.7×
Hiv Genotype (87901)
range across 2 matching MRF lines
$58.65–$117.81 $115–$231 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $177.99 $349 7.4×
Hiv-1 Antibody (86701)
range across 2 matching MRF lines
$6.38–$39.93 $12.50–$78.30 varies
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$33.15–$150.45 $65–$295 varies
Hla class ii typing high resolution one locus ea (81382) $26.14 $51.25 0.2×
Hla I Low Resolution One Antigen Equivalent Each (81374) $43.86 $86 0.6×
Hla I Typing 1 Allele Hr (81381) $76.50 $150 0.5×
Hla ii typing 1 locus lr (81376) $26.14 $51.25 0.2×
Hla Typing a/B/C Multiple Antigens (86813) $172.38 $338 3.0×
Hla-b27 (86812) $68.85 $135 2.7×
Homocysteine (83090) $135.66 $266 7.6×
Homovanillic acid urine (83150) $6.63 $13 0.3×
Hpv High-Risk Types (87624) $217.77 $427 6.2×
Hpv Types 16 & 18 Only (87625) $237.15 $465 5.8×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$15.30–$72.68 $30–$142.50 varies
Hsv Dna Quant (87530) $82.88 $162.50 1.9×
Human Epididymis Protein 4 (86305) $130.56 $256 6.3×
Hydroxyprogesterone 17-d (83498) $6.50 $12.75 0.2×
Iaad Ia Entamoeba Histolytica Grp (87337) $60.45 $118.52 5.0×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $12.46 $24.44 1.2×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $123.93 $243 8.9×
Iaadi inffluenza a virus (87276) $24.48 $48 1.5×
Iaadi parainfluenza virus each type (87279) $7.65 $15 0.5×
Iaadi pneumocustis carinii (87281) $63.19 $123.90 5.3×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $33.15 $65 2.8×
Iaadi respiratory synctial virus (87280) $24.54 $48.11 1.8×
Iadna Candida Species Amplified Probe Tq (87481)
range across 5 matching MRF lines
$6.38–$83.39 $12.50–$163.50 varies
Iadna chlamydia pneumoniae amplified probe tq (87486) $158.77 $311.31 4.5×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $147.90 $290 4.2×
Iadna Cytomegalovirus Quantification (87497) $174.42 $342 4.1×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $71.91 $141 1.0×
Iadna Hepatitis B Virus Quantification (87517) $165.75 $325 3.9×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 2 matching MRF lines
$147.90–$181.55 $290–$355.98 varies
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines
$298.35–$325.38 $585–$638 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581) $319.77 $627 9.1×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $210.63 $413 6.0×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $24.99 $49 0.5×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $837.42 $1,642 5.9×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $1,319.37 $2,587 5.0×
Idh1 common variants (81120) $135.47 $265.62 0.7×
Idh2 common variants (81121) $135.47 $265.63 0.5×
Ig Light Chains Free Each (83521) $61.20 $120 3.5×
Igg subclasses (82787)
range across 3 matching MRF lines
$4.59–$34.87 $9–$68.38 varies
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $474.30 $930 0.9×
Immunfix e-phorsis/urine/csf (86335)
range across 6 matching MRF lines
$6.63–$181.25 $13–$355.40 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 13 matching MRF lines
$12.75–$499.80 $25–$980 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 2 matching MRF lines
$2.04–$32.61 $4–$63.95 varies
Immunoassay nonantibody (83516)
range across 18 matching MRF lines
$2.30–$255 $4.50–$500 varies
Immunodiffusion not elsewhere specified (86329) $8.67 $17 0.6×
Immunodiffusion Ouchterlony (86331)
range across 2 matching MRF lines
$4.59–$14.36 $9–$28.15 varies
Immunofixation electrophoresis (86334)
range across 7 matching MRF lines
$6.63–$79.05 $13–$155 varies
Immunofluorescence per spec 1st singl antb stain (88346) $582.42 $1,142 2.4×
Immunohistochemistry (88342) $276.42 $542 1.1×
In situ hybridization 1st probe stain (88365) $208.08 $408 0.9×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $24.48 $48 1.7×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $24.48 $48 2.0×
Influenza assay w/optic (87804) $28.05 $55 1.7×
Influenza DNA amp probe (87502) $556.92 $1,092 5.8×
Inhibin A (86336)
range across 2 matching MRF lines
$4.85–$86.70 $9.50–$170 varies
Inhibin b (83520)
range across 26 matching MRF lines
$2.55–$210.80 $5–$413.33 varies
Insitu hybridization auto (88367) $592.62 $1,162 1.2×
Insitu hybridization manual (88368) $406.47 $797 0.8×
Insulin antibodies (86337) $76.04 $149.10 3.6×
Insulin free (83527)
range across 2 matching MRF lines
$5.10–$70.69 $10–$138.60 varies
Insulin total (83525)
range across 2 matching MRF lines
$3.06–$13.80 $6–$27.05 varies
Interleukin-6 (83529) $106.03 $207.90 6.1×
Intrinsic factor antibody (86340) $48.20 $94.50 3.2×
Iron (83540) $53.04 $104 8.2×
Iron Binding Capacity (83550) $56.10 $110 6.4×
Islet cell antibody (86341)
range across 5 matching MRF lines
$8.21–$93.71 $16.10–$183.75 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 3 matching MRF lines
$71.40–$249.90 $140–$490 varies
Jak2 Gene Trgt Sequence Alys (81279) $199.92 $392 1.1×
Lactate (ld) (ldh) enzyme (83615) $49.98 $98 8.3×
Lactoferrin fecal qualitative (83630) $74.46 $146 3.8×
Lactoferrin Fecal Quantitative (83631) $171.36 $336 8.7×
Ldh Isoenzymes (83625) $26.78 $52.50 2.1×
LDL direct (83721) $76.50 $150 7.3×
Lead (83655)
range across 5 matching MRF lines
$4.34–$52.02 $8.50–$102 varies
Legionella antibody (86713) $37.23 $73 2.4×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$35.50–$140.25 $69.60–$275 varies
Legionella pneumophila dfa (87278) $7.74 $15.18 0.5×
Leukocyte Assessment Fecal (89055) $39.78 $78 9.3×
Level I Surg Pathology Gross Examination Only (88300) $49.47 $97 1.2×
Level ii surg pathology gross&microscopic exam (88302) $49.47 $97 0.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $406.47 $797 0.8×
Lidocaine (80176) $50.97 $99.95 3.5×
Lipase (83690) $56.61 $111 8.2×
Lipoprotein A (83695)
range across 3 matching MRF lines
$5.61–$24.29 $11–$47.63 varies
Lipoprotein Bld Quan Part (83704)
range across 4 matching MRF lines
$5.10–$32.02 $10–$62.79 varies
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $12.57 $24.64 1.1×
Lipoprotein-Associated Phospholipase A2 (83698)
range across 2 matching MRF lines
$24.29–$25.50 $47.63–$50 varies
Lithium (80178) $81.60 $160 12.3×
Luteinizing Hormone (Lh) (83002) $150.96 $296 8.2×
Lyme disease antibody (86618) $64.90 $127.25 3.8×
Lysozyme serum (85549) $49.14 $96.35 2.6×
M. Genitalium Amp Probe (87563) $71.40 $140 2.0×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) $191.76 $376 5.5×
M/phmtrc alys ishquant/semiq (88374) $43.35 $85 0.2×
Magnesium Urine (83735) $55.59 $109 8.3×
Mercury urine (83825)
range across 3 matching MRF lines
$48.45–$56.10 $95–$110 varies
Metabolic panel ionized ca (80047) $206.55 $405 15.0×
Methotrexate (80204) $107.10 $210 2.8×
Methylmalonic acid serum (83921)
range across 3 matching MRF lines
$5.10–$101.36 $10–$198.75 varies
Microalbumin, quantitative (82043) $47.94 $94 8.3×
Microsomal Antibodies Each (86376)
range across 7 matching MRF lines
$2.49–$42.02 $4.88–$82.40 varies
Mitochondrial Antibody Each (86381)
range across 3 matching MRF lines
$3.06–$40.16 $6–$78.75 varies
Mopath procedure level 1 (81400)
range across 2 matching MRF lines
$86.70–$178.50 $170–$350 varies
Mopath procedure level 2 (81401) $280.50 $550 2.0×
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$81.60–$484.50 $160–$950 varies
Mrsa Pcr (87641) $279.48 $548 8.0×
Mthfr Gene Analysis Common Variants (81291) $158.10 $310 2.4×
Mumps antibody (86735) $145.86 $286 11.2×
Muscle-Specific Kinase Antb (86366) $499.80 $980 27.2×
Mycophenolic Acid (80180) $83.64 $164 4.6×
Mycoplasma antibody (86738)
range across 3 matching MRF lines
$4.08–$26.24 $8–$51.45 varies
Mycoplasma culture (87109)
range across 2 matching MRF lines
$51.18–$108.27 $100.36–$212.30 varies
Myelin basic protein csf (83873)
range across 2 matching MRF lines
$34.35–$60.51 $67.35–$118.65 varies
Myoglobin urine (83874)
range across 2 matching MRF lines
$6.12–$62.35 $12–$122.25 varies
Natriuretic peptide (83880)
range across 6 matching MRF lines
$25.50–$274.38 $50–$538 varies
Nfct Agent Genotype Hepatitis B Virus (87912) $212.06 $415.80 0.8×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513)
range across 5 matching MRF lines
$9.56–$104.04 $18.75–$204 varies
Nfct ds chrnc hcv 6 assays (81596) $147.26 $288.75 2.0×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $235.62 $462 1.8×
Niacin (84591) $87.72 $172 5.1×
Nk cells total count (86357)
range across 2 matching MRF lines
$7.40–$47.89 $14.50–$93.91 varies
Nuclear antigen antibody (86235)
range across 14 matching MRF lines
$2.04–$56.56 $4–$110.91 varies
Occult blood feces (82272) $26.52 $52 6.3×
Occult Blood Other Sources (82271) $26.52 $52 5.0×
Oligoclonal bands (83916)
range across 3 matching MRF lines
$11.68–$56.20 $22.91–$110.20 varies
Oncoprotein dcp (83951) $99.45 $195 1.5×
Osmolality serum (83930) $73.44 $144 11.1×
Osmolality Urine (83935) $56.10 $110 8.2×
Osteocalcin (83937) $73.95 $145 2.5×
Ova and parasites smears (87177) $31.88 $62.50 3.6×
Oxalate urine (83945) $17.85 $35 1.2×
Pancreatic Elastase Fecal (82656) $20.40 $40 1.8×
Particle Agglut Antbdy Titr (86406) $36.21 $71 3.4×
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines
$8.16–$47.46 $16–$93.05 varies
Parvovirus antibody (86747)
range across 3 matching MRF lines
$6.12–$35.70 $12–$70 varies
Path Consltj Surg Cytologic Exam Initial Site (88333) $913.92 $1,792 0.8×
Pathology Consultation During Surgery (88329) $180.54 $354 2.2×
Ph urine (81003) $17.85 $35 7.9×
Phenobarbital Level (80184) $138.72 $272 9.1×
Phenotype Infect Agent Drug (87900)
range across 2 matching MRF lines
$58.65–$117.81 $115–$231 varies
Phenytoin (Dilantin) (80185) $160.14 $314 12.1×
Phenytoin free (80186)
range across 2 matching MRF lines
$8.42–$30.29 $16.50–$59.40 varies
Phosphatase alkaline (84075) $42.84 $84 8.3×
Phospholipid Neutralization Hexagonal (85598)
range across 2 matching MRF lines
$6.50–$52.02 $12.75–$102 varies
Phosphorus Serum (84100) $39.78 $78 8.4×
Phosphorus urine (84105) $17.85 $35 3.1×
Platelet Aggregation (85576) $184.11 $361 7.4×
Platelet Antibodies (86022)
range across 7 matching MRF lines
$7.65–$219.30 $15–$430 varies
Platelet count automated (85049) $45.39 $89 10.1×
Platelet neutralization (85597) $3.51 $6.89 0.2×
Pooling blood platelets (86965) $166.26 $326 0.7×
Porphobilinogen, urine; quantitative (84110) $31.75 $62.26 3.8×
Porphyrins Urine Quantitation & Fractionation (84120) $66.94 $131.25 4.6×
Potassium Urine (84133) $35.19 $69 7.4×
Prealbumin (84134) $119.34 $234 8.2×
Pregnenolone (84140) $51.28 $100.55 2.5×
Primidone (80188) $15.81 $31 1.0×
Procalcitonin (Pct) (84145) $133.11 $261 4.9×
Progesterone (84144) $170.34 $334 8.2×
Prolactin (84146) $156.06 $306 8.1×
Protein body fluid (84157) $30.60 $60 7.7×
Protein C Activity (85303) $88.05 $172.65 6.4×
Protein c antigen (85302) $99.27 $194.65 8.3×
Protein Electrophoresis Urine (84166) $40.80 $80 2.3×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 6 matching MRF lines
$3.83–$17.15 $7.50–$33.63 varies
Protein S Free (85306)
range across 3 matching MRF lines
$7.65–$97.46 $15–$191.10 varies
Protein s total (85305) $100.22 $196.50 8.6×
Protein total serum (84155) $30.60 $60 8.3×
Protein Total Urine (84156)
range across 3 matching MRF lines
$27.54–$30.60 $54–$60 varies
Protein Western Blot Test (84182) $56.57 $110.93 1.9×
Prothrombin Time Substitution Plasma Frctj Each (85611) $5.65 $11.08 1.4×
PSA free (84154) $148.41 $291 8.1×
Pth Intact (83970) $242.25 $475 5.9×
Q Fever Antibody (86638)
range across 3 matching MRF lines
$12.47–$30.28 $24.45–$59.37 varies
Quantiferon tb gold plus (86480) $489.60 $960 7.9×
Quantitative assay drug (80299) $49.98 $98 2.7×
Quantitative Screen Metals (83018) $28.92 $56.70 1.3×
Rbc antibody elution (86860)
range across 4 matching MRF lines
$63.24–$221.85 $124–$435 varies
Rbc antibody identification (86870) $324.87 $637 0.6×
Rbc antibody screen (86850) $88.23 $173 9.0×
Rbc pretreatment serum (86978)
range across 2 matching MRF lines
$53.55–$219.30 $105–$430 varies
Rbc pretx incubatj w/enzymes (86971) $70.89 $139 0.3×
Renin activity plasma (84244)
range across 2 matching MRF lines
$26.32–$40.47 $51.60–$79.35 varies
Resp virus 12-25 targets (87633) $2,964.63 $5,813 7.1×
Reticulated Platelet Assay (85055) $67.83 $133 1.9×
Reticulocyte Count (85046) $10.71 $21 1.9×
Rh (86901) $88.23 $173 29.5×
Rheumatoid Factor Qualitative (86430) $14.26 $27.96 2.3×
Rheumatoid factor quant (86431) $45.90 $90 8.1×
Rickettsia antibody (86757)
range across 6 matching MRF lines
$5.10–$38.25 $10–$75 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$72.50–$76.34 $142.15–$149.69 varies
Rotavirus ag eia (87425) $76.50 $150 6.4×
Rpr qualitative (86592)
range across 5 matching MRF lines
$2.81–$22.26 $5.51–$43.65 varies
Rubella Antibody (86762) $116.79 $229 8.1×
Rubeola antibody (86765) $104.55 $205 8.1×
Russell Viper Venom Time Diluted (85613)
range across 3 matching MRF lines
$3.51–$22.95 $6.89–$45 varies
Salicylate Level (80179) $576.81 $1,131 30.9×
Salmonella antibody (86768) $5.10 $10 0.4×
Sars-Cov-2 Covid-19 Amp Prb (87635) $81.60 $160 1.6×
Sars-cov-2 COVID-19 antibody (86769) $100.98 $198 2.4×
Sars-Cov-2 Covid19 W/Optic (87811) $84.15 $165 2.0×
Sarscov2 & inf a&b amp prb (87636) $169.32 $332 1.2×
Sarscov2&inf a&b&rsv amp prb (87637) $169.32 $332 1.2×
Sedimentation rate (85651) $36.21 $71 8.5×
Sedimentation Rate, Automated (85652) $29.07 $57 10.8×
Selenium (84255)
range across 2 matching MRF lines
$40.29–$56.61 $79–$111 varies
Semen Anal Sperm Detection (89321) $164.22 $322 13.6×
Sensitivity mic (87186)
range across 2 matching MRF lines
$91.51–$242.25 $179.44–$475 varies
Serpina 1 gene (81332) $45.90 $90 1.1×
Sex Hormone Binding Globulin (84270)
range across 3 matching MRF lines
$29.53–$52.39 $57.90–$102.72 varies
Sickling of rbc reduction (85660) $61.20 $120 11.1×
Sirolimus (80195)
range across 2 matching MRF lines
$14.98–$65.87 $29.37–$129.15 varies
Smear acid fast (87206) $71.40 $140 13.2×
Smear complex stain (87209) $31.88 $62.50 1.8×
Smear gram stain (87205) $38.25 $75 9.0×
Smear Special Stain (87207) $57.63 $113 9.6×
Smr Prim Src Wet Mount Nfct Agt (87210) $38.25 $75 6.6×
Sodium Serum (84295) $39.78 $78 8.3×
Sodium Urine (84300) $40.29 $79 8.0×
Soluble Transferrin Receptor (84238) $112.20 $220 3.1×
Somatomedin (84305) $79.05 $155 3.7×
Special Stains Group 1 (88312) $90.78 $178 1.2×
Special Stains Group 2 (88313) $90.78 $178 0.5×
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$38.76–$58.65 $76–$115 varies
Spectrophotometry (84311)
range across 3 matching MRF lines
$26.87–$35.57 $52.68–$69.75 varies
Splitting Blood/Blood Products Each Unit (86985) $166.26 $326 0.7×
Stool cultr aerobic bact ea (87046) $103.02 $202 10.9×
Strep a assay w/optic (87880) $80.58 $158 4.9×
Strep a DNA amp probe (87651) $157.59 $309 4.5×
Sugars Single Qual (84376) $37.13 $72.80 6.8×
Sulfate urine (84392) $17.85 $35 3.3×
Surg path level iii (88304) $90.78 $178 1.2×
Surgical pathology level IV (88305) $84.15 $165 1.1×
Surgical pathology level vi (88309) $913.92 $1,792 0.8×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $18.87 $37 4.0×
Syphilis Test Non-Trep Quant (86593) $1.49 $2.92 0.3×
T cells absolute cd4 count (86361) $65.10 $127.65 2.4×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 4 matching MRF lines
$7.40–$159.96 $14.50–$313.65 varies
T cells total count (86359)
range across 2 matching MRF lines
$7.40–$47.89 $14.50–$93.91 varies
T3 Free (84481) $138.21 $271 8.2×
T3 reverse (84482) $105.49 $206.85 6.7×
T3 Total (84480)
range across 4 matching MRF lines
$3.57–$63.50 $7–$124.50 varies
T3 Uptake (84479) $53.04 $104 8.2×
T4 Free (84439) $74.46 $146 8.3×
T4 total (84436) $56.61 $111 8.2×
Tacrolimus (80197) $179.52 $352 13.1×
Test for acetone/ketones (82009) $37.74 $74 8.3×
Testosterone total (84403) $209.10 $410 8.1×
Testosterone, Free (84402)
range across 6 matching MRF lines
$3.32–$52.38 $6.50–$102.71 varies
Tetanus antibody (86774)
range across 2 matching MRF lines
$43.73–$46.50 $85.75–$91.18 varies
Thrombin Time (85670) $62.22 $122 10.8×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 3 matching MRF lines
$4.13–$35.02 $8.10–$68.66 varies
Thyroglobulin (84432) $16.96 $33.25 1.1×
Thyroglobulin Antibody (86800)
range across 6 matching MRF lines
$2.42–$30.57 $4.75–$59.95 varies
Thyroid Stimulating Immunoglobulin (84445) $173.50 $340.20 3.4×
Thyroxine binding globulin (84442) $63.72 $124.95 4.3×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 4 matching MRF lines
$3.54–$61.71 $6.95–$121 varies
Tissue Culture Lymphocyte (88230) $161.93 $317.50 1.4×
Tobramycin peak (80200)
range across 3 matching MRF lines
$155.04–$193.80 $304–$380 varies
Topiramate (80201) $31.03 $60.85 2.6×
Touch prep (88161) $49.47 $97 1.2×
Toxin/Antitoxin Assay Tissue Culture (87230)
range across 6 matching MRF lines
$16.56–$121.89 $32.48–$239 varies
Toxoplasma ab igm (86778)
range across 3 matching MRF lines
$4.34–$36.20 $8.50–$70.98 varies
Toxoplasma antibody (86777)
range across 4 matching MRF lines
$4.33–$45.06 $8.49–$88.35 varies
Tpmt gene com variants (81335) $76.50 $150 0.4×
Transferase Aspartate Amino Ast Sgot (84450) $42.84 $84 8.3×
Transferrin (84466) $107.61 $211 8.4×
Trichomonas Vaginalis Amplif (87661) $190.74 $374 5.4×
Triglycerides (84478) $46.92 $92 8.2×
Troponin Quant (84484) $155.04 $304 12.4×
Tumor immunohistochem/comput (88361) $437.07 $857 0.9×
Tumor Immunohistochem/Manual (88360) $307.02 $602 1.3×
Unlisted miscellaneous pathology test (89240) $185.64 $364 2.5×
Urea Nitrogen Clearance (84545) $48.96 $96 6.8×
Urea nitrogen urine (84540) $39.78 $78 7.2×
Uric acid other source (84560)
range across 2 matching MRF lines
$10.22–$17.85 $20.03–$35 varies
Urinalysis Microscopic Only (81015) $23.46 $46 7.7×
Urinalysis Volume Measure (81050) $20.91 $41 5.7×
Urine Pregnancy Test (81025) $39.27 $77 4.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$23.97–$24.48 $47–$48 varies
Valproic acid (80164) $164.22 $322 12.1×
Vancomycin (80202) $164.22 $322 12.1×
Varicella-zoster antibody (86787) $116.79 $229 9.1×
Vasopressin (84588) $15.30 $30 0.5×
Viral Culture (87252)
range across 2 matching MRF lines
$4.03–$129.54 $7.90–$254 varies
Virus antibody nos (86790)
range across 10 matching MRF lines
$10.71–$46.80 $21–$91.76 varies
Virus inoculation, shell via (87254)
range across 4 matching MRF lines
$4.03–$137.41 $7.90–$269.44 varies
Viscosity serum (85810) $40.98 $80.35 3.5×
Vit D 1 25-Dihydroxy (82652) $115.77 $227 3.0×
Vitamin A (84590) $54.09 $106.05 4.7×
Vitamin b-12 (82607) $122.40 $240 8.1×
Vitamin B2 (Riboflavin) (84252) $71.76 $140.70 3.5×
Vitamin B6 (84207) $89.25 $175 3.2×
Vitamin c (82180) $33.74 $66.15 3.4×
Vitamin D 25-Hydroxy (82306) $240.21 $471 8.1×
Vitamin E (84446) $42.33 $83 3.0×
Vitamin K (84597) $112.46 $220.50 8.2×
Voltage-Gated Calcium Channel Antibody Each (86596) $114.60 $224.70 9.5×
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$76.34–$89.38 $149.69–$175.25 varies
West nile virus ab igm (86788)
range across 4 matching MRF lines
$9.04–$43.76 $17.72–$85.81 varies
West Nile Virus Antibody (86789)
range across 3 matching MRF lines
$19.38–$43.76 $38–$85.81 varies
Western Blot Test (84181)
range across 3 matching MRF lines
$38.25–$96.90 $75–$190 varies
Zika Virus Dna/Rna Amp Probe (87662) $255 $500 5.0×
Zika Virus Igm Antibody (86794) $140.25 $275 8.3×
Zinc (84630)
range across 3 matching MRF lines
$5.03–$34.15 $9.87–$66.96 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.