Lab & pathology prices at Saint Francis Hospital, Inc

Tulsa, OK · every code in this section with a posted price and a Medicare benchmark.

955 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $37.62 $94.05 1.6×
5 Nucleotidase (83915) $49.78 $124.45 4.5×
Abl1 gene analysis kinase domain variants (81170) $1,202.40 $3,006 4.0×
Acetylcholine receptor binding antibody (86041) $263.52 $658.80 14.3×
Acetylcholine receptor blocking antibody (86042) $263.52 $658.80 14.3×
Acetylcholinesterase Assay (82013)
range across 2 matching MRF lines
$61.94–$63.08 $154.85–$157.70 varies
Acetylcholn Rcptr Modlg Antb (86043) $263.52 $658.80 21.9×
Acth (82024) $179.36 $448.40 4.6×
Acth Stimulation Panel Adrenal Insufficiency (80400) $478.56 $1,196.40 14.7×
Actin smooth muscle antibody each (86015) $165.60 $414 13.7×
Acute hepatitis panel (80074) $191.90 $479.75 4.0×
Acylcarnitines Quant (82017)
range across 2 matching MRF lines
$73.60–$104.88 $184–$262.20 varies
Adenovirus antibody (86603) $60 $150 4.7×
Agglutinins Febrile Each Antigen (86000) $14.40 $36 2.1×
Albumin Fluid (82042) $44.84 $112.10 5.8×
Albumin serum (82040) $40.28 $100.70 8.1×
Aldolase (82085) $55.86 $139.65 5.8×
Aldosterone urine (82088) $191.14 $477.85 4.7×
Alkaline phosphatase isoenzymes (84080) $67.64 $169.10 4.6×
Allergen spec ige qual multiallergen screen (86005) $28.80 $72 3.6×
Allergen specific ige (86003) $44.64 $111.60 8.6×
Allergen specific igg (86001) $27.36 $68.40 3.5×
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$65.28–$90.24 $163.20–$225.60 varies
Alpha-1-antitrypsin phenotype (82104) $52.06 $130.15 3.6×
Alpha-1-antitrypsin total (82103) $69.16 $172.90 5.1×
Alpha-Fetoprotein Amniotic Fluid (82106)
range across 2 matching MRF lines
$35.34–$80.94 $88.35–$202.35 varies
Alpha-Fetoprotein Serum (82105) $94.62 $236.55 5.6×
Alt (sgpt) (84460)
range across 2 matching MRF lines
$49.40–$60.80 $123.50–$152 varies
Aluminum (82108) $58.90 $147.25 2.3×
Amikacin trough (80150) $87.84 $219.60 5.8×
Amino Acids 1 Quantitative Each Specimen (82131)
range across 2 matching MRF lines
$49.78–$85.88 $124.45–$214.70 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$52–$210.14 $130–$525.35 varies
Amino Acids Quant 2-5 (82136) $42.56 $106.40 2.2×
Aminolevulinic acid (ala) (82135) $55.48 $138.70 3.4×
Ammonia (82140) $85.12 $212.80 5.8×
Amniotic fluid protein test on cervicovaginal fluid (84112) $118.18 $295.45 1.2×
Amylase urine (82150) $67.26 $168.15 10.4×
Ana Titer (86039) $106.56 $266.40 9.5×
Anca screen each antibody (86036) $170.40 $426 14.1×
Androstenedione (82157) $76.76 $191.90 2.6×
Angiotensin converting enzyme csf (82164) $74.10 $185.25 5.1×
Angiotensin II (82163) $119.70 $299.25 5.8×
Anti-Phospholipid Antibody (86148) $82.56 $206.40 5.1×
Antibody aspergillus (86606) $66.24 $165.60 4.4×
Antibody Bacterium Not Elsewhere Specified (86609) $82.56 $206.40 6.4×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $82.08 $205.20 5.3×
Antibody Cytomegalovirus Cmv Igm (86645) $82.56 $206.40 4.9×
Antibody Encephalitis California La Crosse (86651) $35.04 $87.60 2.7×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $77.76 $194.40 5.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $73.44 $183.60 4.8×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $69.12 $172.80 3.8×
Antibody Fungus Not Elsewhere Specified (86671) $91.20 $228 7.4×
Antibody helicobacter pylori (86677) $104.64 $261.60 6.2×
Antibody Herpes Smplx Non-Specific Type Test (86694) $56.64 $141.60 3.9×
Antibody Herpes Smplx Type 1 (86695) $69.12 $172.80 5.2×
Antibody HIV-2 (86702) $26.40 $66 2.0×
Antibody Hla Class I High Definition Panel Qual (86832) $340.32 $850.80 1.1×
Antibody htlv/HIV antibody confirmatory test (86689) $139.20 $348 7.2×
Antibody identification leukocyte antibodies (86021) $128.64 $321.60 8.5×
Antibody Identification Platelet Immunogl Assay (86023) $163.20 $408 13.1×
Antibody john cunningham virus (86711) $1,243.68 $3,109.20 73.6×
Antibody leishmania (86717) $64.80 $162 5.3×
Antibody Lymphocytic Choriomeningitis (86727) $44.64 $111.60 3.5×
Antibody neisseria meningitidis (86741) $254.88 $637.20 19.3×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$96.96–$105.12 $242.40–$262.80 varies
Antibody Titer (86886) $64.80 $162 12.5×
Antibody Treponema Pallidum (86780) $63.36 $158.40 4.8×
Antibody yersinia (86793) $35.04 $87.60 2.7×
Antibody; campylobacter (86625) $72.48 $181.20 5.5×
Antibody; encephalitis, st. louis (86653) $62.40 $156 4.7×
Antibody; influenza virus (86710) $63.36 $158.40 4.7×
Antigen typing (86905) $104.64 $261.60 27.3×
Antinuclear antibodies (86038) $74.88 $187.20 6.2×
Antistreptolysin O Screen (86063) $42.24 $105.60 7.3×
Antistreptolysin o titer (86060) $61.44 $153.60 8.4×
Antithrombin iii activity (85300) $191.04 $477.60 16.1×
Antithrombin iii antigen (85301) $86.40 $216 8.0×
Apc Gene Analysis Known Familial Variants (81202)
range across 2 matching MRF lines
$306.24–$311.52 $765.60–$778.80 varies
Apc gene dup/delet variants (81203) $490.08 $1,225.20 2.5×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$27.74–$123.50 $69.35–$308.75 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $678.72 $1,696.80 18.0×
Aquaporin-4 Antb Cba Each (86052) $464.64 $1,161.60 38.6×
Aquaporin-4 Antb Elisa (86051) $288.96 $722.40 25.1×
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81173) $1,012.32 $2,530.80 3.4×
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81174) $306.24 $765.60 1.7×
Arsenic (82175) $78.66 $196.65 4.1×
Aspergillus ag eia (87305) $236.16 $590.40 19.7×
Assay activated protein c (85307) $85.44 $213.60 5.6×
Assay Blood Carbon Dioxide (82374) $28.50 $71.25 5.8×
Assay Dir Meas Fr Estradiol (82681) $146.68 $366.70 5.2×
Assay Nephelometry Not Spec (83883) $107.92 $269.80 7.9×
Assay of 5-hiaa (83497) $74.86 $187.15 5.8×
Assay of anti-mullerian hormone (82166) $155.80 $389.50 4.0×
Assay of blood/uric acid (84550) $50.54 $126.35 11.2×
Assay of calcium in urine (82340) $59.28 $148.20 9.8×
Assay of corticosterone (82528) $64.98 $162.45 2.9×
Assay of cpk in blood (82552)
range across 2 matching MRF lines
$28.50–$33.06 $71.25–$82.65 varies
Assay of estrone (82679) $31.16 $77.90 1.2×
Assay of g6pd enzyme (82955) $52.44 $131.10 5.4×
Assay of gammaglobulin igm (82784) $83.60 $209 9.0×
Assay of lactic acid (83605) $88.16 $220.40 7.6×
Assay of manganese (83785) $49.02 $122.55 1.8×
Assay of metanephrines (83835) $161.12 $402.80 9.5×
Assay of phosphatase acid total (84060) $32.68 $81.70 4.3×
Assay of proinsulin (84206) $58.90 $147.25 2.2×
Assay of pyruvate (84210) $60.80 $152 4.2×
Assay of serotonin (84260) $249.28 $623.20 8.0×
Assay of serum potassium (84132) $39.14 $97.85 8.2×
Assay of sweat sodium (84302) $29.64 $74.10 6.1×
Assay of transcortin (84449) $129.58 $323.95 7.2×
Assay of urea nitrogen (84520) $33.06 $82.65 8.4×
Assay of urine vma (84585) $78.66 $196.65 5.1×
Assay of vasoactive intestinal peptide (84586) $266.76 $666.90 7.6×
Assay of vitamin b-1 (84425) $82.46 $206.15 3.9×
Assay Ph Body Fluid Nos (83986) $34.20 $85.50 9.6×
Assay spec xcp ur&breath ia (82077) $31.54 $78.85 1.8×
Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) $46.56 $116.40 0.3×
Atomic Absorption (82190) $72.96 $182.40 4.6×
Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) $115.68 $289.20 0.8×
Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) $115.68 $289.20 0.8×
Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) $115.68 $289.20 0.8×
Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) $115.68 $289.20 0.8×
Autol Bld/Component Collj Storage Predeposited (86890) $346.56 $866.40 2.1×
Autol bld/component collj storage salvage (86891) $891.36 $2,228.40 1.2×
Automated Leukocyte Count (85048) $34.08 $85.20 13.4×
B cells total count (86355) $107.04 $267.60 2.8×
Bartonella antibody (86611) $35.04 $87.60 3.4×
Bcr/abl1 gene major bp (81206)
range across 3 matching MRF lines
$93.60–$456 $234–$1,140 varies
Bcr/abl1 gene minor bp (81207)
range across 3 matching MRF lines
$82.56–$408 $206.40–$1,020 varies
Bcr/Abl1 Gene Other Bp (81208) $122.40 $306 0.6×
Beta 2 glycoprotein i antibody each (86146) $90.24 $225.60 3.5×
Beta hydroxybutyrate (82010) $57.76 $144.40 7.1×
Beta Lactamase (87185) $56.64 $141.60 11.9×
Beta-2 Microglobulin (82232) $62.32 $155.80 3.9×
Bile acids total (82239) $52.06 $130.15 3.0×
Bilirubin direct (82248) $68 $170 13.5×
Bilirubin total (82247)
range across 2 matching MRF lines
$60.80–$76.80 $152–$192 varies
Biotinidase (82261)
range across 2 matching MRF lines
$60.80–$64.22 $152–$160.55 varies
Blastomyces antibody (86612) $70.56 $176.40 5.5×
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $144.96 $362.40 2.9×
Blood Count Manual Cell Count Each (85032) $39.36 $98.40 9.1×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $23.52 $58.80 4.6×
Blood count reticulocyte automated (85045) $39.84 $99.60 10.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $65.28 $163.20 17.2×
Blood count spun microhematocrit (85013) $23.52 $58.80 3.4×
Blood gas (82803) $154.40 $386 5.9×
Blood gases w/02 saturation (82805) $112.10 $280.25 1.4×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $63.08 $157.70 4.0×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$18–$20.14 $45–$50.35 varies
Blood Sulfhemoglobin Assay (83060) $171 $427.50 19.4×
Blood Type Antigen Donor Reagent Serum Each (86902) $164.64 $411.60 25.9×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $34.08 $85.20 2.1×
Blood typing serologic abo (86900) $57.12 $142.80 19.1×
Body fluid cell count (89050) $47.52 $118.80 10.1×
Bone marrow smear interpretation (85097) $93.60 $234 0.1×
Bordetella antibody (86615) $41.76 $104.40 3.2×
Braf gene analysis (81210) $499.68 $1,249.20 2.8×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) $1,164 $2,910 2.5×
Brca1 brca2 gene analysis full dup/del analysis (81164) $1,164 $2,910 2.0×
Brca1 Gene Analysis Known Familial Variant (81215) $253.92 $634.80 0.7×
Brca1&2 gen full seq dup/del (81162)
range across 2 matching MRF lines
$196.32–$1,880.16 $490.80–$4,700.40 varies
Brca2 Gene Analysis Known Familial Variant (81217) $253.92 $634.80 0.7×
Brucella antibody (86622) $60 $150 6.7×
C diff amplified probe (87493) $72.96 $182.40 2.0×
C-Peptide (84681) $94.62 $236.55 4.5×
C-reactive protein (86140) $59.52 $148.80 11.5×
Ca 19-9 (86301) $91.20 $228 4.4×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) $115.68 $289.20 0.8×
Cadmium (82300) $23.94 $59.85 1.0×
Caffeine (80155) $157.92 $394.80 4.1×
Calcitonin (82308) $96.90 $242.25 3.6×
Calcium ionized (82330) $85.88 $214.70 6.3×
Calcium total (82310) $53.20 $133 10.3×
Calculus assay quant (82360) $19.76 $49.40 1.5×
Calculus Spectroscopy (82365) $83.22 $208.05 6.5×
Calprotectin Fecal (83993)
range across 2 matching MRF lines
$113.62–$174.42 $284.05–$436.05 varies
Calr gene com variants (81219) $354.24 $885.60 2.9×
Cancer Antigen 125 (86304) $122.88 $307.20 5.9×
Cancer Antigen 27.29 (86300) $111.36 $278.40 5.4×
Candida antibody (86628) $56.64 $141.60 4.7×
Carbamazepine total (80156) $143.04 $357.60 9.8×
Carbohydrate Deficient Transferrin (82373) $75.62 $189.05 4.2×
Carboxyhemoglobin (82375) $97.66 $244.15 7.9×
Carcinoembryonic antigen (82378) $118.94 $297.35 6.3×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$84.48–$103.68 $211.20–$259.20 varies
Carnitine Quantitative Each Specimen (82379) $63.08 $157.70 3.7×
Carotene (82380) $49.02 $122.55 5.3×
Catecholamines fractionated (82384) $103.74 $259.35 4.1×
Ccp antibody (86200) $86.40 $216 6.7×
Cebpa Gene Analysis Full Gene Sequence (81218) $428.16 $1,070.40 1.8×
Cell count csf (89051) $103.20 $258 18.4×
Cell enumeration & id (86152) $779.04 $1,947.60 3.1×
Cell marker study (88182) $96.90 $242.25 1.9×
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 3 matching MRF lines
$147.36–$765.60 $368.40–$1,914 varies
Ceruloplasmin (82390) $70.68 $176.70 6.6×
Cftr Gene Analysis Known Familial Variants (81221) $344.16 $860.40 3.5×
Cftr gene com variants (81220) $151.68 $379.20 0.3×
Cftr gene full sequence (81223) $785.20 $1,963 1.6×
Chemiluminescent assay (82397)
range across 7 matching MRF lines
$54.34–$246.24 $135.85–$615.60 varies
Chimerism w/comp to baseline w/cell selection ea (81268) $1,356 $3,390 5.2×
Chimerism w/comp to baseline w/o cell selection (81267) $477.60 $1,194 2.3×
Chlamydia antibody (86631) $63.36 $158.40 5.4×
Chlamydia Igm Antibody (86632) $56.16 $140.40 4.4×
Chloramphenicol level (82415) $32.30 $80.75 2.5×
Chloride other source (82438) $22.42 $56.05 4.5×
Chloride Serum (82435) $30.40 $76 6.6×
Chloride urine (82436) $31.54 $78.85 5.5×
Cholesterol total (82465) $41.42 $103.55 9.5×
Cholinesterase rbc (82482) $101.46 $253.65 10.3×
Cholinesterase Serum (82480) $28.12 $70.30 3.6×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$71.82–$105.26 $179.55–$263.15 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $373.92 $934.80 2.0×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $52.32 $130.80 1.9×
Chrmsm Analysis Addl High Resolution Study (88289) $84 $210 2.4×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $120.48 $301.20 3.6×
Chrmsm Breakage Baseline Sister 20-25 Cll (88245) $449.76 $1,124.40 2.6×
Chrmsm Breakage Synds Score 100 Cll (88249) $281.28 $703.20 1.6×
Chromium serum (82495) $58.14 $145.35 2.9×
Chromogranin a (86316)
range across 5 matching MRF lines
$84.96–$176.64 $212.40–$441.60 varies
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$308.16–$472.80 $770.40–$1,182 varies
Chromosome Analysis 20-25 (88264)
range across 3 matching MRF lines
$389.28–$634.56 $973.20–$1,586.40 varies
Chromosome analysis 45 cells (88263) $287.04 $717.60 1.9×
Chromosome analysis, 5 (88261) $616.32 $1,540.80 2.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $180.96 $452.40 5.2×
Citric acid urine (82507) $52.06 $130.15 1.9×
Ckmb (82553) $82.46 $206.15 7.1×
Clostridium Difficile (87324) $29.76 $74.40 2.5×
Clot Factor VIII Multimetric (85247) $186.72 $466.80 8.1×
Clot factor xiii fibrin stab (85290) $198.72 $496.80 12.2×
Clotting factor viii related antigen (85244) $108.48 $271.20 5.3×
Clotting factor xii hageman (85280) $113.76 $284.40 5.9×
Clotting Funct Activity (85397)
range across 2 matching MRF lines
$136.32–$180 $340.80–$450 varies
Clotting prekallikrein assay fletcher fact assay (85292) $88.32 $220.80 4.7×
Cns DNA amp probe type 12-25 (87483) $480.48 $1,201.20 1.2×
Coagulation time activated (85347)
range across 2 matching MRF lines
$34.08–$64.80 $85.20–$162 varies
Coccidioides antibody (86635) $73.44 $183.60 6.4×
Cold agglutinin screen (86156) $69.60 $174 8.6×
Cold agglutinin titer (86157) $52.32 $130.80 6.5×
Collagen crosslinks (82523) $64.60 $161.50 3.5×
Column Chromotography Quant (82542)
range across 7 matching MRF lines
$90.44–$245.48 $226.10–$613.70 varies
Comparative Anal Str Markers Patient&Comp Spec (81265) $326.88 $817.20 1.4×
Compatibility test antiglob (86922) $110.88 $277.20 0.7×
Complement Antigen Each Component (86160) $82.08 $205.20 6.8×
Complement Fixation Tests Each Antigen (86171) $57.60 $144 5.8×
Complement Total (Ch50) (86162)
range across 2 matching MRF lines
$104.64–$124.32 $261.60–$310.80 varies
Complement/Function Activity (86161) $113.76 $284.40 9.5×
Consltj&Reprt Material Requiring Prepj Slides (88323) $59.66 $149.15 1.2×
Coombs direct (86880)
range across 2 matching MRF lines
$63.36–$76.32 $158.40–$190.80 varies
Copper urine (82525) $90.82 $227.05 7.3×
Cortisol free (82530) $69.54 $173.85 4.2×
Cortisol saliva (82533) $117.42 $293.55 7.2×
Creatine (82540) $12.54 $31.35 2.7×
Creatine kinase total (82550) $70.68 $176.70 10.9×
Creatinine blood (82565)
range across 2 matching MRF lines
$42.18–$43.32 $105.45–$108.30 varies
Creatinine clearance (82575) $80.94 $202.35 8.6×
Creatinine Urine (82570) $38.38 $95.95 7.4×
Crossmatch electronic (86923) $139.20 $348 0.8×
Crossmatch immediate spin (86920) $144.48 $361.20 0.9×
Crp High Sensitivity (86141) $115.20 $288 8.9×
Cryofibrinogen (82585) $34.20 $85.50 2.4×
Cryoglobulin (82595) $52.44 $131.10 8.1×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240)
range across 2 matching MRF lines
$91.68–$105.12 $229.20–$262.80 varies
Cryptococcal Antigen (87327) $84 $210 6.3×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$97.92–$99.84 $244.80–$249.60 varies
Cryptosporidium ag eia (87328) $105.12 $262.80 7.6×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $79.68 $199.20 9.9×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $91.68 $229.20 11.3×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $487.20 $1,218 2.2×
Culture aerobic quant other (87071) $122.88 $307.20 12.4×
Culture afb (87116) $132.96 $332.40 12.3×
Culture Anaerobic (87075) $163.20 $408 17.2×
Culture blood (87040) $164.16 $410.40 15.9×
Culture chlamydia (87110) $149.76 $374.40 7.6×
Culture csf (87070) $167.04 $417.60 19.4×
Culture fungus (87102) $120.48 $301.20 14.3×
Culture fungus blood (87103) $168.48 $421.20 8.2×
Culture screen only (87081)
range across 2 matching MRF lines
$110.40–$150.72 $276–$376.80 varies
Culture stool (87045) $146.40 $366 15.5×
Culture typing if ea antiserum (87140) $68.16 $170.40 12.2×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $86.88 $217.20 16.8×
Culture urine (87086) $104.64 $261.60 13.0×
Cyanide (82600) $52.44 $131.10 2.7×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $31.16 $77.90 2.2×
Cyclosporine (80158) $239.52 $598.80 13.3×
Cyp2c19 gene analysis common variants (81225) $92.16 $230.40 0.3×
Cyp2d6 gene com variants (81226) $276.48 $691.20 0.6×
Cystatin C (82610) $66.88 $167.20 3.6×
Cytogenetics 10-30 (88273)
range across 2 matching MRF lines
$84–$145.44 $210–$363.60 varies
Cytogenetics 100-300 (88275)
range across 3 matching MRF lines
$71.52–$234.72 $178.80–$586.80 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 4 matching MRF lines
$1,296.48–$1,479.84 $3,241.20–$3,699.60 varies
Cytogenomic neo microra alys (81277) $2,904 $7,260 2.5×
Cytomegalovirus igg (86644) $127.68 $319.20 8.9×
Cytopath Cell Enhance Tech (88112) $222.68 $556.70 4.4×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $47.88 $119.70 1.8×
Cytp Concentration Smears & Interpretation (88108) $104.88 $262.20 2.9×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $141.36 $353.40 2.8×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $105.64 $264.10 0.6×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $102.98 $257.45 2.9×
Deoxycortisol (82634) $45.60 $114 1.6×
Deoxyribonuclease antibody (86215) $38.40 $96 2.9×
Desoxycorticosterone (82633)
range across 2 matching MRF lines
$53.58–$67.26 $133.95–$168.15 varies
Detect Agent Nos Dna Amp (87798)
range across 13 matching MRF lines
$31.20–$333.12 $78–$832.80 varies
Detect Agent Nos Dna Quant (87799)
range across 6 matching MRF lines
$331.20–$445.44 $828–$1,113.60 varies
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines
$312.96–$938.40 $782.40–$2,346 varies
Dgp Antibody Each Ig Class (86258) $165.60 $414 13.7×
Dhea (82626) $65.36 $163.40 2.6×
Dhea-S (82627) $73.34 $183.35 3.3×
Dibucaine number (82638) $23.56 $58.90 1.9×
Digoxin (80162) $135.36 $338.40 10.2×
Dihydrotestosterone (82642) $93.86 $234.65 3.2×
Diphtheria antitoxoid (86648) $92.16 $230.40 6.1×
Dipropylacetic Acid Free (80165) $89.28 $223.20 6.6×
DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded… (81239) $306.24 $765.60 1.1×
Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234)
range across 2 matching MRF lines
$306.24–$308.64 $765.60–$771.60 varies
Dna Antibody Native/Double Stranded (86225) $93.60 $234 6.8×
Dna/Rna Amplified Probe (87150) $40.80 $102 1.2×
DNA/RNA direct probe (87149) $132.48 $331.20 6.6×
Dna/Rna Sequencing (87153) $213.12 $532.80 1.8×
Dpyd gene common variants (81232) $265.92 $664.80 1.5×
Drug assay acetaminophen (80143) $51.36 $128.40 2.8×
Drug assay adalimumab (80145) $336.96 $842.40 8.7×
Drug Assay Amiodarone (80151) $137.28 $343.20 7.4×
Drug Assay Everolimus (80169) $192.48 $481.20 14.0×
Drug assay felbamate (80167) $137.28 $343.20 7.4×
Drug Assay Infliximab (80230) $292.80 $732 7.6×
Drug Assay Itraconazole (80189) $183.84 $459.60 6.8×
Drug Assay Lacosamide (80235) $173.28 $433.20 6.4×
Drug Assay Posaconazole (80187) $116.64 $291.60 4.3×
Drug Assay Vedolizumab (80280) $277.92 $694.80 7.2×
Drug assay voriconazole (80285) $129.12 $322.80 4.8×
Drug Screen Quant Clozapine (80159) $92.64 $231.60 4.6×
Drug Screen Quant Zonisamide (80203) $151.68 $379.20 11.4×
Drug Screen Quantitative Gabapentin (80171) $151.68 $379.20 7.0×
Drug Screen Quantitative Lamotrigine (80175) $144.96 $362.40 10.9×
Drug Screen Quantitative Levetiracetam (80177) $168 $420 12.7×
Drug Screen Quantitative Oxcarbazepine (80183) $92.16 $230.40 7.0×
Drug Screen Quantitative Procainamide Metabolite (80192) $100.80 $252 6.0×
Drug Test Prsmv Chem Anlyzr (80307) $229.92 $574.80 3.7×
Drug Test Prsmv Dir Opt Obs (80305) $28.80 $72 2.3×
Drug Test Prsmv Instrmnt (80306) $28.80 $72 1.7×
Egfr Gene Analysis Common Variants (81235) $1,029.12 $2,572.80 3.2×
Ehrlichia antibody (86666)
range across 2 matching MRF lines
$106.56–$115.68 $266.40–$289.20 varies
Electrolyte panel (80051) $111.34 $278.35 15.9×
Electron Microscopy (88348) $827.64 $2,069.10 1.1×
Encephaltis East Eqne Anbdy (86652) $28.32 $70.80 2.1×
Encephaltis West Eqne Antbdy (86654) $26.88 $67.20 2.0×
Endomysial Antibody Each Immunoglobulin Class (86231) $123.36 $308.40 10.2×
Enterovirus Antibody (86658)
range across 3 matching MRF lines
$37.44–$94.08 $93.60–$235.20 varies
Enterovirus PCR (87498) $195.36 $488.40 5.6×
Enzyme cell activity (82657)
range across 5 matching MRF lines
$62.80–$691.22 $157–$1,728.05 varies
Enzyme histochemistry (88319)
range across 5 matching MRF lines
$86.26–$331.36 $215.65–$828.40 varies
Eosinophil Smear (89190) $44.64 $111.60 7.7×
Erythropoietin (82668) $76.76 $191.90 4.1×
Estradiol serum (82670) $126.54 $316.35 4.5×
Estriol (82677) $47.12 $117.80 1.9×
Estrogens fractionated (82671) $65.36 $163.40 2.0×
Ethosuximide (80168) $57.12 $142.80 3.5×
Ethylene Glycol (82693) $66.88 $167.20 4.5×
Euglobulin lysis (85360) $132.48 $331.20 15.8×
Exam Synovial Fluid Crystals (89060) $53.28 $133.20 7.3×
Exome Sequence Analysis (81415) $4,160.16 $10,400.40 0.9×
Exome sequence analysis each comparator exome (81416)
likely a partial charge, not the full procedure
$1,960.80 $4,902 0.2×
F2 Gene (81240) $413.28 $1,033.20 6.3×
Factor ii activity (85210) $159.36 $398.40 12.3×
Factor Inhibitor Test (85335) $114.24 $285.60 8.9×
Factor ix activity (85250) $176.16 $440.40 9.3×
Factor v activity (85220) $144 $360 8.2×
Factor v leiden mutation (81241) $384.96 $962.40 5.2×
Factor vii assay (85230) $129.60 $324 7.2×
Factor viii assay (85240) $233.76 $584.40 13.1×
Factor X (85260) $148.80 $372 8.3×
Factor xi activity (85270) $124.32 $310.80 6.9×
Factor xiii screen (85291) $68.16 $170.40 7.5×
Fat/Lipids Feces Quantitative (82710) $70.30 $175.75 4.2×
Fatty acids free (82725) $60.04 $150.10 3.2×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $68.16 $170.40 8.8×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $91.68 $229.20 5.3×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $129.12 $322.80 19.8×
Fecal Fat Qualitative (82705) $76 $190 14.9×
Ferritin (82728) $84.36 $210.90 6.2×
Fetal Chrmoml Aneuploidy (81420) $572.16 $1,430.40 0.8×
Fetal Congenital Abnor Assay Four Anal (81511) $109.92 $274.80 0.7×
Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) $95.52 $238.80 1.7×
Fetal Fibronectin (82731) $294.88 $737.20 4.6×
Fetal hemoglobin assay qual (83033)
range across 2 matching MRF lines
$60.04–$63.08 $150.10–$157.70 varies
Fetal screen rosette (85461) $36.96 $92.40 3.9×
Fibrin Degradation Quant (85379) $141.12 $352.80 13.9×
Fibrinogen activity (85384) $86.88 $217.20 8.9×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $34.56 $86.40 2.2×
Flecainide level (80181) $144 $360 7.7×
Flow cytometry first marker (88184) $270.94 $677.35 0.8×
Flt3 Gene (81245)
range across 2 matching MRF lines
$250.08–$408 $625.20–$1,020 varies
Flt3 gene analysis (81246) $418.08 $1,045.20 5.0×
Fluorescent antibody screen (86255)
range across 8 matching MRF lines
$72.92–$624.96 $182.29–$1,562.40 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 5 matching MRF lines
$76.32–$197.28 $190.80–$493.20 varies
Fmr1 gene detection (81243) $286.08 $715.20 5.0×
Folic acid rbc (82747) $72.58 $181.45 4.1×
Folic Acid Serum (82746) $83.60 $209 5.7×
Follicle Stimulating Hormone (83001) $106.02 $265.05 5.7×
Francisella tularensis (86668) $66.72 $166.80 4.7×
Fresh Frozen Plasma Thawing Each Unit (86927) $51.84 $129.60 0.3×
Frozen Section (88331) $231.42 $578.55 1.4×
Fungi Identification Mold (87107) $114.24 $285.60 11.1×
Fungi Identification Yeast (87106) $131.04 $327.60 12.7×
Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) $53.28 $133.20 0.4×
G6pd gene alys cmn variant (81247) $263.04 $657.60 1.5×
G6pd gene analysis full gene sequence (81249) $1,459.68 $3,649.20 2.4×
Galactose (82760)
range across 2 matching MRF lines
$29.64–$37.60 $74.10–$94 varies
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $156.94 $392.35 7.4×
Galectin-3 (82777) $108.68 $271.70 2.5×
Gammaglobulin ige (82785) $63.84 $159.60 3.9×
Gases Blood O2 Saturation Only Direct Meas (82810) $59.28 $148.20 6.1×
Gases blood ph only (82800) $48.64 $121.60 4.4×
Gastric Analy W/Ph Ea Spec (82930) $38.38 $95.95 5.7×
Gastrin (82941)
range across 2 matching MRF lines
$17.48–$77.14 $43.70–$192.85 varies
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $313.92 $784.80 0.8×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $1,989.12 $4,972.80 2.6×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)
range across 2 matching MRF lines
$2,221.44–$2,298.24 $5,553.60–$5,745.60 varies
Genet Virus Isolate Hsv (87255) $46.08 $115.20 1.4×
Genetic Tstg Severe Inh Cond (81443) $1,711.68 $4,279.20 0.7×
Gentamicin (80170) $132.96 $332.40 8.1×
Ggt (82977) $64.98 $162.45 9.0×
Giardia antigen (87329) $97.44 $243.60 8.1×
Giardia lamblia antibody (86674) $78.72 $196.80 5.3×
Gjb2 Gene Analysis Full Gene Sequence (81252) $300.96 $752.40 3.0×
Gjb6 Gene Analysis Common Variants (81254)
range across 2 matching MRF lines
$157.92–$201.12 $394.80–$502.80 varies
Glucagon (82943) $57.38 $143.45 4.0×
Glucose 2 hr pp (82950) $29.26 $73.15 6.2×
Glucose Blood Test (82962)
range across 3 matching MRF lines
$10–$50.80 $25–$127 varies
Glucose body fluid (82945) $38.38 $95.95 9.8×
Glucose Serum (82947) $34.96 $87.40 8.9×
Glucose tolerance test (gtt) (82951) $86.64 $216.60 6.7×
Glycated Protein (82985) $57.76 $144.40 3.4×
Gonadotropin Chorionic Hcg Free Beta Chain (84704) $53.96 $134.90 3.5×
Gonadotropin Chorionic Qualitative (84703) $80.18 $200.45 10.7×
Gonadotropin releasing hormone (83727) $190 $475 11.1×
Growth hormone (83003) $57.76 $144.40 3.5×
Growth Hormone Stimulation Panel (80428) $336.48 $841.20 5.0×
Gtt-added samples (82952) $28.12 $70.30 7.2×
H Pylori (C-13) Breath (83013) $124.26 $310.65 1.8×
H Pylori Drug Admin (83014) $21.28 $53.20 2.7×
Haptoglobin (83010) $95 $237.50 7.6×
Hba1/hba2 full gene sequence (81259)
range across 2 matching MRF lines
$733.92–$784.80 $1,834.80–$1,962 varies
Hba1/Hba2 Gene (81257) $600.48 $1,501.20 5.9×
Hba1/Hba2 Gene Dup/Del Vrnts (81269)
range across 2 matching MRF lines
$260.64–$699.36 $651.60–$1,748.40 varies
Hbb duplication/deletion variants (81363) $821.76 $2,054.40 4.1×
Hbb Full Gene Sequence (81364) $1,412.64 $3,531.60 4.4×
Hdl Cholesterol (83718) $40.28 $100.70 4.9×
Hearing Loss Dup/Del Analysis (81431)
range across 2 matching MRF lines
$567.84–$833.28 $1,419.60–$2,083.20 varies
Hearing Loss Genomic Sequence Analysis 60 Genes (81430)
range across 2 matching MRF lines
$1,992.48–$2,511.36 $4,981.20–$6,278.40 varies
Heinz Bodies Direct (85441) $50.40 $126 12.0×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $114.72 $286.80 16.8×
Helicobacter Pylori Stool (87338) $156.96 $392.40 10.9×
Helminth Antibody (86682)
range across 5 matching MRF lines
$108–$138.72 $270–$346.80 varies
Hematocrit (85014) $40.32 $100.80 17.0×
Hemoglobin (85018) $38.40 $96 16.2×
Hemoglobin a1c (83036) $55.86 $139.65 5.8×
Hemoglobin Chromotography (83021) $68.02 $170.05 3.8×
Hemoglobin Copper Sulfate Method Non-Automated (83026) $23.94 $59.85 6.0×
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$111.72–$132.80 $279.30–$332 varies
Hemoglobin F Fetal Chemical (83030) $35.72 $89.30 3.3×
Hemoglobin Methemoglobin Quantitative (83050) $49.78 $124.45 6.1×
Hemoglobin plasma (83051) $66.88 $167.20 9.1×
Hemoglobin urine (83069) $55.48 $138.70 14.0×
Hemolysins&Agglutinins Auto Screen Each (86940) $45.12 $112.80 5.1×
Hemolysins&Agglutinins Incubated (86941) $47.04 $117.60 3.9×
Hemosiderin urine (83070) $48.26 $120.65 10.2×
Hep a ab igm (86709) $83.52 $208.80 7.4×
Heparin assay (85520) $153.12 $382.80 11.7×
Hepatitis a antibody total (86708) $102.24 $255.60 8.3×
Hepatitis b core ab igm (86705) $77.28 $193.20 6.6×
Hepatitis b core ab total (86704) $59.04 $147.60 4.9×
Hepatitis B Surface Antibody (86706) $76.32 $190.80 7.1×
Hepatitis B Surface Antigen (87340) $81.60 $204 7.9×
Hepatitis Be Antibody (86707) $44.16 $110.40 3.8×
Hepatitis Be Antigen (87350) $71.04 $177.60 6.2×
Hepatitis C Antibody (86803) $84.48 $211.20 5.9×
Hepatitis c antibody confirmatory test (86804) $91.20 $228 5.9×
Hepatitis C Genotype (87902) $474.72 $1,186.80 1.8×
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 2 matching MRF lines
$39.36–$340.32 $98.40–$850.80 varies
Hepatitis C Revrs Trnscrpj (87522) $313.44 $783.60 7.3×
Hepatitis Delta Agent Antibody (86692) $69.60 $174 4.1×
Hereditary brst ca-related gen seq analys 10 gen (81432)
range across 3 matching MRF lines
$878.40–$1,756.80 $2,196–$4,392 varies
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $878.40 $2,196 0.7×
Herpes simplex type 2 (86696) $85.92 $214.80 4.4×
Heterophile Antibody Screen (86308) $47.52 $118.80 9.2×
Hfe Gene (81256) $475.68 $1,189.20 7.3×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $132.48 $331.20 17.1×
Histamine urine (83088) $90.82 $227.05 3.1×
Histoplasma antibody (86698) $83.52 $208.80 6.1×
Histoplasma antigen urine (87385) $211.20 $528 15.9×
Hiv Genotype (87901)
range across 2 matching MRF lines
$420.96–$588 $1,052.40–$1,470 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $12 $30 0.5×
Hiv-1 Antibody (86701) $33.60 $84 3.8×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$262.08–$338.88 $655.20–$847.20 varies
HIV-2 probe&revrse trnscripj (87538) $236.16 $590.40 6.7×
Hla Class I Typing High Resolution Complete (81379) $740.64 $1,851.60 2.2×
Hla Class I Typing Low Resolution Complete (81372) $762.24 $1,905.60 1.9×
Hla Class I Typing Low Resolution One Locus Each (81373) $241.92 $604.80 1.9×
Hla class i&ii antibody qual (86828) $332.16 $830.40 5.2×
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $2,044.32 $5,110.80 5.1×
Hla class ii high defin qual (86833) $340.32 $850.80 1.0×
Hla class ii typing high resolution one locus ea (81382) $708.48 $1,771.20 5.7×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $340.32 $850.80 3.1×
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) $340.32 $850.80 9.3×
Hla I Low Resolution One Antigen Equivalent Each (81374)
range across 2 matching MRF lines
$149.28–$215.04 $373.20–$537.60 varies
Hla I Typing 1 Allele Hr (81381) $291.84 $729.60 1.7×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $725.76 $1,814.40 3.3×
Hla ii typing 1 allele hr (81383) $186.72 $466.80 1.7×
Hla ii typing 1 locus lr (81376) $267.84 $669.60 2.2×
Hla Typing a/B/C Multiple Antigens (86813)
range across 5 matching MRF lines
$113.28–$324.48 $283.20–$811.20 varies
Hla Typing Dr/Dq Multiple Antigens (86817) $224.64 $561.60 2.1×
Hla Typing Dr/Dq Single Antigen (86816) $199.68 $499.20 6.6×
Hla-b27 (86812) $153.12 $382.80 5.9×
Homocysteine (83090) $186.20 $465.50 10.4×
Homovanillic acid urine (83150) $50.92 $127.30 2.3×
Hpa-1 genotyping gene analysis common variant (81105) $161.76 $404.40 1.3×
Hpa-15 genotyping gene analysis common variant (81112) $60 $150 0.5×
Hpa-2 genotyping gene analysis common variant (81106) $60 $150 0.5×
Hpa-3 genotyping gene analysis common variant (81107) $60 $150 0.5×
Hpa-4 genotyping gene analysis common variant (81108) $60 $150 0.5×
Hpa-5 genotyping gene analysis common variant (81109) $60 $150 0.5×
Hpa-6 genotyping gene analysis common variant (81110) $60 $150 0.5×
Hpv High-Risk Types (87624) $242.40 $606 6.9×
Hpv low-risk types (87623) $242.40 $606 6.9×
Hpv sep hi-rsk typ&pool rslt (87626) $50.54 $126.36 0.7×
Hpv Types 16 & 18 Only (87625) $242.40 $606 6.0×
Hsv Dna Amp Probe (87529)
range across 4 matching MRF lines
$31.20–$259.20 $78–$648 varies
Hsv Dna Quant (87530) $288.96 $722.40 6.7×
Htt Gene Detc Abnor Alleles (81271)
range across 2 matching MRF lines
$46.56–$229.92 $116.40–$574.80 varies
Human Epididymis Protein 4 (86305) $143.52 $358.80 6.9×
Hydroxycorticosteroids 17 (83491) $73.34 $183.35 4.1×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines
$58.14–$69.20 $145.35–$173 varies
Hydroxyproline total (83505) $72.20 $180.50 3.0×
Iaad Ia Escherichia Coli 0157 (87335) $42.24 $105.60 3.3×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $46.56 $116.40 4.5×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $68.16 $170.40 1.9×
Iaad ia shiga-like toxin (87427) $66.24 $165.60 5.5×
Iaad Ia Streptococcus Group A (87430) $81.12 $202.80 4.8×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $47.52 $118.80 4.0×
Iaadi not otherwise specified each organism (87299) $41.28 $103.20 2.6×
Iaadi pneumocustis carinii (87281) $105.12 $262.80 8.8×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $83.04 $207.60 6.9×
Iaadi Varicella Zoster Virus (87290) $48.96 $122.40 3.6×
Iaadiadoo trichomonas vaginalis (87808) $61.92 $154.80 4.0×
Iadna Bartonella Amplified Probe Technique (87471)
range across 2 matching MRF lines
$231.36–$331.68 $578.40–$829.20 varies
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $172.80 $432 4.9×
Iadna Candida Species Amplified Probe Tq (87481) $49.92 $124.80 1.4×
Iadna chlamydia pneumoniae amplified probe tq (87486) $183.84 $459.60 5.2×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$31.20–$213.12 $78–$532.80 varies
Iadna Cytomegalovirus Quantification (87497) $300 $750 7.0×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $72.96 $182.40 1.0×
Iadna hepatitis b virus amplified probe tq (87516) $39.36 $98.40 1.1×
Iadna Hepatitis B Virus Quantification (87517) $418.56 $1,046.40 9.8×
Iadna Herpes Virus-6 Amplified Probe Tq (87532)
range across 2 matching MRF lines
$31.20–$124.32 $78–$310.80 varies
Iadna Herpes Virus-6 Quantification (87533)
range across 2 matching MRF lines
$235.68–$301.92 $589.20–$754.80 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 2 matching MRF lines
$52.80–$285.60 $132–$714 varies
Iadna Hiv-2 Quant & Reverse Transcription (87539) $469.92 $1,174.80 8.0×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $389.28 $973.20 5.1×
Iadna Multiple Organisms Direct Probe Tq (87800) $127.68 $319.20 2.9×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $109.44 $273.60 2.3×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $320.64 $801.60 7.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 3 matching MRF lines
$94.56–$205.44 $236.40–$513.60 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $190.08 $475.20 5.4×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $158.40 $396 3.1×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $227.52 $568.80 1.6×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $368.64 $921.60 1.4×
Idh1 common variants (81120) $297.12 $742.80 1.5×
Idh2 common variants (81121) $298.08 $745.20 1.0×
Ig Light Chains Free Each (83521) $107.92 $269.80 6.2×
Igg subclasses (82787) $49.78 $124.45 6.2×
Igh gene rearrange amp meth (81261) $295.20 $738 1.5×
Igh@ Variable Region Somatic Mutation Analysis (81263) $536.16 $1,340.40 1.8×
IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) $617.28 $1,543.20 3.0×
Igk rearrangeabn clonal pop (81264) $255.36 $638.40 1.5×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $245.10 $612.75 0.7×
Immune Complex Assay (86332) $171.36 $428.40 7.0×
Immunfix e-phorsis/urine/csf (86335) $203.04 $507.60 6.9×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 9 matching MRF lines
$99.94–$339.72 $249.85–$849.30 varies
Immunoassay infectious agent (86318) $108 $270 6.0×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $60 $150 4.0×
Immunoassay nonantibody (83516)
range across 17 matching MRF lines
$19.76–$243.96 $49.40–$609.90 varies
Immunodiffusion not elsewhere specified (86329) $74.88 $187.20 5.3×
Immunodiffusion Ouchterlony (86331) $32.64 $81.60 2.7×
Immunofixation electrophoresis (86334) $181.92 $454.80 8.1×
Immunofluorescence per spec 1st singl antb stain (88346) $148.20 $370.50 0.9×
Immunohistochemistry (88342) $261.44 $653.60 1.6×
In situ hybridization 1st probe stain (88365)
range across 3 matching MRF lines
$264.86–$359.48 $662.15–$898.70 varies
In situ hybridization ea multiplex probe stain (88366) $680.20 $1,700.50 4.2×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $214.08 $535.20 5.5×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$38–$90.72 $95–$226.80 varies
Influenza DNA amp probe (87502)
range across 2 matching MRF lines
$156.96–$176.16 $392.40–$440.40 varies
Inhibin A (86336) $56.64 $141.60 3.6×
Inhibin b (83520)
range across 9 matching MRF lines
$155.80–$172.52 $389.50–$431.30 varies
Insitu hybridization manual (88368) $203.68 $509.20 0.6×
Insulin antibodies (86337) $64.80 $162 3.0×
Insulin total (83525) $56.24 $140.60 4.9×
Interleukin-6 (83529) $172.52 $431.30 10.0×
Intrinsic factor antibody (86340) $68.64 $171.60 4.6×
Iron (83540) $47.12 $117.80 7.3×
Irradiation Blood Product Each Unit (86945) $52.80 $132 1.5×
Islet cell antibody (86341)
range across 4 matching MRF lines
$74.88–$308.16 $187.20–$770.40 varies
Jak2 gene analysis p.val617phe variant (81270) $562.08 $1,405.20 6.1×
Jak2 Gene Trgt Sequence Alys (81279) $506.88 $1,267.20 2.7×
Ketosteroids 17 total (83586) $32.30 $80.75 2.5×
Kit Gene Analysis D816 Variant(S) (81273) $364.80 $912 2.9×
Kit Gene Analysis Targeted Sequence Analysis (81272) $743.04 $1,857.60 2.3×
Kras Gene Variants Exon 2 (81275) $773.76 $1,934.40 4.0×
L/s ratio (83661) $60.04 $150.10 2.7×
Lactate (ld) (ldh) enzyme (83615) $57 $142.50 9.4×
Lactoferrin fecal qualitative (83630) $42.18 $105.45 2.1×
Lamellar Body Count (83664) $35.72 $89.30 1.8×
Ldh Isoenzymes (83625) $45.60 $114 3.6×
LDL direct (83721) $36.10 $90.25 3.4×
Lead (83655) $62.70 $156.75 5.2×
Legionella antibody (86713) $127.68 $319.20 8.3×
Legionella antigen urine (87449)
range across 5 matching MRF lines
$174.72–$216 $436.80–$540 varies
Legionella pneumophila dfa (87278) $118.08 $295.20 7.6×
Leptospira antibody (86720) $41.76 $104.40 2.6×
Leukocyte Assessment Fecal (89055) $37.44 $93.60 8.8×
Leukocyte Histamine Release (86343) $32.16 $80.40 2.6×
Leukocyte phagocytosis (86344) $311.04 $777.60 29.9×
Level I Surg Pathology Gross Examination Only (88300) $79.80 $199.50 2.9×
Level ii surg pathology gross&microscopic exam (88302) $153.90 $384.75 4.3×
Level V Surg Pathology Gross&Microscopic Exam (88307) $380.38 $950.95 1.1×
Lidocaine (80176) $71.04 $177.60 4.8×
Lipase (83690) $70.30 $175.75 10.2×
Lipoprotein A (83695) $62.32 $155.80 4.4×
Lipoprotein Bld Quan Part (83704) $88.92 $222.30 2.6×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $52.44 $131.10 1.5×
Lipoprotein-Associated Phospholipase A2 (83698) $35.72 $89.30 0.8×
Listeria Monocytogenes (86723) $71.04 $177.60 5.4×
Lithium (80178) $107.04 $267.60 16.2×
Luteinizing Hormone (Lh) (83002) $106.40 $266 5.7×
Lyme disease antibody (86618) $120.48 $301.20 7.1×
Lymphocyte transformation (86353) $264.96 $662.40 5.4×
Lymphocytotoxicity Assay (86805)
range across 3 matching MRF lines
$224.64–$817.92 $561.60–$2,044.80 varies
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) $259.68 $649.20 5.5×
Lysozyme serum (85549) $28.32 $70.80 1.5×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) $91.68 $229.20 2.6×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $500.46 $1,251.15 3.1×
M/phmtrc alys ishquant/semiq (88374) $569.62 $1,424.05 3.5×
Macroscopic exam arthropod (87168) $35.04 $87.60 8.2×
Macroscopic Exam Parasite (87169) $73.44 $183.60 17.0×
Magnesium Urine (83735) $89.60 $224 13.4×
Mass Spectrometry Quant (83789)
range across 4 matching MRF lines
$90.44–$125.78 $226.10–$314.45 varies
Mecp2 gene full seq (81302) $862.56 $2,156.40 1.6×
Mercury urine (83825) $159.60 $399 9.8×
Metabolic panel ionized ca (80047) $99.94 $249.85 7.3×
Methotrexate (80204) $150.72 $376.80 3.9×
Methylmalonic acid serum (83921) $170.62 $426.55 8.0×
Mgmt methylation analysis (81287) $578.88 $1,447.20 4.6×
Microalbumin, quantitative (82043) $57.38 $143.45 9.9×
Microbe Suscept Macrobroth (87188) $13.92 $34.80 2.1×
Microsatellite instability (81301) $326.40 $816 0.9×
Microsomal Antibodies Each (86376) $126.24 $315.60 8.7×
Mitochondrial Antibody Each (86381) $165.60 $414 6.5×
Mlh1 Gene (81288) $376.32 $940.80 2.0×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $490.08 $1,225.20 2.4×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $520.80 $1,302 0.8×
Mlh1 Gene Analysis Known Familial Variants (81293) $306.24 $765.60 0.9×
Mog-Igg1 Antb Cba Each (86362) $237.12 $592.80 19.7×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $678.72 $1,696.80 18.0×
Molecular Cytogenetics Dna Probe Each (88271)
range across 7 matching MRF lines
$13.44–$155.52 $33.60–$388.80 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $364.32 $910.80 8.6×
Molecular Pathology Procedure Level 3 (81402) $512.16 $1,280.40 3.4×
Molecular Pathology Procedure Level 6 (81405)
range across 2 matching MRF lines
$743.04–$941.76 $1,857.60–$2,354.40 varies
Mononuclear cell antigen (86356) $76.32 $190.80 2.8×
Mopath procedure level 1 (81400)
range across 5 matching MRF lines
$45.60–$278.40 $114–$696 varies
Mopath procedure level 2 (81401)
range across 15 matching MRF lines
$83.04–$413.28 $207.60–$1,033.20 varies
Mopath procedure level 4 (81403)
range across 12 matching MRF lines
$211.68–$418.08 $529.20–$1,045.20 varies
Mopath procedure level 5 (81404)
range across 14 matching MRF lines
$188.16–$546.72 $470.40–$1,366.80 varies
Mopath procedure level 7 (81406)
range across 3 matching MRF lines
$826.56–$1,143.80 $2,066.40–$2,859.50 varies
Mopath procedure level 9 (81408)
range across 2 matching MRF lines
$992–$1,739.04 $2,480–$4,347.60 varies
Mpl gene common variants (81338) $469.92 $1,174.80 3.1×
Mrsa Pcr (87641) $168.48 $421.20 4.8×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $490.08 $1,225.20 2.3×
Msh2 Gene Analysis Full Sequence Analysis (81295) $520.80 $1,302 1.4×
Msh2 Gene Analysis Known Familial Variants (81296) $306.24 $765.60 0.9×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $490.08 $1,225.20 2.1×
Msh6 Gene Known Variants (81299) $306.24 $765.60 1.0×
Mthfr Gene Analysis Common Variants (81291) $346.56 $866.40 5.3×
Mucopolysaccharides acid quantitative (83864) $42.56 $106.40 1.5×
Mumps antibody (86735) $63.36 $158.40 4.9×
Muscle-Specific Kinase Antb (86366) $1,103.04 $2,757.60 59.9×
Mycobacteric Identification (87118) $64.32 $160.80 4.4×
Mycophenolic Acid (80180) $147.36 $368.40 8.2×
Mycoplasma antibody (86738) $87.84 $219.60 6.6×
Mycoplasma culture (87109) $166.56 $416.40 10.8×
Myd88 Gene P.Leu265pro Vrnt (81305)
range across 2 matching MRF lines
$458.40–$1,135.20 $1,146–$2,838 varies
Myelin basic protein csf (83873) $80.56 $201.40 4.7×
Myoglobin urine (83874) $77.14 $192.85 6.0×
Natriuretic peptide (83880) $112.10 $280.25 2.9×
Neurofilament light chain (83884) $980.40 $2,451 8.4×
Neutralization Test Viral (86382) $114.72 $286.80 6.8×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $33.12 $82.80 1.1×
Nfct Agent Genotype Hepatitis B Virus (87912) $317.76 $794.40 1.2×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $1,385.28 $3,463.20 5.4×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $225.60 $564 1.6×
Nfct ds chrnc hcv 6 assays (81596) $330.24 $825.60 4.6×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $392.64 $981.60 3.1×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $26.88 $67.20 1.0×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $544.80 $1,362 1.1×
Niacin (84591)
range across 2 matching MRF lines
$52.44–$121.22 $131.10–$303.05 varies
Nickel level (83885) $53.20 $133 2.2×
Nk cells total count (86357) $59.52 $148.80 1.6×
Noonan Spectrum Disorders (81442) $1,660.32 $4,150.80 0.8×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $420 $1,050 1.7×
Nuclear antigen antibody (86235)
range across 6 matching MRF lines
$60–$87.36 $150–$218.40 varies
Nuclear Mitochondrial 100 Gene Genomic Seq (81440) $4,487.04 $11,217.60 1.3×
Nudt15 Gene Common Variants (81306) $437.76 $1,094.40 1.5×
Nzym actv blood cells/tiss radact substrate ea (82658) $127.68 $319.20 2.9×
Occult blood feces (82272) $25.46 $63.65 6.0×
Occult Blood Other Sources (82271) $60.04 $150.10 11.3×
Oncoprotein dcp (83951) $123.88 $309.70 1.9×
Organic Acids Qualitative Each Specimen (83919) $599.64 $1,499.10 36.5×
Organic acids urine (83918) $96.90 $242.25 4.1×
Osmolality serum (83930) $57.76 $144.40 8.7×
Osmolality Urine (83935) $44.84 $112.10 6.6×
Osmotic fragility rbc incubated (85557) $265.92 $664.80 19.9×
Osmotic Fragility RBC Unincubated (85555) $62.40 $156 8.4×
Osteocalcin (83937) $28.50 $71.25 1.0×
Ova and parasites smears (87177) $138.72 $346.80 15.6×
Oxalate urine (83945)
range across 2 matching MRF lines
$38–$118.94 $95–$297.35 varies
Palb2 gene analysis known familial variant (81308) $306.24 $765.60 1.0×
Pancreatic Elastase Fecal (82656) $153.14 $382.85 13.3×
Particle Agglutination Screen Each Antibody (86403) $99.36 $248.40 8.6×
Parvovirus antibody (86747) $56.64 $141.60 3.8×
Path Clin Consltj Mod 21-40 (80504) $82.84 $207.10 0.5×
Path Consltj Surg Cytologic Exam Initial Site (88333) $49.02 $122.55 0.1×
Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) $82.84 $207.10 0.5×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $31.16 $77.90 0.6×
Pca3/Klk3 Prostate Specific Antigen Ratio (81313) $458.40 $1,146 1.8×
Ph urine (81003) $49.44 $123.60 22.0×
Phenobarbital Level (80184) $120.96 $302.40 7.9×
Phenotype Infect Agent Drug (87900) $124.32 $310.80 1.0×
Phenytoin (Dilantin) (80185) $138.72 $346.80 10.5×
Phenytoin free (80186) $106.56 $266.40 7.7×
Phosphatase alkaline (84075) $59.66 $149.15 11.5×
Phosphatidylglycerol (84081) $39.90 $99.75 2.4×
Phospholipid Neutralization Hexagonal (85598) $45.60 $114 2.5×
Phosphorus Serum (84100) $45.60 $114 9.6×
Phosphorus urine (84105) $21.66 $54.15 3.7×
Pinworm exam (87172) $23.04 $57.60 5.4×
Platelet Aggregation (85576) $134.88 $337.20 5.4×
Platelet Antibodies (86022) $255.36 $638.40 13.9×
Platelet count automated (85049) $68.16 $170.40 15.2×
Pml/Raralpha Common Breakpoints Qual/Quant (81315)
range across 2 matching MRF lines
$541.44–$753.60 $1,353.60–$1,884 varies
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $490.08 $1,225.20 2.4×
Pms2 gene analysis known familial variants (81318) $306.24 $765.60 0.9×
Pms2 gene full seq analysis (81317) $520.80 $1,302 0.8×
Pneumcysts jirovecii amp prb (87594) $308.16 $770.40 8.8×
Pooling blood platelets (86965) $37.44 $93.60 0.2×
Porphobilinogen, urine; quantitative (84110) $41.04 $102.60 4.9×
Porphyrins Urine Quantitation & Fractionation (84120) $66.88 $167.20 4.5×
Potassium Urine (84133) $34.58 $86.45 7.3×
Prealbumin (84134) $93.86 $234.65 6.4×
Pregnenolone (84140) $32.30 $80.75 1.6×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $91.68 $229.20 0.6×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $278.40 $696 4.9×
Primidone (80188) $93.60 $234 5.6×
Procalcitonin (Pct) (84145) $177.60 $444 6.5×
Progesterone (84144) $89.30 $223.25 4.3×
Prolactin (84146) $93.86 $234.65 4.8×
Prostaglandin (84150) $215.46 $538.65 5.2×
Protein Alys Wstrn Blot I&R Immunological Ea (88372) $41.42 $103.55 1.6×
Protein body fluid (84157) $36.48 $91.20 9.1×
Protein C Activity (85303) $162.72 $406.80 11.8×
Protein c antigen (85302) $25.44 $63.60 2.1×
Protein Electrophoresis Urine (84166) $87.02 $217.55 4.9×
Protein Electrophoretic Fractj&Quantj Serum (84165) $82.84 $207.10 7.7×
Protein S Free (85306)
range across 2 matching MRF lines
$74.40–$222.72 $186–$556.80 varies
Protein s total (85305) $99.36 $248.40 8.6×
Protein total serum (84155) $52.44 $131.10 14.3×
Protein Total Urine (84156) $47.50 $118.75 12.9×
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$89.30–$159.60 $223.25–$399 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $42.24 $105.60 10.7×
Protoporphyrin rbc quantitative (84202) $62.32 $155.80 4.3×
PSA free (84154) $111.72 $279.30 6.1×
Pten Gene Analysis Duplication/Deletion Variant (81323) $490.08 $1,225.20 1.6×
Pten gene analysis known familial variant (81322) $306.24 $765.60 6.6×
Pth Intact (83970) $155.80 $389.50 3.8×
Pyruvate kinase (84220) $28.12 $70.30 3.0×
Q Fever Antibody (86638) $36 $90 3.0×
Quantiferon tb gold plus (86480) $323.52 $808.80 5.2×
Quantitative assay drug (80299)
range across 10 matching MRF lines
$133.92–$202.56 $334.80–$506.40 varies
Quantitative Screen Metals (83018)
range across 2 matching MRF lines
$63.84–$95 $159.60–$237.50 varies
Quinidine (80194) $41.76 $104.40 2.9×
Rbc antibody elution (86860) $262.08 $655.20 1.6×
Rbc antibody identification (86870) $144 $360 0.4×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$72.96–$91.20 $182.40–$228 varies
Rbc pretreatment serum (86978) $173.28 $433.20 3.1×
Renin activity plasma (84244) $106.02 $265.05 4.8×
Reptilase test (85635) $39.84 $99.60 4.0×
Resp virus 12-25 targets (87633) $521.28 $1,303.20 1.3×
Resp Virus 6-11 Targets (87632) $184.80 $462 0.8×
Reticulated Platelet Assay (85055) $91.20 $228 2.6×
Reticulocyte separation (86972) $12.96 $32.40 0.1×
Rh (86901) $60 $150 20.1×
Rheumatoid factor quant (86431) $48.96 $122.40 8.6×
Rickettsia antibody (86757) $77.28 $193.20 4.0×
Ristocetin cofactor (85245) $133.92 $334.80 5.8×
Rotavirus ag eia (87425) $142.08 $355.20 11.9×
Rpr qualitative (86592) $52.80 $132 12.4×
Rsv ab (86756) $58.08 $145.20 3.7×
Rsv Assay W/Optic (87807)
range across 2 matching MRF lines
$26–$83.52 $65–$208.80 varies
Rubella Antibody (86762) $80.64 $201.60 5.6×
Rubeola antibody (86765) $59.52 $148.80 4.6×
Rufinamide (80210) $196.32 $490.80 7.2×
Russell Viper Venom Time Diluted (85613) $120.48 $301.20 12.6×
Salicylate Level (80179) $51.36 $128.40 2.8×
Salmonella antibody (86768) $23.52 $58.80 1.8×
Sars-Cov-2 Covid-19 Amp Prb (87635) $63.84 $159.60 1.2×
Sars-cov-2 COVID-19 antibody (86769) $23.52 $58.80 0.6×
Sarscov2 & inf a&b amp prb (87636) $176.64 $441.60 1.2×
Sarscov2&inf a&b&rsv amp prb (87637) $233.28 $583.20 1.6×
Sedimentation rate (85651) $40.32 $100.80 9.4×
Sedimentation Rate, Automated (85652) $52.32 $130.80 19.4×
Selenium (84255) $64.22 $160.55 2.5×
Sensitivity mic (87186)
range across 2 matching MRF lines
$45.12–$93.60 $112.80–$234 varies
Serpina 1 gene (81332) $216 $540 4.9×
Sex Hormone Binding Globulin (84270) $72.20 $180.50 3.3×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$66.24–$91.20 $165.60–$228 varies
Sirolimus (80195) $236.16 $590.40 17.2×
Skin Test Candida (86485) $18.24 $45.60 0.7×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$8.40–$8.64 $21–$21.60 varies
Smear acid fast (87206) $50.40 $126 9.4×
Smear complex stain (87209) $114.24 $285.60 6.4×
Smear gram stain (87205) $72.96 $182.40 17.1×
Smear Special Stain (87207) $80.16 $200.40 13.4×
Smn1 Gene Analysis Full Gene Sequence (81336) $1,297.44 $3,243.60 4.3×
Smn1 Gene Dos/Deletion Alys (81329)
range across 3 matching MRF lines
$102.72–$217.44 $256.80–$543.60 varies
Smpd1 Gene Analysis Common Variants (81330) $686.40 $1,716 14.6×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 3 matching MRF lines
$27.36–$69.12 $68.40–$172.80 varies
Snrpn/Ube3a Methylation Analysis (81331) $241.92 $604.80 4.7×
So neo gsap DNA/DNA&RNA (81459) $2,038.08 $5,095.20 0.7×
Sodium Serum (84295) $39.14 $97.85 8.1×
Sodium Urine (84300) $38.38 $95.95 7.6×
Soluble fibrin monomer (85366) $42.24 $105.60 0.5×
Soluble Transferrin Receptor (84238) $55.48 $138.70 1.5×
Somatomedin (84305) $99.94 $249.85 4.7×
Somatostatin (84307) $94.24 $235.60 5.2×
Special Stains Group 1 (88312) $138.32 $345.80 2.8×
Special Stains Group 2 (88313)
range across 3 matching MRF lines
$102.60–$192.66 $256.50–$481.65 varies
Specific gravity body fluid (84315) $14.06 $35.15 4.3×
Specimen infect agnt concntj (87015) $65.28 $163.20 9.8×
Spectrophotometry (84311)
range across 2 matching MRF lines
$63.08–$71.06 $157.70–$177.65 varies
Staph a DNA amp probe (87640) $168.48 $421.20 4.8×
Stem cells total count (86367) $123.36 $308.40 1.6×
Stool cultr aerobic bact ea (87046) $81.12 $202.80 8.6×
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$15.20–$73.44 $38–$183.60 varies
Strep a DNA amp probe (87651) $71.04 $177.60 2.0×
Strep b DNA amp probe (87653) $31.20 $78 0.9×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $398.40 $996 4.3×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $143.64 $359.10 12.5×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $29.64 $74.10 5.4×
Sugars Single Qual (84376) $136.04 $340.10 24.7×
Sulfate urine (84392) $16.72 $41.80 3.0×
Surg path level iii (88304) $216.98 $542.45 4.3×
Surgical pathology level IV (88305) $249.66 $624.15 5.0×
Surgical pathology level vi (88309) $457.14 $1,142.85 0.6×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $51.84 $129.60 10.9×
Susceptibility Study Antimicrobial Disk Method (87184) $73.44 $183.60 9.8×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190)
range across 4 matching MRF lines
$18.72–$44.16 $46.80–$110.40 varies
Sweat Collection Iontophoresis (89230) $83.04 $207.60 1.7×
Syphilis Test Non-Trep Quant (86593) $54.24 $135.60 12.3×
T cells absolute cd4 count (86361) $143.04 $357.60 5.3×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $180 $450 3.8×
T cells total count (86359) $103.20 $258 2.7×
T3 Free (84481) $128.44 $321.10 7.6×
T3 reverse (84482) $59.28 $148.20 3.8×
T3 Total (84480) $92.72 $231.80 6.5×
T3 Uptake (84479) $72.58 $181.45 11.2×
T4 Free (84439) $87.78 $219.45 9.7×
T4 total (84436) $72.58 $181.45 10.6×
Tacrolimus (80197) $187.68 $469.20 13.7×
Tb ag response t-cell susp (86481) $114.72 $286.80 1.1×
Test for acetone/ketones (82009) $32.30 $80.75 7.1×
Testosterone total (84403) $150.86 $377.15 5.8×
Testosterone, Free (84402) $86.64 $216.60 3.4×
Tetanus antibody (86774) $100.32 $250.80 6.8×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $2,298.24 $5,745.60 3.8×
Thawing and expansion of frozen cells, each aliquot Facility (88241) $105.12 $262.80 8.7×
Theophylline (80198) $144 $360 10.2×
Thiocyanate (84430) $35.72 $89.30 3.1×
Thiopurine methyltransferase (84433) $238.26 $595.65 10.7×
Thrombin Time (85670) $74.40 $186 12.9×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $82.08 $205.20 12.7×
Thyroglobulin (84432) $92.34 $230.85 5.7×
Thyroglobulin Antibody (86800) $97.44 $243.60 6.1×
Thyroid Stimulating Immunoglobulin (84445) $267.90 $669.75 5.3×
Thyroxine binding globulin (84442) $38.38 $95.95 2.6×
Tiss cul neo disorders solid tumor (88239) $225.12 $562.80 1.5×
Tiss Trnsgltmnase Ea Ig Clas (86364) $215.52 $538.80 18.7×
Tissue Culture (88233) $382.56 $956.40 2.7×
Tissue Culture Amniotic Fluid (88235) $312 $780 2.1×
Tissue culture bone marrow (88237) $509.76 $1,274.40 3.5×
Tissue Culture Lymphocyte (88230)
range across 3 matching MRF lines
$282.24–$385.92 $705.60–$964.80 varies
Tobramycin peak (80200) $107.04 $267.60 6.6×
Topiramate (80201) $111.36 $278.40 9.3×
Touch prep (88161) $59.28 $148.20 2.1×
Toxoplasma ab igm (86778) $70.08 $175.20 4.9×
Toxoplasma antibody (86777) $73.92 $184.80 5.1×
Tp53 gene analysis full gene sequence (81351) $2,116.80 $5,292 3.3×
Tp53 gene analysis targeted sequence analysis (81352) $1,977.12 $4,942.80 6.0×
Tpmt gene com variants (81335) $404.64 $1,011.60 2.3×
Transferase Aspartate Amino Ast Sgot (84450) $53.20 $133 10.3×
Transferrin (84466) $57.38 $143.45 4.5×
Trb@ Rearrangement Anal Amplification Method (81340) $2,850.24 $7,125.60 13.6×
Trg gene rearrangement anal (81342)
range across 2 matching MRF lines
$558.24–$649.44 $1,395.60–$1,623.60 varies
Trichinella Antibody (86784) $61.92 $154.80 4.9×
Trichomonas Vaginalis Amplif (87661)
range across 3 matching MRF lines
$49.92–$278.40 $124.80–$696 varies
Triglycerides (84478) $49.02 $122.55 8.5×
Troponin Quant (84484) $100.32 $250.80 8.0×
Tumor immunohistochem/comput (88361) $147.06 $367.65 0.4×
Tumor Immunohistochem/Manual (88360) $235.98 $589.95 1.4×
Tyms Gene Analysis Common Variants (81346) $265.92 $664.80 1.5×
Ugt1a1 gene analysis common variants (81350) $451.68 $1,129.20 1.9×
Unlisted Cytogenetic Study (88299) $87.84 $219.60 1.8×
Urea nitrogen urine (84540) $38.76 $96.90 7.0×
Uric acid other source (84560) $35.72 $89.30 7.0×
Urinalysis Microscopic Only (81015) $27.84 $69.60 9.1×
Urinalysis Volume Measure (81050) $22.08 $55.20 6.1×
Urine Bacteria Culture (87088) $81.12 $202.80 10.0×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$13.20–$106.56 $33–$266.40 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$12.80–$63.36 $32–$158.40 varies
Valproic acid (80164) $125.76 $314.40 9.3×
Vancomycin (80202) $173.28 $433.20 12.8×
Varicella-zoster antibody (86787) $69.60 $174 5.4×
Vasopressin (84588) $84.74 $211.85 2.5×
Very Long Chain Fatty Acids (82726) $262.58 $656.45 13.3×
Viral Culture (87252) $211.68 $529.20 8.1×
Virus antibody nos (86790)
range across 4 matching MRF lines
$57.12–$156.48 $142.80–$391.20 varies
Virus inoculate tissue addl (87253) $191.04 $477.60 9.5×
Virus inoculation, shell via (87254) $106.08 $265.20 5.4×
Viscosity serum (85810) $62.88 $157.20 5.4×
Vit D 1 25-Dihydroxy (82652) $167.58 $418.95 4.4×
Vitamin A (84590) $64.60 $161.50 5.6×
Vitamin b-12 (82607) $80.18 $200.45 5.3×
Vitamin B2 (Riboflavin) (84252) $57.76 $144.40 2.9×
Vitamin B6 (84207) $121.22 $303.05 4.3×
Vitamin c (82180) $54.72 $136.80 5.5×
Vitamin D 25-Hydroxy (82306) $160.36 $400.90 5.4×
Vitamin E (84446) $79.42 $198.55 5.6×
Vitamin K (84597) $166.44 $416.10 12.1×
Volatiles (84600) $163.40 $408.50 9.5×
Voltage-Gated Calcium Channel Antibody Each (86596) $241.92 $604.80 20.1×
Von willebrand factor ag (85246) $87.84 $219.60 3.8×
Wbc Alkaline Phosphatase Count (85540) $80.16 $200.40 9.3×
West nile virus ab igm (86788) $43.68 $109.20 2.6×
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$48–$95.04 $120–$237.60 varies
Western Blot Test (84181) $139.84 $349.60 8.2×
Whole Mitochondrial Genome (81460) $2,026.56 $5,066.40 1.6×
Zika Virus Dna/Rna Amp Probe (87662) $243.36 $608.40 4.7×
Zinc (84630) $71.06 $177.65 6.2×

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.