Lab & pathology prices at Pulaski Memorial Hospital
Winamac, IN · every code in this section with a posted price and a Medicare benchmark.
650 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abl1 gene analysis kinase domain variants (81170) | $1,337 | $1,910 | 4.5× |
| Acetylcholine receptor binding antibody (86041) | $199.99 | $285.70 | 10.9× |
| Acetylcholine receptor blocking antibody (86042) | $127.19 | $181.70 | 6.9× |
| Acetylcholn Rcptr Modlg Antb (86043) | $139.58 | $199.40 | 11.6× |
| Acth (82024) | $444.29 | $634.70 | 11.5× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $296.59 | $423.70 | 9.1× |
| Actin smooth muscle antibody each (86015) | $52.15 | $74.50 | 4.3× |
| Acute hepatitis panel (80074) | $328.72 | $469.60 | 6.9× |
| Acylcarnitines Quant (82017) | $373.17 | $533.10 | 22.1× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $42.56 | $60.80 | 2.6× |
| Adenovirus antibody (86603) | $94.99 | $135.70 | 7.4× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $379.26 | $541.80 | 5.9× |
| Albumin Fluid (82042) | $71.12 | $101.60 | 9.1× |
| Albumin serum (82040) range across 2 matching MRF lines |
$57.12–$124.60 | $81.60–$178 | varies |
| Aldolase (82085) | $142.10 | $203 | 14.6× |
| Aldosterone urine (82088) | $67.90 | $97 | 1.7× |
| Allergen spec ige qual multiallergen screen (86005) range across 4 matching MRF lines |
$78.40–$119.91 | $112–$171.30 | varies |
| Allergen specific ige (86003) range across 7 matching MRF lines |
$11.27–$103.46 | $16.10–$147.80 | varies |
| Allergen specific igg (86001) | $14.56 | $20.80 | 1.9× |
| Allg Spec Ige Recomb Ea (86008) | $57.54 | $82.20 | 3.2× |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$47.95–$68.60 | $68.50–$98 | varies |
| Alpha-1-antitrypsin total (82103) | $141.40 | $202 | 10.5× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$44.38–$155.40 | $63.40–$222 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$80.08–$160.02 | $114.40–$228.60 | varies |
| Aluminum (82108) | $74.41 | $106.30 | 2.9× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$60.69–$65.17 | $86.70–$93.10 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) range across 2 matching MRF lines |
$32.83–$114.17 | $46.90–$163.10 | varies |
| Amino Acids Quant 2-5 (82136) | $86.87 | $124.10 | 4.4× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $99.82 | $142.60 | 7.0× |
| Ammonia (82140) range across 3 matching MRF lines |
$38.92–$177.73 | $55.60–$253.90 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $198.17 | $283.10 | 2.0× |
| Amylase urine (82150) range across 2 matching MRF lines |
$106.61–$141.68 | $152.30–$202.40 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$39.48–$155.75 | $56.40–$222.50 | varies |
| Anca Titer Each Antibody (86037) | $133.49 | $190.70 | 11.1× |
| Androstenedione (82157) | $75.46 | $107.80 | 2.6× |
| Angiotensin converting enzyme csf (82164) | $179.55 | $256.50 | 12.3× |
| Anti-Phospholipid Antibody (86148) range across 3 matching MRF lines |
$43.68–$266.63 | $62.40–$380.90 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$20.72–$60.76 | $29.60–$86.80 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $14.63 | $20.90 | 1.1× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $147.21 | $210.30 | 9.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $142.10 | $203 | 8.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $124.60 | $178 | 9.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$195.58–$202.37 | $279.40–$289.10 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $195.58 | $279.40 | 10.8× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$90.93–$169.75 | $129.90–$242.50 | varies |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$195.58–$204.40 | $279.40–$292 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $63 | $90 | 4.4× |
| Antibody Herpes Smplx Type 1 (86695) | $145.67 | $208.10 | 11.0× |
| Antibody Identification Platelet Immunogl Assay (86023) | $63 | $90 | 5.1× |
| Antibody Titer (86886) | $55.93 | $79.90 | 10.8× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$94.36–$177.73 | $134.80–$253.90 | varies |
| Antibody; influenza virus (86710) | $106.61 | $152.30 | 7.9× |
| Antigen typing (86905) | $254.59 | $363.70 | 66.5× |
| Antinomyces antibody (86602) | $20.72 | $29.60 | 2.0× |
| Antinuclear antibodies (86038) range across 6 matching MRF lines |
$39.48–$192.22 | $56.40–$274.60 | varies |
| Antistreptolysin o titer (86060) | $122.92 | $175.60 | 16.8× |
| Antithrombin iii activity (85300) | $275.38 | $393.40 | 23.2× |
| Antithrombin iii antigen (85301) | $29.40 | $42 | 2.7× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$51.45–$213.22 | $73.50–$304.60 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $1,850.45 | $2,643.50 | 153.6× |
| Aquaporin-4 Antb Elisa (86051) | $434.42 | $620.60 | 37.7× |
| Arsenic (82175) range across 3 matching MRF lines |
$106.61–$141.96 | $152.30–$202.80 | varies |
| Assay activated protein c (85307) | $129.92 | $185.60 | 8.5× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$37.87–$53.27 | $54.10–$76.10 | varies |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$103.04–$305.62 | $147.20–$436.60 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$91.84–$175.49 | $131.20–$250.70 | varies |
| Assay of blood/uric acid (84550) | $80.08 | $114.40 | 17.7× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$17.71–$133.49 | $25.30–$190.70 | varies |
| Assay of cpk in blood (82552) | $21.56 | $30.80 | 1.6× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$44.52–$105.49 | $63.60–$150.70 | varies |
| Assay of g6pd enzyme (82955) | $163.66 | $233.80 | 16.9× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$24.50–$142.10 | $35–$203 | varies |
| Assay of lactic acid (83605) | $177.73 | $253.90 | 15.4× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$176.96–$234.78 | $252.80–$335.40 | varies |
| Assay of procainamide (80190) | $173.60 | $248 | 2.9× |
| Assay of proinsulin (84206) | $124.60 | $178 | 4.7× |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$195.58–$205.59 | $279.40–$293.70 | varies |
| Assay of serum potassium (84132) | $71.12 | $101.60 | 14.9× |
| Assay of urea nitrogen (84520) | $62.16 | $88.80 | 15.7× |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$48.02–$266.63 | $68.60–$380.90 | varies |
| Assay of vasoactive intestinal peptide (84586) range across 2 matching MRF lines |
$109.34–$122.08 | $156.20–$174.40 | varies |
| Assay of vitamin b-1 (84425) | $216.79 | $309.70 | 10.2× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$48.30–$109.13 | $69–$155.90 | varies |
| Assay spec xcp ur&breath ia (82077) | $177.73 | $253.90 | 10.3× |
| Asy carbamazepin 10,11-epxid (80161) | $105 | $150 | 5.6× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$21.84–$51.17 | $31.20–$73.10 | varies |
| B cells total count (86355) | $139.79 | $199.70 | 3.7× |
| Bartonella antibody (86611) | $45.78 | $65.40 | 4.5× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$552.02–$1,103.83 | $788.60–$1,576.90 | varies |
| Bcr/abl1 gene minor bp (81207) | $552.02 | $788.60 | 3.8× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$168.28–$337.75 | $240.40–$482.50 | varies |
| Beta hydroxybutyrate (82010) | $66.08 | $94.40 | 8.1× |
| Beta Lactamase (87185) | $10.29 | $14.70 | 2.2× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$46.27–$133.49 | $66.10–$190.70 | varies |
| Bile acids total (82239) | $45.57 | $65.10 | 2.7× |
| Bilirubin direct (82248) | $62.16 | $88.80 | 12.4× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$62.16–$81.83 | $88.80–$116.90 | varies |
| Bilirubin total transcutaneous (88720) | $29.54 | $42.20 | 5.9× |
| Biotinidase (82261) | $42.56 | $60.80 | 2.5× |
| Bl Smear W/O Diff Wbc Count (85008) range across 2 matching MRF lines |
$32.34–$39.48 | $46.20–$56.40 | varies |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$65.17–$175.77 | $93.10–$251.10 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $266.63 | $380.90 | 1.5× |
| Bleeding time test (85002) | $80.08 | $114.40 | 16.6× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $87.01 | $124.30 | 17.2× |
| Blood count reticulocyte automated (85045) | $88.97 | $127.10 | 22.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $51.17 | $73.10 | 13.5× |
| Blood count spun microhematocrit (85013) | $62.16 | $88.80 | 8.9× |
| Blood gas (82803) range across 2 matching MRF lines |
$266.63–$283.57 | $380.90–$405.10 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$60.13–$120.33 | $85.90–$171.90 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $53.27 | $76.10 | 12.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $206.01 | $294.30 | 32.4× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$57.12–$76.44 | $81.60–$109.20 | varies |
| Body fluid cell count (89050) range across 3 matching MRF lines |
$63.21–$169.26 | $90.30–$241.80 | varies |
| Bone marrow smear interpretation (85097) range across 2 matching MRF lines |
$294.84–$550.90 | $421.20–$787 | varies |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$61.53–$186.55 | $87.90–$266.50 | varies |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $2,713.97 | $3,877.10 | 5.8× |
| Brca1&2 gen full seq dup/del (81162) | $5,874.40 | $8,392 | 3.2× |
| Brucella antibody (86622) | $44.10 | $63 | 4.9× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$145.67–$170.87 | $208.10–$244.10 | varies |
| C-Peptide (84681) | $231.14 | $330.20 | 11.1× |
| C-reactive protein (86140) range across 3 matching MRF lines |
$56.84–$162.75 | $81.20–$232.50 | varies |
| Ca 19-9 (86301) | $177.73 | $253.90 | 8.5× |
| Cadmium (82300) range across 2 matching MRF lines |
$124.60–$132.51 | $178–$189.30 | varies |
| Calcitonin (82308) | $123.83 | $176.90 | 4.6× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$142.10–$266.63 | $203–$380.90 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$80.08–$155.68 | $114.40–$222.40 | varies |
| Calculus Spectroscopy (82365) | $135.94 | $194.20 | 10.5× |
| Calprotectin Fecal (83993) | $255.22 | $364.60 | 13.0× |
| Calr gene com variants (81219) | $1,215.41 | $1,736.30 | 10.0× |
| Cancer Antigen 125 (86304) | $213.22 | $304.60 | 10.2× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$190.05–$195.58 | $271.50–$279.40 | varies |
| Candida antibody (86628) range across 2 matching MRF lines |
$33.95–$125.65 | $48.50–$179.50 | varies |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$65.45–$189.35 | $93.50–$270.50 | varies |
| Carbamazepine free (80157) | $87.92 | $125.60 | 6.6× |
| Carbamazepine total (80156) | $213.22 | $304.60 | 14.6× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$93.17–$168.84 | $133.10–$241.20 | varies |
| Carcinoembryonic antigen (82378) | $266.63 | $380.90 | 14.1× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$43.68–$231.14 | $62.40–$330.20 | varies |
| Carnitine Quantitative Each Specimen (82379) | $131.95 | $188.50 | 7.8× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$179.69–$342.23 | $256.70–$488.90 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$52.85–$253.75 | $75.50–$362.50 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$97.44–$175.70 | $139.20–$251 | varies |
| Ceruloplasmin (82390) | $156.52 | $223.60 | 14.6× |
| Cftr gene com variants (81220) | $489.51 | $699.30 | 0.9× |
| Chemiluminescent assay (82397) range across 7 matching MRF lines |
$38.99–$559.16 | $55.70–$798.80 | varies |
| Chlamydia antibody (86631) range across 3 matching MRF lines |
$49.49–$202.30 | $70.70–$289 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$168.84–$202.30 | $241.20–$289 | varies |
| Chloride Serum (82435) | $53.27 | $76.10 | 11.6× |
| Chloride urine (82436) range across 5 matching MRF lines |
$11.55–$85.61 | $16.50–$122.30 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$50.05–$62.16 | $71.50–$88.80 | varies |
| Cholinesterase rbc (82482) | $248.85 | $355.50 | 25.4× |
| Chorionic gonadotropin test (84702) range across 4 matching MRF lines |
$160.02–$244.09 | $228.60–$348.70 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) | $241.92 | $345.60 | 7.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 4 matching MRF lines |
$63–$376.18 | $90–$537.40 | varies |
| Chromium serum (82495) | $38.50 | $55 | 1.9× |
| Chromogranin a (86316) | $257.74 | $368.20 | 12.4× |
| Chromosome Analysis 15-20 (88262) range across 4 matching MRF lines |
$308.07–$376.18 | $440.10–$537.40 | varies |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$498.47–$634.69 | $712.10–$906.70 | varies |
| Chromosome analysis, 5 (88261) | $1,537.62 | $2,196.60 | 5.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$98.14–$283.29 | $140.20–$404.70 | varies |
| Citric acid urine (82507) range across 4 matching MRF lines |
$56.70–$109.13 | $81–$155.90 | varies |
| Ckmb (82553) | $151.13 | $215.90 | 13.1× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$93.94–$104.09 | $134.20–$148.70 | varies |
| Clot Factor VIII Multimetric (85247) | $99.68 | $142.40 | 4.3× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$161.28–$239.47 | $230.40–$342.10 | varies |
| Cns DNA amp probe type 12-25 (87483) | $1,527.47 | $2,182.10 | 3.7× |
| Coagulation time other methods (85348) | $74.90 | $107 | 16.7× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$52.78–$195.72 | $75.40–$279.60 | varies |
| Cold agglutinin titer (86157) | $86.52 | $123.60 | 10.7× |
| Collagen crosslinks (82523) | $409.01 | $584.30 | 21.9× |
| Column Chromotography Quant (82542) range across 6 matching MRF lines |
$127.19–$941.57 | $181.70–$1,345.10 | varies |
| Compatibility Each Unit Incubation (86921) | $101.50 | $145 | 0.6× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$83.44–$299.18 | $119.20–$427.40 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$39.48–$213.22 | $56.40–$304.60 | varies |
| Complement Total (Ch50) (86162) | $231.14 | $330.20 | 11.4× |
| Complement/Function Activity (86161) | $339.85 | $485.50 | 28.3× |
| Coombs direct (86880) | $95.97 | $137.10 | 17.8× |
| Copper urine (82525) | $149.87 | $214.10 | 12.1× |
| Cortisol free (82530) range across 3 matching MRF lines |
$96.32–$243.32 | $137.60–$347.60 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$101.99–$223.58 | $145.70–$319.40 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$21.56–$75.39 | $30.80–$107.70 | varies |
| Creatinine blood (82565) | $67.90 | $97 | 13.3× |
| Creatinine clearance (82575) | $173.25 | $247.50 | 18.3× |
| Creatinine Urine (82570) range across 9 matching MRF lines |
$12.67–$692.93 | $18.10–$989.90 | varies |
| Crossmatch immediate spin (86920) | $85.40 | $122 | 0.5× |
| Crp High Sensitivity (86141) range across 3 matching MRF lines |
$127.19–$162.75 | $181.70–$232.50 | varies |
| Cryoglobulin (82595) | $24.08 | $34.40 | 3.7× |
| Cryptococcus ab (86641) | $160.02 | $228.60 | 11.1× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$139.72–$229.46 | $199.60–$327.80 | varies |
| Cryptosporidium ag eia (87328) | $42.56 | $60.80 | 3.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $97.93 | $139.90 | 12.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $138.11 | $197.30 | 17.1× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $172.41 | $246.30 | 22.4× |
| Culture afb (87116) | $172.41 | $246.30 | 16.0× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$147.98–$175.84 | $211.40–$251.20 | varies |
| Culture blood (87040) | $195.58 | $279.40 | 19.0× |
| Culture csf (87070) range across 7 matching MRF lines |
$71.12–$400.12 | $101.60–$571.60 | varies |
| Culture fungus (87102) | $172.41 | $246.30 | 20.5× |
| Culture fungus blood (87103) | $222.04 | $317.20 | 10.9× |
| Culture screen only (87081) range across 9 matching MRF lines |
$21–$194.53 | $30–$277.90 | varies |
| Culture stool (87045) | $112.14 | $160.20 | 11.9× |
| Culture urine (87086) | $115.50 | $165 | 14.3× |
| Cyclosporine (80158) | $231.14 | $330.20 | 12.8× |
| Cystatin C (82610) | $377.44 | $539.20 | 20.4× |
| Cytogenetics 10-30 (88273) | $253.75 | $362.50 | 7.3× |
| Cytogenetics 100-300 (88275) | $658.14 | $940.20 | 12.9× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$3,426.22–$3,692.43 | $4,894.60–$5,274.90 | varies |
| Cytomegalovirus igg (86644) | $142.10 | $203 | 9.9× |
| Cytopath Cell Enhance Tech (88112) | $123.83 | $176.90 | 2.2× |
| Cytopath Fl Nongyn Filter (88106) | $222.74 | $318.20 | 7.3× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 7 matching MRF lines |
$103.04–$430.08 | $147.20–$614.40 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $198.73 | $283.90 | 5.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$99.82–$124.60 | $142.60–$178 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $29.96 | $42.80 | 0.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$107.59–$310.10 | $153.70–$443 | varies |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,764 | $2,520 | 9.8× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $105.42 | $150.60 | 5.7× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $99.82 | $142.60 | 1.8× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) range across 2 matching MRF lines |
$87.01–$236.95 | $124.30–$338.50 | varies |
| Cytp Urine 3-5 Probes Cmptr (88121) | $542.92 | $775.60 | 3.0× |
| Deoxyribonuclease antibody (86215) | $58.45 | $83.50 | 4.4× |
| Detect Agent Nos Dna Amp (87798) range across 9 matching MRF lines |
$81.62–$1,102.50 | $116.60–$1,575 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$253.19–$390.53 | $361.70–$557.90 | varies |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$30.59–$31.71 | $43.70–$45.30 | varies |
| Dhea (82626) | $302.12 | $431.60 | 12.0× |
| Dhea-S (82627) | $302.12 | $431.60 | 13.6× |
| Digoxin (80162) range across 2 matching MRF lines |
$201.32–$219.87 | $287.60–$314.10 | varies |
| Digoxin free (80163) | $334.04 | $477.20 | 25.2× |
| Dihydrotestosterone (82642) | $218.82 | $312.60 | 7.5× |
| Dipropylacetic Acid Free (80165) | $215.81 | $308.30 | 15.9× |
| Dmd Duplication/Deletion Analysis (81161) | $2,944.97 | $4,207.10 | 10.6× |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$39.48–$177.73 | $56.40–$253.90 | varies |
| Dna Antibody Single Stranded (86226) | $293.37 | $419.10 | 24.2× |
| Drug assay acetaminophen (80143) | $231.14 | $330.20 | 12.4× |
| Drug assay adalimumab (80145) | $763.84 | $1,091.20 | 19.8× |
| Drug Assay Amiodarone (80151) | $302.12 | $431.60 | 16.2× |
| Drug Assay Infliximab (80230) | $559.16 | $798.80 | 14.5× |
| Drug Assay Lacosamide (80235) | $167.58 | $239.40 | 6.2× |
| Drug Assay Vedolizumab (80280) | $981.68 | $1,402.40 | 25.5× |
| Drug assay voriconazole (80285) | $757.26 | $1,081.80 | 27.9× |
| Drug Screen Quant Zonisamide (80203) | $257.74 | $368.20 | 19.5× |
| Drug Screen Quantitative Gabapentin (80171) | $105.49 | $150.70 | 4.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $226.45 | $323.50 | 17.1× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$235.90–$244.09 | $337–$348.70 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $172.69 | $246.70 | 13.0× |
| Drug Screen Quantitative Tiagabine (80199) | $132.09 | $188.70 | 4.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 20 matching MRF lines |
$24.36–$810.32 | $34.80–$1,157.60 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 4 matching MRF lines |
$5.46–$45.08 | $7.80–$64.40 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$26.74–$268.73 | $38.20–$383.90 | varies |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$72.94–$162.05 | $104.20–$231.50 | varies |
| El-1 Fecal Quantitative (82653) | $684.95 | $978.50 | 29.8× |
| Electrolyte panel (80051) | $133.49 | $190.70 | 19.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $67.06 | $95.80 | 1.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $42.56 | $60.80 | 3.5× |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$44.52–$77.28 | $63.60–$110.40 | varies |
| Enterovirus PCR (87498) | $386.54 | $552.20 | 11.0× |
| Enzyme cell activity (82657) range across 4 matching MRF lines |
$132.09–$698.95 | $188.70–$998.50 | varies |
| Enzyme histochemistry (88319) | $135.38 | $193.40 | 0.2× |
| Eosinophil Smear (89190) | $16.52 | $23.60 | 2.9× |
| Erythropoietin (82668) | $311.01 | $444.30 | 16.6× |
| Estradiol serum (82670) | $337.75 | $482.50 | 12.1× |
| Estriol (82677) | $153.93 | $219.90 | 6.4× |
| Estrogen total (82672) | $132.09 | $188.70 | 6.1× |
| Ethosuximide (80168) | $145.46 | $207.80 | 8.9× |
| Exam Synovial Fluid Crystals (89060) | $74.34 | $106.20 | 10.1× |
| F2 Gene (81240) | $287.77 | $411.10 | 4.4× |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
$74.90–$461.93 | $107–$659.90 | varies |
| Factor v activity (85220) | $118.65 | $169.50 | 6.7× |
| Factor v leiden mutation (81241) | $166.18 | $237.40 | 2.3× |
| Factor vii assay (85230) | $479.78 | $685.40 | 26.8× |
| Factor viii assay (85240) range across 5 matching MRF lines |
$70–$284.41 | $100–$406.30 | varies |
| Factor X (85260) | $497.56 | $710.80 | 27.8× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $233.73 | $333.90 | 35.8× |
| Ferritin (82728) | $186.55 | $266.50 | 13.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $637.28 | $910.40 | 4.2× |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
$93.17–$122.22 | $133.10–$174.60 | varies |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$50.47–$233.59 | $72.10–$333.70 | varies |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$68.81–$160.02 | $98.30–$228.60 | varies |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$169.26–$877.73 | $241.80–$1,253.90 | varies |
| Fluorescent antibody screen (86255) range across 9 matching MRF lines |
$39.48–$796.74 | $56.40–$1,138.20 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 4 matching MRF lines |
$50.33–$232.05 | $71.90–$331.50 | varies |
| Folic acid rbc (82747) | $186.55 | $266.50 | 10.6× |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$20.93–$168.84 | $29.90–$241.20 | varies |
| Follicle Stimulating Hormone (83001) | $204.40 | $292 | 11.0× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $808.57 | $1,155.10 | 28.4× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $42.56 | $60.80 | 0.2× |
| Frozen Section (88331) range across 2 matching MRF lines |
$133.49–$202.37 | $190.70–$289.10 | varies |
| Fungi Identification Yeast (87106) | $124.60 | $178 | 12.1× |
| Galactose (82760) | $33.95 | $48.50 | 3.0× |
| Galactose transferase test (82776) | $52.50 | $75 | 4.5× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$21.84–$142.10 | $31.20–$203 | varies |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$65.45–$189.35 | $93.50–$270.50 | varies |
| Gases blood ph only (82800) | $124.60 | $178 | 11.3× |
| Gastrin (82941) | $50.89 | $72.70 | 2.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,714.30 | $2,449 | 4.1× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $9,230.97 | $13,187.10 | 12.2× |
| Genet Virus Isolate Hsv (87255) | $111.65 | $159.50 | 3.3× |
| Gentamicin (80170) | $239.75 | $342.50 | 14.6× |
| Ggt (82977) | $105.70 | $151 | 14.7× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$42.56–$146.65 | $60.80–$209.50 | varies |
| Glucose 2 hr pp (82950) range across 4 matching MRF lines |
$50.05–$168.84 | $71.50–$241.20 | varies |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$15.40–$45.85 | $22–$65.50 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$71.12–$124.60 | $101.60–$178 | varies |
| Glucose Serum (82947) | $53.27 | $76.10 | 13.6× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$166.67–$168.84 | $238.10–$241.20 | varies |
| Glycated Protein (82985) | $88.55 | $126.50 | 5.3× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$106.61–$121.45 | $152.30–$173.50 | varies |
| Growth hormone (83003) | $222.04 | $317.20 | 13.3× |
| Gtt-added samples (82952) | $53.27 | $76.10 | 13.6× |
| H Pylori (C-13) Breath (83013) | $277.34 | $396.20 | 4.1× |
| H Pylori Drug Admin (83014) range across 2 matching MRF lines |
$20.93–$34.79 | $29.90–$49.70 | varies |
| Haptoglobin (83010) range across 2 matching MRF lines |
$124.60–$136.99 | $178–$195.70 | varies |
| Hbb Full Gene Sequence (81364) | $1,539.86 | $2,199.80 | 4.7× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$104.65–$115.50 | $149.50–$165 | varies |
| Helicobacter Pylori Stool (87338) | $79.24 | $113.20 | 5.5× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$143.08–$524.93 | $204.40–$749.90 | varies |
| Hematocrit (85014) | $48.30 | $69 | 20.4× |
| Hemoglobin (85018) | $48.30 | $69 | 20.4× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$121.10–$124.60 | $173–$178 | varies |
| Hemoglobin Chromotography (83021) | $313.95 | $448.50 | 17.4× |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$49.49–$204.40 | $70.70–$292 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $47.18 | $67.40 | 5.8× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $54.53 | $77.90 | 5.8× |
| Hep a ab igm (86709) | $88.97 | $127.10 | 7.9× |
| Hepatitis a antibody total (86708) | $168.84 | $241.20 | 13.6× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$29.12–$36.75 | $41.60–$52.50 | varies |
| Hepatitis b core ab total (86704) | $151.13 | $215.90 | 12.5× |
| Hepatitis B Surface Antigen (87340) | $119.91 | $171.30 | 11.6× |
| Hepatitis Be Antibody (86707) | $29.12 | $41.60 | 2.5× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$45.85–$133.49 | $65.50–$190.70 | varies |
| Hepatitis c antibody confirmatory test (86804) range across 2 matching MRF lines |
$280.63–$281.68 | $400.90–$402.40 | varies |
| Hepatitis C Genotype (87902) | $407.19 | $581.70 | 1.6× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $88.97 | $127.10 | 2.5× |
| Hepatitis C Revrs Trnscrpj (87522) range across 7 matching MRF lines |
$130.13–$1,188.18 | $185.90–$1,697.40 | varies |
| Herpes simplex type 2 (86696) | $145.67 | $208.10 | 7.5× |
| Heterophile Antibody Screen (86308) | $80.08 | $114.40 | 15.5× |
| Hfe Gene (81256) | $239.75 | $342.50 | 3.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$86.80–$113.33 | $124–$161.90 | varies |
| Histamine urine (83088) | $426.37 | $609.10 | 14.4× |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$28.28–$87.71 | $40.40–$125.30 | varies |
| Histoplasma antigen urine (87385) | $167.37 | $239.10 | 12.6× |
| Hiv Antigen W/Hiv Antibodies (87806) | $248.85 | $355.50 | 7.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $248.85 | $355.50 | 10.3× |
| Hiv-1 Antibody (86701) | $342.30 | $489 | 38.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $1,027.25 | $1,467.50 | 12.1× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $559.16 | $798.80 | 4.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $355.39 | $507.70 | 4.8× |
| Hla ii type 1 ag equiv lr (81377) | $192.08 | $274.40 | 2.0× |
| Hla ii typing 1 allele hr (81383) | $523.18 | $747.40 | 4.8× |
| Hla Typing a/B/C Multiple Antigens (86813) | $960.68 | $1,372.40 | 16.6× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $1,205.54 | $1,722.20 | 11.4× |
| Hla-b27 (86812) | $355.39 | $507.70 | 13.8× |
| Homocysteine (83090) range across 3 matching MRF lines |
$55.93–$194.81 | $79.90–$278.30 | varies |
| Homogenization Tissue (87176) | $57.05 | $81.50 | 9.7× |
| Hpv High-Risk Types (87624) | $161.98 | $231.40 | 4.6× |
| Hpv Types 16 & 18 Only (87625) | $211.05 | $301.50 | 5.2× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$211.19–$422.31 | $301.70–$603.30 | varies |
| Htt Gene Detc Abnor Alleles (81271) | $724.57 | $1,035.10 | 5.3× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$50.75–$231.14 | $72.50–$330.20 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $204.40 | $292 | 14.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $72.10 | $103 | 2.0× |
| Iaadi herpes smplx virus type 1 (87274) | $84.77 | $121.10 | 7.1× |
| Iadna Bartonella Amplified Probe Technique (87471) | $325.85 | $465.50 | 9.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $151.13 | $215.90 | 4.3× |
| Iadna Cytomegalovirus Quantification (87497) | $425.39 | $607.70 | 9.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $204.40 | $292 | 2.9× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$444.29–$1,455.86 | $634.70–$2,079.80 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $164.85 | $235.50 | 4.7× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $74.55 | $106.50 | 2.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $295.40 | $422 | 8.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$98.14–$283.29 | $140.20–$404.70 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $165.62 | $236.60 | 5.5× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $203 | $290 | 4.0× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$81.34–$145.67 | $116.20–$208.10 | varies |
| Igg subclasses (82787) | $80.64 | $115.20 | 10.1× |
| Igh gene rearrange amp meth (81261) | $336.63 | $480.90 | 1.7× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,403.43 | $2,004.90 | 4.8× |
| Igk rearrangeabn clonal pop (81264) | $342.02 | $488.60 | 2.0× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$41.02–$282.24 | $58.60–$403.20 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$43.68–$2,516.15 | $62.40–$3,594.50 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 8 matching MRF lines |
$41.72–$311.01 | $59.60–$444.30 | varies |
| Immunoassay nonantibody (83516) range across 19 matching MRF lines |
$33.95–$654.85 | $48.50–$935.50 | varies |
| Immunodiffusion not elsewhere specified (86329) | $40.60 | $58 | 2.9× |
| Immunodiffusion Ouchterlony (86331) | $20.72 | $29.60 | 1.7× |
| Immunofixation electrophoresis (86334) | $133.49 | $190.70 | 6.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $188.51 | $269.30 | 1.0× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$226.17–$282.73 | $323.10–$403.90 | varies |
| In situ hybridization 1st probe stain (88365) | $358.89 | $512.70 | 2.0× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$84.77–$93.17 | $121.10–$133.10 | varies |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$222.74–$268.52 | $318.20–$383.60 | varies |
| Inhibin A (86336) | $279.51 | $399.30 | 17.9× |
| Inhibin b (83520) range across 19 matching MRF lines |
$39.48–$1,278.69 | $56.40–$1,826.70 | varies |
| Insitu hybridization auto (88367) | $319.97 | $457.10 | 0.8× |
| Insulin antibodies (86337) | $181.93 | $259.90 | 8.5× |
| Insulin free (83527) | $95.97 | $137.10 | 7.4× |
| Insulin total (83525) | $98.63 | $140.90 | 8.6× |
| Intrinsic factor antibody (86340) | $86.73 | $123.90 | 5.8× |
| Iron (83540) | $94.85 | $135.50 | 14.7× |
| Iron Binding Capacity (83550) | $106.61 | $152.30 | 12.2× |
| Iron stain peripheral blood (85536) | $86.80 | $124 | 12.6× |
| Irradiation Blood Product Each Unit (86945) | $104.65 | $149.50 | 2.6× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$151.90–$420.70 | $217–$601 | varies |
| Isocitric dehydrogenase (IDH) Facility (83570) range across 2 matching MRF lines |
$33.74–$203.70 | $48.20–$291 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $542.57 | $775.10 | 5.9× |
| Jak2 Gene Trgt Sequence Alys (81279) | $1,215.41 | $1,736.30 | 6.6× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $570.01 | $814.30 | 1.7× |
| Koh Prep (87220) | $70.91 | $101.30 | 16.6× |
| L/s ratio (83661) | $376.18 | $537.40 | 17.1× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$71.12–$88.97 | $101.60–$127.10 | varies |
| Lactoferrin fecal qualitative (83630) | $142.10 | $203 | 7.2× |
| Lactoferrin Fecal Quantitative (83631) | $382.27 | $546.10 | 19.5× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$39.62–$231.14 | $56.60–$330.20 | varies |
| LDL direct (83721) | $38.08 | $54.40 | 3.6× |
| Lead (83655) range across 3 matching MRF lines |
$84.35–$105.14 | $120.50–$150.20 | varies |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$37.87–$307.51 | $54.10–$439.30 | varies |
| Legionella pneumophila dfa (87278) | $191.66 | $273.80 | 12.3× |
| Leptospira antibody (86720) | $165.41 | $236.30 | 10.2× |
| Leukocyte Assessment Fecal (89055) | $16.52 | $23.60 | 3.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $90.65 | $129.50 | 3.0× |
| Level ii surg pathology grossµscopic exam (88302) | $198.73 | $283.90 | 5.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $690.55 | $986.50 | 1.8× |
| Lipase (83690) | $142.10 | $203 | 20.6× |
| Lipoprotein A (83695) | $38.92 | $55.60 | 2.7× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $131.11 | $187.30 | 3.9× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $112.70 | $161 | 2.4× |
| Lithium (80178) | $110.53 | $157.90 | 16.7× |
| Luteinizing Hormone (Lh) (83002) | $219.24 | $313.20 | 11.8× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$86.87–$115.78 | $124.10–$165.40 | varies |
| Lysozyme serum (85549) | $80.08 | $114.40 | 4.3× |
| M. Genitalium Amp Probe (87563) | $207.83 | $296.90 | 5.9× |
| M/phmtrc alys ishquant/semiq (88374) range across 2 matching MRF lines |
$124.60–$393.33 | $178–$561.90 | varies |
| Macroscopic exam arthropod (87168) range across 2 matching MRF lines |
$217.21–$319.83 | $310.30–$456.90 | varies |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$121.59–$266.63 | $173.70–$380.90 | varies |
| Magnesium Urine (83735) range across 7 matching MRF lines |
$13.23–$266.63 | $18.90–$380.90 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$152.74–$291.06 | $218.20–$415.80 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$115.15–$155.68 | $164.50–$222.40 | varies |
| Metabolic panel ionized ca (80047) | $160.02 | $228.60 | 11.7× |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$65.17–$661.92 | $93.10–$945.60 | varies |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$77.42–$97.93 | $110.60–$139.90 | varies |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$39.48–$155.40 | $56.40–$222 | varies |
| Mitochondrial Antibody Each (86381) | $142.10 | $203 | 5.6× |
| Mog-Igg1 Antb Cba Each (86362) | $1,640.80 | $2,344 | 136.2× |
| Molecular Cytogenetics Dna Probe Each (88271) | $122.15 | $174.50 | 5.7× |
| Molecular Pathology Procedure Level 6 (81405) | $922.60 | $1,318 | 3.1× |
| Mononuclear cell antigen (86356) | $85.68 | $122.40 | 3.2× |
| Mopath procedure level 1 (81400) | $472.01 | $674.30 | 7.4× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$251.37–$372.68 | $359.10–$532.40 | varies |
| Mopath procedure level 4 (81403) | $611.03 | $872.90 | 3.3× |
| Mopath procedure level 5 (81404) | $840.21 | $1,200.30 | 3.1× |
| Mopath procedure level 7 (81406) | $864.57 | $1,235.10 | 3.1× |
| Mopath procedure level 9 (81408) | $6,109.74 | $8,728.20 | 3.1× |
| Mpl gene common variants (81338) | $1,296.40 | $1,852 | 8.6× |
| Mrsa Pcr (87641) | $119.56 | $170.80 | 3.4× |
| Mucopolysaccharides acid quantitative (83864) | $114.17 | $163.10 | 4.0× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$26.25–$136.15 | $37.50–$194.50 | varies |
| Mycobacteric Identification (87118) | $165.13 | $235.90 | 11.3× |
| Mycoplasma culture (87109) range across 2 matching MRF lines |
$81.62–$113.33 | $116.60–$161.90 | varies |
| Myelin basic protein csf (83873) | $122.01 | $174.30 | 7.1× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$167.30–$170.24 | $239–$243.20 | varies |
| Natriuretic peptide (83880) | $243.04 | $347.20 | 6.2× |
| Neurofilament light chain (83884) | $508.06 | $725.80 | 4.4× |
| Niacin (84591) | $483.84 | $691.20 | 28.4× |
| Nk cells total count (86357) | $85.68 | $122.40 | 2.3× |
| Nuclear antigen antibody (86235) range across 14 matching MRF lines |
$32.69–$2,221.73 | $46.70–$3,173.90 | varies |
| Occult blood feces (82272) | $53.27 | $76.10 | 12.6× |
| Occult Blood Other Sources (82271) | $53.27 | $76.10 | 10.0× |
| Oncoprotein dcp (83951) | $379.26 | $541.80 | 5.9× |
| Organic acids urine (83918) | $108.50 | $155 | 4.6× |
| Osmolality serum (83930) | $74.27 | $106.10 | 11.2× |
| Osmolality Urine (83935) range across 4 matching MRF lines |
$18.48–$91.35 | $26.40–$130.50 | varies |
| Osteocalcin (83937) | $71.68 | $102.40 | 2.4× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$24.36–$84.77 | $34.80–$121.10 | varies |
| Oxalate urine (83945) range across 3 matching MRF lines |
$38.29–$109.13 | $54.70–$155.90 | varies |
| Pancreatic Elastase Fecal (82656) | $252.28 | $360.40 | 21.9× |
| Particle Agglutination Screen Each Antibody (86403) | $57.05 | $81.50 | 4.9× |
| Parvovirus antibody (86747) | $49.63 | $70.90 | 3.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $94.36 | $134.80 | 0.1× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $570.01 | $814.30 | 1.7× |
| Ph urine (81003) range across 4 matching MRF lines |
$6.44–$53.27 | $9.20–$76.10 | varies |
| Phenobarbital Level (80184) | $213.22 | $304.60 | 13.9× |
| Phenylalanine (84030) | $22.12 | $31.60 | 4.0× |
| Phenytoin (Dilantin) (80185) | $190.96 | $272.80 | 14.4× |
| Phenytoin free (80186) | $187.95 | $268.50 | 13.7× |
| Phosphatase alkaline (84075) | $71.12 | $101.60 | 13.7× |
| Phosphatidylglycerol (84081) | $240.87 | $344.10 | 14.6× |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$120.82–$125.86 | $172.60–$179.80 | varies |
| Phosphorus Serum (84100) | $85.61 | $122.30 | 18.1× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$15.82–$24.57 | $22.60–$35.10 | varies |
| Pinworm exam (87172) | $89.81 | $128.30 | 21.0× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$153.79–$495.81 | $219.70–$708.30 | varies |
| Platelet count automated (85049) | $61.39 | $87.70 | 13.7× |
| Platelet neutralization (85597) range across 3 matching MRF lines |
$70–$175.77 | $100–$251.10 | varies |
| Pooling blood platelets (86965) range across 2 matching MRF lines |
$111.44–$411.67 | $159.20–$588.10 | varies |
| Porphobilinogen, urine; quantitative (84110) | $202.79 | $289.70 | 24.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$35.28–$154.77 | $50.40–$221.10 | varies |
| Potassium Urine (84133) range across 5 matching MRF lines |
$13.23–$88.97 | $18.90–$127.10 | varies |
| Prealbumin (84134) | $107.87 | $154.10 | 7.4× |
| Primidone (80188) | $72.10 | $103 | 4.3× |
| Procalcitonin (Pct) (84145) | $651.77 | $931.10 | 23.9× |
| Progesterone (84144) | $202.72 | $289.60 | 9.7× |
| Prolactin (84146) | $186.55 | $266.50 | 9.6× |
| Prostaglandin (84150) | $498.75 | $712.50 | 11.9× |
| Protein body fluid (84157) | $122.01 | $174.30 | 30.5× |
| Protein C Activity (85303) | $214.76 | $306.80 | 15.5× |
| Protein c antigen (85302) | $32.69 | $46.70 | 2.7× |
| Protein Electrophoresis Urine (84166) | $41.02 | $58.60 | 2.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$24.29–$177.73 | $34.70–$253.90 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$55.93–$145.39 | $79.90–$207.70 | varies |
| Protein s total (85305) | $31.92 | $45.60 | 2.7× |
| Protein total serum (84155) range across 2 matching MRF lines |
$8.82–$62.16 | $12.60–$88.80 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$41.02–$115.50 | $58.60–$165 | varies |
| Protein Western Blot Test (84182) | $876.89 | $1,252.70 | 30.0× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $74.90 | $107 | 19.0× |
| Protoporphyrin rbc quantitative (84202) range across 2 matching MRF lines |
$132.09–$211.82 | $188.70–$302.60 | varies |
| PSA free (84154) | $160.79 | $229.70 | 8.7× |
| Pth Intact (83970) range across 3 matching MRF lines |
$264.39–$607.46 | $377.70–$867.80 | varies |
| Q Fever Antibody (86638) | $65.45 | $93.50 | 5.4× |
| Quantiferon tb gold plus (86480) | $234.15 | $334.50 | 3.8× |
| Quantitative assay drug (80299) range across 7 matching MRF lines |
$286.02–$1,447.39 | $408.60–$2,067.70 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$38.50–$135.66 | $55–$193.80 | varies |
| Rbc antibody elution (86860) | $244.09 | $348.70 | 1.4× |
| Rbc antibody identification (86870) | $122.08 | $174.40 | 0.3× |
| Rbc antibody screen (86850) | $70.91 | $101.30 | 7.3× |
| Receptor assay estrogen (84233) | $692.93 | $989.90 | 7.9× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$67.90–$72.10 | $97–$103 | varies |
| Reptilase test (85635) | $74.90 | $107 | 7.6× |
| Rh (86901) | $50.05 | $71.50 | 16.7× |
| Rheumatoid Factor Qualitative (86430) | $48.16 | $68.80 | 7.8× |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$39.48–$159.11 | $56.40–$227.30 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$137.20–$161.28 | $196–$230.40 | varies |
| Rotavirus ag eia (87425) | $213.22 | $304.60 | 17.8× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$21.84–$124.60 | $31.20–$178 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$26.25–$116.97 | $37.50–$167.10 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$26.25–$177.73 | $37.50–$253.90 | varies |
| Russell Viper Venom Time Diluted (85613) range across 11 matching MRF lines |
$50.47–$290.50 | $72.10–$415 | varies |
| Salicylate Level (80179) | $177.73 | $253.90 | 9.5× |
| Salmonella antibody (86768) | $33.18 | $47.40 | 2.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $174.93 | $249.90 | 3.4× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$118.93–$167.93 | $169.90–$239.90 | varies |
| Sedimentation Rate, Automated (85652) | $71.12 | $101.60 | 26.3× |
| Semen Anal Sperm Detection (89321) | $80.08 | $114.40 | 6.6× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$115.50–$151.90 | $165–$217 | varies |
| Serpina 1 gene (81332) | $607.53 | $867.90 | 13.9× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$124.60–$133.49 | $178–$190.70 | varies |
| Sirolimus (80195) | $231.14 | $330.20 | 16.8× |
| Smear acid fast (87206) | $36.12 | $51.60 | 6.7× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$42.56–$48.58 | $60.80–$69.40 | varies |
| Smear gram stain (87205) | $71.12 | $101.60 | 16.7× |
| Smear Special Stain (87207) | $161.77 | $231.10 | 27.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $82.25 | $117.50 | 14.1× |
| Snrpn/Ube3a Methylation Analysis (81331) | $263.34 | $376.20 | 5.2× |
| Sodium Serum (84295) | $62.16 | $88.80 | 12.9× |
| Sodium Urine (84300) range across 3 matching MRF lines |
$13.23–$74.90 | $18.90–$107 | varies |
| Soluble Transferrin Receptor (84238) range across 3 matching MRF lines |
$102.34–$319.83 | $146.20–$456.90 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$56.91–$160.37 | $81.30–$229.10 | varies |
| Somatostatin (84307) | $630.63 | $900.90 | 34.5× |
| Special Stains Group 1 (88312) | $133.49 | $190.70 | 2.4× |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$86.80–$266.91 | $124–$381.30 | varies |
| Spectrophotometry (84311) | $95.97 | $137.10 | 11.8× |
| Splitting Blood/Blood Products Each Unit (86985) | $42.56 | $60.80 | 0.2× |
| Stool cultr aerobic bact ea (87046) | $35.77 | $51.10 | 3.8× |
| Strep a assay w/optic (87880) | $88.97 | $127.10 | 5.4× |
| Strep a DNA amp probe (87651) | $112.91 | $161.30 | 3.2× |
| Strep b DNA amp probe (87653) | $112.91 | $161.30 | 3.2× |
| Sugars Single Qual (84376) | $12.46 | $17.80 | 2.3× |
| Sulfate urine (84392) | $15.82 | $22.60 | 2.9× |
| Surg path level iii (88304) | $316.75 | $452.50 | 5.7× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$84.77–$441.35 | $121.10–$630.50 | varies |
| Surgical pathology level vi (88309) | $843.57 | $1,205.10 | 1.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $151.90 | $217 | 20.3× |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
$46.55–$159.46 | $66.50–$227.80 | varies |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$94.29–$170.59 | $134.70–$243.70 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$59.29–$139.79 | $84.70–$199.70 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$59.29–$139.79 | $84.70–$199.70 | varies |
| T3 Free (84481) | $266.63 | $380.90 | 15.7× |
| T3 reverse (84482) | $279.44 | $399.20 | 17.7× |
| T3 Total (84480) range across 2 matching MRF lines |
$59.29–$133.49 | $84.70–$190.70 | varies |
| T3 Uptake (84479) range across 2 matching MRF lines |
$77.42–$119.91 | $110.60–$171.30 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$152.67–$160.02 | $218.10–$228.60 | varies |
| T4 total (84436) | $88.97 | $127.10 | 13.0× |
| T4-neonatal (84437) | $30.59 | $43.70 | 4.7× |
| Tacrolimus (80197) | $302.12 | $431.60 | 22.0× |
| Tau phosphorylated each (84393) range across 2 matching MRF lines |
$436.80–$476.70 | $624–$681 | varies |
| Test for acetone/ketones (82009) | $47.88 | $68.40 | 10.6× |
| Test for urine cystines (82615) | $228.13 | $325.90 | 23.9× |
| Testosterone Bioavailable (84410) | $121.66 | $173.80 | 2.4× |
| Testosterone total (84403) range across 4 matching MRF lines |
$52.50–$211.05 | $75–$301.50 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$74.55–$609.28 | $106.50–$870.40 | varies |
| Theophylline (80198) | $77.91 | $111.30 | 5.5× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$57.05–$74.90 | $81.50–$107 | varies |
| Thromboplastin Inhibition Tissue (85705) range across 2 matching MRF lines |
$142.80–$276.92 | $204–$395.60 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$70.14–$83.86 | $100.20–$119.80 | varies |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$117.60–$268.31 | $168–$383.30 | varies |
| Thyroglobulin Antibody (86800) | $160.02 | $228.60 | 10.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $710.71 | $1,015.30 | 14.0× |
| Thyroxine binding globulin (84442) | $38.99 | $55.70 | 2.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$70–$248.85 | $100–$355.50 | varies |
| Tissue Culture (88233) | $308.07 | $440.10 | 2.2× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$461.51–$478.03 | $659.30–$682.90 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$361.62–$692.02 | $516.60–$988.60 | varies |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$48.30–$222.04 | $69–$317.20 | varies |
| Topiramate (80201) | $195.58 | $279.40 | 16.4× |
| Touch prep (88161) | $99.82 | $142.60 | 3.3× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $142.10 | $203 | 7.2× |
| Toxoplasma ab igm (86778) | $170.24 | $243.20 | 11.8× |
| Toxoplasma antibody (86777) | $33.67 | $48.10 | 2.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $80.08 | $114.40 | 15.5× |
| Transferrin (84466) range across 2 matching MRF lines |
$40.60–$144.97 | $58–$207.10 | varies |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 2 matching MRF lines |
$331.24–$1,817.13 | $473.20–$2,595.90 | varies |
| Trg gene rearrangement anal (81342) range across 2 matching MRF lines |
$1,343.02–$1,817.13 | $1,918.60–$2,595.90 | varies |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$65.45–$189.35 | $93.50–$270.50 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$82.60–$186.69 | $118–$266.70 | varies |
| Triglycerides (84478) range across 4 matching MRF lines |
$21.84–$80.08 | $31.20–$114.40 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$195.58–$201.32 | $279.40–$287.60 | varies |
| Tumor Immunohistochem/Manual (88360) range across 4 matching MRF lines |
$123.83–$381.92 | $176.90–$545.60 | varies |
| Urea Nitrogen Clearance (84545) | $35.77 | $51.10 | 5.0× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$12.32–$75.39 | $17.60–$107.70 | varies |
| Uric acid other source (84560) range across 5 matching MRF lines |
$13.23–$139.79 | $18.90–$199.70 | varies |
| Urinalysis Microscopic Only (81015) | $55.79 | $79.70 | 18.3× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
$7.49–$85.61 | $10.70–$122.30 | varies |
| Urinalysis Volume Measure (81050) | $35.84 | $51.20 | 9.8× |
| Urine Albumin Semiquantitative (82044) | $21.84 | $31.20 | 3.5× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$85.82–$88.97 | $122.60–$127.10 | varies |
| Urine Pregnancy Test (81025) | $88.97 | $127.10 | 10.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $71.12 | $101.60 | 22.4× |
| Valproic acid (80164) | $195.58 | $279.40 | 14.4× |
| Vancomycin (80202) | $223.65 | $319.50 | 16.5× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$26.25–$148.96 | $37.50–$212.80 | varies |
| Vasopressin (84588) | $131.95 | $188.50 | 3.9× |
| Very Long Chain Fatty Acids (82726) range across 2 matching MRF lines |
$167.37–$432.88 | $239.10–$618.40 | varies |
| Viral Culture (87252) range across 2 matching MRF lines |
$97.93–$134.12 | $139.90–$191.60 | varies |
| Virus antibody nos (86790) range across 6 matching MRF lines |
$52.78–$498.61 | $75.40–$712.30 | varies |
| Virus inoculate tissue addl (87253) range across 3 matching MRF lines |
$47.11–$134.12 | $67.30–$191.60 | varies |
| Vit D 1 25-Dihydroxy (82652) | $319.83 | $456.90 | 8.3× |
| Vitamin A (84590) | $115.50 | $165 | 9.9× |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$53.27–$142.10 | $76.10–$203 | varies |
| Vitamin B2 (Riboflavin) (84252) | $141.05 | $201.50 | 7.0× |
| Vitamin B6 (84207) | $337.75 | $482.50 | 12.0× |
| Vitamin c (82180) | $55.93 | $79.90 | 5.7× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$149.87–$322.28 | $214.10–$460.40 | varies |
| Vitamin E (84446) | $168.84 | $241.20 | 11.9× |
| Vitamin K (84597) | $307.51 | $439.30 | 22.4× |
| Volatiles (84600) range across 3 matching MRF lines |
$49.49–$154.28 | $70.70–$220.40 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $419.37 | $599.10 | 34.8× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$137.20–$329.84 | $196–$471.20 | varies |
| West nile virus ab igm (86788) | $222.04 | $317.20 | 13.2× |
| West Nile Virus Antibody (86789) | $222.04 | $317.20 | 15.4× |
| Western Blot Test (84181) | $505.40 | $722 | 29.7× |
| Zika Virus Igm Antibody (86794) | $320.25 | $457.50 | 19.0× |
| Zinc (84630) range across 3 matching MRF lines |
$144.55–$246.26 | $206.50–$351.80 | 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.