Lab & pathology prices at Providence St. Joseph's Hospital

Chewelah, WA · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $96.60 $138 4.2×
Acetylcholine receptor binding antibody (86041) $39.20 $56 2.1×
Acetylcholine receptor blocking antibody (86042) $39.20 $56 2.1×
Acetylcholinesterase Assay (82013) $282.80 $404 23.0×
Acetylcholn Rcptr Modlg Antb (86043) $39.20 $56 3.3×
Acth (82024) $277.90 $397 7.2×
Acth Stimulation Panel Adrenal Insufficiency (80400) $149.10 $213 4.6×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$84–$92.40 $120–$132 varies
Acute hepatitis panel (80074) $242.90 $347 5.1×
Acylcarnitines Quant (82017)
range across 2 matching MRF lines
$42–$46.20 $60–$66 varies
Afp-l3 fraction isoform & total afp w/ratio (82107) $203.70 $291 3.2×
Albumin Fluid (82042)
range across 5 matching MRF lines
$41.30–$45.50 $59–$65 varies
Albumin serum (82040)
range across 4 matching MRF lines
$50.40–$56 $72–$80 varies
Aldolase (82085) $110.60 $158 11.4×
Aldosterone urine (82088)
range across 4 matching MRF lines
$39.20–$210.70 $56–$301 varies
Alkaline phosphatase isoenzymes (84080) $216.30 $309 14.6×
Allergen specific ige (86003)
range across 8 matching MRF lines
$12.60–$48.30 $18–$69 varies
Allergen specific igg (86001)
range across 2 matching MRF lines
$16.80–$40.60 $24–$58 varies
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$16.80–$44.10 $24–$63 varies
Alpha-1-antitrypsin phenotype (82104)
range across 3 matching MRF lines
$32.20–$67.90 $46–$97 varies
Alpha-1-antitrypsin total (82103) $163.10 $233 12.1×
Alpha-Fetoprotein Amniotic Fluid (82106) $255.50 $365 15.0×
Alpha-Fetoprotein Serum (82105)
range across 4 matching MRF lines
$37.80–$143.50 $54–$205 varies
Alt (sgpt) (84460) $54.60 $78 10.3×
Aluminum (82108) $100.10 $143 3.9×
Amikacin trough (80150) $115.50 $165 7.7×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 3 matching MRF lines
$218.40–$497 $312–$710 varies
Aminolevulinic acid (ala) (82135) $154 $220 9.4×
Ammonia (82140) $135.10 $193 9.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $194.60 $278 2.0×
Amylase urine (82150)
range across 9 matching MRF lines
$147–$235.90 $210–$337 varies
Ana Titer (86039) $63 $90 5.6×
Anca Titer Each Antibody (86037)
range across 3 matching MRF lines
$28.70–$31.50 $41–$45 varies
Androstenedione (82157) $160.30 $229 5.5×
Angiotensin converting enzyme csf (82164)
range across 5 matching MRF lines
$53.90–$107.10 $77–$153 varies
Anti-Phospholipid Antibody (86148) $64.40 $92 4.0×
Antibody aspergillus (86606)
range across 4 matching MRF lines
$32.20–$123.20 $46–$176 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 4 matching MRF lines
$26.60–$63 $38–$90 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 2 matching MRF lines
$39.90–$133 $57–$190 varies
Antibody Cytomegalovirus Cmv Igm (86645) $127.40 $182 7.6×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $162.40 $232 12.4×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $531.30 $759 34.7×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $178.50 $255 9.8×
Antibody Fungus Not Elsewhere Specified (86671)
range across 5 matching MRF lines
$25.90–$86.10 $37–$123 varies
Antibody helicobacter pylori (86677)
range across 2 matching MRF lines
$35.70–$44.10 $51–$63 varies
Antibody Herpes Smplx Non-Specific Type Test (86694) $130.90 $187 9.1×
Antibody Herpes Smplx Type 1 (86695) $102.20 $146 7.7×
Antibody HIV-2 (86702) $294.70 $421 21.8×
Antibody Hla Class II Phenotype Panel Qual (86831) $372.40 $532 4.5×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 2 matching MRF lines
$146.30–$162.40 $209–$232 varies
Antibody identification leukocyte antibodies (86021) $272.30 $389 18.1×
Antibody Identification Platelet Immunogl Assay (86023) $39.20 $56 3.1×
Antibody Protozoa Nes (86753) $76.30 $109 6.2×
Antibody Titer (86886)
range across 2 matching MRF lines
$55.30–$100.80 $79–$144 varies
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$68.60–$76.30 $98–$109 varies
Antibody; influenza virus (86710) $86.10 $123 6.4×
Antigen typing (86905) $58.10 $83 15.2×
Antinomyces antibody (86602)
range across 2 matching MRF lines
$21.70–$23.80 $31–$34 varies
Antinuclear antibodies (86038) $106.40 $152 8.8×
Antistreptolysin O Screen (86063) $172.20 $246 29.8×
Antistreptolysin o titer (86060)
range across 2 matching MRF lines
$109.90–$172.20 $157–$246 varies
Antithrombin iii activity (85300) $112.70 $161 9.5×
Antithrombin iii antigen (85301)
range across 3 matching MRF lines
$83.30–$96.60 $119–$138 varies
Apolipoprotein a1 (82172)
range across 3 matching MRF lines
$42.70–$86.80 $61–$124 varies
Arsenic (82175) $103.60 $148 5.5×
Aspergillus ag eia (87305) $101.50 $145 8.5×
Assay activated protein c (85307)
range across 3 matching MRF lines
$152.60–$176.40 $218–$252 varies
Assay Blood Carbon Dioxide (82374) $70 $100 14.3×
Assay Nephelometry Not Spec (83883)
range across 5 matching MRF lines
$70–$182 $100–$260 varies
Assay of 5-hiaa (83497)
range across 3 matching MRF lines
$147–$161.70 $210–$231 varies
Assay of blood/uric acid (84550)
range across 3 matching MRF lines
$55.30–$60.20 $79–$86 varies
Assay of calcium in urine (82340) $155.40 $222 25.8×
Assay of estrone (82679)
range across 3 matching MRF lines
$70–$105 $100–$150 varies
Assay of g6pd enzyme (82955) $30.80 $44 3.2×
Assay of gammaglobulin igm (82784)
range across 15 matching MRF lines
$96.60–$105.70 $138–$151 varies
Assay of lactic acid (83605)
range across 3 matching MRF lines
$100.10–$110.60 $143–$158 varies
Assay of manganese (83785) $40.60 $58 1.5×
Assay of metanephrines (83835)
range across 5 matching MRF lines
$46.20–$134.40 $66–$192 varies
Assay of phosphatase acid total (84060) $101.50 $145 13.3×
Assay of procainamide (80190) $163.80 $234 2.7×
Assay of proinsulin (84206) $130.20 $186 4.9×
Assay of pyruvate (84210) $130.20 $186 9.0×
Assay of serotonin (84260) $144.90 $207 4.7×
Assay of serum potassium (84132)
range across 5 matching MRF lines
$56–$61.60 $80–$88 varies
Assay of sweat sodium (84302) $13.30 $19 2.7×
Assay of urea nitrogen (84520) $46.90 $67 11.9×
Assay of urine vma (84585)
range across 3 matching MRF lines
$161.70–$162.40 $231–$232 varies
Assay of vasoactive intestinal peptide (84586) $340.20 $486 9.6×
Assay of vitamin b-1 (84425) $124.60 $178 5.9×
Assay Ph Body Fluid Nos (83986)
range across 5 matching MRF lines
$55.30–$87.50 $79–$125 varies
Assay spec xcp ur&breath ia (82077) $216.30 $309 12.5×
Automated Leukocyte Count (85048)
range across 3 matching MRF lines
$66.50–$70.70 $95–$101 varies
B cells total count (86355) $177.80 $254 4.7×
Bacterial antigens 87802 (87802) $26.60 $38 2.1×
Bartonella antibody (86611) $33.60 $48 3.3×
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$214.90–$237.30 $307–$339 varies
Bcr/abl1 gene minor bp (81207) $126 $180 0.9×
Beta 2 glycoprotein i antibody each (86146)
range across 6 matching MRF lines
$81.90–$82.60 $117–$118 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$20.30–$74.20 $29–$106 varies
Beta Lactamase (87185) $46.20 $66 9.7×
Beta-2 Microglobulin (82232) $108.50 $155 6.7×
Bile acids total (82239) $45.50 $65 2.7×
Bilirubin direct (82248) $59.50 $85 11.9×
Bilirubin total (82247) $55.30 $79 11.0×
Bl Smear W/O Diff Wbc Count (85008)
range across 3 matching MRF lines
$31.50–$35 $45–$50 varies
Blastomyces antibody (86612)
range across 2 matching MRF lines
$41.30–$45.50 $59–$65 varies
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $237.30 $339 1.2×
Bld Typing Serologic Rh Phnt (86906) $44.10 $63 5.7×
Blood Count Automated Differential Wbc Count (85004) $98.70 $141 15.3×
Blood Count Red Blood Cell Automated (85041) $7.70 $11 2.5×
Blood count reticulocyte automated (85045) $105 $150 26.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $45.50 $65 12.0×
Blood gas (82803) $204.40 $292 7.8×
Blood gases w/02 saturation (82805)
range across 9 matching MRF lines
$196.70–$259.70 $281–$371 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $44.10 $63 2.8×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $55.30 $79 12.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $38.50 $55 6.1×
Blood typing serologic abo (86900) $39.20 $56 13.1×
Body fluid cell count (89050) $101.50 $145 21.5×
Borrelia Antibody (86619) $316.40 $452 23.6×
Braf gene analysis (81210) $290.50 $415 1.7×
Brucella antibody (86622) $75.60 $108 8.5×
C diff amplified probe (87493) $114.80 $164 3.1×
C-Peptide (84681) $130.90 $187 6.3×
C-reactive protein (86140) $91 $130 17.6×
Ca 19-9 (86301) $130.90 $187 6.3×
Cadmium (82300) $99.40 $142 4.2×
Caffeine (80155) $39.20 $56 1.0×
Calcitonin (82308) $121.80 $174 4.5×
Calcium ionized (82330)
range across 3 matching MRF lines
$130.90–$203 $187–$290 varies
Calcium total (82310) $73.50 $105 14.2×
Calculus assay quant (82360) $130.20 $186 10.1×
Calculus Spectroscopy (82365) $98 $140 7.6×
Calprotectin Fecal (83993) $199.50 $285 10.2×
Calr gene com variants (81219)
range across 3 matching MRF lines
$202.30–$386.40 $289–$552 varies
Cancer Antigen 125 (86304) $193.90 $277 9.3×
Cancer Antigen 27.29 (86300) $193.90 $277 9.3×
Candida antibody (86628) $75.60 $108 6.3×
Candida Dna Dir Probe (87480) $93.80 $134 4.7×
Carbamazepine total (80156)
range across 3 matching MRF lines
$126–$138.60 $180–$198 varies
Carboxyhemoglobin (82375) $108.50 $155 8.8×
Carcinoembryonic antigen (82378)
range across 4 matching MRF lines
$130.90–$151.90 $187–$217 varies
Cardiolipin ab iga (86147)
range across 5 matching MRF lines
$235.20–$235.90 $336–$337 varies
Carnitine Quantitative Each Specimen (82379)
range across 3 matching MRF lines
$46.20–$130.20 $66–$186 varies
Carotene (82380) $101.50 $145 11.0×
Catecholamines fractionated (82384) $216.30 $309 8.6×
Catecholamines total urine (82382) $179.90 $257 6.6×
Ccp antibody (86200) $39.20 $56 3.0×
Cebpa Gene Analysis Full Gene Sequence (81218) $387.10 $553 1.6×
Cell count csf (89051)
range across 4 matching MRF lines
$86.80–$95.20 $124–$136 varies
Ceruloplasmin (82390) $112.70 $161 10.5×
Cftr gene com variants (81220) $543.20 $776 1.0×
Chemiluminescent assay (82397)
range across 3 matching MRF lines
$56.70–$149.80 $81–$214 varies
Chloramphenicol level (82415) $154 $220 12.2×
Chloride other source (82438)
range across 5 matching MRF lines
$13.30–$84 $19–$120 varies
Chloride Serum (82435)
range across 3 matching MRF lines
$44.10–$108.50 $63–$155 varies
Chloride urine (82436)
range across 5 matching MRF lines
$46.20–$50.40 $66–$72 varies
Cholesterol total (82465) $101.50 $145 23.3×
Chorionic gonadotropin test (84702)
range across 6 matching MRF lines
$33.60–$140 $48–$200 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $723.10 $1,033 3.8×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $53.90 $77 2.0×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $94.50 $135 2.8×
Chrmsm Analysis Addl Specialized Banding (88283) $158.90 $227 2.3×
Chromium serum (82495)
range across 6 matching MRF lines
$40.60–$141.40 $58–$202 varies
Chromogenic Substrate Assay (85130) $142.80 $204 12.0×
Chromogranin a (86316) $66.50 $95 3.2×
Chromosome Analysis 15-20 (88262) $824.60 $1,178 6.6×
Chromosome Analysis 20-25 (88264) $638.40 $912 4.4×
Chromosome analysis 45 cells (88263) $429.80 $614 2.9×
Chromosome analysis, 5 (88261) $505.40 $722 1.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 6 matching MRF lines
$33.60–$114.80 $48–$164 varies
Citric acid urine (82507) $138.60 $198 5.0×
Ckmb (82553) $124.60 $178 10.8×
Clostridium Difficile (87324) $95.20 $136 7.9×
Clotting factor xii hageman (85280) $147 $210 7.6×
Clotting Funct Activity (85397) $238.70 $341 7.7×
Cns DNA amp probe type 12-25 (87483) $1,768.90 $2,527 4.2×
Coagulation time activated (85347) $94.50 $135 22.1×
Coccidioides antibody (86635)
range across 5 matching MRF lines
$70–$102.20 $100–$146 varies
Cold agglutinin screen (86156) $82.60 $118 10.2×
Cold agglutinin titer (86157) $138.60 $198 17.2×
Collagen crosslinks (82523)
range across 4 matching MRF lines
$75.60–$290.50 $108–$415 varies
Column Chromotography Quant (82542)
range across 6 matching MRF lines
$135.10–$354.90 $193–$507 varies
Compatibility test antiglob (86922) $77.70 $111 0.4×
Complement Antigen Each Component (86160)
range across 9 matching MRF lines
$126–$319.20 $180–$456 varies
Complement Total (Ch50) (86162) $184.10 $263 9.1×
Complement/Function Activity (86161) $166.60 $238 13.9×
Consltj&Reprt Material Requiring Prepj Slides (88323) $91.70 $131 1.6×
Coombs direct (86880) $43.40 $62 8.1×
Copper urine (82525) $162.40 $232 13.1×
Cortisol free (82530)
range across 3 matching MRF lines
$144.90–$175 $207–$250 varies
Cortisol saliva (82533)
range across 7 matching MRF lines
$102.90–$114.10 $147–$163 varies
Creatine (82540) $210 $300 45.3×
Creatine kinase total (82550) $81.20 $116 12.5×
Creatinine blood (82565) $56 $80 10.9×
Creatinine clearance (82575) $131.60 $188 13.9×
Creatinine Urine (82570)
range across 9 matching MRF lines
$81.90–$86.10 $117–$123 varies
Crossmatch electronic (86923) $214.90 $307 1.1×
Crossmatch immediate spin (86920) $48.30 $69 0.3×
Crp High Sensitivity (86141) $102.20 $146 7.9×
Cryofibrinogen (82585) $67.90 $97 4.8×
Cryoglobulin (82595) $84 $120 13.0×
Cryptococcal Antigen (87327) $72.10 $103 5.4×
Cryptococcus ab (86641) $241.50 $345 16.8×
Cryptococcus ag titer (87899) $90.30 $129 5.6×
Cryptosporidium ag eia (87328)
range across 3 matching MRF lines
$42–$121.10 $60–$173 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $129.50 $185 16.0×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $83.30 $119 10.3×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 3 matching MRF lines
$120.40–$127.40 $172–$182 varies
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $596.40 $852 2.7×
Culture afb (87116) $145.60 $208 13.5×
Culture Anaerobic (87075)
range across 3 matching MRF lines
$105–$112 $150–$160 varies
Culture blood (87040) $154 $220 14.9×
Culture chlamydia (87110) $161.70 $231 8.2×
Culture csf (87070)
range across 12 matching MRF lines
$121.10–$127.40 $173–$182 varies
Culture fungus (87102)
range across 4 matching MRF lines
$156.10–$164.50 $223–$235 varies
Culture fungus blood (87103) $133 $190 6.5×
Culture screen only (87081)
range across 14 matching MRF lines
$70.70–$110.60 $101–$158 varies
Culture stool (87045) $138.60 $198 14.7×
Culture Typing Gas/High Pres Liq Chromatography (87143) $37.80 $54 3.0×
Culture typing if ea antiserum (87140) $42 $60 7.5×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 2 matching MRF lines
$56–$60.20 $80–$86 varies
Culture urine (87086) $91.70 $131 11.4×
Cyanide (82600) $166.60 $238 8.6×
Cyclosporine (80158) $128.80 $184 7.1×
Cystatin C (82610) $86.80 $124 4.7×
Cytogenetics 100-300 (88275) $396.20 $566 7.7×
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 3 matching MRF lines
$893.20–$1,080.80 $1,276–$1,544 varies
Cytomegalovirus igg (86644)
range across 5 matching MRF lines
$109.90–$180.60 $157–$258 varies
Cytopath C/V Index Add-On (88155) $28 $40 1.9×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 3 matching MRF lines
$42–$46.90 $60–$67 varies
Cytopath Cell Enhance Tech (88112)
range across 4 matching MRF lines
$35–$242.20 $50–$346 varies
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) $128.80 $184 2.5×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 4 matching MRF lines
$31.50–$33.60 $45–$48 varies
Cytp Concentration Smears & Interpretation (88108)
range across 6 matching MRF lines
$23.80–$44.10 $34–$63 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $135.80 $194 2.3×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $54.60 $78 0.3×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 4 matching MRF lines
$53.20–$261.10 $76–$373 varies
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $255.50 $365 1.3×
Cytp Slides C/V Mnl Scr Under Phys (88150) $72.80 $104 3.9×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164)
range across 3 matching MRF lines
$27.30–$39.90 $39–$57 varies
Cytp smrs any oth src extnd std > 5 slides (88162) $46.90 $67 0.8×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $51.10 $73 1.6×
Deoxyribonuclease antibody (86215) $46.20 $66 3.5×
Detect Agent Nos Dna Amp (87798)
range across 16 matching MRF lines
$109.20–$367.50 $156–$525 varies
Detect Agent Nos Dna Quant (87799)
range across 9 matching MRF lines
$127.40–$318.50 $182–$455 varies
Detect agnt mult DNA ampli (87801) $130.90 $187 1.9×
Dgp Antibody Each Ig Class (86258)
range across 2 matching MRF lines
$26.60–$29.40 $38–$42 varies
Dhea (82626) $72.10 $103 2.9×
Dhea-S (82627) $208.60 $298 9.4×
Digoxin (80162) $107.10 $153 8.1×
Diphtheria antitoxoid (86648) $205.10 $293 13.5×
Dna Antibody Native/Double Stranded (86225)
range across 8 matching MRF lines
$12.60–$137.20 $18–$196 varies
Dna Antibody Single Stranded (86226) $280 $400 23.1×
Dna/Rna Amplified Probe (87150) $25.20 $36 0.7×
Drug assay acetaminophen (80143) $153.30 $219 8.2×
Drug assay adalimumab (80145) $67.20 $96 1.7×
Drug Assay Everolimus (80169) $88.20 $126 6.4×
Drug Assay Infliximab (80230) $166.60 $238 4.3×
Drug Assay Lacosamide (80235) $44.10 $63 1.6×
Drug Assay Leflunomide (80193) $121.80 $174 3.2×
Drug Screen Quant Clozapine (80159) $59.50 $85 3.0×
Drug Screen Quant Zonisamide (80203) $110.60 $158 8.3×
Drug Screen Quantitative Gabapentin (80171) $84 $120 3.9×
Drug Screen Quantitative Lamotrigine (80175) $72.10 $103 5.4×
Drug Screen Quantitative Levetiracetam (80177) $104.30 $149 7.9×
Drug Screen Quantitative Oxcarbazepine (80183) $75.60 $108 5.7×
Drug Screen Quantitative Procainamide Metabolite (80192) $109.90 $157 6.6×
Drug Screen Quantitative Tiagabine (80199) $140.70 $201 5.2×
Drug Test Prsmv Chem Anlyzr (80307)
range across 17 matching MRF lines
$45.50–$168.70 $65–$241 varies
Drug Test Prsmv Dir Opt Obs (80305) $28.70 $41 2.3×
Drug Test Prsmv Instrmnt (80306) $35 $50 2.0×
Egfr Gene Analysis Common Variants (81235) $273 $390 0.8×
El-1 Fecal Quantitative (82653) $200.90 $287 8.7×
Electrolyte panel (80051) $42 $60 6.0×
Electron Microscopy (88348)
range across 2 matching MRF lines
$387.10–$425.60 $553–$608 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664) $198.80 $284 3.2×
Endomysial Antibody Each Immunoglobulin Class (86231) $28 $40 2.3×
Enterovirus PCR (87498)
range across 3 matching MRF lines
$114.80–$200.20 $164–$286 varies
Enzyme cell activity (82657)
range across 7 matching MRF lines
$49.70–$203.70 $71–$291 varies
Eosinophil Smear (89190) $65.80 $94 11.4×
Erythropoietin (82668) $234.50 $335 12.5×
Estradiol serum (82670) $155.40 $222 5.6×
Estriol (82677)
range across 2 matching MRF lines
$53.90–$177.80 $77–$254 varies
Estrogen total (82672)
range across 2 matching MRF lines
$43.40–$155.40 $62–$222 varies
Ethosuximide (80168) $137.20 $196 8.4×
Ethylene Glycol (82693) $189.70 $271 12.7×
Euglobulin lysis (85360) $21.70 $31 2.6×
Exam Synovial Fluid Crystals (89060) $62.30 $89 8.5×
F2 Gene (81240)
range across 3 matching MRF lines
$144.20–$158.90 $206–$227 varies
Factor ii activity (85210) $149.80 $214 11.5×
Factor Inhibitor Test (85335) $181.30 $259 14.1×
Factor ix activity (85250) $123.90 $177 6.5×
Factor v activity (85220) $186.90 $267 10.6×
Factor v leiden mutation (81241)
range across 2 matching MRF lines
$62.30–$69.30 $89–$99 varies
Factor vii assay (85230) $184.10 $263 10.3×
Factor viii assay (85240)
range across 3 matching MRF lines
$156.10–$161 $223–$230 varies
Factor X (85260) $183.40 $262 10.2×
Factor xi activity (85270) $150.50 $215 8.4×
Factor xiii screen (85291) $100.10 $143 11.0×
Fat stain feces urine/respir secretions (89125) $87.50 $125 14.9×
Fat/Lipids Feces Quantitative (82710) $204.40 $292 12.2×
Fatty acids free (82725) $240.10 $343 12.8×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $16.80 $24 2.6×
Fecal Fat Qualitative (82705) $78.40 $112 15.4×
Ferritin (82728) $95.20 $136 7.0×
Fetal Chrmoml Aneuploidy (81420) $302.40 $432 0.4×
Fetal Fibronectin (82731) $373.80 $534 5.8×
Fetal hemoglobin assay qual (83033) $17.50 $25 2.2×
Fetal screen rosette (85461)
range across 2 matching MRF lines
$20.30–$126 $29–$180 varies
Fibrin degradation products (85362) $100.10 $143 14.5×
Fibrin Degradation Quant (85379) $113.40 $162 11.1×
Fibrin dgradj products d-dimer qual/semiquan (85378) $98 $140 10.1×
Fibrinogen activity (85384) $113.40 $162 11.7×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $34.30 $49 2.2×
Flow cytometry first marker (88184)
range across 6 matching MRF lines
$67.90–$168.70 $97–$241 varies
Flt3 Gene (81245) $513.10 $733 3.1×
Fluorescent antibody screen (86255)
range across 11 matching MRF lines
$39.20–$734.30 $56–$1,049 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 3 matching MRF lines
$38.50–$500.50 $55–$715 varies
Fluoride serum (82735) $152.60 $218 8.2×
Folic acid rbc (82747)
range across 3 matching MRF lines
$138.60–$152.60 $198–$218 varies
Folic Acid Serum (82746) $138.60 $198 9.4×
Follicle Stimulating Hormone (83001) $106.40 $152 5.7×
Frozen Section (88331) $88.20 $126 0.5×
Fungi Identification Mold (87107) $143.50 $205 13.9×
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$56–$143.50 $80–$205 varies
Galactose transferase test (82776) $18.20 $26 1.6×
Gammaglobulin ige (82785)
range across 7 matching MRF lines
$135.80–$149.80 $194–$214 varies
Gardner vag DNA dir probe (87510) $93.80 $134 4.7×
Gases Blood O2 Saturation Only Direct Meas (82810) $259.70 $371 26.6×
Gases blood ph only (82800) $75.60 $108 6.9×
Gastrin (82941) $188.30 $269 10.7×
Gentamicin (80170) $119 $170 7.3×
Ggt (82977) $82.60 $118 11.5×
Giardia antigen (87329) $112 $160 9.3×
Giardia lamblia antibody (86674) $459.90 $657 31.2×
Gluc-6-phosphate dehydrogenase screen (82960) $210 $300 34.7×
Glucose 2 hr pp (82950)
range across 4 matching MRF lines
$87.50–$88.20 $125–$126 varies
Glucose Blood Test (82962) $41.30 $59 12.6×
Glucose body fluid (82945)
range across 5 matching MRF lines
$51.80–$62.30 $74–$89 varies
Glucose Serum (82947) $69.30 $99 17.6×
Glucose tolerance test (gtt) (82951) $201.60 $288 15.7×
Glycated Protein (82985) $42 $60 2.5×
Gonadotropin Chorionic Qualitative (84703) $105.70 $151 14.1×
Growth hormone (83003)
range across 3 matching MRF lines
$106.40–$131.60 $152–$188 varies
Gtt-added samples (82952) $58.10 $83 14.8×
H Pylori (C-13) Breath (83013)
range across 3 matching MRF lines
$168–$185.50 $240–$265 varies
H Pylori Drug Admin (83014) $17.50 $25 2.2×
Haptoglobin (83010) $149.80 $214 11.9×
Hdl Cholesterol (83718) $58.10 $83 7.1×
Helicobacter Pylori Stool (87338) $231.70 $331 16.1×
Helminth Antibody (86682)
range across 2 matching MRF lines
$56–$72.80 $80–$104 varies
Hemagglutination Inhibition (86280) $121.10 $173 14.8×
Hematocrit (85014) $37.10 $53 15.7×
Hemoglobin (85018) $29.40 $42 12.4×
Hemoglobin a1c (83036) $91.70 $131 9.4×
Hemoglobin Chromotography (83021)
range across 9 matching MRF lines
$49.70–$204.40 $71–$292 varies
Hemoglobin electrophoresis (83020) $147 $210 11.4×
Hemoglobin Methemoglobin Quantitative (83050) $18.20 $26 2.2×
Hemoglobin plasma (83051) $114.10 $163 15.6×
Hemoglobin stability screen (83068) $219.10 $313 23.1×
Hemolysins&Agglutinins Incubated (86941) $67.20 $96 5.5×
Hemosiderin urine (83070) $79.80 $114 16.8×
Hep a ab igm (86709)
range across 2 matching MRF lines
$106.40–$117.60 $152–$168 varies
Heparin assay (85520)
range across 4 matching MRF lines
$151.90–$185.50 $217–$265 varies
Hepatitis a antibody total (86708) $121.80 $174 9.8×
Hepatitis b core ab igm (86705)
range across 3 matching MRF lines
$91–$100.10 $130–$143 varies
Hepatitis b core ab total (86704)
range across 3 matching MRF lines
$114.10–$127.40 $163–$182 varies
Hepatitis B Surface Antibody (86706)
range across 3 matching MRF lines
$143.50–$158.20 $205–$226 varies
Hepatitis B Surface Antigen (87340)
range across 5 matching MRF lines
$104.30–$114.80 $149–$164 varies
Hepatitis Be Antibody (86707) $112.70 $161 9.7×
Hepatitis Be Antigen (87350) $174.30 $249 15.1×
Hepatitis C Antibody (86803) $140.70 $201 9.9×
Hepatitis c antibody confirmatory test (86804) $567.70 $811 36.6×
Hepatitis C Genotype (87902) $1,564.50 $2,235 6.1×
Hepatitis C Revrs Trnscrpj (87522)
range across 5 matching MRF lines
$340.90–$375.20 $487–$536 varies
Herpes simplex type 2 (86696) $123.20 $176 6.4×
Heterophile Antibody Screen (86308) $203 $290 39.2×
Hfe Gene (81256) $179.90 $257 2.8×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $147 $210 19.0×
Histamine urine (83088)
range across 2 matching MRF lines
$128.80–$141.40 $184–$202 varies
Histoplasma antibody (86698) $28.70 $41 2.1×
Histoplasma antigen urine (87385) $36.40 $52 2.7×
Hiv Antigen W/Hiv Antibodies (87806) $78.40 $112 2.4×
Hiv Genotype (87901) $315 $450 1.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines
$61.60–$64.40 $88–$92 varies
Hiv-1 Antibody (86701) $146.30 $209 16.5×
HIV-1 p24 antigen (87390) $58.80 $84 2.4×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 3 matching MRF lines
$378–$445.20 $540–$636 varies
Hla I Low Resolution One Antigen Equivalent Each (81374) $189.70 $271 2.6×
Hla Typing a/B/C Multiple Antigens (86813) $522.20 $746 9.0×
Homocysteine (83090) $224 $320 12.5×
Homogenization Tissue (87176)
range across 2 matching MRF lines
$16.80–$17.50 $24–$25 varies
Homovanillic acid urine (83150) $67.90 $97 3.0×
Hpv High-Risk Types (87624)
range across 3 matching MRF lines
$145.60–$149.10 $208–$213 varies
Hpv Types 16 & 18 Only (87625) $149.10 $213 3.7×
Hsv Dna Amp Probe (87529)
range across 4 matching MRF lines
$114.80–$115.50 $164–$165 varies
Hydroxycorticosteroids 17 (83491) $296.80 $424 16.6×
Hydroxyprogesterone 17-d (83498) $196.70 $281 7.2×
Hydroxyproline total (83505) $179.90 $257 7.4×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $100.80 $144 7.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $130.90 $187 3.7×
Iaad Ia Streptococcus Group A (87430) $39.90 $57 2.4×
Iaadi inffluenza a virus (87276) $132.30 $189 8.2×
Iaadi parainfluenza virus each type (87279) $149.10 $213 9.1×
Iaadi pneumocustis carinii (87281)
range across 2 matching MRF lines
$137.90–$152.60 $197–$218 varies
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $152.60 $218 12.7×
Iaadi respiratory synctial virus (87280) $179.20 $256 13.4×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $376.60 $538 10.7×
Iadna Candida Species Amplified Probe Tq (87481) $60.90 $87 1.7×
Iadna chlamydia pneumoniae amplified probe tq (87486)
range across 4 matching MRF lines
$109.20–$115.50 $156–$165 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496) $177.10 $253 5.0×
Iadna Cytomegalovirus Quantification (87497) $572.60 $818 13.4×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $312.90 $447 4.5×
Iadna Hepatitis B Virus Quantification (87517) $264.60 $378 6.2×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $114.80 $164 3.3×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $686 $980 19.5×
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 4 matching MRF lines
$109.20–$115.50 $156–$165 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 8 matching MRF lines
$32.20–$162.40 $46–$232 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631)
range across 3 matching MRF lines
$168–$437.50 $240–$625 varies
Ig Light Chains Free Each (83521) $76.30 $109 4.4×
Igg subclasses (82787) $23.10 $33 2.9×
Igh gene rearrange amp meth (81261)
range across 2 matching MRF lines
$321.30–$380.80 $459–$544 varies
Igk rearrangeabn clonal pop (81264) $166.60 $238 1.0×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $210.70 $301 0.5×
Immune Complex Assay (86332) $79.80 $114 3.3×
Immunfix e-phorsis/urine/csf (86335)
range across 5 matching MRF lines
$142.80–$179.20 $204–$256 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 16 matching MRF lines
$37.80–$823.20 $54–$1,176 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 8 matching MRF lines
$16.10–$317.10 $23–$453 varies
Immunoassay nonantibody (83516)
range across 17 matching MRF lines
$10.50–$420.70 $15–$601 varies
Immunodiffusion Ouchterlony (86331)
range across 4 matching MRF lines
$25.20–$63 $36–$90 varies
Immunoelectrophoresis Other Fluids Concentration (86325) $155.40 $222 6.7×
Immunoelectrophoresis Serum (86320) $239.40 $342 8.0×
Immunofixation electrophoresis (86334)
range across 3 matching MRF lines
$128.10–$140.70 $183–$201 varies
Immunofluorescence per spec 1st singl antb stain (88346) $75.60 $108 0.4×
Immunohistochemistry (88342)
range across 4 matching MRF lines
$60.90–$168.70 $87–$241 varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$74.20–$308.70 $106–$441 varies
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $151.20 $216 10.5×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $81.20 $116 6.6×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $61.60 $88 1.8×
Influenza a/b ag eia (87400) $179.20 $256 12.7×
Influenza assay w/optic (87804) $67.90 $97 4.1×
Influenza DNA amp probe (87502) $386.40 $552 4.0×
Inhibin A (86336)
range across 3 matching MRF lines
$39.90–$170.80 $57–$244 varies
Inhibin b (83520)
range across 13 matching MRF lines
$39.20–$249.20 $56–$356 varies
Insitu hybridization manual (88368) $210.70 $301 0.5×
Insulin antibodies (86337)
range across 2 matching MRF lines
$82.60–$91 $118–$130 varies
Insulin free (83527)
range across 2 matching MRF lines
$25.90–$28 $37–$40 varies
Insulin total (83525) $105.70 $151 9.2×
Intrinsic factor antibody (86340) $48.30 $69 3.2×
Iron (83540) $61.60 $88 9.5×
Iron Binding Capacity (83550) $65.80 $94 7.5×
Irradiation Blood Product Each Unit (86945) $56 $80 1.3×
Islet cell antibody (86341)
range across 5 matching MRF lines
$63–$146.30 $90–$209 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 3 matching MRF lines
$106.40–$166.60 $152–$238 varies
Jak2 Gene Trgt Sequence Alys (81279)
range across 2 matching MRF lines
$232.40–$261.10 $332–$373 varies
Ketosteroids 17 total (83586) $204.40 $292 16.0×
Koh Prep (87220)
range across 3 matching MRF lines
$69.30–$76.30 $99–$109 varies
Kras Gene Variants Exon 2 (81275) $294 $420 1.5×
Lactate (ld) (ldh) enzyme (83615)
range across 5 matching MRF lines
$45.50–$170.10 $65–$243 varies
Lactoferrin fecal qualitative (83630) $114.10 $163 5.8×
Lactoferrin Fecal Quantitative (83631) $114.10 $163 5.8×
Lamellar Body Count (83664) $51.80 $74 2.7×
Ldh Isoenzymes (83625) $35 $50 2.7×
LDL direct (83721) $167.30 $239 15.9×
Lead (83655)
range across 6 matching MRF lines
$132.30–$133.70 $189–$191 varies
Legionella antibody (86713) $169.40 $242 11.1×
Legionella antigen urine (87449)
range across 4 matching MRF lines
$123.20–$146.30 $176–$209 varies
Legionella pneumophila dfa (87278)
range across 2 matching MRF lines
$32.20–$33.60 $46–$48 varies
Leukocyte Assessment Fecal (89055) $33.60 $48 7.9×
Level I Surg Pathology Gross Examination Only (88300) $54.60 $78 1.7×
Level ii surg pathology gross&microscopic exam (88302) $128.10 $183 3.1×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$263.90–$291.20 $377–$416 varies
Lidocaine (80176) $107.10 $153 7.3×
Lipase (83690) $112.70 $161 16.4×
Lipoprotein A (83695) $82.60 $118 5.8×
Lipoprotein Bld Quan Part (83704) $177.10 $253 5.2×
Lithium (80178) $79.10 $113 12.0×
Luteinizing Hormone (Lh) (83002) $98 $140 5.3×
Lyme disease antibody (86618)
range across 4 matching MRF lines
$138.60–$152.60 $198–$218 varies
Lymphocyte transformation (86353) $170.80 $244 3.5×
Lysozyme serum (85549) $39.90 $57 2.1×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $258.30 $369 1.4×
M/phmtrc alys ishquant/semiq (88374) $255.50 $365 1.3×
Macroscopic Exam Parasite (87169) $93.80 $134 21.8×
Magnesium Urine (83735)
range across 5 matching MRF lines
$50.40–$58.10 $72–$83 varies
Mass Spectrometry Quant (83789) $303.10 $433 12.6×
Mercury urine (83825) $134.40 $192 8.3×
Methotrexate (80204) $110.60 $158 2.9×
Methylmalonic acid serum (83921) $238 $340 11.2×
Microalbumin, quantitative (82043) $179.90 $257 31.1×
Microbe Suscept Macrobroth (87188) $21 $30 3.2×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$280–$281.40 $400–$402 varies
Mitochondrial Antibody Each (86381) $65.80 $94 2.6×
Molecular Cytogenetics Dna Probe Each (88271) $170.80 $244 8.0×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $96.60 $138 2.3×
Mopath procedure level 2 (81401) $618.10 $883 4.5×
Mpl gene common variants (81338)
range across 2 matching MRF lines
$202.30–$261.10 $289–$373 varies
Mrsa Pcr (87641) $114.80 $164 3.3×
Mthfr Gene Analysis Common Variants (81291) $138.60 $198 2.1×
Mumps antibody (86735) $128.10 $183 9.8×
Mycobacteric Identification (87118)
range across 3 matching MRF lines
$32.90–$35 $47–$50 varies
Mycophenolic Acid (80180) $111.30 $159 6.2×
Mycoplasma antibody (86738) $143.50 $205 10.8×
Mycoplasma culture (87109) $37.80 $54 2.5×
Myelin basic protein csf (83873) $61.60 $88 3.6×
Myoglobin urine (83874)
range across 5 matching MRF lines
$35–$114.80 $50–$164 varies
Natriuretic peptide (83880)
range across 3 matching MRF lines
$161–$177.10 $230–$253 varies
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $334.60 $478 2.6×
Nfct ds chrnc hcv 6 assays (81596) $269.50 $385 3.7×
Nk cells total count (86357) $205.10 $293 5.4×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $169.40 $242 0.7×
Nuclear antigen antibody (86235)
range across 22 matching MRF lines
$16.80–$481.60 $24–$688 varies
Occult blood feces (82272) $55.30 $79 13.1×
Occult Blood Other Sources (82271) $55.30 $79 10.4×
Oligoclonal bands (83916)
range across 4 matching MRF lines
$296.80–$326.20 $424–$466 varies
Organic Acids Qualitative Each Specimen (83919) $644 $920 39.1×
Organic acids urine (83918)
range across 2 matching MRF lines
$252–$644 $360–$920 varies
Osmolality serum (83930) $81.90 $117 12.4×
Osmolality Urine (83935) $82.60 $118 12.1×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$10.50–$115.50 $15–$165 varies
Oxalate urine (83945) $147.70 $211 10.2×
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines
$277.90–$305.90 $397–$437 varies
Parvovirus antibody (86747) $115.50 $165 7.7×
Path Consltj Surg Cytologic Exam Initial Site (88333)
range across 2 matching MRF lines
$387.10–$425.60 $553–$608 varies
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503)
range across 3 matching MRF lines
$112.70–$119 $161–$170 varies
Ph urine (81003)
range across 7 matching MRF lines
$29.40–$39.90 $42–$57 varies
Phenobarbital Level (80184) $118.30 $169 7.7×
Phenotype Infect Agent Drug (87900) $118.30 $169 0.9×
Phenylalanine (84030)
range across 2 matching MRF lines
$18.20–$207.90 $26–$297 varies
Phenytoin (Dilantin) (80185) $123.90 $177 9.4×
Phenytoin free (80186) $75.60 $108 5.5×
Phosphatase acid prostatic (84066) $76.30 $109 7.9×
Phosphatase alkaline (84075) $65.80 $94 12.7×
Phospholipid Neutralization Hexagonal (85598) $46.90 $67 2.6×
Phosphorus Serum (84100) $55.30 $79 11.7×
Phosphorus urine (84105) $162.40 $232 28.1×
Platelet Aggregation (85576)
range across 14 matching MRF lines
$47.60–$99.40 $68–$142 varies
Platelet Antibodies (86022) $286.30 $409 15.6×
Platelet count automated (85049)
range across 5 matching MRF lines
$51.80–$53.90 $74–$77 varies
Platelet neutralization (85597) $51.80 $74 2.9×
Pooling blood platelets (86965) $121.10 $173 0.6×
Porphobilinogen, urine; quantitative (84110) $149.80 $214 17.7×
Porphyrins Urine Quantitation & Fractionation (84120) $137.20 $196 9.3×
Potassium Urine (84133)
range across 5 matching MRF lines
$56–$61.60 $80–$88 varies
Prealbumin (84134) $148.40 $212 10.2×
Pregnenolone (84140) $117.60 $168 5.7×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $299.88 $428.40 1.6×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $103.95 $148.50 1.6×
Pretx serum rbc antibody identification dilution (86976) $45.73 $65.33 1.4×
Primidone (80188) $151.20 $216 9.1×
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines
$266.70–$293.30 $381–$419 varies
Progesterone (84144) $136.50 $195 6.5×
Prolactin (84146) $115.50 $165 6.0×
Protein body fluid (84157) $58.10 $83 14.5×
Protein C Activity (85303) $129.50 $185 9.4×
Protein c antigen (85302) $161.70 $231 13.5×
Protein Electrophoresis Urine (84166)
range across 4 matching MRF lines
$151.20–$158.90 $216–$227 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $172.20 $246 16.0×
Protein S Free (85306) $140 $200 9.1×
Protein s total (85305) $228.90 $327 19.7×
Protein total serum (84155) $47.60 $68 13.0×
Protein Total Urine (84156)
range across 8 matching MRF lines
$67.20–$70.70 $96–$101 varies
Protein Western Blot Test (84182) $58.80 $84 2.0×
Prothrombin Time Substitution Plasma Frctj Each (85611) $10.50 $15 2.7×
Protoporphyrin rbc quantitative (84202) $35 $50 2.4×
PSA free (84154) $140.70 $201 7.7×
Pth Intact (83970)
range across 4 matching MRF lines
$113.40–$220.50 $162–$315 varies
Q Fever Antibody (86638)
range across 2 matching MRF lines
$66.50–$144.20 $95–$206 varies
Quantiferon tb gold plus (86480) $138.60 $198 2.2×
Quantitative assay drug (80299)
range across 12 matching MRF lines
$66.50–$163.80 $95–$234 varies
Quantitative Screen Metals (83018) $44.10 $63 2.0×
Quinidine (80194) $108.50 $155 7.4×
Rbc antibody elution (86860) $214.90 $307 1.1×
Rbc antibody identification (86870) $287.70 $411 0.7×
Rbc antibody screen (86850) $76.30 $109 7.8×
Rbc pretreatment serum (86978) $53.90 $77 0.8×
Rbc pretx incubatj w/enzymes (86971) $299.88 $428.40 1.6×
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines
$9.80–$41.30 $14–$59 varies
Renin activity plasma (84244) $168 $240 7.6×
Reptilase test (85635) $259 $370 26.3×
Resp virus 12-25 targets (87633)
range across 4 matching MRF lines
$813.40–$854.70 $1,162–$1,221 varies
Reticulocyte Count (85046) $99.40 $142 17.8×
Reticulocyte Count Manual (85044) $60.90 $87 14.1×
Rh (86901) $28.70 $41 9.6×
Rheumatoid factor quant (86431) $140.70 $201 24.8×
Rickettsia antibody (86757) $91 $130 4.7×
Ristocetin cofactor (85245) $130.90 $187 5.7×
Rotavirus ag eia (87425) $152.60 $218 12.7×
Rpr qualitative (86592)
range across 5 matching MRF lines
$14–$79.10 $20–$113 varies
Rubella Antibody (86762) $152.60 $218 10.6×
Rubeola antibody (86765) $172.20 $246 13.4×
Russell Viper Venom Time Diluted (85613) $103.60 $148 10.8×
Salicylate Level (80179) $153.30 $219 8.2×
Sars-Cov-2 Covid-19 Amp Prb (87635) $191.10 $273 3.7×
Sars-cov-2 COVID-19 antibody (86769) $46.20 $66 1.1×
Sarscov2 & inf a&b amp prb (87636)
range across 2 matching MRF lines
$207.90–$217.70 $297–$311 varies
Sarscov2&inf a&b&rsv amp prb (87637) $437.50 $625 3.1×
Sedimentation rate (85651) $53.90 $77 12.6×
Sedimentation Rate, Automated (85652) $53.90 $77 20.0×
Selenium (84255) $180.60 $258 7.1×
Semen Anal Sperm Detection (89321) $53.20 $76 4.4×
Semen analysis complete (89320) $53.20 $76 4.3×
Semen analysis motility and count (89310) $68.60 $98 8.0×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $23.80 $34 2.4×
Sensitivity mic (87186) $171.50 $245 19.8×
Sex Hormone Binding Globulin (84270)
range across 4 matching MRF lines
$130.90–$144.20 $187–$206 varies
Sickling of rbc reduction (85660) $96.60 $138 17.5×
Sirolimus (80195) $172.20 $246 12.5×
Skin Test Candida (86485) $328.50 $469.28 10.2×
Skin test tuberculosis intradermal (86580) $141.40 $202 4.4×
Smear acid fast (87206)
range across 8 matching MRF lines
$15.40–$164.50 $22–$235 varies
Smear complex stain (87209)
range across 4 matching MRF lines
$20.30–$117.60 $29–$168 varies
Smear gram stain (87205)
range across 3 matching MRF lines
$52.50–$54.60 $75–$78 varies
Smear Special Stain (87207)
range across 7 matching MRF lines
$35.70–$106.40 $51–$152 varies
Smn1 Gene Dos/Deletion Alys (81329) $618.10 $883 4.5×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 4 matching MRF lines
$69.30–$86.10 $99–$123 varies
Sodium Serum (84295)
range across 4 matching MRF lines
$82.60–$88.20 $118–$126 varies
Sodium Urine (84300)
range across 5 matching MRF lines
$71.40–$78.40 $102–$112 varies
Soluble Transferrin Receptor (84238)
range across 3 matching MRF lines
$138.60–$179.20 $198–$256 varies
Somatomedin (84305)
range across 2 matching MRF lines
$123.20–$135.80 $176–$194 varies
Special Stains Group 1 (88312)
range across 3 matching MRF lines
$46.20–$77.70 $66–$111 varies
Special Stains Group 2 (88313)
range across 6 matching MRF lines
$20.30–$116.20 $29–$166 varies
Specific gravity body fluid (84315) $62.30 $89 19.0×
Specimen infect agnt concntj (87015)
range across 4 matching MRF lines
$85.40–$90.30 $122–$129 varies
Spectrophotometry (84311)
range across 5 matching MRF lines
$18.90–$101.50 $27–$145 varies
Splitting Blood/Blood Products Each Unit (86985) $89.60 $128 0.5×
Staph a DNA amp probe (87640) $114.80 $164 3.3×
Stool cultr aerobic bact ea (87046) $46.20 $66 4.9×
Strep a assay w/optic (87880) $72.10 $103 4.4×
Strep a DNA amp probe (87651) $160.30 $229 4.6×
Strep b DNA amp probe (87653)
range across 2 matching MRF lines
$114.80–$115.50 $164–$165 varies
Sugars Single Qual (84376)
range across 2 matching MRF lines
$43.40–$65.10 $62–$93 varies
Surg path level iii (88304) $160.30 $229 2.8×
Surgical pathology level IV (88305)
range across 4 matching MRF lines
$64.40–$301.70 $92–$431 varies
Surgical pathology level vi (88309) $310.10 $443 0.3×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $171.50 $245 36.1×
Susceptibility Study Antimicrobial Disk Method (87184) $115.50 $165 15.4×
Sweat Collection Iontophoresis (89230) $100.80 $144 1.7×
Syphilis Test Non-Trep Quant (86593) $64.40 $92 14.6×
T cells absolute cd4 count (86361) $158.20 $226 5.9×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 5 matching MRF lines
$221.90–$340.20 $317–$486 varies
T cells total count (86359)
range across 4 matching MRF lines
$119–$166.60 $170–$238 varies
T3 Free (84481) $243.60 $348 14.4×
T3 reverse (84482) $157.50 $225 10.0×
T3 Total (84480) $105.70 $151 7.5×
T3 Uptake (84479) $74.20 $106 11.5×
T4 Free (84439) $91.70 $131 10.2×
T4 total (84436) $84 $120 12.2×
Tacrolimus (80197) $177.10 $253 12.9×
Test for acetone/ketones (82009) $179.90 $257 39.8×
Testosterone Bioavailable (84410) $151.90 $217 3.0×
Testosterone total (84403)
range across 7 matching MRF lines
$34.30–$153.30 $49–$219 varies
Testosterone, Free (84402)
range across 6 matching MRF lines
$33.60–$144.20 $48–$206 varies
Theophylline (80198) $112.70 $161 8.0×
Thiocyanate (84430) $130.20 $186 11.2×
Thrombin Time (85670) $93.80 $134 16.3×
Thrombin time titer (85675) $93.80 $134 13.7×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $16.80 $24 2.6×
Thyroglobulin (84432)
range across 6 matching MRF lines
$46.20–$108.50 $66–$155 varies
Thyroglobulin Antibody (86800)
range across 8 matching MRF lines
$44.10–$151.90 $63–$217 varies
Thyroid Stimulating Immunoglobulin (84445) $266 $380 5.2×
Tiss cul neo disorders solid tumor (88239) $756 $1,080 5.1×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 2 matching MRF lines
$26.60–$92.40 $38–$132 varies
Tissue Culture (88233) $886.90 $1,267 6.3×
Tissue Culture Amniotic Fluid (88235) $556.50 $795 3.7×
Tissue Culture Lymphocyte (88230) $423.50 $605 3.6×
Tobramycin peak (80200)
range across 2 matching MRF lines
$179.20–$197.40 $256–$282 varies
Topiramate (80201) $140.70 $201 11.8×
Touch prep (88161) $35 $50 1.1×
Toxin/Antitoxin Assay Tissue Culture (87230) $144.20 $206 7.3×
Toxoplasma ab igm (86778) $46.20 $66 3.2×
Toxoplasma antibody (86777) $196 $280 13.6×
Transferase Aspartate Amino Ast Sgot (84450) $65.80 $94 12.7×
Transferrin (84466) $117.60 $168 9.2×
Trg gene rearrangement anal (81342) $133.70 $191 0.7×
Trichinella Antibody (86784) $109.20 $156 8.7×
Trichomonas Vaginalis Amplif (87661)
range across 3 matching MRF lines
$104.30–$114.80 $149–$164 varies
Triglycerides (84478) $112.70 $161 19.6×
Troponin Quant (84484) $136.50 $195 10.9×
Troponin, qualitative (84512) $149.80 $214 14.8×
Tumor Immunohistochem/Manual (88360) $329 $470 1.7×
Unlisted Surgical Pathology Procedure (88399) $35 $50 0.6×
Urea Nitrogen Clearance (84545) $17.50 $25 2.4×
Urea nitrogen urine (84540) $56 $80 10.1×
Uric acid other source (84560) $87.50 $125 17.2×
Urinalysis Microscopic Only (81015) $28.70 $41 9.4×
Urinalysis Volume Measure (81050) $5.60 $8 1.5×
Urine Bacteria Culture (87088) $79.80 $114 9.9×
Urine Pregnancy Test (81025) $43.40 $62 5.0×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$46.90–$51.80 $67–$74 varies
Urobilinogen urine qual (84578) $67.90 $97 15.2×
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $122.50 $175 12.8×
Valproic acid (80164) $110.60 $158 8.2×
Vancomycin (80202) $184.80 $264 13.6×
Varicella-zoster antibody (86787) $124.60 $178 9.7×
Viral Culture (87252) $215.60 $308 8.3×
Virus antibody nos (86790)
range across 6 matching MRF lines
$47.60–$149.80 $68–$214 varies
Virus inoculate tissue addl (87253) $110.60 $158 5.5×
Virus inoculation, shell via (87254) $66.50 $95 3.4×
Viscosity serum (85810) $119.70 $171 10.3×
Vit D 1 25-Dihydroxy (82652) $177.80 $254 4.6×
Vitamin A (84590) $98 $140 8.4×
Vitamin b-12 (82607) $124.60 $178 8.3×
Vitamin B6 (84207) $116.20 $166 4.1×
Vitamin c (82180) $47.60 $68 4.8×
Vitamin D 25-Hydroxy (82306) $137.20 $196 4.6×
Vitamin E (84446) $130.20 $186 9.2×
Vitamin K (84597) $162.40 $232 11.8×
Volatiles (84600) $105.70 $151 6.2×
Voltage-Gated Calcium Channel Antibody Each (86596) $47.60 $68 4.0×
Von willebrand factor ag (85246) $107.10 $153 4.7×
Wbc Alkaline Phosphatase Count (85540) $79.80 $114 9.3×
West nile virus ab igm (86788) $137.90 $197 8.2×
West Nile Virus Antibody (86789) $137.90 $197 9.6×
Western Blot Test (84181)
range across 3 matching MRF lines
$42.70–$46.90 $61–$67 varies
Zinc (84630) $124.60 $178 10.9×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.