Lab & pathology prices at Riverview Health
Noblesville, IN · every code in this section with a posted price and a Medicare benchmark.
716 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $133.80 | $223 | 5.9× |
| 5 Nucleotidase (83915) | $65.40 | $109 | 5.9× |
| Acetylcholine receptor binding antibody (86041) | $107.40 | $179 | 5.8× |
| Acetylcholine receptor blocking antibody (86042) | $67.20 | $112 | 3.7× |
| Acetylcholn Rcptr Modlg Antb (86043) | $69.60 | $116 | 5.8× |
| Acth (82024) | $236.40 | $394 | 6.1× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $199.80 | $333 | 6.1× |
| Actin smooth muscle antibody each (86015) | $73.80 | $123 | 6.1× |
| Acute hepatitis panel (80074) | $291.60 | $486 | 6.1× |
| Acylcarnitines Quant (82017) | $210.60 | $351 | 12.5× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $100.80 | $168 | 6.1× |
| Albumin Fluid (82042) | $48 | $80 | 6.2× |
| Albumin serum (82040) range across 2 matching MRF lines |
$18–$30 | $30–$50 | varies |
| Aldolase (82085) | $59.40 | $99 | 6.1× |
| Aldosterone urine (82088) | $249.60 | $416 | 6.1× |
| Alkaline phosphatase isoenzymes (84080) | $90.60 | $151 | 6.1× |
| Allergen spec ige qual multiallergen screen (86005) | $48.60 | $81 | 6.1× |
| Allergen specific ige (86003) | $32.40 | $54 | 6.2× |
| Allergen specific igg (86001) | $48 | $80 | 6.1× |
| Allg Spec Ige Recomb Ea (86008) | $109.80 | $183 | 6.1× |
| Alpha-1-antitrypsin phenotype (82104) | $88.80 | $148 | 6.1× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$82.80–$201.60 | $138–$336 | varies |
| Alpha-Fetoprotein Serum (82105) | $102.60 | $171 | 6.1× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$18–$33 | $30–$55 | varies |
| Aluminum (82108) | $156 | $260 | 6.1× |
| Amikacin trough (80150) | $92.40 | $154 | 6.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $103.20 | $172 | 6.1× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $18 | $30 | 1.3× |
| Aminolevulinic acid (ala) (82135) | $100.80 | $168 | 6.1× |
| Ammonia (82140) | $89.40 | $149 | 6.1× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $601.20 | $1,002 | 6.1× |
| Amylase urine (82150) range across 5 matching MRF lines |
$18–$39.60 | $30–$66 | varies |
| Ana Titer (86039) | $68.40 | $114 | 6.1× |
| Analysis skeletal muscle (88355) | $452.40 | $754 | 2.5× |
| Anca screen each antibody (86036) | $73.80 | $123 | 6.1× |
| Androstenedione (82157) | $179.40 | $299 | 6.1× |
| Angiotensin converting enzyme csf (82164) | $89.40 | $149 | 6.1× |
| Anti-Phospholipid Antibody (86148) | $98.40 | $164 | 6.1× |
| Antibody aspergillus (86606) | $91.80 | $153 | 6.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $78.60 | $131 | 6.1× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $95.40 | $159 | 6.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $103.20 | $172 | 6.1× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $80.40 | $134 | 6.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $93.60 | $156 | 6.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $111 | $185 | 6.1× |
| Antibody Fungus Not Elsewhere Specified (86671) | $75 | $125 | 6.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $88.20 | $147 | 6.1× |
| Antibody Herpes Smplx Type 1 (86695) | $80.40 | $134 | 6.1× |
| Antibody HIV-2 (86702) | $82.80 | $138 | 6.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $118.20 | $197 | 6.1× |
| Antibody john cunningham virus (86711) | $103.20 | $172 | 6.1× |
| Antibody Protozoa Nes (86753) | $75.60 | $126 | 6.1× |
| Antibody Titer (86886) | $298.20 | $497 | 57.6× |
| Antibody Treponema Pallidum (86780) | $81 | $135 | 6.1× |
| Antigen typing (86905) range across 2 matching MRF lines |
$23.40–$71.40 | $39–$119 | varies |
| Antinomyces antibody (86602) | $62.40 | $104 | 6.1× |
| Antinuclear antibodies (86038) | $74.40 | $124 | 6.2× |
| Antistreptolysin o titer (86060) | $45 | $75 | 6.2× |
| Antithrombin iii activity (85300) | $72.60 | $121 | 6.1× |
| Antithrombin iii antigen (85301) | $66 | $110 | 6.1× |
| Apolipoprotein a1 (82172) | $129 | $215 | 6.1× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $315 | $525 | 8.3× |
| Aquaporin-4 Antb Elisa (86051) | $378 | $630 | 32.8× |
| Arsenic (82175) | $115.80 | $193 | 6.1× |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$73.20–$113.40 | $122–$189 | varies |
| Assay activated protein c (85307) | $93.60 | $156 | 6.1× |
| Assay Blood Carbon Dioxide (82374) | $29.40 | $49 | 6.0× |
| Assay of 5-hiaa (83497) range across 3 matching MRF lines |
$78.60–$335.40 | $131–$559 | varies |
| Assay of anti-mullerian hormone (82166) | $115.20 | $192 | 3.0× |
| Assay of blood/uric acid (84550) | $27.60 | $46 | 6.1× |
| Assay of calcium in urine (82340) | $37.20 | $62 | 6.2× |
| Assay of cpk in blood (82552) | $82.20 | $137 | 6.1× |
| Assay of estrone (82679) | $153 | $255 | 6.1× |
| Assay of g6pd enzyme (82955) | $59.40 | $99 | 6.1× |
| Assay of gammaglobulin igm (82784) | $57 | $95 | 6.1× |
| Assay of lactic acid (83605) | $70.80 | $118 | 6.1× |
| Assay of manganese (83785) | $163.20 | $272 | 6.1× |
| Assay of metanephrines (83835) | $103.80 | $173 | 6.1× |
| Assay of proinsulin (84206) | $163.80 | $273 | 6.1× |
| Assay of serotonin (84260) | $189.60 | $316 | 6.1× |
| Assay of serum potassium (84132) | $28.80 | $48 | 6.1× |
| Assay of sweat sodium (84302) | $29.40 | $49 | 6.0× |
| Assay of transcortin (84449) | $110.40 | $184 | 6.1× |
| Assay of urea nitrogen (84520) | $24 | $40 | 6.1× |
| Assay of urine vma (84585) | $95.40 | $159 | 6.2× |
| Assay of vasoactive intestinal peptide (84586) | $216.60 | $361 | 6.1× |
| Assay of vitamin b-1 (84425) | $129.60 | $216 | 6.1× |
| Assay Ph Body Fluid Nos (83986) | $22.20 | $37 | 6.2× |
| Assay spec xcp ur&breath ia (82077) | $105.60 | $176 | 6.1× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $364.80 | $608 | 2.0× |
| B cells total count (86355) | $231 | $385 | 6.1× |
| Babesia microti amp prb (87469) | $147 | $245 | 4.2× |
| Bartonella antibody (86611) | $62.40 | $104 | 6.1× |
| Bcr/abl1 gene major bp (81206) | $904.20 | $1,507 | 5.5× |
| Bcr/abl1 gene minor bp (81207) | $798 | $1,330 | 5.5× |
| Bcr/Abl1 Gene Other Bp (81208) | $1,183.20 | $1,972 | 5.5× |
| Beta 2 glycoprotein i antibody each (86146) | $155.40 | $259 | 6.1× |
| Beta hydroxybutyrate (82010) | $49.80 | $83 | 6.1× |
| Beta Lactamase (87185) | $28.80 | $48 | 6.1× |
| Beta-2 Microglobulin (82232) | $99 | $165 | 6.1× |
| Bile acids total (82239) | $104.40 | $174 | 6.1× |
| Bilirubin direct (82248) | $30.60 | $51 | 6.1× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$18–$30.60 | $30–$51 | varies |
| Bilirubin total transcutaneous (88720) | $30.60 | $51 | 6.1× |
| Biotinidase (82261) | $19.20 | $32 | 1.1× |
| Blastomyces antibody (86612) | $78.60 | $131 | 6.1× |
| Bld Typing Serologic Rh Phnt (86906) | $172.20 | $287 | 22.2× |
| Blood Count Automated Differential Wbc Count (85004) | $39.60 | $66 | 6.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $23.40 | $39 | 6.2× |
| Blood count spun microhematocrit (85013) | $42.60 | $71 | 6.1× |
| Blood gas (82803) | $159.60 | $266 | 6.1× |
| Blood gases w/02 saturation (82805) | $482.40 | $804 | 6.1× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $97.80 | $163 | 6.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$39–$183 | $65–$305 | varies |
| Blood typing serologic abo (86900) | $30 | $50 | 10.0× |
| Body fluid cell count (89050) | $28.80 | $48 | 6.1× |
| Bordetella antibody (86615) | $80.40 | $134 | 6.1× |
| Braf gene analysis (81210) | $966.60 | $1,611 | 5.5× |
| Brucella antibody (86622) | $54.60 | $91 | 6.1× |
| C diff amplified probe (87493) | $228 | $380 | 6.1× |
| C-Peptide (84681) | $127.20 | $212 | 6.1× |
| C-reactive protein (86140) | $31.80 | $53 | 6.1× |
| Ca 19-9 (86301) | $127.20 | $212 | 6.1× |
| Cadmium (82300) | $145.20 | $242 | 6.1× |
| Calcitonin (82308) | $163.80 | $273 | 6.1× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$32.40–$84 | $54–$140 | varies |
| Calcium total (82310) | $31.80 | $53 | 6.2× |
| Calculus Spectroscopy (82365) | $78.60 | $131 | 6.1× |
| Calprotectin Fecal (83993) | $241.20 | $402 | 12.3× |
| Calr gene com variants (81219) | $670.80 | $1,118 | 5.5× |
| Cancer Antigen 125 (86304) | $127.20 | $212 | 6.1× |
| Cancer Antigen 27.29 (86300) | $127.20 | $212 | 6.1× |
| Candida antibody (86628) | $73.80 | $123 | 6.1× |
| Candida Dna Dir Probe (87480) | $123 | $205 | 6.1× |
| Carbamazepine free (80157) | $81 | $135 | 6.1× |
| Carbamazepine total (80156) | $89.40 | $149 | 6.1× |
| Carbohydrate Deficient Transferrin (82373) | $111 | $185 | 6.1× |
| Carboxyhemoglobin (82375) | $75.60 | $126 | 6.1× |
| Carcinoembryonic antigen (82378) | $115.80 | $193 | 6.1× |
| Cardiolipin ab iga (86147) | $155.40 | $259 | 6.1× |
| Carnitine Quantitative Each Specimen (82379) | $103.20 | $172 | 6.1× |
| Carotene (82380) | $57 | $95 | 6.2× |
| Catecholamines fractionated (82384) | $154.80 | $258 | 6.1× |
| Ccp antibody (86200) | $79.20 | $132 | 6.1× |
| Cell count csf (89051) | $34.20 | $57 | 6.1× |
| Ceruloplasmin (82390) | $65.40 | $109 | 6.1× |
| Cftr gene com variants (81220) | $3,069 | $5,115 | 5.5× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$86.40–$488.40 | $144–$814 | varies |
| Chlamydia antibody (86631) | $72.60 | $121 | 6.1× |
| Chlamydia Igm Antibody (86632) | $77.40 | $129 | 6.1× |
| Chlmy trch&neisra gonor mult (87494) | $429.60 | $716 | 6.1× |
| Chloride other source (82438) | $30.60 | $51 | 6.1× |
| Chloride Serum (82435) | $28.20 | $47 | 6.1× |
| Chloride urine (82436) | $35.40 | $59 | 6.2× |
| Chlorinated Hydrocarbons Screen (82441) | $36.60 | $61 | 6.1× |
| Cholesterol total (82465) | $26.40 | $44 | 6.1× |
| Cholinesterase rbc (82482) | $60 | $100 | 6.1× |
| Cholinesterase Serum (82480) | $48.60 | $81 | 6.2× |
| Chorionic gonadotropin test (84702) | $91.80 | $153 | 6.1× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $165 | $275 | 6.1× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $204.60 | $341 | 6.1× |
| Chromium serum (82495) | $124.20 | $207 | 6.1× |
| Chromogranin a (86316) | $127.20 | $212 | 6.1× |
| Chromosome Analysis 15-20 (88262) | $768.60 | $1,281 | 6.1× |
| Chromosome Analysis 20-25 (88264) | $885.60 | $1,476 | 6.1× |
| Chromosome analysis, 5 (88261) | $1,619.40 | $2,699 | 6.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $214.80 | $358 | 6.1× |
| Citric acid urine (82507) | $170.40 | $284 | 6.1× |
| Ckmb (82553) | $70.80 | $118 | 6.1× |
| Clostridium Difficile (87324) | $73.20 | $122 | 6.1× |
| Clot Factor VIII Multimetric (85247) | $140.40 | $234 | 6.1× |
| Clot factor xiii fibrin stab (85290) | $100.20 | $167 | 6.1× |
| Clotting factor xii hageman (85280) | $118.20 | $197 | 6.1× |
| Cns DNA amp probe type 12-25 (87483) | $2,553 | $4,255 | 6.1× |
| Coagulation time activated (85347) | $26.40 | $44 | 6.2× |
| Coccidioides antibody (86635) | $70.80 | $118 | 6.2× |
| Cold agglutinin screen (86156) | $157.80 | $263 | 19.6× |
| Cold agglutinin titer (86157) | $49.20 | $82 | 6.1× |
| Collagen crosslinks (82523) | $114.60 | $191 | 6.1× |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$147.60–$512.40 | $246–$854 | varies |
| Compatibility test antiglob (86922) | $364.80 | $608 | 2.0× |
| Complement Antigen Each Component (86160) | $73.80 | $123 | 6.1× |
| Complement Total (Ch50) (86162) | $124.80 | $208 | 6.1× |
| Complement/Function Activity (86161) | $73.80 | $123 | 6.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $143.40 | $239 | 2.6× |
| Coombs direct (86880) | $44.40 | $74 | 8.2× |
| Copper urine (82525) | $76.20 | $127 | 6.1× |
| Cortisol free (82530) | $102 | $170 | 6.1× |
| Cortisol saliva (82533) | $99.60 | $166 | 6.1× |
| Creatine kinase total (82550) | $39.60 | $66 | 6.1× |
| Creatinine blood (82565) | $31.80 | $53 | 6.2× |
| Creatinine clearance (82575) | $58.20 | $97 | 6.2× |
| Creatinine Urine (82570) | $31.80 | $53 | 6.1× |
| Crossmatch electronic (86923) | $364.80 | $608 | 2.0× |
| Crossmatch immediate spin (86920) | $364.80 | $608 | 2.0× |
| Crp High Sensitivity (86141) | $79.20 | $132 | 6.1× |
| Cryofibrinogen (82585) | $86.40 | $144 | 6.1× |
| Cryoglobulin (82595) | $39.60 | $66 | 6.1× |
| Cryptococcal Antigen (87327) | $82.20 | $137 | 6.1× |
| Cryptococcus ag titer (87899) | $98.40 | $164 | 6.1× |
| Cryptosporidium (87272) | $73.20 | $122 | 6.1× |
| Cryptosporidium ag eia (87328) | $84.60 | $141 | 6.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$49.80–$117.60 | $83–$196 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $49.80 | $83 | 6.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $47.40 | $79 | 6.1× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,335.60 | $2,226 | 6.1× |
| Culture aerobic quant other (87071) | $60.60 | $101 | 6.1× |
| Culture afb (87116) | $66 | $110 | 6.1× |
| Culture Anaerobic (87075) | $58.20 | $97 | 6.1× |
| Culture blood (87040) | $63 | $105 | 6.1× |
| Culture chlamydia (87110) | $120.60 | $201 | 6.2× |
| Culture csf (87070) | $52.80 | $88 | 6.1× |
| Culture fungus (87102) | $51.60 | $86 | 6.1× |
| Culture fungus blood (87103) | $125.40 | $209 | 6.1× |
| Culture screen only (87081) | $40.20 | $67 | 6.1× |
| Culture stool (87045) | $58.20 | $97 | 6.2× |
| Culture typing if ea antiserum (87140) | $34.20 | $57 | 6.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $31.80 | $53 | 6.1× |
| Culture typing other methods (87158) | $47.40 | $79 | 6.1× |
| Culture urine (87086) | $49.20 | $82 | 6.1× |
| Cyanide (82600) | $118.80 | $198 | 6.1× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $87.60 | $146 | 6.1× |
| Cyclosporine (80158) | $99.60 | $166 | 5.5× |
| Cyp2c19 gene analysis common variants (81225) | $1,606.80 | $2,678 | 5.5× |
| Cystatin C (82610) | $113.40 | $189 | 6.1× |
| Cytogenetics 10-30 (88273) | $213 | $355 | 6.1× |
| Cytogenetics 100-300 (88275) | $313.80 | $523 | 6.1× |
| Cytomegalovirus igg (86644) | $88.20 | $147 | 6.1× |
| Cytopath Cell Enhance Tech (88112) | $143.40 | $239 | 2.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $202.20 | $337 | 7.6× |
| Cytp Concentration Smears & Interpretation (88108) | $97.20 | $162 | 2.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $143.40 | $239 | 2.6× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $452.40 | $754 | 2.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $97.20 | $162 | 2.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $72 | $120 | 2.4× |
| Deoxyribonuclease antibody (86215) | $81 | $135 | 6.1× |
| Desoxycorticosterone (82633) | $189.60 | $316 | 6.1× |
| Detect Agent Nos Dna Amp (87798) range across 14 matching MRF lines |
$100.80–$214.80 | $168–$358 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$262.80–$346.80 | $438–$578 | varies |
| Detect agnt mult DNA ampli (87801) | $430.20 | $717 | 6.1× |
| Dgp Antibody Each Ig Class (86258) | $73.80 | $123 | 6.1× |
| Dhea (82626) | $154.80 | $258 | 6.1× |
| Dhea-S (82627) | $136.20 | $227 | 6.1× |
| Digoxin (80162) | $81 | $135 | 6.1× |
| Dihydrotestosterone (82642) | $179.40 | $299 | 6.1× |
| Dipropylacetic Acid Free (80165) | $83.40 | $139 | 6.2× |
| Dna Antibody Native/Double Stranded (86225) | $84.60 | $141 | 6.2× |
| Dna Antibody Single Stranded (86226) | $74.40 | $124 | 6.1× |
| Dna/Rna Amplified Probe (87150) | $214.80 | $358 | 6.1× |
| DNA/RNA direct probe (87149) | $123 | $205 | 6.1× |
| Dna/Rna Sequencing (87153) | $706.80 | $1,178 | 6.1× |
| Drug assay acetaminophen (80143) | $102.60 | $171 | 5.5× |
| Drug assay adalimumab (80145) | $213 | $355 | 5.5× |
| Drug Assay Amiodarone (80151) | $102.60 | $171 | 5.5× |
| Drug Assay Everolimus (80169) | $75.60 | $126 | 5.5× |
| Drug assay felbamate (80167) | $102.60 | $171 | 5.5× |
| Drug Assay Itraconazole (80189) | $149.40 | $249 | 5.5× |
| Drug Assay Lacosamide (80235) | $156 | $260 | 5.8× |
| Drug Screen Quant Clozapine (80159) | $111 | $185 | 5.5× |
| Drug Screen Quant Zonisamide (80203) | $73.20 | $122 | 5.5× |
| Drug Screen Quantitative Gabapentin (80171) | $120 | $200 | 5.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $73.20 | $122 | 5.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $73.20 | $122 | 5.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $73.20 | $122 | 5.5× |
| Drug Test Prsmv Chem Anlyzr (80307) | $342.60 | $571 | 5.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $69.60 | $116 | 5.5× |
| Egfr Gene Analysis Common Variants (81235) | $1,789.80 | $2,983 | 5.5× |
| Ehrlichia antibody (86666) | $62.40 | $104 | 6.1× |
| El-1 Fecal Quantitative (82653) | $210.60 | $351 | 9.2× |
| Electrolyte panel (80051) | $42.60 | $71 | 6.1× |
| Electron Microscopy (88348) | $2,232.60 | $3,721 | 2.6× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $376.80 | $628 | 6.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $74.40 | $124 | 6.2× |
| Enterovirus Antibody (86658) | $79.80 | $133 | 6.1× |
| Enzyme histochemistry (88319) | $2,232.60 | $3,721 | 2.6× |
| Eosinophil Smear (89190) | $35.40 | $59 | 6.1× |
| Erythropoietin (82668) | $115.20 | $192 | 6.1× |
| Estradiol serum (82670) | $171.60 | $286 | 6.1× |
| Estriol (82677) | $148.20 | $247 | 6.1× |
| Estrogens fractionated (82671) | $198 | $330 | 6.1× |
| Ethosuximide (80168) | $100.20 | $167 | 6.1× |
| Ethylene Glycol (82693) | $91.20 | $152 | 6.1× |
| Exam Synovial Fluid Crystals (89060) | $45 | $75 | 6.1× |
| F2 Gene (81240) | $362.40 | $604 | 5.5× |
| Factor Inhibitor Test (85335) | $283.80 | $473 | 22.1× |
| Factor ix activity (85250) | $116.40 | $194 | 6.1× |
| Factor v activity (85220) | $108.60 | $181 | 6.2× |
| Factor v leiden mutation (81241) | $404.40 | $674 | 5.5× |
| Factor viii assay (85240) | $109.80 | $183 | 6.1× |
| Factor X (85260) | $109.80 | $183 | 6.1× |
| Factor xi activity (85270) | $109.80 | $183 | 6.1× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $47.40 | $79 | 6.1× |
| Fecal Fat Qualitative (82705) | $31.80 | $53 | 6.2× |
| Ferritin (82728) | $84 | $140 | 6.2× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $940.20 | $1,567 | 6.1× |
| Fetal Fibronectin (82731) | $394.20 | $657 | 6.1× |
| Fetal screen rosette (85461) | $57.60 | $96 | 6.2× |
| Fibrin Degradation Quant (85379) | $62.40 | $104 | 6.1× |
| Fibrinogen activity (85384) | $60 | $100 | 6.2× |
| Flow cytometry first marker (88184) | $932.40 | $1,554 | 2.5× |
| Flt3 Gene (81245) | $912 | $1,520 | 5.5× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$52.20–$228.60 | $87–$381 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
$73.80–$393.60 | $123–$656 | varies |
| Fmr1 Gene Charac Alleles (81244) | $247.20 | $412 | 5.5× |
| Fmr1 gene detection (81243) | $315 | $525 | 5.5× |
| Folic acid rbc (82747) | $108.60 | $181 | 6.2× |
| Folic Acid Serum (82746) | $90 | $150 | 6.1× |
| Follicle Stimulating Hormone (83001) | $114 | $190 | 6.1× |
| Francisella tularensis (86668) | $87 | $145 | 6.1× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $364.80 | $608 | 2.0× |
| Frozen Section (88331) | $452.40 | $754 | 2.5× |
| Fungi Identification Mold (87107) | $63 | $105 | 6.1× |
| Fungi Identification Yeast (87106) | $63 | $105 | 6.1× |
| Galactose (82760) | $15.60 | $26 | 1.4× |
| Galactose transferase test (82776) | $12 | $20 | 1.0× |
| Gammaglobulin ige (82785) | $100.80 | $168 | 6.1× |
| Gardner vag DNA dir probe (87510) | $123 | $205 | 6.1× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $60 | $100 | 6.1× |
| Gases blood ph only (82800) | $67.20 | $112 | 6.1× |
| Gastrin (82941) | $108 | $180 | 6.1× |
| Genet Virus Isolate Hsv (87255) | $207 | $345 | 6.1× |
| Gentamicin (80170) | $100.20 | $167 | 6.1× |
| Ggt (82977) range across 2 matching MRF lines |
$18–$44.40 | $30–$74 | varies |
| Giardia antigen (87329) | $73.20 | $122 | 6.1× |
| Glucagon (82943) | $87.60 | $146 | 6.1× |
| Glucose 2 hr pp (82950) | $28.80 | $48 | 6.1× |
| Glucose Blood Test (82962) | $20.40 | $34 | 6.2× |
| Glucose body fluid (82945) | $24 | $40 | 6.1× |
| Glucose Serum (82947) | $24 | $40 | 6.1× |
| Glucose tolerance test (gtt) (82951) | $78.60 | $131 | 6.1× |
| Glutathione (82978) | $107.40 | $179 | 7.0× |
| Glycated Protein (82985) | $102.60 | $171 | 6.1× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $93.60 | $156 | 6.1× |
| Gonadotropin Chorionic Qualitative (84703) | $46.20 | $77 | 6.1× |
| Growth hormone (83003) | $102 | $170 | 6.1× |
| Gtt-added samples (82952) | $24 | $40 | 6.1× |
| H Pylori (C-13) Breath (83013) | $412.80 | $688 | 6.1× |
| H Pylori Drug Admin (83014) | $48 | $80 | 6.1× |
| Haloperidol (80173) | $96.60 | $161 | 6.1× |
| Haptoglobin (83010) | $76.80 | $128 | 6.1× |
| Hba1/hba2 full gene sequence (81259) | $3,307.80 | $5,513 | 5.5× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $1,115.40 | $1,859 | 5.5× |
| Hbb duplication/deletion variants (81363) | $1,115.40 | $1,859 | 5.5× |
| Hbb Full Gene Sequence (81364) | $1,789.80 | $2,983 | 5.5× |
| Hdl Cholesterol (83718) | $50.40 | $84 | 6.2× |
| Helicobacter Pylori Stool (87338) | $88.20 | $147 | 6.1× |
| Helminth Antibody (86682) | $79.20 | $132 | 6.1× |
| Hematocrit (85014) | $14.40 | $24 | 6.1× |
| Hemoglobin (85018) | $14.40 | $24 | 6.1× |
| Hemoglobin a1c (83036) | $59.40 | $99 | 6.1× |
| Hemoglobin Chromotography (83021) | $111 | $185 | 6.1× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$16.80–$78.60 | $28–$131 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $50.40 | $84 | 6.1× |
| Hemoglobin plasma (83051) | $45 | $75 | 6.2× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $53.40 | $89 | 6.1× |
| Hemolysins&Agglutinins Incubated (86941) | $74.40 | $124 | 6.1× |
| Hemosiderin urine (83070) | $28.80 | $48 | 6.1× |
| Hep a ab igm (86709) | $68.40 | $114 | 6.1× |
| Heparin assay (85520) | $79.80 | $133 | 6.1× |
| Heparin Neutralization (85525) | $72.60 | $121 | 6.1× |
| Hepatitis a antibody total (86708) | $75.60 | $126 | 6.1× |
| Hepatitis b core ab igm (86705) | $72 | $120 | 6.1× |
| Hepatitis b core ab total (86704) | $73.80 | $123 | 6.1× |
| Hepatitis B Surface Antibody (86706) | $65.40 | $109 | 6.1× |
| Hepatitis B Surface Antigen (87340) | $63 | $105 | 6.1× |
| Hepatitis Be Antibody (86707) | $70.80 | $118 | 6.1× |
| Hepatitis Be Antigen (87350) | $70.80 | $118 | 6.1× |
| Hepatitis C Antibody (86803) | $87.60 | $146 | 6.1× |
| Hepatitis C Genotype (87902) | $1,576.80 | $2,628 | 6.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $214.80 | $358 | 6.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $262.80 | $438 | 6.1× |
| Herpes simplex type 2 (86696) | $118.20 | $197 | 6.1× |
| Heterophile Antibody Screen (86308) | $31.80 | $53 | 6.1× |
| Hfe Gene (81256) | $360 | $600 | 5.5× |
| Histamine urine (83088) | $180.60 | $301 | 6.1× |
| Histoplasma antibody (86698) | $84.60 | $141 | 6.1× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$120.60–$123 | $201–$205 | varies |
| Hiv Genotype (87901) | $1,576.80 | $2,628 | 6.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $147.60 | $246 | 6.1× |
| Hiv-1 Antibody (86701) | $54 | $90 | 6.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $520.80 | $868 | 6.1× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $409.80 | $683 | 5.5× |
| Hla I Typing 1 Allele Hr (81381) | $937.20 | $1,562 | 5.5× |
| Hla ii typing 1 allele hr (81383) | $601.80 | $1,003 | 5.5× |
| Hla ii typing 1 locus lr (81376) | $673.20 | $1,122 | 5.5× |
| Hla-b27 (86812) | $158.40 | $264 | 6.1× |
| Homocysteine (83090) | $109.80 | $183 | 6.1× |
| Homogenization Tissue (87176) | $36 | $60 | 6.1× |
| Hpv High-Risk Types (87624) | $214.80 | $358 | 6.1× |
| Hpv Types 16 & 18 Only (87625) | $248.40 | $414 | 6.1× |
| Hsv Dna Amp Probe (87529) | $214.80 | $358 | 6.1× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$35.40–$166.20 | $59–$277 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $73.20 | $122 | 6.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $63 | $105 | 6.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $216.60 | $361 | 6.1× |
| Iaadi herpes smplx virus type 1 (87274) | $73.20 | $122 | 6.1× |
| Iaadi herpes smplx virus type 2 (87273) | $73.20 | $122 | 6.1× |
| Iaadi inffluenza a virus (87276) | $98.40 | $164 | 6.1× |
| Iaadi not otherwise specified each organism (87299) | $99 | $165 | 6.1× |
| Iaadi parainfluenza virus each type (87279) | $100.80 | $168 | 6.1× |
| Iaadi respiratory synctial virus (87280) | $82.20 | $137 | 6.1× |
| Iaadi Varicella Zoster Virus (87290) | $82.20 | $137 | 6.1× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $103.80 | $173 | 3.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $214.80 | $358 | 6.1× |
| Iadna Candida Species Amplified Probe Tq (87481) | $214.80 | $358 | 6.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $214.80 | $358 | 6.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $214.80 | $358 | 6.1× |
| Iadna Cytomegalovirus Quantification (87497) | $262.80 | $438 | 6.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $430.20 | $717 | 6.1× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $103.80 | $173 | 3.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $262.80 | $438 | 6.1× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $214.80 | $358 | 6.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $214.80 | $358 | 6.1× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $214.80 | $358 | 6.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $214.80 | $358 | 6.1× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $214.80 | $358 | 6.1× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $145.20 | $242 | 2.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $873.60 | $1,456 | 6.1× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,611 | $2,685 | 6.1× |
| Ig Light Chains Free Each (83521) | $105.60 | $176 | 6.1× |
| Igg subclasses (82787) | $49.20 | $82 | 6.1× |
| Igh gene rearrange amp meth (81261) | $1,091.40 | $1,819 | 5.5× |
| Igk rearrangeabn clonal pop (81264) | $952.20 | $1,587 | 5.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $932.40 | $1,554 | 2.5× |
| Immune Complex Assay (86332) | $149.40 | $249 | 6.1× |
| Immunfix e-phorsis/urine/csf (86335) | $179.40 | $299 | 6.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $112.80 | $188 | 6.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $91.80 | $153 | 6.1× |
| Immunoassay nonantibody (83516) range across 9 matching MRF lines |
$15.60–$103.80 | $26–$173 | varies |
| Immunodiffusion Ouchterlony (86331) | $73.20 | $122 | 6.1× |
| Immunofixation electrophoresis (86334) | $136.80 | $228 | 6.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $932.40 | $1,554 | 5.2× |
| Immunohistochemistry (88342) | $452.40 | $754 | 2.5× |
| In situ hybridization 1st probe stain (88365) | $452.40 | $754 | 2.5× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $88.20 | $147 | 6.1× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $75 | $125 | 6.1× |
| Influenza DNA amp probe (87502) | $586.80 | $978 | 6.1× |
| Inhibin A (86336) | $96 | $160 | 6.2× |
| Inhibin b (83520) range across 13 matching MRF lines |
$105.60–$425.40 | $176–$709 | varies |
| Insitu hybridization manual (88368) | $932.40 | $1,554 | 2.5× |
| Insulin antibodies (86337) | $130.80 | $218 | 6.1× |
| Insulin free (83527) | $79.20 | $132 | 6.1× |
| Insulin total (83525) | $70.20 | $117 | 6.1× |
| Interleukin-6 (83529) | $105.60 | $176 | 6.1× |
| Intrinsic factor antibody (86340) | $92.40 | $154 | 6.1× |
| Iron (83540) | $39.60 | $66 | 6.1× |
| Iron Binding Capacity (83550) | $53.40 | $89 | 6.1× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$144–$510 | $240–$850 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $505.20 | $842 | 5.5× |
| Jak2 Gene Trgt Sequence Alys (81279) | $1,021.20 | $1,702 | 5.5× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $1,816.80 | $3,028 | 5.5× |
| Koh Prep (87220) | $26.40 | $44 | 6.2× |
| Kras Gene Analysis Additional Variant(S) (81276) | $1,065.60 | $1,776 | 5.5× |
| Kras Gene Variants Exon 2 (81275) | $1,065.60 | $1,776 | 5.5× |
| L/s ratio (83661) | $135 | $225 | 6.1× |
| Lactate (ld) (ldh) enzyme (83615) | $37.20 | $62 | 6.2× |
| Lactoferrin fecal qualitative (83630) | $121.20 | $202 | 6.2× |
| Lamellar Body Count (83664) | $118.20 | $197 | 6.1× |
| Ldh Isoenzymes (83625) | $78 | $130 | 6.1× |
| LDL direct (83721) | $64.20 | $107 | 6.1× |
| Lead (83655) | $74.40 | $124 | 6.1× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$73.20–$220.80 | $122–$368 | varies |
| Leukocyte Assessment Fecal (89055) | $26.40 | $44 | 6.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $72 | $120 | 2.4× |
| Level ii surg pathology grossµscopic exam (88302) | $72 | $120 | 1.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $932.40 | $1,554 | 2.5× |
| Lidocaine (80176) | $90 | $150 | 6.1× |
| Lipase (83690) | $42 | $70 | 6.1× |
| Lipoprotein A (83695) | $87.60 | $146 | 6.1× |
| Lipoprotein Bld Quan Part (83704) | $209.40 | $349 | 6.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $283.80 | $473 | 6.1× |
| Lithium (80178) | $40.20 | $67 | 6.1× |
| Luteinizing Hormone (Lh) (83002) | $113.40 | $189 | 6.1× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$54.60–$104.40 | $91–$174 | varies |
| Lysozyme serum (85549) | $114.60 | $191 | 6.1× |
| M. Genitalium Amp Probe (87563) | $214.80 | $358 | 6.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $452.40 | $754 | 2.5× |
| M/phmtrc alys ishquant/semiq (88374) | $452.40 | $754 | 2.5× |
| Macroscopic exam arthropod (87168) | $26.40 | $44 | 6.2× |
| Macroscopic Exam Parasite (87169) | $26.40 | $44 | 6.1× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$40.80–$66.60 | $68–$111 | varies |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$25.80–$147.60 | $43–$246 | varies |
| Mercury urine (83825) | $99.60 | $166 | 6.1× |
| Metabolic panel ionized ca (80047) | $84 | $140 | 6.1× |
| Methylmalonic acid serum (83921) | $129.60 | $216 | 6.1× |
| Microalbumin, quantitative (82043) | $35.40 | $59 | 6.1× |
| Microsatellite instability (81301) | $1,921.20 | $3,202 | 5.5× |
| Microsomal Antibodies Each (86376) | $88.80 | $148 | 6.1× |
| Mitochondrial Antibody Each (86381) | $155.40 | $259 | 6.1× |
| Mlh1 Gene (81288) | $1,060.80 | $1,768 | 5.5× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 3 matching MRF lines |
$130.80–$429 | $218–$715 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $259.80 | $433 | 6.1× |
| Mononuclear cell antigen (86356) | $163.80 | $273 | 6.1× |
| Mopath procedure level 2 (81401) | $722.40 | $1,204 | 5.3× |
| Mopath procedure level 4 (81403) | $1,021.20 | $1,702 | 5.5× |
| Mopath procedure level 5 (81404) | $1,515 | $2,525 | 5.5× |
| Morphometric Analysis Tumor (88358) | $452.40 | $754 | 2.5× |
| Mpl gene common variants (81338) | $829.20 | $1,382 | 5.5× |
| Mrsa Pcr (87641) | $214.80 | $358 | 6.1× |
| Mthfr Gene Analysis Common Variants (81291) | $360 | $600 | 5.5× |
| Mucopolysaccharides acid quantitative (83864) | $174.60 | $291 | 6.1× |
| Mumps antibody (86735) | $79.80 | $133 | 6.1× |
| Muscle-Specific Kinase Antb (86366) | $496.20 | $827 | 27.0× |
| Mycophenolic Acid (80180) | $99.60 | $166 | 5.5× |
| Mycoplasma antibody (86738) | $81 | $135 | 6.1× |
| Mycoplasma culture (87109) | $94.80 | $158 | 6.2× |
| Myelin basic protein csf (83873) | $105 | $175 | 6.1× |
| Myoglobin urine (83874) | $79.20 | $132 | 6.1× |
| Natriuretic peptide (83880) | $240.60 | $401 | 6.1× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $873.60 | $1,456 | 6.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $442.20 | $737 | 6.1× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $789 | $1,315 | 6.1× |
| Niacin (84591) | $126 | $210 | 7.4× |
| Nk cells total count (86357) | $231 | $385 | 6.1× |
| Nras gene variants exon 2&3 (81311) | $1,630.80 | $2,718 | 5.5× |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$109.80–$110.40 | $183–$184 | varies |
| Occult Blood Other Sources (82271) | $33 | $55 | 6.2× |
| Oligoclonal bands (83916) | $167.40 | $279 | 6.1× |
| Organic acids urine (83918) | $144 | $240 | 6.1× |
| Osmolality serum (83930) | $40.20 | $67 | 6.1× |
| Osmolality Urine (83935) | $41.40 | $69 | 6.1× |
| Osteocalcin (83937) | $183 | $305 | 6.1× |
| Ova and parasites smears (87177) | $54.60 | $91 | 6.1× |
| Pancreatic Elastase Fecal (82656) | $70.80 | $118 | 6.1× |
| Particle Agglut Antbdy Titr (86406) | $64.80 | $108 | 6.1× |
| Particle Agglutination Screen Each Antibody (86403) | $70.80 | $118 | 6.1× |
| Parvovirus antibody (86747) | $91.80 | $153 | 6.1× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $2,232.60 | $3,721 | 2.6× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $1,816.80 | $3,028 | 5.5× |
| Ph urine (81003) | $17.40 | $29 | 7.7× |
| Phenobarbital Level (80184) | $93.60 | $156 | 6.1× |
| Phenotype Infect Agent Drug (87900) | $798 | $1,330 | 6.1× |
| Phenytoin (Dilantin) (80185) | $81 | $135 | 6.1× |
| Phenytoin free (80186) | $84.60 | $141 | 6.1× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$18–$31.80 | $30–$53 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $121.80 | $203 | 6.8× |
| Phosphorus Serum (84100) | $28.80 | $48 | 6.1× |
| Phosphorus urine (84105) | $35.40 | $59 | 6.1× |
| Pinworm exam (87172) | $26.40 | $44 | 6.2× |
| Platelet Aggregation (85576) | $152.40 | $254 | 6.1× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$112.80–$460.20 | $188–$767 | varies |
| Platelet count automated (85049) | $27.60 | $46 | 6.2× |
| Platelet neutralization (85597) | $110.40 | $184 | 6.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $1,143 | $1,905 | 5.5× |
| Pneumcysts jirovecii amp prb (87594) | $277.80 | $463 | 7.9× |
| Porphobilinogen, urine; quantitative (84110) | $54 | $90 | 6.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $90 | $150 | 6.1× |
| Potassium Urine (84133) | $28.80 | $48 | 6.1× |
| Prealbumin (84134) | $89.40 | $149 | 6.1× |
| Pregnenolone (84140) | $126.60 | $211 | 6.1× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $364.80 | $608 | 2.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $186 | $310 | 3.0× |
| Primidone (80188) | $101.40 | $169 | 6.1× |
| Procalcitonin (Pct) (84145) | $166.80 | $278 | 6.1× |
| Progesterone (84144) | $127.80 | $213 | 6.1× |
| Prolactin (84146) | $118.20 | $197 | 6.1× |
| Protein body fluid (84157) | $24.60 | $41 | 6.2× |
| Protein C Activity (85303) | $85.20 | $142 | 6.2× |
| Protein c antigen (85302) | $73.80 | $123 | 6.1× |
| Protein Electrophoresis Urine (84166) | $109.20 | $182 | 6.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $65.40 | $109 | 6.1× |
| Protein S Free (85306) | $93.60 | $156 | 6.1× |
| Protein s total (85305) | $71.40 | $119 | 6.1× |
| Protein total serum (84155) range across 2 matching MRF lines |
$18–$22.80 | $30–$38 | varies |
| Protein Total Urine (84156) | $22.80 | $38 | 6.2× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $24 | $40 | 6.1× |
| Protoporphyrin rbc quantitative (84202) | $88.20 | $147 | 6.1× |
| PSA free (84154) | $112.80 | $188 | 6.1× |
| Pth Intact (83970) | $252.60 | $421 | 6.1× |
| Q Fever Antibody (86638) | $74.40 | $124 | 6.1× |
| Quantiferon tb gold plus (86480) | $379.80 | $633 | 6.1× |
| Quantitative assay drug (80299) | $148.80 | $248 | 8.0× |
| Quantitative Screen Metals (83018) | $135 | $225 | 6.1× |
| Quinidine (80194) | $89.40 | $149 | 6.1× |
| Rbc antibody elution (86860) | $364.80 | $608 | 2.0× |
| Rbc antibody identification (86870) | $751.80 | $1,253 | 2.0× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$60–$134.40 | $100–$224 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$78.60–$382.80 | $131–$638 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $751.80 | $1,253 | 4.2× |
| Renin activity plasma (84244) | $135 | $225 | 6.1× |
| Reptilase test (85635) | $60.60 | $101 | 6.2× |
| Resp virus 12-25 targets (87633) | $2,553 | $4,255 | 6.1× |
| Resp Virus 6-11 Targets (87632) | $1,335.60 | $2,226 | 6.1× |
| Reticulated Platelet Assay (85055) | $218.40 | $364 | 6.1× |
| Reticulocyte Count (85046) | $34.20 | $57 | 6.1× |
| Reticulocyte separation (86972) | $151.20 | $252 | 0.8× |
| Rh (86901) | $30 | $50 | 10.0× |
| Rheumatoid Factor Qualitative (86430) | $37.80 | $63 | 6.2× |
| Rheumatoid factor quant (86431) | $34.80 | $58 | 6.1× |
| Rickettsia antibody (86757) | $118.20 | $197 | 6.1× |
| Ristocetin cofactor (85245) | $140.40 | $234 | 6.1× |
| Rotavirus ag eia (87425) | $73.20 | $122 | 6.1× |
| Rpr qualitative (86592) | $26.40 | $44 | 6.2× |
| Rsv Assay W/Optic (87807) | $79.80 | $133 | 6.1× |
| Rubella Antibody (86762) | $88.20 | $147 | 6.1× |
| Rubeola antibody (86765) | $78.60 | $131 | 6.1× |
| Russell Viper Venom Time Diluted (85613) | $58.80 | $98 | 6.1× |
| Salicylate Level (80179) | $102.60 | $171 | 5.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $314.40 | $524 | 6.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $258.60 | $431 | 6.1× |
| Sedimentation Rate, Automated (85652) | $16.20 | $27 | 6.0× |
| Selenium (84255) | $156 | $260 | 6.1× |
| Semen Anal Sperm Detection (89321) | $73.80 | $123 | 6.1× |
| Semen analysis complete (89322) | $95.40 | $159 | 6.2× |
| Semen analysis motility and count (89310) | $178.20 | $297 | 20.7× |
| Sensitivity mic (87186) | $52.80 | $88 | 6.1× |
| Sex Hormone Binding Globulin (84270) | $133.20 | $222 | 6.1× |
| Sickling of rbc reduction (85660) | $43.20 | $72 | 7.8× |
| Sirolimus (80195) | $84 | $140 | 6.1× |
| Skin test tuberculosis intradermal (86580) | $58.20 | $97 | 1.9× |
| Smear acid fast (87206) | $40.20 | $67 | 7.5× |
| Smear complex stain (87209) | $110.40 | $184 | 6.1× |
| Smear gram stain (87205) | $26.40 | $44 | 6.2× |
| Smear Special Stain (87207) | $36.60 | $61 | 6.1× |
| Smn1 Gene Dos/Deletion Alys (81329) | $755.40 | $1,259 | 5.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $36 | $60 | 6.2× |
| Sodium Serum (84295) | $29.40 | $49 | 6.1× |
| Sodium Urine (84300) | $30.60 | $51 | 6.0× |
| Soluble Transferrin Receptor (84238) | $224.40 | $374 | 6.1× |
| Somatomedin (84305) | $130.20 | $217 | 6.1× |
| Special Stains Group 1 (88312) | $143.40 | $239 | 2.6× |
| Special Stains Group 2 (88313) | $97.20 | $162 | 0.7× |
| Specific gravity body fluid (84315) | $20.40 | $34 | 6.2× |
| Specimen infect agnt concntj (87015) | $40.80 | $68 | 6.1× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$49.80–$61.80 | $83–$103 | varies |
| Sperm Antibodies (89325) | $65.40 | $109 | 6.1× |
| Splitting Blood/Blood Products Each Unit (86985) | $364.80 | $608 | 2.0× |
| Stool cultr aerobic bact ea (87046) | $58.20 | $97 | 6.2× |
| Strep a assay w/optic (87880) | $101.40 | $169 | 6.1× |
| Strep a DNA amp probe (87651) | $214.80 | $358 | 6.1× |
| Strep b DNA amp probe (87653) | $214.80 | $358 | 6.1× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $414 | $690 | 4.5× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $105 | $175 | 9.1× |
| Sugars Single Qual (84376) | $33.60 | $56 | 6.1× |
| Surg path level iii (88304) | $143.40 | $239 | 2.6× |
| Surgical pathology level IV (88305) | $143.40 | $239 | 2.6× |
| Surgical pathology level vi (88309) | $2,232.60 | $3,721 | 2.6× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $46.20 | $77 | 6.2× |
| Syphilis Test Non-Trep Quant (86593) | $27 | $45 | 6.1× |
| T cells absolute cd4 count (86361) | $163.80 | $273 | 6.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $288 | $480 | 6.1× |
| T cells total count (86359) | $231 | $385 | 6.1× |
| T3 Free (84481) | $103.80 | $173 | 6.1× |
| T3 reverse (84482) | $96.60 | $161 | 6.1× |
| T3 Total (84480) | $87 | $145 | 6.1× |
| T4 Free (84439) | $55.20 | $92 | 6.1× |
| T4 total (84436) | $42 | $70 | 6.1× |
| Tacrolimus (80197) | $84 | $140 | 6.1× |
| Tb ag response t-cell susp (86481) | $612.60 | $1,021 | 6.1× |
| Testosterone total (84403) | $158.40 | $264 | 6.1× |
| Testosterone, Free (84402) | $156 | $260 | 6.1× |
| Theophylline (80198) | $86.40 | $144 | 6.1× |
| Thiopurine methyltransferase (84433) | $254.40 | $424 | 11.5× |
| Thrombin Time (85670) | $35.40 | $59 | 6.1× |
| Thromboplastin Inhibition Tissue (85705) | $59.40 | $99 | 6.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $39.60 | $66 | 6.1× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$98.40–$123 | $164–$205 | varies |
| Thyroglobulin Antibody (86800) | $97.80 | $163 | 6.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $312 | $520 | 6.1× |
| Thyroxine binding globulin (84442) | $90.60 | $151 | 6.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $70.80 | $118 | 6.1× |
| Tissue Culture (88233) | $861.60 | $1,436 | 6.1× |
| Tissue Culture Amniotic Fluid (88235) | $920.40 | $1,534 | 6.1× |
| Tissue culture bone marrow (88237) | $880.80 | $1,468 | 6.1× |
| Tissue Culture Lymphocyte (88230) | $714 | $1,190 | 6.1× |
| Tobramycin peak (80200) | $99 | $165 | 6.1× |
| Topiramate (80201) | $73.20 | $122 | 6.1× |
| Touch prep (88161) | $72 | $120 | 2.4× |
| Toxoplasma ab igm (86778) | $88.20 | $147 | 6.1× |
| Toxoplasma antibody (86777) | $88.20 | $147 | 6.1× |
| Tpmt gene com variants (81335) | $963.60 | $1,606 | 5.5× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$18–$31.80 | $30–$53 | varies |
| Transferrin (84466) | $78 | $130 | 6.1× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,152 | $1,920 | 5.5× |
| Trg gene rearrangement anal (81342) | $1,110.60 | $1,851 | 5.5× |
| Trichomonas vagin dir probe (87660) | $123 | $205 | 6.1× |
| Trichomonas Vaginalis Amplif (87661) | $214.80 | $358 | 6.1× |
| Triglycerides (84478) | $35.40 | $59 | 6.2× |
| Troponin Quant (84484) | $76.20 | $127 | 6.1× |
| Tumor immunohistochem/comput (88361) | $932.40 | $1,554 | 2.5× |
| Tumor Immunohistochem/Manual (88360) | $452.40 | $754 | 2.5× |
| Urea nitrogen urine (84540) | $34.20 | $57 | 6.2× |
| Uric acid other source (84560) | $30.60 | $51 | 6.0× |
| Urinalysis Microscopic Only (81015) | $24 | $40 | 7.9× |
| Urinalysis Volume Measure (81050) | $27.60 | $46 | 7.6× |
| Urine Bacteria Culture (87088) | $49.80 | $83 | 6.2× |
| Urine Pregnancy Test (81025) | $65.40 | $109 | 7.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $24.60 | $41 | 7.8× |
| Valproic acid (80164) | $83.40 | $139 | 6.2× |
| Vancomycin (80202) | $83.40 | $139 | 6.2× |
| Varicella-zoster antibody (86787) | $78.60 | $131 | 6.1× |
| Vasopressin (84588) | $208.20 | $347 | 6.1× |
| Very Long Chain Fatty Acids (82726) | $121.20 | $202 | 6.1× |
| Viral Culture (87252) | $159.60 | $266 | 6.1× |
| Virus antibody nos (86790) | $78.60 | $131 | 6.1× |
| Virus inoculate tissue addl (87253) | $123.60 | $206 | 6.1× |
| Virus inoculation, shell via (87254) | $120 | $200 | 6.1× |
| Viscosity serum (85810) | $71.40 | $119 | 6.1× |
| Vit D 1 25-Dihydroxy (82652) | $235.80 | $393 | 6.1× |
| Vitamin A (84590) | $71.40 | $119 | 6.1× |
| Vitamin b-12 (82607) | $92.40 | $154 | 6.1× |
| Vitamin B2 (Riboflavin) (84252) | $124.20 | $207 | 6.1× |
| Vitamin B6 (84207) | $172.20 | $287 | 6.1× |
| Vitamin c (82180) | $60.60 | $101 | 6.1× |
| Vitamin D 25-Hydroxy (82306) | $181.20 | $302 | 6.1× |
| Vitamin E (84446) | $87 | $145 | 6.1× |
| Vitamin K (84597) | $84 | $140 | 6.1× |
| Volatiles (84600) | $393.60 | $656 | 23.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $305.40 | $509 | 25.3× |
| Von willebrand factor ag (85246) | $140.40 | $234 | 6.1× |
| West nile virus ab igm (86788) | $103.20 | $172 | 6.1× |
| West Nile Virus Antibody (86789) | $88.20 | $147 | 6.1× |
| Xm Archive Tissue Molec Anal (88363) | $72 | $120 | 2.4× |
| Zika Virus Dna/Rna Amp Probe (87662) | $314.40 | $524 | 6.1× |
| Zika Virus Igm Antibody (86794) | $165.60 | $276 | 9.8× |
| Zinc (84630) range across 4 matching MRF lines |
$70.20–$113.40 | $117–$189 | 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.