Lab & pathology prices at Providence St. Joseph Medical Center
Polson, MT · every code in this section with a posted price and a Medicare benchmark.
755 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $64 | $80 | 2.8× |
| 5 Nucleotidase (83915) | $60 | $75 | 5.4× |
| Abl1 gene analysis kinase domain variants (81170) | $1,009.60 | $1,262 | 3.4× |
| Acetylcholinesterase Assay (82013) | $47.20 | $59 | 3.8× |
| Acth (82024) | $202.40 | $253 | 5.2× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $96 | $120 | 2.9× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$72.80–$80 | $91–$100 | varies |
| Acute hepatitis panel (80074) | $173.60 | $217 | 3.6× |
| Acylcarnitines Quant (82017) | $53.60 | $67 | 3.2× |
| Adenovirus antibody (86603) range across 3 matching MRF lines |
$108–$144.80 | $135–$181 | varies |
| Agglutinins Febrile Each Antigen (86000) | $30.40 | $38 | 4.4× |
| Albumin Fluid (82042) | $12 | $15 | 1.5× |
| Albumin serum (82040) range across 3 matching MRF lines |
$18.40–$23.20 | $23–$29 | varies |
| Aldolase (82085) | $91.20 | $114 | 9.4× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$80–$170.40 | $100–$213 | varies |
| Alkaline phosphatase isoenzymes (84080) | $60.80 | $76 | 4.1× |
| Allergen specific ige (86003) range across 20 matching MRF lines |
$8–$336.80 | $10–$421 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$53.60–$512.80 | $67–$641 | varies |
| Allg Spec Ige Recomb Ea (86008) | $306.40 | $383 | 17.1× |
| Alpha-1-antitrypsin phenotype (82104) | $96 | $120 | 6.6× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$91.20–$127.20 | $114–$159 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $69.60 | $87 | 4.1× |
| Alpha-Fetoprotein Serum (82105) range across 5 matching MRF lines |
$80–$144.80 | $100–$181 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$24–$35.20 | $30–$44 | varies |
| Aluminum (82108) | $118.40 | $148 | 4.6× |
| Amikacin trough (80150) range across 3 matching MRF lines |
$36–$183.20 | $45–$229 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $169.60 | $212 | 7.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $428.80 | $536 | 25.4× |
| Amino Acids Quant 2-5 (82136) | $69.60 | $87 | 3.5× |
| Aminolevulinic acid (ala) (82135) | $189.60 | $237 | 11.5× |
| Ammonia (82140) | $188.80 | $236 | 13.0× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $145.60 | $182 | 1.5× |
| Amylase urine (82150) range across 6 matching MRF lines |
$35.20–$110.40 | $44–$138 | varies |
| Ana Titer (86039) | $91.20 | $114 | 8.2× |
| Anca Titer Each Antibody (86037) range across 2 matching MRF lines |
$22.40–$31.20 | $28–$39 | varies |
| Androstenedione (82157) | $145.60 | $182 | 5.0× |
| Angiotensin converting enzyme csf (82164) | $112.80 | $141 | 7.7× |
| Anti-Phospholipid Antibody (86148) range across 5 matching MRF lines |
$20–$91.20 | $25–$114 | varies |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
$32–$92.80 | $40–$116 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $51.20 | $64 | 4.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $56.80 | $71 | 3.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 5 matching MRF lines |
$24–$88 | $30–$110 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $32.80 | $41 | 2.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $53.60 | $67 | 3.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $104.80 | $131 | 5.8× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$31.20–$140.80 | $39–$176 | varies |
| Antibody helicobacter pylori (86677) range across 6 matching MRF lines |
$53.60–$149.60 | $67–$187 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$24–$47.20 | $30–$59 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $390.40 | $488 | 29.6× |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$86.40–$91.20 | $108–$114 | varies |
| Antibody HIV-2 (86702) | $136 | $170 | 10.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $179.20 | $224 | 9.3× |
| Antibody identification leukocyte antibodies (86021) | $343.20 | $429 | 22.8× |
| Antibody john cunningham virus (86711) | $47.20 | $59 | 2.8× |
| Antibody neisseria meningitidis (86741) | $55.20 | $69 | 4.2× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$48–$55.20 | $60–$69 | varies |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
$53.60–$89.60 | $67–$112 | varies |
| Antibody yersinia (86793) | $55.20 | $69 | 4.2× |
| Antibody; influenza virus (86710) | $53.60 | $67 | 4.0× |
| Antigen typing (86905) | $87.20 | $109 | 22.8× |
| Antinomyces antibody (86602) | $92.80 | $116 | 9.1× |
| Antinuclear antibodies (86038) range across 11 matching MRF lines |
$19.20–$55.20 | $24–$69 | varies |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$63.20–$68 | $79–$85 | varies |
| Antithrombin iii activity (85300) range across 5 matching MRF lines |
$72–$144 | $90–$180 | varies |
| Antithrombin iii antigen (85301) range across 4 matching MRF lines |
$64.80–$116 | $81–$145 | varies |
| Apolipoprotein a1 (82172) | $80.80 | $101 | 3.8× |
| Arsenic (82175) range across 5 matching MRF lines |
$60–$100 | $75–$125 | varies |
| Ashkenazi Jewish Assoc Dis (81412) | $4,334.40 | $5,418 | 1.8× |
| Aspergillus ag eia (87305) | $235.20 | $294 | 19.6× |
| Assay activated protein c (85307) range across 5 matching MRF lines |
$88.80–$152.80 | $111–$191 | varies |
| Assay Blood Carbon Dioxide (82374) | $35.20 | $44 | 7.2× |
| Assay Dir Meas Fr Estradiol (82681) | $479.20 | $599 | 17.2× |
| Assay Nephelometry Not Spec (83883) range across 7 matching MRF lines |
$56.80–$89.60 | $71–$112 | varies |
| Assay of 5-hiaa (83497) range across 3 matching MRF lines |
$26.40–$148.80 | $33–$186 | varies |
| Assay of anti-mullerian hormone (82166) | $61.60 | $77 | 1.6× |
| Assay of b-hexosaminidase each assay (83080) | $69.60 | $87 | 4.1× |
| Assay of blood/uric acid (84550) | $55.20 | $69 | 12.2× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$72.80–$77.60 | $91–$97 | varies |
| Assay of estrone (82679) range across 2 matching MRF lines |
$32–$68.80 | $40–$86 | varies |
| Assay of g6pd enzyme (82955) | $41.60 | $52 | 4.3× |
| Assay of gammaglobulin igm (82784) range across 13 matching MRF lines |
$22.40–$112.80 | $28–$141 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$108–$118.40 | $135–$148 | varies |
| Assay of manganese (83785) | $112 | $140 | 4.2× |
| Assay of metanephrines (83835) range across 6 matching MRF lines |
$117.60–$174.40 | $147–$218 | varies |
| Assay of phosphatase alkaline heat stable (84078) | $161.60 | $202 | 19.6× |
| Assay of proinsulin (84206) | $196 | $245 | 7.3× |
| Assay of pyruvate (84210) | $53.60 | $67 | 3.7× |
| Assay of serotonin (84260) | $153.60 | $192 | 5.0× |
| Assay of serum potassium (84132) | $35.20 | $44 | 7.4× |
| Assay of sweat sodium (84302) | $41.60 | $52 | 8.6× |
| Assay of urea nitrogen (84520) range across 4 matching MRF lines |
$35.20–$52.80 | $44–$66 | varies |
| Assay of urine vma (84585) range across 4 matching MRF lines |
$40.80–$173.60 | $51–$217 | varies |
| Assay of vasoactive intestinal peptide (84586) | $261.60 | $327 | 7.4× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$112.80–$120.80 | $141–$151 | varies |
| Assay Ph Body Fluid Nos (83986) range across 6 matching MRF lines |
$19.20–$117.60 | $24–$147 | varies |
| Assay spec xcp ur&breath ia (82077) | $140 | $175 | 8.1× |
| Asy carbamazepin 10,11-epxid (80161) | $81.60 | $102 | 4.4× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $700 | $875 | 0.8× |
| Automated Leukocyte Count (85048) | $10.40 | $13 | 4.1× |
| B cells total count (86355) | $156.80 | $196 | 4.2× |
| Bacterial antigens 87802 (87802) | $51.20 | $64 | 4.0× |
| Bartonella antibody (86611) range across 3 matching MRF lines |
$40.80–$181.60 | $51–$227 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$412–$708.80 | $515–$886 | varies |
| Bcr/abl1 gene minor bp (81207) | $364 | $455 | 2.5× |
| Beta 2 glycoprotein i antibody each (86146) range across 5 matching MRF lines |
$14.40–$59.20 | $18–$74 | varies |
| Beta hydroxybutyrate (82010) | $84.80 | $106 | 10.4× |
| Beta Lactamase (87185) | $32.80 | $41 | 6.9× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$94.40–$148.80 | $118–$186 | varies |
| Bile acids total (82239) | $51.20 | $64 | 3.0× |
| Bilirubin direct (82248) | $43.20 | $54 | 8.6× |
| Bilirubin total (82247) range across 5 matching MRF lines |
$35.20–$52.80 | $44–$66 | varies |
| Bilirubin total transcutaneous (88720) | $26.40 | $33 | 5.3× |
| Bl Smear W/O Diff Wbc Count (85008) | $20 | $25 | 5.8× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$29.60–$80 | $37–$100 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $96 | $120 | 12.4× |
| Bleeding time test (85002) | $59.20 | $74 | 12.3× |
| Blood count reticulocyte automated (85045) | $87.20 | $109 | 21.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $66.40 | $83 | 17.5× |
| Blood count spun microhematocrit (85013) | $9.60 | $12 | 1.4× |
| Blood gas (82803) range across 3 matching MRF lines |
$92–$260 | $115–$325 | varies |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$92–$265.60 | $115–$332 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $67.20 | $84 | 4.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines |
$14.40–$68 | $18–$85 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $140.80 | $176 | 22.2× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$9.60–$64.80 | $12–$81 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$99.20–$121.60 | $124–$152 | varies |
| Bone marrow smear interpretation (85097) | $436 | $545 | 0.5× |
| Bordetella antibody (86615) | $255.20 | $319 | 19.3× |
| Borrelia Antibody (86619) | $60 | $75 | 4.5× |
| Braf gene analysis (81210) | $547.20 | $684 | 3.1× |
| Breath Alcohol Test (82075) | $98.40 | $123 | 3.3× |
| Brucella antibody (86622) range across 4 matching MRF lines |
$59.20–$136 | $74–$170 | varies |
| C diff amplified probe (87493) range across 3 matching MRF lines |
$42.40–$237.60 | $53–$297 | varies |
| C-Peptide (84681) | $117.60 | $147 | 5.7× |
| C-reactive protein (86140) range across 4 matching MRF lines |
$14.40–$81.60 | $18–$102 | varies |
| Ca 19-9 (86301) | $124 | $155 | 6.0× |
| Cadmium (82300) range across 4 matching MRF lines |
$60–$100.80 | $75–$126 | varies |
| Caffeine (80155) | $67.20 | $84 | 1.7× |
| Calcitonin (82308) | $73.60 | $92 | 2.7× |
| Calcium ionized (82330) | $80 | $100 | 5.8× |
| Calcium total (82310) range across 3 matching MRF lines |
$35.20–$52.80 | $44–$66 | varies |
| Calculus assay quant (82360) range across 3 matching MRF lines |
$47.20–$140.80 | $59–$176 | varies |
| Calculus Spectroscopy (82365) | $140.80 | $176 | 10.9× |
| Calprotectin Fecal (83993) | $324 | $405 | 16.5× |
| Cancer Antigen 125 (86304) | $88 | $110 | 4.2× |
| Cancer Antigen 27.29 (86300) range across 4 matching MRF lines |
$88–$140.80 | $110–$176 | varies |
| Candida antibody (86628) | $51.20 | $64 | 4.3× |
| Candida Dna Dir Probe (87480) | $36.80 | $46 | 1.8× |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $170.40 | $213 | 0.3× |
| Car Ion Chnnlpath Inc 2 Gns (81414) | $89.60 | $112 | 0.2× |
| Carbamazepine free (80157) | $60 | $75 | 4.5× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$116–$156.80 | $145–$196 | varies |
| Carboxyhemoglobin (82375) | $112.80 | $141 | 9.2× |
| Carcinoembryonic antigen (82378) | $91.20 | $114 | 4.8× |
| Cardiolipin ab iga (86147) range across 14 matching MRF lines |
$20–$147.20 | $25–$184 | varies |
| Cardiology Hrt Trnspl Mrna (81595) | $4,752 | $5,940 | 1.5× |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$53.60–$69.60 | $67–$87 | varies |
| Carotene (82380) | $118.40 | $148 | 12.8× |
| Catecholamines fractionated (82384) | $108 | $135 | 4.3× |
| Ccp antibody (86200) range across 3 matching MRF lines |
$26.40–$83.20 | $33–$104 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $1,009.60 | $1,262 | 4.2× |
| Cell count csf (89051) range across 4 matching MRF lines |
$99.20–$121.60 | $124–$152 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $325.60 | $407 | 2.4× |
| Ceruloplasmin (82390) | $98.40 | $123 | 9.2× |
| Cftr gene com variants (81220) | $722.40 | $903 | 1.3× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$46.40–$55.20 | $58–$69 | varies |
| Chlamydia antibody (86631) range across 4 matching MRF lines |
$24–$48.80 | $30–$61 | varies |
| Chlamydia Igm Antibody (86632) range across 5 matching MRF lines |
$24–$102.40 | $30–$128 | varies |
| Chlamydia trachomatis ag if (87270) | $88 | $110 | 7.3× |
| Chloramphenicol level (82415) | $53.60 | $67 | 4.2× |
| Chloride other source (82438) | $109.60 | $137 | 21.9× |
| Chloride Serum (82435) | $35.20 | $44 | 7.7× |
| Chloride urine (82436) range across 6 matching MRF lines |
$30.40–$72.80 | $38–$91 | varies |
| Cholesterol total (82465) | $35.20 | $44 | 8.1× |
| Cholinesterase Serum (82480) | $122.40 | $153 | 15.6× |
| Chorionic gonadotropin test (84702) | $118.40 | $148 | 7.9× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $86.40 | $108 | 3.2× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 3 matching MRF lines |
$112–$214.40 | $140–$268 | varies |
| Chromium serum (82495) range across 4 matching MRF lines |
$67.20–$68.80 | $84–$86 | varies |
| Chromogranin a (86316) range across 2 matching MRF lines |
$120–$432 | $150–$540 | varies |
| Chromosome analys amniotic (88269) | $750.40 | $938 | 4.3× |
| Chromosome Analysis 15-20 (88262) | $562.40 | $703 | 4.5× |
| Chromosome Analysis 20-25 (88264) | $214.40 | $268 | 1.5× |
| Chromosome analysis, 5 (88261) | $796.80 | $996 | 3.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 7 matching MRF lines |
$72.80–$104 | $91–$130 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$51.20–$117.60 | $64–$147 | varies |
| Ckmb (82553) | $188.80 | $236 | 16.3× |
| Clostridium Difficile (87324) | $51.20 | $64 | 4.3× |
| Clot Factor VIII Multimetric (85247) | $397.60 | $497 | 17.3× |
| Clotting factor xii hageman (85280) | $281.60 | $352 | 14.6× |
| Clotting Funct Activity (85397) | $238.40 | $298 | 7.7× |
| Cns DNA amp probe type 12-25 (87483) | $170.40 | $213 | 0.4× |
| Coagulation time activated (85347) | $142.40 | $178 | 33.3× |
| Coccidioides antibody (86635) range across 8 matching MRF lines |
$29.60–$120 | $37–$150 | varies |
| Cold agglutinin titer (86157) | $133.60 | $167 | 16.6× |
| Collagen crosslinks (82523) range across 6 matching MRF lines |
$140–$248 | $175–$310 | varies |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$53.60–$414.40 | $67–$518 | varies |
| Compatibility Each Unit Incubation (86921) | $215.20 | $269 | 1.2× |
| Compatibility test antiglob (86922) | $148 | $185 | 0.9× |
| Complement Antigen Each Component (86160) range across 12 matching MRF lines |
$14.40–$110.40 | $18–$138 | varies |
| Complement Total (Ch50) (86162) | $130.40 | $163 | 6.4× |
| Complement/Function Activity (86161) | $104 | $130 | 8.7× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 2 matching MRF lines |
$63.20–$560 | $79–$700 | varies |
| Coombs direct (86880) range across 4 matching MRF lines |
$18.40–$151.20 | $23–$189 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$89.60–$117.60 | $112–$147 | varies |
| Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral… (81493) | $2,132.80 | $2,666 | 2.0× |
| Cortisol free (82530) range across 5 matching MRF lines |
$59.20–$127.20 | $74–$159 | varies |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$40.80–$110.40 | $51–$138 | varies |
| Creatine kinase total (82550) | $35.20 | $44 | 5.4× |
| Creatinine blood (82565) range across 4 matching MRF lines |
$30.40–$48 | $38–$60 | varies |
| Creatinine clearance (82575) | $118.40 | $148 | 12.5× |
| Creatinine Urine (82570) range across 14 matching MRF lines |
$10.40–$89.60 | $13–$112 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$128–$171.20 | $160–$214 | varies |
| Crp High Sensitivity (86141) | $47.20 | $59 | 3.6× |
| Cryofibrinogen (82585) range across 2 matching MRF lines |
$35.20–$36.80 | $44–$46 | varies |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$36.80–$110.40 | $46–$138 | varies |
| Cryptococcal Antigen (87327) | $51.20 | $64 | 3.8× |
| Cryptococcus ab (86641) | $60 | $75 | 4.2× |
| Cryptococcus ag titer (87899) range across 5 matching MRF lines |
$54.40–$144.80 | $68–$181 | varies |
| Cryptosporidium ag eia (87328) | $71.20 | $89 | 5.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 7 matching MRF lines |
$43.20–$132.80 | $54–$166 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$81.60–$96 | $102–$120 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$57.60–$59.20 | $72–$74 | varies |
| Culture afb (87116) range across 4 matching MRF lines |
$46.40–$80.80 | $58–$101 | varies |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$115.20–$147.20 | $144–$184 | varies |
| Culture bacteria anaerobic (87073) | $115.20 | $144 | 11.9× |
| Culture blood (87040) | $140.80 | $176 | 13.6× |
| Culture chlamydia (87110) | $148.80 | $186 | 7.6× |
| Culture csf (87070) range across 6 matching MRF lines |
$46.40–$118.40 | $58–$148 | varies |
| Culture fungus (87102) range across 3 matching MRF lines |
$30.40–$108.80 | $38–$136 | varies |
| Culture fungus blood (87103) | $152 | $190 | 7.4× |
| Culture screen only (87081) range across 13 matching MRF lines |
$32.80–$109.60 | $41–$137 | varies |
| Culture stool (87045) | $127.20 | $159 | 13.5× |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$23.20–$148.80 | $29–$186 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 4 matching MRF lines |
$54.40–$102.40 | $68–$128 | varies |
| Culture urine (87086) | $88 | $110 | 10.9× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $35.20 | $44 | 1.3× |
| Cyanide (82600) | $96 | $120 | 4.9× |
| Cyclic amp (82030) | $120.80 | $151 | 4.7× |
| Cyclosporine (80158) range across 5 matching MRF lines |
$24.80–$101.60 | $31–$127 | varies |
| Cyp2d6 gene com variants (81226) | $1,379.20 | $1,724 | 3.1× |
| Cytogenetics 10-30 (88273) | $115.20 | $144 | 3.3× |
| Cytogenetics 100-300 (88275) range across 4 matching MRF lines |
$148–$390.40 | $185–$488 | varies |
| Cytomegalovirus igg (86644) | $80 | $100 | 5.6× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $94.40 | $118 | 4.7× |
| Cytopath Cell Enhance Tech (88112) | $211.20 | $264 | 4.0× |
| Cytp Concentration Smears & Interpretation (88108) range across 3 matching MRF lines |
$63.20–$148.80 | $79–$186 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $102.40 | $128 | 1.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $47.20 | $59 | 1.2× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $59.20 | $74 | 3.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 2 matching MRF lines |
$74.40–$109.60 | $93–$137 | varies |
| Deoxycortisol (82634) | $122.40 | $153 | 4.2× |
| Deoxyribonuclease antibody (86215) | $44 | $55 | 3.3× |
| Detect Agent Nos Dna Amp (87798) range across 17 matching MRF lines |
$71.20–$399.20 | $89–$499 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$235.20–$485.60 | $294–$607 | varies |
| Detect agnt mult DNA ampli (87801) | $163.20 | $204 | 2.3× |
| Dgp Antibody Each Ig Class (86258) | $80 | $100 | 6.6× |
| Dhea (82626) | $153.60 | $192 | 6.1× |
| Dhea-S (82627) range across 2 matching MRF lines |
$31.20–$102.40 | $39–$128 | varies |
| Dibucaine number (82638) | $103.20 | $129 | 8.4× |
| Digoxin (80162) | $158.40 | $198 | 11.9× |
| Dna Antibody Native/Double Stranded (86225) range across 7 matching MRF lines |
$22.40–$142.40 | $28–$178 | varies |
| DNA/RNA direct probe (87149) | $243.20 | $304 | 12.1× |
| Dna/Rna Sequencing (87153) range across 2 matching MRF lines |
$117.60–$300 | $147–$375 | varies |
| Drug assay acetaminophen (80143) | $106.40 | $133 | 5.7× |
| Drug Assay Amiodarone (80151) | $27.20 | $34 | 1.5× |
| Drug assay felbamate (80167) | $72 | $90 | 3.9× |
| Drug Assay Itraconazole (80189) | $125.60 | $157 | 4.6× |
| Drug Assay Leflunomide (80193) | $144.80 | $181 | 3.8× |
| Drug Screen Quant Clozapine (80159) | $100.80 | $126 | 5.0× |
| Drug Screen Quant Zonisamide (80203) | $149.60 | $187 | 11.3× |
| Drug Screen Quantitative Gabapentin (80171) | $83.20 | $104 | 3.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $93.60 | $117 | 7.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $129.60 | $162 | 9.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $90.40 | $113 | 6.8× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $224.80 | $281 | 13.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 28 matching MRF lines |
$55.20–$787.20 | $69–$984 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $15.20 | $19 | 1.2× |
| Drug Test Prsmv Instrmnt (80306) | $247.20 | $309 | 14.4× |
| Egfr Gene Analysis Common Variants (81235) | $1,009.60 | $1,262 | 3.1× |
| Ehrlichia antibody (86666) | $56.80 | $71 | 5.6× |
| El-1 Fecal Quantitative (82653) | $132.80 | $166 | 5.8× |
| Electrolyte panel (80051) | $51.20 | $64 | 7.3× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$1,080–$1,847.20 | $1,350–$2,309 | varies |
| Encephaltis West Eqne Antbdy (86654) | $55.20 | $69 | 4.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$22.40–$56.80 | $28–$71 | varies |
| Enterovirus Antibody (86658) range across 8 matching MRF lines |
$29.60–$276.80 | $37–$346 | varies |
| Enterovirus PCR (87498) | $145.60 | $182 | 4.1× |
| Enzyme cell activity (82657) range across 5 matching MRF lines |
$31.20–$318.40 | $39–$398 | varies |
| Enzyme histochemistry (88319) | $133.60 | $167 | 0.2× |
| Eosinophil Smear (89190) range across 3 matching MRF lines |
$68–$83.20 | $85–$104 | varies |
| Erythropoietin (82668) | $178.40 | $223 | 9.5× |
| Estradiol serum (82670) range across 5 matching MRF lines |
$14.40–$120.80 | $18–$151 | varies |
| Estriol (82677) | $56.80 | $71 | 2.3× |
| Estrogen total (82672) range across 2 matching MRF lines |
$29.60–$91.20 | $37–$114 | varies |
| Estrogens fractionated (82671) | $122.40 | $153 | 3.8× |
| Ethosuximide (80168) | $171.20 | $214 | 10.5× |
| Exam Synovial Fluid Crystals (89060) range across 3 matching MRF lines |
$86.40–$120 | $108–$150 | varies |
| F2 Gene (81240) range across 3 matching MRF lines |
$188–$204 | $235–$255 | varies |
| Factor ii activity (85210) | $176 | $220 | 13.6× |
| Factor Inhibitor Test (85335) | $198.40 | $248 | 15.4× |
| Factor ix activity (85250) range across 3 matching MRF lines |
$272–$281.60 | $340–$352 | varies |
| Factor v activity (85220) | $310.40 | $388 | 17.6× |
| Factor v leiden mutation (81241) | $121.60 | $152 | 1.7× |
| Factor vii assay (85230) | $239.20 | $299 | 13.4× |
| Factor viii assay (85240) range across 6 matching MRF lines |
$79.20–$148 | $99–$185 | varies |
| Factor X (85260) | $98.40 | $123 | 5.5× |
| Factor xi activity (85270) range across 2 matching MRF lines |
$220–$267.20 | $275–$334 | varies |
| Factor xiii screen (85291) | $76 | $95 | 8.3× |
| Fat stain feces urine/respir secretions (89125) | $68 | $85 | 11.6× |
| Fat/Lipids Feces Quantitative (82710) | $132.80 | $166 | 7.9× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $236 | $295 | 30.6× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $152.80 | $191 | 23.4× |
| Fecal Fat Qualitative (82705) | $67.20 | $84 | 13.2× |
| Ferritin (82728) | $92.80 | $116 | 6.8× |
| Fetal Chrmoml Microdeltj (81422) | $224.80 | $281 | 0.3× |
| Fetal Fibronectin (82731) | $220 | $275 | 3.4× |
| Fetal hemoglobin assay qual (83033) | $24 | $30 | 3.0× |
| Fibrin degradation products (85362) | $75.20 | $94 | 10.9× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$144–$168 | $180–$210 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $28.80 | $36 | 3.0× |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$20–$122.40 | $25–$153 | varies |
| Flecainide level (80181) | $27.20 | $34 | 1.5× |
| Flow cytometry first marker (88184) range across 5 matching MRF lines |
$60–$265.60 | $75–$332 | varies |
| Fluorescent antibody screen (86255) range across 13 matching MRF lines |
$22.40–$544.80 | $28–$681 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 7 matching MRF lines |
$13.60–$120 | $17–$150 | varies |
| Fmr1 gene detection (81243) | $264 | $330 | 4.6× |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$74.40–$81.60 | $93–$102 | varies |
| Folic Acid Serum (82746) | $80 | $100 | 5.4× |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$14.40–$127.20 | $18–$159 | varies |
| Francisella tularensis (86668) | $56.80 | $71 | 4.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $92.80 | $116 | 0.5× |
| Frozen Section (88331) | $73.60 | $92 | 0.4× |
| Fungi Identification Mold (87107) | $142.40 | $178 | 13.8× |
| Fungi Identification Yeast (87106) range across 3 matching MRF lines |
$35.20–$112.80 | $44–$141 | varies |
| Gammaglobulin ige (82785) range across 8 matching MRF lines |
$31.20–$117.60 | $39–$147 | varies |
| Gardner vag DNA dir probe (87510) | $36.80 | $46 | 1.8× |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 2 matching MRF lines |
$215.20–$260 | $269–$325 | varies |
| Gases blood ph only (82800) | $104.80 | $131 | 9.5× |
| Gastrin (82941) | $109.60 | $137 | 6.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $844.80 | $1,056 | 2.0× |
| Genet Virus Isolate Hsv (87255) | $77.60 | $97 | 2.3× |
| Gentamicin (80170) | $256 | $320 | 15.6× |
| Ggt (82977) | $35.20 | $44 | 4.9× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$71.20–$92.80 | $89–$116 | varies |
| Giardia lamblia antibody (86674) | $124.80 | $156 | 8.5× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $92.80 | $116 | 15.3× |
| Glucagon (82943) | $179.20 | $224 | 12.5× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$41.60–$42.40 | $52–$53 | varies |
| Glucose Blood Test (82962) | $18.40 | $23 | 5.6× |
| Glucose body fluid (82945) range across 6 matching MRF lines |
$32.80–$110.40 | $41–$138 | varies |
| Glucose Serum (82947) | $35.20 | $44 | 9.0× |
| Glucose tolerance test (gtt) (82951) range across 5 matching MRF lines |
$104.80–$136 | $131–$170 | varies |
| Glycated Protein (82985) | $83.20 | $104 | 5.0× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$35.20–$71.20 | $44–$89 | varies |
| Growth hormone (83003) range across 2 matching MRF lines |
$117.60–$179.20 | $147–$224 | varies |
| Gtt-added samples (82952) | $16.80 | $21 | 4.3× |
| H Pylori (C-13) Breath (83013) | $280.80 | $351 | 4.2× |
| H Pylori Drug Admin (83014) | $32.80 | $41 | 4.2× |
| Haloperidol (80173) | $116 | $145 | 7.4× |
| Haptoglobin (83010) | $92.80 | $116 | 7.4× |
| Hdl Cholesterol (83718) | $79.20 | $99 | 9.7× |
| Heavy metal qualitative any analytes (83015) | $224.80 | $281 | 10.7× |
| Helicobacter Pylori Stool (87338) | $79.20 | $99 | 5.5× |
| Helminth Antibody (86682) | $77.60 | $97 | 6.0× |
| Hematocrit (85014) range across 6 matching MRF lines |
$28.80–$41.60 | $36–$52 | varies |
| Hemoglobin (85018) range across 4 matching MRF lines |
$26.40–$29.60 | $33–$37 | varies |
| Hemoglobin a1c (83036) | $40.80 | $51 | 4.2× |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$89.60–$198.40 | $112–$248 | varies |
| Hemoglobin plasma (83051) | $132.80 | $166 | 18.2× |
| Hemosiderin urine (83070) | $124 | $155 | 26.1× |
| Hep a ab igm (86709) range across 3 matching MRF lines |
$88–$112.80 | $110–$141 | varies |
| Heparin assay (85520) range across 3 matching MRF lines |
$159.20–$172 | $199–$215 | varies |
| Heparin Neutralization (85525) | $135.20 | $169 | 11.4× |
| Hepatitis a antibody total (86708) | $92.80 | $116 | 7.5× |
| Hepatitis b core ab igm (86705) | $102.40 | $128 | 8.7× |
| Hepatitis b core ab total (86704) | $94.40 | $118 | 7.8× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$88.80–$102.40 | $111–$128 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$55.20–$63.20 | $69–$79 | varies |
| Hepatitis Be Antibody (86707) | $153.60 | $192 | 13.3× |
| Hepatitis Be Antigen (87350) | $80 | $100 | 6.9× |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
$114.40–$131.20 | $143–$164 | varies |
| Hepatitis c antibody confirmatory test (86804) | $208 | $260 | 13.4× |
| Hepatitis C Genotype (87902) | $287.20 | $359 | 1.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $201.60 | $252 | 5.7× |
| Hepatitis C Revrs Trnscrpj (87522) range across 5 matching MRF lines |
$206.40–$1,024 | $258–$1,280 | varies |
| Hepatitis Delta Agent Antibody (86692) | $71.20 | $89 | 4.1× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $5,124.80 | $6,406 | 3.9× |
| Hereditary Retinal Disorders (81434) | $5,321.60 | $6,652 | 8.9× |
| Heredtry Nurondcrn Tum Dsrdr (81437) | $3,549.60 | $4,437 | 2.7× |
| Herpes simplex type 2 (86696) range across 6 matching MRF lines |
$55.20–$68.80 | $69–$86 | varies |
| Heterophile Antibody Screen (86308) | $96 | $120 | 18.5× |
| Hfe Gene (81256) | $259.20 | $324 | 4.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $177.60 | $222 | 23.0× |
| Histamine urine (83088) | $73.60 | $92 | 2.5× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$29.60–$84.80 | $37–$106 | varies |
| Histoplasma antigen urine (87385) | $377.60 | $472 | 28.5× |
| Hiv Antigen W/Hiv Antibodies (87806) | $83.20 | $104 | 2.5× |
| Hiv Genotype (87901) | $698.40 | $873 | 2.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $84.80 | $106 | 3.5× |
| Hiv-1 Antibody (86701) | $188 | $235 | 21.1× |
| HIV-1 p24 antigen (87390) | $73.60 | $92 | 3.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$196–$292 | $245–$365 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $110.40 | $138 | 1.5× |
| Hla ii typing 1 allele hr (81383) | $455.20 | $569 | 4.2× |
| Hla ii typing 1 locus lr (81376) | $509.60 | $637 | 4.2× |
| Hla-b27 (86812) | $184 | $230 | 7.1× |
| Homocysteine (83090) range across 5 matching MRF lines |
$28.80–$104 | $36–$130 | varies |
| Homogenization Tissue (87176) | $68 | $85 | 11.6× |
| Homovanillic acid urine (83150) | $80.80 | $101 | 3.6× |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$132.80–$145.60 | $166–$182 | varies |
| Hsv Dna Amp Probe (87529) | $169.60 | $212 | 4.8× |
| Htlv-I Antibody (86687) | $35.20 | $44 | 3.9× |
| Human Epididymis Protein 4 (86305) | $88 | $110 | 4.2× |
| Hydroxycorticosteroids 17 (83491) | $117.60 | $147 | 6.6× |
| Hydroxyprogesterone 17-d (83498) | $124 | $155 | 4.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $98.40 | $123 | 9.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 4 matching MRF lines |
$134.40–$147.20 | $168–$184 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $73.60 | $92 | 2.1× |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
$96–$110.40 | $120–$138 | varies |
| Iaad Ia Streptococcus Group A (87430) | $51.20 | $64 | 3.0× |
| Iaadi pneumocustis carinii (87281) | $118.40 | $148 | 9.9× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $53.60 | $67 | 4.5× |
| Iaadi respiratory synctial virus (87280) | $48 | $60 | 3.6× |
| Iaadi Varicella Zoster Virus (87290) | $110.40 | $138 | 8.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $40.80 | $51 | 1.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $71.20 | $89 | 2.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $263.20 | $329 | 7.5× |
| Iadna Cytomegalovirus Quantification (87497) | $586.40 | $733 | 13.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $147.20 | $184 | 2.1× |
| Iadna Hepatitis B Virus Quantification (87517) | $276 | $345 | 6.4× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $520 | $650 | 14.8× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $145.60 | $182 | 4.1× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $69.60 | $87 | 2.6× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $88 | $110 | 4.4× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $598.40 | $748 | 14.4× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $55.20 | $69 | 2.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$71.20–$243.20 | $89–$304 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 7 matching MRF lines |
$72.80–$109.60 | $91–$137 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $122.40 | $153 | 2.4× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $428.80 | $536 | 3.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $459.20 | $574 | 1.7× |
| Ig Light Chains Free Each (83521) | $78.40 | $98 | 4.5× |
| Igg subclasses (82787) | $263.20 | $329 | 32.8× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $184.80 | $231 | 0.5× |
| Immune Complex Assay (86332) | $149.60 | $187 | 6.1× |
| Immunfix e-phorsis/urine/csf (86335) range across 5 matching MRF lines |
$51.20–$159.20 | $64–$199 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 15 matching MRF lines |
$57.60–$611.20 | $72–$764 | varies |
| Immunoassay infectious agent (86318) | $54.40 | $68 | 3.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 10 matching MRF lines |
$20.80–$84.80 | $26–$106 | varies |
| Immunoassay nonantibody (83516) range across 25 matching MRF lines |
$10.40–$220 | $13–$275 | varies |
| Immunodiffusion Ouchterlony (86331) | $122.40 | $153 | 10.2× |
| Immunofixation electrophoresis (86334) range across 4 matching MRF lines |
$51.20–$120.80 | $64–$151 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $716.80 | $896 | 4.1× |
| Immunohistochemistry (88342) range across 5 matching MRF lines |
$122.40–$216 | $153–$270 | varies |
| In situ hybridization 1st probe stain (88365) | $288.80 | $361 | 1.7× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $51.20 | $64 | 3.2× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $51.20 | $64 | 3.8× |
| Influenza a/b ag eia (87400) range across 3 matching MRF lines |
$108–$134.40 | $135–$168 | varies |
| Influenza assay w/optic (87804) | $51.20 | $64 | 3.1× |
| Influenza DNA amp probe (87502) | $214.40 | $268 | 2.2× |
| Inhibin A (86336) | $133.60 | $167 | 8.6× |
| Inhibin b (83520) range across 31 matching MRF lines |
$20–$382.40 | $25–$478 | varies |
| Insitu hybridization auto (88367) | $170.40 | $213 | 0.5× |
| Insitu hybridization manual (88368) | $168 | $210 | 0.5× |
| Insulin antibodies (86337) | $90.40 | $113 | 4.2× |
| Insulin free (83527) | $54.40 | $68 | 4.2× |
| Insulin total (83525) | $131.20 | $164 | 11.5× |
| Interleukin-6 (83529) | $128 | $160 | 7.4× |
| Intrinsic factor antibody (86340) | $54.40 | $68 | 3.6× |
| Iron (83540) range across 3 matching MRF lines |
$91.20–$304 | $114–$380 | varies |
| Iron Binding Capacity (83550) | $131.20 | $164 | 15.0× |
| Irradiation Blood Product Each Unit (86945) | $234.40 | $293 | 6.1× |
| Islet cell antibody (86341) | $165.60 | $207 | 7.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $387.20 | $484 | 4.2× |
| Ketosteroids 17 total (83586) | $189.60 | $237 | 14.8× |
| Kit Gene Analysis D816 Variant(S) (81273) | $382.40 | $478 | 3.1× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $1,009.60 | $1,262 | 3.1× |
| Koh Prep (87220) | $43.20 | $54 | 10.1× |
| Kras Gene Variants Exon 2 (81275) | $603.20 | $754 | 3.1× |
| L/s ratio (83661) | $255.20 | $319 | 11.6× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$35.20–$52.80 | $44–$66 | varies |
| Lactoferrin fecal qualitative (83630) | $83.20 | $104 | 4.2× |
| Ldh Isoenzymes (83625) | $132.80 | $166 | 10.4× |
| LDL direct (83721) | $63.20 | $79 | 6.0× |
| Lead (83655) range across 8 matching MRF lines |
$43.20–$112.80 | $54–$141 | varies |
| Legionella antibody (86713) | $94.40 | $118 | 6.2× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$51.20–$276 | $64–$345 | varies |
| Legionella pneumophila dfa (87278) | $98.40 | $123 | 6.3× |
| Leptospira antibody (86720) | $128 | $160 | 7.9× |
| Leukocyte Assessment Fecal (89055) | $48.80 | $61 | 11.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $73.60 | $92 | 2.5× |
| Level ii surg pathology grossµscopic exam (88302) | $79.20 | $99 | 2.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $144.80 | $181 | 0.4× |
| Lidocaine (80176) | $255.20 | $319 | 17.4× |
| Lipase (83690) | $73.60 | $92 | 10.7× |
| Lipoprotein A (83695) | $134.40 | $168 | 9.4× |
| Lipoprotein Bld Quan Part (83704) | $89.60 | $112 | 2.6× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines |
$54.40–$103.20 | $68–$129 | varies |
| Lithium (80178) | $68 | $85 | 10.3× |
| Luteinizing Hormone (Lh) (83002) range across 3 matching MRF lines |
$24–$77.60 | $30–$97 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$92.80–$274.40 | $116–$343 | varies |
| Lymphocyte transformation (86353) | $903.20 | $1,129 | 18.4× |
| Lysozyme serum (85549) | $101.60 | $127 | 5.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $355.20 | $444 | 2.0× |
| Macroscopic exam arthropod (87168) | $77.60 | $97 | 18.2× |
| Macroscopic Exam Parasite (87169) | $51.20 | $64 | 11.9× |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$56.80–$112 | $71–$140 | varies |
| Mass Spectrometry Quant (83789) range across 8 matching MRF lines |
$31.20–$337.60 | $39–$422 | varies |
| Mercury urine (83825) range across 5 matching MRF lines |
$77.60–$109.60 | $97–$137 | varies |
| Metabolic panel ionized ca (80047) | $57.60 | $72 | 4.2× |
| Methotrexate (80204) | $60.80 | $76 | 1.6× |
| Methylmalonic acid serum (83921) range across 4 matching MRF lines |
$28.80–$271.20 | $36–$339 | varies |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$32.80–$59.20 | $41–$74 | varies |
| Microsatellite instability (81301) | $1,206.40 | $1,508 | 3.5× |
| Microsomal Antibodies Each (86376) range across 5 matching MRF lines |
$92.80–$120.80 | $116–$151 | varies |
| Mitochondrial Antibody Each (86381) | $59.20 | $74 | 2.3× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 5 matching MRF lines |
$65.60–$390.40 | $82–$488 | varies |
| Mopath procedure level 1 (81400) | $421.60 | $527 | 6.6× |
| Mopath procedure level 2 (81401) range across 3 matching MRF lines |
$202.40–$424.80 | $253–$531 | varies |
| Mrsa Pcr (87641) | $168 | $210 | 4.8× |
| Mthfr Gene Analysis Common Variants (81291) | $305.60 | $382 | 4.7× |
| Mucopolysaccharides acid quantitative (83864) | $83.20 | $104 | 2.9× |
| Mumps antibody (86735) range across 6 matching MRF lines |
$22.40–$148.80 | $28–$186 | varies |
| Mycophenolic Acid (80180) | $91.20 | $114 | 5.1× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$52.80–$89.60 | $66–$112 | varies |
| Mycoplasma culture (87109) | $94.40 | $118 | 6.1× |
| Myelin basic protein csf (83873) | $120.80 | $151 | 7.0× |
| Myoglobin urine (83874) | $188.80 | $236 | 14.6× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$159.20–$174.40 | $199–$218 | varies |
| Neisseria Dir Na Probe (87590) | $104 | $130 | 3.9× |
| Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86408) | $89.60 | $112 | 2.1× |
| Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) | $89.60 | $112 | 1.1× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $844.80 | $1,056 | 6.6× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $155.20 | $194 | 5.3× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $536 | $670 | 4.2× |
| Niacin (84591) range across 2 matching MRF lines |
$173.60–$196 | $217–$245 | varies |
| Nk cells total count (86357) | $156.80 | $196 | 4.2× |
| Noonan Spectrum Disorders (81442) | $4,929.60 | $6,162 | 2.3× |
| Nras gene variants exon 2&3 (81311) | $816 | $1,020 | 2.8× |
| Nuclear antigen antibody (86235) range across 25 matching MRF lines |
$14.40–$287.20 | $18–$359 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$26.40–$56.80 | $33–$71 | varies |
| Occult Blood Other Sources (82271) range across 3 matching MRF lines |
$13.60–$51.20 | $17–$64 | varies |
| Oligoclonal bands (83916) | $97.60 | $122 | 3.6× |
| Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping),… (81525) | $2,132.80 | $2,666 | 0.7× |
| Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS… (81528) | $1,633.60 | $2,042 | 3.2× |
| Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81536) | $562.40 | $703 | 3.2× |
| Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive… (81535) | $1,919.20 | $2,399 | 3.3× |
| Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and… (81538) | $649.60 | $812 | 0.2× |
| Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) | $4,752 | $5,940 | 1.3× |
| Organic Acids Qualitative Each Specimen (83919) | $540.80 | $676 | 32.9× |
| Organic acids urine (83918) | $68.80 | $86 | 2.9× |
| Osmolality serum (83930) | $80 | $100 | 12.1× |
| Osmolality Urine (83935) | $80 | $100 | 11.7× |
| Osmotic fragility rbc incubated (85557) | $52 | $65 | 3.9× |
| Ova and parasites smears (87177) | $71.20 | $89 | 8.0× |
| Oxalate urine (83945) | $109.60 | $137 | 7.6× |
| Pancreatic Elastase Fecal (82656) | $48 | $60 | 4.2× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$77.60–$97.60 | $97–$122 | varies |
| Parvovirus antibody (86747) range across 4 matching MRF lines |
$68–$96 | $85–$120 | varies |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $1,009.60 | $1,262 | 3.1× |
| Ph urine (81003) range across 5 matching MRF lines |
$40–$44 | $50–$55 | varies |
| Phenobarbital Level (80184) | $158.40 | $198 | 10.4× |
| Phenylalanine (84030) | $46.40 | $58 | 8.4× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$28.80–$142.40 | $36–$178 | varies |
| Phenytoin free (80186) | $38.40 | $48 | 2.8× |
| Phosphatase acid prostatic (84066) | $94.40 | $118 | 9.8× |
| Phosphatase alkaline (84075) range across 4 matching MRF lines |
$35.20–$52.80 | $44–$66 | varies |
| Phosphatidylglycerol (84081) | $68.80 | $86 | 4.2× |
| Phospholipid Neutralization Hexagonal (85598) range across 3 matching MRF lines |
$64–$96.80 | $80–$121 | varies |
| Phosphorus Serum (84100) | $35.20 | $44 | 7.4× |
| Phosphorus urine (84105) range across 6 matching MRF lines |
$34.40–$89.60 | $43–$112 | varies |
| Pinworm exam (87172) | $88 | $110 | 20.6× |
| Platelet Aggregation (85576) | $110.40 | $138 | 4.4× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$117.60–$264 | $147–$330 | varies |
| Platelet count automated (85049) | $64 | $80 | 14.3× |
| Porphobilinogen, urine; quantitative (84110) | $112 | $140 | 13.3× |
| Porphyrins Feces Quantitative (84126) | $200 | $250 | 5.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$108–$159.20 | $135–$199 | varies |
| Potassium Urine (84133) range across 6 matching MRF lines |
$35.20–$102.40 | $44–$128 | varies |
| Prealbumin (84134) | $102.40 | $128 | 7.0× |
| Pregnancy-Associated Plasma Protein-A (84163) | $63.20 | $79 | 4.2× |
| Pregnenolone (84140) | $75.20 | $94 | 3.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $114.40 | $143 | 1.9× |
| Primidone (80188) | $115.20 | $144 | 6.9× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$116–$128 | $145–$160 | varies |
| Progesterone (84144) range across 2 matching MRF lines |
$14.40–$96 | $18–$120 | varies |
| Prolactin (84146) | $102.40 | $128 | 5.3× |
| Protein body fluid (84157) | $35.20 | $44 | 8.8× |
| Protein C Activity (85303) range across 6 matching MRF lines |
$82.40–$144 | $103–$180 | varies |
| Protein c antigen (85302) | $222.40 | $278 | 18.5× |
| Protein Electrophoresis Urine (84166) range across 7 matching MRF lines |
$71.20–$121.60 | $89–$152 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 5 matching MRF lines |
$77.60–$103.20 | $97–$129 | varies |
| Protein S Free (85306) range across 8 matching MRF lines |
$32.80–$155.20 | $41–$194 | varies |
| Protein s total (85305) range across 3 matching MRF lines |
$32.80–$210.40 | $41–$263 | varies |
| Protein total serum (84155) range across 8 matching MRF lines |
$20.80–$109.60 | $26–$137 | varies |
| Protein Total Urine (84156) range across 8 matching MRF lines |
$52.80–$92.80 | $66–$116 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$276–$580.80 | $345–$726 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 4 matching MRF lines |
$82.40–$144 | $103–$180 | varies |
| Protoporphyrin rbc quantitative (84202) | $148.80 | $186 | 10.4× |
| Protoporphyrin, RBC; screen Facility (84203) | $102.40 | $128 | 10.5× |
| PSA free (84154) | $149.60 | $187 | 8.1× |
| Pth Intact (83970) range across 3 matching MRF lines |
$161.60–$212.80 | $202–$266 | varies |
| Pyruvate kinase (84220) | $40.80 | $51 | 4.3× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$60.80–$72.80 | $76–$91 | varies |
| Quantiferon tb gold plus (86480) range across 4 matching MRF lines |
$91.20–$289.60 | $114–$362 | varies |
| Quantitative assay drug (80299) range across 24 matching MRF lines |
$25.60–$468 | $32–$585 | varies |
| Quantitative Screen Metals (83018) range across 4 matching MRF lines |
$78.40–$168 | $98–$210 | varies |
| Quinidine (80194) | $208 | $260 | 14.2× |
| Rbc antibody identification (86870) | $283.20 | $354 | 0.8× |
| Rbc antibody screen (86850) | $144 | $180 | 14.7× |
| Rbc pretreatment serum (86978) | $148.80 | $186 | 2.5× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$18.40–$20 | $23–$25 | varies |
| Receptor assay estrogen (84233) | $676 | $845 | 7.7× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$79.20–$188 | $99–$235 | varies |
| Reptilase test (85635) | $59.20 | $74 | 6.0× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$735.20–$1,736.80 | $919–$2,171 | varies |
| Reticulocyte Count (85046) | $68 | $85 | 12.2× |
| Reticulocyte Count Manual (85044) | $18.40 | $23 | 4.3× |
| Reticulocyte separation (86972) | $168 | $210 | 1.0× |
| Rh (86901) range across 3 matching MRF lines |
$9.60–$48 | $12–$60 | varies |
| Rheumatoid Factor Qualitative (86430) | $94.40 | $118 | 15.4× |
| Rheumatoid factor quant (86431) range across 4 matching MRF lines |
$14.40–$41.60 | $18–$52 | varies |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$88–$181.60 | $110–$227 | varies |
| Ristocetin cofactor (85245) range across 4 matching MRF lines |
$103.20–$199.20 | $129–$249 | varies |
| Rotavirus ag eia (87425) | $91.20 | $114 | 7.6× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$53.60–$79.20 | $67–$99 | varies |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$29.60–$102.40 | $37–$128 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$29.60–$79.20 | $37–$99 | varies |
| Rufinamide (80210) | $121.60 | $152 | 4.5× |
| Russell Viper Venom Time Diluted (85613) range across 13 matching MRF lines |
$19.20–$125.60 | $24–$157 | varies |
| Salicylate Level (80179) | $106.40 | $133 | 5.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $117.60 | $147 | 2.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $92 | $115 | 2.2× |
| Sarscov2 & inf a&b amp prb (87636) | $390.40 | $488 | 2.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $468 | $585 | 3.3× |
| Sedimentation rate (85651) | $48.80 | $61 | 11.4× |
| Sedimentation Rate, Automated (85652) | $48.80 | $61 | 18.1× |
| Selenium (84255) range across 2 matching MRF lines |
$52.80–$100 | $66–$125 | varies |
| Semen Anal Sperm Detection (89321) | $55.20 | $69 | 4.6× |
| Semen analysis complete (89322) | $71.20 | $89 | 4.6× |
| Semen analysis complete (89320) | $263.20 | $329 | 21.4× |
| Semen analysis motility and count (89310) | $126.40 | $158 | 14.7× |
| Sensitivity mic (87186) range across 7 matching MRF lines |
$91.20–$208 | $114–$260 | varies |
| Sex Hormone Binding Globulin (84270) range across 4 matching MRF lines |
$14.40–$98.40 | $18–$123 | varies |
| Sickling of rbc reduction (85660) | $21.60 | $27 | 3.9× |
| Sirolimus (80195) | $62.40 | $78 | 4.5× |
| Skin Test Candida (86485) | $80 | $100 | 2.7× |
| Skin test tuberculosis intradermal (86580) | $16 | $20 | 0.5× |
| Skin test unlisted antigen each (86486) | $80 | $100 | 2.7× |
| Skin test; histoplasmosis (86510) | $88 | $110 | 2.3× |
| Smear acid fast (87206) range across 9 matching MRF lines |
$30.40–$81.60 | $38–$102 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$28.80–$75.20 | $36–$94 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$52.80–$66.40 | $66–$83 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$60–$109.60 | $75–$137 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $45.60 | $57 | 7.8× |
| Sodium Serum (84295) | $35.20 | $44 | 7.3× |
| Sodium Urine (84300) range across 7 matching MRF lines |
$60–$102.40 | $75–$128 | varies |
| Soluble fibrin monomer (85366) | $125.60 | $157 | 1.6× |
| Somatomedin (84305) | $457.60 | $572 | 21.5× |
| Special Stains Group 1 (88312) | $89.60 | $112 | 1.7× |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$235.20–$276.80 | $294–$346 | varies |
| Specific gravity body fluid (84315) | $35.20 | $44 | 10.7× |
| Specimen infect agnt concntj (87015) range across 7 matching MRF lines |
$22.40–$98.40 | $28–$123 | varies |
| Spectrophotometry (84311) range across 6 matching MRF lines |
$73.60–$169.60 | $92–$212 | varies |
| Staph a DNA amp probe (87640) | $168 | $210 | 4.8× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$91.20–$132.80 | $114–$166 | varies |
| Strep a assay w/optic (87880) | $48 | $60 | 2.9× |
| Strep b DNA amp probe (87653) | $237.60 | $297 | 6.8× |
| Sugars Single Qual (84376) | $43.20 | $54 | 7.9× |
| Sulfate urine (84392) | $20 | $25 | 3.6× |
| Surg path level iii (88304) | $81.60 | $102 | 1.5× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$96–$223.20 | $120–$279 | varies |
| Surgical pathology level vi (88309) | $336.80 | $421 | 0.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 4 matching MRF lines |
$71.20–$89.60 | $89–$112 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 7 matching MRF lines |
$71.20–$91.20 | $89–$114 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 3 matching MRF lines |
$41.60–$264.80 | $52–$331 | varies |
| T cells absolute cd4 count (86361) | $117.60 | $147 | 4.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 5 matching MRF lines |
$52.80–$163.20 | $66–$204 | varies |
| T cells total count (86359) range across 3 matching MRF lines |
$52.80–$156.80 | $66–$196 | varies |
| T3 Free (84481) | $178.40 | $223 | 10.5× |
| T3 reverse (84482) | $108 | $135 | 6.9× |
| T3 Total (84480) | $91.20 | $114 | 6.4× |
| T3 Uptake (84479) | $118.40 | $148 | 18.3× |
| T4 Free (84439) range across 3 matching MRF lines |
$40.80–$127.20 | $51–$159 | varies |
| T4 total (84436) | $94.40 | $118 | 13.7× |
| Tacrolimus (80197) | $196.80 | $246 | 14.3× |
| Test for acetone/ketones (82009) | $118.40 | $148 | 26.2× |
| Test for urine cystines (82615) | $34.40 | $43 | 3.6× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$80–$1,268 | $100–$1,585 | varies |
| Testosterone total (84403) range across 6 matching MRF lines |
$47.20–$173.60 | $59–$217 | varies |
| Testosterone, Free (84402) range across 7 matching MRF lines |
$34.40–$120.80 | $43–$151 | varies |
| Tetanus antibody (86774) | $60.80 | $76 | 4.1× |
| Theophylline (80198) | $149.60 | $187 | 10.6× |
| Thiocyanate (84430) | $48.80 | $61 | 4.2× |
| Thiopurine methyltransferase (84433) | $111.20 | $139 | 5.0× |
| Thrombin Time (85670) range across 12 matching MRF lines |
$12.80–$114.40 | $16–$143 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 6 matching MRF lines |
$105.60–$172 | $132–$215 | varies |
| Thyroglobulin (84432) range across 6 matching MRF lines |
$43.20–$140 | $54–$175 | varies |
| Thyroglobulin Antibody (86800) range across 8 matching MRF lines |
$60–$158.40 | $75–$198 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $251.20 | $314 | 4.9× |
| Thyroxine binding globulin (84442) | $140.80 | $176 | 9.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$22.40–$80 | $28–$100 | varies |
| Tissue Culture Amniotic Fluid (88235) | $664 | $830 | 4.4× |
| Tissue culture bone marrow (88237) | $214.40 | $268 | 1.5× |
| Tissue Culture Lymphocyte (88230) | $525.60 | $657 | 4.5× |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$250.40–$288 | $313–$360 | varies |
| Topiramate (80201) | $108.80 | $136 | 9.1× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $98.40 | $123 | 5.0× |
| Toxoplasma ab igm (86778) | $71.20 | $89 | 4.9× |
| Toxoplasma antibody (86777) range across 3 matching MRF lines |
$96–$142.40 | $120–$178 | varies |
| Tpmt gene com variants (81335) | $533.60 | $667 | 3.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $35.20 | $44 | 6.8× |
| Transferrin (84466) | $102.40 | $128 | 8.0× |
| Trichinella Antibody (86784) | $68 | $85 | 5.4× |
| Trichomonas vagin dir probe (87660) | $36.80 | $46 | 1.8× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$38.40–$44 | $48–$55 | varies |
| Triglycerides (84478) range across 5 matching MRF lines |
$35.20–$54.40 | $44–$68 | varies |
| Troponin Quant (84484) range across 4 matching MRF lines |
$67.20–$124.80 | $84–$156 | varies |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$46.40–$92 | $58–$115 | varies |
| Unlisted Transfusion Medicine Procedure (86999) | $200.80 | $251 | 6.8× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$43.20–$73.60 | $54–$92 | varies |
| Uric acid other source (84560) range across 4 matching MRF lines |
$35.20–$42.40 | $44–$53 | varies |
| Urinalysis Microscopic Only (81015) | $47.20 | $59 | 15.5× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $84 | $105 | 38.7× |
| Urinalysis Volume Measure (81050) | $11.20 | $14 | 3.1× |
| Urine Albumin Semiquantitative (82044) | $73.60 | $92 | 11.8× |
| Urine Bacteria Culture (87088) | $23.20 | $29 | 2.9× |
| Urine Pregnancy Test (81025) | $44 | $55 | 5.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$52.80–$57.60 | $66–$72 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$28.80–$100.80 | $36–$126 | varies |
| Vancomycin (80202) | $188.80 | $236 | 13.9× |
| Varicella-zoster antibody (86787) range across 5 matching MRF lines |
$32.80–$68.80 | $41–$86 | varies |
| Vasopressin (84588) | $103.20 | $129 | 3.0× |
| Very Long Chain Fatty Acids (82726) range across 2 matching MRF lines |
$176.80–$193.60 | $221–$242 | varies |
| Viral Culture (87252) range across 2 matching MRF lines |
$78.40–$88 | $98–$110 | varies |
| Virus antibody nos (86790) range across 9 matching MRF lines |
$59.20–$215.20 | $74–$269 | varies |
| Virus inoculation, shell via (87254) | $77.60 | $97 | 4.0× |
| Viscosity serum (85810) | $110.40 | $138 | 9.5× |
| Vit D 1 25-Dihydroxy (82652) | $249.60 | $312 | 6.5× |
| Vitamin A (84590) | $96 | $120 | 8.3× |
| Vitamin b-12 (82607) | $80 | $100 | 5.3× |
| Vitamin B6 (84207) | $144.80 | $181 | 5.2× |
| Vitamin c (82180) | $132.80 | $166 | 13.4× |
| Vitamin D 25-Hydroxy (82306) | $68.80 | $86 | 2.3× |
| Vitamin E (84446) | $145.60 | $182 | 10.3× |
| Vitamin K (84597) | $122.40 | $153 | 8.9× |
| Volatiles (84600) | $120.80 | $151 | 7.1× |
| Von willebrand factor ag (85246) range across 4 matching MRF lines |
$103.20–$199.20 | $129–$249 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $153.60 | $192 | 17.9× |
| West nile virus ab igm (86788) | $59.20 | $74 | 3.5× |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$47.20–$84.80 | $59–$106 | varies |
| Western Blot Test (84181) | $71.20 | $89 | 4.2× |
| Xylose Absorption Test (84620) | $193.60 | $242 | 15.0× |
| Zinc (84630) | $110.40 | $138 | 9.7× |
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.