Lab & pathology prices at Saint James Hospital
Pontiac, IL · every code in this section with a posted price and a Medicare benchmark.
821 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $216.80 | $271 | 9.5× |
| 5 Nucleotidase (83915) range across 3 matching MRF lines |
$118.40–$217.60 | $148–$272 | varies |
| Abl1 gene analysis kinase domain variants (81170) | $1,568 | $1,960 | 5.2× |
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$146.40–$525.60 | $183–$657 | varies |
| Acetylcholinesterase Assay (82013) | $352.80 | $441 | 28.7× |
| Acetylcholn Rcptr Modlg Antb (86043) | $210.40 | $263 | 17.5× |
| Acth (82024) | $392.80 | $491 | 10.2× |
| Acute hepatitis panel (80074) | $506.40 | $633 | 10.6× |
| Acylcarnitines Quant (82017) | $339.20 | $424 | 20.1× |
| Adenovirus antibody (86603) | $65.60 | $82 | 5.1× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$123.20–$246.40 | $154–$308 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$108–$123.20 | $135–$154 | varies |
| Aldolase (82085) | $130.40 | $163 | 13.4× |
| Aldosterone urine (82088) | $380.80 | $476 | 9.3× |
| Alkaline phosphatase isoenzymes (84080) | $156.80 | $196 | 10.6× |
| Allergen specific ige (86003) range across 12 matching MRF lines |
$79.20–$88.80 | $99–$111 | varies |
| Allergen specific igg (86001) | $408 | $510 | 52.2× |
| Allg Spec Ige Recomb Ea (86008) | $206.40 | $258 | 11.5× |
| Alpha-1-antitrypsin phenotype (82104) | $291.20 | $364 | 20.1× |
| Alpha-1-antitrypsin total (82103) | $230.40 | $288 | 17.1× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $185.60 | $232 | 10.9× |
| Alpha-Fetoprotein Serum (82105) | $367.20 | $459 | 21.9× |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$44.80–$68 | $56–$85 | varies |
| Aluminum (82108) | $200.80 | $251 | 7.9× |
| Amikacin trough (80150) | $208.80 | $261 | 13.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $1,144.80 | $1,431 | 49.8× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $623.20 | $779 | 36.9× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $845.60 | $1,057 | 61.0× |
| Amino Acids Quant 2-5 (82136) | $303.20 | $379 | 15.5× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$301.60–$316.80 | $377–$396 | varies |
| Ammonia (82140) range across 2 matching MRF lines |
$72.80–$224.80 | $91–$281 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $168.80 | $211 | 1.7× |
| Amniotic fluid scan (82143) | $236.80 | $296 | 25.3× |
| Amylase urine (82150) range across 2 matching MRF lines |
$123.20–$267.20 | $154–$334 | varies |
| Ana Titer (86039) | $184 | $230 | 16.5× |
| Anca screen each antibody (86036) | $37.60 | $47 | 3.1× |
| Androstenedione (82157) range across 2 matching MRF lines |
$277.60–$280.80 | $347–$351 | varies |
| Angiotensin converting enzyme csf (82164) range across 3 matching MRF lines |
$187.20–$354.40 | $234–$443 | varies |
| Anti-Phospholipid Antibody (86148) range across 3 matching MRF lines |
$102.40–$312.80 | $128–$391 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$81.60–$240 | $102–$300 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $384.80 | $481 | 29.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $246.40 | $308 | 15.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $65.60 | $82 | 3.9× |
| Antibody Encephalitis California La Crosse (86651) | $65.60 | $82 | 5.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $187.20 | $234 | 14.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $160 | $200 | 10.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $190.40 | $238 | 10.5× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 6 matching MRF lines |
$48–$240 | $60–$300 | varies |
| Antibody haemophilus influenza (86684) | $69.60 | $87 | 4.4× |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$234.40–$254.40 | $293–$318 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $178.40 | $223 | 12.4× |
| Antibody Herpes Smplx Type 1 (86695) range across 5 matching MRF lines |
$65.60–$196.80 | $82–$246 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $224 | $280 | 16.3× |
| Antibody HIV-2 (86702) | $325.60 | $407 | 24.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 4 matching MRF lines |
$200.80–$593.60 | $251–$742 | varies |
| Antibody identification leukocyte antibodies (86021) | $350.40 | $438 | 23.3× |
| Antibody Identification Platelet Immunogl Assay (86023) | $298.40 | $373 | 23.9× |
| Antibody Lymphocytic Choriomeningitis (86727) | $53.60 | $67 | 4.2× |
| Antibody Protozoa Nes (86753) | $177.60 | $222 | 14.3× |
| Antibody Titer (86886) | $404.80 | $506 | 78.1× |
| Antibody Treponema Pallidum (86780) | $118.40 | $148 | 8.9× |
| Antibody; encephalitis, st. louis (86653) | $65.60 | $82 | 5.0× |
| Antibody; influenza virus (86710) range across 4 matching MRF lines |
$65.60–$276 | $82–$345 | varies |
| Antigen typing (86905) range across 8 matching MRF lines |
$302.40–$511.20 | $378–$639 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $172 | $215 | 30.1× |
| Antinuclear antibodies (86038) | $257.60 | $322 | 21.3× |
| Antistreptolysin O Screen (86063) | $200.80 | $251 | 34.8× |
| Antistreptolysin o titer (86060) | $195.20 | $244 | 26.7× |
| Antithrombin iii activity (85300) | $222.40 | $278 | 18.8× |
| Antithrombin iii antigen (85301) | $248.80 | $311 | 23.0× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) range across 2 matching MRF lines |
$5,692.80–$9,708.80 | $7,116–$12,136 | varies |
| Apolipoprotein a1 (82172) range across 6 matching MRF lines |
$137.60–$338.40 | $172–$423 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 7 matching MRF lines |
$221.60–$1,014.40 | $277–$1,268 | varies |
| Arsenic (82175) range across 3 matching MRF lines |
$175.20–$312.80 | $219–$391 | varies |
| Aspergillus ag eia (87305) | $200.80 | $251 | 16.8× |
| Assay activated protein c (85307) | $301.60 | $377 | 19.7× |
| Assay Blood Carbon Dioxide (82374) | $94.40 | $118 | 19.3× |
| Assay Nephelometry Not Spec (83883) range across 8 matching MRF lines |
$127.20–$427.20 | $159–$534 | varies |
| Assay of 5-hiaa (83497) | $175.20 | $219 | 13.6× |
| Assay of anti-mullerian hormone (82166) | $126.40 | $158 | 3.3× |
| Assay of blood/uric acid (84550) | $72.80 | $91 | 16.1× |
| Assay of calcium in urine (82340) range across 4 matching MRF lines |
$31.20–$287.20 | $39–$359 | varies |
| Assay of cpk in blood (82552) | $62.40 | $78 | 4.7× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$178.40–$238.40 | $223–$298 | varies |
| Assay of g6pd enzyme (82955) | $136 | $170 | 14.0× |
| Assay of gammaglobulin igm (82784) range across 9 matching MRF lines |
$68–$292.80 | $85–$366 | varies |
| Assay of lactic acid (83605) | $200.80 | $251 | 17.4× |
| Assay of manganese (83785) range across 3 matching MRF lines |
$108–$728.80 | $135–$911 | varies |
| Assay of metanephrines (83835) | $316 | $395 | 18.7× |
| Assay of proinsulin (84206) | $263.20 | $329 | 9.9× |
| Assay of pyruvate (84210) | $186.40 | $233 | 12.9× |
| Assay of serotonin (84260) | $351.20 | $439 | 11.3× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$68–$116 | $85–$145 | varies |
| Assay of sweat sodium (84302) | $219.20 | $274 | 45.1× |
| Assay of Tyrosine (84510) | $177.60 | $222 | 16.7× |
| Assay of urea nitrogen (84520) | $72.80 | $91 | 18.4× |
| Assay of urine vma (84585) | $204.80 | $256 | 13.2× |
| Assay of vasoactive intestinal peptide (84586) | $182.40 | $228 | 5.2× |
| Assay of vitamin b-1 (84425) | $234.40 | $293 | 11.0× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$18.40–$126.40 | $23–$158 | varies |
| Assay Phosphohexose Enzymes (84087) | $114.40 | $143 | 10.7× |
| Assay spec xcp ur&breath ia (82077) | $319.20 | $399 | 18.5× |
| Asy carbamazepin 10,11-epxid (80161) | $70.40 | $88 | 3.8× |
| Automated Leukocyte Count (85048) | $76.80 | $96 | 30.2× |
| B cells total count (86355) | $252.80 | $316 | 6.7× |
| Babesia microti amp prb (87469) | $46.40 | $58 | 1.3× |
| Bartonella antibody (86611) range across 4 matching MRF lines |
$44–$151.20 | $55–$189 | varies |
| Bcr/abl1 gene major bp (81206) | $1,719.20 | $2,149 | 10.5× |
| Bcr/abl1 gene minor bp (81207) | $472 | $590 | 3.3× |
| Bcr/Abl1 Gene Other Bp (81208) | $565.60 | $707 | 2.6× |
| Beta 2 glycoprotein i antibody each (86146) | $201.60 | $252 | 7.9× |
| Beta hydroxybutyrate (82010) | $161.60 | $202 | 19.8× |
| Beta Lactamase (87185) | $56 | $70 | 11.8× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$177.60–$463.20 | $222–$579 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) range across 2 matching MRF lines |
$443.20–$444 | $554–$555 | varies |
| Bile acids total (82239) | $164.80 | $206 | 9.6× |
| Bilirubin direct (82248) | $68 | $85 | 13.5× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$44.80–$68 | $56–$85 | varies |
| Bilirubin total transcutaneous (88720) | $116.80 | $146 | 23.3× |
| Biotinidase (82261) | $222.40 | $278 | 13.2× |
| Blastomyces antibody (86612) | $100 | $125 | 7.8× |
| Blood Count Red Blood Cell Automated (85041) | $76.80 | $96 | 25.4× |
| Blood count reticulocyte automated (85045) | $137.60 | $172 | 34.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $97.60 | $122 | 25.7× |
| Blood gas (82803) range across 2 matching MRF lines |
$116–$382.40 | $145–$478 | varies |
| Blood gases w/02 saturation (82805) | $433.60 | $542 | 5.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $86.40 | $108 | 5.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$74.40–$220 | $93–$275 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 6 matching MRF lines |
$302.40–$511.20 | $378–$639 | varies |
| Blood typing serologic abo (86900) | $111.20 | $139 | 37.2× |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$139.20–$204.80 | $174–$256 | varies |
| Bone marrow smear interpretation (85097) | $708.80 | $886 | 0.8× |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$197.60–$221.60 | $247–$277 | varies |
| Borrelia miyamotoi amp prb (87478) | $46.40 | $58 | 1.3× |
| Braf gene analysis (81210) | $902.40 | $1,128 | 5.1× |
| Brca1&2 gen full seq dup/del (81162) range across 5 matching MRF lines |
$3,044–$7,042.40 | $3,805–$8,803 | varies |
| Brucella antibody (86622) range across 5 matching MRF lines |
$80.80–$576 | $101–$720 | varies |
| C diff amplified probe (87493) | $304 | $380 | 8.2× |
| C-Peptide (84681) | $220 | $275 | 10.6× |
| C-reactive protein (86140) | $132 | $165 | 25.5× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$251.20–$511.20 | $314–$639 | varies |
| Cadmium (82300) | $155.20 | $194 | 6.6× |
| Calcitonin (82308) | $278.40 | $348 | 10.4× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$116–$287.20 | $145–$359 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$72.80–$96 | $91–$120 | varies |
| Calculus Spectroscopy (82365) | $160 | $200 | 12.4× |
| Calprotectin Fecal (83993) | $776.80 | $971 | 39.6× |
| Calr gene com variants (81219) | $1,877.60 | $2,347 | 15.4× |
| Cancer Antigen 125 (86304) | $263.20 | $329 | 12.6× |
| Cancer Antigen 27.29 (86300) | $233.60 | $292 | 11.2× |
| Candida Dna Dir Probe (87480) | $56.80 | $71 | 2.8× |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$90.40–$224 | $113–$280 | varies |
| Carbohydrate Deficient Transferrin (82373) | $200 | $250 | 11.1× |
| Carboxyhemoglobin (82375) | $212.80 | $266 | 17.3× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$258.40–$304 | $323–$380 | varies |
| Cardiolipin ab iga (86147) | $258.40 | $323 | 10.2× |
| Carnitine Quantitative Each Specimen (82379) | $298.40 | $373 | 17.7× |
| Catecholamines fractionated (82384) | $291.20 | $364 | 11.5× |
| Ccp antibody (86200) | $35.20 | $44 | 2.7× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $1,188 | $1,485 | 4.9× |
| Cell count csf (89051) | $139.20 | $174 | 24.9× |
| Cell marker study (88182) range across 2 matching MRF lines |
$288–$745.60 | $360–$932 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $649.60 | $812 | 4.8× |
| Ceruloplasmin (82390) | $157.60 | $197 | 14.7× |
| Cftr Gene Analysis Known Familial Variants (81221) | $1,958.40 | $2,448 | 20.1× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$607.20–$3,079.20 | $759–$3,849 | varies |
| Cftr gene dup/delet variants (81222) | $3,105.60 | $3,882 | 7.1× |
| Cftr gene full sequence (81223) | $3,105.60 | $3,882 | 6.2× |
| Chemiluminescent assay (82397) | $147.20 | $184 | 10.4× |
| Chlamydia antibody (86631) range across 6 matching MRF lines |
$29.60–$162.40 | $37–$203 | varies |
| Chlamydia Igm Antibody (86632) range across 4 matching MRF lines |
$31.20–$129.60 | $39–$162 | varies |
| Chlmy trch&neisra gonor mult (87494) | $96.80 | $121 | 1.4× |
| Chloride other source (82438) range across 2 matching MRF lines |
$165.60–$184.80 | $207–$231 | varies |
| Chloride Serum (82435) | $72.80 | $91 | 15.8× |
| Chloride urine (82436) range across 3 matching MRF lines |
$25.60–$283.20 | $32–$354 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$72.80–$97.60 | $91–$122 | varies |
| Cholinesterase rbc (82482) | $165.60 | $207 | 16.9× |
| Cholinesterase Serum (82480) | $321.60 | $402 | 40.9× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$174.40–$286.40 | $218–$358 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $404 | $505 | 15.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$343.20–$552.80 | $429–$691 | varies |
| Chromium serum (82495) | $282.40 | $353 | 13.9× |
| Chromogenic Substrate Assay (85130) | $257.60 | $322 | 21.7× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$282.40–$688.80 | $353–$861 | varies |
| Chromosome analys amniotic (88269) | $380.80 | $476 | 2.2× |
| Chromosome Analysis 15-20 (88262) | $1,116 | $1,395 | 8.9× |
| Chromosome Analysis 20-25 (88264) range across 3 matching MRF lines |
$400–$1,116 | $500–$1,395 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$208–$288.80 | $260–$361 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$127.20–$314.40 | $159–$393 | varies |
| Ckmb (82553) | $164.80 | $206 | 14.3× |
| Clostridium Difficile (87324) | $204.80 | $256 | 17.1× |
| Clot Factor VIII Multimetric (85247) | $358.40 | $448 | 15.6× |
| Clot factor xiii fibrin stab (85290) | $639.20 | $799 | 39.1× |
| Clotting factor xii hageman (85280) | $301.60 | $377 | 15.6× |
| Clotting Funct Activity (85397) | $505.60 | $632 | 16.4× |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$1,031.20–$1,544 | $1,289–$1,930 | varies |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$107.20–$116.80 | $134–$146 | varies |
| Coccidioides antibody (86635) | $100 | $125 | 8.7× |
| Cold agglutinin titer (86157) | $227.20 | $284 | 28.2× |
| Collagen crosslinks (82523) | $232.80 | $291 | 12.5× |
| Column Chromotography Quant (82542) range across 10 matching MRF lines |
$174.40–$977.60 | $218–$1,222 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 3 matching MRF lines |
$1,175.20–$1,412 | $1,469–$1,765 | varies |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $627.20 | $784 | 2.1× |
| Compatibility Each Unit Incubation (86921) | $144 | $180 | 0.8× |
| Compatibility test antiglob (86922) | $197.60 | $247 | 1.1× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$240–$316.80 | $300–$396 | varies |
| Complement Total (Ch50) (86162) | $285.60 | $357 | 14.1× |
| Complement/Function Activity (86161) | $515.20 | $644 | 42.9× |
| Coombs direct (86880) | $216 | $270 | 40.1× |
| Copper urine (82525) | $156.80 | $196 | 12.6× |
| Cortisol free (82530) | $223.20 | $279 | 13.4× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$154.40–$238.40 | $193–$298 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$72.80–$143.20 | $91–$179 | varies |
| Creatinine blood (82565) | $68 | $85 | 13.3× |
| Creatinine clearance (82575) | $338.40 | $423 | 35.8× |
| Creatinine Urine (82570) | $58.40 | $73 | 11.3× |
| Crossmatch electronic (86923) | $391.20 | $489 | 2.1× |
| Crossmatch immediate spin (86920) | $144 | $180 | 0.8× |
| Crp High Sensitivity (86141) | $273.60 | $342 | 21.1× |
| Cryofibrinogen (82585) | $48 | $60 | 3.4× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$22.40–$127.20 | $28–$159 | varies |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) range across 3 matching MRF lines |
$108–$850.40 | $135–$1,063 | varies |
| Cryptococcus ab (86641) | $337.60 | $422 | 23.4× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$60–$126.40 | $75–$158 | varies |
| Cryptosporidium ag eia (87328) | $136 | $170 | 9.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $84 | $105 | 10.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $130.40 | $163 | 16.1× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $148 | $185 | 19.2× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $827.20 | $1,034 | 3.8× |
| Culture aerobic quant other (87071) | $1,010.40 | $1,263 | 102.2× |
| Culture afb (87116) | $344.80 | $431 | 31.9× |
| Culture Anaerobic (87075) | $105.60 | $132 | 11.2× |
| Culture bacteria anaerobic (87073) | $476 | $595 | 49.3× |
| Culture blood (87040) | $344.80 | $431 | 33.4× |
| Culture chlamydia (87110) | $290.40 | $363 | 14.8× |
| Culture csf (87070) range across 3 matching MRF lines |
$168–$262.40 | $210–$328 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$204–$344.80 | $255–$431 | varies |
| Culture fungus blood (87103) | $344.80 | $431 | 16.9× |
| Culture screen only (87081) range across 3 matching MRF lines |
$78.40–$80 | $98–$100 | varies |
| Culture stool (87045) | $147.20 | $184 | 15.6× |
| Culture typing if ea antiserum (87140) range across 3 matching MRF lines |
$60–$97.60 | $75–$122 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$37.60–$96.80 | $47–$121 | varies |
| Culture urine (87086) | $91.20 | $114 | 11.3× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $432.80 | $541 | 55.9× |
| Cyclosporine (80158) | $472 | $590 | 26.1× |
| Cyp2c19 gene analysis common variants (81225) range across 4 matching MRF lines |
$1,146.40–$2,353.60 | $1,433–$2,942 | varies |
| Cyp2d6 gene com variants (81226) | $3,387.20 | $4,234 | 7.5× |
| Cystatin C (82610) range across 3 matching MRF lines |
$40–$139.20 | $50–$174 | varies |
| Cytogenetics 10-30 (88273) | $180.80 | $226 | 5.2× |
| Cytogenetics 100-300 (88275) range across 6 matching MRF lines |
$116–$444 | $145–$555 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $7,576.80 | $9,471 | 8.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$5,295.20–$6,603.20 | $6,619–$8,254 | varies |
| Cytogenomic neo microra alys (81277) | $7,221.60 | $9,027 | 6.2× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$65.60–$185.60 | $82–$232 | varies |
| Cytopath Cell Enhance Tech (88112) | $275.20 | $344 | 4.9× |
| Cytotoxic pra quick (86808) | $1,030.40 | $1,288 | 34.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $235.20 | $294 | 8.8× |
| Cytp Concentration Smears & Interpretation (88108) | $285.60 | $357 | 7.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $395.20 | $494 | 7.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $146.40 | $183 | 0.8× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $267.20 | $334 | 6.7× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) range across 2 matching MRF lines |
$1,044–$1,257.60 | $1,305–$1,572 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $122.40 | $153 | 6.6× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $172 | $215 | 3.1× |
| Deoxycortisol (82634) | $277.60 | $347 | 9.5× |
| Deoxyribonuclease antibody (86215) | $160 | $200 | 12.1× |
| Desoxycorticosterone (82633) range across 2 matching MRF lines |
$292–$480 | $365–$600 | varies |
| Detect Agent Nos Dna Amp (87798) range across 9 matching MRF lines |
$184–$1,163.20 | $230–$1,454 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$585.60–$953.60 | $732–$1,192 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$228–$324 | $285–$405 | varies |
| Dhea (82626) | $238.40 | $298 | 9.4× |
| Dhea-S (82627) | $367.20 | $459 | 16.5× |
| Digoxin (80162) | $180.80 | $226 | 13.6× |
| Dihydrotestosterone (82642) | $149.60 | $187 | 5.1× |
| Diphtheria antitoxoid (86648) range across 2 matching MRF lines |
$100–$206.40 | $125–$258 | varies |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$73.60–$210.40 | $92–$263 | varies |
| Dna Antibody Native/Double Stranded (86225) | $432.80 | $541 | 31.5× |
| Dna/Rna Amplified Probe (87150) | $575.20 | $719 | 16.4× |
| Dna/Rna Sequencing (87153) | $493.60 | $617 | 4.3× |
| Dpyd gene common variants (81232) | $2,148.80 | $2,686 | 12.3× |
| Drug assay acetaminophen (80143) | $284.80 | $356 | 15.3× |
| Drug assay adalimumab (80145) | $928 | $1,160 | 24.1× |
| Drug Assay Amiodarone (80151) | $71.20 | $89 | 3.8× |
| Drug Assay Everolimus (80169) | $706.40 | $883 | 51.4× |
| Drug assay felbamate (80167) | $126.40 | $158 | 6.8× |
| Drug Assay Infliximab (80230) | $626.40 | $783 | 16.2× |
| Drug Assay Itraconazole (80189) | $144 | $180 | 5.3× |
| Drug Assay Lacosamide (80235) | $396.80 | $496 | 14.6× |
| Drug Assay Leflunomide (80193) | $536.80 | $671 | 13.9× |
| Drug Assay Posaconazole (80187) | $216 | $270 | 8.0× |
| Drug Assay Vedolizumab (80280) | $490.40 | $613 | 12.7× |
| Drug assay voriconazole (80285) | $179.20 | $224 | 6.6× |
| Drug Screen Quant Clozapine (80159) | $182.40 | $228 | 9.1× |
| Drug Screen Quant Zonisamide (80203) | $223.20 | $279 | 16.8× |
| Drug Screen Quantitative Gabapentin (80171) | $236.80 | $296 | 10.9× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$184.80–$236.80 | $231–$296 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $236.80 | $296 | 17.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $236.80 | $296 | 17.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 16 matching MRF lines |
$141.60–$773.60 | $177–$967 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$118.40–$868 | $148–$1,085 | varies |
| Egfr Gene Analysis Common Variants (81235) | $7,848.80 | $9,811 | 24.2× |
| Ehrlichia antibody (86666) | $240 | $300 | 23.6× |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$251.20–$309.60 | $314–$387 | varies |
| Electrolyte panel (80051) | $149.60 | $187 | 21.3× |
| Electron Microscopy (88348) | $3,201.60 | $4,002 | 3.7× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
$240–$251.20 | $300–$314 | varies |
| Encephaltis East Eqne Anbdy (86652) | $65.60 | $82 | 5.0× |
| Encephaltis West Eqne Antbdy (86654) | $65.60 | $82 | 5.0× |
| Enterovirus Antibody (86658) range across 3 matching MRF lines |
$65.60–$167.20 | $82–$209 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$396.80–$463.20 | $496–$579 | varies |
| Enzyme cell activity (82657) | $688.80 | $861 | 31.1× |
| Enzyme histochemistry (88319) | $708.80 | $886 | 0.8× |
| Eosinophil Smear (89190) | $160 | $200 | 27.6× |
| Erythropoietin (82668) | $222.40 | $278 | 11.8× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$267.20–$280 | $334–$350 | varies |
| Estriol (82677) | $178.40 | $223 | 7.4× |
| Estrogens fractionated (82671) | $104 | $130 | 3.2× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$92.80–$210.40 | $116–$263 | varies |
| Ethylene Glycol (82693) | $267.20 | $334 | 17.9× |
| Euglobulin lysis (85360) range across 2 matching MRF lines |
$332.80–$342.40 | $416–$428 | varies |
| Exam Synovial Fluid Crystals (89060) | $127.20 | $159 | 17.4× |
| F2 Gene (81240) | $803.20 | $1,004 | 12.2× |
| Factor ii activity (85210) | $324.80 | $406 | 25.0× |
| Factor Inhibitor Test (85335) range across 4 matching MRF lines |
$748.80–$1,061.60 | $936–$1,327 | varies |
| Factor ix activity (85250) range across 2 matching MRF lines |
$216–$324 | $270–$405 | varies |
| Factor v activity (85220) | $356 | $445 | 20.2× |
| Factor v leiden mutation (81241) | $803.20 | $1,004 | 10.9× |
| Factor vii assay (85230) | $355.20 | $444 | 19.8× |
| Factor viii assay (85240) | $308.80 | $386 | 17.3× |
| Factor X (85260) | $297.60 | $372 | 16.6× |
| Factor xi activity (85270) | $553.60 | $692 | 30.9× |
| Factor xiii screen (85291) | $400 | $500 | 43.9× |
| Fancc Gene (81242) | $1,280 | $1,600 | 35.0× |
| Fat/Lipids Feces Quantitative (82710) | $234.40 | $293 | 14.0× |
| Fatty acids free (82725) | $234.40 | $293 | 12.5× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $277.60 | $347 | 36.0× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $768 | $960 | 44.7× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $298.40 | $373 | 45.7× |
| Fecal Fat Qualitative (82705) | $100 | $125 | 19.6× |
| Ferritin (82728) | $217.60 | $272 | 16.0× |
| Fetal Chrmoml Aneuploidy (81420) range across 2 matching MRF lines |
$2,148.80–$3,438.40 | $2,686–$4,298 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $389.60 | $487 | 2.5× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $675.20 | $844 | 12.4× |
| Fetal Fibronectin (82731) | $1,057.60 | $1,322 | 16.4× |
| Fetal hemoglobin assay qual (83033) | $144.80 | $181 | 18.1× |
| Fetal screen rosette (85461) | $86.40 | $108 | 9.2× |
| Fibrin Degradation Quant (85379) | $212 | $265 | 20.8× |
| Fibrinogen activity (85384) | $117.60 | $147 | 12.1× |
| Fibrinogen antigen (85385) range across 2 matching MRF lines |
$205.60–$432.80 | $257–$541 | varies |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$290.40–$469.60 | $363–$587 | varies |
| Flt3 Gene (81245) range across 2 matching MRF lines |
$1,032–$1,501.60 | $1,290–$1,877 | varies |
| Flt3 gene analysis (81246) | $936.80 | $1,171 | 11.3× |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$47.20–$1,543.20 | $59–$1,929 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 8 matching MRF lines |
$74.40–$648.80 | $93–$811 | varies |
| Fmr1 Gene Charac Alleles (81244) | $710.40 | $888 | 15.8× |
| Fmr1 gene detection (81243) | $1,426.40 | $1,783 | 25.0× |
| Folic acid rbc (82747) | $201.60 | $252 | 11.4× |
| Folic Acid Serum (82746) | $429.60 | $537 | 29.2× |
| Follicle Stimulating Hormone (83001) | $260.80 | $326 | 14.0× |
| Francisella tularensis (86668) | $133.60 | $167 | 9.4× |
| Frozen Section (88331) | $512 | $640 | 2.8× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$116–$149.60 | $145–$187 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$120–$127.20 | $150–$159 | varies |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $165.60 | $207 | 2.8× |
| G6pd gene analysis full gene sequence (81249) | $1,960.80 | $2,451 | 3.3× |
| Galactose transferase test (82776) | $50.40 | $63 | 4.3× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $675.20 | $844 | 32.0× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$73.60–$185.60 | $92–$232 | varies |
| Gardner vag DNA dir probe (87510) | $56.80 | $71 | 2.8× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $177.60 | $222 | 18.2× |
| Gases blood ph only (82800) | $152.80 | $191 | 13.9× |
| Gastrin (82941) | $205.60 | $257 | 11.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$1,075.20–$1,576.80 | $1,344–$1,971 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 4 matching MRF lines |
$2,159.20–$7,060 | $2,699–$8,825 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$4,081.60–$4,790.40 | $5,102–$5,988 | varies |
| Genet Virus Isolate Hsv (87255) | $197.60 | $247 | 5.8× |
| Genetic Tstg Severe Inh Cond (81443) range across 3 matching MRF lines |
$7,116–$9,833.60 | $8,895–$12,292 | varies |
| Gentamicin (80170) | $427.20 | $534 | 26.1× |
| Ggt (82977) range across 3 matching MRF lines |
$44.80–$260.80 | $56–$326 | varies |
| Giardia antigen (87329) | $73.60 | $92 | 6.1× |
| Glucose 2 hr pp (82950) | $137.60 | $172 | 29.0× |
| Glucose Blood Test (82962) | $44.80 | $56 | 13.7× |
| Glucose body fluid (82945) | $183.20 | $229 | 46.6× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$72.80–$116 | $91–$145 | varies |
| Glucose tolerance test (gtt) (82951) | $487.20 | $609 | 37.9× |
| Glutathione (82978) | $164 | $205 | 10.6× |
| Glycated Protein (82985) | $122.40 | $153 | 7.3× |
| Gonadotropin Chorionic Qualitative (84703) | $177.60 | $222 | 23.6× |
| Growth hormone (83003) | $177.60 | $222 | 10.7× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$72.80–$93.60 | $91–$117 | varies |
| H Pylori (C-13) Breath (83013) | $236 | $295 | 3.5× |
| Haptoglobin (83010) range across 3 matching MRF lines |
$184.80–$257.60 | $231–$322 | varies |
| Hba1/hba2 full gene sequence (81259) range across 2 matching MRF lines |
$1,289.60–$1,343.20 | $1,612–$1,679 | varies |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 3 matching MRF lines |
$896–$1,276 | $1,120–$1,595 | varies |
| Hbb duplication/deletion variants (81363) range across 2 matching MRF lines |
$1,204–$1,254.40 | $1,505–$1,568 | varies |
| Hbb Full Gene Sequence (81364) range across 2 matching MRF lines |
$1,289.60–$1,343.20 | $1,612–$1,679 | varies |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$132–$260.80 | $165–$326 | varies |
| Helicobacter Pylori Stool (87338) | $236 | $295 | 16.4× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$116.80–$120 | $146–$150 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$78.40–$101.60 | $98–$127 | varies |
| Hemoglobin (85018) | $78.40 | $98 | 33.1× |
| Hemoglobin a1c (83036) | $92.80 | $116 | 9.6× |
| Hemoglobin Chromotography (83021) range across 7 matching MRF lines |
$50.40–$931.20 | $63–$1,164 | varies |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$217.60–$244.80 | $272–$306 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $358.40 | $448 | 43.7× |
| Hemoglobin plasma (83051) | $223.20 | $279 | 30.5× |
| Hemoglobin stability screen (83068) range across 3 matching MRF lines |
$100–$614.40 | $125–$768 | varies |
| Hemoglobin-Oxygen Affinity (82820) | $429.60 | $537 | 32.2× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$384.80–$396 | $481–$495 | varies |
| Heparin assay (85520) | $257.60 | $322 | 19.7× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$122.40–$183.20 | $153–$229 | varies |
| Hepatitis b core ab igm (86705) | $184 | $230 | 15.6× |
| Hepatitis b core ab total (86704) | $178.40 | $223 | 14.8× |
| Hepatitis B Surface Antibody (86706) | $174.40 | $218 | 16.2× |
| Hepatitis B Surface Antigen (87340) | $148 | $185 | 14.3× |
| Hepatitis Be Antibody (86707) | $157.60 | $197 | 13.6× |
| Hepatitis Be Antigen (87350) | $132 | $165 | 11.4× |
| Hepatitis C Antibody (86803) | $420.80 | $526 | 29.5× |
| Hepatitis C Genotype (87902) | $1,068.80 | $1,336 | 4.2× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $500.80 | $626 | 14.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $637.60 | $797 | 14.9× |
| Hepatitis d quantification (87523) | $1,960.80 | $2,451 | 45.8× |
| Hepatitis Delta Agent Antibody (86692) | $486.40 | $608 | 28.3× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $4,903.20 | $6,129 | 3.8× |
| Hereditary peripheral neuropathy gen seq pnl (81448) range across 7 matching MRF lines |
$7,648–$9,488.80 | $9,560–$11,861 | varies |
| Herpes simplex type 2 (86696) range across 5 matching MRF lines |
$65.60–$196.80 | $82–$246 | varies |
| Heterophile Antibody Screen (86308) | $180.80 | $226 | 34.9× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$555.20–$1,079.20 | $694–$1,349 | varies |
| Histamine urine (83088) | $450.40 | $563 | 15.3× |
| Histoplasma antibody (86698) range across 6 matching MRF lines |
$90.40–$193.60 | $113–$242 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$278.40–$409.60 | $348–$512 | varies |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$1,332.80–$1,344.80 | $1,666–$1,681 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $53.60 | $67 | 2.2× |
| Hiv-1 Antibody (86701) | $325.60 | $407 | 36.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $472 | $590 | 5.5× |
| HIV-2 probe&revrse trnscripj (87538) | $70.40 | $88 | 2.0× |
| Hla Class I Typing Low Resolution Complete (81372) | $1,238.40 | $1,548 | 3.1× |
| Hla class ii typing high resolution one locus ea (81382) range across 3 matching MRF lines |
$673.60–$1,659.20 | $842–$2,074 | varies |
| Hla I Typing 1 Allele Hr (81381) range across 4 matching MRF lines |
$618.40–$1,107.20 | $773–$1,384 | varies |
| Hla ii typing 1 locus lr (81376) | $311.20 | $389 | 2.5× |
| Hla Typing Dr/Dq Single Antigen (86816) | $520 | $650 | 17.2× |
| Hla-b27 (86812) | $354.40 | $443 | 13.7× |
| Homocysteine (83090) range across 2 matching MRF lines |
$266.40–$285.60 | $333–$357 | varies |
| Homogenization Tissue (87176) | $66.40 | $83 | 11.3× |
| Homovanillic acid urine (83150) | $285.60 | $357 | 12.7× |
| Hsv Dna Amp Probe (87529) | $356 | $445 | 10.1× |
| Htlv-I Antibody (86687) | $246.40 | $308 | 27.1× |
| Htt Gene Detc Abnor Alleles (81271) | $1,176.80 | $1,471 | 8.6× |
| Human Epididymis Protein 4 (86305) | $514.40 | $643 | 24.7× |
| Hydroxyprogesterone 17-d (83498) | $254.40 | $318 | 9.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $148 | $185 | 14.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $73.60 | $92 | 2.1× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) range across 2 matching MRF lines |
$46.40–$50.40 | $58–$63 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$74.40–$520.80 | $93–$651 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $172 | $215 | 4.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $455.20 | $569 | 13.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $499.20 | $624 | 14.2× |
| Iadna Cytomegalovirus Quantification (87497) | $508.80 | $636 | 11.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $268 | $335 | 3.8× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 2 matching MRF lines |
$46.40–$50.40 | $58–$63 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $499.20 | $624 | 11.7× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $392.80 | $491 | 11.2× |
| Iadna Herpes Virus-6 Quantification (87533) | $700.80 | $876 | 16.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$70.40–$179.20 | $88–$224 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$452–$473.60 | $565–$592 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$447.20–$640.80 | $559–$801 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$205.60–$288.80 | $257–$361 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) range across 3 matching MRF lines |
$177.60–$284.80 | $222–$356 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $368.80 | $461 | 2.6× |
| Idh1 common variants (81120) | $816 | $1,020 | 4.2× |
| Idh2 common variants (81121) | $1,248 | $1,560 | 4.2× |
| Ifnl3 gene analysis rs12979860 variant (81283) range across 2 matching MRF lines |
$1,204–$1,372.80 | $1,505–$1,716 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$141.60–$148 | $177–$185 | varies |
| Igg subclasses (82787) | $211.20 | $264 | 26.3× |
| Igh gene rearrange amp meth (81261) | $951.20 | $1,189 | 4.8× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $2,200.80 | $2,751 | 7.5× |
| Igk rearrangeabn clonal pop (81264) | $717.60 | $897 | 4.2× |
| Ikbkap Gene Analysis Common Variants (81260) | $2,540 | $3,175 | 64.6× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $354.40 | $443 | 0.9× |
| Immunfix e-phorsis/urine/csf (86335) | $233.60 | $292 | 8.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 14 matching MRF lines |
$74.40–$4,522.40 | $93–$5,653 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
$31.20–$434.40 | $39–$543 | varies |
| Immunoassay nonantibody (83516) range across 16 matching MRF lines |
$31.20–$4,015.20 | $39–$5,019 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$264–$1,056 | $330–$1,320 | varies |
| Immunofixation electrophoresis (86334) | $345.60 | $432 | 15.5× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
$540.80–$840 | $676–$1,050 | varies |
| Immunohistochemistry (88342) | $354.40 | $443 | 1.9× |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$763.20–$801.60 | $954–$1,002 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $975.20 | $1,219 | 5.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $185.60 | $232 | 12.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $373.60 | $467 | 5.3× |
| Influenza assay w/optic (87804) | $144.80 | $181 | 8.7× |
| Influenza DNA amp probe (87502) | $405.60 | $507 | 4.2× |
| Inherited Cardmypthy 5 Gns (81439) range across 4 matching MRF lines |
$5,851.20–$11,572 | $7,314–$14,465 | varies |
| Inhibin A (86336) | $200.80 | $251 | 12.9× |
| Inhibin b (83520) range across 25 matching MRF lines |
$66.40–$1,200 | $83–$1,500 | varies |
| Insitu hybridization auto (88367) range across 2 matching MRF lines |
$660.80–$1,017.60 | $826–$1,272 | varies |
| Insitu hybridization manual (88368) | $928.80 | $1,161 | 2.4× |
| Insulin antibodies (86337) | $285.60 | $357 | 13.3× |
| Insulin free (83527) range across 2 matching MRF lines |
$80.80–$175.20 | $101–$219 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$71.20–$364.80 | $89–$456 | varies |
| Interleukin-6 (83529) range across 4 matching MRF lines |
$52–$103.20 | $65–$129 | varies |
| Intrinsic factor antibody (86340) | $200 | $250 | 13.3× |
| Iron (83540) | $196.80 | $246 | 30.4× |
| Iron Binding Capacity (83550) | $196.80 | $246 | 22.5× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$104.80–$861.60 | $131–$1,077 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $1,665.60 | $2,082 | 18.2× |
| Jt spc pthgn&rx rsist gen26+ (87627) | $2,289.60 | $2,862 | 3.4× |
| Kit Gene Analysis D816 Variant(S) (81273) range across 3 matching MRF lines |
$1,880.80–$2,060.80 | $2,351–$2,576 | varies |
| Koh Prep (87220) | $143.20 | $179 | 33.5× |
| Kras Gene Analysis Additional Variant(S) (81276) | $1,041.60 | $1,302 | 5.4× |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$1,284–$1,504.80 | $1,605–$1,881 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$40–$236.80 | $50–$296 | varies |
| Lactoferrin fecal qualitative (83630) | $137.60 | $172 | 7.0× |
| Lamellar Body Count (83664) | $39.20 | $49 | 2.0× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$81.60–$162.40 | $102–$203 | varies |
| LDL direct (83721) | $86.40 | $108 | 8.2× |
| Lead (83655) range across 2 matching MRF lines |
$137.60–$144.80 | $172–$181 | varies |
| Legionella antibody (86713) | $184.80 | $231 | 12.1× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$194.40–$463.20 | $243–$579 | varies |
| Legionella pneumophila dfa (87278) | $286.40 | $358 | 18.4× |
| Leptospira antibody (86720) | $169.60 | $212 | 10.5× |
| Leukocyte Histamine Release (86343) | $659.20 | $824 | 52.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $168 | $210 | 5.4× |
| Level ii surg pathology grossµscopic exam (88302) | $388 | $485 | 9.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$689.60–$753.60 | $862–$942 | varies |
| Lidocaine (80176) | $164.80 | $206 | 11.2× |
| Lipase (83690) | $124.80 | $156 | 18.1× |
| Lipoprotein A (83695) | $165.60 | $207 | 11.6× |
| Lipoprotein Bld Quan Part (83704) | $312.80 | $391 | 9.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $575.20 | $719 | 12.4× |
| Lithium (80178) | $174.40 | $218 | 26.4× |
| Liver ds alys 3 bmrk srm alg (81517) | $816 | $1,020 | 4.6× |
| Luteinizing Hormone (Lh) (83002) | $316.80 | $396 | 17.1× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$244.80–$349.60 | $306–$437 | varies |
| Lysozyme serum (85549) | $164.80 | $206 | 8.8× |
| M. Genitalium Amp Probe (87563) | $256.80 | $321 | 7.3× |
| Macroscopic exam arthropod (87168) | $114.40 | $143 | 26.8× |
| Macroscopic Exam Parasite (87169) | $84 | $105 | 19.5× |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$34.40–$316 | $43–$395 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$144–$316 | $180–$395 | varies |
| Mecp2 gene dup/delet variant (81304) | $1,556.80 | $1,946 | 10.4× |
| Mecp2 gene full seq (81302) | $1,556.80 | $1,946 | 2.9× |
| Mercury urine (83825) | $179.20 | $224 | 11.0× |
| Metabolic panel ionized ca (80047) | $85.60 | $107 | 6.2× |
| Methotrexate (80204) | $260.80 | $326 | 6.8× |
| Methylmalonic acid serum (83921) | $304.80 | $381 | 14.4× |
| Mgmt methylation analysis (81287) | $1,444.80 | $1,806 | 11.6× |
| Microalbumin, quantitative (82043) | $82.40 | $103 | 14.3× |
| Microsatellite instability (81301) | $1,348 | $1,685 | 3.9× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$146.40–$175.20 | $183–$219 | varies |
| Mitochondrial Antibody Each (86381) | $73.60 | $92 | 2.9× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) range across 3 matching MRF lines |
$1,016.80–$2,559.20 | $1,271–$3,199 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 5 matching MRF lines |
$221.60–$849.60 | $277–$1,062 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $273.60 | $342 | 6.7× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 6 matching MRF lines |
$100–$546.40 | $125–$683 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $254.40 | $318 | 6.0× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$3,030.40–$3,136 | $3,788–$3,920 | varies |
| Mononuclear cell antigen (86356) | $303.20 | $379 | 11.3× |
| Mopath procedure level 1 (81400) | $2,108.80 | $2,636 | 33.0× |
| Mopath procedure level 2 (81401) range across 3 matching MRF lines |
$976–$1,226.40 | $1,220–$1,533 | varies |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$1,410.40–$1,580 | $1,763–$1,975 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$2,108.80–$3,030.40 | $2,636–$3,788 | varies |
| Mopath procedure level 7 (81406) range across 3 matching MRF lines |
$3,030.40–$12,430.40 | $3,788–$15,538 | varies |
| Mopath procedure level 8 (81407) | $8,101.60 | $10,127 | 9.6× |
| Mopath procedure level 9 (81408) range across 7 matching MRF lines |
$3,004.80–$7,545.60 | $3,756–$9,432 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) | $1,117.60 | $1,397 | 6.0× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$228–$244.80 | $285–$306 | varies |
| Msh2 Gene Analysis Full Sequence Analysis (81295) range across 3 matching MRF lines |
$572.80–$1,446.40 | $716–$1,808 | varies |
| Msh6 Gene Analysis Full Sequence Analysis (81298) range across 3 matching MRF lines |
$963.20–$2,432.80 | $1,204–$3,041 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $1,341.60 | $1,677 | 20.5× |
| Mucin Clot Body Fluid (83872) | $232.80 | $291 | 39.7× |
| Mucopolysaccharides acid quantitative (83864) range across 3 matching MRF lines |
$194.40–$584.80 | $243–$731 | varies |
| Mumps antibody (86735) range across 4 matching MRF lines |
$53.60–$170.40 | $67–$213 | varies |
| Muscle-Specific Kinase Antb (86366) | $946.40 | $1,183 | 51.4× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$343.20–$357.60 | $429–$447 | varies |
| Mycophenolic Acid (80180) | $236.80 | $296 | 13.1× |
| Mycoplasma antibody (86738) | $177.60 | $222 | 13.4× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $1,372.80 | $1,716 | 7.8× |
| Myoglobin urine (83874) | $250.40 | $313 | 19.4× |
| Natriuretic peptide (83880) | $338.40 | $423 | 8.6× |
| Neurofilament light chain (83884) | $2,408.80 | $3,011 | 20.7× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $65.60 | $82 | 2.2× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $649.60 | $812 | 2.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $896 | $1,120 | 12.4× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $1,639.20 | $2,049 | 12.7× |
| Niacin (84591) range across 2 matching MRF lines |
$472–$515.20 | $590–$644 | varies |
| Nickel level (83885) | $826.40 | $1,033 | 33.7× |
| Nk cells total count (86357) | $177.60 | $222 | 4.7× |
| Noonan Spectrum Disorders (81442) | $5,060 | $6,325 | 2.4× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $1,437.60 | $1,797 | 5.8× |
| Nras gene variants exon 2&3 (81311) | $860 | $1,075 | 2.9× |
| Nuclear antigen antibody (86235) range across 5 matching MRF lines |
$119.20–$301.60 | $149–$377 | varies |
| Obstetric panel (80081) | $1,547.20 | $1,934 | 20.7× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$68–$220 | $85–$275 | varies |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$118.40–$124.80 | $148–$156 | varies |
| Oligoclonal bands (83916) | $280 | $350 | 10.2× |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$331.20–$633.60 | $414–$792 | varies |
| Osmolality serum (83930) | $283.20 | $354 | 42.8× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$33.60–$283.20 | $42–$354 | varies |
| Osmotic fragility rbc incubated (85557) | $292.80 | $366 | 21.9× |
| Ova and parasites smears (87177) | $31.20 | $39 | 3.5× |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) | $323.20 | $404 | 25.4× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$65.60–$169.60 | $82–$212 | varies |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$274.40–$328 | $343–$410 | varies |
| Particle Agglut Antbdy Titr (86406) | $208 | $260 | 19.5× |
| Particle Agglutination Screen Each Antibody (86403) | $104 | $130 | 9.0× |
| Parvovirus antibody (86747) | $199.20 | $249 | 13.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $708.80 | $886 | 0.8× |
| Ph urine (81003) | $59.20 | $74 | 26.3× |
| Phenobarbital Level (80184) range across 3 matching MRF lines |
$36–$201.60 | $45–$252 | varies |
| Phenotype Infect Agent Drug (87900) range across 3 matching MRF lines |
$448–$894.40 | $560–$1,118 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$172.80–$415.20 | $216–$519 | varies |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$175.20–$279.20 | $219–$349 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$302.40–$381.60 | $378–$477 | varies |
| Phosphatase acid prostatic (84066) | $143.20 | $179 | 14.8× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$68–$88.80 | $85–$111 | varies |
| Phosphatidylglycerol (84081) | $325.60 | $407 | 19.7× |
| Phospholipid Neutralization Hexagonal (85598) range across 4 matching MRF lines |
$224–$432.80 | $280–$541 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$72.80–$102.40 | $91–$128 | varies |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$26.40–$168 | $33–$210 | varies |
| Pinworm exam (87172) | $160 | $200 | 37.5× |
| Platelet Aggregation (85576) | $129.60 | $162 | 5.2× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$681.60–$1,476.80 | $852–$1,846 | varies |
| Platelet count automated (85049) | $84 | $105 | 18.7× |
| Platelet neutralization (85597) | $286.40 | $358 | 15.9× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $1,032 | $1,290 | 5.0× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $3,030.40 | $3,788 | 4.0× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | $3,030.40 | $3,788 | 3.9× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) range across 3 matching MRF lines |
$304.80–$772 | $381–$965 | varies |
| Pms2 gene full seq analysis (81317) range across 2 matching MRF lines |
$1,016.80–$1,511.20 | $1,271–$1,889 | varies |
| Pneumcysts jirovecii amp prb (87594) | $313.60 | $392 | 8.9× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$144.80–$245.60 | $181–$307 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $206.40 | $258 | 14.0× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$22.40–$106.40 | $28–$133 | varies |
| Prealbumin (84134) | $179.20 | $224 | 12.3× |
| Pregnancy-Associated Plasma Protein-A (84163) | $250.40 | $313 | 16.6× |
| Pregnenolone (84140) | $200.80 | $251 | 9.7× |
| Primidone (80188) range across 2 matching MRF lines |
$52.80–$201.60 | $66–$252 | varies |
| Procalcitonin (Pct) (84145) | $332.80 | $416 | 12.2× |
| Progesterone (84144) range across 2 matching MRF lines |
$168–$197.60 | $210–$247 | varies |
| Prolactin (84146) range across 3 matching MRF lines |
$114.40–$222.40 | $143–$278 | varies |
| Prostaglandin (84150) | $130.40 | $163 | 3.1× |
| Protein body fluid (84157) | $177.60 | $222 | 44.4× |
| Protein C Activity (85303) | $351.20 | $439 | 25.4× |
| Protein c antigen (85302) | $302.40 | $378 | 25.2× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$194.40–$280.80 | $243–$351 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $170.40 | $213 | 15.9× |
| Protein S Free (85306) range across 2 matching MRF lines |
$312–$352 | $390–$440 | varies |
| Protein s total (85305) | $340.80 | $426 | 29.4× |
| Protein total serum (84155) | $68 | $85 | 18.5× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$172–$217.60 | $215–$272 | varies |
| Protein Western Blot Test (84182) range across 5 matching MRF lines |
$220–$1,199.20 | $275–$1,499 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$232.80–$234.40 | $291–$293 | varies |
| Protoporphyrin rbc quantitative (84202) | $431.20 | $539 | 30.0× |
| PSA free (84154) | $172 | $215 | 9.4× |
| Pten Gene Analysis Full Sequence Analysis (81321) range across 4 matching MRF lines |
$901.60–$5,502.40 | $1,127–$6,878 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$211.20–$465.60 | $264–$582 | varies |
| Pyruvate kinase (84220) | $186.40 | $233 | 19.7× |
| Q Fever Antibody (86638) range across 5 matching MRF lines |
$74.40–$145.60 | $93–$182 | varies |
| Quantiferon tb gold plus (86480) | $424 | $530 | 6.8× |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$83.20–$488 | $104–$610 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$279.20–$490.40 | $349–$613 | varies |
| Rbc antibody elution (86860) | $200 | $250 | 1.1× |
| Rbc antibody identification (86870) | $328.80 | $411 | 0.9× |
| Rbc antibody screen (86850) | $85.60 | $107 | 8.8× |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$268.80–$282.40 | $336–$353 | varies |
| Renin activity plasma (84244) | $251.20 | $314 | 11.4× |
| Reptilase test (85635) range across 2 matching MRF lines |
$144–$144.80 | $180–$181 | varies |
| Resp virus 12-25 targets (87633) | $904.80 | $1,131 | 2.2× |
| Reticulocyte Count (85046) | $334.40 | $418 | 60.0× |
| Reticulocyte separation (86972) | $144 | $180 | 0.8× |
| Rh (86901) | $56.80 | $71 | 19.0× |
| Rheumatoid Factor Qualitative (86430) | $127.20 | $159 | 20.7× |
| Rheumatoid factor quant (86431) | $129.60 | $162 | 22.9× |
| Rickettsia antibody (86757) | $217.60 | $272 | 11.2× |
| Ristocetin cofactor (85245) | $348.80 | $436 | 15.2× |
| Rotavirus ag eia (87425) | $185.60 | $232 | 15.5× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$146.40–$193.60 | $183–$242 | varies |
| Rsv Assay W/Optic (87807) | $301.60 | $377 | 23.0× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$120–$151.20 | $150–$189 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$65.60–$275.20 | $82–$344 | varies |
| Rufinamide (80210) | $144 | $180 | 5.3× |
| Russell Viper Venom Time Diluted (85613) | $63.20 | $79 | 6.6× |
| Rx metab gen seq alys pnl 6 (81418) | $3,204.80 | $4,006 | 3.5× |
| Salicylate Level (80179) | $238.40 | $298 | 12.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$60–$65.60 | $75–$82 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$40–$44 | $50–$55 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $350.40 | $438 | 2.5× |
| Sedimentation Rate, Automated (85652) | $120.80 | $151 | 44.7× |
| Selenium (84255) | $208 | $260 | 8.1× |
| Sensitivity mic (87186) | $94.40 | $118 | 10.9× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$161.60–$195.20 | $202–$244 | varies |
| Sickling of rbc reduction (85660) | $144.80 | $181 | 26.3× |
| Sirolimus (80195) | $240 | $300 | 17.5× |
| Skin test tuberculosis intradermal (86580) | $57.60 | $72 | 1.9× |
| Smear acid fast (87206) | $130.40 | $163 | 24.2× |
| Smear complex stain (87209) | $129.60 | $162 | 7.2× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$88.80–$160 | $111–$200 | varies |
| Smear Special Stain (87207) | $174.40 | $218 | 29.1× |
| Smn1 Gene Dos/Deletion Alys (81329) range across 2 matching MRF lines |
$688–$2,334.40 | $860–$2,918 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$96–$143.20 | $120–$179 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) range across 2 matching MRF lines |
$1,632–$2,130.40 | $2,040–$2,663 | varies |
| So neo gsap DNA mcrstl ins (81457) range across 2 matching MRF lines |
$7,208–$10,926.40 | $9,010–$13,658 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$68–$116 | $85–$145 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$24–$106.40 | $30–$133 | varies |
| Soluble fibrin monomer (85366) range across 2 matching MRF lines |
$556.80–$792.80 | $696–$991 | varies |
| Soluble Transferrin Receptor (84238) | $186.40 | $233 | 5.1× |
| Somatomedin (84305) | $301.60 | $377 | 14.2× |
| Somatostatin (84307) | $1,008 | $1,260 | 55.1× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$96.80–$258.40 | $121–$323 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$239.20–$251.20 | $299–$314 | varies |
| Specific gravity body fluid (84315) | $105.60 | $132 | 32.2× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$39.20–$91.20 | $49–$114 | varies |
| Spectrophotometry (84311) | $112 | $140 | 13.8× |
| Staph a DNA amp probe (87640) range across 2 matching MRF lines |
$194.40–$216 | $243–$270 | varies |
| Stool cultr aerobic bact ea (87046) range across 3 matching MRF lines |
$29.60–$130.40 | $37–$163 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$78.40–$85.60 | $98–$107 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$73.60–$79.20 | $92–$99 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $144.80 | $181 | 1.6× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $389.60 | $487 | 33.8× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$148.80–$179.20 | $186–$224 | varies |
| Sulfate urine (84392) range across 2 matching MRF lines |
$24–$81.60 | $30–$102 | varies |
| Surg path level iii (88304) | $497.60 | $622 | 8.9× |
| Surgical pathology level IV (88305) | $608.80 | $761 | 10.9× |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$1,508.80–$1,648.80 | $1,886–$2,061 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $36 | $45 | 7.6× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$56.80–$107.20 | $71–$134 | varies |
| Sweat Collection Iontophoresis (89230) | $156.80 | $196 | 2.8× |
| Syphilis Test Non-Trep Quant (86593) | $102.40 | $128 | 23.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $355.20 | $444 | 7.6× |
| T cells total count (86359) | $297.60 | $372 | 7.9× |
| T3 Free (84481) | $445.60 | $557 | 26.3× |
| T3 reverse (84482) | $260.80 | $326 | 16.5× |
| T3 Total (84480) | $358.40 | $448 | 25.3× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$114.40–$148 | $143–$185 | varies |
| T4 Free (84439) | $156 | $195 | 17.3× |
| T4 total (84436) range across 2 matching MRF lines |
$100–$120.80 | $125–$151 | varies |
| Tacrolimus (80197) | $696 | $870 | 50.7× |
| Tau phosphorylated each (84393) range across 4 matching MRF lines |
$307.20–$1,400.80 | $384–$1,751 | varies |
| Tert gene targeted seq alys (81345) range across 2 matching MRF lines |
$2,632–$2,861.60 | $3,290–$3,577 | varies |
| Test for acetone/ketones (82009) | $184.80 | $231 | 40.9× |
| Testosterone Bioavailable (84410) | $104 | $130 | 2.0× |
| Testosterone total (84403) range across 4 matching MRF lines |
$67.20–$467.20 | $84–$584 | varies |
| Testosterone, Free (84402) range across 6 matching MRF lines |
$38.40–$256.80 | $48–$321 | varies |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$95.20–$210.40 | $119–$263 | varies |
| Tgsap so/hl 51/< RNA alys (81456) range across 2 matching MRF lines |
$4,790.40–$9,375.20 | $5,988–$11,719 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $4,314.40 | $5,393 | 7.2× |
| Theophylline (80198) | $156.80 | $196 | 11.1× |
| Thiocyanate (84430) range across 2 matching MRF lines |
$230.40–$232.80 | $288–$291 | varies |
| Thiopurine methyltransferase (84433) | $399.20 | $499 | 18.0× |
| Thrombin Time (85670) | $220 | $275 | 38.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $216 | $270 | 33.4× |
| Thyroglobulin (84432) | $172.80 | $216 | 10.8× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$74.40–$175.20 | $93–$219 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $470.40 | $588 | 9.2× |
| Thyroxine binding globulin (84442) | $71.20 | $89 | 4.8× |
| Tiss cul neo disorders solid tumor (88239) range across 2 matching MRF lines |
$1,776.80–$2,161.60 | $2,221–$2,702 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$1,070.40–$1,557.60 | $1,338–$1,947 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 3 matching MRF lines |
$404–$1,591.20 | $505–$1,989 | varies |
| Tissue culture bone marrow (88237) range across 3 matching MRF lines |
$404–$949.60 | $505–$1,187 | varies |
| Tissue Culture Lymphocyte (88230) | $1,032 | $1,290 | 8.9× |
| Tobramycin peak (80200) | $428.80 | $536 | 26.6× |
| Topiramate (80201) range across 2 matching MRF lines |
$183.20–$194.40 | $229–$243 | varies |
| Total Tau (84394) range across 3 matching MRF lines |
$307.20–$444 | $384–$555 | varies |
| Touch prep (88161) | $114.40 | $143 | 3.7× |
| Toxoplasma ab igm (86778) | $195.20 | $244 | 13.5× |
| Toxoplasma antibody (86777) | $184.80 | $231 | 12.8× |
| Tp53 gene analysis full gene sequence (81351) | $896.80 | $1,121 | 1.4× |
| Tp53 gene analysis targeted sequence analysis (81352) range across 2 matching MRF lines |
$1,186.40–$1,343.20 | $1,483–$1,679 | varies |
| Tpmt gene com variants (81335) range across 2 matching MRF lines |
$1,337.60–$1,530.40 | $1,672–$1,913 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $68 | $85 | 13.1× |
| Transferrin (84466) | $338.40 | $423 | 26.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,067.20 | $1,334 | 5.1× |
| Trg gene rearrangement anal (81342) | $1,067.20 | $1,334 | 5.3× |
| Trichomonas vagin dir probe (87660) | $56.80 | $71 | 2.8× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$160.80–$197.60 | $201–$247 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$117.60–$267.20 | $147–$334 | varies |
| Troponin Quant (84484) | $300 | $375 | 24.1× |
| Tumor immunohistochem/comput (88361) | $626.40 | $783 | 1.6× |
| Tumor Immunohistochem/Manual (88360) | $418.40 | $523 | 2.3× |
| Unlisted Cytogenetic Study (88299) range across 2 matching MRF lines |
$1,070.40–$1,509.60 | $1,338–$1,887 | varies |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$24–$220.80 | $30–$276 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$24–$222.40 | $30–$278 | varies |
| Urinalysis Microscopic Only (81015) | $112 | $140 | 36.7× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $105.60 | $132 | 48.7× |
| Urinalysis Volume Measure (81050) | $67.20 | $84 | 18.5× |
| Urine Bacteria Culture (87088) | $116.80 | $146 | 14.4× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$132–$196.80 | $165–$246 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $74.40 | $93 | 23.5× |
| Valproic acid (80164) range across 4 matching MRF lines |
$73.60–$210.40 | $92–$263 | varies |
| Vancomycin (80202) | $231.20 | $289 | 17.1× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$65.60–$304 | $82–$380 | varies |
| Vasopressin (84588) | $409.60 | $512 | 12.1× |
| Very Long Chain Fatty Acids (82726) | $789.60 | $987 | 40.0× |
| Viral Culture (87252) range across 2 matching MRF lines |
$316.80–$361.60 | $396–$452 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$45.60–$616.80 | $57–$771 | varies |
| Virus inoculate tissue addl (87253) | $116 | $145 | 5.7× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$193.60–$195.20 | $242–$244 | varies |
| Viscosity serum (85810) | $141.60 | $177 | 12.1× |
| Vit D 1 25-Dihydroxy (82652) | $396.80 | $496 | 10.3× |
| Vitamin A (84590) | $177.60 | $222 | 15.3× |
| Vitamin b-12 (82607) | $140 | $175 | 9.3× |
| Vitamin B2 (Riboflavin) (84252) | $266.40 | $333 | 13.2× |
| Vitamin B6 (84207) | $558.40 | $698 | 19.9× |
| Vitamin c (82180) | $661.60 | $827 | 66.9× |
| Vitamin D 25-Hydroxy (82306) | $170.40 | $213 | 5.8× |
| Vitamin E (84446) | $164.80 | $206 | 11.6× |
| Vitamin K (84597) | $370.40 | $463 | 27.0× |
| Volatiles (84600) | $197.60 | $247 | 11.5× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 3 matching MRF lines |
$83.20–$323.20 | $104–$404 | varies |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$61.60–$556.80 | $77–$696 | varies |
| West nile virus ab igm (86788) | $56.80 | $71 | 3.4× |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$49.60–$65.60 | $62–$82 | varies |
| Western Blot Test (84181) | $488 | $610 | 28.7× |
| Whole Mitochondrial Genome (81460) | $7,844.80 | $9,806 | 6.1× |
| Xm Archive Tissue Molec Anal (88363) | $208.80 | $261 | 6.7× |
| Xylose Absorption Test (84620) | $374.40 | $468 | 29.0× |
| Zika Virus Dna/Rna Amp Probe (87662) range across 3 matching MRF lines |
$410.40–$866.40 | $513–$1,083 | varies |
| Zika Virus Igm Antibody (86794) | $652.80 | $816 | 38.7× |
| Zinc (84630) | $141.60 | $177 | 12.4× |
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.