Lab & pathology prices at Rooks County Health Center
Plainville, KS · every code in this section with a posted price and a Medicare benchmark.
616 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $105.38 | $140.50 | 9.5× |
| Acetylcholine receptor binding antibody (86041) | $357.19 | $476.25 | 19.4× |
| Acetylcholine receptor blocking antibody (86042) | $306.19 | $408.25 | 16.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $302.06 | $402.75 | 25.1× |
| Acth (82024) | $183.94 | $245.25 | 4.8× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $182.81 | $243.75 | 5.6× |
| Actin smooth muscle antibody each (86015) | $116.25 | $155 | 9.6× |
| Acute hepatitis panel (80074) | $300.38 | $400.50 | 6.3× |
| Acylcarnitines Quant (82017) | $234.56 | $312.75 | 13.9× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $165.38 | $220.50 | 2.6× |
| Agglutinins Febrile Each Antigen (86000) | $45 | $60 | 6.4× |
| Albumin Fluid (82042) | $30.75 | $41 | 4.0× |
| Albumin serum (82040) | $14.44 | $19.25 | 2.9× |
| Aldolase (82085) | $75.75 | $101 | 7.8× |
| Aldosterone urine (82088) | $170.81 | $227.75 | 4.2× |
| Alkaline phosphatase isoenzymes (84080) | $132.19 | $176.25 | 8.9× |
| Allergen spec ige qual multiallergen screen (86005) | $146.63 | $195.50 | 18.4× |
| Allergen specific ige (86003) range across 12 matching MRF lines |
$29.25–$585.75 | $39–$781 | varies |
| Allergen specific igg (86001) | $265.88 | $354.50 | 34.0× |
| Alpha-1-antitrypsin phenotype (82104) | $124.69 | $166.25 | 8.6× |
| Alpha-1-antitrypsin total (82103) | $123 | $164 | 9.2× |
| Alpha-Fetoprotein Serum (82105) | $126.75 | $169 | 7.6× |
| Alt (sgpt) (84460) | $19.69 | $26.25 | 3.7× |
| Amikacin trough (80150) | $114.56 | $152.75 | 7.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $702 | $936 | 41.6× |
| Aminolevulinic acid (ala) (82135) | $78.94 | $105.25 | 4.8× |
| Ammonia (82140) | $113.25 | $151 | 7.8× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $159 | $212 | 1.6× |
| Amylase urine (82150) | $57 | $76 | 8.8× |
| Ana Titer (86039) | $136.88 | $182.50 | 12.3× |
| Androstenedione (82157) | $74.63 | $99.50 | 2.5× |
| Angiotensin converting enzyme csf (82164) | $113.25 | $151 | 7.8× |
| Anti-Phospholipid Antibody (86148) | $66.94 | $89.25 | 4.2× |
| Antibody aspergillus (86606) | $111 | $148 | 7.4× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $93 | $124 | 7.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$139.88–$278.44 | $186.50–$371.25 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$88.13–$104.44 | $117.50–$139.25 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $101.25 | $135 | 7.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $102.19 | $136.25 | 6.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$84.94–$168.56 | $113.25–$224.75 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $88.88 | $118.50 | 7.3× |
| Antibody haemophilus influenza (86684) | $59.63 | $79.50 | 3.8× |
| Antibody helicobacter pylori (86677) | $88.13 | $117.50 | 5.2× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $93.94 | $125.25 | 6.5× |
| Antibody Herpes Smplx Type 1 (86695) | $93.94 | $125.25 | 7.1× |
| Antibody HIV-1&HIV-2 single result (86703) | $95.81 | $127.75 | 7.0× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $141.94 | $189.25 | 1.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $111 | $148 | 5.7× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$86.25–$134.81 | $115–$179.75 | varies |
| Antibody plasmodium malaria (86750) | $247.31 | $329.75 | 18.7× |
| Antibody Protozoa Nes (86753) | $93.94 | $125.25 | 7.6× |
| Antibody Titer (86886) | $70.88 | $94.50 | 13.7× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$63.56–$123.19 | $84.75–$164.25 | varies |
| Antibody; influenza virus (86710) | $161.81 | $215.75 | 11.9× |
| Antigen typing (86905) | $88.69 | $118.25 | 23.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $28.88 | $38.50 | 5.0× |
| Antinomyces antibody (86602) | $74.25 | $99 | 7.3× |
| Antinuclear antibodies (86038) | $53.06 | $70.75 | 4.4× |
| Antistreptolysin o titer (86060) | $81.19 | $108.25 | 11.1× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$100.13–$189.19 | $133.50–$252.25 | varies |
| Apolipoprotein a1 (82172) | $59.81 | $79.75 | 2.8× |
| Aquaporin-4 Antb Elisa (86051) | $285.94 | $381.25 | 24.8× |
| Arsenic (82175) | $88.50 | $118 | 4.7× |
| Aspergillus ag eia (87305) | $112.50 | $150 | 9.4× |
| Assay activated protein c (85307) | $297 | $396 | 19.4× |
| Assay Blood Carbon Dioxide (82374) | $67.88 | $90.50 | 13.9× |
| Assay Blood Catecholamines (82383) | $209.81 | $279.75 | 7.2× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$102.56–$154.13 | $136.75–$205.50 | varies |
| Assay of 5-hiaa (83497) | $197.63 | $263.50 | 15.3× |
| Assay of anti-mullerian hormone (82166) | $243.38 | $324.50 | 6.3× |
| Assay of blood/uric acid (84550) | $38.44 | $51.25 | 8.5× |
| Assay of calcium in urine (82340) | $55.88 | $74.50 | 9.3× |
| Assay of cpk in blood (82552) | $58.50 | $78 | 4.4× |
| Assay of estrone (82679) | $96.38 | $128.50 | 3.9× |
| Assay of g6pd enzyme (82955) | $92.81 | $123.75 | 9.6× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$64.88–$257.06 | $86.50–$342.75 | varies |
| Assay of lactic acid (83605) | $77.81 | $103.75 | 6.7× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$90–$223.31 | $120–$297.75 | varies |
| Assay of proinsulin (84206) | $144.75 | $193 | 5.4× |
| Assay of pyruvate (84210) | $124.50 | $166 | 8.6× |
| Assay of serotonin (84260) | $291.38 | $388.50 | 9.4× |
| Assay of serum potassium (84132) | $38.44 | $51.25 | 8.1× |
| Assay of Tyrosine (84510) | $114.75 | $153 | 10.8× |
| Assay of urea nitrogen (84520) | $38.44 | $51.25 | 9.7× |
| Assay of urine vma (84585) | $146.25 | $195 | 9.4× |
| Assay of vitamin b-1 (84425) | $163.88 | $218.50 | 7.7× |
| Assay Ph Body Fluid Nos (83986) | $42.19 | $56.25 | 11.8× |
| Automated Leukocyte Count (85048) | $26.63 | $35.50 | 10.5× |
| B cells total count (86355) | $195.75 | $261 | 5.2× |
| Bartonella antibody (86611) | $108.38 | $144.50 | 10.6× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$236.25–$574.13 | $315–$765.50 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$241.13–$574.13 | $321.50–$765.50 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $210.38 | $280.50 | 1.0× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$80.25–$240.19 | $107–$320.25 | varies |
| Beta hydroxybutyrate (82010) | $75.94 | $101.25 | 9.3× |
| Beta Lactamase (87185) | $42.75 | $57 | 9.0× |
| Beta-2 Microglobulin (82232) | $93.56 | $124.75 | 5.8× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $118.13 | $157.50 | 0.9× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $118.13 | $157.50 | 0.9× |
| Bilirubin direct (82248) | $41.06 | $54.75 | 8.2× |
| Bilirubin total (82247) | $38.44 | $51.25 | 7.7× |
| Blastomyces antibody (86612) | $136.50 | $182 | 10.6× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $210.94 | $281.25 | 1.3× |
| Bld Typing Serologic Rh Phnt (86906) | $88.69 | $118.25 | 11.4× |
| Bleeding time test (85002) | $32.25 | $43 | 6.7× |
| Blood Count Automated Differential Wbc Count (85004) | $22.88 | $30.50 | 3.5× |
| Blood Count Red Blood Cell Automated (85041) | $27.94 | $37.25 | 9.3× |
| Blood count reticulocyte automated (85045) | $188.06 | $250.75 | 47.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $26.63 | $35.50 | 7.0× |
| Blood gas (82803) | $162.75 | $217 | 6.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 4 matching MRF lines |
$18.75–$122.63 | $25–$163.50 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $18.75 | $25 | 4.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $79.69 | $106.25 | 12.5× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $44.81 | $59.75 | 2.7× |
| Blood typing serologic abo (86900) | $237.19 | $316.25 | 79.3× |
| Body fluid cell count (89050) | $46.88 | $62.50 | 9.9× |
| Bordetella antibody (86615) | $160.88 | $214.50 | 12.2× |
| Brucella antibody (86622) | $96.38 | $128.50 | 10.8× |
| C diff amplified probe (87493) | $122.06 | $162.75 | 3.3× |
| C-Peptide (84681) | $158.63 | $211.50 | 7.6× |
| C-reactive protein (86140) | $65.25 | $87 | 12.6× |
| Ca 19-9 (86301) | $121.50 | $162 | 5.8× |
| Cadmium (82300) | $83.25 | $111 | 3.5× |
| Calcium ionized (82330) | $106.50 | $142 | 7.8× |
| Calcium total (82310) | $47.81 | $63.75 | 9.3× |
| Calculus Spectroscopy (82365) | $99 | $132 | 7.7× |
| Calculus Xray Diffraction (82370) | $146.25 | $195 | 11.7× |
| Calprotectin Fecal (83993) | $284.81 | $379.75 | 14.5× |
| Calr gene com variants (81219) | $744.38 | $992.50 | 6.1× |
| Cancer Antigen 125 (86304) | $118.50 | $158 | 5.7× |
| Cancer Antigen 27.29 (86300) | $65.44 | $87.25 | 3.1× |
| Carbamazepine total (80156) | $217.50 | $290 | 14.9× |
| Carboxyhemoglobin (82375) | $111 | $148 | 9.0× |
| Carcinoembryonic antigen (82378) | $102.38 | $136.50 | 5.4× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$93.75–$279.75 | $125–$373 | varies |
| Carnitine Quantitative Each Specimen (82379) | $230.44 | $307.25 | 13.7× |
| Carotene (82380) | $95.81 | $127.75 | 10.4× |
| Catecholamines fractionated (82384) | $173.44 | $231.25 | 6.9× |
| Ccp antibody (86200) | $65.81 | $87.75 | 5.1× |
| Cell count csf (89051) range across 2 matching MRF lines |
$65.63–$355.31 | $87.50–$473.75 | varies |
| Cell marker study (88182) | $254.06 | $338.75 | 5.3× |
| Ceruloplasmin (82390) | $90.56 | $120.75 | 8.4× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$216.19–$243.75 | $288.25–$325 | varies |
| Chlamydia antibody (86631) | $590.06 | $786.75 | 49.9× |
| Chlamydia Igm Antibody (86632) | $279.38 | $372.50 | 22.0× |
| Chloride Serum (82435) | $49.13 | $65.50 | 10.7× |
| Chloride urine (82436) | $37.31 | $49.75 | 6.5× |
| Cholesterol total (82465) | $19.69 | $26.25 | 4.5× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$66.38–$90.75 | $88.50–$121 | varies |
| Chorionic gonadotropin test (84702) | $87.94 | $117.25 | 5.8× |
| Chromium serum (82495) | $56.81 | $75.75 | 2.8× |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
$60.38–$230.25 | $80.50–$307 | varies |
| Chromogranin a (86316) | $108.94 | $145.25 | 5.2× |
| Chromosome Analysis 15-20 (88262) | $656.25 | $875 | 5.2× |
| Chromosome Analysis 20-25 (88264) | $815.44 | $1,087.25 | 5.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $126.75 | $169 | 3.6× |
| Citric acid urine (82507) | $151.31 | $201.75 | 5.4× |
| Ckmb (82553) | $78.75 | $105 | 6.8× |
| Clostridium Difficile (87324) | $87 | $116 | 7.3× |
| Clot Factor VIII Multimetric (85247) | $111 | $148 | 4.8× |
| Clotting factor xii hageman (85280) | $137.63 | $183.50 | 7.1× |
| Clotting Funct Activity (85397) | $94.13 | $125.50 | 3.1× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$78.75–$268.31 | $105–$357.75 | varies |
| Cold agglutinin titer (86157) | $77.25 | $103 | 9.6× |
| Collagen crosslinks (82523) | $217.13 | $289.50 | 11.6× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$231–$462 | $308–$616 | varies |
| Compatibility Each Unit Incubation (86921) | $101.25 | $135 | 0.6× |
| Compatibility test antiglob (86922) | $91.88 | $122.50 | 0.6× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$71.63–$134.81 | $95.50–$179.75 | varies |
| Complement Total (Ch50) (86162) | $188.06 | $250.75 | 9.3× |
| Complement/Function Activity (86161) | $134.06 | $178.75 | 11.2× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $320.06 | $426.75 | 6.7× |
| Coombs direct (86880) | $58.31 | $77.75 | 10.8× |
| Copper urine (82525) | $61.13 | $81.50 | 4.9× |
| Cortisol free (82530) range across 2 matching MRF lines |
$178.50–$210.38 | $238–$280.50 | varies |
| Cortisol saliva (82533) | $92.06 | $122.75 | 5.6× |
| Creatine kinase total (82550) | $27.94 | $37.25 | 4.3× |
| Creatinine blood (82565) | $47.81 | $63.75 | 9.3× |
| Creatinine clearance (82575) | $86.63 | $115.50 | 9.2× |
| Creatinine Urine (82570) | $27.94 | $37.25 | 5.4× |
| Crossmatch immediate spin (86920) | $101.25 | $135 | 0.6× |
| Crp High Sensitivity (86141) | $144.19 | $192.25 | 11.1× |
| Cryofibrinogen (82585) | $28.69 | $38.25 | 2.0× |
| Cryoglobulin (82595) | $100.50 | $134 | 15.5× |
| Cryptococcal Antigen (87327) | $115.88 | $154.50 | 8.6× |
| Cryptosporidium ag eia (87328) | $63 | $84 | 4.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$48.94–$75.75 | $65.25–$101 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $67.69 | $90.25 | 8.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $106.88 | $142.50 | 13.9× |
| Culture afb (87116) | $56.25 | $75 | 5.2× |
| Culture Anaerobic (87075) | $72.75 | $97 | 7.7× |
| Culture blood (87040) | $89.25 | $119 | 8.6× |
| Culture csf (87070) | $74.63 | $99.50 | 8.7× |
| Culture fungus (87102) | $86.63 | $115.50 | 10.3× |
| Culture fungus blood (87103) | $86.63 | $115.50 | 4.2× |
| Culture screen only (87081) range across 4 matching MRF lines |
$27–$242.25 | $36–$323 | varies |
| Culture stool (87045) | $70.69 | $94.25 | 7.5× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $45.56 | $60.75 | 3.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $44.81 | $59.75 | 8.7× |
| Culture urine (87086) | $50.44 | $67.25 | 6.3× |
| Cyclosporine (80158) | $111.94 | $149.25 | 6.2× |
| Cystatin C (82610) | $59.06 | $78.75 | 3.2× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$200.06–$380.81 | $266.75–$507.75 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,555.06 | $3,406.75 | 2.2× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$88.13–$173.44 | $117.50–$231.25 | varies |
| Cytopath C/V Index Add-On (88155) | $65.25 | $87 | 4.5× |
| Cytopath Cell Enhance Tech (88112) | $183.56 | $244.75 | 3.8× |
| Cytp Concentration Smears & Interpretation (88108) | $100.31 | $133.75 | 2.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $213 | $284 | 4.4× |
| Deoxyribonuclease antibody (86215) | $91.69 | $122.25 | 6.9× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$208.88–$230.81 | $278.50–$307.75 | varies |
| Detect Agent Nos Dna Quant (87799) | $447.94 | $597.25 | 10.5× |
| Detect agnt mult DNA ampli (87801) | $27 | $36 | 0.4× |
| Dgp Antibody Each Ig Class (86258) | $115.88 | $154.50 | 9.6× |
| Dhea (82626) | $128.63 | $171.50 | 5.1× |
| Dhea-S (82627) | $128.25 | $171 | 5.8× |
| Dibucaine number (82638) | $68.25 | $91 | 5.6× |
| Digoxin (80162) | $79.13 | $105.50 | 6.0× |
| Diphtheria antitoxoid (86648) | $52.31 | $69.75 | 3.4× |
| Dna Antibody Native/Double Stranded (86225) | $146.25 | $195 | 10.6× |
| Dna Antibody Single Stranded (86226) | $84.94 | $113.25 | 7.0× |
| Dna/Rna Amplified Probe (87150) | $133.31 | $177.75 | 3.8× |
| Drug assay adalimumab (80145) | $338.25 | $451 | 8.8× |
| Drug Assay Everolimus (80169) | $215.63 | $287.50 | 15.7× |
| Drug Assay Infliximab (80230) | $338.25 | $451 | 8.8× |
| Drug Assay Itraconazole (80189) | $184.50 | $246 | 6.8× |
| Drug Assay Lacosamide (80235) | $204.75 | $273 | 7.6× |
| Drug Screen Quant Zonisamide (80203) | $104.81 | $139.75 | 7.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $52.31 | $69.75 | 3.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $183.38 | $244.50 | 13.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $76.50 | $102 | 5.8× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $124.13 | $165.50 | 7.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$168.75–$228.75 | $225–$305 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $88.69 | $118.25 | 7.0× |
| Ehrlichia antibody (86666) | $133.69 | $178.25 | 13.1× |
| El-1 Fecal Quantitative (82653) | $243.38 | $324.50 | 10.6× |
| Electrolyte panel (80051) | $46.13 | $61.50 | 6.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $116.63 | $155.50 | 9.6× |
| Enzyme cell activity (82657) | $204.19 | $272.25 | 9.2× |
| Eosinophil Smear (89190) | $68.81 | $91.75 | 11.9× |
| Erythropoietin (82668) | $161.81 | $215.75 | 8.6× |
| Estradiol serum (82670) | $149.63 | $199.50 | 5.4× |
| Estriol (82677) range across 2 matching MRF lines |
$155.44–$155.81 | $207.25–$207.75 | varies |
| Estrogen total (82672) | $200.44 | $267.25 | 9.2× |
| Ethosuximide (80168) | $113.25 | $151 | 6.9× |
| Ethylene Glycol (82693) | $134.25 | $179 | 9.0× |
| Euglobulin lysis (85360) | $135.94 | $181.25 | 16.2× |
| Exam Synovial Fluid Crystals (89060) | $111.19 | $148.25 | 15.2× |
| F2 Gene (81240) | $222.38 | $296.50 | 3.4× |
| Factor ii activity (85210) | $118.13 | $157.50 | 9.1× |
| Factor Inhibitor Test (85335) | $309.38 | $412.50 | 24.0× |
| Factor ix activity (85250) | $90.75 | $121 | 4.8× |
| Factor v activity (85220) | $133.69 | $178.25 | 7.6× |
| Factor v leiden mutation (81241) | $204.75 | $273 | 2.8× |
| Factor vii assay (85230) | $118.13 | $157.50 | 6.6× |
| Factor viii assay (85240) | $114.75 | $153 | 6.4× |
| Factor X (85260) | $111.56 | $148.75 | 6.2× |
| Factor xi activity (85270) | $131.06 | $174.75 | 7.3× |
| Fat/Lipids Feces Quantitative (82710) | $143.44 | $191.25 | 8.5× |
| Fecal Fat Qualitative (82705) | $142.69 | $190.25 | 28.0× |
| Ferritin (82728) | $77.63 | $103.50 | 5.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $267.56 | $356.75 | 1.7× |
| Fetal Fibronectin (82731) | $53.63 | $71.50 | 0.8× |
| Fibrin degradation products (85362) | $98.44 | $131.25 | 14.3× |
| Fibrin Degradation Quant (85379) | $168.38 | $224.50 | 16.5× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $117.38 | $156.50 | 12.1× |
| Fibrinogen activity (85384) | $61.13 | $81.50 | 6.3× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $47.25 | $63 | 3.1× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$57–$221.63 | $76–$295.50 | varies |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$71.44–$746.44 | $95.25–$995.25 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$134.06–$400.31 | $178.75–$533.75 | varies |
| Fmr1 gene detection (81243) | $418.88 | $558.50 | 7.3× |
| Folic acid rbc (82747) | $152.44 | $203.25 | 8.6× |
| Folic Acid Serum (82746) | $89.81 | $119.75 | 6.1× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$100.50–$169.69 | $134–$226.25 | varies |
| Francisella tularensis (86668) range across 3 matching MRF lines |
$47.81–$98.63 | $63.75–$131.50 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $68.25 | $91 | 0.4× |
| Frozen Section (88331) | $225 | $300 | 1.4× |
| Fungi Identification Mold (87107) | $125.63 | $167.50 | 12.2× |
| Fungi Identification Yeast (87106) | $89.25 | $119 | 8.6× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $78.75 | $105 | 3.7× |
| Galectin-3 (82777) | $177.19 | $236.25 | 4.0× |
| Gammaglobulin ige (82785) | $76.13 | $101.50 | 4.6× |
| Gases blood ph only (82800) | $117.38 | $156.50 | 10.7× |
| Gastrin (82941) | $153.75 | $205 | 8.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,053.94 | $1,405.25 | 2.5× |
| Genet Virus Isolate Hsv (87255) | $150.38 | $200.50 | 4.4× |
| Gentamicin (80170) | $79.13 | $105.50 | 4.8× |
| Ggt (82977) | $28.31 | $37.75 | 3.9× |
| Giardia antigen (87329) | $63 | $84 | 5.3× |
| Giardia lamblia antibody (86674) | $140.81 | $187.75 | 9.6× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $89.25 | $119 | 14.8× |
| Glucose 2 hr pp (82950) | $51.38 | $68.50 | 10.8× |
| Glucose Blood Test (82962) | $18.75 | $25 | 5.7× |
| Glucose body fluid (82945) | $37.13 | $49.50 | 9.4× |
| Glucose Serum (82947) | $37.13 | $49.50 | 9.4× |
| Glucose tolerance test (gtt) (82951) | $112.13 | $149.50 | 8.7× |
| Glycated Protein (82985) | $95.81 | $127.75 | 5.7× |
| Gonadotropin Chorionic Qualitative (84703) | $83.63 | $111.50 | 11.1× |
| Growth hormone (83003) | $134.81 | $179.75 | 8.1× |
| Gtt-added samples (82952) | $37.13 | $49.50 | 9.5× |
| H Pylori (C-13) Breath (83013) | $374.81 | $499.75 | 5.6× |
| Haloperidol (80173) | $174.19 | $232.25 | 11.0× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$93.56–$94.69 | $124.75–$126.25 | varies |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$45–$46.13 | $60–$61.50 | varies |
| Heavy metal qualitative any analytes (83015) | $83.25 | $111 | 4.0× |
| Helicobacter Pylori Stool (87338) | $85.50 | $114 | 5.9× |
| Helminth Antibody (86682) | $351.38 | $468.50 | 27.0× |
| Hematocrit (85014) | $25.13 | $33.50 | 10.6× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$3.75–$27.94 | $5–$37.25 | varies |
| Hemoglobin a1c (83036) | $88.13 | $117.50 | 9.1× |
| Hemoglobin electrophoresis (83020) | $124.13 | $165.50 | 9.6× |
| Hemoglobin F Fetal Chemical (83030) | $123 | $164 | 11.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $41.63 | $55.50 | 5.1× |
| Hemoglobin plasma (83051) | $106.13 | $141.50 | 14.5× |
| Hemoglobin urine (83069) | $22.31 | $29.75 | 5.6× |
| Hemosiderin urine (83070) | $24.75 | $33 | 5.2× |
| Hep a ab igm (86709) | $72.75 | $97 | 6.5× |
| Hepatitis a antibody total (86708) | $111 | $148 | 9.0× |
| Hepatitis b core ab igm (86705) | $102.38 | $136.50 | 8.7× |
| Hepatitis b core ab total (86704) | $65.25 | $87 | 5.4× |
| Hepatitis B Surface Antibody (86706) | $103.88 | $138.50 | 9.7× |
| Hepatitis B Surface Antigen (87340) | $103.88 | $138.50 | 10.1× |
| Hepatitis Be Antibody (86707) | $59.44 | $79.25 | 5.1× |
| Hepatitis Be Antigen (87350) | $105.38 | $140.50 | 9.1× |
| Hepatitis C Antibody (86803) | $139.88 | $186.50 | 9.8× |
| Hepatitis c antibody confirmatory test (86804) | $139.88 | $186.50 | 9.0× |
| Hepatitis C Genotype (87902) | $644.44 | $859.25 | 2.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $182.44 | $243.25 | 5.2× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$162.94–$524.63 | $217.25–$699.50 | varies |
| Hepatitis Delta Agent Antibody (86692) | $168.56 | $224.75 | 9.8× |
| Herpes simplex type 2 (86696) | $120 | $160 | 6.2× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$23.25–$50.44 | $31–$67.25 | varies |
| Hfe Gene (81256) | $234.38 | $312.50 | 3.6× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$89.25–$210 | $119–$280 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$140.44–$158.44 | $187.25–$211.25 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $109.88 | $146.50 | 4.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $210.75 | $281 | 2.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $114.56 | $152.75 | 1.5× |
| Homocysteine (83090) | $413.44 | $551.25 | 23.1× |
| Hpv High-Risk Types (87624) | $94.13 | $125.50 | 2.7× |
| Hsv Dna Amp Probe (87529) | $420 | $560 | 12.0× |
| Htlv-I Antibody (86687) | $95.81 | $127.75 | 10.5× |
| Htlv-ii antibody (86688) | $68.81 | $91.75 | 4.9× |
| Htt Gene Detc Abnor Alleles (81271) | $348.38 | $464.50 | 2.5× |
| Human Epididymis Protein 4 (86305) | $209.06 | $278.75 | 10.0× |
| Hydroxycorticosteroids 17 (83491) | $129.19 | $172.25 | 7.2× |
| Hydroxyprogesterone 17-d (83498) | $197.63 | $263.50 | 7.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $37.50 | $50 | 1.1× |
| Iaad ia shiga-like toxin (87427) | $65.06 | $86.75 | 5.4× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $83.06 | $110.75 | 6.9× |
| Iaadi Varicella Zoster Virus (87290) | $70.69 | $94.25 | 5.3× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $222.75 | $297 | 6.3× |
| Iadna Cytomegalovirus Quantification (87497) | $205.50 | $274 | 4.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $145.50 | $194 | 2.1× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $222.75 | $297 | 6.3× |
| Iadna hepatitis b virus amplified probe tq (87516) | $156.94 | $209.25 | 4.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $213 | $284 | 5.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $93.94 | $125.25 | 2.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $126.75 | $169 | 3.6× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $434.25 | $579 | 3.0× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$102–$298.50 | $136–$398 | varies |
| Igg subclasses (82787) | $60.75 | $81 | 7.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $323.81 | $431.75 | 1.0× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$83.25–$184.50 | $111–$246 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$336.19–$467.63 | $448.25–$623.50 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$58.69–$1,748.81 | $78.25–$2,331.75 | varies |
| Immunoassay nonantibody (83516) range across 5 matching MRF lines |
$66.94–$224.44 | $89.25–$299.25 | varies |
| Immunodiffusion Ouchterlony (86331) | $87.38 | $116.50 | 7.3× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$215.44–$303.38 | $287.25–$404.50 | varies |
| Immunohistochemistry (88342) | $329.44 | $439.25 | 2.1× |
| In situ hybridization 1st probe stain (88365) | $422.63 | $563.50 | 2.7× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) | $132.19 | $176.25 | 8.3× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$33.75–$63.38 | $45–$84.50 | varies |
| Influenza DNA amp probe (87502) | $131.06 | $174.75 | 1.4× |
| Inhibin A (86336) | $151.31 | $201.75 | 9.7× |
| Inhibin b (83520) range across 11 matching MRF lines |
$109.13–$544.13 | $145.50–$725.50 | varies |
| Insulin antibodies (86337) | $200.44 | $267.25 | 9.4× |
| Insulin free (83527) | $153.56 | $204.75 | 11.9× |
| Insulin total (83525) | $121.50 | $162 | 10.6× |
| Intrinsic factor antibody (86340) | $96.38 | $128.50 | 6.4× |
| Iron (83540) range across 2 matching MRF lines |
$33.75–$63.75 | $45–$85 | varies |
| Iron Binding Capacity (83550) | $54 | $72 | 6.2× |
| Irradiation Blood Product Each Unit (86945) | $490.13 | $653.50 | 14.3× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$108.56–$165 | $144.75–$220 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $471.56 | $628.75 | 5.1× |
| Koh Prep (87220) | $28.50 | $38 | 6.7× |
| Lactate (ld) (ldh) enzyme (83615) | $27.56 | $36.75 | 4.6× |
| Lactoferrin fecal qualitative (83630) | $150.19 | $200.25 | 7.6× |
| Ldh Isoenzymes (83625) | $56.44 | $75.25 | 4.4× |
| LDL direct (83721) range across 2 matching MRF lines |
$64.88–$66.19 | $86.50–$88.25 | varies |
| Lead (83655) range across 4 matching MRF lines |
$29.25–$74.25 | $39–$99 | varies |
| Legionella antibody (86713) | $149.25 | $199 | 9.8× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$72–$206.06 | $96–$274.75 | varies |
| Leukocyte Assessment Fecal (89055) | $37.13 | $49.50 | 8.7× |
| Level ii surg pathology grossµscopic exam (88302) | $102.56 | $136.75 | 3.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $344.63 | $459.50 | 1.0× |
| Lipase (83690) | $68.81 | $91.75 | 10.0× |
| Lipoprotein A (83695) | $73.69 | $98.25 | 5.1× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $60.38 | $80.50 | 1.8× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $74.63 | $99.50 | 5.9× |
| Lithium (80178) | $65.25 | $87 | 9.9× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$102.38–$165.19 | $136.50–$220.25 | varies |
| Lyme disease antibody (86618) | $119.44 | $159.25 | 7.0× |
| Lysozyme serum (85549) | $85.50 | $114 | 4.6× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $520.31 | $693.75 | 3.3× |
| Magnesium Urine (83735) | $63.75 | $85 | 9.5× |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$226.69–$240.75 | $302.25–$321 | varies |
| Meat fibers, feces (89160) | $154.88 | $206.50 | 31.9× |
| Mechanical fragility rbc (85547) | $267.19 | $356.25 | 31.1× |
| Mercury urine (83825) range across 2 matching MRF lines |
$39.56–$83.25 | $52.75–$111 | varies |
| Methylmalonic acid serum (83921) | $67.31 | $89.75 | 3.2× |
| Microalbumin, quantitative (82043) | $62.44 | $83.25 | 10.8× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$58.69–$116.25 | $78.25–$155 | varies |
| Mitochondrial Antibody Each (86381) | $69.19 | $92.25 | 2.7× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$200.06–$380.81 | $266.75–$507.75 | varies |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$319.88–$512.81 | $426.50–$683.75 | varies |
| Mopath procedure level 4 (81403) | $638.63 | $851.50 | 3.4× |
| Mpl gene common variants (81338) | $888.94 | $1,185.25 | 5.9× |
| Mthfr Gene Analysis Common Variants (81291) | $454.88 | $606.50 | 7.0× |
| Mucin Clot Body Fluid (83872) | $49.13 | $65.50 | 8.4× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$74.81–$76.50 | $99.75–$102 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,063.13 | $1,417.50 | 57.8× |
| Mycophenolic Acid (80180) | $71.63 | $95.50 | 4.0× |
| Mycoplasma antibody (86738) | $119.44 | $159.25 | 9.0× |
| Myelin basic protein csf (83873) | $98.44 | $131.25 | 5.7× |
| Myoglobin urine (83874) | $109.88 | $146.50 | 8.5× |
| Natriuretic peptide (83880) | $168.94 | $225.25 | 4.3× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $51.94 | $69.25 | 1.8× |
| Niacin (84591) | $219.38 | $292.50 | 12.9× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$195.75–$229.50 | $261–$306 | varies |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$182.06–$1,166.44 | $242.75–$1,555.25 | varies |
| Occult blood feces (82272) range across 4 matching MRF lines |
$18.75–$91.31 | $25–$121.75 | varies |
| Occult Blood Other Sources (82271) | $12 | $16 | 2.3× |
| Oligoclonal bands (83916) | $89.81 | $119.75 | 3.3× |
| Organic Acids Qualitative Each Specimen (83919) | $254.63 | $339.50 | 15.5× |
| Osmolality serum (83930) | $72 | $96 | 10.9× |
| Osmolality Urine (83935) | $77.25 | $103 | 11.3× |
| Osmotic fragility rbc incubated (85557) | $267.19 | $356.25 | 20.0× |
| Osteocalcin (83937) | $136.69 | $182.25 | 4.6× |
| Ova and parasites smears (87177) | $74.63 | $99.50 | 8.4× |
| Oxalate urine (83945) | $63 | $84 | 4.4× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$45–$196.69 | $60–$262.25 | varies |
| Parvovirus antibody (86747) | $188.06 | $250.75 | 12.5× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $25.13 | $33.50 | 0.5× |
| Ph urine (81003) range across 2 matching MRF lines |
$13.50–$26.63 | $18–$35.50 | varies |
| Phenobarbital Level (80184) | $130.88 | $174.50 | 8.6× |
| Phenylalanine (84030) | $28.50 | $38 | 5.2× |
| Phenytoin (Dilantin) (80185) | $79.13 | $105.50 | 6.0× |
| Phenytoin free (80186) | $132.19 | $176.25 | 9.6× |
| Phosphatase acid prostatic (84066) | $88.13 | $117.50 | 9.1× |
| Phosphatase alkaline (84075) | $53.06 | $70.75 | 10.2× |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$174.38–$194.81 | $232.50–$259.75 | varies |
| Phosphorus Serum (84100) | $47.81 | $63.75 | 10.1× |
| Phosphorus urine (84105) | $43.69 | $58.25 | 7.6× |
| Pinworm exam (87172) | $41.06 | $54.75 | 9.6× |
| Platelet Antibodies (86022) | $196.13 | $261.50 | 10.7× |
| Platelet count automated (85049) | $38.44 | $51.25 | 8.6× |
| Platelet neutralization (85597) | $194.81 | $259.75 | 10.8× |
| Porphobilinogen, urine; quantitative (84110) | $94.13 | $125.50 | 11.2× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $146.25 | $195 | 9.9× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$26.25–$51.38 | $35–$68.50 | varies |
| Prealbumin (84134) | $112.13 | $149.50 | 7.7× |
| Primidone (80188) | $123 | $164 | 7.4× |
| Procalcitonin (Pct) (84145) | $321.94 | $429.25 | 11.8× |
| Progesterone (84144) | $114.38 | $152.50 | 5.5× |
| Prolactin (84146) range across 2 matching MRF lines |
$117.19–$188.06 | $156.25–$250.75 | varies |
| Prostaglandin (84150) | $465.56 | $620.75 | 11.1× |
| Protein body fluid (84157) | $49.13 | $65.50 | 12.3× |
| Protein C Activity (85303) | $111.38 | $148.50 | 8.0× |
| Protein c antigen (85302) | $68.81 | $91.75 | 5.7× |
| Protein Electrophoresis Urine (84166) | $113.06 | $150.75 | 6.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $98.44 | $131.25 | 9.2× |
| Protein S Free (85306) range across 2 matching MRF lines |
$140.44–$249.56 | $187.25–$332.75 | varies |
| Protein s total (85305) | $219.19 | $292.25 | 18.9× |
| Protein total serum (84155) | $49.13 | $65.50 | 13.4× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$49.13–$63.75 | $65.50–$85 | varies |
| Protein Western Blot Test (84182) | $116.25 | $155 | 4.0× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $81.38 | $108.50 | 20.7× |
| Protoporphyrin rbc quantitative (84202) range across 2 matching MRF lines |
$60.56–$209.06 | $80.75–$278.75 | varies |
| PSA free (84154) | $114.38 | $152.50 | 6.2× |
| Pth Intact (83970) | $184.31 | $245.75 | 4.5× |
| Q Fever Antibody (86638) | $110.81 | $147.75 | 9.1× |
| Quantiferon tb gold plus (86480) | $155.63 | $207.50 | 2.5× |
| Quantitative assay drug (80299) range across 4 matching MRF lines |
$117–$338.25 | $156–$451 | varies |
| Quinidine (80194) | $132.19 | $176.25 | 9.1× |
| Rbc antibody elution (86860) | $67.13 | $89.50 | 0.4× |
| Rbc antibody identification (86870) | $208.50 | $278 | 0.6× |
| Rbc antibody screen (86850) | $70.88 | $94.50 | 7.3× |
| Rbc pretreatment serum (86978) | $117.38 | $156.50 | 2.2× |
| Rbc pretx incubatj w/enzymes (86971) | $106.69 | $142.25 | 0.7× |
| Renin activity plasma (84244) | $131.25 | $175 | 6.0× |
| Reptilase test (85635) | $98.44 | $131.25 | 10.0× |
| Resp virus 12-25 targets (87633) | $679.88 | $906.50 | 1.6× |
| Rh (86901) | $49.13 | $65.50 | 16.4× |
| Rheumatoid Factor Qualitative (86430) | $58.31 | $77.75 | 9.5× |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$58.31–$97.50 | $77.75–$130 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$128.81–$150.94 | $171.75–$201.25 | varies |
| Ristocetin cofactor (85245) | $205.50 | $274 | 9.0× |
| Rotavirus ag eia (87425) | $86.25 | $115 | 7.2× |
| Rpr qualitative (86592) | $19.69 | $26.25 | 4.6× |
| Rsv ab (86756) | $105.19 | $140.25 | 6.6× |
| Rsv Assay W/Optic (87807) | $33.75 | $45 | 2.6× |
| Rubella Antibody (86762) | $37.13 | $49.50 | 2.6× |
| Rubeola antibody (86765) | $80.63 | $107.50 | 6.3× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$67.31–$140.63 | $89.75–$187.50 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $159.75 | $213 | 3.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $54.38 | $72.50 | 1.3× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $48.75 | $65 | 1.2× |
| Sarscov2 & inf a&b amp prb (87636) | $108.75 | $145 | 0.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $270 | $360 | 1.9× |
| Sedimentation Rate, Automated (85652) range across 3 matching MRF lines |
$15.94–$34.13 | $21.25–$45.50 | varies |
| Selenium (84255) | $105.56 | $140.75 | 4.1× |
| Semen analysis motility and count (89310) | $109.88 | $146.50 | 12.8× |
| Sensitivity mic (87186) | $77.25 | $103 | 8.9× |
| Sex Hormone Binding Globulin (84270) | $154.13 | $205.50 | 7.1× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$34.13–$80.06 | $45.50–$106.75 | varies |
| Sirolimus (80195) | $68.81 | $91.75 | 5.0× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$12.75–$65.81 | $17–$87.75 | varies |
| Smear acid fast (87206) | $99.75 | $133 | 18.5× |
| Smear complex stain (87209) | $74.06 | $98.75 | 4.1× |
| Smear gram stain (87205) | $37.13 | $49.50 | 8.7× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$44.06–$88.13 | $58.75–$117.50 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $28.31 | $37.75 | 4.9× |
| Sodium Serum (84295) | $44.81 | $59.75 | 9.3× |
| Sodium Urine (84300) | $31.31 | $41.75 | 6.2× |
| Soluble fibrin monomer (85366) | $167.44 | $223.25 | 2.1× |
| Somatomedin (84305) range across 2 matching MRF lines |
$147.38–$161.25 | $196.50–$215 | varies |
| Somatostatin (84307) | $318 | $424 | 17.4× |
| Special Stains Group 1 (88312) | $91.69 | $122.25 | 1.9× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$71.63–$91.88 | $95.50–$122.50 | varies |
| Specific gravity body fluid (84315) | $28.50 | $38 | 8.7× |
| Specimen infect agnt concntj (87015) | $49.31 | $65.75 | 7.4× |
| Spectrophotometry (84311) | $216.75 | $289 | 26.8× |
| Stool cultr aerobic bact ea (87046) | $70.69 | $94.25 | 7.5× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$30–$86.63 | $40–$115.50 | varies |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$41.81–$88.50 | $55.75–$118 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $182.63 | $243.50 | 15.8× |
| Sugars Single Qual (84376) | $46.50 | $62 | 8.5× |
| Surg path level iii (88304) | $136.50 | $182 | 2.8× |
| Surgical pathology level IV (88305) | $233.63 | $311.50 | 4.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $45.56 | $60.75 | 9.6× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$41.63–$61.13 | $55.50–$81.50 | varies |
| Syphilis Test Non-Trep Quant (86593) | $27.56 | $36.75 | 6.3× |
| T cells absolute cd4 count (86361) | $80.06 | $106.75 | 3.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $182.63 | $243.50 | 3.9× |
| T cells total count (86359) range across 2 matching MRF lines |
$116.25–$195.75 | $155–$261 | varies |
| T3 Free (84481) | $200.44 | $267.25 | 11.8× |
| T3 reverse (84482) | $108.75 | $145 | 6.9× |
| T3 Total (84480) | $108 | $144 | 7.6× |
| T3 Uptake (84479) | $46.13 | $61.50 | 7.1× |
| T4 Free (84439) | $42.94 | $57.25 | 4.8× |
| T4 total (84436) | $42.19 | $56.25 | 6.1× |
| Tacrolimus (80197) | $97.88 | $130.50 | 7.1× |
| Tau phosphorylated each (84393) | $255.38 | $340.50 | 2.0× |
| Test for acetone/ketones (82009) | $36.56 | $48.75 | 8.1× |
| Testosterone total (84403) range across 2 matching MRF lines |
$175.69–$247.31 | $234.25–$329.75 | varies |
| Testosterone, Free (84402) | $154.13 | $205.50 | 6.1× |
| Tetanus antibody (86774) | $86.81 | $115.75 | 5.9× |
| Theophylline (80198) | $146.25 | $195 | 10.3× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$69.94–$95.06 | $93.25–$126.75 | varies |
| Thromboplastin Inhibition Tissue (85705) | $141.38 | $188.50 | 14.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$95.06–$109.31 | $126.75–$145.75 | varies |
| Thyroglobulin (84432) | $144.38 | $192.50 | 9.0× |
| Thyroglobulin Antibody (86800) | $100.31 | $133.75 | 6.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $542.25 | $723 | 10.7× |
| Thyroxine binding globulin (84442) | $125.06 | $166.75 | 8.5× |
| Tiss cul neo disorders solid tumor (88239) | $1,058.06 | $1,410.75 | 7.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $111.19 | $148.25 | 9.6× |
| Tissue culture bone marrow (88237) | $731.06 | $974.75 | 5.1× |
| Tissue Culture Lymphocyte (88230) | $682.13 | $909.50 | 5.9× |
| Tobramycin peak (80200) | $113.63 | $151.50 | 7.0× |
| Topiramate (80201) | $114.94 | $153.25 | 9.6× |
| Toxoplasma ab igm (86778) | $65.06 | $86.75 | 4.5× |
| Toxoplasma antibody (86777) | $81.19 | $108.25 | 5.6× |
| Tpmt gene com variants (81335) | $432.94 | $577.25 | 2.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $20.06 | $26.75 | 3.9× |
| Transferrin (84466) | $112.88 | $150.50 | 8.8× |
| Trichomonas Vaginalis Amplif (87661) | $190.13 | $253.50 | 5.4× |
| Triglycerides (84478) | $23.06 | $30.75 | 4.0× |
| Troponin Quant (84484) | $99.56 | $132.75 | 8.0× |
| Tumor immunohistochem/comput (88361) | $92.81 | $123.75 | 0.3× |
| Tumor Immunohistochem/Manual (88360) | $157.31 | $209.75 | 1.0× |
| Urea nitrogen urine (84540) | $46.13 | $61.50 | 8.3× |
| Uric acid other source (84560) | $51.38 | $68.50 | 10.1× |
| Urinalysis Microscopic Only (81015) | $26.63 | $35.50 | 8.7× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $25.13 | $33.50 | 11.6× |
| Urinalysis Volume Measure (81050) | $18 | $24 | 4.9× |
| Urine Albumin Semiquantitative (82044) | $31.88 | $42.50 | 5.1× |
| Urine Bacteria Culture (87088) | $58.31 | $77.75 | 7.2× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$22.50–$67.88 | $30–$90.50 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $34.13 | $45.50 | 10.8× |
| Valproic acid (80164) | $155.81 | $207.75 | 11.5× |
| Vancomycin (80202) | $85.69 | $114.25 | 6.3× |
| Varicella-zoster antibody (86787) | $78 | $104 | 6.1× |
| Vasopressin (84588) | $159.75 | $213 | 4.7× |
| Viral Culture (87252) | $111 | $148 | 4.3× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$125.63–$229.13 | $167.50–$305.50 | varies |
| Virus inoculate tissue addl (87253) | $41.81 | $55.75 | 2.1× |
| Virus inoculation, shell via (87254) | $172.13 | $229.50 | 8.8× |
| Vit D 1 25-Dihydroxy (82652) | $188.06 | $250.75 | 4.9× |
| Vitamin A (84590) | $74.44 | $99.25 | 6.4× |
| Vitamin b-12 (82607) | $79.13 | $105.50 | 5.2× |
| Vitamin B2 (Riboflavin) (84252) | $194.63 | $259.50 | 9.6× |
| Vitamin B6 (84207) | $227.44 | $303.25 | 8.1× |
| Vitamin c (82180) | $100.31 | $133.75 | 10.1× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$278.44–$347.25 | $371.25–$463 | varies |
| Vitamin E (84446) | $88.50 | $118 | 6.2× |
| Vitamin K (84597) | $85.69 | $114.25 | 6.2× |
| Volatiles (84600) | $162.75 | $217 | 9.5× |
| Von willebrand factor ag (85246) | $111.56 | $148.75 | 4.9× |
| Wbc Alkaline Phosphatase Count (85540) | $101.25 | $135 | 11.8× |
| West nile virus ab igm (86788) | $190.13 | $253.50 | 11.3× |
| West Nile Virus Antibody (86789) | $190.50 | $254 | 13.2× |
| Western Blot Test (84181) | $165.56 | $220.75 | 9.7× |
| Zinc (84630) | $74.63 | $99.50 | 6.6× |
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.