Lab & pathology prices at Sacred Heart Medical Center Riverbend
Springfield, OR · every code in this section with a posted price and a Medicare benchmark.
764 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $59.80 | $92 | 2.6× |
| 5 Nucleotidase (83915) | $85.15 | $131 | 7.6× |
| Acth (82024) range across 2 matching MRF lines |
$126.75–$130.65 | $195–$201 | varies |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
$87.10–$115.70 | $134–$178 | varies |
| Acute hepatitis panel (80074) | $187.85 | $289 | 3.9× |
| Acylcarnitines Quant (82017) | $78.65 | $121 | 4.7× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $216.45 | $333 | 3.4× |
| Agglutinins Febrile Each Antigen (86000) | $182 | $280 | 26.1× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$46.80–$48.10 | $72–$74 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$28.60–$29.25 | $44–$45 | varies |
| Aldolase (82085) | $70.85 | $109 | 7.3× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$85.15–$168.35 | $131–$259 | varies |
| Alkaline phosphatase isoenzymes (84080) | $56.55 | $87 | 3.8× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$25.35–$592.80 | $39–$912 | varies |
| Allergen specific igg (86001) | $24.05 | $37 | 3.1× |
| Alpha-1-antitrypsin phenotype (82104) | $47.45 | $73 | 3.3× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$59.80–$61.75 | $92–$95 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$68.25–$71.50 | $105–$110 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$30.55–$31.20 | $47–$48 | varies |
| Amikacin trough (80150) | $106.60 | $164 | 7.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$187.20–$207.35 | $288–$319 | varies |
| Aminolevulinic acid (ala) (82135) | $112.45 | $173 | 6.8× |
| Ammonia (82140) range across 2 matching MRF lines |
$99.45–$102.70 | $153–$158 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $167.70 | $258 | 1.7× |
| Amylase urine (82150) range across 2 matching MRF lines |
$57.85–$59.80 | $89–$92 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$49.40–$50.70 | $76–$78 | varies |
| Androstenedione (82157) | $95.55 | $147 | 3.3× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$49.40–$65 | $76–$100 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$44.20–$128.70 | $68–$198 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $38.35 | $59 | 3.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$59.15–$114.40 | $91–$176 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$81.90–$84.50 | $126–$130 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $52.65 | $81 | 4.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$111.80–$115.05 | $172–$177 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$70.20–$136.50 | $108–$210 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$69.55–$139.10 | $107–$214 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $96.20 | $148 | 7.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $125.45 | $193 | 9.2× |
| Antibody HIV-2 (86702) | $44.85 | $69 | 3.3× |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 2 matching MRF lines |
$705.25–$781.95 | $1,085–$1,203 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $72.80 | $112 | 3.8× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$105.95–$117.65 | $163–$181 | varies |
| Antibody john cunningham virus (86711) range across 2 matching MRF lines |
$68.25–$136.50 | $105–$210 | varies |
| Antibody Lymphocytic Choriomeningitis (86727) | $26.65 | $41 | 2.1× |
| Antibody Protozoa Nes (86753) | $50.05 | $77 | 4.0× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$113.75–$214.50 | $175–$330 | varies |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$45.50–$52.65 | $70–$81 | varies |
| Antibody yersinia (86793) | $76.70 | $118 | 5.8× |
| Antigen typing (86905) range across 2 matching MRF lines |
$300.30–$309.40 | $462–$476 | varies |
| Antinuclear antibodies (86038) | $66.30 | $102 | 5.5× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$69.55–$71.50 | $107–$110 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$114.40–$117.65 | $176–$181 | varies |
| Apc Gene Analysis Known Familial Variants (81202) | $811.85 | $1,249 | 2.9× |
| Apc gene dup/delet variants (81203) | $579.80 | $892 | 2.9× |
| Apc gene full sequence (81201) | $2,262.65 | $3,481 | 2.9× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$137.80–$141.70 | $212–$218 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $20.15 | $31 | 1.7× |
| Arsenic (82175) range across 2 matching MRF lines |
$53.30–$153.40 | $82–$236 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$255.45–$263.25 | $393–$405 | varies |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$125.45–$129.35 | $193–$199 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$73.45–$81.25 | $113–$125 | varies |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$95.55–$191.10 | $147–$294 | varies |
| Assay of 5-hiaa (83497) | $57.20 | $88 | 4.4× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$30.55–$31.20 | $47–$48 | varies |
| Assay of calcium in urine (82340) | $42.90 | $66 | 7.1× |
| Assay of cpk in blood (82552) | $39.65 | $61 | 3.0× |
| Assay of g6pd enzyme (82955) | $60.45 | $93 | 6.2× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$46.80–$136.50 | $72–$210 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$80.60–$241.80 | $124–$372 | varies |
| Assay of manganese (83785) | $83.20 | $128 | 3.1× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$116.35–$119.60 | $179–$184 | varies |
| Assay of proinsulin (84206) | $65 | $100 | 2.4× |
| Assay of pyruvate (84210) | $70.85 | $109 | 4.9× |
| Assay of serotonin (84260) | $107.25 | $165 | 3.5× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$31.85–$32.50 | $49–$50 | varies |
| Assay of sweat sodium (84302) | $22.10 | $34 | 4.5× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$28.60–$29.25 | $44–$45 | varies |
| Assay of urine vma (84585) | $55.25 | $85 | 3.6× |
| Assay of vasoactive intestinal peptide (84586) | $124.15 | $191 | 3.5× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$66.95–$68.90 | $103–$106 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$44.85–$46.15 | $69–$71 | varies |
| Assay spec xcp ur&breath ia (82077) | $131.30 | $202 | 7.6× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $435.50 | $670 | 2.3× |
| Automated Leukocyte Count (85048) | $30.55 | $47 | 12.0× |
| B cells total count (86355) | $160.55 | $247 | 4.3× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$48.75–$97.50 | $75–$150 | varies |
| Bcr/abl1 gene major bp (81206) | $356.20 | $548 | 2.2× |
| Bcr/abl1 gene minor bp (81207) | $466.05 | $717 | 3.2× |
| Bcr/Abl1 Gene Other Bp (81208) | $607.10 | $934 | 2.8× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$56.55–$163.80 | $87–$252 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$63.70–$65.65 | $98–$101 | varies |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$32.50–$33.80 | $50–$52 | varies |
| Beta-2 Microglobulin (82232) | $81.25 | $125 | 5.0× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $161.85 | $249 | 1.3× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $180.05 | $277 | 1.4× |
| Bile acids total (82239) | $64.35 | $99 | 3.8× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$32.50–$33.80 | $50–$52 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$31.20–$31.85 | $48–$49 | varies |
| Bilirubin total transcutaneous (88720) range across 2 matching MRF lines |
$69.55–$77.35 | $107–$119 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $34.45 | $53 | 10.0× |
| Blastomyces antibody (86612) | $44.85 | $69 | 3.5× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $177.45 | $273 | 0.9× |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$113.10–$167.05 | $174–$257 | varies |
| Blood Count Automated Differential Wbc Count (85004) | $25.35 | $39 | 3.9× |
| Blood Count Manual Cell Count Each (85032) | $16.90 | $26 | 3.9× |
| Blood Count Red Blood Cell Automated (85041) | $19.50 | $30 | 6.5× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$35.75–$37.05 | $55–$57 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$29.90–$30.55 | $46–$47 | varies |
| Blood count spun microhematocrit (85013) | $35.75 | $55 | 5.1× |
| Blood gas (82803) range across 3 matching MRF lines |
$177.45–$532.35 | $273–$819 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $52 | $80 | 3.3× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $29.90 | $46 | 6.8× |
| Blood Sulfhemoglobin Assay (83060) | $35.75 | $55 | 4.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$258.70–$501.80 | $398–$772 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $109.20 | $168 | 6.7× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$98.15–$101.40 | $151–$156 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$46.80–$91 | $72–$140 | varies |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $1,275.95 | $1,963 | 2.9× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $1,088.10 | $1,674 | 2.9× |
| Brca1&2 gen full seq dup/del (81162) | $3,024.45 | $4,653 | 1.7× |
| Brca2 gene analysis full sequence analysis (81216) | $536.90 | $826 | 2.9× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $1,088.10 | $1,674 | 2.9× |
| Breath Alcohol Test (82075) | $87.10 | $134 | 2.9× |
| Brucella antibody (86622) | $61.10 | $94 | 6.8× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$168.35–$173.55 | $259–$267 | varies |
| C-Peptide (84681) range across 2 matching MRF lines |
$65–$81.25 | $100–$125 | varies |
| C-reactive protein (86140) range across 2 matching MRF lines |
$40.95–$43.55 | $63–$67 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$101.40–$104.65 | $156–$161 | varies |
| Caffeine (80155) | $97.50 | $150 | 2.5× |
| Calcitonin (82308) | $163.80 | $252 | 6.1× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$63.70–$127.40 | $98–$196 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$35.10–$36.40 | $54–$56 | varies |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$74.10–$75.40 | $114–$116 | varies |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$242.45–$249.60 | $373–$384 | varies |
| Calr gene com variants (81219) | $451.75 | $695 | 3.7× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$85.15–$129.35 | $131–$199 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$66.30–$68.25 | $102–$105 | varies |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$68.25–$70.20 | $105–$108 | varies |
| Carbamazepine free (80157) | $86.45 | $133 | 6.5× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$106.60–$109.85 | $164–$169 | varies |
| Carbohydrate Deficient Transferrin (82373) | $128.05 | $197 | 7.1× |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
$53.95–$105.30 | $83–$162 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$70.85–$71.50 | $109–$110 | varies |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$107.90–$159.90 | $166–$246 | varies |
| Carnitine Quantitative Each Specimen (82379) | $92.30 | $142 | 5.5× |
| Carotene (82380) | $42.90 | $66 | 4.7× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$76.05–$129.35 | $117–$199 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$70.20–$72.15 | $108–$111 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $268.45 | $413 | 1.1× |
| Cell count csf (89051) range across 2 matching MRF lines |
$65–$70.85 | $100–$109 | varies |
| Cell enumeration & id (86152) | $927.55 | $1,427 | 3.7× |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$42.25–$48.75 | $65–$75 | varies |
| Cftr Gene Analysis Known Familial Variants (81221) | $192.40 | $296 | 2.0× |
| Cftr gene com variants (81220) | $603.85 | $929 | 1.1× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$87.75–$100.75 | $135–$155 | varies |
| Chimerism w/comp to baseline w/o cell selection (81267) | $319.15 | $491 | 1.5× |
| Chlamydia antibody (86631) | $34.45 | $53 | 2.9× |
| Chlamydia Igm Antibody (86632) | $37.05 | $57 | 2.9× |
| Chloride other source (82438) | $20.80 | $32 | 4.2× |
| Chloride Serum (82435) range across 3 matching MRF lines |
$36.40–$37.70 | $56–$58 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$28.60–$29.25 | $44–$45 | varies |
| Cholesterol total (82465) range across 3 matching MRF lines |
$24.05–$33.15 | $37–$51 | varies |
| Cholinesterase Serum (82480) | $68.25 | $105 | 8.7× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$67.60–$69.55 | $104–$107 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$144.30–$148.85 | $222–$229 | varies |
| Chromium serum (82495) range across 3 matching MRF lines |
$27.95–$67.60 | $43–$104 | varies |
| Chromogranin a (86316) | $144.30 | $222 | 6.9× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$328.25–$338 | $505–$520 | varies |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$323.05–$358.15 | $497–$551 | varies |
| Chromosome analysis 45 cells (88263) | $950.95 | $1,463 | 6.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$124.15–$128.05 | $191–$197 | varies |
| Citric acid urine (82507) | $88.40 | $136 | 3.2× |
| Ckmb (82553) | $127.40 | $196 | 11.0× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$59.15–$87.10 | $91–$134 | varies |
| Clot Factor VIII Multimetric (85247) | $99.45 | $153 | 4.3× |
| Clot factor xiii fibrin stab (85290) range across 2 matching MRF lines |
$145.60–$161.20 | $224–$248 | varies |
| Clotting factor viii related antigen (85244) | $89.05 | $137 | 4.4× |
| Clotting factor xii hageman (85280) | $99.45 | $153 | 5.1× |
| Clotting Funct Activity (85397) | $330.85 | $509 | 10.7× |
| Cns DNA amp probe type 12-25 (87483) | $808.60 | $1,244 | 1.9× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$56.55–$58.50 | $87–$90 | varies |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$33.80–$65 | $52–$100 | varies |
| Cold agglutinin titer (86157) | $43.55 | $67 | 5.4× |
| Collagen crosslinks (82523) | $127.40 | $196 | 6.8× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$121.55–$125.45 | $187–$193 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $893.75 | $1,375 | 3.8× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$558.35–$1,007.50 | $859–$1,550 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$183.30–$318.50 | $282–$490 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$49.40–$96.20 | $76–$148 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$85.80–$88.40 | $132–$136 | varies |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$98.80–$102.05 | $152–$157 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) | $414.05 | $637 | 2.2× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$193.70–$214.50 | $298–$330 | varies |
| Coombs direct (86880) range across 2 matching MRF lines |
$65–$66.95 | $100–$103 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$52.65–$53.95 | $81–$83 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$70.20–$113.75 | $108–$175 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$81.90–$84.50 | $126–$130 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$61.10–$63.05 | $94–$97 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$40.30–$41.60 | $62–$64 | varies |
| Creatinine clearance (82575) | $61.10 | $94 | 6.5× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$29.25–$29.90 | $45–$46 | varies |
| Crossmatch electronic (86923) range across 2 matching MRF lines |
$204.10–$354.90 | $314–$546 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$503.75–$518.70 | $775–$798 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$44.85–$51.35 | $69–$79 | varies |
| Cryofibrinogen (82585) | $25.35 | $39 | 1.8× |
| Cryoglobulin (82595) | $30.55 | $47 | 4.7× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$107.90–$209.30 | $166–$322 | varies |
| Cryptosporidium (87272) | $88.40 | $136 | 7.4× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$52–$54.60 | $80–$84 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$72.15–$210.60 | $111–$324 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$55.90–$61.75 | $86–$95 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $52 | $80 | 6.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) range across 2 matching MRF lines |
$377–$388.05 | $580–$597 | varies |
| Culture aerobic quant other (87071) range across 2 matching MRF lines |
$61.75–$74.75 | $95–$115 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$51.35–$52.65 | $79–$81 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$80.60–$83.20 | $124–$128 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$157.95–$306.80 | $243–$472 | varies |
| Culture chlamydia (87110) | $126.10 | $194 | 6.4× |
| Culture csf (87070) range across 2 matching MRF lines |
$103.35–$106.60 | $159–$164 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$80.60–$81.90 | $124–$126 | varies |
| Culture fungus blood (87103) | $267.80 | $412 | 13.1× |
| Culture screen only (87081) range across 2 matching MRF lines |
$53.95–$105.30 | $83–$162 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$67.60–$69.55 | $104–$107 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $22.10 | $34 | 1.8× |
| Culture typing if ea antiserum (87140) | $152.75 | $235 | 27.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$46.15–$47.45 | $71–$73 | varies |
| Culture typing other methods (87158) | $87.10 | $134 | 11.3× |
| Culture urine (87086) range across 2 matching MRF lines |
$56.55–$61.75 | $87–$95 | varies |
| Cyclosporine (80158) | $92.30 | $142 | 5.1× |
| Cyp2c19 gene analysis common variants (81225) | $807.30 | $1,242 | 2.8× |
| Cyp2c9 gene com variants (81227) | $484.90 | $746 | 2.8× |
| Cyp2d6 gene com variants (81226) | $1,249.30 | $1,922 | 2.8× |
| Cystatin C (82610) | $48.10 | $74 | 2.6× |
| Cytogenetics 100-300 (88275) | $340.60 | $524 | 6.7× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,768 | $2,720 | 1.5× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$70.20–$72.15 | $108–$111 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$177.45–$182.65 | $273–$281 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$91.65–$94.25 | $141–$145 | varies |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$111.80–$115.05 | $172–$177 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$177.45–$354.90 | $273–$546 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 2 matching MRF lines |
$318.50–$328.25 | $490–$505 | varies |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $438.75 | $675 | 2.3× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $90.35 | $139 | 2.8× |
| Deoxyribonuclease antibody (86215) | $72.80 | $112 | 5.5× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$215.15–$417.30 | $331–$642 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$293.15–$302.25 | $451–$465 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$445.25–$890.50 | $685–$1,370 | varies |
| Dhea (82626) | $102.05 | $157 | 4.0× |
| Dhea-S (82627) | $96.85 | $149 | 4.4× |
| Dibucaine number (82638) | $53.95 | $83 | 4.4× |
| Digoxin (80162) range across 2 matching MRF lines |
$102.70–$105.95 | $158–$163 | varies |
| Dihydrotestosterone (82642) | $52 | $80 | 1.8× |
| Diphtheria antitoxoid (86648) | $62.40 | $96 | 4.1× |
| Dipropylacetic Acid Free (80165) | $124.15 | $191 | 9.2× |
| Dmd Duplication/Deletion Analysis (81161) | $809.90 | $1,246 | 2.9× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$65–$68.25 | $100–$105 | varies |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$96.20–$187.20 | $148–$288 | varies |
| DNA/RNA direct probe (87149) | $304.20 | $468 | 15.2× |
| Dna/Rna Sequencing (87153) | $232.70 | $358 | 2.0× |
| Drug assay adalimumab (80145) | $70.85 | $109 | 1.8× |
| Drug Assay Everolimus (80169) | $62.40 | $96 | 4.5× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$70.85–$72.80 | $109–$112 | varies |
| Drug Assay Lacosamide (80235) range across 2 matching MRF lines |
$50.05–$51.35 | $77–$79 | varies |
| Drug Assay Vedolizumab (80280) range across 2 matching MRF lines |
$65–$172.96 | $100–$266.09 | varies |
| Drug assay voriconazole (80285) | $41.60 | $64 | 1.5× |
| Drug Screen Quant Clozapine (80159) | $52 | $80 | 2.6× |
| Drug Screen Quant Zonisamide (80203) range across 2 matching MRF lines |
$42.90–$148.20 | $66–$228 | varies |
| Drug Screen Quantitative Gabapentin (80171) range across 2 matching MRF lines |
$59.15–$124.80 | $91–$192 | varies |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$109.20–$112.45 | $168–$173 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$124.15–$128.05 | $191–$197 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$131.30–$135.20 | $202–$208 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$200.85–$401.70 | $309–$618 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $104.65 | $161 | 8.3× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$57.85–$59.80 | $89–$92 | varies |
| Ehrlichia antibody (86666) | $78 | $120 | 7.7× |
| Electrolyte panel (80051) | $57.20 | $88 | 8.2× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$753.35–$776.10 | $1,159–$1,194 | varies |
| Enterovirus Antibody (86658) | $37.05 | $57 | 2.8× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$362.70–$402.35 | $558–$619 | varies |
| Enzyme cell activity (82657) | $122.20 | $188 | 5.5× |
| Enzyme histochemistry (88319) | $776.75 | $1,195 | 0.9× |
| Eosinophil Smear (89190) | $30.55 | $47 | 5.3× |
| Erythropoietin (82668) | $84.50 | $130 | 4.5× |
| Estradiol serum (82670) | $91.65 | $141 | 3.3× |
| Estriol (82677) range across 2 matching MRF lines |
$120.90–$124.80 | $186–$192 | varies |
| Estrogen total (82672) | $204.10 | $314 | 9.4× |
| Ethosuximide (80168) | $29.25 | $45 | 1.8× |
| Ethylene Glycol (82693) | $90.35 | $139 | 6.1× |
| Euglobulin lysis (85360) | $117.65 | $181 | 14.0× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$49.40–$54.60 | $76–$84 | varies |
| F2 Gene (81240) range across 2 matching MRF lines |
$224.90–$231.40 | $346–$356 | varies |
| Factor ii activity (85210) | $35.10 | $54 | 2.7× |
| Factor Inhibitor Test (85335) | $177.45 | $273 | 13.8× |
| Factor ix activity (85250) range across 2 matching MRF lines |
$115.70–$128.05 | $178–$197 | varies |
| Factor v activity (85220) | $92.30 | $142 | 5.2× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$213.85–$220.35 | $329–$339 | varies |
| Factor vii assay (85230) | $284.05 | $437 | 15.9× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$76.70–$159.25 | $118–$245 | varies |
| Factor X (85260) | $104 | $160 | 5.8× |
| Factor xi activity (85270) range across 2 matching MRF lines |
$99.45–$182.65 | $153–$281 | varies |
| Fat/Lipids Feces Quantitative (82710) | $90.35 | $139 | 5.4× |
| Fatty acids free (82725) | $33.80 | $52 | 1.8× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $87.75 | $135 | 5.1× |
| Fecal Fat Qualitative (82705) | $34.45 | $53 | 6.8× |
| Ferritin (82728) range across 3 matching MRF lines |
$61.10–$63.05 | $94–$97 | varies |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$356.85–$449.15 | $549–$691 | varies |
| Fetal screen rosette (85461) | $80.60 | $124 | 8.6× |
| Fibrin degradation products (85362) | $53.30 | $82 | 7.7× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$135.20–$136.50 | $208–$210 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$70.85–$72.80 | $109–$112 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 2 matching MRF lines |
$63.05–$70.20 | $97–$108 | varies |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$954.20–$982.80 | $1,468–$1,512 | varies |
| Flt3 Gene (81245) | $458.90 | $706 | 2.8× |
| Flt3 gene analysis (81246) | $230.75 | $355 | 2.8× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$79.30–$344.50 | $122–$530 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $91 | $140 | 7.6× |
| Fmr1 Gene Charac Alleles (81244) | $432.25 | $665 | 9.6× |
| Fmr1 gene detection (81243) range across 2 matching MRF lines |
$213.20–$236.60 | $328–$364 | varies |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$98.80–$102.05 | $152–$157 | varies |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$85.80–$88.40 | $132–$136 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$63.70–$68.25 | $98–$105 | varies |
| Francisella tularensis (86668) | $60.45 | $93 | 4.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) range across 2 matching MRF lines |
$88.40–$159.90 | $136–$246 | varies |
| Frozen Section (88331) range across 3 matching MRF lines |
$503.75–$1,007.50 | $775–$1,550 | varies |
| Fungi Identification Mold (87107) | $140.40 | $216 | 13.6× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$136.50–$140.40 | $210–$216 | varies |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$58.50–$60.45 | $90–$93 | varies |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$68.25–$70.20 | $105–$108 | varies |
| Gardner Vag Dna Quant (87512) | $85.15 | $131 | 2.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 2 matching MRF lines |
$27.30–$30.55 | $42–$47 | varies |
| Gastrin (82941) | $68.25 | $105 | 3.9× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,221.70 | $3,418 | 2.9× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $2,377.70 | $3,658 | 0.8× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$182.65–$202.15 | $281–$311 | varies |
| Gentamicin (80170) range across 2 matching MRF lines |
$87.10–$89.70 | $134–$138 | varies |
| Ggt (82977) range across 2 matching MRF lines |
$32.50–$33.80 | $50–$52 | varies |
| Giardia antigen (87329) | $54.60 | $84 | 4.6× |
| Giardia lamblia antibody (86674) | $124.80 | $192 | 8.5× |
| Glucagon (82943) | $78 | $120 | 5.5× |
| Glucose 2 hr pp (82950) | $39 | $60 | 8.2× |
| Glucose Blood Test (82962) | $24.05 | $37 | 7.3× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$44.20–$45.50 | $68–$70 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$29.90–$33.15 | $46–$51 | varies |
| Glycated Protein (82985) range across 2 matching MRF lines |
$27.95–$31.85 | $43–$49 | varies |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$72.15–$74.10 | $111–$114 | varies |
| Growth hormone (83003) range across 2 matching MRF lines |
$115.70–$118.95 | $178–$183 | varies |
| H Pylori (C-13) Breath (83013) | $118.30 | $182 | 1.8× |
| Haloperidol (80173) | $45.50 | $70 | 2.9× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$63.70–$73.45 | $98–$113 | varies |
| Hdl Cholesterol (83718) | $44.85 | $69 | 5.5× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$116.35–$119.60 | $179–$184 | varies |
| Helminth Antibody (86682) | $42.90 | $66 | 3.3× |
| Hematocrit (85014) range across 3 matching MRF lines |
$29.90–$30.55 | $46–$47 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$29.90–$30.55 | $46–$47 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$52.65–$54.60 | $81–$84 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$76.70–$146.25 | $118–$225 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$44.20–$85.80 | $68–$132 | varies |
| Hemoglobin plasma (83051) | $80.60 | $124 | 11.0× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$60.45–$61.75 | $93–$95 | varies |
| Heparin assay (85520) range across 2 matching MRF lines |
$183.30–$188.50 | $282–$290 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$75.40–$77.35 | $116–$119 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$56.55–$65 | $87–$100 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$51.35–$55.90 | $79–$86 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$57.20–$61.75 | $88–$95 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$52–$53.95 | $80–$83 | varies |
| Hepatitis Be Antibody (86707) | $45.50 | $70 | 3.9× |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$42.25–$44.85 | $65–$69 | varies |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$70.20–$80.60 | $108–$124 | varies |
| Hepatitis C Genotype (87902) | $492.70 | $758 | 1.9× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$196.95–$226.20 | $303–$348 | varies |
| Hepatitis Delta Agent Antibody (86692) | $49.40 | $76 | 2.9× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $969.80 | $1,492 | 0.7× |
| Herpes simplex type 2 (86696) | $103.35 | $159 | 5.3× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$52.65–$53.95 | $81–$83 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$296.40–$305.50 | $456–$470 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$114.40–$126.75 | $176–$195 | varies |
| Histamine urine (83088) | $43.55 | $67 | 1.5× |
| Histoplasma antibody (86698) | $48.10 | $74 | 3.5× |
| Histoplasma antigen urine (87385) | $247.65 | $381 | 18.7× |
| Hiv Genotype (87901) | $779.35 | $1,199 | 3.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$65–$68.25 | $100–$105 | varies |
| Hiv-1 Antibody (86701) | $175.50 | $270 | 19.7× |
| HIV-1 p24 antigen (87390) | $66.30 | $102 | 2.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 3 matching MRF lines |
$482.30–$496.60 | $742–$764 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $132.60 | $204 | 3.8× |
| Hla Class I Typing High Resolution Complete (81379) | $1,266.85 | $1,949 | 3.8× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $668.85 | $1,029 | 3.8× |
| Hla Class I Typing Low Resolution Complete (81372) range across 2 matching MRF lines |
$796.90–$883.35 | $1,226–$1,359 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $420.55 | $647 | 3.3× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $1,518.40 | $2,336 | 3.8× |
| Hla class ii typing high resolution one locus ea (81382) | $406.90 | $626 | 3.3× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $271.70 | $418 | 3.7× |
| Hla I Typing 1 Allele Hr (81381) | $389.35 | $599 | 2.3× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $1,303.90 | $2,006 | 3.8× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $909.35 | $1,399 | 2.2× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $828.10 | $1,274 | 3.8× |
| Hla ii type 1 ag equiv lr (81377) | $346.45 | $533 | 3.7× |
| Hla ii typing 1 allele hr (81383) | $412.10 | $634 | 3.8× |
| Hla ii typing 1 locus lr (81376) | $432.90 | $666 | 3.5× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$104–$107.25 | $160–$165 | varies |
| Homocysteine (83090) range across 2 matching MRF lines |
$117–$120.25 | $180–$185 | varies |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$51.35–$52.65 | $79–$81 | varies |
| Homovanillic acid urine (83150) | $48.75 | $75 | 2.2× |
| Hpv High-Risk Types (87624) | $117.65 | $181 | 3.4× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$188.50–$366.60 | $290–$564 | varies |
| Htt Gene Detc Abnor Alleles (81271) | $271.05 | $417 | 2.0× |
| Human Epididymis Protein 4 (86305) | $207.35 | $319 | 10.0× |
| Hydroxyprogesterone 17-d (83498) | $107.90 | $166 | 4.0× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $55.25 | $85 | 4.6× |
| Iaad ia shiga-like toxin (87427) | $45.50 | $70 | 3.8× |
| Iaad Ia Streptococcus Group A (87430) range across 2 matching MRF lines |
$72.15–$74.10 | $111–$114 | varies |
| Iaadi herpes smplx virus type 1 (87274) | $39 | $60 | 3.3× |
| Iaadi herpes smplx virus type 2 (87273) | $39 | $60 | 3.3× |
| Iaadi inffluenza a virus (87276) | $87.10 | $134 | 5.4× |
| Iaadi not otherwise specified each organism (87299) | $86.45 | $133 | 5.4× |
| Iaadi parainfluenza virus each type (87279) | $39.65 | $61 | 2.4× |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$148.20–$152.75 | $228–$235 | varies |
| Iaadi respiratory synctial virus (87280) | $50.70 | $78 | 3.8× |
| Iaadi Varicella Zoster Virus (87290) | $43.55 | $67 | 3.2× |
| Iaadiadoo trichomonas vaginalis (87808) | $80.60 | $124 | 5.3× |
| Iadna Bartonella Amplified Probe Technique (87471) | $206.70 | $318 | 5.9× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$53.95–$107.90 | $83–$166 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $120.90 | $186 | 3.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$214.50–$221 | $330–$340 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$220.35–$226.85 | $339–$349 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $222.30 | $342 | 5.2× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$156–$172.90 | $240–$266 | varies |
| Iadna Herpes Virus-6 Quantification (87533) | $234.65 | $361 | 5.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $398.45 | $613 | 11.4× |
| Iadna Hiv-2 Quant & Reverse Transcription (87539) | $161.85 | $249 | 2.8× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) range across 2 matching MRF lines |
$373.10–$413.40 | $574–$636 | varies |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $128.05 | $197 | 2.9× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $500.50 | $770 | 10.4× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$164.45–$169.65 | $253–$261 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$182.65–$282.10 | $281–$434 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$124.15–$128.05 | $191–$197 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $98.80 | $152 | 3.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $416.65 | $641 | 2.9× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $391.30 | $602 | 1.5× |
| Ig Light Chains Free Each (83521) | $78 | $120 | 4.5× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$57.20–$59.15 | $88–$91 | varies |
| Igh gene rearrange amp meth (81261) | $638.30 | $982 | 3.2× |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) | $165.10 | $254 | 2.4× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $950.30 | $1,462 | 3.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$302.25–$311.35 | $465–$479 | varies |
| Immune Complex Assay (86332) | $119.60 | $184 | 4.9× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$164.45–$169.65 | $253–$261 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$191.10–$926.25 | $294–$1,425 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $74.75 | $115 | 2.9× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$65.65–$75.40 | $101–$116 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$70.20–$72.15 | $108–$111 | varies |
| Immunodiffusion not elsewhere specified (86329) | $68.25 | $105 | 4.9× |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$70.20–$842.40 | $108–$1,296 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$128.70–$132.60 | $198–$204 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$1,080.30–$1,112.80 | $1,662–$1,712 | varies |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$262.60–$787.80 | $404–$1,212 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$503.75–$518.70 | $775–$798 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) | $66.30 | $102 | 3.0× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $67.60 | $104 | 4.7× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $87.10 | $134 | 7.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) | $75.40 | $116 | 3.4× |
| Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) | $75.40 | $116 | 3.4× |
| Influenza DNA amp probe (87502) | $194.35 | $299 | 2.0× |
| Inhibin A (86336) range across 2 matching MRF lines |
$79.30–$81.90 | $122–$126 | varies |
| Inhibin b (83520) range across 2 matching MRF lines |
$108.55–$111.80 | $167–$172 | varies |
| Insitu hybridization manual (88368) | $898.30 | $1,382 | 2.2× |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$77.35–$83.20 | $119–$128 | varies |
| Insulin free (83527) | $41.60 | $64 | 3.2× |
| Insulin total (83525) | $56.55 | $87 | 4.9× |
| Intrinsic factor (stomach protein) level (83528) | $52 | $80 | 2.6× |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$46.80–$52 | $72–$80 | varies |
| Iron (83540) range across 2 matching MRF lines |
$34.45–$35.75 | $53–$55 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$60.45–$62.40 | $93–$96 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$92.30–$94.90 | $142–$146 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $385.45 | $593 | 4.2× |
| Jak2 Gene Trgt Sequence Alys (81279) | $278.20 | $428 | 1.5× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $495.95 | $763 | 1.5× |
| Koh Prep (87220) | $29.25 | $45 | 6.9× |
| Kras Gene Variants Exon 2 (81275) | $559.65 | $861 | 2.9× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$29.90–$34.45 | $46–$53 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$69.55–$71.50 | $107–$110 | varies |
| Ldh Isoenzymes (83625) | $57.20 | $88 | 4.5× |
| LDL direct (83721) range across 2 matching MRF lines |
$54.60–$63.05 | $84–$97 | varies |
| Lead (83655) range across 2 matching MRF lines |
$127.40–$131.30 | $196–$202 | varies |
| Legionella antibody (86713) | $72.15 | $111 | 4.7× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$102.05–$105.30 | $157–$162 | varies |
| Legionella pneumophila dfa (87278) | $63.70 | $98 | 4.1× |
| Leptospira antibody (86720) | $68.90 | $106 | 4.3× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$57.85–$64.35 | $89–$99 | varies |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$60.45–$63.70 | $93–$98 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$111.80–$115.05 | $172–$177 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$954.20–$982.80 | $1,468–$1,512 | varies |
| Lidocaine (80176) range across 2 matching MRF lines |
$140.40–$155.35 | $216–$239 | varies |
| Lipase (83690) range across 2 matching MRF lines |
$63.70–$126.10 | $98–$194 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$55.90–$57.85 | $86–$89 | varies |
| Lipoprotein Bld Quan Part (83704) | $95.55 | $147 | 2.8× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $42.25 | $65 | 3.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $93.60 | $144 | 2.8× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $44.20 | $68 | 3.5× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $128.05 | $197 | 2.8× |
| Lithium (80178) range across 2 matching MRF lines |
$56.55–$57.20 | $87–$88 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$63.70–$68.25 | $98–$105 | varies |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$93.60–$96.20 | $144–$148 | varies |
| Lymphocyte transformation (86353) | $88.40 | $136 | 1.8× |
| Lysozyme serum (85549) | $78.65 | $121 | 4.2× |
| M. Genitalium Amp Probe (87563) | $76.70 | $118 | 2.2× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $115.05 | $177 | 3.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$344.50–$396.50 | $530–$610 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 2 matching MRF lines |
$505.05–$520 | $777–$800 | varies |
| Macroscopic exam arthropod (87168) | $37.05 | $57 | 8.7× |
| Macroscopic Exam Parasite (87169) | $53.95 | $83 | 12.5× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$76.05–$157.30 | $117–$242 | varies |
| Mercury urine (83825) | $70.20 | $108 | 4.3× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$88.40–$91 | $136–$140 | varies |
| Mgmt methylation analysis (81287) | $445.90 | $686 | 3.6× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$50.70–$52 | $78–$80 | varies |
| Microsatellite instability (81301) range across 2 matching MRF lines |
$1,045.20–$1,158.30 | $1,608–$1,782 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$52.65–$53.95 | $81–$83 | varies |
| Mitochondrial Antibody Each (86381) | $35.75 | $55 | 1.4× |
| Mlh1 Gene (81288) range across 2 matching MRF lines |
$621.40–$689 | $956–$1,060 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $528.45 | $813 | 2.6× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,788.15 | $2,751 | 2.6× |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $716.95 | $1,103 | 2.2× |
| Mog-Igg1 Antb Cba Each (86362) | $163.15 | $251 | 13.5× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$117–$234 | $180–$360 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $518.05 | $797 | 3.4× |
| Molecular Pathology Procedure Level 6 (81405) | $811.85 | $1,249 | 2.7× |
| Mononuclear cell antigen (86356) | $81.25 | $125 | 3.0× |
| Mopath procedure level 1 (81400) range across 2 matching MRF lines |
$205.40–$370.50 | $316–$570 | varies |
| Mopath procedure level 2 (81401) | $426.40 | $656 | 3.1× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$415.35–$460.20 | $639–$708 | varies |
| Mopath procedure level 5 (81404) | $796.90 | $1,226 | 2.9× |
| Mopath procedure level 7 (81406) | $820.95 | $1,263 | 2.9× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $310.05 | $477 | 1.7× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$239.20–$246.35 | $368–$379 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $618.80 | $952 | 2.9× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $1,106.95 | $1,703 | 2.9× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $978.90 | $1,506 | 2.9× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $690.30 | $1,062 | 2.9× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $796.90 | $1,226 | 1.2× |
| Msh6 Gene Known Variants (81299) | $893.75 | $1,375 | 2.9× |
| Mthfr Gene Analysis Common Variants (81291) | $299.65 | $461 | 4.6× |
| Mumps antibody (86735) | $85.80 | $132 | 6.6× |
| Mycobacteric Identification (87118) | $81.25 | $125 | 5.6× |
| Mycophenolic Acid (80180) | $94.25 | $145 | 5.2× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$40.30–$75.40 | $62–$116 | varies |
| Mycoplasma culture (87109) | $85.15 | $131 | 5.5× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $232.05 | $357 | 1.3× |
| Myelin basic protein csf (83873) range across 2 matching MRF lines |
$57.20–$63.70 | $88–$98 | varies |
| Myoglobin urine (83874) | $100.75 | $155 | 7.8× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$344.50–$354.90 | $530–$546 | varies |
| Neutralization Test Viral (86382) | $101.40 | $156 | 6.0× |
| Nfct ds chrnc hcv 6 assays (81596) | $235.95 | $363 | 3.3× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $464.75 | $715 | 3.6× |
| Niacin (84591) | $141.70 | $218 | 8.3× |
| Nk cells total count (86357) | $165.10 | $254 | 4.4× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $836.55 | $1,287 | 3.4× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$74.75–$655.20 | $115–$1,008 | varies |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $141.05 | $217 | 3.2× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$30.55–$31.20 | $47–$48 | varies |
| Occult Blood Other Sources (82271) | $30.55 | $47 | 5.7× |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
$65.65–$92.95 | $101–$143 | varies |
| Osmolality serum (83930) range across 2 matching MRF lines |
$56.55–$65 | $87–$100 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$56.55–$60.45 | $87–$93 | varies |
| Osmotic fragility rbc incubated (85557) | $132.60 | $204 | 9.9× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$44.20–$45.50 | $68–$70 | varies |
| Oxalate urine (83945) | $122.20 | $188 | 8.5× |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$58.50–$60.45 | $90–$93 | varies |
| Particle Agglut Antbdy Titr (86406) | $174.20 | $268 | 16.4× |
| Particle Agglutination Screen Each Antibody (86403) | $73.45 | $113 | 6.4× |
| Parvovirus antibody (86747) | $62.40 | $96 | 4.2× |
| Path Clin Consltj Mod 21-40 (80504) | $107.90 | $166 | 0.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 3 matching MRF lines |
$615.55–$2,264.60 | $947–$3,484 | varies |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | $161.20 | $248 | 0.8× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $53.95 | $83 | 0.9× |
| Pathology Consultation During Surgery (88329) range across 3 matching MRF lines |
$102.70–$205.40 | $158–$316 | varies |
| Ph urine (81003) range across 3 matching MRF lines |
$23.40–$24.70 | $36–$38 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$67.60–$69.55 | $104–$107 | varies |
| Phenotype Infect Agent Drug (87900) | $328.25 | $505 | 2.5× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$77.35–$85.80 | $119–$132 | varies |
| Phenytoin free (80186) | $61.75 | $95 | 4.5× |
| Phosphatase alkaline (84075) | $19.50 | $30 | 3.8× |
| Phospholipid Neutralization Hexagonal (85598) | $81.25 | $125 | 4.5× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$29.90–$30.55 | $46–$47 | varies |
| Phosphorus urine (84105) | $31.85 | $49 | 5.5× |
| Pinworm exam (87172) | $30.55 | $47 | 7.2× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$188.50–$549.90 | $290–$846 | varies |
| Platelet Antibodies (86022) | $345.15 | $531 | 18.8× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$46.15–$53.30 | $71–$82 | varies |
| Platelet neutralization (85597) | $65.65 | $101 | 3.7× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $835.25 | $1,285 | 4.0× |
| PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) | $1,194.05 | $1,837 | 5.8× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $613.60 | $944 | 3.0× |
| Pms2 gene analysis known familial variants (81318) | $511.55 | $787 | 1.5× |
| Pms2 gene full seq analysis (81317) | $2,163.20 | $3,328 | 3.2× |
| Pooling blood platelets (86965) | $164.45 | $253 | 0.9× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$68.25–$91 | $105–$140 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$75.40–$83.85 | $116–$129 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$31.20–$35.75 | $48–$55 | varies |
| Prealbumin (84134) range across 2 matching MRF lines |
$72.15–$74.10 | $111–$114 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $86.45 | $133 | 1.3× |
| Primidone (80188) | $57.85 | $89 | 3.5× |
| Procalcitonin (Pct) (84145) | $183.95 | $283 | 6.8× |
| Progesterone (84144) | $74.75 | $115 | 3.6× |
| Prolactin (84146) range across 2 matching MRF lines |
$78–$85.15 | $120–$131 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$42.25–$43.55 | $65–$67 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$161.85–$166.40 | $249–$256 | varies |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$80.60–$83.20 | $124–$128 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$49.40–$50.70 | $76–$78 | varies |
| Protein S Free (85306) range across 2 matching MRF lines |
$159.90–$164.45 | $246–$253 | varies |
| Protein s total (85305) | $70.85 | $109 | 6.1× |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | $54.60 | $84 | 2.5× |
| Protein total serum (84155) range across 2 matching MRF lines |
$20.15–$20.80 | $31–$32 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$31.85–$32.50 | $49–$50 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$96.20–$577.20 | $148–$888 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $60.45 | $93 | 15.3× |
| Protoporphyrin rbc quantitative (84202) | $68.90 | $106 | 4.8× |
| PSA free (84154) range across 2 matching MRF lines |
$66.95–$70.20 | $103–$108 | varies |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $653.25 | $1,005 | 2.2× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $1,662.70 | $2,558 | 2.8× |
| Pten gene analysis known familial variant (81322) | $160.55 | $247 | 3.4× |
| Pth Intact (83970) range across 2 matching MRF lines |
$188.50–$549.90 | $290–$846 | varies |
| Pyruvate kinase (84220) | $75.40 | $116 | 8.0× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$39–$273 | $60–$420 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$206.70–$211.90 | $318–$326 | varies |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$74.75–$81.90 | $115–$126 | varies |
| Quantitative Screen Metals (83018) | $80.60 | $124 | 3.7× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$161.85–$179.40 | $249–$276 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$304.20–$313.30 | $468–$482 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$78–$81.90 | $120–$126 | varies |
| Rbc pretreatment serum (86978) | $310.70 | $478 | 4.7× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$45.50–$104.65 | $70–$161 | varies |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$796.90–$820.95 | $1,226–$1,263 | varies |
| Resp Virus 6-11 Targets (87632) | $352.95 | $543 | 1.6× |
| Reticulated Platelet Assay (85055) range across 2 matching MRF lines |
$100.75–$104 | $155–$160 | varies |
| Rh (86901) range across 2 matching MRF lines |
$49.40–$54.60 | $76–$84 | varies |
| Rheumatoid Factor Qualitative (86430) | $46.15 | $71 | 7.5× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$40.30–$46.15 | $62–$71 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$99.45–$192.40 | $153–$296 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$137.80–$141.70 | $212–$218 | varies |
| Rotavirus ag eia (87425) | $87.10 | $134 | 7.3× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$26–$29.90 | $40–$46 | varies |
| Rsv Assay W/Optic (87807) | $62.40 | $96 | 4.8× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$35.75–$37.05 | $55–$57 | varies |
| Rubeola antibody (86765) | $93.60 | $144 | 7.3× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$80.60–$83.20 | $124–$128 | varies |
| Salmonella antibody (86768) | $28.60 | $44 | 2.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $66.95 | $103 | 1.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $54.60 | $84 | 1.3× |
| Sars-Cov-2 Covid19 W/Optic (87811) range across 2 matching MRF lines |
$33.80–$35.10 | $52–$54 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $143.65 | $221 | 1.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $230.75 | $355 | 1.6× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$34.45–$35.75 | $53–$55 | varies |
| Selenium (84255) range across 2 matching MRF lines |
$82.55–$85.15 | $127–$131 | varies |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$75.40–$141.70 | $116–$218 | varies |
| Sept9 Methylation Analysis (81327) | $232.05 | $357 | 1.2× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$77.35–$79.95 | $119–$123 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$34.45–$66.30 | $53–$102 | varies |
| Sirolimus (80195) | $94.90 | $146 | 6.9× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$219.28–$281.18 | $337.35–$432.59 | varies |
| Smear acid fast (87206) range across 2 matching MRF lines |
$47.45–$48.75 | $73–$75 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$59.80–$61.10 | $92–$94 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$42.90–$44.20 | $66–$68 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$61.10–$72.80 | $94–$112 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $44.20 | $68 | 7.6× |
| Snrpn/Ube3a Methylation Analysis (81331) | $204.10 | $314 | 4.0× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$27.95–$28.60 | $43–$44 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$31.85–$32.50 | $49–$50 | varies |
| Soluble Transferrin Receptor (84238) | $100.75 | $155 | 2.8× |
| Somatomedin (84305) range across 2 matching MRF lines |
$65–$74.75 | $100–$115 | varies |
| Somatostatin (84307) | $92.95 | $143 | 5.1× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$206.05–$400.40 | $317–$616 | varies |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$145.60–$1,164.80 | $224–$1,792 | varies |
| Specific gravity body fluid (84315) | $27.95 | $43 | 8.5× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$28.60–$29.25 | $44–$45 | varies |
| Spectrophotometry (84311) | $60.45 | $93 | 7.5× |
| Splitting Blood/Blood Products Each Unit (86985) | $175.50 | $270 | 0.9× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$29.25–$57.20 | $45–$88 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$51.35–$52.65 | $79–$81 | varies |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$186.55–$192.40 | $287–$296 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $125.45 | $193 | 1.4× |
| Sugars Single Qual (84376) | $30.55 | $47 | 5.6× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$177.45–$182.65 | $273–$281 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$177.45–$182.65 | $273–$281 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$1,942.20–$2,000.70 | $2,988–$3,078 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$27.95–$31.20 | $43–$48 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$45.50–$52.65 | $70–$81 | varies |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$20.80–$21.45 | $32–$33 | varies |
| T cells absolute cd4 count (86361) range across 3 matching MRF lines |
$105.30–$108.55 | $162–$167 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $195 | $300 | 4.2× |
| T cells total count (86359) | $185.90 | $286 | 4.9× |
| T3 Free (84481) range across 2 matching MRF lines |
$67.60–$71.50 | $104–$110 | varies |
| T3 reverse (84482) | $74.10 | $114 | 4.7× |
| T3 Total (84480) range across 2 matching MRF lines |
$63.70–$73.45 | $98–$113 | varies |
| T3 Uptake (84479) | $37.05 | $57 | 5.7× |
| T4 Free (84439) range across 3 matching MRF lines |
$54.60–$56.55 | $84–$87 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$39–$40.30 | $60–$62 | varies |
| Tacrolimus (80197) range across 2 matching MRF lines |
$78.65–$81.25 | $121–$125 | varies |
| Testosterone total (84403) range across 2 matching MRF lines |
$80.60–$83.20 | $124–$128 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$107.90–$111.15 | $166–$171 | varies |
| Tetanus antibody (86774) | $31.20 | $48 | 2.1× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,937 | $2,980 | 3.2× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $1,292.85 | $1,989 | 2.2× |
| Theophylline (80198) range across 2 matching MRF lines |
$87.75–$90.35 | $135–$139 | varies |
| Thiopurine methyltransferase (84433) range across 2 matching MRF lines |
$105.30–$117 | $162–$180 | varies |
| Thrombin Time (85670) range across 2 matching MRF lines |
$40.30–$44.85 | $62–$69 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $65.65 | $101 | 10.1× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$50.70–$52 | $78–$80 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$59.15–$63.70 | $91–$98 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$189.15–$195 | $291–$300 | varies |
| Thyroxine binding globulin (84442) | $32.50 | $50 | 2.2× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$458.90–$508.95 | $706–$783 | varies |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$362.70–$373.75 | $558–$575 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$386.75–$429 | $595–$660 | varies |
| Tobramycin peak (80200) | $104 | $160 | 6.4× |
| Topiramate (80201) range across 2 matching MRF lines |
$71.50–$109.20 | $110–$168 | varies |
| Toxoplasma ab igm (86778) | $76.70 | $118 | 5.3× |
| Toxoplasma antibody (86777) | $56.55 | $87 | 3.9× |
| Tp53 gene analysis targeted sequence analysis (81352) | $713.05 | $1,097 | 2.2× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$29.90–$30.55 | $46–$47 | varies |
| Transferrin (84466) | $66.95 | $103 | 5.2× |
| Trb@ gene rearrange dirprobe (81341) | $187.20 | $288 | 3.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $835.90 | $1,286 | 4.0× |
| Trg gene rearrangement anal (81342) | $806 | $1,240 | 4.0× |
| Trichinella Antibody (86784) range across 2 matching MRF lines |
$66.30–$73.45 | $102–$113 | varies |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$61.75–$63.05 | $95–$97 | varies |
| Trichomonas Vaginalis Amplif (87661) | $236.60 | $364 | 6.7× |
| Triglycerides (84478) range across 3 matching MRF lines |
$31.20–$31.85 | $48–$49 | varies |
| Troponin Quant (84484) range across 5 matching MRF lines |
$127.40–$382.20 | $196–$588 | varies |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$518.70–$3,526.25 | $798–$5,425 | varies |
| Ugt1a1 gene analysis common variants (81350) | $373.10 | $574 | 1.6× |
| Unlisted reproductive medicine lab procedure (89398) | $121.55 | $187 | 2.1× |
| Urea nitrogen urine (84540) | $46.15 | $71 | 8.3× |
| Uric acid other source (84560) | $36.40 | $56 | 7.2× |
| Urinalysis Microscopic Only (81015) | $13 | $20 | 4.3× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$61.10–$67.60 | $94–$104 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$51.35–$52.65 | $79–$81 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$37.05–$39 | $57–$60 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$71.50–$73.45 | $110–$113 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$120.90–$122.85 | $186–$189 | varies |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$127.40–$131.30 | $196–$202 | varies |
| Vasopressin (84588) | $69.55 | $107 | 2.0× |
| Viral Culture (87252) | $229.45 | $353 | 8.8× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$113.10–$219.70 | $174–$338 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$71.50–$89.05 | $110–$137 | varies |
| Viscosity serum (85810) | $29.90 | $46 | 2.6× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$201.50–$207.35 | $310–$319 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$58.50–$60.45 | $90–$93 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$77.35–$81.90 | $119–$126 | varies |
| Vitamin B2 (Riboflavin) (84252) | $111.80 | $172 | 5.5× |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$59.15–$68.25 | $91–$105 | varies |
| Vitamin c (82180) | $92.30 | $142 | 9.3× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$138.45–$142.35 | $213–$219 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$47.45–$48.75 | $73–$75 | varies |
| Vitamin K (84597) range across 2 matching MRF lines |
$128.70–$132.60 | $198–$204 | varies |
| Vkorc1 gene (81355) | $256.10 | $394 | 2.9× |
| Volatiles (84600) | $59.80 | $92 | 3.5× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$157.30–$161.85 | $242–$249 | varies |
| West nile virus ab igm (86788) | $70.20 | $108 | 4.2× |
| West Nile Virus Antibody (86789) | $58.50 | $90 | 4.1× |
| Western Blot Test (84181) range across 2 matching MRF lines |
$92.30–$102.05 | $142–$157 | varies |
| Xm Archive Tissue Molec Anal (88363) range across 2 matching MRF lines |
$100.75–$111.80 | $155–$172 | varies |
| Zika Virus Dna/Rna Amp Probe (87662) | $85.15 | $131 | 1.7× |
| Zinc (84630) range across 2 matching MRF lines |
$40.95–$42.25 | $63–$65 | 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.