Lab & pathology prices at Prowers Medical Center
Lamar, CO · every code in this section with a posted price and a Medicare benchmark.
629 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $81.60 | $136 | 5.3× |
| 5 Nucleotidase (83915) | $49.80 | $83 | 4.5× |
| Acetylcholine receptor binding antibody (86041) | $132 | $220 | 7.2× |
| Acth (82024) | $161.40 | $269 | 4.2× |
| Acute hepatitis panel (80074) | $147 | $245 | 3.1× |
| Acylcarnitines Quant (82017) | $231.60 | $386 | 13.7× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $250.80 | $418 | 3.9× |
| Albumin Fluid (82042) | $68.40 | $114 | 8.8× |
| Albumin serum (82040) | $88.20 | $147 | 17.8× |
| Aldolase (82085) | $87 | $145 | 9.0× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$79.20–$105 | $132–$175 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$51.60–$98.40 | $86–$164 | varies |
| Allergen spec ige qual multiallergen screen (86005) range across 2 matching MRF lines |
$37.80–$60 | $63–$100 | varies |
| Allergen specific ige (86003) range across 10 matching MRF lines |
$8.40–$156 | $14–$260 | varies |
| Allg Spec Ige Recomb Ea (86008) | $57.60 | $96 | 3.2× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$55.20–$63 | $92–$105 | varies |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$96–$501 | $160–$835 | varies |
| Alt (sgpt) (84460) | $82.80 | $138 | 15.6× |
| Aluminum (82108) | $52.80 | $88 | 2.1× |
| Amikacin trough (80150) | $53.40 | $89 | 3.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $131.40 | $219 | 5.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$282–$341.40 | $470–$569 | varies |
| Ammonia (82140) | $64.80 | $108 | 4.4× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $163.80 | $273 | 1.7× |
| Amylase urine (82150) range across 2 matching MRF lines |
$60–$79.20 | $100–$132 | varies |
| Androstenedione (82157) | $109.20 | $182 | 3.7× |
| Angiotensin converting enzyme csf (82164) | $66 | $110 | 4.5× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$91.20–$101.40 | $152–$169 | varies |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$27.60–$37.20 | $46–$62 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$55.20–$104.40 | $92–$174 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$141–$383.40 | $235–$639 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$68.40–$226.80 | $114–$378 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$54.60–$217.20 | $91–$362 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $67.80 | $113 | 5.5× |
| Antibody haemophilus influenza (86684) | $189.60 | $316 | 12.0× |
| Antibody helicobacter pylori (86677) range across 4 matching MRF lines |
$54.60–$207 | $91–$345 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $100.80 | $168 | 7.4× |
| Antibody HIV-2 (86702) | $66 | $110 | 4.9× |
| Antibody Protozoa Nes (86753) | $123.60 | $206 | 10.0× |
| Antibody Titer (86886) | $195 | $325 | 37.6× |
| Antibody Treponema Pallidum (86780) | $61.20 | $102 | 4.6× |
| Antibody; influenza virus (86710) | $26.40 | $44 | 1.9× |
| Antigen typing (86905) | $93 | $155 | 24.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $98.40 | $164 | 17.2× |
| Antinuclear antibodies (86038) range across 5 matching MRF lines |
$22.20–$257.40 | $37–$429 | varies |
| Antistreptolysin o titer (86060) | $100.80 | $168 | 13.8× |
| Antithrombin iii activity (85300) | $183 | $305 | 15.4× |
| Antithrombin iii antigen (85301) | $112.20 | $187 | 10.4× |
| Apolipoprotein a1 (82172) range across 5 matching MRF lines |
$33–$551.40 | $55–$919 | varies |
| Arsenic (82175) range across 5 matching MRF lines |
$61.80–$214.80 | $103–$358 | varies |
| Ashkenazi Jewish Assoc Dis (81412) | $1,395 | $2,325 | 0.6× |
| Aspa gene analysis common variants (81200) | $1,128 | $1,880 | 23.9× |
| Aspergillus ag eia (87305) | $119.40 | $199 | 10.0× |
| Assay activated protein c (85307) | $115.20 | $192 | 7.5× |
| Assay Blood Carbon Dioxide (82374) | $52.80 | $88 | 10.8× |
| Assay Blood Catecholamines (82383) | $72.60 | $121 | 2.5× |
| Assay myeloperoxidase (83876) | $85.80 | $143 | 1.7× |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$55.20–$198 | $92–$330 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$27.60–$68.40 | $46–$114 | varies |
| Assay of blood/uric acid (84550) | $81.60 | $136 | 18.1× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$28.20–$45.60 | $47–$76 | varies |
| Assay of corticosterone (82528) | $54.60 | $91 | 2.4× |
| Assay of cpk in blood (82552) | $184.80 | $308 | 13.8× |
| Assay of estrone (82679) | $122.40 | $204 | 4.9× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$77.40–$87.60 | $129–$146 | varies |
| Assay of gammaglobulin igm (82784) range across 10 matching MRF lines |
$41.40–$292.20 | $69–$487 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$61.80–$66 | $103–$110 | varies |
| Assay of manganese (83785) | $65.40 | $109 | 2.5× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$131.40–$334.80 | $219–$558 | varies |
| Assay of proinsulin (84206) | $77.40 | $129 | 2.9× |
| Assay of pyruvate (84210) | $90.60 | $151 | 6.3× |
| Assay of serotonin (84260) | $215.40 | $359 | 7.0× |
| Assay of serum potassium (84132) | $42 | $70 | 8.8× |
| Assay of Sialic Acid (84275) | $55.80 | $93 | 4.2× |
| Assay of transcortin (84449) | $166.20 | $277 | 9.2× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$42.60–$49.80 | $71–$83 | varies |
| Assay of urine vma (84585) | $69.60 | $116 | 4.5× |
| Assay of vasoactive intestinal peptide (84586) | $108.60 | $181 | 3.1× |
| Assay of vitamin b-1 (84425) | $105.60 | $176 | 5.0× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$45–$51.60 | $75–$86 | varies |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,739.40 | $2,899 | 2.1× |
| Automated Leukocyte Count (85048) | $34.20 | $57 | 13.5× |
| B cells total count (86355) range across 2 matching MRF lines |
$117–$156 | $195–$260 | varies |
| Bartonella antibody (86611) | $83.40 | $139 | 8.2× |
| Bckdhb Gene Analysis Common Variants (81205) | $113.40 | $189 | 1.2× |
| Bcr/abl1 gene major bp (81206) | $252 | $420 | 1.5× |
| Bcr/abl1 gene minor bp (81207) | $126 | $210 | 0.9× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$127.80–$249 | $213–$415 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$66.60–$153.60 | $111–$256 | varies |
| Beta-2 Microglobulin (82232) | $55.20 | $92 | 3.4× |
| Bile acids total (82239) | $131.40 | $219 | 7.7× |
| Bilirubin direct (82248) | $52.80 | $88 | 10.5× |
| Bilirubin total (82247) range across 5 matching MRF lines |
$58.20–$169.20 | $97–$282 | varies |
| Bilirubin total transcutaneous (88720) | $12 | $20 | 2.4× |
| Biotinidase (82261) | $225.60 | $376 | 13.4× |
| Bl Smear W/O Diff Wbc Count (85008) | $67.80 | $113 | 19.8× |
| Blastomyces antibody (86612) | $174.60 | $291 | 13.5× |
| Bld Typing Serologic Rh Phnt (86906) | $137.40 | $229 | 17.7× |
| Bleeding time test (85002) range across 2 matching MRF lines |
$65.40–$66.60 | $109–$111 | varies |
| Blood Count Red Blood Cell Automated (85041) | $49.80 | $83 | 16.5× |
| Blood count reticulocyte automated (85045) | $60.60 | $101 | 15.2× |
| Blood count spun microhematocrit (85013) range across 2 matching MRF lines |
$34.20–$37.20 | $57–$62 | varies |
| Blood gas (82803) range across 5 matching MRF lines |
$108.60–$191.40 | $181–$319 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$72–$82.80 | $120–$138 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $258 | $430 | 40.6× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$76.80–$96 | $128–$160 | varies |
| Bordetella antibody (86615) | $85.80 | $143 | 6.5× |
| Braf gene analysis (81210) | $187.80 | $313 | 1.1× |
| Brca1&2 gen full seq dup/del (81162) range across 2 matching MRF lines |
$2,270.40–$2,371.80 | $3,784–$3,953 | varies |
| Brca2 Gene Analysis Known Familial Variant (81217) | $442.80 | $738 | 1.2× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$66–$72 | $110–$120 | varies |
| C diff amplified probe (87493) | $115.20 | $192 | 3.1× |
| C-Peptide (84681) range across 2 matching MRF lines |
$63–$64.80 | $105–$108 | varies |
| C-reactive protein (86140) | $76.80 | $128 | 14.8× |
| Ca 19-9 (86301) | $70.80 | $118 | 3.4× |
| Cadmium (82300) | $130.20 | $217 | 5.5× |
| Calcitonin (82308) | $67.20 | $112 | 2.5× |
| Calcium ionized (82330) | $87.60 | $146 | 6.4× |
| Calcium total (82310) range across 2 matching MRF lines |
$76.80–$103.80 | $128–$173 | varies |
| Calculus Spectroscopy (82365) | $43.80 | $73 | 3.4× |
| Calprotectin Fecal (83993) | $461.40 | $769 | 23.5× |
| Calr gene com variants (81219) range across 3 matching MRF lines |
$299.40–$1,005 | $499–$1,675 | varies |
| Cancer Antigen 125 (86304) | $125.40 | $209 | 6.0× |
| Cancer Antigen 27.29 (86300) | $151.20 | $252 | 7.3× |
| Candida antibody (86628) | $199.20 | $332 | 16.6× |
| Carbamazepine free (80157) | $97.80 | $163 | 7.4× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$61.80–$177 | $103–$295 | varies |
| Carbohydrate Deficient Transferrin (82373) | $547.20 | $912 | 30.3× |
| Carboxyhemoglobin (82375) | $261.60 | $436 | 21.2× |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
$61.20–$109.80 | $102–$183 | varies |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$109.80–$225.60 | $183–$376 | varies |
| Carnitine Quantitative Each Specimen (82379) | $73.20 | $122 | 4.3× |
| Carotene (82380) | $49.20 | $82 | 5.3× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$69.60–$127.20 | $116–$212 | varies |
| Ccp antibody (86200) | $327.60 | $546 | 25.3× |
| Cell count csf (89051) range across 3 matching MRF lines |
$45–$90 | $75–$150 | varies |
| Cell marker study (88182) range across 2 matching MRF lines |
$102.60–$530.40 | $171–$884 | varies |
| Ceruloplasmin (82390) | $53.40 | $89 | 5.0× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$130.20–$340.80 | $217–$568 | varies |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$58.20–$142.80 | $97–$238 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$138–$351.60 | $230–$586 | varies |
| Chlamydia Igm Antibody (86632) | $79.20 | $132 | 6.2× |
| Chloride other source (82438) range across 3 matching MRF lines |
$46.20–$48.60 | $77–$81 | varies |
| Chloride Serum (82435) | $49.80 | $83 | 10.8× |
| Chloride urine (82436) | $52.20 | $87 | 9.1× |
| Cholesterol total (82465) | $63.60 | $106 | 14.6× |
| Cholinesterase Serum (82480) | $64.80 | $108 | 8.2× |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
$154.80–$250.80 | $258–$418 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $73.20 | $122 | 2.2× |
| Chromium serum (82495) | $57.60 | $96 | 2.8× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$73.20–$486 | $122–$810 | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$99.60–$179.40 | $166–$299 | varies |
| Chromosome Analysis 20-25 (88264) | $211.80 | $353 | 1.5× |
| Chromosome analysis, 5 (88261) | $1,467.60 | $2,446 | 5.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 9 matching MRF lines |
$48.60–$493.20 | $81–$822 | varies |
| Citric acid urine (82507) | $69.60 | $116 | 2.5× |
| Ckmb (82553) | $66.60 | $111 | 5.8× |
| Clot Factor VIII Multimetric (85247) | $116.40 | $194 | 5.1× |
| Clot factor xiii fibrin stab (85290) range across 2 matching MRF lines |
$102.60–$223.20 | $171–$372 | varies |
| Clotting factor xii hageman (85280) | $161.40 | $269 | 8.3× |
| Cns DNA amp probe type 12-25 (87483) | $511.20 | $852 | 1.2× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$78–$113.40 | $130–$189 | varies |
| Cold agglutinin titer (86157) | $43.80 | $73 | 5.4× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$94.20–$170.40 | $157–$284 | varies |
| Column Chromotography Quant (82542) range across 16 matching MRF lines |
$107.40–$990 | $179–$1,650 | varies |
| Compatibility test antiglob (86922) | $109.20 | $182 | 0.6× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$130.20–$191.40 | $217–$319 | varies |
| Complement Total (Ch50) (86162) | $82.20 | $137 | 4.0× |
| Complement/Function Activity (86161) | $114 | $190 | 9.5× |
| Coombs direct (86880) range across 2 matching MRF lines |
$61.20–$64.20 | $102–$107 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$43.20–$49.80 | $72–$83 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$49.20–$65.40 | $82–$109 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$71.40–$102 | $119–$170 | varies |
| Creatine (82540) | $271.20 | $452 | 58.4× |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$31.80–$88.20 | $53–$147 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$46.80–$49.20 | $78–$82 | varies |
| Creatinine clearance (82575) | $37.20 | $62 | 3.9× |
| Creatinine Urine (82570) range across 8 matching MRF lines |
$39.60–$123.60 | $66–$206 | varies |
| Crossmatch immediate spin (86920) | $88.20 | $147 | 0.5× |
| Crp High Sensitivity (86141) | $76.20 | $127 | 5.9× |
| Cryofibrinogen (82585) | $39.60 | $66 | 2.8× |
| Cryoglobulin (82595) | $84.60 | $141 | 13.1× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$57.60–$116.40 | $96–$194 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$37.20–$58.20 | $62–$97 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$81–$319.80 | $135–$533 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $111.60 | $186 | 13.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 3 matching MRF lines |
$49.20–$51.60 | $82–$86 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $558 | $930 | 2.6× |
| Culture Anaerobic (87075) | $40.20 | $67 | 4.2× |
| Culture blood (87040) range across 2 matching MRF lines |
$87–$91.80 | $145–$153 | varies |
| Culture csf (87070) range across 11 matching MRF lines |
$80.40–$99.60 | $134–$166 | varies |
| Culture fungus (87102) | $46.20 | $77 | 5.5× |
| Culture fungus blood (87103) | $39 | $65 | 1.9× |
| Culture screen only (87081) range across 4 matching MRF lines |
$72.60–$101.40 | $121–$169 | varies |
| Culture stool (87045) | $24.60 | $41 | 2.6× |
| Culture urine (87086) | $52.80 | $88 | 6.5× |
| Cyclosporine (80158) | $62.40 | $104 | 3.5× |
| Cyp2c19 gene analysis common variants (81225) | $122.40 | $204 | 0.4× |
| Cyp2d6 gene com variants (81226) | $327.60 | $546 | 0.7× |
| Cystatin C (82610) | $120 | $200 | 6.5× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$104.40–$211.80 | $174–$353 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,467.60 | $2,446 | 1.3× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$20.40–$364.20 | $34–$607 | varies |
| Cytopath Cell Enhance Tech (88112) | $227.40 | $379 | 4.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $109.80 | $183 | 4.1× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$148.80–$202.20 | $248–$337 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $260.40 | $434 | 4.7× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $37.80 | $63 | 2.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $189 | $315 | 3.4× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $139.80 | $233 | 4.6× |
| Deoxycortisol (82634) | $115.20 | $192 | 3.9× |
| Desoxycorticosterone (82633) | $144 | $240 | 4.6× |
| Detect Agent Nos Dna Amp (87798) range across 11 matching MRF lines |
$42.60–$400.20 | $71–$667 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$155.40–$667.80 | $259–$1,113 | varies |
| Detect agnt mult DNA ampli (87801) | $286.20 | $477 | 4.1× |
| Dhea (82626) | $90.60 | $151 | 3.6× |
| Dhea-S (82627) | $72 | $120 | 3.2× |
| Digoxin (80162) | $65.40 | $109 | 4.9× |
| Dihydrotestosterone (82642) | $90.60 | $151 | 3.1× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$46.20–$48.60 | $77–$81 | varies |
| Dna Antibody Single Stranded (86226) | $48.60 | $81 | 4.0× |
| Dna/Rna Amplified Probe (87150) | $125.40 | $209 | 3.6× |
| DNA/RNA direct probe (87149) | $169.20 | $282 | 8.4× |
| Dpyd gene common variants (81232) range across 2 matching MRF lines |
$334.20–$378.60 | $557–$631 | varies |
| Drug assay adalimumab (80145) | $668.40 | $1,114 | 17.3× |
| Drug Assay Infliximab (80230) | $430.80 | $718 | 11.2× |
| Drug Screen Quantitative Gabapentin (80171) | $142.80 | $238 | 6.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $161.40 | $269 | 12.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $60.60 | $101 | 4.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 19 matching MRF lines |
$20.40–$1,051.20 | $34–$1,752 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 3 matching MRF lines |
$77.40–$183 | $129–$305 | varies |
| Electrolyte panel (80051) | $102 | $170 | 14.6× |
| Encephaltis West Eqne Antbdy (86654) | $122.40 | $204 | 9.3× |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$243–$355.20 | $405–$592 | varies |
| Enterovirus PCR (87498) | $416.40 | $694 | 11.9× |
| Enzyme cell activity (82657) | $345.60 | $576 | 15.6× |
| Eosinophil Smear (89190) | $41.40 | $69 | 7.2× |
| Erythropoietin (82668) | $98.40 | $164 | 5.2× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$61.20–$106.80 | $102–$178 | varies |
| Estriol (82677) | $171.60 | $286 | 7.1× |
| Estrogen total (82672) | $217.80 | $363 | 10.0× |
| Estrogens fractionated (82671) | $127.20 | $212 | 3.9× |
| Ethosuximide (80168) | $45 | $75 | 2.8× |
| Ethylene Glycol (82693) | $69.60 | $116 | 4.7× |
| Euglobulin lysis (85360) range across 2 matching MRF lines |
$165–$223.20 | $275–$372 | varies |
| Exam Synovial Fluid Crystals (89060) | $52.80 | $88 | 7.2× |
| F2 Gene (81240) range across 5 matching MRF lines |
$37.80–$1,573.20 | $63–$2,622 | varies |
| Factor ii activity (85210) | $153 | $255 | 11.8× |
| Factor Inhibitor Test (85335) | $14.40 | $24 | 1.1× |
| Factor ix activity (85250) range across 2 matching MRF lines |
$72–$223.20 | $120–$372 | varies |
| Factor v activity (85220) | $141 | $235 | 8.0× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$84.60–$411 | $141–$685 | varies |
| Factor vii assay (85230) range across 2 matching MRF lines |
$142.20–$257.40 | $237–$429 | varies |
| Factor viii assay (85240) range across 7 matching MRF lines |
$86.40–$1,339.20 | $144–$2,232 | varies |
| Factor X (85260) range across 3 matching MRF lines |
$167.40–$259.20 | $279–$432 | varies |
| Factor xi activity (85270) range across 2 matching MRF lines |
$135–$223.20 | $225–$372 | varies |
| Fancc Gene (81242) | $130.20 | $217 | 3.6× |
| Fat/Lipids Feces Quantitative (82710) | $55.20 | $92 | 3.3× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) range across 2 matching MRF lines |
$125.40–$223.20 | $209–$372 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 2 matching MRF lines |
$75–$223.20 | $125–$372 | varies |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$43.80–$57.60 | $73–$96 | varies |
| Ferritin (82728) range across 3 matching MRF lines |
$73.80–$97.80 | $123–$163 | varies |
| Fetal Chrmoml Aneuploidy (81420) | $1,611.60 | $2,686 | 2.1× |
| Fetal Chrmoml Microdeltj (81422) | $1,642.20 | $2,737 | 2.2× |
| Fetal Fibronectin (82731) | $330 | $550 | 5.1× |
| Fetal screen rosette (85461) | $61.20 | $102 | 6.5× |
| Fibrin degradation products (85362) range across 2 matching MRF lines |
$73.20–$149.40 | $122–$249 | varies |
| Fibrin Degradation Quant (85379) | $172.80 | $288 | 17.0× |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$139.80–$858.60 | $233–$1,431 | varies |
| Fibrinogen antigen (85385) | $84 | $140 | 5.8× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$82.80–$1,297.80 | $138–$2,163 | varies |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$49.20–$138 | $82–$230 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
$27–$381.60 | $45–$636 | varies |
| Fmr1 gene detection (81243) range across 2 matching MRF lines |
$211.80–$1,929.60 | $353–$3,216 | varies |
| Folic acid rbc (82747) | $49.20 | $82 | 2.8× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$72.60–$96 | $121–$160 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$90–$121.20 | $150–$202 | varies |
| Frozen Blood Each Unit Thawing (86931) | $102 | $170 | 0.6× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $130.20 | $217 | 2.2× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$60.60–$100.20 | $101–$167 | varies |
| Gases blood ph only (82800) | $48.60 | $81 | 4.4× |
| Gastrin (82941) | $48.60 | $81 | 2.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $707.40 | $1,179 | 1.7× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $130.20 | $217 | 2.8× |
| Genet Virus Isolate Hsv (87255) | $81.60 | $136 | 2.4× |
| Gentamicin (80170) range across 5 matching MRF lines |
$106.20–$117.60 | $177–$196 | varies |
| Ggt (82977) | $95.40 | $159 | 13.3× |
| Giardia antigen (87329) | $57.60 | $96 | 4.8× |
| Glucagon (82943) | $47.40 | $79 | 3.3× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$93–$226.80 | $155–$378 | varies |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$47.40–$63.60 | $79–$106 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$59.40–$62.40 | $99–$104 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$42.60–$52.20 | $71–$87 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$87.60–$226.80 | $146–$378 | varies |
| Glycated Protein (82985) | $84 | $140 | 5.0× |
| Gonadotropin Chorionic Qualitative (84703) | $97.80 | $163 | 13.0× |
| Growth hormone (83003) | $57 | $95 | 3.4× |
| Gtt-added samples (82952) | $103.20 | $172 | 26.3× |
| H Pylori (C-13) Breath (83013) | $201 | $335 | 3.0× |
| Haloperidol (80173) | $69.60 | $116 | 4.4× |
| Haptoglobin (83010) | $55.20 | $92 | 4.4× |
| Hba1/Hba2 Gene (81257) range across 2 matching MRF lines |
$18.60–$175.20 | $31–$292 | varies |
| Hdl Cholesterol (83718) | $103.20 | $172 | 12.6× |
| Heinz Bodies Direct (85441) | $18.60 | $31 | 4.4× |
| Helicobacter Pylori Stool (87338) | $129 | $215 | 9.0× |
| Helminth Antibody (86682) | $272.40 | $454 | 20.9× |
| Hematocrit (85014) range across 3 matching MRF lines |
$22.80–$37.80 | $38–$63 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$30–$37.80 | $50–$63 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$62.40–$82.80 | $104–$138 | varies |
| Hemoglobin Chromotography (83021) range across 4 matching MRF lines |
$18.60–$94.20 | $31–$157 | varies |
| Hep a ab igm (86709) | $57 | $95 | 5.1× |
| Heparin assay (85520) range across 2 matching MRF lines |
$66–$219.60 | $110–$366 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$61.80–$90.60 | $103–$151 | varies |
| Hepatitis b core ab igm (86705) range across 3 matching MRF lines |
$28.20–$55.80 | $47–$93 | varies |
| Hepatitis b core ab total (86704) range across 5 matching MRF lines |
$31.20–$119.40 | $52–$199 | varies |
| Hepatitis B Surface Antibody (86706) range across 4 matching MRF lines |
$14.40–$50.40 | $24–$84 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$81.60–$88.20 | $136–$147 | varies |
| Hepatitis C Antibody (86803) range across 5 matching MRF lines |
$67.20–$217.20 | $112–$362 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$154.20–$280.20 | $257–$467 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 3 matching MRF lines |
$77.40–$232.80 | $129–$388 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 5 matching MRF lines |
$187.20–$331.80 | $312–$553 | varies |
| Hepatitis delta ag (87380) | $86.40 | $144 | 4.7× |
| Herpes simplex type 2 (86696) | $204 | $340 | 10.5× |
| Heterophile Antibody Screen (86308) | $114 | $190 | 22.0× |
| Hexa gene analysis common variants (81255) | $113.40 | $189 | 2.2× |
| Hfe Gene (81256) | $99 | $165 | 1.5× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $180 | $300 | 23.3× |
| Histamine urine (83088) | $163.20 | $272 | 5.5× |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$105–$342.60 | $175–$571 | varies |
| Histoplasma antigen urine (87385) | $530.40 | $884 | 40.0× |
| Hiv Genotype (87901) | $929.40 | $1,549 | 3.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 4 matching MRF lines |
$58.80–$114.60 | $98–$191 | varies |
| Hiv-1 Antibody (86701) | $96 | $160 | 10.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$556.80–$686.40 | $928–$1,144 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $165.60 | $276 | 4.7× |
| Hla Class I Typing High Resolution Complete (81379) | $1,843.80 | $3,073 | 5.5× |
| Hla class i&ii antibody qual (86828) | $220.20 | $367 | 3.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $228.60 | $381 | 3.1× |
| Hla I Typing 1 Allele Hr (81381) | $289.20 | $482 | 1.7× |
| Hla ii type 1 ag equiv lr (81377) | $217.20 | $362 | 2.3× |
| Homocysteine (83090) | $244.80 | $408 | 13.7× |
| Homovanillic acid urine (83150) | $159.60 | $266 | 7.1× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$220.20–$244.20 | $367–$407 | varies |
| Hpv Types 16 & 18 Only (87625) | $94.80 | $158 | 2.3× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$76.80–$278.40 | $128–$464 | varies |
| Htlv-I Antibody (86687) | $96 | $160 | 10.6× |
| Human Epididymis Protein 4 (86305) | $201 | $335 | 9.7× |
| Hydroxycorticosteroids 17 (83491) | $55.20 | $92 | 3.1× |
| Hydroxyprogesterone 17-d (83498) | $231 | $385 | 8.5× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) range across 2 matching MRF lines |
$64.80–$72 | $108–$120 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $105 | $175 | 3.0× |
| Iaad ia shiga-like toxin (87427) | $26.40 | $44 | 2.2× |
| Iaad Ia Streptococcus Group A (87430) | $19.80 | $33 | 1.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $363.60 | $606 | 10.4× |
| Iadna Cytomegalovirus Quantification (87497) | $178.20 | $297 | 4.2× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $135 | $225 | 1.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $235.20 | $392 | 5.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $438 | $730 | 12.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $123.60 | $206 | 3.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$88.80–$93 | $148–$155 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $145.80 | $243 | 2.8× |
| Idh1 common variants (81120) | $880.20 | $1,467 | 4.6× |
| Ig Light Chains Free Each (83521) | $240 | $400 | 13.9× |
| Igg subclasses (82787) range across 4 matching MRF lines |
$19.20–$21.60 | $32–$36 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $817.20 | $1,362 | 2.8× |
| Ikbkap Gene Analysis Common Variants (81260) | $113.40 | $189 | 2.9× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$19.20–$271.20 | $32–$452 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$109.20–$159.60 | $182–$266 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 7 matching MRF lines |
$18–$688.20 | $30–$1,147 | varies |
| Immunoassay nonantibody (83516) range across 20 matching MRF lines |
$81–$941.40 | $135–$1,569 | varies |
| Immunodiffusion Ouchterlony (86331) | $444 | $740 | 37.1× |
| Immunofixation electrophoresis (86334) | $17.40 | $29 | 0.8× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$171.60–$348 | $286–$580 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $47.40 | $79 | 3.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $151.80 | $253 | 2.2× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) | $48.60 | $81 | 2.2× |
| Influenza a/b ag eia (87400) | $49.80 | $83 | 3.5× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$133.80–$337.80 | $223–$563 | varies |
| Inhibin A (86336) | $78.60 | $131 | 5.0× |
| Inhibin b (83520) range across 18 matching MRF lines |
$43.80–$286.80 | $73–$478 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$225–$246.60 | $375–$411 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$48.60–$61.20 | $81–$102 | varies |
| Intrinsic factor antibody (86340) | $112.80 | $188 | 7.5× |
| Iron (83540) range across 3 matching MRF lines |
$66.60–$150.60 | $111–$251 | varies |
| Iron Binding Capacity (83550) range across 3 matching MRF lines |
$84–$160.80 | $140–$268 | varies |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$101.40–$152.40 | $169–$254 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 4 matching MRF lines |
$199.80–$738 | $333–$1,230 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) | $664.80 | $1,108 | 5.3× |
| L/s ratio (83661) | $76.80 | $128 | 3.5× |
| Lactate (ld) (ldh) enzyme (83615) | $67.20 | $112 | 11.1× |
| Lactoferrin Fecal Quantitative (83631) | $123 | $205 | 6.3× |
| LDL direct (83721) | $60 | $100 | 5.7× |
| Lead (83655) range across 4 matching MRF lines |
$32.40–$55.80 | $54–$93 | varies |
| Legionella antibody (86713) | $68.40 | $114 | 4.5× |
| Legionella antigen urine (87449) | $149.40 | $249 | 12.5× |
| Leukocyte Assessment Fecal (89055) | $59.40 | $99 | 13.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $79.20 | $132 | 2.6× |
| Level ii surg pathology grossµscopic exam (88302) | $108.60 | $181 | 2.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $495 | $825 | 1.3× |
| Lidocaine (80176) | $51.60 | $86 | 3.5× |
| Lipase (83690) | $67.20 | $112 | 9.8× |
| Lipoprotein A (83695) | $214.20 | $357 | 15.0× |
| Lipoprotein Bld Quan Part (83704) | $171.60 | $286 | 5.0× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $84 | $140 | 7.5× |
| Listeria Monocytogenes (86723) | $121.20 | $202 | 9.2× |
| Lithium (80178) | $66.60 | $111 | 10.1× |
| Liver ds alys 3 bmrk srm alg (81517) | $479.40 | $799 | 2.7× |
| Luteinizing Hormone (Lh) (83002) | $100.80 | $168 | 5.4× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$61.20–$234.60 | $102–$391 | varies |
| Lymphocyte transformation (86353) | $396 | $660 | 8.1× |
| Lysozyme serum (85549) | $70.20 | $117 | 3.7× |
| M. Genitalium Amp Probe (87563) | $84 | $140 | 2.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $901.20 | $1,502 | 5.0× |
| Macroscopic Exam Parasite (87169) | $83.40 | $139 | 19.4× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$49.80–$65.40 | $83–$109 | varies |
| Mass Spectrometry Quant (83789) | $66 | $110 | 2.7× |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $113.40 | $189 | 2.9× |
| Mercury urine (83825) range across 2 matching MRF lines |
$111–$117.60 | $185–$196 | varies |
| Metabolic panel ionized ca (80047) | $124.20 | $207 | 9.0× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$99.60–$175.80 | $166–$293 | varies |
| Microalbumin, quantitative (82043) range across 4 matching MRF lines |
$50.40–$55.20 | $84–$92 | varies |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$65.40–$162 | $109–$270 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$63–$799.20 | $105–$1,332 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $207 | $345 | 4.9× |
| Molecular Pathology Procedure Level 3 (81402) range across 2 matching MRF lines |
$113.40–$859.20 | $189–$1,432 | varies |
| Mononuclear cell antigen (86356) | $187.80 | $313 | 7.0× |
| Mopath procedure level 1 (81400) | $113.40 | $189 | 1.8× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$113.40–$335.40 | $189–$559 | varies |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$579.60–$610.20 | $966–$1,017 | varies |
| Mopath procedure level 5 (81404) | $1,671.60 | $2,786 | 6.1× |
| Mopath procedure level 7 (81406) | $1,400.40 | $2,334 | 5.0× |
| Mopath procedure level 9 (81408) | $2,547.60 | $4,246 | 1.3× |
| Mpl gene common variants (81338) | $558.60 | $931 | 3.7× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$115.20–$165.60 | $192–$276 | varies |
| Msh6 Gene Known Variants (81299) | $129 | $215 | 0.4× |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$31.80–$171.60 | $53–$286 | varies |
| Mucin Clot Body Fluid (83872) | $26.40 | $44 | 4.5× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$17.40–$52.80 | $29–$88 | varies |
| Mycoplasma antibody (86738) | $64.80 | $108 | 4.9× |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$52.80–$138 | $88–$230 | varies |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$66.60–$68.40 | $111–$114 | varies |
| Natriuretic peptide (83880) | $174.60 | $291 | 4.4× |
| Neutralization Test Viral (86382) | $116.40 | $194 | 6.9× |
| Nfct ds chrnc hcv 6 assays (81596) | $172.20 | $287 | 2.4× |
| Niacin (84591) range across 3 matching MRF lines |
$58.80–$113.40 | $98–$189 | varies |
| Nitroblue Tetrazolium Dye (86384) | $189.60 | $316 | 13.9× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$117–$187.80 | $195–$313 | varies |
| Nuclear antigen antibody (86235) range across 14 matching MRF lines |
$51.60–$1,317 | $86–$2,195 | varies |
| Occult Blood Other Sources (82271) | $43.80 | $73 | 8.2× |
| Oligoclonal bands (83916) | $100.20 | $167 | 3.7× |
| Oncoprotein dcp (83951) | $102 | $170 | 1.6× |
| Organic Acids Qualitative Each Specimen (83919) | $181.80 | $303 | 11.1× |
| Organic acids urine (83918) | $207 | $345 | 8.8× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$48.60–$154.80 | $81–$258 | varies |
| Osmolality Urine (83935) | $40.20 | $67 | 5.9× |
| Osmotic Fragility RBC Unincubated (85555) | $241.20 | $402 | 32.3× |
| Osteocalcin (83937) | $95.40 | $159 | 3.2× |
| Ova and parasites smears (87177) | $131.40 | $219 | 14.8× |
| Oxalate urine (83945) | $59.40 | $99 | 4.1× |
| Pancreatic Elastase Fecal (82656) | $391.20 | $652 | 33.9× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$67.80–$69 | $113–$115 | varies |
| Ph urine (81003) range across 3 matching MRF lines |
$76.20–$129.60 | $127–$216 | varies |
| Phenobarbital Level (80184) | $61.20 | $102 | 4.0× |
| Phenylalanine (84030) | $352.80 | $588 | 64.1× |
| Phenylketones qual (84035) | $85.80 | $143 | 21.6× |
| Phenytoin (Dilantin) (80185) | $74.40 | $124 | 5.6× |
| Phenytoin free (80186) | $118.20 | $197 | 8.6× |
| Phosphatase acid prostatic (84066) | $42.60 | $71 | 4.4× |
| Phosphatase alkaline (84075) | $49.20 | $82 | 9.5× |
| Phosphatidylglycerol (84081) range across 2 matching MRF lines |
$38.40–$41.40 | $64–$69 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$109.80–$678.60 | $183–$1,131 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$55.20–$61.20 | $92–$102 | varies |
| Phosphorus urine (84105) | $45.60 | $76 | 7.9× |
| Pinworm exam (87172) | $50.40 | $84 | 11.8× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$105–$165 | $175–$275 | varies |
| Platelet count automated (85049) | $32.40 | $54 | 7.2× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$64.80–$495 | $108–$825 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $62.40 | $104 | 0.3× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $1,794 | $2,990 | 8.8× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$33–$43.80 | $55–$73 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$32.40–$34.20 | $54–$57 | varies |
| Potassium Urine (84133) | $56.40 | $94 | 11.9× |
| Prealbumin (84134) range across 2 matching MRF lines |
$60–$65.40 | $100–$109 | varies |
| Pregnenolone (84140) | $111.60 | $186 | 5.4× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $151.20 | $252 | 0.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $343.80 | $573 | 5.5× |
| Primidone (80188) | $63 | $105 | 3.8× |
| Procalcitonin (Pct) (84145) | $165.60 | $276 | 6.1× |
| Progesterone (84144) | $94.80 | $158 | 4.5× |
| Prolactin (84146) range across 5 matching MRF lines |
$79.20–$394.20 | $132–$657 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$51.60–$70.80 | $86–$118 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$78.60–$265.80 | $131–$443 | varies |
| Protein c antigen (85302) range across 2 matching MRF lines |
$78.60–$81 | $131–$135 | varies |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$118.20–$129.60 | $197–$216 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $144.60 | $241 | 13.5× |
| Protein S Free (85306) range across 4 matching MRF lines |
$36.60–$106.20 | $61–$177 | varies |
| Protein s total (85305) | $64.80 | $108 | 5.6× |
| Protein total serum (84155) range across 5 matching MRF lines |
$33–$178.80 | $55–$298 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$42.60–$47.40 | $71–$79 | varies |
| Protoporphyrin rbc quantitative (84202) range across 2 matching MRF lines |
$63–$82.20 | $105–$137 | varies |
| PSA free (84154) | $63 | $105 | 3.4× |
| Pth Intact (83970) range across 3 matching MRF lines |
$27–$96.60 | $45–$161 | varies |
| Q Fever Antibody (86638) | $50.40 | $84 | 4.2× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$145.80–$149.40 | $243–$249 | varies |
| Quantitative assay drug (80299) range across 9 matching MRF lines |
$66.60–$627 | $111–$1,045 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$90–$271.80 | $150–$453 | varies |
| Quinidine (80194) | $47.40 | $79 | 3.2× |
| Rbc antibody elution (86860) | $235.80 | $393 | 1.3× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$151.20–$424.20 | $252–$707 | varies |
| Rbc antibody screen (86850) | $107.40 | $179 | 11.0× |
| Rbc pretreatment serum (86978) | $335.40 | $559 | 5.4× |
| Rbc serum pretx incubj drugs (86975) | $282.60 | $471 | 0.6× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$63–$72 | $105–$120 | varies |
| Rh (86901) | $96 | $160 | 32.1× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$111–$163.80 | $185–$273 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$54.60–$70.20 | $91–$117 | varies |
| Ristocetin cofactor (85245) range across 3 matching MRF lines |
$90.60–$223.20 | $151–$372 | varies |
| Rotavirus ag eia (87425) | $36 | $60 | 3.0× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$36–$55.80 | $60–$93 | varies |
| Rsv Assay W/Optic (87807) | $60.60 | $101 | 4.6× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$17.40–$75 | $29–$125 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$17.40–$54.60 | $29–$91 | varies |
| Rufinamide (80210) | $134.40 | $224 | 5.0× |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
$128.40–$310.20 | $214–$517 | varies |
| Russell Viper Venon Time Undiluted (85612) | $117.60 | $196 | 6.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$95.40–$100.20 | $159–$167 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $66.60 | $111 | 1.6× |
| Sedimentation Rate, Automated (85652) | $104.40 | $174 | 38.7× |
| Selenium (84255) | $88.20 | $147 | 3.5× |
| Semen analysis motility and count (89310) | $99.60 | $166 | 11.6× |
| Sensitivity mic (87186) | $85.80 | $143 | 9.9× |
| Sept9 Methylation Analysis (81327) | $448.20 | $747 | 2.3× |
| Serpina 1 gene (81332) | $411 | $685 | 9.4× |
| Sex Hormone Binding Globulin (84270) | $83.40 | $139 | 3.8× |
| Sickling of rbc reduction (85660) range across 5 matching MRF lines |
$18.60–$112.80 | $31–$188 | varies |
| Sirolimus (80195) | $53.40 | $89 | 3.9× |
| Skin test tuberculosis intradermal (86580) | $11.40 | $19 | 0.4× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$144–$209.40 | $240–$349 | varies |
| Smear complex stain (87209) | $85.80 | $143 | 4.8× |
| Smear gram stain (87205) | $55.80 | $93 | 13.1× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$47.40–$61.80 | $79–$103 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $175.20 | $292 | 1.3× |
| Smpd1 Gene Analysis Common Variants (81330) | $113.40 | $189 | 2.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 5 matching MRF lines |
$11.40–$46.80 | $19–$78 | varies |
| Sodium Serum (84295) | $42.60 | $71 | 8.9× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$48.60–$51 | $81–$85 | varies |
| Soluble Transferrin Receptor (84238) | $119.40 | $199 | 3.3× |
| Somatomedin (84305) range across 3 matching MRF lines |
$57.60–$82.80 | $96–$138 | varies |
| Special Stains Group 1 (88312) | $265.80 | $443 | 4.8× |
| Special Stains Group 2 (88313) | $163.80 | $273 | 1.2× |
| Specimen infect agnt concntj (87015) | $24 | $40 | 3.6× |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$62.40–$144 | $104–$240 | varies |
| Stool cultr aerobic bact ea (87046) range across 5 matching MRF lines |
$24–$115.20 | $40–$192 | varies |
| Strep a DNA amp probe (87651) | $69 | $115 | 2.0× |
| Strep b DNA amp probe (87653) | $145.20 | $242 | 4.1× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $33.60 | $56 | 6.1× |
| Surg path level iii (88304) range across 3 matching MRF lines |
$103.80–$244.80 | $173–$408 | varies |
| Surgical pathology level IV (88305) | $308.40 | $514 | 5.6× |
| Surgical pathology level vi (88309) | $648 | $1,080 | 0.8× |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$59.40–$161.40 | $99–$269 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $220.80 | $368 | 4.7× |
| T cells total count (86359) | $187.80 | $313 | 5.0× |
| T3 Free (84481) range across 2 matching MRF lines |
$91.80–$105.60 | $153–$176 | varies |
| T3 reverse (84482) | $262.20 | $437 | 16.6× |
| T3 Total (84480) | $72.60 | $121 | 5.1× |
| T3 Uptake (84479) | $87.60 | $146 | 13.5× |
| T4 Free (84439) range across 3 matching MRF lines |
$90.60–$118.20 | $151–$197 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$61.80–$81.60 | $103–$136 | varies |
| Tacrolimus (80197) | $138.60 | $231 | 10.1× |
| Test for acetone/ketones (82009) | $68.40 | $114 | 15.1× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$74.40–$96.60 | $124–$161 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$177.60–$241.20 | $296–$402 | varies |
| Testosterone, Free (84402) | $63.60 | $106 | 2.5× |
| Theophylline (80198) | $72.60 | $121 | 5.1× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$50.40–$72 | $84–$120 | varies |
| Thromboplastin Inhibition Tissue (85705) | $58.20 | $97 | 6.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 4 matching MRF lines |
$168–$430.20 | $280–$717 | varies |
| Thyroglobulin (84432) | $46.20 | $77 | 2.9× |
| Thyroglobulin Antibody (86800) range across 6 matching MRF lines |
$49.80–$142.80 | $83–$238 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $109.80 | $183 | 2.2× |
| Thyroxine binding globulin (84442) | $52.80 | $88 | 3.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $48.60 | $81 | 4.2× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$201–$211.80 | $335–$353 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$68.40–$187.80 | $114–$313 | varies |
| Tobramycin peak (80200) | $107.40 | $179 | 6.7× |
| Topiramate (80201) | $105 | $175 | 8.8× |
| Touch prep (88161) | $159 | $265 | 5.2× |
| Toxoplasma ab igm (86778) | $116.40 | $194 | 8.1× |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$116.40–$349.20 | $194–$582 | varies |
| Tpmt gene com variants (81335) | $368.40 | $614 | 2.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $67.20 | $112 | 13.0× |
| Transferrin (84466) range across 2 matching MRF lines |
$68.40–$75 | $114–$125 | varies |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 2 matching MRF lines |
$324.60–$372 | $541–$620 | varies |
| Trg gene rearrangement anal (81342) range across 2 matching MRF lines |
$299.40–$324.60 | $499–$541 | varies |
| Trichomonas Vaginalis Amplif (87661) | $107.40 | $179 | 3.1× |
| Triglycerides (84478) range across 2 matching MRF lines |
$115.80–$184.20 | $193–$307 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$103.20–$103.80 | $172–$173 | varies |
| Tumor immunohistochem/comput (88361) | $431.40 | $719 | 1.1× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$143.40–$264 | $239–$440 | varies |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$51–$58.80 | $85–$98 | varies |
| Uric acid other source (84560) | $48 | $80 | 9.4× |
| Urinalysis Volume Measure (81050) | $28.20 | $47 | 7.7× |
| Urine Bacteria Culture (87088) | $169.20 | $282 | 20.9× |
| Urine Pregnancy Test (81025) | $74.40 | $124 | 8.6× |
| Valproic acid (80164) range across 3 matching MRF lines |
$45–$49.80 | $75–$83 | varies |
| Vancomycin (80202) range across 3 matching MRF lines |
$57–$63 | $95–$105 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$96–$105 | $160–$175 | varies |
| Vasopressin (84588) | $106.20 | $177 | 3.1× |
| Viral Culture (87252) range across 2 matching MRF lines |
$54.60–$63 | $91–$105 | varies |
| Virus antibody nos (86790) range across 6 matching MRF lines |
$72–$381 | $120–$635 | varies |
| Virus inoculation, shell via (87254) | $381.60 | $636 | 19.5× |
| Viscosity serum (85810) | $36 | $60 | 3.1× |
| Vit D 1 25-Dihydroxy (82652) | $67.20 | $112 | 1.7× |
| Vitamin A (84590) | $53.40 | $89 | 4.6× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$41.40–$48.60 | $69–$81 | varies |
| Vitamin B2 (Riboflavin) (84252) | $81 | $135 | 4.0× |
| Vitamin B6 (84207) | $83.40 | $139 | 3.0× |
| Vitamin c (82180) | $57.60 | $96 | 5.8× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$82.20–$285.60 | $137–$476 | varies |
| Vitamin E (84446) | $70.20 | $117 | 5.0× |
| Vitamin K (84597) | $172.80 | $288 | 12.6× |
| Volatiles (84600) | $43.80 | $73 | 2.6× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $693 | $1,155 | 57.5× |
| Von willebrand factor ag (85246) range across 3 matching MRF lines |
$121.20–$322.80 | $202–$538 | varies |
| Wbc Alkaline Phosphatase Count (85540) range across 2 matching MRF lines |
$55.80–$56.40 | $93–$94 | varies |
| West nile virus ab igm (86788) | $217.20 | $362 | 12.9× |
| West Nile Virus Antibody (86789) | $74.40 | $124 | 5.2× |
| Zika Virus Igm Antibody (86794) | $100.20 | $167 | 5.9× |
| Zinc (84630) range across 3 matching MRF lines |
$66–$73.20 | $110–$122 | 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.