Lab & pathology prices at Providence St. Mary Medical Center
Walla Walla, WA · every code in this section with a posted price and a Medicare benchmark.
861 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) range across 2 matching MRF lines |
$32.90–$119 | $47–$170 | varies |
| 5 Nucleotidase (83915) | $32.90 | $47 | 3.0× |
| Abl1 gene analysis kinase domain variants (81170) | $632.80 | $904 | 2.1× |
| Acetylcholine receptor binding antibody (86041) range across 5 matching MRF lines |
$46.20–$114.80 | $66–$164 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 4 matching MRF lines |
$46.20–$114.80 | $66–$164 | varies |
| Acetylcholinesterase Assay (82013) range across 2 matching MRF lines |
$69.30–$330.40 | $99–$472 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) range across 3 matching MRF lines |
$46.20–$80.50 | $66–$115 | varies |
| Acth (82024) | $23.10 | $33 | 0.6× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
$22.40–$214.20 | $32–$306 | varies |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$20.30–$218.40 | $29–$312 | varies |
| Acute hepatitis panel (80074) | $58.10 | $83 | 1.2× |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$44.10–$124.60 | $63–$178 | varies |
| Adenovirus antibody (86603) | $128.80 | $184 | 10.0× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $63.70 | $91 | 1.0× |
| Albumin Fluid (82042) range across 7 matching MRF lines |
$14.70–$97.30 | $21–$139 | varies |
| Albumin serum (82040) range across 8 matching MRF lines |
$5.60–$87.50 | $8–$125 | varies |
| Aldolase (82085) | $17.50 | $25 | 1.8× |
| Aldosterone urine (82088) range across 5 matching MRF lines |
$36.40–$58.80 | $52–$84 | varies |
| Alkaline phosphatase isoenzymes (84080) | $95.20 | $136 | 6.4× |
| Allergen spec ige qual multiallergen screen (86005) range across 2 matching MRF lines |
$56–$87.50 | $80–$125 | varies |
| Allergen specific ige (86003) range across 24 matching MRF lines |
$6.30–$85.40 | $9–$122 | varies |
| Allergen specific igg (86001) range across 5 matching MRF lines |
$11.20–$79.10 | $16–$113 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 4 matching MRF lines |
$10.50–$37.10 | $15–$53 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $25.90 | $37 | 1.8× |
| Alpha-1-antitrypsin total (82103) range across 5 matching MRF lines |
$25.20–$146.30 | $36–$209 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) range across 2 matching MRF lines |
$50.40–$330.40 | $72–$472 | varies |
| Alpha-Fetoprotein Serum (82105) range across 10 matching MRF lines |
$19.60–$52.50 | $28–$75 | varies |
| Alt (sgpt) (84460) range across 5 matching MRF lines |
$6.30–$95.20 | $9–$136 | varies |
| Aluminum (82108) range across 2 matching MRF lines |
$25.90–$112 | $37–$160 | varies |
| Amikacin trough (80150) range across 3 matching MRF lines |
$25.90–$105 | $37–$150 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 5 matching MRF lines |
$25.90–$186.20 | $37–$266 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $138.60 | $198 | 8.2× |
| Amino Acids Quant 2-5 (82136) | $172.20 | $246 | 8.8× |
| Aminolevulinic acid (ala) (82135) | $58.80 | $84 | 3.6× |
| Ammonia (82140) range across 3 matching MRF lines |
$14.70–$124.60 | $21–$178 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $291.90 | $417 | 3.0× |
| Amylase urine (82150) range across 5 matching MRF lines |
$49.70–$128.80 | $71–$184 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$17.50–$197.40 | $25–$282 | varies |
| Anca screen each antibody (86036) range across 3 matching MRF lines |
$19.60–$63.70 | $28–$91 | varies |
| Anca Titer Each Antibody (86037) range across 4 matching MRF lines |
$16.80–$23.10 | $24–$33 | varies |
| Androstenedione (82157) range across 5 matching MRF lines |
$40.60–$184.10 | $58–$263 | varies |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$28.70–$52.50 | $41–$75 | varies |
| Anti-Phospholipid Antibody (86148) range across 5 matching MRF lines |
$25.20–$107.10 | $36–$153 | varies |
| Antibody aspergillus (86606) range across 8 matching MRF lines |
$19.60–$129.50 | $28–$185 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 6 matching MRF lines |
$17.50–$113.40 | $25–$162 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 6 matching MRF lines |
$16.10–$211.40 | $23–$302 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 4 matching MRF lines |
$23.10–$89.60 | $33–$128 | varies |
| Antibody Encephalitis California La Crosse (86651) | $38.50 | $55 | 2.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 3 matching MRF lines |
$22.40–$89.60 | $32–$128 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 4 matching MRF lines |
$23.10–$89.60 | $33–$128 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 6 matching MRF lines |
$21–$89.60 | $30–$128 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 9 matching MRF lines |
$16.80–$77 | $24–$110 | varies |
| Antibody helicobacter pylori (86677) | $21 | $30 | 1.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 6 matching MRF lines |
$22.40–$65.80 | $32–$94 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 4 matching MRF lines |
$16.10–$27.30 | $23–$39 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$94.50–$96.60 | $135–$138 | varies |
| Antibody HIV-2 (86702) range across 3 matching MRF lines |
$44.10–$177.10 | $63–$253 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) | $538.30 | $769 | 1.7× |
| Antibody hla class ii semiquantitative panel (86835) | $436.10 | $623 | 1.4× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$28.70–$32.90 | $41–$47 | varies |
| Antibody Treponema Pallidum (86780) range across 4 matching MRF lines |
$9.80–$20.30 | $14–$29 | varies |
| Antibody yersinia (86793) range across 2 matching MRF lines |
$32.20–$100.10 | $46–$143 | varies |
| Antibody; encephalitis, st. louis (86653) | $38.50 | $55 | 2.9× |
| Antibody; influenza virus (86710) range across 5 matching MRF lines |
$28.70–$103.60 | $41–$148 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$52.50–$88.20 | $75–$126 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $28.70 | $41 | 5.0× |
| Antinomyces antibody (86602) range across 3 matching MRF lines |
$14.70–$19.60 | $21–$28 | varies |
| Antinuclear antibodies (86038) range across 15 matching MRF lines |
$11.20–$130.90 | $16–$187 | varies |
| Antistreptolysin o titer (86060) | $33.60 | $48 | 4.6× |
| Antithrombin iii activity (85300) range across 5 matching MRF lines |
$16.80–$37.10 | $24–$53 | varies |
| Antithrombin iii antigen (85301) range across 3 matching MRF lines |
$16.80–$37.80 | $24–$54 | varies |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$21–$56 | $30–$80 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 2 matching MRF lines |
$341.60–$798 | $488–$1,140 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $511.70 | $731 | 42.5× |
| Aquaporin-4 Antb Elisa (86051) | $266 | $380 | 23.1× |
| Arsenic (82175) range across 7 matching MRF lines |
$25.90–$107.10 | $37–$153 | varies |
| Aspergillus ag eia (87305) | $98.70 | $141 | 8.2× |
| Assay activated protein c (85307) range across 5 matching MRF lines |
$17.50–$37.80 | $25–$54 | varies |
| Assay Blood Carbon Dioxide (82374) | $86.80 | $124 | 17.8× |
| Assay Dir Meas Fr Estradiol (82681) | $78.40 | $112 | 2.8× |
| Assay myeloperoxidase (83876) | $87.50 | $125 | 1.7× |
| Assay Nephelometry Not Spec (83883) range across 9 matching MRF lines |
$10.50–$130.90 | $15–$187 | varies |
| Assay of 5-hiaa (83497) range across 5 matching MRF lines |
$17.50–$28.70 | $25–$41 | varies |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$18.20–$80.50 | $26–$115 | varies |
| Assay of calcium in urine (82340) range across 6 matching MRF lines |
$9.10–$16.80 | $13–$24 | varies |
| Assay of corticosterone (82528) | $116.90 | $167 | 5.2× |
| Assay of cpk in blood (82552) | $19.60 | $28 | 1.5× |
| Assay of estrone (82679) range across 3 matching MRF lines |
$33.60–$116.90 | $48–$167 | varies |
| Assay of feces for trypsin (84490) | $78.40 | $112 | 7.9× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$19.60–$25.20 | $28–$36 | varies |
| Assay of gammaglobulin igm (82784) range across 20 matching MRF lines |
$9.10–$97.30 | $13–$139 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$97.30–$107.10 | $139–$153 | varies |
| Assay of manganese (83785) | $35.70 | $51 | 1.3× |
| Assay of metanephrines (83835) range across 6 matching MRF lines |
$38.50–$114.10 | $55–$163 | varies |
| Assay of phosphatase acid total (84060) | $172.20 | $246 | 22.5× |
| Assay of proinsulin (84206) range across 4 matching MRF lines |
$54.60–$263.20 | $78–$376 | varies |
| Assay of pyruvate (84210) | $38.50 | $55 | 2.7× |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$58.10–$60.20 | $83–$86 | varies |
| Assay of serum potassium (84132) | $81.20 | $116 | 17.1× |
| Assay of sweat sodium (84302) range across 3 matching MRF lines |
$26.60–$96.60 | $38–$138 | varies |
| Assay of transcortin (84449) | $37.10 | $53 | 2.1× |
| Assay of urea nitrogen (84520) | $70.70 | $101 | 17.9× |
| Assay of urine vma (84585) range across 4 matching MRF lines |
$32.20–$42.70 | $46–$61 | varies |
| Assay of vasoactive intestinal peptide (84586) | $161.70 | $231 | 4.6× |
| Assay of vitamin b-1 (84425) | $42.70 | $61 | 2.0× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$25.20–$69.30 | $36–$99 | varies |
| Assay Phosphohexose Enzymes (84087) | $301 | $430 | 28.1× |
| Assay spec xcp ur&breath ia (82077) | $177.10 | $253 | 10.3× |
| Asy carbamazepin 10,11-epxid (80161) | $105 | $150 | 5.6× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,071.70 | $1,531 | 1.3× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $452.90 | $647 | 2.4× |
| Automated Leukocyte Count (85048) range across 5 matching MRF lines |
$7.70–$47.60 | $11–$68 | varies |
| B cells total count (86355) | $48.30 | $69 | 1.3× |
| Babesia microti amp prb (87469) | $228.90 | $327 | 6.5× |
| Bacterial antigens 87802 (87802) | $46.20 | $66 | 3.6× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$33.60–$40.60 | $48–$58 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$146.30–$291.90 | $209–$417 | varies |
| Bcr/abl1 gene minor bp (81207) | $146.30 | $209 | 1.0× |
| Beta 2 glycoprotein i antibody each (86146) range across 16 matching MRF lines |
$17.50–$107.80 | $25–$154 | varies |
| Beta hydroxybutyrate (82010) range across 4 matching MRF lines |
$25.20–$105 | $36–$150 | varies |
| Beta Lactamase (87185) | $60.20 | $86 | 12.7× |
| Beta-2 Microglobulin (82232) range across 3 matching MRF lines |
$23.10–$159.60 | $33–$228 | varies |
| Bile acids total (82239) | $32.90 | $47 | 1.9× |
| Bilirubin direct (82248) range across 3 matching MRF lines |
$6.30–$80.50 | $9–$115 | varies |
| Bilirubin total (82247) range across 6 matching MRF lines |
$6.30–$80.50 | $9–$115 | varies |
| Bilirubin total transcutaneous (88720) | $20.30 | $29 | 4.0× |
| Blastomyces antibody (86612) range across 3 matching MRF lines |
$28.70–$91.70 | $41–$131 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $105 | $150 | 13.5× |
| Blood Count Automated Differential Wbc Count (85004) | $7.70 | $11 | 1.2× |
| Blood Count Red Blood Cell Automated (85041) | $19.60 | $28 | 6.5× |
| Blood count reticulocyte automated (85045) | $94.50 | $135 | 23.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $27.30 | $39 | 7.2× |
| Blood gas (82803) range across 3 matching MRF lines |
$368.90–$389.90 | $527–$557 | varies |
| Blood gases w/02 saturation (82805) range across 6 matching MRF lines |
$389.90–$581 | $557–$830 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $25.20 | $36 | 1.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $50.40 | $72 | 11.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $103.60 | $148 | 16.3× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$54.60–$68.60 | $78–$98 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$86.80–$130.90 | $124–$187 | varies |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$44.10–$56 | $63–$80 | varies |
| Braf gene analysis (81210) range across 3 matching MRF lines |
$144.20–$400.40 | $206–$572 | varies |
| Brca1&2 gen full seq dup/del (81162) range across 2 matching MRF lines |
$2,475.90–$2,894.50 | $3,537–$4,135 | varies |
| Brucella antibody (86622) range across 4 matching MRF lines |
$35.70–$107.10 | $51–$153 | varies |
| C diff amplified probe (87493) | $134.40 | $192 | 3.6× |
| C-Peptide (84681) | $97.30 | $139 | 4.7× |
| C-reactive protein (86140) range across 3 matching MRF lines |
$8.40–$98 | $12–$140 | varies |
| Ca 19-9 (86301) | $32.90 | $47 | 1.6× |
| Cadmium (82300) range across 7 matching MRF lines |
$28.70–$107.10 | $41–$153 | varies |
| Caffeine (80155) | $36.40 | $52 | 0.9× |
| Calcitonin (82308) | $44.10 | $63 | 1.6× |
| Calcium ionized (82330) | $116.20 | $166 | 8.5× |
| Calcium total (82310) range across 3 matching MRF lines |
$20.30–$91.70 | $29–$131 | varies |
| Calculus assay quant (82360) | $32.90 | $47 | 2.6× |
| Calculus Spectroscopy (82365) | $32.90 | $47 | 2.6× |
| Calprotectin Fecal (83993) | $63.70 | $91 | 3.2× |
| Calr gene com variants (81219) range across 4 matching MRF lines |
$242.20–$506.10 | $346–$723 | varies |
| Cancer Antigen 125 (86304) range across 3 matching MRF lines |
$52.50–$78.40 | $75–$112 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$32.20–$205.10 | $46–$293 | varies |
| Candida antibody (86628) range across 3 matching MRF lines |
$25.90–$91.70 | $37–$131 | varies |
| Candida Dna Dir Probe (87480) | $32.20 | $46 | 1.6× |
| Carbamazepine free (80157) | $150.50 | $215 | 11.4× |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$25.20–$169.40 | $36–$242 | varies |
| Carbohydrate Deficient Transferrin (82373) range across 2 matching MRF lines |
$147–$188.30 | $210–$269 | varies |
| Carboxyhemoglobin (82375) range across 5 matching MRF lines |
$25.20–$249.20 | $36–$356 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$37.80–$62.30 | $54–$89 | varies |
| Cardiolipin ab iga (86147) range across 22 matching MRF lines |
$19.60–$107.80 | $28–$154 | varies |
| Carnitine Quantitative Each Specimen (82379) | $67.90 | $97 | 4.0× |
| Carotene (82380) | $33.60 | $48 | 3.6× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$37.10–$48.30 | $53–$69 | varies |
| Ccp antibody (86200) range across 4 matching MRF lines |
$17.50–$30.10 | $25–$43 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) range across 3 matching MRF lines |
$417.90–$468.30 | $597–$669 | varies |
| Cell count csf (89051) range across 4 matching MRF lines |
$33.60–$130.90 | $48–$187 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$175.70–$242.90 | $251–$347 | varies |
| Ceruloplasmin (82390) | $20.30 | $29 | 1.9× |
| Cftr gene com variants (81220) | $546 | $780 | 1.0× |
| Cftr gene full sequence (81223) | $2,142.70 | $3,061 | 4.3× |
| Chemiluminescent assay (82397) range across 6 matching MRF lines |
$44.10–$219.80 | $63–$314 | varies |
| Chlamydia antibody (86631) range across 5 matching MRF lines |
$48.30–$112 | $69–$160 | varies |
| Chlamydia Igm Antibody (86632) range across 6 matching MRF lines |
$28.70–$112 | $41–$160 | varies |
| Chloramphenicol level (82415) | $98 | $140 | 7.7× |
| Chloride other source (82438) range across 2 matching MRF lines |
$21–$69.30 | $30–$99 | varies |
| Chloride Serum (82435) | $81.20 | $116 | 17.7× |
| Chloride urine (82436) range across 6 matching MRF lines |
$9.10–$90.30 | $13–$129 | varies |
| Chlorinated Hydrocarbons Screen (82441) | $78.40 | $112 | 13.0× |
| Cholesterol total (82465) range across 3 matching MRF lines |
$17.50–$78.40 | $25–$112 | varies |
| Cholinesterase rbc (82482) | $28.70 | $41 | 2.9× |
| Cholinesterase Serum (82480) | $28.70 | $41 | 3.6× |
| Chorionic gonadotropin test (84702) range across 10 matching MRF lines |
$19.60–$105.70 | $28–$151 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $28.70 | $41 | 1.1× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$38.50–$58.80 | $55–$84 | varies |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $261.10 | $373 | 1.5× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $369.60 | $528 | 2.1× |
| Chromium serum (82495) range across 5 matching MRF lines |
$35.70–$107.10 | $51–$153 | varies |
| Chromogenic Substrate Assay (85130) | $191.10 | $273 | 16.1× |
| Chromogranin a (86316) range across 3 matching MRF lines |
$62.30–$75.60 | $89–$108 | varies |
| Chromosome analys amniotic (88269) | $263.20 | $376 | 1.5× |
| Chromosome Analysis 15-20 (88262) | $164.50 | $235 | 1.3× |
| Chromosome Analysis 20-25 (88264) | $406.70 | $581 | 2.8× |
| Chromosome analysis, 5 (88261) range across 2 matching MRF lines |
$28.70–$457.80 | $41–$654 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 10 matching MRF lines |
$27.30–$135.80 | $39–$194 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$37.80–$40.60 | $54–$58 | varies |
| Ckmb (82553) | $182 | $260 | 15.8× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$46.20–$134.40 | $66–$192 | varies |
| Clot Factor VIII Multimetric (85247) | $23.10 | $33 | 1.0× |
| Clotting factor xii hageman (85280) | $59.50 | $85 | 3.1× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$168–$172.90 | $240–$247 | varies |
| Clotting prekallikrein assay fletcher fact assay (85292) | $140.70 | $201 | 7.4× |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$603.40–$857.50 | $862–$1,225 | varies |
| Coagulation time activated (85347) | $215.60 | $308 | 50.4× |
| Coccidioides antibody (86635) range across 12 matching MRF lines |
$27.30–$149.10 | $39–$213 | varies |
| Cold agglutinin screen (86156) | $58.80 | $84 | 7.3× |
| Cold agglutinin titer (86157) | $22.40 | $32 | 2.8× |
| Collagen crosslinks (82523) range across 7 matching MRF lines |
$58.80–$240.10 | $84–$343 | varies |
| Column Chromotography Quant (82542) range across 10 matching MRF lines |
$27.30–$554.40 | $39–$792 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 2 matching MRF lines |
$388.50–$534.80 | $555–$764 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$246.40–$328.30 | $352–$469 | varies |
| Complement Antigen Each Component (86160) range across 15 matching MRF lines |
$16.10–$247.80 | $23–$354 | varies |
| Complement Fixation Tests Each Antigen (86171) | $161 | $230 | 16.1× |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$30.80–$247.80 | $44–$354 | varies |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$51.80–$247.80 | $74–$354 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $140.70 | $201 | 2.4× |
| Coombs direct (86880) range across 2 matching MRF lines |
$46.90–$112 | $67–$160 | varies |
| Copper urine (82525) range across 5 matching MRF lines |
$21–$107.10 | $30–$153 | varies |
| Cortisol free (82530) range across 5 matching MRF lines |
$32.20–$38.50 | $46–$55 | varies |
| Cortisol saliva (82533) range across 12 matching MRF lines |
$17.50–$119 | $25–$170 | varies |
| Creatine (82540) range across 3 matching MRF lines |
$19.60–$58.80 | $28–$84 | varies |
| Creatine kinase total (82550) range across 4 matching MRF lines |
$19.60–$114.10 | $28–$163 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$5.60–$91.70 | $8–$131 | varies |
| Creatinine clearance (82575) | $169.40 | $242 | 17.9× |
| Creatinine Urine (82570) range across 28 matching MRF lines |
$6.30–$62.30 | $9–$89 | varies |
| Crossmatch immediate spin (86920) | $246.40 | $352 | 1.3× |
| Crp High Sensitivity (86141) | $98 | $140 | 7.6× |
| Cryofibrinogen (82585) | $22.40 | $32 | 1.6× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$20.30–$21 | $29–$30 | varies |
| Cryptococcal Antigen (87327) | $51.80 | $74 | 3.9× |
| Cryptococcus ab (86641) | $68.60 | $98 | 4.8× |
| Cryptococcus ag titer (87899) range across 7 matching MRF lines |
$44.10–$162.40 | $63–$232 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$36.40–$79.10 | $52–$113 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 6 matching MRF lines |
$26.60–$102.90 | $38–$147 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$60.90–$162.40 | $87–$232 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 5 matching MRF lines |
$25.20–$70.70 | $36–$101 | varies |
| Culture afb (87116) range across 7 matching MRF lines |
$26.60–$170.10 | $38–$243 | varies |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$27.30–$106.40 | $39–$152 | varies |
| Culture blood (87040) | $231.70 | $331 | 22.5× |
| Culture chlamydia (87110) range across 3 matching MRF lines |
$19.60–$26.60 | $28–$38 | varies |
| Culture csf (87070) range across 12 matching MRF lines |
$17.50–$113.40 | $25–$162 | varies |
| Culture fungus (87102) range across 3 matching MRF lines |
$49.70–$116.90 | $71–$167 | varies |
| Culture fungus blood (87103) | $51.80 | $74 | 2.5× |
| Culture screen only (87081) range across 12 matching MRF lines |
$22.40–$98.70 | $32–$141 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$16.10–$175.70 | $23–$251 | varies |
| Culture typing if ea antiserum (87140) | $16.80 | $24 | 3.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$28.70–$60.90 | $41–$87 | varies |
| Culture urine (87086) range across 5 matching MRF lines |
$30.10–$86.80 | $43–$124 | varies |
| Cyanide (82600) | $37.80 | $54 | 1.9× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $16.80 | $24 | 1.2× |
| Cyclosporine (80158) range across 3 matching MRF lines |
$21–$182.70 | $30–$261 | varies |
| Cyp2c19 gene analysis common variants (81225) | $318.50 | $455 | 1.1× |
| Cyp2d6 gene com variants (81226) | $588 | $840 | 1.3× |
| Cystatin C (82610) range across 2 matching MRF lines |
$79.10–$137.20 | $113–$196 | varies |
| Cytogenetics 10-30 (88273) | $49.70 | $71 | 1.4× |
| Cytogenetics 100-300 (88275) range across 3 matching MRF lines |
$63.70–$68.60 | $91–$98 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$1,143.80–$1,149.40 | $1,634–$1,642 | varies |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$19.60–$97.30 | $28–$139 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$35.70–$60.90 | $51–$87 | varies |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
$36.40–$72.80 | $52–$104 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 4 matching MRF lines |
$20.30–$60.90 | $29–$87 | varies |
| Cytp Concentration Smears & Interpretation (88108) range across 3 matching MRF lines |
$76.30–$123.90 | $109–$177 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $64.40 | $92 | 1.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $34.30 | $49 | 0.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $101.50 | $145 | 2.4× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $708.40 | $1,012 | 3.7× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $64.40 | $92 | 2.0× |
| Deoxycortisol (82634) range across 2 matching MRF lines |
$52.50–$119 | $75–$170 | varies |
| Deoxyribonuclease antibody (86215) | $32.20 | $46 | 2.4× |
| Desoxycorticosterone (82633) | $119 | $170 | 3.8× |
| Detect Agent Nos Dna Amp (87798) range across 36 matching MRF lines |
$28.70–$681.80 | $41–$974 | varies |
| Detect Agent Nos Dna Quant (87799) range across 9 matching MRF lines |
$78.40–$529.20 | $112–$756 | varies |
| Detect agnt mult DNA ampli (87801) range across 10 matching MRF lines |
$30.10–$525 | $43–$750 | varies |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$16.80–$18.20 | $24–$26 | varies |
| Dhea (82626) range across 4 matching MRF lines |
$30.10–$119 | $43–$170 | varies |
| Dhea-S (82627) range across 3 matching MRF lines |
$28.70–$156.10 | $41–$223 | varies |
| Dibucaine number (82638) | $46.90 | $67 | 3.8× |
| Digoxin (80162) | $169.40 | $242 | 12.8× |
| Dihydrotestosterone (82642) | $68.60 | $98 | 2.3× |
| Dipropylacetic Acid Free (80165) | $72.80 | $104 | 5.4× |
| Dna Antibody Native/Double Stranded (86225) range across 12 matching MRF lines |
$14.70–$107.10 | $21–$153 | varies |
| Dna Antibody Single Stranded (86226) | $38.50 | $55 | 3.2× |
| DNA/RNA direct probe (87149) range across 5 matching MRF lines |
$27.30–$133 | $39–$190 | varies |
| Dna/Rna Sequencing (87153) range across 6 matching MRF lines |
$162.40–$300.30 | $232–$429 | varies |
| Dpyd gene common variants (81232) range across 2 matching MRF lines |
$291.90–$310.10 | $417–$443 | varies |
| Drug assay acetaminophen (80143) | $51.80 | $74 | 2.8× |
| Drug assay adalimumab (80145) | $146.30 | $209 | 3.8× |
| Drug Assay Amiodarone (80151) | $33.60 | $48 | 1.8× |
| Drug Assay Everolimus (80169) | $135.10 | $193 | 9.8× |
| Drug assay felbamate (80167) | $91 | $130 | 4.9× |
| Drug Assay Infliximab (80230) range across 3 matching MRF lines |
$233.80–$1,549.80 | $334–$2,214 | varies |
| Drug Assay Itraconazole (80189) | $161 | $230 | 5.9× |
| Drug Assay Lacosamide (80235) | $25.20 | $36 | 0.9× |
| Drug Assay Leflunomide (80193) | $184.80 | $264 | 4.8× |
| Drug Assay Posaconazole (80187) | $116.90 | $167 | 4.3× |
| Drug Assay Vedolizumab (80280) | $126.70 | $181 | 3.3× |
| Drug assay voriconazole (80285) | $224 | $320 | 8.3× |
| Drug Screen Quant Clozapine (80159) | $48.30 | $69 | 2.4× |
| Drug Screen Quant Zonisamide (80203) | $69.30 | $99 | 5.2× |
| Drug Screen Quantitative Gabapentin (80171) | $42.70 | $61 | 2.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $41.30 | $59 | 3.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $33.60 | $48 | 2.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $30.80 | $44 | 2.3× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $112 | $160 | 6.7× |
| Drug Screen Quantitative Tiagabine (80199) | $254.10 | $363 | 9.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 49 matching MRF lines |
$25.20–$320.60 | $36–$458 | varies |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
$337.40–$2,142.70 | $482–$3,061 | varies |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$38.50–$65.80 | $55–$94 | varies |
| El-1 Fecal Quantitative (82653) | $87.50 | $125 | 3.8× |
| Electrolyte panel (80051) | $54.60 | $78 | 7.8× |
| Encephaltis East Eqne Anbdy (86652) | $38.50 | $55 | 2.9× |
| Encephaltis West Eqne Antbdy (86654) | $38.50 | $55 | 2.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 4 matching MRF lines |
$14.70–$141.40 | $21–$202 | varies |
| Enterovirus Antibody (86658) range across 11 matching MRF lines |
$18.20–$278.60 | $26–$398 | varies |
| Enterovirus PCR (87498) | $130.90 | $187 | 3.7× |
| Enzyme cell activity (82657) range across 9 matching MRF lines |
$80.50–$273 | $115–$390 | varies |
| Eosinophil Smear (89190) | $76.30 | $109 | 13.2× |
| Erythropoietin (82668) | $28.70 | $41 | 1.5× |
| Estradiol serum (82670) range across 6 matching MRF lines |
$33.60–$156.10 | $48–$223 | varies |
| Estriol (82677) range across 4 matching MRF lines |
$25.20–$42 | $36–$60 | varies |
| Estrogen total (82672) range across 2 matching MRF lines |
$30.10–$33.60 | $43–$48 | varies |
| Ethosuximide (80168) | $26.60 | $38 | 1.6× |
| Ethylene Glycol (82693) range across 2 matching MRF lines |
$53.20–$63.70 | $76–$91 | varies |
| Euglobulin lysis (85360) | $104.30 | $149 | 12.4× |
| Exam Synovial Fluid Crystals (89060) range across 3 matching MRF lines |
$33.60–$107.80 | $48–$154 | varies |
| F2 Gene (81240) range across 5 matching MRF lines |
$38.50–$71.40 | $55–$102 | varies |
| Factor ii activity (85210) | $175.70 | $251 | 13.5× |
| Factor Inhibitor Test (85335) range across 4 matching MRF lines |
$37.10–$255.50 | $53–$365 | varies |
| Factor ix activity (85250) | $43.40 | $62 | 2.3× |
| Factor v activity (85220) | $32.90 | $47 | 1.9× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$81.20–$247.80 | $116–$354 | varies |
| Factor vii assay (85230) | $43.40 | $62 | 2.4× |
| Factor viii assay (85240) range across 8 matching MRF lines |
$22.40–$255.50 | $32–$365 | varies |
| Factor X (85260) | $44.10 | $63 | 2.5× |
| Factor xi activity (85270) | $72.80 | $104 | 4.1× |
| Factor xiii screen (85291) | $23.80 | $34 | 2.6× |
| Fat stain feces urine/respir secretions (89125) | $22.40 | $32 | 3.8× |
| Fat/Lipids Feces Quantitative (82710) | $44.10 | $63 | 2.6× |
| Fatty acids free (82725) range across 2 matching MRF lines |
$65.80–$75.60 | $94–$108 | varies |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $127.40 | $182 | 16.5× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $63 | $90 | 3.7× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) range across 2 matching MRF lines |
$37.10–$68.60 | $53–$98 | varies |
| Fecal Fat Qualitative (82705) | $27.30 | $39 | 5.4× |
| Ferritin (82728) range across 3 matching MRF lines |
$25.90–$139.30 | $37–$199 | varies |
| Fetal Chrmoml Aneuploidy (81420) range across 6 matching MRF lines |
$407.40–$1,068.90 | $582–$1,527 | varies |
| Fetal Chrmoml Microdeltj (81422) range across 2 matching MRF lines |
$677.60–$760.20 | $968–$1,086 | varies |
| Fetal Fibronectin (82731) | $471.10 | $673 | 7.3× |
| Fetal hemoglobin assay qual (83033) | $40.60 | $58 | 5.1× |
| Fetal screen rosette (85461) | $161 | $230 | 17.2× |
| Fibrin degradation products (85362) range across 2 matching MRF lines |
$43.40–$84 | $62–$120 | varies |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$18.20–$109.90 | $26–$157 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$72.80–$224.70 | $104–$321 | varies |
| Flecainide level (80181) | $33.60 | $48 | 1.8× |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$62.30–$94.50 | $89–$135 | varies |
| Flt3 Gene (81245) | $175.70 | $251 | 1.1× |
| Fluorescent antibody screen (86255) range across 26 matching MRF lines |
$19.60–$1,059.10 | $28–$1,513 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 14 matching MRF lines |
$16.80–$584.50 | $24–$835 | varies |
| Fluoride serum (82735) | $107.10 | $153 | 5.8× |
| Fmr1 gene detection (81243) | $1,198.40 | $1,712 | 21.0× |
| Folic acid rbc (82747) | $25.90 | $37 | 1.5× |
| Folic Acid Serum (82746) | $152.60 | $218 | 10.4× |
| Follicle Stimulating Hormone (83001) range across 5 matching MRF lines |
$20.30–$97.30 | $29–$139 | varies |
| Francisella tularensis (86668) | $112 | $160 | 7.9× |
| Frozen Section (88331) | $74.20 | $106 | 0.4× |
| Fungi Identification Mold (87107) | $68.60 | $98 | 6.6× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$27.30–$58.10 | $39–$83 | varies |
| Galectin-3 (82777) | $129.50 | $185 | 2.9× |
| Gammaglobulin ige (82785) range across 10 matching MRF lines |
$9.80–$60.90 | $14–$87 | varies |
| Gardner vag DNA dir probe (87510) | $32.20 | $46 | 1.6× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $249.20 | $356 | 25.5× |
| Gases blood ph only (82800) | $54.60 | $78 | 5.0× |
| Gastrin (82941) | $35.70 | $51 | 2.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $341.60 | $488 | 0.8× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,071.70 | $1,531 | 1.4× |
| Genet Virus Isolate Hsv (87255) range across 3 matching MRF lines |
$32.20–$58.80 | $46–$84 | varies |
| Gentamicin (80170) range across 2 matching MRF lines |
$49.70–$169.40 | $71–$242 | varies |
| Ggt (82977) range across 4 matching MRF lines |
$17.50–$106.40 | $25–$152 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$48.30–$79.10 | $69–$113 | varies |
| Gjb2 Gene Analysis Full Gene Sequence (81252) range across 2 matching MRF lines |
$352.10–$398.30 | $503–$569 | varies |
| Glucagon (82943) | $38.50 | $55 | 2.7× |
| Glucose 2 hr pp (82950) range across 4 matching MRF lines |
$70.70–$79.10 | $101–$113 | varies |
| Glucose Blood Test (82962) | $79.10 | $113 | 24.1× |
| Glucose body fluid (82945) | $63.70 | $91 | 16.2× |
| Glucose Serum (82947) range across 4 matching MRF lines |
$17.50–$79.10 | $25–$113 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$14.70–$195.30 | $21–$279 | varies |
| Glucosidase beta (82963) | $178.50 | $255 | 8.3× |
| Glutathione (82978) range across 2 matching MRF lines |
$94.50–$119 | $135–$170 | varies |
| Glycated Protein (82985) range across 2 matching MRF lines |
$22.40–$51.80 | $32–$74 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $96.60 | $138 | 12.8× |
| Growth hormone (83003) range across 6 matching MRF lines |
$21–$130.20 | $30–$186 | varies |
| Growth hormone antibody (86277) | $74.20 | $106 | 4.7× |
| Gtt-added samples (82952) range across 3 matching MRF lines |
$19.60–$70.70 | $28–$101 | varies |
| H Pylori (C-13) Breath (83013) range across 3 matching MRF lines |
$60.20–$103.60 | $86–$148 | varies |
| H Pylori Drug Admin (83014) | $11.90 | $17 | 1.5× |
| Haloperidol (80173) | $44.10 | $63 | 2.8× |
| Haptoglobin (83010) range across 4 matching MRF lines |
$17.50–$56 | $25–$80 | varies |
| Hba1/Hba2 Gene (81257) | $317.10 | $453 | 3.1× |
| HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) | $389.90 | $557 | 1.0× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$19.60–$128.80 | $28–$184 | varies |
| Helicobacter Pylori Stool (87338) | $62.30 | $89 | 4.3× |
| Helminth Antibody (86682) range across 8 matching MRF lines |
$42.70–$275.10 | $61–$393 | varies |
| Hematocrit (85014) range across 5 matching MRF lines |
$45.50–$49.70 | $65–$71 | varies |
| Hemoglobin (85018) range across 6 matching MRF lines |
$18.20–$47.60 | $26–$68 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$11.90–$108.50 | $17–$155 | varies |
| Hemoglobin Chromotography (83021) range across 9 matching MRF lines |
$25.90–$84 | $37–$120 | varies |
| Hemoglobin electrophoresis (83020) range across 4 matching MRF lines |
$47.60–$117.60 | $68–$168 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 4 matching MRF lines |
$20.30–$46.90 | $29–$67 | varies |
| Hemoglobin plasma (83051) | $41.30 | $59 | 5.6× |
| Hemoglobin-Oxygen Affinity (82820) range across 3 matching MRF lines |
$26.60–$28.70 | $38–$41 | varies |
| Hemosiderin urine (83070) | $35.70 | $51 | 7.5× |
| Hep a ab igm (86709) | $27.30 | $39 | 2.4× |
| Heparin assay (85520) range across 4 matching MRF lines |
$68.60–$182 | $98–$260 | varies |
| Hepatitis a antibody total (86708) range across 4 matching MRF lines |
$19.60–$27.30 | $28–$39 | varies |
| Hepatitis b core ab igm (86705) range across 3 matching MRF lines |
$14.70–$26.60 | $21–$38 | varies |
| Hepatitis b core ab total (86704) range across 5 matching MRF lines |
$14.70–$32.20 | $21–$46 | varies |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$32.20–$38.50 | $46–$55 | varies |
| Hepatitis B Surface Antigen (87340) range across 5 matching MRF lines |
$17.50–$68.60 | $25–$98 | varies |
| Hepatitis Be Antibody (86707) | $38.50 | $55 | 3.3× |
| Hepatitis Be Antigen (87350) | $30.10 | $43 | 2.6× |
| Hepatitis C Antibody (86803) range across 6 matching MRF lines |
$25.20–$90.30 | $36–$129 | varies |
| Hepatitis c antibody confirmatory test (86804) range across 3 matching MRF lines |
$111.30–$487.20 | $159–$696 | varies |
| Hepatitis C Genotype (87902) range across 5 matching MRF lines |
$204.40–$282.80 | $292–$404 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 3 matching MRF lines |
$82.60–$417.20 | $118–$596 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 6 matching MRF lines |
$68.60–$321.30 | $98–$459 | varies |
| Hepatitis delta ag (87380) | $146.30 | $209 | 8.0× |
| Hepatitis Delta Agent Antibody (86692) | $53.20 | $76 | 3.1× |
| Heredtry Nurondcrn Tum Dsrdr (81437) | $1,295 | $1,850 | 1.0× |
| Herpes simplex type 2 (86696) range across 7 matching MRF lines |
$16.10–$75.60 | $23–$108 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$19.60–$171.50 | $28–$245 | varies |
| Hexa gene analysis common variants (81255) | $282.80 | $404 | 5.5× |
| Hfe Gene (81256) | $90.30 | $129 | 1.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 3 matching MRF lines |
$147.70–$163.10 | $211–$233 | varies |
| Histamine urine (83088) range across 3 matching MRF lines |
$47.60–$50.40 | $68–$72 | varies |
| Histoplasma antibody (86698) range across 6 matching MRF lines |
$16.80–$91.70 | $24–$131 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$68.60–$123.90 | $98–$177 | varies |
| Hiv Genotype (87901) range across 3 matching MRF lines |
$253.40–$798.70 | $362–$1,141 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 3 matching MRF lines |
$32.90–$68.60 | $47–$98 | varies |
| Hiv-1 Antibody (86701) range across 3 matching MRF lines |
$44.10–$177.10 | $63–$253 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 5 matching MRF lines |
$146.30–$490 | $209–$700 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $95.20 | $136 | 2.7× |
| Hla class i semiquant panel (86834) | $513.80 | $734 | 1.4× |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 2 matching MRF lines |
$91.70–$240.80 | $131–$344 | varies |
| Hla class i&ii antibody qual (86828) | $122.50 | $175 | 1.9× |
| Hla class ii high defin qual (86833) | $538.30 | $769 | 1.7× |
| Hla class ii typing high resolution one locus ea (81382) | $91.70 | $131 | 0.7× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $48.30 | $69 | 0.6× |
| Hla I Typing 1 Allele Hr (81381) range across 2 matching MRF lines |
$72.80–$146.30 | $104–$209 | varies |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $536.20 | $766 | 1.6× |
| Hla ii type 1 ag equiv lr (81377) range across 3 matching MRF lines |
$97.30–$273 | $139–$390 | varies |
| Hla ii typing 1 allele hr (81383) range across 2 matching MRF lines |
$100.80–$170.10 | $144–$243 | varies |
| Hla ii typing 1 locus lr (81376) | $240.80 | $344 | 2.0× |
| Hla-b27 (86812) | $120.40 | $172 | 4.7× |
| Homocysteine (83090) range across 6 matching MRF lines |
$25.20–$233.80 | $36–$334 | varies |
| Homogenization Tissue (87176) range across 7 matching MRF lines |
$11.20–$69.30 | $16–$99 | varies |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$40.60–$50.40 | $58–$72 | varies |
| Hpv High-Risk Types (87624) range across 9 matching MRF lines |
$37.80–$408.80 | $54–$584 | varies |
| Hpv Types 16 & 18 Only (87625) | $129.50 | $185 | 3.2× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$28.70–$47.60 | $41–$68 | varies |
| Hsv Dna Quant (87530) range across 2 matching MRF lines |
$116.90–$194.60 | $167–$278 | varies |
| Htlv-I Antibody (86687) range across 2 matching MRF lines |
$135.80–$224.70 | $194–$321 | varies |
| Htlv-ii antibody (86688) | $224.70 | $321 | 16.1× |
| Htt Gene Detc Abnor Alleles (81271) | $325.50 | $465 | 2.4× |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$219.80–$253.40 | $314–$362 | varies |
| Hydroxycorticosteroids 17 (83491) | $120.40 | $172 | 6.7× |
| Hydroxyprogesterone 17-d (83498) range across 4 matching MRF lines |
$27.30–$119 | $39–$170 | varies |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) range across 2 matching MRF lines |
$25.20–$63.70 | $36–$91 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $105.70 | $151 | 8.8× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $124.60 | $178 | 9.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $58.80 | $84 | 1.7× |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
$16.10–$71.40 | $23–$102 | varies |
| Iaadi inffluenza a virus (87276) | $41.30 | $59 | 2.6× |
| Iaadi not otherwise specified each organism (87299) | $70.70 | $101 | 4.4× |
| Iaadi parainfluenza virus each type (87279) | $41.30 | $59 | 2.5× |
| Iaadi pneumocustis carinii (87281) | $52.50 | $75 | 4.4× |
| Iaadi respiratory synctial virus (87280) | $41.30 | $59 | 3.1× |
| Iaadi Varicella Zoster Virus (87290) | $116.90 | $167 | 8.7× |
| Iadna Bartonella Amplified Probe Technique (87471) | $176.40 | $252 | 5.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $116.90 | $167 | 3.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 4 matching MRF lines |
$42–$876.40 | $60–$1,252 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$98–$135.10 | $140–$193 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$161–$441 | $230–$630 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $138.60 | $198 | 2.0× |
| Iadna hepatitis b virus amplified probe tq (87516) | $538.30 | $769 | 15.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $159.60 | $228 | 3.7× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $253.40 | $362 | 7.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$105–$191.80 | $150–$274 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $126.70 | $181 | 3.6× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $366.80 | $524 | 7.6× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 6 matching MRF lines |
$58.80–$321.30 | $84–$459 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 4 matching MRF lines |
$47.60–$107.80 | $68–$154 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 11 matching MRF lines |
$27.30–$135.80 | $39–$194 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $91.70 | $131 | 1.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$253.40–$268.80 | $362–$384 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $354.20 | $506 | 1.3× |
| Idh1 common variants (81120) | $451.50 | $645 | 2.3× |
| Idh2 common variants (81121) | $451.50 | $645 | 1.5× |
| Ig Light Chains Free Each (83521) range across 5 matching MRF lines |
$11.20–$54.60 | $16–$78 | varies |
| Igg subclasses (82787) range across 3 matching MRF lines |
$9.10–$42.70 | $13–$61 | varies |
| Igh gene rearrange amp meth (81261) | $487.20 | $696 | 2.5× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,022 | $1,460 | 3.5× |
| Igk rearrangeabn clonal pop (81264) | $613.20 | $876 | 3.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $234.50 | $335 | 0.6× |
| Immune Complex Assay (86332) range across 3 matching MRF lines |
$41.30–$156.10 | $59–$223 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 10 matching MRF lines |
$36.40–$120.40 | $52–$172 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 26 matching MRF lines |
$38.50–$1,003.10 | $55–$1,433 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $130.90 | $187 | 5.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 12 matching MRF lines |
$14.70–$198.10 | $21–$283 | varies |
| Immunoassay nonantibody (83516) range across 52 matching MRF lines |
$11.90–$283.50 | $17–$405 | varies |
| Immunodiffusion Ouchterlony (86331) range across 7 matching MRF lines |
$16.80–$116.90 | $24–$167 | varies |
| Immunofixation electrophoresis (86334) range across 6 matching MRF lines |
$10.50–$87.50 | $15–$125 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$38.50–$295.40 | $55–$422 | varies |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$112–$169.40 | $160–$242 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$112.70–$150.50 | $161–$215 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $304.50 | $435 | 1.6× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $41.30 | $59 | 2.9× |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | $183.40 | $262 | 13.7× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $41.30 | $59 | 3.4× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $122.50 | $175 | 10.0× |
| Influenza a/b ag eia (87400) | $117.60 | $168 | 8.3× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$22.40–$107.10 | $32–$153 | varies |
| Influenza DNA amp probe (87502) | $164.50 | $235 | 1.7× |
| Inhibin A (86336) range across 5 matching MRF lines |
$19.60–$53.20 | $28–$76 | varies |
| Inhibin b (83520) range across 58 matching MRF lines |
$19.60–$564.90 | $28–$807 | varies |
| Insitu hybridization auto (88367) | $631.40 | $902 | 1.6× |
| Insitu hybridization manual (88368) | $401.10 | $573 | 1.0× |
| Insulin antibodies (86337) | $72.80 | $104 | 3.4× |
| Insulin free (83527) range across 2 matching MRF lines |
$47.60–$58.80 | $68–$84 | varies |
| Insulin total (83525) range across 4 matching MRF lines |
$16.10–$65.80 | $23–$94 | varies |
| Interleukin-6 (83529) range across 2 matching MRF lines |
$30.10–$122.50 | $43–$175 | varies |
| Intrinsic factor antibody (86340) | $38.50 | $55 | 2.6× |
| Iron (83540) range across 3 matching MRF lines |
$8.40–$114.10 | $12–$163 | varies |
| Iron Binding Capacity (83550) | $8.40 | $12 | 1.0× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$38.50–$302.40 | $55–$432 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 4 matching MRF lines |
$116.90–$217 | $167–$310 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) range across 3 matching MRF lines |
$273–$408.80 | $390–$584 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) | $354.20 | $506 | 2.8× |
| Koh Prep (87220) | $88.20 | $126 | 20.7× |
| Kras Gene Analysis Additional Variant(S) (81276) range across 2 matching MRF lines |
$188.30–$224 | $269–$320 | varies |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$188.30–$1,080.10 | $269–$1,543 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$11.90–$106.40 | $17–$152 | varies |
| Lactoferrin fecal qualitative (83630) | $89.60 | $128 | 4.5× |
| Lactoferrin Fecal Quantitative (83631) | $47.60 | $68 | 2.4× |
| Ldh Isoenzymes (83625) | $22.40 | $32 | 1.8× |
| LDL direct (83721) range across 5 matching MRF lines |
$19.60–$91.70 | $28–$131 | varies |
| Lead (83655) range across 7 matching MRF lines |
$17.50–$97.30 | $25–$139 | varies |
| Legionella antibody (86713) range across 3 matching MRF lines |
$30.10–$62.30 | $43–$89 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$30.80–$204.40 | $44–$292 | varies |
| Legionella pneumophila dfa (87278) range across 4 matching MRF lines |
$38.50–$60.90 | $55–$87 | varies |
| Leptospira antibody (86720) | $86.10 | $123 | 5.3× |
| Leucine Aminopeptidase Lap (83670) | $53.20 | $76 | 5.4× |
| Leukocyte Assessment Fecal (89055) | $27.30 | $39 | 6.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $59.50 | $85 | 1.8× |
| Level ii surg pathology grossµscopic exam (88302) | $123.90 | $177 | 3.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $389.90 | $557 | 1.0× |
| Lidocaine (80176) | $28.70 | $41 | 2.0× |
| Lipase (83690) range across 2 matching MRF lines |
$32.20–$114.10 | $46–$163 | varies |
| Lipoprotein A (83695) | $25.20 | $36 | 1.8× |
| Lipoprotein Bld Quan Part (83704) range across 6 matching MRF lines |
$38.50–$44.80 | $55–$64 | varies |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $26.60 | $38 | 2.4× |
| Lipoprotein-Associated Phospholipase A2 (83698) range across 2 matching MRF lines |
$65.80–$98.70 | $94–$141 | varies |
| Lithium (80178) | $105.70 | $151 | 16.0× |
| Luteinizing Hormone (Lh) (83002) range across 5 matching MRF lines |
$20.30–$37.10 | $29–$53 | varies |
| Lyme disease antibody (86618) | $18.20 | $26 | 1.1× |
| Lymphocyte transformation (86353) | $135.80 | $194 | 2.8× |
| Lysozyme serum (85549) range across 2 matching MRF lines |
$38.50–$41.30 | $55–$59 | varies |
| M. Genitalium Amp Probe (87563) range across 3 matching MRF lines |
$46.90–$70 | $67–$100 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$241.50–$285.60 | $345–$408 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $242.90 | $347 | 1.3× |
| Macroscopic exam arthropod (87168) | $63.70 | $91 | 14.9× |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$63.70–$126.70 | $91–$181 | varies |
| Magnesium Urine (83735) range across 7 matching MRF lines |
$9.10–$117.60 | $13–$168 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$58.80–$130.90 | $84–$187 | varies |
| Mecp2 gene full seq (81302) | $1,316 | $1,880 | 2.5× |
| Mercury urine (83825) range across 9 matching MRF lines |
$17.50–$107.10 | $25–$153 | varies |
| Methotrexate (80204) | $42 | $60 | 1.1× |
| Methylmalonic acid serum (83921) range across 4 matching MRF lines |
$25.20–$100.80 | $36–$144 | varies |
| Mgmt methylation analysis (81287) range across 2 matching MRF lines |
$306.60–$389.90 | $438–$557 | varies |
| Microalbumin, quantitative (82043) range across 4 matching MRF lines |
$16.80–$95.90 | $24–$137 | varies |
| Microbe Suscept Macrobroth (87188) range across 4 matching MRF lines |
$33.60–$85.40 | $48–$122 | varies |
| Microsomal Antibodies Each (86376) range across 10 matching MRF lines |
$22.40–$224 | $32–$320 | varies |
| Mitochondrial Antibody Each (86381) range across 3 matching MRF lines |
$27.30–$58.80 | $39–$84 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $925.40 | $1,322 | 4.6× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,558.20 | $2,226 | 2.3× |
| Mog-Igg1 Antb Cba Each (86362) | $674.80 | $964 | 56.0× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
$12.60–$156.80 | $18–$224 | varies |
| Molecular Pathology Procedure Level 3 (81402) range across 3 matching MRF lines |
$175.70–$448.70 | $251–$641 | varies |
| Molecular Pathology Procedure Level 6 (81405) | $1,169 | $1,670 | 3.9× |
| Mononuclear cell antigen (86356) range across 5 matching MRF lines |
$30.10–$141.40 | $43–$202 | varies |
| Mopath procedure level 1 (81400) range across 3 matching MRF lines |
$133–$286.30 | $190–$409 | varies |
| Mopath procedure level 2 (81401) range across 8 matching MRF lines |
$138.60–$1,074.50 | $198–$1,535 | varies |
| Mopath procedure level 4 (81403) range across 3 matching MRF lines |
$267.40–$448.70 | $382–$641 | varies |
| Mopath procedure level 5 (81404) | $771.40 | $1,102 | 2.8× |
| Mopath procedure level 7 (81406) range across 2 matching MRF lines |
$291.90–$4,622.80 | $417–$6,604 | varies |
| Mopath procedure level 9 (81408) | $1,948.10 | $2,783 | 1.0× |
| Mpl gene common variants (81338) range across 3 matching MRF lines |
$282.80–$408.80 | $404–$584 | varies |
| Mrsa Pcr (87641) | $58.80 | $84 | 1.7× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $1,031.80 | $1,474 | 4.8× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $1,031.80 | $1,474 | 2.7× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $1,031.80 | $1,474 | 4.3× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $1,267.70 | $1,811 | 2.0× |
| Mthfr Gene Analysis Common Variants (81291) | $68.60 | $98 | 1.0× |
| Mucin Clot Body Fluid (83872) | $36.40 | $52 | 6.2× |
| Mucopolysaccharides acid quantitative (83864) | $102.90 | $147 | 3.6× |
| Mumps antibody (86735) range across 7 matching MRF lines |
$12.60–$30.10 | $18–$43 | varies |
| Muscle-Specific Kinase Antb (86366) | $557.90 | $797 | 30.3× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$48.30–$273 | $69–$390 | varies |
| Mycophenolic Acid (80180) | $25.90 | $37 | 1.4× |
| Mycoplasma antibody (86738) range across 5 matching MRF lines |
$25.20–$128.80 | $36–$184 | varies |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$42–$53.20 | $60–$76 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $372.40 | $532 | 2.1× |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
$97.30–$123.20 | $139–$176 | varies |
| Myoglobin urine (83874) | $32.20 | $46 | 2.5× |
| Natriuretic peptide (83880) | $72.80 | $104 | 1.9× |
| Neutralization Test Viral (86382) | $78.40 | $112 | 4.6× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $84 | $120 | 0.7× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $267.40 | $382 | 1.0× |
| Nfct ds bv&vaginitis DNA alg (81515) | $192.50 | $275 | 0.7× |
| Nfct ds chrnc hcv 6 assays (81596) range across 3 matching MRF lines |
$105.70–$291.90 | $151–$417 | varies |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) range across 2 matching MRF lines |
$112–$146.30 | $160–$209 | varies |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $112 | $160 | 4.3× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $477.40 | $682 | 1.0× |
| Niacin (84591) range across 4 matching MRF lines |
$87.50–$149.10 | $125–$213 | varies |
| Nickel level (83885) | $33.60 | $48 | 1.4× |
| Nk cells total count (86357) range across 7 matching MRF lines |
$37.10–$213.50 | $53–$305 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $156.80 | $224 | 0.6× |
| Nras gene variants exon 2&3 (81311) range across 2 matching MRF lines |
$186.90–$311.50 | $267–$445 | varies |
| Nuclear antigen antibody (86235) range across 40 matching MRF lines |
$14.70–$107.10 | $21–$153 | varies |
| Occult blood feces (82272) | $50.40 | $72 | 11.9× |
| Occult Blood Other Sources (82271) range across 4 matching MRF lines |
$23.10–$49.70 | $33–$71 | varies |
| Oligoclonal bands (83916) range across 4 matching MRF lines |
$30.10–$97.30 | $43–$139 | varies |
| Oncoprotein dcp (83951) range across 2 matching MRF lines |
$141.40–$146.30 | $202–$209 | varies |
| Oncoprotein Her-2/Neu (83950) | $291.90 | $417 | 4.5× |
| Organic Acids Qualitative Each Specimen (83919) | $162.40 | $232 | 9.9× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$172.20–$254.10 | $246–$363 | varies |
| Osmolality serum (83930) | $152.60 | $218 | 23.1× |
| Osmolality Urine (83935) range across 3 matching MRF lines |
$9.10–$50.40 | $13–$72 | varies |
| Osmotic fragility rbc incubated (85557) | $226.80 | $324 | 17.0× |
| Osmotic Fragility RBC Unincubated (85555) | $91 | $130 | 12.2× |
| Osteocalcin (83937) | $75.60 | $108 | 2.5× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$11.90–$48.30 | $17–$69 | varies |
| Oxalate urine (83945) range across 5 matching MRF lines |
$14.70–$32.90 | $21–$47 | varies |
| Pancreatic Elastase Fecal (82656) | $87.50 | $125 | 7.6× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$23.10–$28.70 | $33–$41 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $58.80 | $84 | 0.1× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $571.20 | $816 | 2.2× |
| Ph urine (81003) range across 5 matching MRF lines |
$7–$78.40 | $10–$112 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$18.20–$98.70 | $26–$141 | varies |
| Phenotype Infect Agent Drug (87900) range across 5 matching MRF lines |
$126.70–$412.30 | $181–$589 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$177.80–$195.30 | $254–$279 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$16.10–$169.40 | $23–$242 | varies |
| Phenytoin free (80186) | $16.80 | $24 | 1.2× |
| Phosphatase acid prostatic (84066) | $32.90 | $47 | 3.4× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$6.30–$25.20 | $9–$36 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 9 matching MRF lines |
$18.20–$46.90 | $26–$67 | varies |
| Phosphorus Serum (84100) | $86.10 | $123 | 18.2× |
| Phosphorus urine (84105) range across 4 matching MRF lines |
$9.80–$22.40 | $14–$32 | varies |
| Pinworm exam (87172) | $70 | $100 | 16.4× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$119.70–$208.60 | $171–$298 | varies |
| Platelet Antibodies (86022) range across 6 matching MRF lines |
$44.10–$303.80 | $63–$434 | varies |
| Platelet count automated (85049) | $47.60 | $68 | 10.6× |
| Platelet neutralization (85597) range across 3 matching MRF lines |
$21.70–$39.90 | $31–$57 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) range across 2 matching MRF lines |
$375.20–$430.50 | $536–$615 | varies |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $862.40 | $1,232 | 1.1× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $925.40 | $1,322 | 4.5× |
| Pms2 gene full seq analysis (81317) | $1,525.30 | $2,179 | 2.3× |
| Porphobilinogen, urine; quantitative (84110) range across 5 matching MRF lines |
$28.70–$112 | $41–$160 | varies |
| Porphyrins Feces Quantitative (84126) | $146.30 | $209 | 3.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$40.60–$74.20 | $58–$106 | varies |
| Potassium Urine (84133) range across 5 matching MRF lines |
$9.80–$90.30 | $14–$129 | varies |
| Prealbumin (84134) | $97.30 | $139 | 6.7× |
| Pregnancy-Associated Plasma Protein-A (84163) | $76.30 | $109 | 5.1× |
| Pregnenolone (84140) | $58.80 | $84 | 2.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $48.30 | $69 | 0.7× |
| Pretx serum rbc antibody identification dilution (86976) | $127.40 | $182 | 4.0× |
| Primidone (80188) | $18.20 | $26 | 1.1× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$299.60–$329 | $428–$470 | varies |
| Progesterone (84144) range across 3 matching MRF lines |
$28.70–$119 | $41–$170 | varies |
| Prolactin (84146) range across 3 matching MRF lines |
$28.70–$135.80 | $41–$194 | varies |
| Prostaglandin (84150) range across 3 matching MRF lines |
$341.60–$442.40 | $488–$632 | varies |
| Protein body fluid (84157) range across 3 matching MRF lines |
$16.10–$76.30 | $23–$109 | varies |
| Protein C Activity (85303) range across 9 matching MRF lines |
$16.80–$55.30 | $24–$79 | varies |
| Protein c antigen (85302) range across 3 matching MRF lines |
$33.60–$55.30 | $48–$79 | varies |
| Protein Electrophoresis Urine (84166) range across 8 matching MRF lines |
$19.60–$310.80 | $28–$444 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 6 matching MRF lines |
$10.50–$310.80 | $15–$444 | varies |
| Protein S Free (85306) range across 9 matching MRF lines |
$17.50–$37.10 | $25–$53 | varies |
| Protein s total (85305) | $22.40 | $32 | 1.9× |
| Protein Total Refractometry Any Src (84160) | $10.50 | $15 | 1.9× |
| Protein total serum (84155) range across 6 matching MRF lines |
$9.10–$76.30 | $13–$109 | varies |
| Protein Total Urine (84156) range across 10 matching MRF lines |
$14.70–$76.30 | $21–$109 | varies |
| Protein Western Blot Test (84182) range across 6 matching MRF lines |
$58.80–$399 | $84–$570 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 5 matching MRF lines |
$9.10–$44.10 | $13–$63 | varies |
| Protoporphyrin rbc quantitative (84202) range across 3 matching MRF lines |
$20.30–$21 | $29–$30 | varies |
| PSA free (84154) | $25.20 | $36 | 1.4× |
| Pth Intact (83970) | $124.60 | $178 | 3.0× |
| Pyruvate kinase (84220) | $85.40 | $122 | 9.0× |
| Q Fever Antibody (86638) range across 3 matching MRF lines |
$59.50–$62.30 | $85–$89 | varies |
| Quantiferon tb gold plus (86480) range across 5 matching MRF lines |
$48.30–$254.10 | $69–$363 | varies |
| Quantitative assay drug (80299) range across 53 matching MRF lines |
$25.90–$284.20 | $37–$406 | varies |
| Quantitative Screen Metals (83018) range across 11 matching MRF lines |
$44.80–$186.20 | $64–$266 | varies |
| Quinidine (80194) | $79.10 | $113 | 5.4× |
| Rbc antibody elution (86860) | $91.70 | $131 | 0.5× |
| Rbc antibody identification (86870) range across 3 matching MRF lines |
$49.70–$232.40 | $71–$332 | varies |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$25.20–$175.70 | $36–$251 | varies |
| Rbc pretreatment serum (86978) | $72.80 | $104 | 1.1× |
| Rbc pretx incubatj w/enzymes (86971) | $14.70 | $21 | 0.1× |
| Reagent Strip/Blood Glucose (82948) | $70 | $100 | 13.9× |
| Renin activity plasma (84244) range across 4 matching MRF lines |
$32.20–$140 | $46–$200 | varies |
| Reptilase test (85635) | $115.50 | $165 | 11.7× |
| Resp virus 12-25 targets (87633) range across 3 matching MRF lines |
$280.70–$281.40 | $401–$402 | varies |
| Reticulated Platelet Assay (85055) | $49.70 | $71 | 1.4× |
| Reticulocyte Count (85046) | $94.50 | $135 | 17.0× |
| Rh (86901) range across 3 matching MRF lines |
$41.30–$68.60 | $59–$98 | varies |
| Rheumatoid factor quant (86431) range across 7 matching MRF lines |
$16.10–$107.10 | $23–$153 | varies |
| Rickettsia antibody (86757) range across 10 matching MRF lines |
$26.60–$161.70 | $38–$231 | varies |
| Ristocetin cofactor (85245) range across 3 matching MRF lines |
$43.40–$60.90 | $62–$87 | varies |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$63.70–$78.40 | $91–$112 | varies |
| Rpr qualitative (86592) range across 7 matching MRF lines |
$9.10–$171.50 | $13–$245 | varies |
| Rsv ab (86756) | $130.90 | $187 | 8.2× |
| Rubella Antibody (86762) range across 7 matching MRF lines |
$19.60–$75.60 | $28–$108 | varies |
| Rubeola antibody (86765) range across 6 matching MRF lines |
$20.30–$40.60 | $29–$58 | varies |
| Rufinamide (80210) range across 2 matching MRF lines |
$138.60–$161 | $198–$230 | varies |
| Russell Viper Venom Time Diluted (85613) range across 20 matching MRF lines |
$9.10–$100.10 | $13–$143 | varies |
| Salicylate Level (80179) | $51.80 | $74 | 2.8× |
| Salmonella antibody (86768) | $106.40 | $152 | 8.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $123.20 | $176 | 2.4× |
| Sars-cov-2 COVID-19 antibody (86769) | $72.80 | $104 | 1.7× |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$233.80–$245 | $334–$350 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $354.20 | $506 | 2.5× |
| Sedimentation Rate, Automated (85652) | $55.30 | $79 | 20.5× |
| Selenium (84255) range across 2 matching MRF lines |
$35.70–$79.10 | $51–$113 | varies |
| Semen Anal Sperm Detection (89321) | $90.30 | $129 | 7.5× |
| Semen analysis complete (89320) | $143.50 | $205 | 11.7× |
| Sensitivity mic (87186) range across 11 matching MRF lines |
$28.70–$1,340.50 | $41–$1,915 | varies |
| Sept9 Methylation Analysis (81327) | $262.50 | $375 | 1.4× |
| Serpina 1 gene (81332) range across 2 matching MRF lines |
$214.20–$336.70 | $306–$481 | varies |
| Sex Hormone Binding Globulin (84270) range across 8 matching MRF lines |
$11.20–$142.80 | $16–$204 | varies |
| Sickling of rbc reduction (85660) range across 5 matching MRF lines |
$17.50–$44.10 | $25–$63 | varies |
| Sirolimus (80195) | $68.60 | $98 | 5.0× |
| Smear acid fast (87206) range across 11 matching MRF lines |
$11.20–$60.20 | $16–$86 | varies |
| Smear complex stain (87209) range across 3 matching MRF lines |
$25.20–$370.30 | $36–$529 | varies |
| Smear gram stain (87205) range across 6 matching MRF lines |
$25.90–$70 | $37–$100 | varies |
| Smear Special Stain (87207) range across 4 matching MRF lines |
$16.80–$49.70 | $24–$71 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $681.80 | $974 | 5.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$70–$91.70 | $100–$131 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) range across 2 matching MRF lines |
$317.10–$341.60 | $453–$488 | varies |
| Sodium Serum (84295) | $86.80 | $124 | 18.0× |
| Sodium Urine (84300) range across 4 matching MRF lines |
$9.80–$90.30 | $14–$129 | varies |
| Soluble Transferrin Receptor (84238) | $37.80 | $54 | 1.0× |
| Somatomedin (84305) range across 2 matching MRF lines |
$32.20–$41.30 | $46–$59 | varies |
| Somatostatin (84307) | $278.60 | $398 | 15.2× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$123.90–$170.10 | $177–$243 | varies |
| Special Stains Group 2 (88313) | $135.10 | $193 | 0.9× |
| Specific gravity body fluid (84315) | $44.10 | $63 | 13.4× |
| Specimen infect agnt concntj (87015) range across 12 matching MRF lines |
$2.42–$69.30 | $3.45–$99 | varies |
| Spectrophotometry (84311) range across 10 matching MRF lines |
$21–$233.80 | $30–$334 | varies |
| Staph a DNA amp probe (87640) | $58.80 | $84 | 1.7× |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$16.10–$52.50 | $23–$75 | varies |
| Strep a DNA amp probe (87651) | $90.30 | $129 | 2.6× |
| Strep b DNA amp probe (87653) | $97.30 | $139 | 2.8× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $38.50 | $55 | 3.3× |
| Sugars Single Qual (84376) | $146.30 | $209 | 26.6× |
| Sulfate urine (84392) range across 4 matching MRF lines |
$9.10–$58.10 | $13–$83 | varies |
| Surg path level iii (88304) | $128.80 | $184 | 2.2× |
| Surgical pathology level IV (88305) | $175 | $250 | 3.0× |
| Surgical pathology level vi (88309) | $542.50 | $775 | 0.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $107.80 | $154 | 22.7× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 4 matching MRF lines |
$52.50–$108.50 | $75–$155 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 3 matching MRF lines |
$16.80–$232.40 | $24–$332 | varies |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
$8.40–$19.60 | $12–$28 | varies |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$68.60–$134.40 | $98–$192 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 5 matching MRF lines |
$48.30–$70.70 | $69–$101 | varies |
| T cells total count (86359) range across 5 matching MRF lines |
$48.30–$134.40 | $69–$192 | varies |
| T3 Free (84481) range across 4 matching MRF lines |
$16.80–$25.20 | $24–$36 | varies |
| T3 reverse (84482) | $42.70 | $61 | 2.7× |
| T3 Total (84480) range across 4 matching MRF lines |
$17.50–$26.60 | $25–$38 | varies |
| T3 Uptake (84479) range across 3 matching MRF lines |
$12.60–$19.60 | $18–$28 | varies |
| T4 Free (84439) range across 4 matching MRF lines |
$12.60–$86.10 | $18–$123 | varies |
| T4 total (84436) range across 4 matching MRF lines |
$12.60–$94.50 | $18–$135 | varies |
| Tacrolimus (80197) | $23.10 | $33 | 1.7× |
| Test for acetone/ketones (82009) | $53.20 | $76 | 11.8× |
| Testosterone Bioavailable (84410) range across 3 matching MRF lines |
$53.20–$69.30 | $76–$99 | varies |
| Testosterone total (84403) range across 14 matching MRF lines |
$11.20–$119 | $16–$170 | varies |
| Testosterone, Free (84402) range across 8 matching MRF lines |
$19.60–$161 | $28–$230 | varies |
| Tetanus antibody (86774) | $37.80 | $54 | 2.6× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $3,749.90 | $5,357 | 6.3× |
| Theophylline (80198) | $17.50 | $25 | 1.2× |
| Thiocyanate (84430) | $50.40 | $72 | 4.3× |
| Thiopurine methyltransferase (84433) | $194.60 | $278 | 8.8× |
| Thrombin Time (85670) range across 12 matching MRF lines |
$11.20–$100.10 | $16–$143 | varies |
| Thrombin time titer (85675) | $9.10 | $13 | 1.3× |
| Thromboplastin Inhibition Tissue (85705) range across 2 matching MRF lines |
$58.80–$94.50 | $84–$135 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 17 matching MRF lines |
$9.10–$96.60 | $13–$138 | varies |
| Thyroglobulin (84432) range across 6 matching MRF lines |
$28.70–$107.10 | $41–$153 | varies |
| Thyroglobulin Antibody (86800) range across 9 matching MRF lines |
$12.60–$98.70 | $18–$141 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $100.80 | $144 | 2.0× |
| Thyroxine binding globulin (84442) | $36.40 | $52 | 2.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$14.70–$26.60 | $21–$38 | varies |
| Tissue Culture (88233) | $194.60 | $278 | 1.4× |
| Tissue Culture Amniotic Fluid (88235) | $247.80 | $354 | 1.6× |
| Tissue culture bone marrow (88237) | $184.80 | $264 | 1.3× |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$37.10–$516.60 | $53–$738 | varies |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$76.30–$87.50 | $109–$125 | varies |
| Topiramate (80201) | $51.80 | $74 | 4.3× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $144.20 | $206 | 7.3× |
| Toxoplasma ab igm (86778) range across 3 matching MRF lines |
$19.60–$32.90 | $28–$47 | varies |
| Toxoplasma antibody (86777) range across 4 matching MRF lines |
$22.40–$68.60 | $32–$98 | varies |
| Tpmt gene com variants (81335) | $532 | $760 | 3.0× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 5 matching MRF lines |
$6.30–$91.70 | $9–$131 | varies |
| Transferrin (84466) | $67.90 | $97 | 5.3× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $487.20 | $696 | 2.3× |
| Trg gene rearrangement anal (81342) range across 2 matching MRF lines |
$326.20–$779.80 | $466–$1,114 | varies |
| Trichinella Antibody (86784) | $65.10 | $93 | 5.2× |
| Trichomonas vagin dir probe (87660) | $32.20 | $46 | 1.6× |
| Trichomonas Vaginalis Amplif (87661) range across 7 matching MRF lines |
$30.10–$82.60 | $43–$118 | varies |
| Triglycerides (84478) range across 4 matching MRF lines |
$17.50–$103.60 | $25–$148 | varies |
| Troponin Quant (84484) | $191.80 | $274 | 15.4× |
| Tumor immunohistochem/comput (88361) | $91 | $130 | 0.2× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$108.50–$173.60 | $155–$248 | varies |
| Ugt1a1 gene analysis common variants (81350) | $368.90 | $527 | 1.6× |
| Urea Nitrogen Clearance (84545) | $20.30 | $29 | 2.8× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$16.80–$21 | $24–$30 | varies |
| Uric acid other source (84560) range across 4 matching MRF lines |
$11.90–$17.50 | $17–$25 | varies |
| Urinalysis Microscopic Only (81015) | $26.60 | $38 | 8.7× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 3 matching MRF lines |
$9.10–$37.80 | $13–$54 | varies |
| Urinalysis Volume Measure (81050) | $9.10 | $13 | 2.5× |
| Urine Pregnancy Test (81025) | $25.20 | $36 | 2.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 3 matching MRF lines |
$46.20–$98.70 | $66–$141 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$25.20–$60.90 | $36–$87 | varies |
| Vancomycin (80202) | $169.40 | $242 | 12.5× |
| Varicella-zoster antibody (86787) range across 6 matching MRF lines |
$17.50–$40.60 | $25–$58 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$44.10–$48.30 | $63–$69 | varies |
| Very Long Chain Fatty Acids (82726) range across 2 matching MRF lines |
$146.30–$267.40 | $209–$382 | varies |
| Viral Culture (87252) range across 3 matching MRF lines |
$27.30–$177.10 | $39–$253 | varies |
| Virus antibody nos (86790) range across 15 matching MRF lines |
$38.50–$442.40 | $55–$632 | varies |
| Virus inoculate tissue addl (87253) | $177.10 | $253 | 8.8× |
| Virus inoculation, shell via (87254) range across 4 matching MRF lines |
$32.20–$152.60 | $46–$218 | varies |
| Viscosity serum (85810) | $23.10 | $33 | 2.0× |
| Vit D 1 25-Dihydroxy (82652) | $46.90 | $67 | 1.2× |
| Vitamin A (84590) | $32.20 | $46 | 2.8× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$15.40–$221.90 | $22–$317 | varies |
| Vitamin B2 (Riboflavin) (84252) | $78.40 | $112 | 3.9× |
| Vitamin B6 (84207) | $41.30 | $59 | 1.5× |
| Vitamin c (82180) | $48.30 | $69 | 4.9× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$25.20–$50.40 | $36–$72 | varies |
| Vitamin E (84446) | $30.80 | $44 | 2.2× |
| Vitamin K (84597) | $81.20 | $116 | 5.9× |
| Volatiles (84600) range across 2 matching MRF lines |
$72.80–$130.90 | $104–$187 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 3 matching MRF lines |
$48.30–$214.20 | $69–$306 | varies |
| Von willebrand factor ag (85246) range across 3 matching MRF lines |
$33.60–$114.10 | $48–$163 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $47.60 | $68 | 5.5× |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$28.70–$50.40 | $41–$72 | varies |
| West Nile Virus Antibody (86789) range across 3 matching MRF lines |
$25.90–$50.40 | $37–$72 | varies |
| Western Blot Test (84181) range across 2 matching MRF lines |
$194.60–$203.70 | $278–$291 | varies |
| Zika Virus Dna/Rna Amp Probe (87662) | $389.90 | $557 | 7.6× |
| Zika Virus Igm Antibody (86794) range across 2 matching MRF lines |
$134.40–$149.80 | $192–$214 | varies |
| Zinc (84630) range across 5 matching MRF lines |
$17.50–$112 | $25–$160 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.