Lab & pathology prices at Resolute Health Hospital
New Braunfels, TX · every code in this section with a posted price and a Medicare benchmark.
1016 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $420.75 | $561 | 18.4× |
| 5 Nucleotidase (83915) range across 2 matching MRF lines |
$93–$117.75 | $124–$157 | varies |
| Acetylcholine receptor binding antibody (86041) | $82.50 | $110 | 4.5× |
| Acetylcholine receptor blocking antibody (86042) | $134.25 | $179 | 7.3× |
| Acetylcholinesterase Assay (82013) | $58.50 | $78 | 4.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $291.75 | $389 | 24.2× |
| Acth (82024) range across 3 matching MRF lines |
$783.75–$1,467.75 | $1,045–$1,957 | varies |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $318 | $424 | 9.7× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) | $756 | $1,008 | 9.7× |
| Actin smooth muscle antibody each (86015) range across 3 matching MRF lines |
$342.75–$539.25 | $457–$719 | varies |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$931.50–$1,514.25 | $1,242–$2,019 | varies |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$599.25–$656.25 | $799–$875 | varies |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $110.25 | $147 | 6.7× |
| Adenovirus antibody (86603) | $194.25 | $259 | 15.1× |
| Agglutinins Febrile Each Antigen (86000) range across 4 matching MRF lines |
$57.75–$121.50 | $77–$162 | varies |
| Albumin Fluid (82042) range across 5 matching MRF lines |
$90–$162 | $120–$216 | varies |
| Albumin serum (82040) | $138 | $184 | 27.9× |
| Aldolase (82085) | $215.25 | $287 | 22.2× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$723.75–$1,317 | $965–$1,756 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$75–$774 | $100–$1,032 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $76.50 | $102 | 9.6× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$36.75–$191.25 | $49–$255 | varies |
| Allergen specific igg (86001) | $46.50 | $62 | 5.9× |
| Allg Spec Ige Recomb Ea (86008) | $86.25 | $115 | 4.8× |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$110.25–$279.75 | $147–$373 | varies |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$467.25–$608.25 | $623–$811 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $138 | $184 | 8.1× |
| Alpha-Fetoprotein Serum (82105) range across 5 matching MRF lines |
$294–$613.50 | $392–$818 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$91.50–$328.50 | $122–$438 | varies |
| Aluminum (82108) | $210 | $280 | 8.2× |
| Amikacin trough (80150) range across 5 matching MRF lines |
$123.75–$538.50 | $165–$718 | varies |
| Amines vaginal fluid qualitative (82120) | $36.75 | $49 | 6.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 3 matching MRF lines |
$138–$163.50 | $184–$218 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 4 matching MRF lines |
$996–$1,377.75 | $1,328–$1,837 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) range across 2 matching MRF lines |
$110.25–$128.25 | $147–$171 | varies |
| Amino Acids Quant 2-5 (82136) range across 2 matching MRF lines |
$101.25–$287.25 | $135–$383 | varies |
| Amino acids; single, qualitative, each specimen Facility (82127) | $110.25 | $147 | 7.8× |
| Aminolevulinic acid (ala) (82135) | $135 | $180 | 8.2× |
| Ammonia (82140) range across 2 matching MRF lines |
$354.75–$383.25 | $473–$511 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $807 | $1,076 | 8.2× |
| Amniotic fluid scan (82143) | $67.50 | $90 | 7.2× |
| Amylase urine (82150) range across 8 matching MRF lines |
$219.75–$429.75 | $293–$573 | varies |
| Ana Titer (86039) range across 3 matching MRF lines |
$122.25–$618.75 | $163–$825 | varies |
| Analysis skeletal muscle (88355) | $1,117.50 | $1,490 | 6.5× |
| Anca screen each antibody (86036) | $424.50 | $566 | 35.2× |
| Androstanediol Glucuronide (82154) | $238.50 | $318 | 8.3× |
| Androstenedione (82157) | $223.50 | $298 | 7.6× |
| Androsterone (hormone) level (82160) | $303.75 | $405 | 11.9× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$374.25–$505.50 | $499–$674 | varies |
| Angiotensin II (82163) | $106.50 | $142 | 5.2× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$76.50–$157.50 | $102–$210 | varies |
| Antibody aspergillus (86606) range across 6 matching MRF lines |
$198–$355.50 | $264–$474 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 5 matching MRF lines |
$67.50–$327.75 | $90–$437 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $435 | $580 | 28.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 4 matching MRF lines |
$232.50–$702.75 | $310–$937 | varies |
| Antibody Encephalitis California La Crosse (86651) | $39.75 | $53 | 3.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$63–$521.25 | $84–$695 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 3 matching MRF lines |
$63–$379.50 | $84–$506 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 6 matching MRF lines |
$63–$460.50 | $84–$614 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$275.25–$915.75 | $367–$1,221 | varies |
| Antibody haemophilus influenza (86684) range across 2 matching MRF lines |
$130.50–$316.50 | $174–$422 | varies |
| Antibody helicobacter pylori (86677) range across 6 matching MRF lines |
$361.50–$461.25 | $482–$615 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 8 matching MRF lines |
$250.50–$293.25 | $334–$391 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 5 matching MRF lines |
$267–$342.75 | $356–$457 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$276–$345.75 | $368–$461 | varies |
| Antibody HIV-2 (86702) range across 3 matching MRF lines |
$85.50–$275.25 | $114–$367 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 4 matching MRF lines |
$671.25–$792.75 | $895–$1,057 | varies |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$132.75–$156 | $177–$208 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 4 matching MRF lines |
$58.50–$74.25 | $78–$99 | varies |
| Antibody john cunningham virus (86711) | $1,235.25 | $1,647 | 73.1× |
| Antibody leishmania (86717) | $115.59 | $154.12 | 9.4× |
| Antibody Lymphocytic Choriomeningitis (86727) | $67.50 | $90 | 5.2× |
| Antibody plasmodium malaria (86750) | $128.25 | $171 | 9.7× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$67.50–$374.25 | $90–$499 | varies |
| Antibody rotavirus (86759) range across 2 matching MRF lines |
$110.25–$128.25 | $147–$171 | varies |
| Antibody Titer (86886) range across 3 matching MRF lines |
$239.25–$638.25 | $319–$851 | varies |
| Antibody Treponema Pallidum (86780) range across 8 matching MRF lines |
$99–$418.50 | $132–$558 | varies |
| Antibody yersinia (86793) | $69 | $92 | 5.2× |
| Antibody; campylobacter (86625) range across 2 matching MRF lines |
$67.50–$78 | $90–$104 | varies |
| Antibody; encephalitis, st. louis (86653) | $191.25 | $255 | 14.5× |
| Antibody; influenza virus (86710) range across 5 matching MRF lines |
$153.75–$606.75 | $205–$809 | varies |
| Antibody; mucormycosis Facility (86732) | $128.25 | $171 | 8.6× |
| Antigen typing (86905) range across 3 matching MRF lines |
$333.75–$1,344 | $445–$1,792 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 3 matching MRF lines |
$166.50–$241.50 | $222–$322 | varies |
| Antinomyces antibody (86602) | $227.25 | $303 | 22.3× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$159.75–$318.75 | $213–$425 | varies |
| Antistreptolysin O Screen (86063) range across 2 matching MRF lines |
$47.25–$546 | $63–$728 | varies |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$243.75–$401.25 | $325–$535 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$633.75–$650.25 | $845–$867 | varies |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
$84–$106.50 | $112–$142 | varies |
| Aortic dysfunction/dilation dup/del analysis (81411) | $3,311.25 | $4,415 | 2.5× |
| Apc gene dup/delet variants (81203) | $2,787 | $3,716 | 13.9× |
| Apc gene full sequence (81201) | $1,632.75 | $2,177 | 2.1× |
| Apolipoprotein a1 (82172) range across 6 matching MRF lines |
$120–$444.75 | $160–$593 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $460.52 | $614.02 | 12.2× |
| Aquaporin-4 Antb Cba Each (86052) | $1,779 | $2,372 | 147.6× |
| Arsenic (82175) range across 5 matching MRF lines |
$154.50–$254.25 | $206–$339 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$234–$357.75 | $312–$477 | varies |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$265.50–$314.25 | $354–$419 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$12–$217.50 | $16–$290 | varies |
| Assay Blood Catecholamines (82383) | $207 | $276 | 7.1× |
| Assay myeloperoxidase (83876) range across 2 matching MRF lines |
$38.25–$191.25 | $51–$255 | varies |
| Assay Nephelometry Not Spec (83883) | $153.75 | $205 | 11.3× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$401.25–$472.50 | $535–$630 | varies |
| Assay of b-hexosaminidase each assay (83080) | $85.50 | $114 | 5.1× |
| Assay of blood/uric acid (84550) | $360 | $480 | 79.6× |
| Assay of calcium in urine (82340) range across 4 matching MRF lines |
$71.67–$495.75 | $95.56–$661 | varies |
| Assay of corticosterone (82528) | $185.25 | $247 | 8.2× |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$373.50–$1,020 | $498–$1,360 | varies |
| Assay of estrone (82679) | $190.50 | $254 | 7.6× |
| Assay of g6pd enzyme (82955) range across 3 matching MRF lines |
$126–$213 | $168–$284 | varies |
| Assay of gammaglobulin igm (82784) range across 19 matching MRF lines |
$132.75–$674.25 | $177–$899 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$105.75–$276 | $141–$368 | varies |
| Assay of metanephrines (83835) range across 6 matching MRF lines |
$573–$933 | $764–$1,244 | varies |
| Assay of phosphatase acid total (84060) range across 2 matching MRF lines |
$60–$72 | $80–$96 | varies |
| Assay of phosphatase alkaline heat stable (84078) | $735 | $980 | 89.0× |
| Assay of procainamide (80190) range across 2 matching MRF lines |
$138–$163.50 | $184–$218 | varies |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$147.75–$500.25 | $197–$667 | varies |
| Assay of prostate specific antigen complexed (84152) | $179.25 | $239 | 9.7× |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
$88.50–$106.50 | $118–$142 | varies |
| Assay of semen fructose (82757) | $169.50 | $226 | 9.8× |
| Assay of serotonin (84260) range across 3 matching MRF lines |
$160.50–$288.75 | $214–$385 | varies |
| Assay of serum potassium (84132) | $183 | $244 | 38.4× |
| Assay of Sialic Acid (84275) | $81.75 | $109 | 6.1× |
| Assay of sweat sodium (84302) range across 3 matching MRF lines |
$39.75–$429.75 | $53–$573 | varies |
| Assay of Tyrosine (84510) | $85.50 | $114 | 8.0× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$123.75–$156.75 | $165–$209 | varies |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$398.25–$462.75 | $531–$617 | varies |
| Assay of vasoactive intestinal peptide (84586) | $180.75 | $241 | 5.1× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$198–$379.50 | $264–$506 | varies |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$148.50–$160.50 | $198–$214 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $833.25 | $1,111 | 4.9× |
| Autol bld/component collj storage salvage (86891) | $2,280.75 | $3,041 | 2.8× |
| Automated Leukocyte Count (85048) | $157.50 | $210 | 62.0× |
| B cells total count (86355) range across 2 matching MRF lines |
$310.50–$368.25 | $414–$491 | varies |
| Bacterial antigens 87802 (87802) | $359.25 | $479 | 28.2× |
| Bartonella antibody (86611) | $24.75 | $33 | 2.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 7 matching MRF lines |
$123–$378 | $164–$504 | varies |
| Beta hydroxybutyrate (82010) range across 5 matching MRF lines |
$132.75–$225 | $177–$300 | varies |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$56.25–$333.75 | $75–$445 | varies |
| Beta-2 Microglobulin (82232) range across 3 matching MRF lines |
$255–$302.25 | $340–$403 | varies |
| Bile acids total (82239) range across 2 matching MRF lines |
$135.75–$330 | $181–$440 | varies |
| Bile acids, cholylglycine (82240) | $219 | $292 | 8.2× |
| Bilirubin direct (82248) range across 3 matching MRF lines |
$212.25–$717 | $283–$956 | varies |
| Bilirubin total (82247) range across 4 matching MRF lines |
$258–$771 | $344–$1,028 | varies |
| Bilirubin total transcutaneous (88720) | $64.50 | $86 | 12.8× |
| Bilirubin; feces, qualitative Facility (82252) | $44.25 | $59 | 9.7× |
| Biotinidase (82261) range across 2 matching MRF lines |
$85.50–$101.25 | $114–$135 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $110.25 | $147 | 32.1× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$148.50–$189 | $198–$252 | varies |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | $207.75 | $277 | 4.0× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $456 | $608 | 2.7× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$204–$309 | $272–$412 | varies |
| Bleeding time test (85002) | $289.50 | $386 | 60.1× |
| Blood Count Manual Cell Count Each (85032) range across 4 matching MRF lines |
$78–$130.50 | $104–$174 | varies |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $36.75 | $49 | 7.2× |
| Blood Count Red Blood Cell Automated (85041) range across 2 matching MRF lines |
$96.75–$138 | $129–$184 | varies |
| Blood count reticulocyte automated (85045) | $200.25 | $267 | 50.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $157.50 | $210 | 41.4× |
| Blood count spun microhematocrit (85013) | $24.75 | $33 | 3.5× |
| Blood gas (82803) | $511.50 | $682 | 19.6× |
| Blood gases w/02 saturation (82805) | $315 | $420 | 4.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $156 | $208 | 9.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $120 | $160 | 27.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 3 matching MRF lines |
$403.50–$1,454.25 | $538–$1,939 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 2 matching MRF lines |
$110.25–$357.75 | $147–$477 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$149.25–$232.50 | $199–$310 | varies |
| Body fluid cell count (89050) | $432.75 | $577 | 91.7× |
| Bone marrow smear interpretation (85097) | $3,372.75 | $4,497 | 4.2× |
| Bordetella antibody (86615) range across 5 matching MRF lines |
$346.50–$443.25 | $462–$591 | varies |
| Borrelia Antibody (86619) | $130.50 | $174 | 9.8× |
| Braf gene analysis (81210) range across 2 matching MRF lines |
$420–$882.75 | $560–$1,177 | varies |
| Brca1&2 gen full seq dup/del (81162) | $4,698 | $6,264 | 2.6× |
| Breath Alcohol Test (82075) | $268.50 | $358 | 9.0× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$252.75–$298.50 | $337–$398 | varies |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$681.75–$869.25 | $909–$1,159 | varies |
| C-Peptide (84681) range across 3 matching MRF lines |
$243.75–$795.75 | $325–$1,061 | varies |
| C-reactive protein (86140) range across 3 matching MRF lines |
$228–$298.50 | $304–$398 | varies |
| Ca 19-9 (86301) range across 4 matching MRF lines |
$179.60–$723.75 | $239.46–$965 | varies |
| Cadmium (82300) range across 3 matching MRF lines |
$141–$191.25 | $188–$255 | varies |
| Caffeine (80155) range across 3 matching MRF lines |
$111.75–$343.50 | $149–$458 | varies |
| Calcitonin (82308) range across 2 matching MRF lines |
$220.50–$235.50 | $294–$314 | varies |
| Calcium ionized (82330) range across 2 matching MRF lines |
$285–$309 | $380–$412 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$309.75–$397.50 | $413–$530 | varies |
| Calculus assay quant (82360) | $139.50 | $186 | 10.8× |
| Calculus Spectroscopy (82365) range across 4 matching MRF lines |
$191.25–$378.75 | $255–$505 | varies |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$161.25–$834.75 | $215–$1,113 | varies |
| Calr gene com variants (81219) | $925.50 | $1,234 | 7.6× |
| Cancer Antigen 125 (86304) range across 3 matching MRF lines |
$290.25–$975.75 | $387–$1,301 | varies |
| Cancer Antigen 27.29 (86300) range across 6 matching MRF lines |
$169.90–$899.25 | $226.53–$1,199 | varies |
| Candida antibody (86628) | $67.50 | $90 | 5.6× |
| Car Ion Chnnlpath Inc 2 Gns (81414) | $2,617.50 | $3,490 | 4.5× |
| Carbamazepine free (80157) range across 2 matching MRF lines |
$110.25–$128.25 | $147–$171 | varies |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$378–$411.75 | $504–$549 | varies |
| Carbohydrate Deficient Transferrin (82373) | $174.75 | $233 | 9.7× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$190.50–$339 | $254–$452 | varies |
| Carcinoembryonic antigen (82378) | $365.25 | $487 | 19.3× |
| Cardiolipin ab iga (86147) range across 8 matching MRF lines |
$191.25–$830.25 | $255–$1,107 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 4 matching MRF lines |
$81–$467.25 | $108–$623 | varies |
| Carotene (82380) range across 2 matching MRF lines |
$75–$115.50 | $100–$154 | varies |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$370.50–$1,737 | $494–$2,316 | varies |
| Catecholamines total urine (82382) range across 2 matching MRF lines |
$552.75–$651.75 | $737–$869 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$330.75–$736.50 | $441–$982 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$361.50–$426.75 | $482–$569 | varies |
| Cell marker study (88182) | $241.50 | $322 | 4.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $1,121.25 | $1,495 | 8.3× |
| Ceruloplasmin (82390) range across 3 matching MRF lines |
$246–$423.75 | $328–$565 | varies |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$1,245.75–$1,341.53 | $1,661–$1,788.70 | varies |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$109.50–$511.50 | $146–$682 | varies |
| Chlamydia antibody (86631) range across 5 matching MRF lines |
$292.50–$993 | $390–$1,324 | varies |
| Chlamydia Igm Antibody (86632) range across 3 matching MRF lines |
$279–$300.75 | $372–$401 | varies |
| Chlamydia trachomatis ag if (87270) range across 2 matching MRF lines |
$99.75–$117 | $133–$156 | varies |
| Chloramphenicol level (82415) | $105.75 | $141 | 8.3× |
| Chloride other source (82438) range across 4 matching MRF lines |
$39.75–$368.25 | $53–$491 | varies |
| Chloride Serum (82435) | $195.75 | $261 | 42.6× |
| Chloride urine (82436) range across 3 matching MRF lines |
$213–$234 | $284–$312 | varies |
| Chlorinated Hydrocarbons Screen (82441) | $326.25 | $435 | 54.3× |
| Cholesterol total (82465) range across 3 matching MRF lines |
$87–$167.25 | $116–$223 | varies |
| Cholinesterase rbc (82482) | $63.75 | $85 | 6.5× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$64.50–$76.50 | $86–$102 | varies |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$516–$735 | $688–$980 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) range across 2 matching MRF lines |
$1,269.75–$1,911 | $1,693–$2,548 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $132.75 | $177 | 4.9× |
| Chrmsm Analysis Addl High Resolution Study (88289) range across 3 matching MRF lines |
$339–$401.25 | $452–$535 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 3 matching MRF lines |
$144–$666.75 | $192–$889 | varies |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $1,428.75 | $1,905 | 8.3× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $1,230 | $1,640 | 7.1× |
| Chromium serum (82495) | $198 | $264 | 9.8× |
| Chromogenic Substrate Assay (85130) | $97.50 | $130 | 8.2× |
| Chromogranin a (86316) | $170.25 | $227 | 8.2× |
| Chromosome analys amniotic (88269) | $1,374.75 | $1,833 | 7.9× |
| Chromosome Analysis 15-20 (88262) range across 3 matching MRF lines |
$1,217.25–$2,622.75 | $1,623–$3,497 | varies |
| Chromosome Analysis 20-25 (88264) | $657 | $876 | 4.5× |
| Chromosome analysis 45 cells (88263) range across 2 matching MRF lines |
$807–$1,183.50 | $1,076–$1,578 | varies |
| Chromosome analysis, 5 (88261) range across 3 matching MRF lines |
$877.50–$1,520.25 | $1,170–$2,027 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$192–$585 | $256–$780 | varies |
| Citric acid urine (82507) | $229.50 | $306 | 8.3× |
| Ckmb (82553) range across 2 matching MRF lines |
$539.25–$588 | $719–$784 | varies |
| Clostridium Difficile (87324) range across 3 matching MRF lines |
$455.25–$536.25 | $607–$715 | varies |
| Clot Factor VIII Multimetric (85247) range across 3 matching MRF lines |
$690.75–$1,208.25 | $921–$1,611 | varies |
| Clot factor xiii fibrin stab (85290) range across 2 matching MRF lines |
$339–$401.25 | $452–$535 | varies |
| Clot lysis time, whole blood dilution Facility (85175) | $44.25 | $59 | 2.2× |
| Clot retraction (85170) | $36 | $48 | 2.2× |
| Clotting factor viii related antigen (85244) | $168.75 | $225 | 8.3× |
| Clotting factor xii hageman (85280) range across 2 matching MRF lines |
$160.50–$189 | $214–$252 | varies |
| Clotting Funct Activity (85397) range across 4 matching MRF lines |
$78–$637.50 | $104–$850 | varies |
| Clotting hi molec weight kininogen assay (85293) range across 2 matching MRF lines |
$156–$183 | $208–$244 | varies |
| Clotting prekallikrein assay fletcher fact assay (85292) range across 2 matching MRF lines |
$156–$183 | $208–$244 | varies |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$1,352.63–$1,743.75 | $1,803.50–$2,325 | varies |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$192–$265.50 | $256–$354 | varies |
| Coagulation time other methods (85348) | $36.75 | $49 | 8.2× |
| Coagulation time; Lee and White Facility (85345) | $41.25 | $55 | 8.8× |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$108.75–$147 | $145–$196 | varies |
| Cold agglutinin screen (86156) range across 2 matching MRF lines |
$148.50–$434.25 | $198–$579 | varies |
| Cold agglutinin titer (86157) range across 3 matching MRF lines |
$52.50–$507.75 | $70–$677 | varies |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$154.50–$182.25 | $206–$243 | varies |
| Column Chromotography Quant (82542) range across 6 matching MRF lines |
$137.25–$379.50 | $183–$506 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $5,757 | $7,676 | 24.7× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$183–$806.25 | $244–$1,075 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$323.25–$452.25 | $431–$603 | varies |
| Complement Antigen Each Component (86160) range across 9 matching MRF lines |
$330.75–$423.75 | $441–$565 | varies |
| Complement Fixation Tests Each Antigen (86171) range across 2 matching MRF lines |
$53.25–$63.75 | $71–$85 | varies |
| Complement Total (Ch50) (86162) range across 3 matching MRF lines |
$498–$635.25 | $664–$847 | varies |
| Complement/Function Activity (86161) range across 4 matching MRF lines |
$189–$774 | $252–$1,032 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 2 matching MRF lines |
$444.75–$1,329.75 | $593–$1,773 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$420–$618.75 | $560–$825 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 3 matching MRF lines |
$527.25–$624 | $703–$832 | varies |
| Coombs direct (86880) range across 7 matching MRF lines |
$125.25–$267 | $167–$356 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$156.75–$499.50 | $209–$666 | varies |
| Cortisol free (82530) range across 4 matching MRF lines |
$276–$351.75 | $368–$469 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$392.25–$480 | $523–$640 | varies |
| Creatine (82540) range across 4 matching MRF lines |
$37.50–$180.75 | $50–$241 | varies |
| Creatine kinase (CK), (CPK); isoforms Facility (82554) | $72 | $96 | 6.1× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$291.75–$318.75 | $389–$425 | varies |
| Creatinine blood (82565) | $233.25 | $311 | 45.6× |
| Creatinine clearance (82575) | $528.75 | $705 | 55.9× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$90.75–$498.75 | $121–$665 | varies |
| Crossmatch electronic (86923) | $183 | $244 | 1.1× |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$315–$339 | $420–$452 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$107.25–$357 | $143–$476 | varies |
| Cryofibrinogen (82585) range across 2 matching MRF lines |
$69.75–$82.50 | $93–$110 | varies |
| Cryoglobulin (82595) range across 5 matching MRF lines |
$126–$234.75 | $168–$313 | varies |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $69.75 | $93 | 5.3× |
| Cryptococcal Antigen (87327) range across 4 matching MRF lines |
$93–$117 | $124–$156 | varies |
| Cryptococcus ab (86641) range across 3 matching MRF lines |
$73.50–$160.50 | $98–$214 | varies |
| Cryptococcus ag titer (87899) range across 16 matching MRF lines |
$110.25–$204 | $147–$272 | varies |
| Cryptosporidium (87272) range across 2 matching MRF lines |
$117–$142.50 | $156–$190 | varies |
| Cryptosporidium ag eia (87328) | $128.25 | $171 | 9.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$252.75–$627.75 | $337–$837 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 7 matching MRF lines |
$132.75–$1,200 | $177–$1,600 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 4 matching MRF lines |
$88.50–$488.25 | $118–$651 | varies |
| Culture aerobic quant other (87071) | $93 | $124 | 9.4× |
| Culture afb (87116) range across 3 matching MRF lines |
$390–$559.50 | $520–$746 | varies |
| Culture Anaerobic (87075) range across 4 matching MRF lines |
$291.75–$902.25 | $389–$1,203 | varies |
| Culture bacteria anaerobic (87073) range across 2 matching MRF lines |
$78–$93 | $104–$124 | varies |
| Culture blood (87040) range across 3 matching MRF lines |
$220.58–$830.25 | $294.11–$1,107 | varies |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$191.25–$633.75 | $255–$845 | varies |
| Culture csf (87070) range across 42 matching MRF lines |
$434.25–$897.75 | $579–$1,197 | varies |
| Culture fungus (87102) range across 6 matching MRF lines |
$354.75–$533.25 | $473–$711 | varies |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$69.75–$1,026 | $93–$1,368 | varies |
| Culture screen only (87081) range across 20 matching MRF lines |
$228–$1,223.25 | $304–$1,631 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$471.75–$600 | $629–$800 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) range across 2 matching MRF lines |
$121.50–$588 | $162–$784 | varies |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$46.50–$53.25 | $62–$71 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 5 matching MRF lines |
$41.25–$795.75 | $55–$1,061 | varies |
| Culture typing other methods (87158) range across 2 matching MRF lines |
$49.50–$1,355.25 | $66–$1,807 | varies |
| Culture urine (87086) range across 2 matching MRF lines |
$338.25–$432 | $451–$576 | varies |
| Culture, typing; identification by pulse field gel typing Facility (87152) range across 2 matching MRF lines |
$41.25–$49.50 | $55–$66 | varies |
| Cyanide (82600) range across 2 matching MRF lines |
$150.75–$160.50 | $201–$214 | varies |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $141.75 | $189 | 9.9× |
| Cyclic amp (82030) range across 2 matching MRF lines |
$168.75–$216 | $225–$288 | varies |
| Cyclosporine (80158) range across 3 matching MRF lines |
$319.50–$471.75 | $426–$629 | varies |
| Cyp2d6 gene com variants (81226) | $1,291.50 | $1,722 | 2.9× |
| Cystatin C (82610) range across 2 matching MRF lines |
$132.75–$159.75 | $177–$213 | varies |
| Cytogenetics 10-30 (88273) | $351 | $468 | 10.1× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$487.50–$526.50 | $650–$702 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$3,885.75–$5,547.75 | $5,181–$7,397 | varies |
| Cytomegalovirus igg (86644) range across 7 matching MRF lines |
$180–$674.25 | $240–$899 | varies |
| Cytopath C/V Index Add-On (88155) | $48.75 | $65 | 3.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $168.75 | $225 | 8.3× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$213–$444.75 | $284–$593 | varies |
| Cytopath Fl Nongyn Filter (88106) | $365.25 | $487 | 12.6× |
| Cytopath unlstd proc (88199) | $64.50 | $86 | 1.2× |
| Cytotoxic Antibody Screen Std (86807) range across 3 matching MRF lines |
$326.25–$385.50 | $435–$514 | varies |
| Cytotoxic pra quick (86808) | $244.50 | $326 | 8.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$176.25–$218.25 | $235–$291 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $410.25 | $547 | 10.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $903 | $1,204 | 17.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $215.25 | $287 | 1.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $309 | $412 | 8.2× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $498.75 | $665 | 2.9× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $111.75 | $149 | 6.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $319.50 | $426 | 11.0× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $417.75 | $557 | 2.4× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) | $102 | $136 | 9.5× |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) range across 2 matching MRF lines |
$93–$110.25 | $124–$147 | varies |
| Deoxycortisol (82634) | $170.25 | $227 | 5.8× |
| Deoxyribonuclease antibody (86215) range across 3 matching MRF lines |
$110.25–$128.25 | $147–$171 | varies |
| Desoxycorticosterone (82633) | $170.25 | $227 | 5.5× |
| Detect Agent Nos Dna Amp (87798) range across 51 matching MRF lines |
$166.50–$1,885.50 | $222–$2,514 | varies |
| Detect Agent Nos Dna Quant (87799) range across 9 matching MRF lines |
$939–$1,995.75 | $1,252–$2,661 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$581.25–$684.75 | $775–$913 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$24.75–$342.75 | $33–$457 | varies |
| Dhea (82626) range across 3 matching MRF lines |
$601.50–$768.75 | $802–$1,025 | varies |
| Dhea-S (82627) range across 3 matching MRF lines |
$508.50–$874.50 | $678–$1,166 | varies |
| Dibucaine number (82638) | $114.75 | $153 | 9.4× |
| Digoxin (80162) | $666 | $888 | 50.2× |
| Diphtheria antitoxoid (86648) | $78 | $104 | 5.1× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$508.50–$647.25 | $678–$863 | varies |
| Dna Antibody Single Stranded (86226) | $564 | $752 | 46.6× |
| Dna/Rna Amplified Probe (87150) | $342.75 | $457 | 9.8× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$195.75–$1,445.25 | $261–$1,927 | varies |
| Dna/Rna Sequencing (87153) range across 2 matching MRF lines |
$576–$952.50 | $768–$1,270 | varies |
| Drug Assay Amiodarone (80151) | $239.25 | $319 | 12.8× |
| Drug Assay Infliximab (80230) | $369 | $492 | 9.6× |
| Drug Assay Lacosamide (80235) | $268.50 | $358 | 9.9× |
| Drug Assay Leflunomide (80193) | $239.25 | $319 | 6.2× |
| Drug assay voriconazole (80285) | $184.50 | $246 | 6.8× |
| Drug Screen Quant Clozapine (80159) | $131.25 | $175 | 6.5× |
| Drug Screen Quantitative Gabapentin (80171) | $106.50 | $142 | 4.9× |
| Drug Screen Quantitative Lamotrigine (80175) range across 3 matching MRF lines |
$98.25–$468.75 | $131–$625 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$98.25–$474.75 | $131–$633 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $106.50 | $142 | 8.0× |
| Drug Screen Quantitative Procainamide Metabolite (80192) range across 2 matching MRF lines |
$138–$844.50 | $184–$1,126 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 42 matching MRF lines |
$173.25–$760.50 | $231–$1,014 | varies |
| Egfr Gene Analysis Common Variants (81235) | $774 | $1,032 | 2.4× |
| Ehrlichia antibody (86666) range across 7 matching MRF lines |
$67.50–$159.75 | $90–$213 | varies |
| El-1 Fecal Quantitative (82653) | $599.25 | $799 | 26.1× |
| Electrolyte panel (80051) | $490.50 | $654 | 70.0× |
| Electron Microscopy (88348) range across 3 matching MRF lines |
$1,590.75–$2,849.25 | $2,121–$3,799 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $254.25 | $339 | 4.1× |
| Encephaltis East Eqne Anbdy (86652) | $54 | $72 | 4.1× |
| Encephaltis West Eqne Antbdy (86654) | $107.25 | $143 | 8.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $355.50 | $474 | 29.4× |
| Enterovirus Antibody (86658) range across 11 matching MRF lines |
$134.25–$223.50 | $179–$298 | varies |
| Enterovirus PCR (87498) range across 3 matching MRF lines |
$789.75–$1,896.75 | $1,053–$2,529 | varies |
| Enzyme cell activity (82657) range across 5 matching MRF lines |
$148.50–$674.25 | $198–$899 | varies |
| Enzyme histochemistry (88319) | $3,372.75 | $4,497 | 4.2× |
| Eosinophil Smear (89190) | $379.50 | $506 | 65.5× |
| Erythropoietin (82668) range across 3 matching MRF lines |
$491.25–$818.25 | $655–$1,091 | varies |
| Estradiol serum (82670) range across 5 matching MRF lines |
$219.08–$939 | $292.10–$1,252 | varies |
| Estriol (82677) range across 3 matching MRF lines |
$180–$237 | $240–$316 | varies |
| Estrogen total (82672) range across 3 matching MRF lines |
$410.25–$588 | $547–$784 | varies |
| Estrogens fractionated (82671) | $266.25 | $355 | 8.2× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$111.75–$132.75 | $149–$177 | varies |
| Ethylene Glycol (82693) range across 2 matching MRF lines |
$112.50–$144 | $150–$192 | varies |
| Euglobulin lysis (85360) range across 2 matching MRF lines |
$69.75–$82.50 | $93–$110 | varies |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$142.50–$314.25 | $190–$419 | varies |
| Exome Sequence Analysis (81415) | $9,872.25 | $13,163 | 2.1× |
| Exome sequence analysis each comparator exome (81416) | $37,422 | $49,896 | 3.1× |
| F2 Gene (81240) range across 3 matching MRF lines |
$147–$943.50 | $196–$1,258 | varies |
| Factor ii activity (85210) range across 2 matching MRF lines |
$107.25–$486.75 | $143–$649 | varies |
| Factor Inhibitor Test (85335) range across 4 matching MRF lines |
$106.50–$124.50 | $142–$166 | varies |
| Factor ix activity (85250) range across 2 matching MRF lines |
$726.75–$1,497 | $969–$1,996 | varies |
| Factor v activity (85220) range across 2 matching MRF lines |
$135–$170.25 | $180–$227 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$213–$1,066.50 | $284–$1,422 | varies |
| Factor vii assay (85230) range across 2 matching MRF lines |
$137.25–$174.75 | $183–$233 | varies |
| Factor viii assay (85240) range across 2 matching MRF lines |
$725.25–$1,566 | $967–$2,088 | varies |
| Factor X (85260) range across 2 matching MRF lines |
$371.25–$439.50 | $495–$586 | varies |
| Factor xi activity (85270) range across 2 matching MRF lines |
$592.50–$698.25 | $790–$931 | varies |
| Factor xiii screen (85291) range across 2 matching MRF lines |
$282–$333.75 | $376–$445 | varies |
| Fat stain feces urine/respir secretions (89125) range across 2 matching MRF lines |
$36.75–$110.25 | $49–$147 | varies |
| Fat/Lipids Feces Quantitative (82710) range across 3 matching MRF lines |
$138–$387 | $184–$516 | varies |
| Fatty acids free (82725) | $110.25 | $147 | 5.9× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) range across 2 matching MRF lines |
$63.75–$74.25 | $85–$99 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 2 matching MRF lines |
$243.75–$288.75 | $325–$385 | varies |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) range across 2 matching MRF lines |
$138–$163.50 | $184–$218 | varies |
| Fecal Fat Qualitative (82705) range across 3 matching MRF lines |
$206.25–$252 | $275–$336 | varies |
| Ferritin (82728) range across 2 matching MRF lines |
$323.25–$351 | $431–$468 | varies |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$1,087.50–$1,127.25 | $1,450–$1,503 | varies |
| Fetal hemoglobin assay qual (83033) range across 2 matching MRF lines |
$48.75–$229.50 | $65–$306 | varies |
| Fetal lung maturity assessment; foam stability test Facility (83662) | $183 | $244 | 9.7× |
| Fetal Lung Maturity Fluorescence Polarization (83663) range across 2 matching MRF lines |
$1,029.75–$1,218 | $1,373–$1,624 | varies |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
$54–$218.25 | $72–$291 | varies |
| Fibrin degradation products (85362) range across 2 matching MRF lines |
$54–$792.75 | $72–$1,057 | varies |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$357–$420.75 | $476–$561 | varies |
| Fibrin dgradj products d-dimer qual/semiquan (85378) range across 2 matching MRF lines |
$58.50–$516.75 | $78–$689 | varies |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) | $679.50 | $906 | 66.7× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $91.50 | $122 | 7.4× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$341.25–$426.75 | $455–$569 | varies |
| Fibrinogen antigen (85385) range across 2 matching MRF lines |
$69.75–$82.50 | $93–$110 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $128.25 | $171 | 8.3× |
| Fibrinolytic factors and inhibitors; plasmin Facility (85400) range across 2 matching MRF lines |
$73.50–$85.50 | $98–$114 | varies |
| Flow cytometry first marker (88184) range across 5 matching MRF lines |
$343.50–$3,535.50 | $458–$4,714 | varies |
| Fluorescent antibody screen (86255) range across 26 matching MRF lines |
$355.50–$761.25 | $474–$1,015 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 10 matching MRF lines |
$338.25–$510.75 | $451–$681 | varies |
| Folic acid rbc (82747) range across 3 matching MRF lines |
$172.50–$608.25 | $230–$811 | varies |
| Folic Acid Serum (82746) | $343.50 | $458 | 23.4× |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$396–$830.25 | $528–$1,107 | varies |
| Forensic Cytopathology (88125) | $566.25 | $755 | 10.8× |
| Francisella tularensis (86668) | $85.50 | $114 | 6.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $1,454.25 | $1,939 | 8.5× |
| Frozen Section (88331) range across 3 matching MRF lines |
$855–$989.25 | $1,140–$1,319 | varies |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$99.75–$378.75 | $133–$505 | varies |
| Fungi Identification Yeast (87106) range across 3 matching MRF lines |
$99.75–$383.25 | $133–$511 | varies |
| Galactose (82760) | $93 | $124 | 8.3× |
| Galactose transferase test (82776) | $67.50 | $90 | 5.7× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $328.50 | $438 | 15.6× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$459.75–$654 | $613–$872 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $153.75 | $205 | 15.7× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$128.25–$174.75 | $171–$233 | varies |
| Gastric Analy W/Ph Ea Spec (82930) | $53.25 | $71 | 7.9× |
| Gastrin (82941) range across 2 matching MRF lines |
$333.75–$393.75 | $445–$525 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$6,055.50–$6,520.50 | $8,074–$8,694 | varies |
| Genet Virus Isolate Hsv (87255) range across 3 matching MRF lines |
$67.50–$837 | $90–$1,116 | varies |
| Genome Sequence Analysis (81425) | $11,259.75 | $15,013 | 2.2× |
| Genome sequence analysis each comparator genome (81426) | $6,064.50 | $8,086 | 2.2× |
| Gentamicin (80170) range across 4 matching MRF lines |
$403.50–$503.25 | $538–$671 | varies |
| Ggt (82977) range across 2 matching MRF lines |
$118.50–$293.25 | $158–$391 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$157.50–$288.75 | $210–$385 | varies |
| Giardia lamblia antibody (86674) | $134.25 | $179 | 9.1× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $60 | $80 | 9.9× |
| Glucagon (82943) range across 3 matching MRF lines |
$73.50–$462 | $98–$616 | varies |
| Glucose 2 hr pp (82950) | $213 | $284 | 44.8× |
| Glucose Blood Test (82962) | $120 | $160 | 36.6× |
| Glucose body fluid (82945) range across 6 matching MRF lines |
$181.50–$264 | $242–$352 | varies |
| Glucose Serum (82947) | $207.75 | $277 | 52.9× |
| Glucose tolerance test (gtt) (82951) range across 4 matching MRF lines |
$443.25–$564 | $591–$752 | varies |
| Glycated Protein (82985) range across 3 matching MRF lines |
$123.75–$147 | $165–$196 | varies |
| Gonadotropin Chorionic Qualitative (84703) range across 3 matching MRF lines |
$392.25–$521.25 | $523–$695 | varies |
| Growth hormone (83003) range across 3 matching MRF lines |
$126–$599.25 | $168–$799 | varies |
| Growth hormone antibody (86277) | $153.75 | $205 | 9.8× |
| Gtt-added samples (82952) | $194.25 | $259 | 49.6× |
| H Pylori (C-13) Breath (83013) range across 3 matching MRF lines |
$556.50–$680.25 | $742–$907 | varies |
| Haloperidol (80173) range across 2 matching MRF lines |
$121.50–$142.50 | $162–$190 | varies |
| Haptoglobin (83010) range across 3 matching MRF lines |
$160.50–$508.50 | $214–$678 | varies |
| Hdl Cholesterol (83718) | $339 | $452 | 41.4× |
| Heinz Bodies Direct (85441) | $39 | $52 | 9.3× |
| Helicobacter Pylori Stool (87338) range across 3 matching MRF lines |
$110.25–$374.25 | $147–$499 | varies |
| Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) | $656.25 | $875 | 9.7× |
| Helminth Antibody (86682) range across 4 matching MRF lines |
$156.59–$880.50 | $208.78–$1,174 | varies |
| Hematocrit (85014) | $130.50 | $174 | 55.1× |
| Hemoglobin (85018) | $174.75 | $233 | 73.7× |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$144–$317.25 | $192–$423 | varies |
| Hemoglobin Chromotography (83021) range across 6 matching MRF lines |
$219–$654 | $292–$872 | varies |
| Hemoglobin Copper Sulfate Method Non-Automated (83026) | $24.75 | $33 | 6.2× |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$250.50–$318 | $334–$424 | varies |
| Hemoglobin F Fetal Chemical (83030) range across 2 matching MRF lines |
$69–$174.75 | $92–$233 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$125.25–$188.25 | $167–$251 | varies |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
$60–$72 | $80–$96 | varies |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $48.75 | $65 | 5.2× |
| Hemoglobin urine (83069) | $38.25 | $51 | 9.7× |
| Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) | $48.75 | $65 | 5.2× |
| Hemolysin Acid (85475) range across 2 matching MRF lines |
$280.50–$330 | $374–$440 | varies |
| Hemolysins&Agglutinins Auto Screen Each (86940) range across 2 matching MRF lines |
$69–$81.75 | $92–$109 | varies |
| Hemolysins&Agglutinins Incubated (86941) range across 2 matching MRF lines |
$99.75–$117 | $133–$156 | varies |
| Hemosiderin urine (83070) range across 2 matching MRF lines |
$38.25–$46.50 | $51–$62 | varies |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$193.50–$568.50 | $258–$758 | varies |
| Heparin assay (85520) range across 2 matching MRF lines |
$498–$635.25 | $664–$847 | varies |
| Heparin Neutralization (85525) range across 2 matching MRF lines |
$91.50–$115.50 | $122–$154 | varies |
| Heparin-Protamine Tolerance Tst (85530) | $132.75 | $177 | 10.1× |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$203.25–$333 | $271–$444 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$315–$333 | $420–$444 | varies |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$93–$564 | $124–$752 | varies |
| Hepatitis b surface ag quan (87467) range across 2 matching MRF lines |
$348.75–$435 | $465–$580 | varies |
| Hepatitis B Surface Antibody (86706) range across 4 matching MRF lines |
$254.25–$407.25 | $339–$543 | varies |
| Hepatitis B Surface Antigen (87340) | $153.75 | $205 | 14.9× |
| Hepatitis Be Antibody (86707) range across 3 matching MRF lines |
$96.75–$273.75 | $129–$365 | varies |
| Hepatitis Be Antigen (87350) range across 3 matching MRF lines |
$192–$273.75 | $256–$365 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$360–$460.50 | $480–$614 | varies |
| Hepatitis c antibody confirmatory test (86804) range across 2 matching MRF lines |
$371.25–$439.50 | $495–$586 | varies |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$1,401–$3,380.25 | $1,868–$4,507 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $291 | $388 | 8.3× |
| Hepatitis C Revrs Trnscrpj (87522) range across 4 matching MRF lines |
$597–$2,946.75 | $796–$3,929 | varies |
| Hepatitis d quantification (87523) | $431.63 | $575.50 | 10.1× |
| Hepatitis delta ag (87380) | $135 | $180 | 7.4× |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$142.50–$168 | $190–$224 | varies |
| Herpes simplex type 2 (86696) range across 5 matching MRF lines |
$252–$333 | $336–$444 | varies |
| Heterophile antibodies titer (86309) | $63.75 | $85 | 9.9× |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) | $60 | $80 | 8.1× |
| Heterophile Antibody Screen (86308) range across 3 matching MRF lines |
$132.75–$436.50 | $177–$582 | varies |
| Hfe Gene (81256) | $429.75 | $573 | 6.6× |
| Hgb Quantitative Transcutaneous (88738) | $48.75 | $65 | 9.7× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$941.25–$1,053 | $1,255–$1,404 | varies |
| Histamine urine (83088) | $244.50 | $326 | 8.3× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$342.75–$436.50 | $457–$582 | varies |
| Histoplasma antigen urine (87385) range across 4 matching MRF lines |
$582.75–$1,077 | $777–$1,436 | varies |
| Hiv Antigen W/Hiv Antibodies (87806) | $193.50 | $258 | 5.9× |
| Hiv Genotype (87901) | $1,401 | $1,868 | 5.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $200.25 | $267 | 8.3× |
| Hiv-1 Antibody (86701) range across 4 matching MRF lines |
$265.50–$360 | $354–$480 | varies |
| HIV-1 p24 antigen (87390) range across 2 matching MRF lines |
$144–$170.25 | $192–$227 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$403.50–$2,948.25 | $538–$3,931 | varies |
| HIV-2 probe&revrse trnscripj (87538) range across 3 matching MRF lines |
$278.25–$612 | $371–$816 | varies |
| Hla Class I Typing High Resolution Complete (81379) | $1,546.92 | $2,062.56 | 4.6× |
| Hla Class I Typing Low Resolution Complete (81372) | $834.75 | $1,113 | 2.1× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) range across 2 matching MRF lines |
$1,287–$1,522.50 | $1,716–$2,030 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $783.75 | $1,045 | 7.2× |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $263.25 | $351 | 7.2× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $911.25 | $1,215 | 2.3× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) range across 2 matching MRF lines |
$708–$834.75 | $944–$1,113 | varies |
| Hla ii typing 1 locus lr (81376) | $477.75 | $637 | 3.9× |
| Hla Typing a/B/C Multiple Antigens (86813) range across 3 matching MRF lines |
$429.75–$507.75 | $573–$677 | varies |
| Hla Typing Dr/Dq Multiple Antigens (86817) range across 3 matching MRF lines |
$429.75–$507.75 | $573–$677 | varies |
| Hla Typing Dr/Dq Single Antigen (86816) | $271.50 | $362 | 9.0× |
| Hla-b27 (86812) range across 4 matching MRF lines |
$690.75–$882 | $921–$1,176 | varies |
| Homocysteine (83090) range across 4 matching MRF lines |
$204.32–$728.25 | $272.42–$971 | varies |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$378–$443.25 | $504–$591 | varies |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$99.75–$117 | $133–$156 | varies |
| Hpv High-Risk Types (87624) | $277.50 | $370 | 7.9× |
| Hpv low-risk types (87623) | $198.75 | $265 | 5.7× |
| Hsv Dna Amp Probe (87529) range across 5 matching MRF lines |
$297.75–$660 | $397–$880 | varies |
| Hsv Dna Quant (87530) | $234 | $312 | 5.5× |
| Htlv-I Antibody (86687) range across 2 matching MRF lines |
$69.75–$82.50 | $93–$110 | varies |
| Human Epididymis Protein 4 (86305) | $734.25 | $979 | 35.3× |
| Hydroxycorticosteroids 17 (83491) | $144 | $192 | 8.0× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$323.25–$875.25 | $431–$1,167 | varies |
| Hydroxyproline free (83500) | $188.25 | $251 | 8.3× |
| Hydroxyproline total (83505) | $200.25 | $267 | 8.2× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) range across 2 matching MRF lines |
$99.75–$117 | $133–$156 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $109.50 | $146 | 9.1× |
| Iaad Ia Escherichia Coli 0157 (87335) | $307.50 | $410 | 24.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 2 matching MRF lines |
$78–$84.75 | $104–$113 | varies |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 2 matching MRF lines |
$411–$448.50 | $548–$598 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $135 | $180 | 3.8× |
| Iaad ia shiga-like toxin (87427) | $117 | $156 | 9.8× |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$465.75–$471.75 | $621–$629 | varies |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) range across 2 matching MRF lines |
$117–$194.25 | $156–$259 | varies |
| Iaadi giardia (87269) | $117 | $156 | 8.6× |
| Iaadi herpes smplx virus type 1 (87274) range across 2 matching MRF lines |
$99.75–$117 | $133–$156 | varies |
| Iaadi herpes smplx virus type 2 (87273) range across 2 matching MRF lines |
$117–$467.25 | $156–$623 | varies |
| Iaadi inffluenza a virus (87276) range across 2 matching MRF lines |
$174.75–$318 | $233–$424 | varies |
| Iaadi not otherwise specified each organism (87299) range across 2 matching MRF lines |
$117–$171.75 | $156–$229 | varies |
| Iaadi parainfluenza virus each type (87279) range across 4 matching MRF lines |
$144–$170.25 | $192–$227 | varies |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$117–$191.25 | $156–$255 | varies |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) range across 4 matching MRF lines |
$99.75–$117 | $133–$156 | varies |
| Iaadi respiratory synctial virus (87280) | $1,200 | $1,600 | 89.4× |
| Iaadi Varicella Zoster Virus (87290) range across 2 matching MRF lines |
$99.75–$117 | $133–$156 | varies |
| Iaadiadoo trichomonas vaginalis (87808) | $117 | $156 | 7.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $192 | $256 | 5.5× |
| Iadna Bartonella Amplified Probe Technique (87471) | $291 | $388 | 8.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 3 matching MRF lines |
$648.75–$830.25 | $865–$1,107 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $189 | $252 | 5.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$891–$1,051.50 | $1,188–$1,402 | varies |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) range across 2 matching MRF lines |
$163.50–$192 | $218–$256 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$606.75–$1,119.75 | $809–$1,493 | varies |
| Iadna Cytomegalovirus Direct Probe Tq (87495) | $195.75 | $261 | 6.5× |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$979.50–$2,451.75 | $1,306–$3,269 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) | $933 | $1,244 | 26.6× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$638.25–$1,172.25 | $851–$1,563 | varies |
| Iadna Herpes Virus-6 Quantification (87533) | $234 | $312 | 5.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 3 matching MRF lines |
$307.50–$1,627.50 | $410–$2,170 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $291 | $388 | 8.3× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $195.75 | $261 | 7.2× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $195.75 | $261 | 9.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$363.75–$768.75 | $485–$1,025 | varies |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $252 | $336 | 9.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$1,236–$1,524.75 | $1,648–$2,033 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$130.50–$933 | $174–$1,244 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) range across 6 matching MRF lines |
$166.50–$1,445.25 | $222–$1,927 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $74.25 | $99 | 1.4× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $428.25 | $571 | 3.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$705.75–$909.75 | $941–$1,213 | varies |
| Ig Light Chains Free Each (83521) range across 7 matching MRF lines |
$142.50–$273.75 | $190–$365 | varies |
| Igg subclasses (82787) range across 3 matching MRF lines |
$147–$957 | $196–$1,276 | varies |
| Igh gene rearrange amp meth (81261) | $633.75 | $845 | 3.2× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,236.75 | $1,649 | 4.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $938.25 | $1,251 | 2.6× |
| Immune Complex Assay (86332) range across 3 matching MRF lines |
$200.25–$237 | $267–$316 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 4 matching MRF lines |
$225–$288.75 | $300–$385 | varies |
| Immunoassay analyte qual/semiqual single step (83518) | $69.75 | $93 | 7.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 13 matching MRF lines |
$156.75–$792 | $209–$1,056 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $191.25 | $255 | 7.5× |
| Immunoassay infectious agent (86318) | $126 | $168 | 7.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 10 matching MRF lines |
$123.75–$1,293 | $165–$1,724 | varies |
| Immunoassay nonantibody (83516) range across 13 matching MRF lines |
$124.50–$432.75 | $166–$577 | varies |
| Immunodiffusion not elsewhere specified (86329) range across 3 matching MRF lines |
$75–$91.50 | $100–$122 | varies |
| Immunodiffusion Ouchterlony (86331) | $189 | $252 | 15.8× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $533.25 | $711 | 23.1× |
| Immunoelectrophoresis Serum (86320) range across 2 matching MRF lines |
$185.25–$1,272 | $247–$1,696 | varies |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$410.25–$605.25 | $547–$807 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
$401.25–$1,344 | $535–$1,792 | varies |
| Immunohistochemistry (88342) range across 5 matching MRF lines |
$535.50–$1,164.75 | $714–$1,553 | varies |
| In situ hybridization 1st probe stain (88365) range across 3 matching MRF lines |
$469.24–$891.75 | $625.65–$1,189 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) range across 3 matching MRF lines |
$117–$217.50 | $156–$290 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) range across 2 matching MRF lines |
$99.75–$117 | $133–$156 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) | $94.50 | $126 | 9.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) | $117 | $156 | 7.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) | $117 | $156 | 5.4× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) | $117 | $156 | 3.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $117 | $156 | 7.3× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) | $117 | $156 | 4.8× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) range across 3 matching MRF lines |
$72–$185.25 | $96–$247 | varies |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) range across 2 matching MRF lines |
$99.75–$117 | $133–$156 | varies |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) range across 2 matching MRF lines |
$170.25–$318 | $227–$424 | varies |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) range across 2 matching MRF lines |
$166.50–$195.75 | $222–$261 | varies |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $499.50 | $666 | 9.7× |
| Influenza a/b ag eia (87400) range across 2 matching MRF lines |
$291–$456 | $388–$608 | varies |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$369.75–$382.50 | $493–$510 | varies |
| Influenza DNA amp probe (87502) range across 4 matching MRF lines |
$351.75–$816.75 | $469–$1,089 | varies |
| Inhibin A (86336) range across 3 matching MRF lines |
$128.25–$369.75 | $171–$493 | varies |
| Inhibin b (83520) range across 22 matching MRF lines |
$26.25–$774 | $35–$1,032 | varies |
| Insitu hybridization auto (88367) | $595.50 | $794 | 1.7× |
| Insitu hybridization manual (88368) range across 3 matching MRF lines |
$351–$1,282.50 | $468–$1,710 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$522.75–$764.25 | $697–$1,019 | varies |
| Insulin free (83527) | $107.25 | $143 | 8.3× |
| Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) | $986.25 | $1,315 | 3.5× |
| Insulin total (83525) range across 2 matching MRF lines |
$338.25–$461.25 | $451–$615 | varies |
| Intrinsic factor antibody (86340) range across 3 matching MRF lines |
$123.75–$158.25 | $165–$211 | varies |
| Iron (83540) range across 2 matching MRF lines |
$238.50–$257.25 | $318–$343 | varies |
| Iron Binding Capacity (83550) | $357.75 | $477 | 40.9× |
| Iron stain peripheral blood (85536) | $63.75 | $85 | 9.3× |
| Irradiation Blood Product Each Unit (86945) range across 2 matching MRF lines |
$302.25–$348.75 | $403–$465 | varies |
| Islet cell antibody (86341) range across 6 matching MRF lines |
$143.25–$371.25 | $191–$495 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $816.75 | $1,089 | 8.9× |
| Ketosteroids 17 total (83586) | $106.50 | $142 | 8.3× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) range across 2 matching MRF lines |
$964.50–$1,020.75 | $1,286–$1,361 | varies |
| Koh Prep (87220) | $148.50 | $198 | 34.8× |
| Kras Gene Analysis Additional Variant(S) (81276) | $723.75 | $965 | 3.7× |
| Kras Gene Variants Exon 2 (81275) | $1,254 | $1,672 | 6.5× |
| L/s ratio (83661) range across 2 matching MRF lines |
$870–$1,027.50 | $1,160–$1,370 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$84.75–$291 | $113–$388 | varies |
| Lactoferrin fecal qualitative (83630) | $333 | $444 | 16.9× |
| Lactoferrin Fecal Quantitative (83631) | $191.25 | $255 | 9.7× |
| Lamellar Body Count (83664) | $1,305.75 | $1,741 | 67.6× |
| Ldh Isoenzymes (83625) range across 3 matching MRF lines |
$106.50–$124.50 | $142–$166 | varies |
| LDL direct (83721) range across 2 matching MRF lines |
$190.50–$191.25 | $254–$255 | varies |
| Lead (83655) range across 5 matching MRF lines |
$351.75–$447.75 | $469–$597 | varies |
| Legionella antibody (86713) range across 4 matching MRF lines |
$366–$432.75 | $488–$577 | varies |
| Legionella antigen urine (87449) range across 18 matching MRF lines |
$198–$759.75 | $264–$1,013 | varies |
| Legionella DNA probe (87540) | $166.50 | $222 | 8.3× |
| Legionella pneumophila dfa (87278) range across 2 matching MRF lines |
$117–$239.25 | $156–$319 | varies |
| Leptospira antibody (86720) | $56.25 | $75 | 3.5× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$254.25–$301.50 | $339–$402 | varies |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$233.25–$291.75 | $311–$389 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$412.50–$414.75 | $550–$553 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 3 matching MRF lines |
$1,048.50–$1,386.75 | $1,398–$1,849 | varies |
| Lidocaine (80176) range across 2 matching MRF lines |
$121.50–$639.75 | $162–$853 | varies |
| Lipase (83690) range across 3 matching MRF lines |
$85.50–$418.50 | $114–$558 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$107.25–$384 | $143–$512 | varies |
| Lipoprotein Bld Quan Part (83704) | $183.75 | $245 | 5.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) range across 2 matching MRF lines |
$238.50–$280.50 | $318–$374 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $290.25 | $387 | 8.6× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $112.50 | $150 | 8.8× |
| Lithium (80178) range across 2 matching MRF lines |
$276–$298.50 | $368–$398 | varies |
| Luteinizing Hormone (Lh) (83002) range across 4 matching MRF lines |
$183.75–$720 | $245–$960 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$301.50–$383.25 | $402–$511 | varies |
| Lymphocyte Culture Mixed (86821) | $507.75 | $677 | 13.9× |
| Lymphocyte transformation (86353) range across 2 matching MRF lines |
$403.50–$478.50 | $538–$638 | varies |
| Lymphocytotoxicity Assay (86805) range across 3 matching MRF lines |
$432–$510 | $576–$680 | varies |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) | $462.75 | $617 | 9.7× |
| Lysozyme serum (85549) | $154.50 | $206 | 8.2× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $342.75 | $457 | 9.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$945–$1,020 | $1,260–$1,360 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 2 matching MRF lines |
$461.25–$761.25 | $615–$1,015 | varies |
| Macroscopic exam arthropod (87168) | $41.25 | $55 | 9.7× |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$41.25–$63 | $55–$84 | varies |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$282–$651.75 | $376–$869 | varies |
| Mass Spectrometry Quant (83789) | $148.50 | $198 | 6.2× |
| Meat fibers, feces (89160) | $36.75 | $49 | 7.6× |
| Mechanical fragility rbc (85547) | $84.75 | $113 | 9.9× |
| Mecp2 gene full seq (81302) | $5,496 | $7,328 | 10.4× |
| Mercury urine (83825) range across 5 matching MRF lines |
$107.25–$253.50 | $143–$338 | varies |
| Metabolic panel ionized ca (80047) | $508.50 | $678 | 37.0× |
| Methotrexate (80204) range across 2 matching MRF lines |
$239.25–$351 | $319–$468 | varies |
| Methylmalonic acid serum (83921) range across 5 matching MRF lines |
$236.25–$378.75 | $315–$505 | varies |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$261.75–$365.25 | $349–$487 | varies |
| Microbe Suscept Macrobroth (87188) range across 2 matching MRF lines |
$54–$64.50 | $72–$86 | varies |
| Microsatellite instability (81301) | $928.50 | $1,238 | 2.7× |
| Microsomal Antibodies Each (86376) range across 7 matching MRF lines |
$100.50–$439.50 | $134–$586 | varies |
| Mitochondrial Antibody Each (86381) range across 2 matching MRF lines |
$342.75–$539.25 | $457–$719 | varies |
| Mlh1 Gene (81288) range across 2 matching MRF lines |
$804.75–$868.50 | $1,073–$1,158 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $570 | $760 | 2.8× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,511.25 | $2,015 | 2.2× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $640.50 | $854 | 17.0× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $220.50 | $294 | 5.4× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 3 matching MRF lines |
$203.25–$257.25 | $271–$343 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $351 | $468 | 8.3× |
| Molecular Pathology Procedure Level 6 (81405) | $1,749 | $2,332 | 5.8× |
| Mononuclear cell antigen (86356) | $265.50 | $354 | 9.9× |
| Mopath procedure level 2 (81401) | $1,584 | $2,112 | 11.6× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$759–$789 | $1,012–$1,052 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$789–$1,907.25 | $1,052–$2,543 | varies |
| Mopath procedure level 7 (81406) | $4,082.25 | $5,443 | 14.4× |
| Mopath procedure level 9 (81408) | $3,000.75 | $4,001 | 1.5× |
| Morphometric analysis nerve (88356) | $612 | $816 | 11.7× |
| Morphometric Analysis Tumor (88358) | $1,344 | $1,792 | 7.9× |
| Mpl gene common variants (81338) | $882 | $1,176 | 5.9× |
| Mrsa Pcr (87641) | $2,188.50 | $2,918 | 62.4× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $524.25 | $699 | 2.5× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $1,020.75 | $1,361 | 2.7× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $770.25 | $1,027 | 3.2× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $1,041.75 | $1,389 | 1.6× |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$139.50–$166.50 | $186–$222 | varies |
| Mucin Clot Body Fluid (83872) | $397.50 | $530 | 67.8× |
| Mucopolysaccharides acid quantitative (83864) | $165.75 | $221 | 5.8× |
| Mumps antibody (86735) range across 6 matching MRF lines |
$117–$149.25 | $156–$199 | varies |
| Muscle-Specific Kinase Antb (86366) | $2,148.75 | $2,865 | 116.8× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$318.75–$1,547.25 | $425–$2,063 | varies |
| Mycophenolic Acid (80180) range across 2 matching MRF lines |
$144–$382.50 | $192–$510 | varies |
| Mycoplasma antibody (86738) range across 9 matching MRF lines |
$293.25–$978.75 | $391–$1,305 | varies |
| Mycoplasma culture (87109) range across 4 matching MRF lines |
$110.25–$1,009.50 | $147–$1,346 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $1,062.75 | $1,417 | 6.1× |
| Myelin basic protein csf (83873) | $460.50 | $614 | 26.8× |
| Myoglobin urine (83874) range across 6 matching MRF lines |
$348.75–$387 | $465–$516 | varies |
| Natriuretic peptide (83880) range across 6 matching MRF lines |
$429.75–$774 | $573–$1,032 | varies |
| Neisseria Dir Na Probe (87590) range across 2 matching MRF lines |
$391.50–$461.25 | $522–$615 | varies |
| Nerve teasing preparations (88362) | $1,005 | $1,340 | 1.2× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $198 | $264 | 6.8× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $754.99 | $1,006.65 | 2.9× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) range across 2 matching MRF lines |
$216.75–$254.25 | $289–$339 | varies |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) range across 2 matching MRF lines |
$4,033.50–$4,762.50 | $5,378–$6,350 | varies |
| Niacin (84591) | $112.50 | $150 | 6.6× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$310.50–$368.25 | $414–$491 | varies |
| Noonan Spectrum Disorders (81442) | $1,908.75 | $2,545 | 0.9× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $954 | $1,272 | 3.9× |
| Nras gene variants exon 2&3 (81311) | $1,110 | $1,480 | 3.8× |
| Nuclear antigen antibody (86235) range across 28 matching MRF lines |
$136.50–$480.75 | $182–$641 | varies |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $148.50 | $198 | 3.4× |
| Occult blood feces (82272) | $128.25 | $171 | 30.3× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$84–$148.50 | $112–$198 | varies |
| Oligoclonal bands (83916) range across 3 matching MRF lines |
$473.25–$854.25 | $631–$1,139 | varies |
| Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) | $23,820 | $31,760 | 6.4× |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$135–$1,156.50 | $180–$1,542 | varies |
| Organic acids urine (83918) | $973.50 | $1,298 | 41.3× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$264.75–$267 | $353–$356 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$261.75–$268.50 | $349–$358 | varies |
| Osmotic fragility rbc incubated (85557) | $72.75 | $97 | 5.4× |
| Osmotic Fragility RBC Unincubated (85555) range across 2 matching MRF lines |
$54–$64.50 | $72–$86 | varies |
| Osteocalcin (83937) | $234 | $312 | 7.8× |
| Ova and parasites smears (87177) range across 3 matching MRF lines |
$85.50–$397.50 | $114–$530 | varies |
| Oxalate urine (83945) | $106.50 | $142 | 7.4× |
| Particle Agglut Antbdy Titr (86406) | $85.50 | $114 | 8.0× |
| Particle Agglutination Screen Each Antibody (86403) range across 27 matching MRF lines |
$198–$378.75 | $264–$505 | varies |
| Parvovirus antibody (86747) range across 6 matching MRF lines |
$257.25–$753 | $343–$1,004 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $3,372.75 | $4,497 | 4.2× |
| Pathology Consultation During Surgery (88329) range across 2 matching MRF lines |
$292.50–$293.25 | $390–$391 | varies |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $1,267.50 | $1,690 | 3.8× |
| Ph urine (81003) range across 5 matching MRF lines |
$36.75–$205.50 | $49–$274 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$348.75–$376.50 | $465–$502 | varies |
| Phenotype Infect Agent Drug (87900) | $840.75 | $1,121 | 6.4× |
| Phenylketones qual (84035) | $20.25 | $27 | 5.1× |
| Phenytoin (Dilantin) (80185) | $443.25 | $591 | 33.5× |
| Phenytoin free (80186) range across 2 matching MRF lines |
$112.50–$465.75 | $150–$621 | varies |
| Phosphatase acid prostatic (84066) range across 2 matching MRF lines |
$81–$126 | $108–$168 | varies |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$246–$333.75 | $328–$445 | varies |
| Phosphatidylglycerol (84081) range across 2 matching MRF lines |
$217.50–$277.50 | $290–$370 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 3 matching MRF lines |
$142.50–$237 | $190–$316 | varies |
| Phosphorus Serum (84100) | $208.50 | $278 | 44.0× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$41.25–$223.50 | $55–$298 | varies |
| Pik3ca gene analysis targeted sequence analysis (81309) | $1,157.25 | $1,543 | 4.2× |
| Pinworm exam (87172) range across 2 matching MRF lines |
$36.75–$170.25 | $49–$227 | varies |
| Platelet Aggregation (85576) range across 6 matching MRF lines |
$368.25–$638.25 | $491–$851 | varies |
| Platelet Antibodies (86022) range across 6 matching MRF lines |
$405.75–$874.50 | $541–$1,166 | varies |
| Platelet count automated (85049) | $275.25 | $367 | 61.4× |
| Platelet neutralization (85597) range across 4 matching MRF lines |
$111.75–$187.50 | $149–$250 | varies |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $511.50 | $682 | 2.5× |
| Pms2 gene full seq analysis (81317) | $1,337.25 | $1,783 | 2.0× |
| Pneumcysts jirovecii amp prb (87594) | $171.75 | $229 | 4.9× |
| Pooling blood platelets (86965) | $706.50 | $942 | 4.1× |
| Porphobilinogen, urine; quantitative (84110) | $64.50 | $86 | 7.6× |
| Porphyrins Feces Quantitative (84126) | $210 | $280 | 5.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$330–$351.75 | $440–$469 | varies |
| Porphyrins, urine; qualitative (84119) | $84.75 | $113 | 6.3× |
| Potassium Urine (84133) range across 4 matching MRF lines |
$72.26–$227.25 | $96.35–$303 | varies |
| Prealbumin (84134) | $253.50 | $338 | 17.4× |
| Pregnenolone (84140) | $170.25 | $227 | 8.2× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $1,180.50 | $1,574 | 6.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$102–$280.50 | $136–$374 | varies |
| Pretx serum rbc antibody identification dilution (86976) range across 2 matching MRF lines |
$298.50–$351.75 | $398–$469 | varies |
| Primidone (80188) range across 2 matching MRF lines |
$137.25–$208.50 | $183–$278 | varies |
| Procalcitonin (Pct) (84145) | $263.25 | $351 | 9.7× |
| Progesterone (84144) range across 4 matching MRF lines |
$165.75–$654 | $221–$872 | varies |
| Prolactin (84146) range across 3 matching MRF lines |
$411–$691.50 | $548–$922 | varies |
| Protein body fluid (84157) range across 6 matching MRF lines |
$193.50–$613.50 | $258–$818 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$245.25–$314.25 | $327–$419 | varies |
| Protein c antigen (85302) range across 3 matching MRF lines |
$329.25–$1,755 | $439–$2,340 | varies |
| Protein Electrophoresis Urine (84166) range across 7 matching MRF lines |
$111.75–$720 | $149–$960 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$326.25–$620.25 | $435–$827 | varies |
| Protein S Free (85306) range across 6 matching MRF lines |
$293.25–$498.75 | $391–$665 | varies |
| Protein s total (85305) range across 3 matching MRF lines |
$418.50–$1,896 | $558–$2,528 | varies |
| Protein Total Refractometry Any Src (84160) | $41.25 | $55 | 7.4× |
| Protein total serum (84155) range across 2 matching MRF lines |
$189–$306 | $252–$408 | varies |
| Protein Total Urine (84156) range across 8 matching MRF lines |
$207.75–$307.50 | $277–$410 | varies |
| Protein Western Blot Test (84182) | $148.50 | $198 | 5.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$291–$301.50 | $388–$402 | varies |
| Protoporphyrin rbc quantitative (84202) | $73.50 | $98 | 5.1× |
| PSA free (84154) range across 3 matching MRF lines |
$152.25–$517.50 | $203–$690 | varies |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $421.50 | $562 | 1.4× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $1,872 | $2,496 | 3.1× |
| Pth Intact (83970) range across 5 matching MRF lines |
$252.75–$321 | $337–$428 | varies |
| Pyruvate kinase (84220) | $72.75 | $97 | 7.7× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$67.50–$379.50 | $90–$506 | varies |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
$443.25–$874.50 | $591–$1,166 | varies |
| Quantitative assay drug (80299) range across 11 matching MRF lines |
$239.25–$378.75 | $319–$505 | varies |
| Quantitative Screen Metals (83018) | $180.75 | $241 | 8.2× |
| Quinidine (80194) range across 2 matching MRF lines |
$121.50–$788.25 | $162–$1,051 | varies |
| Rbc antibody elution (86860) range across 3 matching MRF lines |
$407.25–$498 | $543–$664 | varies |
| Rbc antibody identification (86870) range across 4 matching MRF lines |
$430.50–$772.50 | $574–$1,030 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$166.50–$516.75 | $222–$689 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$342.75–$609.75 | $457–$813 | varies |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$1,566–$1,638 | $2,088–$2,184 | varies |
| Rbc serum pretx incubj drugs (86975) range across 2 matching MRF lines |
$684.75–$1,825.50 | $913–$2,434 | varies |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$26.25–$27.75 | $35–$37 | varies |
| Receptor assay estrogen (84233) | $531 | $708 | 6.0× |
| Receptor assay progesterone (84234) | $536.25 | $715 | 8.3× |
| Renin activity plasma (84244) range across 4 matching MRF lines |
$378–$828.75 | $504–$1,105 | varies |
| Reptilase test (85635) range across 2 matching MRF lines |
$75–$96.75 | $100–$129 | varies |
| Resp virus 12-25 targets (87633) | $1,985.25 | $2,647 | 4.8× |
| Resp Virus 6-11 Targets (87632) | $1,170 | $1,560 | 5.4× |
| Reticulated Platelet Assay (85055) range across 2 matching MRF lines |
$144.75–$263.25 | $193–$351 | varies |
| Reticulocyte Count (85046) | $53.25 | $71 | 9.6× |
| Reticulocyte Count Manual (85044) | $170.25 | $227 | 39.5× |
| Reticulocyte separation (86972) range across 2 matching MRF lines |
$195.75–$280.50 | $261–$374 | varies |
| Rh (86901) range across 2 matching MRF lines |
$149.25–$232.50 | $199–$310 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$44.25–$447.75 | $59–$597 | varies |
| Rheumatoid factor quant (86431) range across 4 matching MRF lines |
$154.50–$263.25 | $206–$351 | varies |
| Rickettsia antibody (86757) range across 8 matching MRF lines |
$282–$328.50 | $376–$438 | varies |
| Ristocetin cofactor (85245) range across 3 matching MRF lines |
$375.75–$1,001.25 | $501–$1,335 | varies |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$93–$510.75 | $124–$681 | varies |
| Rpr qualitative (86592) range across 5 matching MRF lines |
$228–$291 | $304–$388 | varies |
| Rsv ab (86756) range across 3 matching MRF lines |
$67.50–$78 | $90–$104 | varies |
| Rsv Assay W/Optic (87807) | $741 | $988 | 56.6× |
| Rubella Antibody (86762) range across 9 matching MRF lines |
$142.50–$468.75 | $190–$625 | varies |
| Rubeola antibody (86765) range across 7 matching MRF lines |
$124.50–$195.75 | $166–$261 | varies |
| Russell Viper Venom Time Diluted (85613) range across 6 matching MRF lines |
$185.25–$327.75 | $247–$437 | varies |
| Russell Viper Venon Time Undiluted (85612) range across 2 matching MRF lines |
$57.75–$67.50 | $77–$90 | varies |
| Salmonella antibody (86768) | $63.75 | $85 | 4.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$150–$193.50 | $200–$258 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$110.25–$314.25 | $147–$419 | varies |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$321.75–$414.75 | $429–$553 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$382.96–$492.75 | $510.61–$657 | varies |
| Sedimentation rate (85651) | $347.25 | $463 | 81.3× |
| Sedimentation Rate, Automated (85652) | $267 | $356 | 98.9× |
| Selenium (84255) range across 2 matching MRF lines |
$171–$210 | $228–$280 | varies |
| Semen Anal Sperm Detection (89321) | $107.25 | $143 | 8.9× |
| Semen analysis complete (89320) range across 2 matching MRF lines |
$72.75–$538.50 | $97–$718 | varies |
| Semen analysis motility and count (89310) | $189 | $252 | 22.0× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $56.25 | $75 | 5.7× |
| Sensitivity mic (87186) range across 12 matching MRF lines |
$115.50–$2,106.75 | $154–$2,809 | varies |
| Serpina 1 gene (81332) | $548.25 | $731 | 12.6× |
| Serum Bactericidal Titer (87197) range across 2 matching MRF lines |
$123.75–$981.75 | $165–$1,309 | varies |
| Sex Hormone Binding Globulin (84270) range across 5 matching MRF lines |
$133.56–$384 | $178.08–$512 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$58.50–$198.75 | $78–$265 | varies |
| Sirolimus (80195) range across 2 matching MRF lines |
$112.50–$205.50 | $150–$274 | varies |
| Skin Test Candida (86485) | $96.75 | $129 | 3.3× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$96.75–$219.75 | $129–$293 | varies |
| Skin test unlisted antigen each (86486) | $96.75 | $129 | 3.3× |
| Skin test; histoplasmosis (86510) | $96.75 | $129 | 2.6× |
| Smear acid fast (87206) range across 6 matching MRF lines |
$219–$1,113.75 | $292–$1,485 | varies |
| Smear complex stain (87209) range across 3 matching MRF lines |
$38.25–$417.75 | $51–$557 | varies |
| Smear gram stain (87205) range across 6 matching MRF lines |
$115.50–$359.25 | $154–$479 | varies |
| Smear Special Stain (87207) range across 6 matching MRF lines |
$48.75–$375.75 | $65–$501 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 5 matching MRF lines |
$275.25–$444.75 | $367–$593 | varies |
| So neo gsap DNA/DNA&RNA (81459) | $1,237.50 | $1,650 | 0.4× |
| Sodium Serum (84295) | $200.25 | $267 | 41.6× |
| Sodium Urine (84300) range across 3 matching MRF lines |
$237–$307.50 | $316–$410 | varies |
| Soluble fibrin monomer (85366) | $78 | $104 | 1.0× |
| Soluble Transferrin Receptor (84238) range across 8 matching MRF lines |
$615–$784.50 | $820–$1,046 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$228–$245.25 | $304–$327 | varies |
| Special Stains Group 1 (88312) range across 4 matching MRF lines |
$455.25–$588 | $607–$784 | varies |
| Special Stains Group 2 (88313) range across 4 matching MRF lines |
$378.75–$483 | $505–$644 | varies |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$20.25–$49.50 | $27–$66 | varies |
| Specimen infect agnt concntj (87015) range across 7 matching MRF lines |
$84.75–$343.50 | $113–$458 | varies |
| Spectrophotometry (84311) range across 9 matching MRF lines |
$166.50–$508.50 | $222–$678 | varies |
| Sperm Antibodies (89325) | $87.75 | $117 | 8.2× |
| Sperm identification from aspiration (89257) | $252.75 | $337 | 4.8× |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $252.75 | $337 | 4.8× |
| Splitting Blood/Blood Products Each Unit (86985) | $706.50 | $942 | 4.1× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) range across 2 matching MRF lines |
$293.25–$873.75 | $391–$1,165 | varies |
| Staph a DNA amp probe (87640) | $342.75 | $457 | 9.8× |
| Stem cells total count (86367) | $368.25 | $491 | 4.7× |
| Stone Analysis (82355) range across 2 matching MRF lines |
$96.75–$112.50 | $129–$150 | varies |
| Stool cultr aerobic bact ea (87046) range across 8 matching MRF lines |
$29.25–$925.50 | $39–$1,234 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$99.75–$405.75 | $133–$541 | varies |
| Strep a DNA amp probe (87651) | $170.25 | $227 | 4.9× |
| Strep b DNA amp probe (87653) | $1,080 | $1,440 | 30.8× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $58.50 | $78 | 5.1× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $46.50 | $62 | 8.5× |
| Sugars Single Qual (84376) | $46.50 | $62 | 8.5× |
| Sulfate urine (84392) | $38.25 | $51 | 7.0× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$572.25–$717 | $763–$956 | varies |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$489.75–$814.50 | $653–$1,086 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$1,539–$1,931.25 | $2,052–$2,575 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 3 matching MRF lines |
$73.50–$266.25 | $98–$355 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$524.25–$700.50 | $699–$934 | varies |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) range across 2 matching MRF lines |
$85.50–$101.25 | $114–$135 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 2 matching MRF lines |
$56.25–$1,304.25 | $75–$1,739 | varies |
| Sweat Collection Iontophoresis (89230) | $252.75 | $337 | 4.8× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$161.25–$206.25 | $215–$275 | varies |
| T cells absolute cd4 count (86361) | $364.50 | $486 | 13.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 4 matching MRF lines |
$420.75–$1,249.50 | $561–$1,666 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$310.50–$368.25 | $414–$491 | varies |
| T3 Free (84481) range across 3 matching MRF lines |
$537–$1,002 | $716–$1,336 | varies |
| T3 reverse (84482) range across 2 matching MRF lines |
$183–$680.25 | $244–$907 | varies |
| T3 Total (84480) range across 3 matching MRF lines |
$315–$442.50 | $420–$590 | varies |
| T3 Uptake (84479) range across 4 matching MRF lines |
$306–$552 | $408–$736 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$282–$307.50 | $376–$410 | varies |
| T4 total (84436) range across 3 matching MRF lines |
$389.25–$420 | $519–$560 | varies |
| T4-neonatal (84437) | $53.25 | $71 | 8.2× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$559.50–$679.50 | $746–$906 | varies |
| Tert gene targeted seq alys (81345) | $1,551 | $2,068 | 8.4× |
| Test for acetone/ketones (82009) range across 3 matching MRF lines |
$153.75–$254.25 | $205–$339 | varies |
| Test for urine cystines (82615) | $78 | $104 | 8.2× |
| Testosterone total (84403) range across 4 matching MRF lines |
$248.25–$566.25 | $331–$755 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$227.25–$347.25 | $303–$463 | varies |
| Tetanus antibody (86774) | $123 | $164 | 8.3× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $1,863 | $2,484 | 3.1× |
| Thawing Cryopresrved Sperm (89353) | $390 | $520 | 7.4× |
| Theophylline (80198) | $354.75 | $473 | 25.1× |
| Thiocyanate (84430) | $72.75 | $97 | 6.3× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$223.50–$392.25 | $298–$523 | varies |
| Thromboplastin Inhibition Tissue (85705) range across 2 matching MRF lines |
$69.75–$82.50 | $93–$110 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 5 matching MRF lines |
$117–$430.50 | $156–$574 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$149.25–$191.25 | $199–$255 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$170.25–$467.25 | $227–$623 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 3 matching MRF lines |
$650.25–$1,110 | $867–$1,480 | varies |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) range across 2 matching MRF lines |
$415.50–$490.50 | $554–$654 | varies |
| Thyroxine binding globulin (84442) | $141.75 | $189 | 9.6× |
| Tiss cul neo disorders solid tumor (88239) | $691.50 | $922 | 4.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 5 matching MRF lines |
$26.25–$342.75 | $35–$457 | varies |
| Tissue Culture (88233) range across 3 matching MRF lines |
$932.25–$2,935.50 | $1,243–$3,914 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 2 matching MRF lines |
$723–$2,144.25 | $964–$2,859 | varies |
| Tissue culture bone marrow (88237) range across 4 matching MRF lines |
$1,314–$3,053.25 | $1,752–$4,071 | varies |
| Tissue Culture Lymphocyte (88230) range across 7 matching MRF lines |
$750–$3,053.25 | $1,000–$4,071 | varies |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$303–$503.25 | $404–$671 | varies |
| Topiramate (80201) | $223.50 | $298 | 18.8× |
| Touch prep (88161) range across 2 matching MRF lines |
$354.75–$385.50 | $473–$514 | varies |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 3 matching MRF lines |
$163.50–$662.25 | $218–$883 | varies |
| Toxoplasma ab igm (86778) range across 4 matching MRF lines |
$192–$524.25 | $256–$699 | varies |
| Toxoplasma antibody (86777) range across 5 matching MRF lines |
$301.50–$605.25 | $402–$807 | varies |
| Tp53 gene analysis full gene sequence (81351) | $1,737 | $2,316 | 2.7× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$91.50–$329.25 | $122–$439 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$241.50–$242.25 | $322–$323 | varies |
| Trg gene rearrangement anal (81342) | $645 | $860 | 3.2× |
| Trichinella Antibody (86784) | $67.50 | $90 | 5.4× |
| Trichomonas vagin dir probe (87660) | $195.75 | $261 | 9.8× |
| Trichomonas Vaginalis Amplif (87661) | $280.50 | $374 | 8.0× |
| Triglycerides (84478) range across 2 matching MRF lines |
$248.25–$328.50 | $331–$438 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$195.75–$587.25 | $261–$783 | varies |
| Troponin, qualitative (84512) | $72 | $96 | 7.1× |
| Trypsin feces qual (84488) range across 2 matching MRF lines |
$60–$72 | $80–$96 | varies |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$333–$1,413.75 | $444–$1,885 | varies |
| Tumor Immunohistochem/Manual (88360) range across 4 matching MRF lines |
$401.25–$732 | $535–$976 | varies |
| Urea Nitrogen Clearance (84545) | $173.25 | $231 | 24.1× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$152.25–$156 | $203–$208 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$152.25–$596.25 | $203–$795 | varies |
| Urinalysis Microscopic Only (81015) | $163.50 | $218 | 53.6× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 3 matching MRF lines |
$153.75–$180.75 | $205–$241 | varies |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$42–$85.50 | $56–$114 | varies |
| Urine Albumin Semiquantitative (82044) | $84.75 | $113 | 13.6× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$253.50–$298.50 | $338–$398 | varies |
| Urine Pregnancy Test (81025) | $425.25 | $567 | 49.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $314.25 | $419 | 99.1× |
| Urobilinogen urine qual (84578) | $29.25 | $39 | 6.5× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $56.25 | $75 | 5.9× |
| Valproic acid (80164) | $737.25 | $983 | 54.4× |
| Vancomycin (80202) range across 4 matching MRF lines |
$446.25–$525 | $595–$700 | varies |
| Varicella-zoster antibody (86787) range across 10 matching MRF lines |
$195.75–$348.75 | $261–$465 | varies |
| Vasopressin (84588) range across 3 matching MRF lines |
$280.50–$420.75 | $374–$561 | varies |
| Very Long Chain Fatty Acids (82726) | $148.50 | $198 | 7.5× |
| Viral Culture (87252) range across 9 matching MRF lines |
$281.25–$837 | $375–$1,116 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$243.75–$432 | $325–$576 | varies |
| Virus inoculate tissue addl (87253) range across 7 matching MRF lines |
$139.50–$181.50 | $186–$242 | varies |
| Virus inoculation, shell via (87254) range across 4 matching MRF lines |
$343.50–$846 | $458–$1,128 | varies |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) range across 2 matching MRF lines |
$354.75–$417.75 | $473–$557 | varies |
| Viscosity serum (85810) range across 6 matching MRF lines |
$105.75–$123.75 | $141–$165 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$574.50–$933 | $766–$1,244 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$87.75–$300.75 | $117–$401 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$370.50–$401.25 | $494–$535 | varies |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$215.25–$656.25 | $287–$875 | varies |
| Vitamin c (82180) range across 2 matching MRF lines |
$75–$200.25 | $100–$267 | varies |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$267–$941.25 | $356–$1,255 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$117–$495.75 | $156–$661 | varies |
| Vitamin K (84597) range across 3 matching MRF lines |
$411.75–$556.50 | $549–$742 | varies |
| Volatiles (84600) | $132.75 | $177 | 7.8× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $342.75 | $457 | 28.4× |
| Von willebrand factor ag (85246) range across 3 matching MRF lines |
$938.25–$1,224.75 | $1,251–$1,633 | varies |
| Wbc Alkaline Phosphatase Count (85540) range across 2 matching MRF lines |
$192–$234 | $256–$312 | varies |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$148.50–$410.25 | $198–$547 | varies |
| West Nile Virus Antibody (86789) range across 4 matching MRF lines |
$148.50–$410.25 | $198–$547 | varies |
| Western Blot Test (84181) | $139.50 | $186 | 8.2× |
| Whole Mitochondrial Genome (81460) | $2,985.75 | $3,981 | 2.3× |
| Xm Archive Tissue Molec Anal (88363) range across 2 matching MRF lines |
$64.50–$76.50 | $86–$102 | varies |
| Xylose Absorption Test (84620) range across 2 matching MRF lines |
$97.50–$115.50 | $130–$154 | varies |
| Zinc (84630) range across 2 matching MRF lines |
$317.25–$355.50 | $423–$474 | 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.