Lab & pathology prices at Saint Anthony Medical Center
Rockford, IL · every code in this section with a posted price and a Medicare benchmark.
831 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $170.40 | $284 | 7.5× |
| 5 Nucleotidase (83915) range across 3 matching MRF lines |
$93–$166.20 | $155–$277 | varies |
| Abl1 gene analysis kinase domain variants (81170) | $1,128 | $1,880 | 3.8× |
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$112.20–$402 | $187–$670 | varies |
| Acetylcholinesterase Assay (82013) | $242.40 | $404 | 19.7× |
| Acetylcholn Rcptr Modlg Antb (86043) | $160.80 | $268 | 13.3× |
| Acth (82024) | $303 | $505 | 7.8× |
| Acute hepatitis panel (80074) | $380.40 | $634 | 8.0× |
| Acylcarnitines Quant (82017) | $267 | $445 | 15.8× |
| Adenovirus antibody (86603) | $123 | $205 | 9.6× |
| Albumin Fluid (82042) | $81.60 | $136 | 10.5× |
| Albumin serum (82040) | $84.60 | $141 | 17.1× |
| Aldolase (82085) | $100.80 | $168 | 10.4× |
| Aldosterone urine (82088) | $292.80 | $488 | 7.2× |
| Alkaline phosphatase isoenzymes (84080) | $120 | $200 | 8.1× |
| Allergen specific ige (86003) range across 12 matching MRF lines |
$56.40–$61.80 | $94–$103 | varies |
| Allergen specific igg (86001) | $283.80 | $473 | 36.3× |
| Allg Spec Ige Recomb Ea (86008) | $144 | $240 | 8.0× |
| Alpha-1-antitrypsin phenotype (82104) | $201 | $335 | 13.9× |
| Alpha-1-antitrypsin total (82103) | $174.60 | $291 | 13.0× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $151.20 | $252 | 8.9× |
| Alpha-Fetoprotein Serum (82105) | $235.80 | $393 | 14.1× |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$34.80–$46.80 | $58–$78 | varies |
| Aluminum (82108) | $155.40 | $259 | 6.1× |
| Amikacin trough (80150) | $181.80 | $303 | 12.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $784.20 | $1,307 | 34.1× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $427.80 | $713 | 25.4× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $579.60 | $966 | 41.8× |
| Amino Acids Quant 2-5 (82136) | $232.80 | $388 | 11.9× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$217.80–$236.40 | $363–$394 | varies |
| Ammonia (82140) range across 2 matching MRF lines |
$57–$171 | $95–$285 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $155.40 | $259 | 1.6× |
| Amniotic fluid scan (82143) | $163.20 | $272 | 17.5× |
| Amylase urine (82150) range across 2 matching MRF lines |
$85.80–$136.20 | $143–$227 | varies |
| Ana Titer (86039) | $126 | $210 | 11.3× |
| Anca screen each antibody (86036) | $28.20 | $47 | 2.3× |
| Androstenedione (82157) range across 2 matching MRF lines |
$216.60–$217.20 | $361–$362 | varies |
| Angiotensin converting enzyme csf (82164) range across 3 matching MRF lines |
$145.20–$243 | $242–$405 | varies |
| Anti-Phospholipid Antibody (86148) range across 3 matching MRF lines |
$71.40–$212.40 | $119–$354 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$57.60–$110.40 | $96–$184 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $268.80 | $448 | 20.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $169.80 | $283 | 11.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 3 matching MRF lines |
$46.20–$189 | $77–$315 | varies |
| Antibody Encephalitis California La Crosse (86651) | $46.20 | $77 | 3.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $142.20 | $237 | 10.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $138 | $230 | 9.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$142.20–$162 | $237–$270 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 6 matching MRF lines |
$33.60–$163.80 | $56–$273 | varies |
| Antibody haemophilus influenza (86684) | $52.20 | $87 | 3.3× |
| Antibody helicobacter pylori (86677) | $172.80 | $288 | 10.3× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $126.60 | $211 | 8.8× |
| Antibody Herpes Smplx Type 1 (86695) range across 5 matching MRF lines |
$46.20–$126.60 | $77–$211 | varies |
| Antibody HIV-2 (86702) | $212.40 | $354 | 15.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 4 matching MRF lines |
$141.60–$405.60 | $236–$676 | varies |
| Antibody identification leukocyte antibodies (86021) | $240 | $400 | 15.9× |
| Antibody Identification Platelet Immunogl Assay (86023) | $206.40 | $344 | 16.6× |
| Antibody Lymphocytic Choriomeningitis (86727) | $39 | $65 | 3.0× |
| Antibody Protozoa Nes (86753) | $121.80 | $203 | 9.8× |
| Antibody Titer (86886) | $283.80 | $473 | 54.8× |
| Antibody Treponema Pallidum (86780) | $91.20 | $152 | 6.9× |
| Antibody; encephalitis, st. louis (86653) | $46.20 | $77 | 3.5× |
| Antibody; influenza virus (86710) range across 4 matching MRF lines |
$46.20–$189 | $77–$315 | varies |
| Antigen typing (86905) range across 8 matching MRF lines |
$226.80–$388.20 | $378–$647 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $114.60 | $191 | 20.0× |
| Antinuclear antibodies (86038) | $189 | $315 | 15.6× |
| Antistreptolysin o titer (86060) | $132 | $220 | 18.1× |
| Antithrombin iii activity (85300) | $165.60 | $276 | 14.0× |
| Antithrombin iii antigen (85301) | $181.80 | $303 | 16.8× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) range across 2 matching MRF lines |
$4,243.80–$6,978 | $7,073–$11,630 | varies |
| Apolipoprotein a1 (82172) range across 6 matching MRF lines |
$106.20–$266.40 | $177–$444 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 9 matching MRF lines |
$164.40–$753.60 | $274–$1,256 | varies |
| Arsenic (82175) range across 3 matching MRF lines |
$135.60–$241.20 | $226–$402 | varies |
| Aspergillus ag eia (87305) | $168 | $280 | 14.0× |
| Assay activated protein c (85307) | $487.20 | $812 | 31.8× |
| Assay Blood Carbon Dioxide (82374) | $58.80 | $98 | 12.0× |
| Assay Nephelometry Not Spec (83883) range across 8 matching MRF lines |
$99–$334.80 | $165–$558 | varies |
| Assay of 5-hiaa (83497) | $135.60 | $226 | 10.5× |
| Assay of anti-mullerian hormone (82166) | $96.60 | $161 | 2.5× |
| Assay of blood/uric acid (84550) | $51 | $85 | 11.3× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$25.20–$85.80 | $42–$143 | varies |
| Assay of cpk in blood (82552) | $46.20 | $77 | 3.5× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$137.40–$165 | $229–$275 | varies |
| Assay of g6pd enzyme (82955) | $105.60 | $176 | 10.9× |
| Assay of gammaglobulin igm (82784) range across 9 matching MRF lines |
$53.40–$327 | $89–$545 | varies |
| Assay of lactic acid (83605) | $172.80 | $288 | 14.9× |
| Assay of manganese (83785) range across 3 matching MRF lines |
$85.80–$572.40 | $143–$954 | varies |
| Assay of metanephrines (83835) | $217.20 | $362 | 12.8× |
| Assay of proinsulin (84206) | $202.80 | $338 | 7.6× |
| Assay of pyruvate (84210) | $144.60 | $241 | 10.0× |
| Assay of serotonin (84260) | $269.40 | $449 | 8.7× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$46.80–$74.40 | $78–$124 | varies |
| Assay of sweat sodium (84302) | $81.60 | $136 | 16.8× |
| Assay of Tyrosine (84510) | $136.20 | $227 | 12.8× |
| Assay of urea nitrogen (84520) | $51 | $85 | 12.9× |
| Assay of urine vma (84585) | $156 | $260 | 10.1× |
| Assay of vasoactive intestinal peptide (84586) | $144 | $240 | 4.1× |
| Assay of vitamin b-1 (84425) | $184.20 | $307 | 8.7× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$14.40–$64.80 | $24–$108 | varies |
| Assay Phosphohexose Enzymes (84087) | $90 | $150 | 8.4× |
| Assay spec xcp ur&breath ia (82077) | $235.20 | $392 | 13.6× |
| Asy carbamazepin 10,11-epxid (80161) | $53.40 | $89 | 2.9× |
| Automated Leukocyte Count (85048) | $55.20 | $92 | 21.7× |
| B cells total count (86355) | $169.80 | $283 | 4.5× |
| Babesia microti amp prb (87469) | $34.20 | $57 | 1.0× |
| Bartonella antibody (86611) range across 4 matching MRF lines |
$30–$103.80 | $50–$173 | varies |
| Bcr/abl1 gene major bp (81206) | $1,154.40 | $1,924 | 7.0× |
| Bcr/abl1 gene minor bp (81207) | $339 | $565 | 2.3× |
| Bcr/Abl1 Gene Other Bp (81208) | $406.80 | $678 | 1.9× |
| Beta 2 glycoprotein i antibody each (86146) | $142.80 | $238 | 5.6× |
| Beta hydroxybutyrate (82010) | $126.60 | $211 | 15.5× |
| Beta Lactamase (87185) | $52.80 | $88 | 11.1× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$72–$317.40 | $120–$529 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) range across 2 matching MRF lines |
$333–$339 | $555–$565 | varies |
| Bile acids total (82239) | $129 | $215 | 7.5× |
| Bilirubin direct (82248) | $46.80 | $78 | 9.3× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$34.80–$46.80 | $58–$78 | varies |
| Bilirubin total transcutaneous (88720) | $74.40 | $124 | 14.8× |
| Biotinidase (82261) | $171 | $285 | 10.1× |
| Blastomyces antibody (86612) | $69.60 | $116 | 5.4× |
| Blood Count Red Blood Cell Automated (85041) | $55.20 | $92 | 18.3× |
| Blood count reticulocyte automated (85045) | $75 | $125 | 18.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $55.20 | $92 | 14.5× |
| Blood gas (82803) range across 2 matching MRF lines |
$238.80–$277.20 | $398–$462 | varies |
| Blood gases w/02 saturation (82805) | $331.20 | $552 | 4.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $61.20 | $102 | 3.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$24–$61.80 | $40–$103 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 6 matching MRF lines |
$226.80–$388.20 | $378–$647 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$89.40–$93.60 | $149–$156 | varies |
| Body fluid cell count (89050) | $198.60 | $331 | 42.1× |
| Bone marrow smear interpretation (85097) | $557.40 | $929 | 0.6× |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$137.40–$151.80 | $229–$253 | varies |
| Borrelia miyamotoi amp prb (87478) | $34.20 | $57 | 1.0× |
| Braf gene analysis (81210) | $678.60 | $1,131 | 3.9× |
| Brca1&2 gen full seq dup/del (81162) range across 5 matching MRF lines |
$2,188.20–$5,062.20 | $3,647–$8,437 | varies |
| Brucella antibody (86622) range across 5 matching MRF lines |
$61.20–$402.60 | $102–$671 | varies |
| C diff amplified probe (87493) | $253.20 | $422 | 6.8× |
| C-Peptide (84681) | $171.60 | $286 | 8.2× |
| C-reactive protein (86140) | $106.20 | $177 | 20.5× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$171–$350.40 | $285–$584 | varies |
| Cadmium (82300) | $118.80 | $198 | 5.0× |
| Calcitonin (82308) | $223.80 | $373 | 8.4× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$128.40–$179.40 | $214–$299 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$51–$72.60 | $85–$121 | varies |
| Calculus Spectroscopy (82365) | $125.40 | $209 | 9.7× |
| Calprotectin Fecal (83993) | $610.80 | $1,018 | 31.1× |
| Calr gene com variants (81219) | $1,348.80 | $2,248 | 11.1× |
| Cancer Antigen 125 (86304) | $211.20 | $352 | 10.1× |
| Cancer Antigen 27.29 (86300) | $232.20 | $387 | 11.2× |
| Candida Dna Dir Probe (87480) | $45.60 | $76 | 2.3× |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$78–$191.40 | $130–$319 | varies |
| Carbohydrate Deficient Transferrin (82373) | $157.80 | $263 | 8.7× |
| Carboxyhemoglobin (82375) | $168 | $280 | 13.6× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$217.20–$234 | $362–$390 | varies |
| Cardiolipin ab iga (86147) | $199.80 | $333 | 7.9× |
| Carnitine Quantitative Each Specimen (82379) | $227.40 | $379 | 13.5× |
| Catecholamines fractionated (82384) | $224.40 | $374 | 8.9× |
| Ccp antibody (86200) | $25.80 | $43 | 2.0× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $853.80 | $1,423 | 3.5× |
| Cell count csf (89051) | $198.60 | $331 | 35.5× |
| Cell marker study (88182) range across 2 matching MRF lines |
$217.20–$520.20 | $362–$867 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $453 | $755 | 3.3× |
| Ceruloplasmin (82390) | $121.80 | $203 | 11.3× |
| Cftr Gene Analysis Known Familial Variants (81221) | $1,327.20 | $2,212 | 13.7× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$437.40–$2,068.20 | $729–$3,447 | varies |
| Cftr gene dup/delet variants (81222) | $2,232 | $3,720 | 5.1× |
| Cftr gene full sequence (81223) | $2,232 | $3,720 | 4.5× |
| Chemiluminescent assay (82397) | $147 | $245 | 10.4× |
| Chlamydia antibody (86631) range across 6 matching MRF lines |
$21.60–$111.60 | $36–$186 | varies |
| Chlamydia Igm Antibody (86632) range across 4 matching MRF lines |
$24–$105.60 | $40–$176 | varies |
| Chlmy trch&neisra gonor mult (87494) | $72.60 | $121 | 1.0× |
| Chloride other source (82438) | $87 | $145 | 17.4× |
| Chloride Serum (82435) | $51 | $85 | 11.1× |
| Chloride urine (82436) range across 2 matching MRF lines |
$19.80–$87 | $33–$145 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$51–$79.80 | $85–$133 | varies |
| Cholinesterase rbc (82482) | $126.60 | $211 | 12.9× |
| Cholinesterase Serum (82480) | $244.80 | $408 | 31.1× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$121.80–$222 | $203–$370 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $456 | $760 | 16.9× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $393 | $655 | 11.4× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $325.80 | $543 | 9.7× |
| Chromium serum (82495) | $217.20 | $362 | 10.7× |
| Chromogenic Substrate Assay (85130) range across 5 matching MRF lines |
$194.40–$855.60 | $324–$1,426 | varies |
| Chromogranin a (86316) range across 2 matching MRF lines |
$191.40–$469.20 | $319–$782 | varies |
| Chromosome analys amniotic (88269) | $1,053.60 | $1,756 | 6.1× |
| Chromosome Analysis 15-20 (88262) | $1,228.80 | $2,048 | 9.8× |
| Chromosome Analysis 20-25 (88264) range across 3 matching MRF lines |
$995.40–$1,262.40 | $1,659–$2,104 | varies |
| Chromosome analysis 45 cells (88263) | $802.80 | $1,338 | 5.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$172.20–$238.80 | $287–$398 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$99–$216.60 | $165–$361 | varies |
| Ckmb (82553) | $115.80 | $193 | 10.0× |
| Clostridium Difficile (87324) | $189.60 | $316 | 15.8× |
| Clot Factor VIII Multimetric (85247) | $263.40 | $439 | 11.5× |
| Clot factor xiii fibrin stab (85290) | $470.40 | $784 | 28.8× |
| Clotting factor xii hageman (85280) | $366 | $610 | 18.9× |
| Clotting Funct Activity (85397) | $448.20 | $747 | 14.5× |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$766.20–$1,161 | $1,277–$1,935 | varies |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$84.60–$100.80 | $141–$168 | varies |
| Coagulation time other methods (85348) | $84.60 | $141 | 18.8× |
| Coccidioides antibody (86635) | $69.60 | $116 | 6.1× |
| Cold agglutinin titer (86157) | $105 | $175 | 13.0× |
| Collagen crosslinks (82523) | $178.80 | $298 | 9.6× |
| Column Chromotography Quant (82542) range across 10 matching MRF lines |
$136.80–$767.40 | $228–$1,279 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 3 matching MRF lines |
$825–$1,015.20 | $1,375–$1,692 | varies |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $451.20 | $752 | 1.5× |
| Compatibility Each Unit Incubation (86921) | $108 | $180 | 0.6× |
| Compatibility test antiglob (86922) | $154.20 | $257 | 0.8× |
| Complement Antigen Each Component (86160) | $163.80 | $273 | 13.7× |
| Complement Total (Ch50) (86162) | $194.40 | $324 | 9.6× |
| Complement/Function Activity (86161) | $360 | $600 | 30.0× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $1,040.40 | $1,734 | 5.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $940.80 | $1,568 | 16.8× |
| Coombs direct (86880) range across 2 matching MRF lines |
$81–$123.60 | $135–$206 | varies |
| Copper urine (82525) | $120 | $200 | 9.7× |
| Cortisol free (82530) | $171.60 | $286 | 10.3× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$120–$186.60 | $200–$311 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$51–$123 | $85–$205 | varies |
| Creatinine blood (82565) | $46.80 | $78 | 9.1× |
| Creatinine clearance (82575) | $232.20 | $387 | 24.5× |
| Creatinine Urine (82570) | $52.20 | $87 | 10.1× |
| Crossmatch electronic (86923) | $286.80 | $478 | 1.6× |
| Crossmatch immediate spin (86920) | $115.20 | $192 | 0.6× |
| Crp High Sensitivity (86141) | $191.40 | $319 | 14.8× |
| Cryofibrinogen (82585) | $35.40 | $59 | 2.5× |
| Cryoglobulin (82595) | $269.40 | $449 | 41.6× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) range across 3 matching MRF lines |
$94.20–$953.40 | $157–$1,589 | varies |
| Cryptococcus ab (86641) | $229.80 | $383 | 15.9× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$46.80–$117.60 | $78–$196 | varies |
| Cryptosporidium ag eia (87328) | $116.40 | $194 | 8.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $74.40 | $124 | 9.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $120 | $200 | 14.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $187.80 | $313 | 24.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $650.40 | $1,084 | 3.0× |
| Culture aerobic quant other (87071) | $223.20 | $372 | 22.6× |
| Culture afb (87116) | $250.20 | $417 | 23.2× |
| Culture Anaerobic (87075) | $84 | $140 | 8.9× |
| Culture bacteria anaerobic (87073) | $223.20 | $372 | 23.1× |
| Culture blood (87040) | $248.40 | $414 | 24.1× |
| Culture chlamydia (87110) | $229.80 | $383 | 11.7× |
| Culture csf (87070) range across 3 matching MRF lines |
$175.80–$218.40 | $293–$364 | varies |
| Culture fungus (87102) | $190.20 | $317 | 22.6× |
| Culture fungus blood (87103) | $184.80 | $308 | 9.0× |
| Culture screen only (87081) range across 3 matching MRF lines |
$69–$73.80 | $115–$123 | varies |
| Culture stool (87045) | $116.40 | $194 | 12.3× |
| Culture typing if ea antiserum (87140) | $84 | $140 | 15.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $67.20 | $112 | 13.0× |
| Culture urine (87086) | $80.40 | $134 | 10.0× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $341.40 | $569 | 44.1× |
| Cyclosporine (80158) | $380.40 | $634 | 21.1× |
| Cyp2c19 gene analysis common variants (81225) range across 4 matching MRF lines |
$825–$1,692 | $1,375–$2,820 | varies |
| Cyp2d6 gene com variants (81226) | $2,274 | $3,790 | 5.0× |
| Cystatin C (82610) range across 3 matching MRF lines |
$31.80–$109.20 | $53–$182 | varies |
| Cytogenetics 10-30 (88273) | $536.40 | $894 | 15.4× |
| Cytogenetics 100-300 (88275) range across 7 matching MRF lines |
$129–$503.40 | $215–$839 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $5,089.20 | $8,482 | 5.7× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$3,806.40–$4,477.20 | $6,344–$7,462 | varies |
| Cytogenomic neo microra alys (81277) | $5,365.20 | $8,942 | 4.6× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$46.20–$189.60 | $77–$316 | varies |
| Cytopath Cell Enhance Tech (88112) | $229.80 | $383 | 4.1× |
| Cytotoxic pra quick (86808) | $718.20 | $1,197 | 24.2× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $186.60 | $311 | 7.0× |
| Cytp Concentration Smears & Interpretation (88108) | $217.20 | $362 | 5.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $303 | $505 | 5.4× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $220.80 | $368 | 1.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $202.20 | $337 | 5.1× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) range across 2 matching MRF lines |
$733.80–$945.60 | $1,223–$1,576 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $90.60 | $151 | 4.9× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $127.20 | $212 | 2.3× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $202.20 | $337 | 6.5× |
| Deoxycortisol (82634) | $217.20 | $362 | 7.4× |
| Deoxyribonuclease antibody (86215) | $109.20 | $182 | 8.2× |
| Desoxycorticosterone (82633) range across 2 matching MRF lines |
$229.80–$335.40 | $383–$559 | varies |
| Detect Agent Nos Dna Amp (87798) range across 9 matching MRF lines |
$157.80–$918.60 | $263–$1,531 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$486.60–$792 | $811–$1,320 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$179.40–$254.40 | $299–$424 | varies |
| Dhea (82626) | $188.40 | $314 | 7.5× |
| Dhea-S (82627) | $288 | $480 | 13.0× |
| Digoxin (80162) | $105.60 | $176 | 8.0× |
| Dihydrotestosterone (82642) | $132.60 | $221 | 4.5× |
| Diphtheria antitoxoid (86648) range across 2 matching MRF lines |
$69.60–$148.80 | $116–$248 | varies |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$63.60–$171 | $106–$285 | varies |
| Dna Antibody Native/Double Stranded (86225) | $339.60 | $566 | 24.7× |
| Dna/Rna Amplified Probe (87150) | $454.20 | $757 | 12.9× |
| DNA/RNA direct probe (87149) | $196.80 | $328 | 9.8× |
| Dna/Rna Sequencing (87153) | $388.80 | $648 | 3.4× |
| Dpyd gene common variants (81232) range across 2 matching MRF lines |
$1,314–$1,596.60 | $2,190–$2,661 | varies |
| Drug assay acetaminophen (80143) | $248.40 | $414 | 13.3× |
| Drug assay adalimumab (80145) | $698.40 | $1,164 | 18.1× |
| Drug Assay Amiodarone (80151) | $54 | $90 | 2.9× |
| Drug Assay Everolimus (80169) | $530.40 | $884 | 38.6× |
| Drug assay felbamate (80167) | $93 | $155 | 5.0× |
| Drug Assay Infliximab (80230) | $471 | $785 | 12.2× |
| Drug Assay Itraconazole (80189) | $107.40 | $179 | 4.0× |
| Drug Assay Lacosamide (80235) | $298.20 | $497 | 11.0× |
| Drug Assay Leflunomide (80193) | $405 | $675 | 10.5× |
| Drug Assay Posaconazole (80187) | $162 | $270 | 6.0× |
| Drug Assay Vedolizumab (80280) | $369 | $615 | 9.6× |
| Drug assay voriconazole (80285) | $135 | $225 | 5.0× |
| Drug Screen Quant Clozapine (80159) | $161.40 | $269 | 8.0× |
| Drug Screen Quant Zonisamide (80203) | $168 | $280 | 12.7× |
| Drug Screen Quantitative Gabapentin (80171) | $208.20 | $347 | 9.6× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$135.60–$208.20 | $226–$347 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $208.20 | $347 | 15.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $208.20 | $347 | 15.7× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 16 matching MRF lines |
$162.60–$1,090.20 | $271–$1,817 | varies |
| Drug Test Prsmv Instrmnt (80306) | $162.60 | $271 | 9.5× |
| Egfr Gene Analysis Common Variants (81235) | $5,272.80 | $8,788 | 16.2× |
| Ehrlichia antibody (86666) | $163.80 | $273 | 16.1× |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$187.80–$229.80 | $313–$383 | varies |
| Electrolyte panel (80051) | $127.20 | $212 | 18.1× |
| Electron Microscopy (88348) | $2,291.40 | $3,819 | 2.7× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
$178.80–$189 | $298–$315 | varies |
| Encephaltis East Eqne Anbdy (86652) | $46.20 | $77 | 3.5× |
| Encephaltis West Eqne Antbdy (86654) | $46.20 | $77 | 3.5× |
| Enterovirus Antibody (86658) range across 3 matching MRF lines |
$46.20–$121.80 | $77–$203 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$337.20–$386.40 | $562–$644 | varies |
| Enzyme cell activity (82657) | $530.40 | $884 | 23.9× |
| Enzyme histochemistry (88319) | $557.40 | $929 | 0.6× |
| Eosinophil Smear (89190) | $97.80 | $163 | 16.9× |
| Erythropoietin (82668) | $171 | $285 | 9.1× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$196.80–$244.80 | $328–$408 | varies |
| Estriol (82677) | $137.40 | $229 | 5.7× |
| Estrogens fractionated (82671) | $81.60 | $136 | 2.5× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$79.20–$171 | $132–$285 | varies |
| Ethylene Glycol (82693) | $231.60 | $386 | 15.5× |
| Euglobulin lysis (85360) range across 2 matching MRF lines |
$250.20–$254.40 | $417–$424 | varies |
| Exam Synovial Fluid Crystals (89060) | $146.40 | $244 | 20.0× |
| F2 Gene (81240) | $539.40 | $899 | 8.2× |
| Factor ii activity (85210) | $476.40 | $794 | 36.7× |
| Factor Inhibitor Test (85335) range across 4 matching MRF lines |
$505.80–$799.20 | $843–$1,332 | varies |
| Factor ix activity (85250) | $263.40 | $439 | 13.8× |
| Factor v activity (85220) | $461.40 | $769 | 26.1× |
| Factor v leiden mutation (81241) | $539.40 | $899 | 7.4× |
| Factor vii assay (85230) | $526.80 | $878 | 29.4× |
| Factor viii assay (85240) | $263.40 | $439 | 14.7× |
| Factor X (85260) | $530.40 | $884 | 29.6× |
| Factor xi activity (85270) | $495 | $825 | 27.7× |
| Factor xiii screen (85291) | $292.80 | $488 | 32.1× |
| Fancc Gene (81242) | $920.40 | $1,534 | 25.1× |
| Fat/Lipids Feces Quantitative (82710) | $181.20 | $302 | 10.8× |
| Fatty acids free (82725) | $181.20 | $302 | 9.7× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $204.60 | $341 | 26.5× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $564.60 | $941 | 32.8× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $218.40 | $364 | 33.4× |
| Fecal Fat Qualitative (82705) | $84 | $140 | 16.5× |
| Ferritin (82728) | $151.20 | $252 | 11.1× |
| Fetal Chrmoml Aneuploidy (81420) range across 2 matching MRF lines |
$1,615.80–$2,586 | $2,693–$4,310 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $337.20 | $562 | 2.2× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $503.40 | $839 | 9.3× |
| Fetal Fibronectin (82731) | $742.20 | $1,237 | 11.5× |
| Fetal hemoglobin assay qual (83033) | $121.80 | $203 | 15.2× |
| Fetal screen rosette (85461) | $64.80 | $108 | 6.9× |
| Fibrin Degradation Quant (85379) | $190.80 | $318 | 18.7× |
| Fibrinogen activity (85384) | $87.60 | $146 | 9.0× |
| Fibrinogen antigen (85385) range across 2 matching MRF lines |
$153–$323.40 | $255–$539 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $421.20 | $702 | 27.2× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$225–$333 | $375–$555 | varies |
| Flt3 Gene (81245) range across 2 matching MRF lines |
$742.80–$1,078.80 | $1,238–$1,798 | varies |
| Flt3 gene analysis (81246) | $672.60 | $1,121 | 8.1× |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$33–$1,053.60 | $55–$1,756 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 8 matching MRF lines |
$52.80–$447 | $88–$745 | varies |
| Fmr1 Gene Charac Alleles (81244) | $511.20 | $852 | 11.4× |
| Fmr1 gene detection (81243) | $1,024.80 | $1,708 | 18.0× |
| Folic acid rbc (82747) | $157.80 | $263 | 8.9× |
| Folic Acid Serum (82746) | $145.80 | $243 | 9.9× |
| Follicle Stimulating Hormone (83001) | $183 | $305 | 9.8× |
| Francisella tularensis (86668) | $102 | $170 | 7.2× |
| Frozen Section (88331) | $370.20 | $617 | 2.0× |
| Fungi Identification Mold (87107) | $118.80 | $198 | 11.5× |
| Fungi Identification Yeast (87106) | $118.80 | $198 | 11.5× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $118.80 | $198 | 2.0× |
| G6pd gene analysis full gene sequence (81249) | $1,499.40 | $2,499 | 2.5× |
| Galactose transferase test (82776) | $39.60 | $66 | 3.4× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $464.40 | $774 | 22.0× |
| Gammaglobulin ige (82785) | $184.80 | $308 | 11.2× |
| Gardner vag DNA dir probe (87510) | $45.60 | $76 | 2.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $144 | $240 | 14.7× |
| Gases blood ph only (82800) | $123 | $205 | 11.2× |
| Gastrin (82941) | $157.80 | $263 | 9.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$895.80–$1,171.20 | $1,493–$1,952 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 4 matching MRF lines |
$1,941.60–$5,075.40 | $3,236–$8,459 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$3,027.60–$3,592.80 | $5,046–$5,988 | varies |
| Genet Virus Isolate Hsv (87255) | $222 | $370 | 6.6× |
| Genetic Tstg Severe Inh Cond (81443) range across 3 matching MRF lines |
$5,304.60–$7,307.40 | $8,841–$12,179 | varies |
| Gentamicin (80170) | $216.60 | $361 | 13.2× |
| Ggt (82977) range across 3 matching MRF lines |
$34.80–$96.60 | $58–$161 | varies |
| Giardia antigen (87329) | $57.60 | $96 | 4.8× |
| Glucose 2 hr pp (82950) | $81 | $135 | 17.1× |
| Glucose Blood Test (82962) | $50.40 | $84 | 15.4× |
| Glucose body fluid (82945) | $91.20 | $152 | 23.2× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$51–$70.80 | $85–$118 | varies |
| Glucose tolerance test (gtt) (82951) | $334.80 | $558 | 26.0× |
| Glutathione (82978) | $129 | $215 | 8.3× |
| Glycated Protein (82985) | $96.60 | $161 | 5.8× |
| Gonadotropin Chorionic Qualitative (84703) | $158.40 | $264 | 21.1× |
| Growth hormone (83003) | $151.80 | $253 | 9.1× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$51–$70.80 | $85–$118 | varies |
| H Pylori (C-13) Breath (83013) | $186.60 | $311 | 2.8× |
| Haptoglobin (83010) range across 3 matching MRF lines |
$196.20–$294 | $327–$490 | varies |
| Hba1/hba2 full gene sequence (81259) range across 2 matching MRF lines |
$958.80–$1,009.80 | $1,598–$1,683 | varies |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 3 matching MRF lines |
$684.60–$916.80 | $1,141–$1,528 | varies |
| Hbb duplication/deletion variants (81363) range across 3 matching MRF lines |
$894.60–$1,444.80 | $1,491–$2,408 | varies |
| Hbb Full Gene Sequence (81364) range across 2 matching MRF lines |
$958.80–$1,009.80 | $1,598–$1,683 | varies |
| Hdl Cholesterol (83718) | $96.60 | $161 | 11.8× |
| Helicobacter Pylori Stool (87338) | $197.40 | $329 | 13.7× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$90–$91.80 | $150–$153 | varies |
| Hematocrit (85014) | $55.20 | $92 | 23.3× |
| Hemoglobin (85018) | $55.20 | $92 | 23.3× |
| Hemoglobin a1c (83036) | $82.20 | $137 | 8.5× |
| Hemoglobin Chromotography (83021) range across 7 matching MRF lines |
$39.60–$695.40 | $66–$1,159 | varies |
| Hemoglobin electrophoresis (83020) | $201 | $335 | 15.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $111 | $185 | 13.5× |
| Hemoglobin plasma (83051) | $105.60 | $176 | 14.4× |
| Hemoglobin stability screen (83068) range across 3 matching MRF lines |
$78.60–$461.40 | $131–$769 | varies |
| Hemoglobin-Oxygen Affinity (82820) | $297 | $495 | 22.3× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$189–$268.80 | $315–$448 | varies |
| Heparin assay (85520) range across 2 matching MRF lines |
$194.40–$242.40 | $324–$404 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$85.80–$126.60 | $143–$211 | varies |
| Hepatitis b core ab igm (86705) | $189 | $315 | 16.1× |
| Hepatitis b core ab total (86704) | $128.40 | $214 | 10.7× |
| Hepatitis B Surface Antibody (86706) | $121.80 | $203 | 11.3× |
| Hepatitis B Surface Antigen (87340) | $117 | $195 | 11.3× |
| Hepatitis Be Antibody (86707) | $36.60 | $61 | 3.2× |
| Hepatitis Be Antigen (87350) | $111.60 | $186 | 9.7× |
| Hepatitis C Antibody (86803) | $288.60 | $481 | 20.2× |
| Hepatitis C Genotype (87902) | $843 | $1,405 | 3.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $415.20 | $692 | 11.8× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$357–$564.60 | $595–$941 | varies |
| Hepatitis d quantification (87523) | $1,499.40 | $2,499 | 35.0× |
| Hepatitis Delta Agent Antibody (86692) | $339.60 | $566 | 19.8× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $3,748.80 | $6,248 | 2.9× |
| Hereditary peripheral neuropathy gen seq pnl (81448) range across 7 matching MRF lines |
$5,498.40–$7,072.80 | $9,164–$11,788 | varies |
| Herpes simplex type 2 (86696) range across 5 matching MRF lines |
$46.20–$126.60 | $77–$211 | varies |
| Heterophile Antibody Screen (86308) | $118.80 | $198 | 22.9× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$399–$724.80 | $665–$1,208 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $190.80 | $318 | 24.7× |
| Histamine urine (83088) | $353.40 | $589 | 12.0× |
| Histoplasma antibody (86698) range across 6 matching MRF lines |
$69.60–$133.80 | $116–$223 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$219–$324 | $365–$540 | varies |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$1,062–$1,107.60 | $1,770–$1,846 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $218.40 | $364 | 9.1× |
| Hiv-1 Antibody (86701) | $159.60 | $266 | 18.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $536.40 | $894 | 6.3× |
| HIV-2 probe&revrse trnscripj (87538) | $53.40 | $89 | 1.5× |
| Hla Class I Typing Low Resolution Complete (81372) | $831.60 | $1,386 | 2.1× |
| Hla class ii typing high resolution one locus ea (81382) range across 3 matching MRF lines |
$453–$1,112.40 | $755–$1,854 | varies |
| Hla I Typing 1 Allele Hr (81381) range across 4 matching MRF lines |
$460.20–$870.60 | $767–$1,451 | varies |
| Hla ii typing 1 locus lr (81376) | $208.20 | $347 | 1.7× |
| Hla Typing Dr/Dq Single Antigen (86816) | $354 | $590 | 11.7× |
| Hla-b27 (86812) | $242.40 | $404 | 9.4× |
| Homocysteine (83090) | $232.20 | $387 | 13.0× |
| Homogenization Tissue (87176) | $73.20 | $122 | 12.4× |
| Homovanillic acid urine (83150) | $219 | $365 | 9.8× |
| Hsv Dna Amp Probe (87529) | $408 | $680 | 11.6× |
| Htlv-I Antibody (86687) | $169.80 | $283 | 18.7× |
| Htt Gene Detc Abnor Alleles (81271) | $846 | $1,410 | 6.2× |
| Human Epididymis Protein 4 (86305) | $359.40 | $599 | 17.3× |
| Hydroxyprogesterone 17-d (83498) | $197.40 | $329 | 7.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $117 | $195 | 11.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $54.60 | $91 | 1.5× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) range across 2 matching MRF lines |
$34.20–$37.80 | $57–$63 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$55.20–$433.20 | $92–$722 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$129–$136.20 | $215–$227 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $378 | $630 | 10.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $419.40 | $699 | 12.0× |
| Iadna Cytomegalovirus Quantification (87497) | $401.40 | $669 | 9.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $198.60 | $331 | 2.8× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 2 matching MRF lines |
$34.20–$37.80 | $57–$63 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $414.60 | $691 | 9.7× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $309 | $515 | 8.8× |
| Iadna Herpes Virus-6 Quantification (87533) | $535.80 | $893 | 12.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$53.40–$142.20 | $89–$237 | varies |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $97.20 | $162 | 1.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$355.80–$374.40 | $593–$624 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$372–$535.80 | $620–$893 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $170.40 | $284 | 4.9× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) range across 3 matching MRF lines |
$131.40–$211.80 | $219–$353 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $274.20 | $457 | 1.9× |
| Idh1 common variants (81120) | $606.60 | $1,011 | 3.1× |
| Idh2 common variants (81121) | $927 | $1,545 | 3.1× |
| Ifnl3 gene analysis rs12979860 variant (81283) range across 2 matching MRF lines |
$894.60–$987 | $1,491–$1,645 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$109.80–$111.60 | $183–$186 | varies |
| Igg subclasses (82787) | $145.20 | $242 | 18.1× |
| Igh gene rearrange amp meth (81261) | $683.40 | $1,139 | 3.5× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,491.60 | $2,486 | 5.1× |
| Igk rearrangeabn clonal pop (81264) | $514.80 | $858 | 3.0× |
| Ikbkap Gene Analysis Common Variants (81260) | $1,706.40 | $2,844 | 43.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $322.80 | $538 | 0.8× |
| Immunfix e-phorsis/urine/csf (86335) | $163.20 | $272 | 5.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 14 matching MRF lines |
$58.80–$3,133.20 | $98–$5,222 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
$23.40–$303 | $39–$505 | varies |
| Immunoassay nonantibody (83516) range across 16 matching MRF lines |
$25.20–$2,755.80 | $42–$4,593 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$207.60–$829.80 | $346–$1,383 | varies |
| Immunofixation electrophoresis (86334) | $241.20 | $402 | 10.8× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$381–$631.80 | $635–$1,053 | varies |
| Immunohistochemistry (88342) | $322.80 | $538 | 1.8× |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$480.60–$529.20 | $801–$882 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $879.60 | $1,466 | 4.8× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $153.60 | $256 | 10.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $276.60 | $461 | 3.9× |
| Influenza assay w/optic (87804) | $148.80 | $248 | 9.0× |
| Influenza DNA amp probe (87502) | $376.20 | $627 | 3.9× |
| Inherited Cardmypthy 5 Gns (81439) range across 4 matching MRF lines |
$4,362–$8,317.80 | $7,270–$13,863 | varies |
| Inhibin A (86336) | $138 | $230 | 8.9× |
| Inhibin b (83520) range across 25 matching MRF lines |
$52.20–$816 | $87–$1,360 | varies |
| Insitu hybridization auto (88367) | $524.40 | $874 | 1.4× |
| Insitu hybridization manual (88368) | $843.60 | $1,406 | 2.2× |
| Insulin antibodies (86337) | $193.20 | $322 | 9.0× |
| Insulin free (83527) range across 2 matching MRF lines |
$64.20–$123 | $107–$205 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$56.40–$133.20 | $94–$222 | varies |
| Interleukin-6 (83529) range across 4 matching MRF lines |
$39–$76.80 | $65–$128 | varies |
| Intrinsic factor antibody (86340) | $136.80 | $228 | 9.1× |
| Iron (83540) | $78.60 | $131 | 12.1× |
| Iron Binding Capacity (83550) | $92.40 | $154 | 10.6× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$73.20–$600 | $122–$1,000 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $1,120.20 | $1,867 | 12.2× |
| Jt spc pthgn&rx rsist gen26+ (87627) | $1,717.20 | $2,862 | 2.5× |
| Kit Gene Analysis D816 Variant(S) (81273) range across 3 matching MRF lines |
$1,413.60–$1,480.20 | $2,356–$2,467 | varies |
| Koh Prep (87220) | $111 | $185 | 26.0× |
| Kras Gene Analysis Additional Variant(S) (81276) | $781.80 | $1,303 | 4.0× |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$923.40–$1,009.20 | $1,539–$1,682 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$30.60–$94.20 | $51–$157 | varies |
| Lactoferrin fecal qualitative (83630) | $120 | $200 | 6.1× |
| Lamellar Body Count (83664) | $109.20 | $182 | 5.7× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$64.80–$114 | $108–$190 | varies |
| LDL direct (83721) | $61.80 | $103 | 5.9× |
| Lead (83655) range across 2 matching MRF lines |
$99–$258 | $165–$430 | varies |
| Legionella antibody (86713) | $126.60 | $211 | 8.3× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$243.60–$366 | $406–$610 | varies |
| Legionella pneumophila dfa (87278) | $250.20 | $417 | 16.0× |
| Leptospira antibody (86720) | $117.60 | $196 | 7.3× |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$350.40–$459.60 | $584–$766 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $129 | $215 | 4.2× |
| Level ii surg pathology grossµscopic exam (88302) | $295.80 | $493 | 7.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$496.80–$571.20 | $828–$952 | varies |
| Lidocaine (80176) | $163.20 | $272 | 11.1× |
| Lipase (83690) | $87 | $145 | 12.6× |
| Lipoprotein A (83695) | $137.40 | $229 | 9.6× |
| Lipoprotein Bld Quan Part (83704) | $215.40 | $359 | 6.3× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $392.40 | $654 | 8.5× |
| Lithium (80178) | $125.40 | $209 | 19.0× |
| Liver ds alys 3 bmrk srm alg (81517) | $612 | $1,020 | 3.5× |
| Luteinizing Hormone (Lh) (83002) | $219 | $365 | 11.8× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$168–$267.60 | $280–$446 | varies |
| Lysozyme serum (85549) | $127.20 | $212 | 6.8× |
| M. Genitalium Amp Probe (87563) | $202.20 | $337 | 5.8× |
| Macroscopic exam arthropod (87168) | $107.40 | $179 | 25.2× |
| Macroscopic Exam Parasite (87169) | $67.20 | $112 | 15.6× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$27–$173.40 | $45–$289 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$97.80–$217.20 | $163–$362 | varies |
| Mecp2 gene dup/delet variant (81304) | $1,118.40 | $1,864 | 7.5× |
| Mecp2 gene full seq (81302) | $1,118.40 | $1,864 | 2.1× |
| Mercury urine (83825) | $123 | $205 | 7.6× |
| Metabolic panel ionized ca (80047) | $229.20 | $382 | 16.7× |
| Methotrexate (80204) | $192 | $320 | 5.0× |
| Methylmalonic acid serum (83921) | $235.80 | $393 | 11.1× |
| Mgmt methylation analysis (81287) | $1,038.60 | $1,731 | 8.3× |
| Microalbumin, quantitative (82043) | $73.20 | $122 | 12.7× |
| Microsatellite instability (81301) | $1,014 | $1,690 | 2.9× |
| Microsomal Antibodies Each (86376) | $133.80 | $223 | 9.2× |
| Mitochondrial Antibody Each (86381) | $58.20 | $97 | 2.3× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) range across 3 matching MRF lines |
$729–$1,902 | $1,215–$3,170 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 5 matching MRF lines |
$164.40–$630 | $274–$1,050 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $308.40 | $514 | 7.6× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 7 matching MRF lines |
$110.40–$359.40 | $184–$599 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $801.60 | $1,336 | 18.9× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$2,036.40–$2,254.20 | $3,394–$3,757 | varies |
| Mononuclear cell antigen (86356) | $206.40 | $344 | 7.7× |
| Mopath procedure level 1 (81400) | $1,416 | $2,360 | 22.1× |
| Mopath procedure level 2 (81401) range across 3 matching MRF lines |
$701.40–$880.80 | $1,169–$1,468 | varies |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$946.20–$1,062 | $1,577–$1,770 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$2,036.40–$4,246.20 | $3,394–$7,077 | varies |
| Mopath procedure level 7 (81406) range across 3 matching MRF lines |
$2,036.40–$8,347.80 | $3,394–$13,913 | varies |
| Mopath procedure level 8 (81407) | $5,442.60 | $9,071 | 6.4× |
| Mopath procedure level 9 (81408) range across 7 matching MRF lines |
$2,239.80–$5,424 | $3,733–$9,040 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) | $829.80 | $1,383 | 4.5× |
| Mrsa Pcr (87641) | $250.20 | $417 | 7.1× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) range across 3 matching MRF lines |
$411.60–$1,074.60 | $686–$1,791 | varies |
| Msh6 Gene Analysis Full Sequence Analysis (81298) range across 3 matching MRF lines |
$691.80–$1,806.60 | $1,153–$3,011 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $900.60 | $1,501 | 13.8× |
| Mucin Clot Body Fluid (83872) | $178.80 | $298 | 30.5× |
| Mucopolysaccharides acid quantitative (83864) range across 3 matching MRF lines |
$151.20–$400.20 | $252–$667 | varies |
| Mumps antibody (86735) range across 4 matching MRF lines |
$39–$123 | $65–$205 | varies |
| Muscle-Specific Kinase Antb (86366) | $744 | $1,240 | 40.4× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$255–$282 | $425–$470 | varies |
| Mycophenolic Acid (80180) | $208.20 | $347 | 11.5× |
| Mycoplasma antibody (86738) | $133.80 | $223 | 10.1× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $987 | $1,645 | 5.6× |
| Myoglobin urine (83874) | $155.40 | $259 | 12.0× |
| Natriuretic peptide (83880) | $263.40 | $439 | 6.7× |
| Neurofilament light chain (83884) | $1,841.40 | $3,069 | 15.8× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) range across 2 matching MRF lines |
$427.80–$510.60 | $713–$851 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $867.60 | $1,446 | 12.0× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $1,363.20 | $2,272 | 10.6× |
| Niacin (84591) range across 2 matching MRF lines |
$350.40–$382.80 | $584–$638 | varies |
| Nickel level (83885) | $616.80 | $1,028 | 25.2× |
| Nk cells total count (86357) | $170.40 | $284 | 4.5× |
| Noonan Spectrum Disorders (81442) | $3,772.20 | $6,287 | 1.8× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $1,033.20 | $1,722 | 4.2× |
| Nras gene variants exon 2&3 (81311) | $618 | $1,030 | 2.1× |
| Nuclear antigen antibody (86235) range across 5 matching MRF lines |
$136.80–$205.80 | $228–$343 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$24–$54.60 | $40–$91 | varies |
| Occult Blood Other Sources (82271) | $74.40 | $124 | 14.0× |
| Oligoclonal bands (83916) | $202.20 | $337 | 7.4× |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$254.40–$434.40 | $424–$724 | varies |
| Osmolality serum (83930) | $125.40 | $209 | 19.0× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$26.40–$108 | $44–$180 | varies |
| Osmotic fragility rbc incubated (85557) | $216 | $360 | 16.2× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$25.20–$145.80 | $42–$243 | varies |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) | $232.20 | $387 | 18.3× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$51–$208.80 | $85–$348 | varies |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$215.40–$257.40 | $359–$429 | varies |
| Particle Agglut Antbdy Titr (86406) | $156 | $260 | 14.7× |
| Particle Agglutination Screen Each Antibody (86403) | $72.60 | $121 | 6.3× |
| Parvovirus antibody (86747) | $136.20 | $227 | 9.1× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $557.40 | $929 | 0.6× |
| Pathology Consultation During Surgery (88329) | $137.40 | $229 | 2.2× |
| Ph urine (81003) | $39 | $65 | 17.3× |
| Phenobarbital Level (80184) range across 3 matching MRF lines |
$32.40–$171.60 | $54–$286 | varies |
| Phenotype Infect Agent Drug (87900) range across 3 matching MRF lines |
$342.60–$664.80 | $571–$1,108 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$133.20–$283.80 | $222–$473 | varies |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$151.80–$242.40 | $253–$404 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$205.20–$261.60 | $342–$436 | varies |
| Phosphatase acid prostatic (84066) | $111.60 | $186 | 11.6× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$46.80–$72 | $78–$120 | varies |
| Phosphatidylglycerol (84081) | $250.80 | $418 | 15.2× |
| Phospholipid Neutralization Hexagonal (85598) range across 4 matching MRF lines |
$169.80–$323.40 | $283–$539 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$51–$78.60 | $85–$131 | varies |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$20.40–$117.60 | $34–$196 | varies |
| Pinworm exam (87172) | $110.40 | $184 | 25.9× |
| Platelet Aggregation (85576) | $178.20 | $297 | 7.2× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$583.20–$1,008.60 | $972–$1,681 | varies |
| Platelet count automated (85049) | $89.40 | $149 | 20.0× |
| Platelet neutralization (85597) | $216 | $360 | 12.0× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $691.80 | $1,153 | 3.3× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $2,036.40 | $3,394 | 2.7× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | $2,036.40 | $3,394 | 2.6× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) range across 3 matching MRF lines |
$219–$573 | $365–$955 | varies |
| Pms2 gene full seq analysis (81317) range across 2 matching MRF lines |
$729–$1,086 | $1,215–$1,810 | varies |
| Pneumcysts jirovecii amp prb (87594) | $240 | $400 | 6.8× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$111–$188.40 | $185–$314 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $158.40 | $264 | 10.8× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$17.40–$96.60 | $29–$161 | varies |
| Prealbumin (84134) | $268.80 | $448 | 18.4× |
| Pregnancy-Associated Plasma Protein-A (84163) | $139.80 | $233 | 9.3× |
| Pregnenolone (84140) | $356.40 | $594 | 17.2× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $159.60 | $266 | 0.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $124.80 | $208 | 2.0× |
| Primidone (80188) range across 2 matching MRF lines |
$45.60–$132.60 | $76–$221 | varies |
| Procalcitonin (Pct) (84145) | $262.20 | $437 | 9.6× |
| Progesterone (84144) range across 2 matching MRF lines |
$117.60–$155.40 | $196–$259 | varies |
| Prolactin (84146) range across 3 matching MRF lines |
$90–$155.40 | $150–$259 | varies |
| Prostaglandin (84150) | $96.60 | $161 | 2.3× |
| Protein body fluid (84157) | $125.40 | $209 | 31.4× |
| Protein C Activity (85303) | $267.60 | $446 | 19.3× |
| Protein c antigen (85302) | $224.40 | $374 | 18.7× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$220.80–$232.20 | $368–$387 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $133.20 | $222 | 12.4× |
| Protein S Free (85306) range across 2 matching MRF lines |
$241.20–$265.20 | $402–$442 | varies |
| Protein s total (85305) | $259.80 | $433 | 22.4× |
| Protein total serum (84155) | $46.80 | $78 | 12.8× |
| Protein Total Urine (84156) | $87 | $145 | 23.7× |
| Protein Western Blot Test (84182) range across 5 matching MRF lines |
$290.40–$823.20 | $484–$1,372 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $174.60 | $291 | 44.3× |
| Protoporphyrin rbc quantitative (84202) | $331.20 | $552 | 23.1× |
| PSA free (84154) | $139.80 | $233 | 7.6× |
| Pten Gene Analysis Full Sequence Analysis (81321) range across 4 matching MRF lines |
$647.40–$4,087.20 | $1,079–$6,812 | varies |
| Pth Intact (83970) | $299.40 | $499 | 7.3× |
| Pyruvate kinase (84220) | $144.60 | $241 | 15.3× |
| Q Fever Antibody (86638) range across 5 matching MRF lines |
$52.80–$107.40 | $88–$179 | varies |
| Quantiferon tb gold plus (86480) | $286.80 | $478 | 4.6× |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$72.60–$394.20 | $121–$657 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$218.40–$385.20 | $364–$642 | varies |
| Rbc antibody elution (86860) | $172.80 | $288 | 0.9× |
| Rbc antibody identification (86870) | $285 | $475 | 0.7× |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$64.80–$253.20 | $108–$422 | varies |
| Rbc pretreatment serum (86978) | $169.80 | $283 | 2.7× |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$190.20–$209.40 | $317–$349 | varies |
| Renin activity plasma (84244) | $191.40 | $319 | 8.7× |
| Reptilase test (85635) | $107.40 | $179 | 10.9× |
| Resp virus 12-25 targets (87633) | $752.40 | $1,254 | 1.8× |
| Reticulocyte Count (85046) | $250.20 | $417 | 44.9× |
| Reticulocyte separation (86972) | $108 | $180 | 0.6× |
| Rh (86901) | $43.80 | $73 | 14.6× |
| Rheumatoid Factor Qualitative (86430) | $87 | $145 | 14.2× |
| Rheumatoid factor quant (86431) | $88.20 | $147 | 15.6× |
| Rickettsia antibody (86757) | $147 | $245 | 7.6× |
| Ristocetin cofactor (85245) | $261 | $435 | 11.4× |
| Rotavirus ag eia (87425) | $214.20 | $357 | 17.9× |
| Rpr qualitative (86592) | $84.60 | $141 | 19.8× |
| Rsv Assay W/Optic (87807) | $205.80 | $343 | 15.7× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$84–$170.40 | $140–$284 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$46.20–$189.60 | $77–$316 | varies |
| Rufinamide (80210) | $107.40 | $179 | 4.0× |
| Russell Viper Venom Time Diluted (85613) | $142.20 | $237 | 14.8× |
| Rx metab gen seq alys pnl 6 (81418) | $2,519.40 | $4,199 | 2.7× |
| Salicylate Level (80179) | $170.40 | $284 | 9.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$45–$48 | $75–$80 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$30–$32.40 | $50–$54 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $267.60 | $446 | 1.9× |
| Sedimentation Rate, Automated (85652) | $73.20 | $122 | 27.1× |
| Selenium (84255) | $161.40 | $269 | 6.3× |
| Sensitivity mic (87186) | $83.40 | $139 | 9.6× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$123.60–$147 | $206–$245 | varies |
| Sickling of rbc reduction (85660) | $85.80 | $143 | 15.6× |
| Sirolimus (80195) | $206.40 | $344 | 15.0× |
| Skin test tuberculosis intradermal (86580) | $46.20 | $77 | 1.5× |
| Smear acid fast (87206) | $110.40 | $184 | 20.5× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$110.40–$119.40 | $184–$199 | varies |
| Smear gram stain (87205) | $90.60 | $151 | 21.2× |
| Smear Special Stain (87207) | $127.20 | $212 | 21.2× |
| Smn1 Gene Dos/Deletion Alys (81329) range across 2 matching MRF lines |
$511.20–$1,678.20 | $852–$2,797 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $111 | $185 | 19.1× |
| Snrpn/Ube3a Methylation Analysis (81331) range across 2 matching MRF lines |
$1,173–$1,431.60 | $1,955–$2,386 | varies |
| So neo gsap DNA mcrstl ins (81457) range across 2 matching MRF lines |
$5,406–$8,353.80 | $9,010–$13,923 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$46.80–$65.40 | $78–$109 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$18.60–$81.60 | $31–$136 | varies |
| Soluble fibrin monomer (85366) range across 2 matching MRF lines |
$418.80–$591.60 | $698–$986 | varies |
| Soluble Transferrin Receptor (84238) | $264 | $440 | 7.2× |
| Somatomedin (84305) | $231.60 | $386 | 10.9× |
| Somatostatin (84307) | $706.80 | $1,178 | 38.7× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$171.60–$192 | $286–$320 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$174.60–$192 | $291–$320 | varies |
| Specific gravity body fluid (84315) | $69.60 | $116 | 21.2× |
| Specimen infect agnt concntj (87015) | $81.60 | $136 | 12.2× |
| Spectrophotometry (84311) | $179.40 | $299 | 22.1× |
| Staph a DNA amp probe (87640) range across 2 matching MRF lines |
$162–$189 | $270–$315 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$24–$90.60 | $40–$151 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$68.40–$73.80 | $114–$123 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$54.60–$58.80 | $91–$98 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $111 | $185 | 1.2× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $306.60 | $511 | 26.6× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$91.80–$123 | $153–$205 | varies |
| Sulfate urine (84392) range across 2 matching MRF lines |
$18.60–$67.20 | $31–$112 | varies |
| Surg path level iii (88304) | $378 | $630 | 6.8× |
| Surgical pathology level IV (88305) | $462.60 | $771 | 8.3× |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$1,138.80–$1,309.20 | $1,898–$2,182 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $28.80 | $48 | 6.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$45.60–$85.80 | $76–$143 | varies |
| Syphilis Test Non-Trep Quant (86593) | $71.40 | $119 | 16.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $337.80 | $563 | 7.2× |
| T cells total count (86359) | $202.80 | $338 | 5.4× |
| T3 Free (84481) | $198 | $330 | 11.7× |
| T3 reverse (84482) | $201 | $335 | 12.8× |
| T3 Total (84480) | $159.60 | $266 | 11.3× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$90–$112.80 | $150–$188 | varies |
| T4 Free (84439) | $137.40 | $229 | 15.2× |
| T4 total (84436) range across 2 matching MRF lines |
$69.60–$94.20 | $116–$157 | varies |
| Tacrolimus (80197) | $492.60 | $821 | 35.9× |
| Tau phosphorylated each (84393) range across 4 matching MRF lines |
$230.40–$1,071 | $384–$1,785 | varies |
| Tert gene targeted seq alys (81345) range across 3 matching MRF lines |
$1,962–$2,344.80 | $3,270–$3,908 | varies |
| Test for acetone/ketones (82009) | $53.40 | $89 | 11.8× |
| Testosterone Bioavailable (84410) | $86.40 | $144 | 1.7× |
| Testosterone total (84403) range across 4 matching MRF lines |
$56.40–$340.80 | $94–$568 | varies |
| Testosterone, Free (84402) range across 6 matching MRF lines |
$31.20–$230.40 | $52–$384 | varies |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$65.40–$144 | $109–$240 | varies |
| Tgsap so/hl 51/< RNA alys (81456) range across 2 matching MRF lines |
$3,592.80–$7,031.40 | $5,988–$11,719 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $3,100.80 | $5,168 | 5.2× |
| Theophylline (80198) | $135.60 | $226 | 9.6× |
| Thiocyanate (84430) range across 2 matching MRF lines |
$156–$183 | $260–$305 | varies |
| Thiopurine methyltransferase (84433) | $295.80 | $493 | 13.3× |
| Thrombin Time (85670) | $137.40 | $229 | 23.8× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $163.20 | $272 | 25.2× |
| Thyroglobulin (84432) | $135.60 | $226 | 8.4× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$52.80–$123 | $88–$205 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $361.80 | $603 | 7.1× |
| Thyroxine binding globulin (84442) | $128.40 | $214 | 8.7× |
| Tiss cul neo disorders solid tumor (88239) range across 2 matching MRF lines |
$2,471.40–$3,182.40 | $4,119–$5,304 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$1,050.60–$1,431.60 | $1,751–$2,386 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 2 matching MRF lines |
$1,375.20–$1,659.60 | $2,292–$2,766 | varies |
| Tissue culture bone marrow (88237) | $936.60 | $1,561 | 6.5× |
| Tissue Culture Lymphocyte (88230) | $882 | $1,470 | 7.6× |
| Tobramycin peak (80200) | $186.60 | $311 | 11.6× |
| Topiramate (80201) | $156.60 | $261 | 13.1× |
| Total Tau (84394) range across 3 matching MRF lines |
$230.40–$339 | $384–$565 | varies |
| Touch prep (88161) | $181.80 | $303 | 5.9× |
| Toxoplasma ab igm (86778) | $146.40 | $244 | 10.2× |
| Toxoplasma antibody (86777) | $171 | $285 | 11.9× |
| Tp53 gene analysis full gene sequence (81351) | $673.80 | $1,123 | 1.0× |
| Tp53 gene analysis targeted sequence analysis (81352) range across 2 matching MRF lines |
$883.80–$1,009.80 | $1,473–$1,683 | varies |
| Tpmt gene com variants (81335) range across 2 matching MRF lines |
$994.20–$1,098.60 | $1,657–$1,831 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $46.80 | $78 | 9.0× |
| Transferrin (84466) | $171 | $285 | 13.4× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $716.40 | $1,194 | 3.4× |
| Trg gene rearrangement anal (81342) | $716.40 | $1,194 | 3.6× |
| Trichomonas vagin dir probe (87660) | $45.60 | $76 | 2.3× |
| Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines |
$127.20–$148.80 | $212–$248 | varies |
| Triglycerides (84478) | $85.80 | $143 | 14.9× |
| Troponin Quant (84484) | $280.80 | $468 | 22.5× |
| Tumor immunohistochem/comput (88361) | $423 | $705 | 1.1× |
| Tumor Immunohistochem/Manual (88360) | $347.40 | $579 | 1.9× |
| Unlisted Cytogenetic Study (88299) range across 2 matching MRF lines |
$1,306.80–$2,159.40 | $2,178–$3,599 | varies |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$18.60–$79.80 | $31–$133 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$18.60–$79.80 | $31–$133 | varies |
| Urinalysis Microscopic Only (81015) | $91.20 | $152 | 29.9× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $91.20 | $152 | 42.0× |
| Urinalysis Volume Measure (81050) | $44.40 | $74 | 12.2× |
| Urine Bacteria Culture (87088) | $110.40 | $184 | 13.6× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$90–$105 | $150–$175 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $50.40 | $84 | 15.9× |
| Valproic acid (80164) range across 4 matching MRF lines |
$63.60–$187.80 | $106–$313 | varies |
| Vancomycin (80202) | $218.40 | $364 | 16.1× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$46.20–$189.60 | $77–$316 | varies |
| Vasopressin (84588) | $316.20 | $527 | 9.3× |
| Very Long Chain Fatty Acids (82726) | $608.40 | $1,014 | 30.8× |
| Viral Culture (87252) range across 2 matching MRF lines |
$276.60–$308.40 | $461–$514 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$33–$430.80 | $55–$718 | varies |
| Virus inoculate tissue addl (87253) | $196.80 | $328 | 9.7× |
| Virus inoculation, shell via (87254) | $197.40 | $329 | 10.1× |
| Viscosity serum (85810) | $103.80 | $173 | 8.9× |
| Vit D 1 25-Dihydroxy (82652) | $306 | $510 | 7.9× |
| Vitamin A (84590) | $144 | $240 | 12.4× |
| Vitamin b-12 (82607) | $123.60 | $206 | 8.2× |
| Vitamin B2 (Riboflavin) (84252) | $205.20 | $342 | 10.1× |
| Vitamin B6 (84207) | $429 | $715 | 15.3× |
| Vitamin c (82180) | $519.60 | $866 | 52.5× |
| Vitamin D 25-Hydroxy (82306) | $150 | $250 | 5.1× |
| Vitamin E (84446) | $129.60 | $216 | 9.1× |
| Vitamin K (84597) | $284.40 | $474 | 20.7× |
| Volatiles (84600) | $367.20 | $612 | 21.5× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 4 matching MRF lines |
$27.60–$240 | $46–$400 | varies |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$46.20–$408.60 | $77–$681 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$40.80–$46.20 | $68–$77 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$34.80–$46.20 | $58–$77 | varies |
| Western Blot Test (84181) | $376.20 | $627 | 22.1× |
| Whole Mitochondrial Genome (81460) | $5,638.20 | $9,397 | 4.4× |
| Whole mitochondrial genome analysis panel (81465) | $1,845 | $3,075 | 2.0× |
| Xm Archive Tissue Molec Anal (88363) | $145.80 | $243 | 4.7× |
| Xylose Absorption Test (84620) | $243 | $405 | 18.8× |
| Zika Virus Dna/Rna Amp Probe (87662) range across 3 matching MRF lines |
$306.60–$683.40 | $511–$1,139 | varies |
| Zika Virus Igm Antibody (86794) | $455.40 | $759 | 27.0× |
| Zinc (84630) | $108 | $180 | 9.5× |
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.