Lab & pathology prices at Saint Joseph Regional Medical Center - Plymouth
Plymouth, IN · every code in this section with a posted price and a Medicare benchmark.
711 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $230.75 | $355 | 20.7× |
| Abl1 gene analysis kinase domain variants (81170) | $409.50 | $630 | 1.4× |
| Acetylcholine receptor binding antibody (86041) | $27.95 | $43 | 1.5× |
| Acetylcholine receptor blocking antibody (86042) | $27.95 | $43 | 1.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $17.55 | $27 | 1.5× |
| Acth (82024) | $213.85 | $329 | 5.5× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $267.80 | $412 | 8.2× |
| Actin smooth muscle antibody each (86015) | $20.80 | $32 | 1.7× |
| Acute hepatitis panel (80074) | $404.30 | $622 | 8.5× |
| Acylcarnitines Quant (82017) | $137.80 | $212 | 8.2× |
| Albumin Fluid (82042) range across 4 matching MRF lines |
$49.40–$59.15 | $76–$91 | varies |
| Albumin serum (82040) | $30.55 | $47 | 6.2× |
| Aldolase (82085) | $163.80 | $252 | 16.9× |
| Aldosterone urine (82088) | $310.70 | $478 | 7.6× |
| Alkaline phosphatase isoenzymes (84080) | $93.60 | $144 | 6.3× |
| Allergen specific ige (86003) | $51.35 | $79 | 9.8× |
| Allergen specific igg (86001) | $19.50 | $30 | 2.5× |
| Allg Spec Ige Recomb Ea (86008) | $83.20 | $128 | 4.6× |
| Alpha-1-antitrypsin phenotype (82104) | $111.15 | $171 | 7.7× |
| Alpha-1-antitrypsin total (82103) | $101.40 | $156 | 7.5× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $26 | $40 | 1.5× |
| Alpha-Fetoprotein Serum (82105) | $174.85 | $269 | 10.4× |
| Alt (sgpt) (84460) | $45.50 | $70 | 8.6× |
| Amikacin trough (80150) | $241.15 | $371 | 16.0× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $192.40 | $296 | 8.4× |
| Ammonia (82140) range across 3 matching MRF lines |
$156–$163.80 | $240–$252 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $241.80 | $372 | 2.5× |
| Amylase urine (82150) range across 4 matching MRF lines |
$85.80–$103.35 | $132–$159 | varies |
| Anca screen each antibody (86036) | $22.10 | $34 | 1.8× |
| Anca Titer Each Antibody (86037) | $22.10 | $34 | 1.8× |
| Androstenedione (82157) | $39.65 | $61 | 1.4× |
| Angiotensin converting enzyme csf (82164) | $202.15 | $311 | 13.8× |
| Anti-Phospholipid Antibody (86148) | $152.75 | $235 | 9.5× |
| Antibody aspergillus (86606) | $39 | $60 | 2.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $131.95 | $203 | 10.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $143.65 | $221 | 9.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $82.55 | $127 | 4.9× |
| Antibody Encephalitis California La Crosse (86651) | $104 | $160 | 7.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $230.10 | $354 | 17.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $48.75 | $75 | 3.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $75.40 | $116 | 4.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $75.40 | $116 | 6.2× |
| Antibody helicobacter pylori (86677) | $156 | $240 | 9.3× |
| Antibody Herpes Smplx Type 1 (86695) | $56.55 | $87 | 4.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $166.40 | $256 | 12.1× |
| Antibody HIV-2 (86702) | $176.80 | $272 | 13.1× |
| Antibody john cunningham virus (86711) | $24.05 | $37 | 1.4× |
| Antibody Protozoa Nes (86753) | $113.75 | $175 | 9.2× |
| Antibody Titer (86886) | $109.20 | $168 | 21.1× |
| Antibody Treponema Pallidum (86780) | $131.95 | $203 | 10.0× |
| Antibody; encephalitis, st. louis (86653) | $104 | $160 | 7.9× |
| Antibody; influenza virus (86710) | $63.05 | $97 | 4.7× |
| Antigen typing (86905) | $87.75 | $135 | 22.9× |
| Antinomyces antibody (86602) | $16.90 | $26 | 1.7× |
| Antinuclear antibodies (86038) | $195.65 | $301 | 16.2× |
| Antistreptolysin o titer (86060) | $109.20 | $168 | 15.0× |
| Antithrombin iii activity (85300) | $236.60 | $364 | 20.0× |
| Antithrombin iii antigen (85301) | $103.35 | $159 | 9.6× |
| Apolipoprotein a1 (82172) | $131.95 | $203 | 6.3× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $56.55 | $87 | 1.5× |
| Aquaporin-4 Antb Elisa (86051) | $20.80 | $32 | 1.8× |
| Arsenic (82175) | $139.10 | $214 | 7.3× |
| Aspergillus ag eia (87305) | $46.15 | $71 | 3.9× |
| Assay activated protein c (85307) | $136.50 | $210 | 8.9× |
| Assay Blood Carbon Dioxide (82374) | $39 | $60 | 8.0× |
| Assay myeloperoxidase (83876) | $72.80 | $112 | 1.4× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$52–$54.60 | $80–$84 | varies |
| Assay of 5-hiaa (83497) | $48.10 | $74 | 3.7× |
| Assay of anti-mullerian hormone (82166) | $57.85 | $89 | 1.5× |
| Assay of blood/uric acid (84550) | $51.35 | $79 | 11.4× |
| Assay of calcium in urine (82340) | $76.70 | $118 | 12.7× |
| Assay of cpk in blood (82552) | $119.60 | $184 | 8.9× |
| Assay of estrone (82679) | $241.15 | $371 | 9.7× |
| Assay of g6pd enzyme (82955) | $91.65 | $141 | 9.4× |
| Assay of gammaglobulin igm (82784) | $117.65 | $181 | 12.7× |
| Assay of lactic acid (83605) | $148.85 | $229 | 12.9× |
| Assay of metanephrines (83835) | $150.80 | $232 | 8.9× |
| Assay of proinsulin (84206) | $269.10 | $414 | 10.1× |
| Assay of prostate specific antigen complexed (84152) | $26.65 | $41 | 1.4× |
| Assay of serotonin (84260) | $72.15 | $111 | 2.3× |
| Assay of serum potassium (84132) | $46.15 | $71 | 9.7× |
| Assay of sweat sodium (84302) | $53.95 | $83 | 11.1× |
| Assay of urea nitrogen (84520) | $38.35 | $59 | 9.7× |
| Assay of urine vma (84585) | $65 | $100 | 4.2× |
| Assay of vitamin b-1 (84425) | $235.30 | $362 | 11.1× |
| Assay Ph Body Fluid Nos (83986) | $9.10 | $14 | 2.5× |
| Assay spec xcp ur&breath ia (82077) | $94.90 | — | 5.5× |
| Asy carbamazepin 10,11-epxid (80161) | $38.35 | $59 | 2.1× |
| Automated Leukocyte Count (85048) | $111.15 | $171 | 43.8× |
| B cells total count (86355) | $110.50 | $170 | 2.9× |
| Bartonella antibody (86611) | $80.60 | $124 | 7.9× |
| Bcr/abl1 gene major bp (81206) | $288.60 | $444 | 1.8× |
| Bcr/abl1 gene minor bp (81207) | $288.60 | $444 | 2.0× |
| Beta 2 glycoprotein i antibody each (86146) | $171.60 | $264 | 6.7× |
| Beta hydroxybutyrate (82010) | $52.65 | $81 | 6.4× |
| Beta Lactamase (87185) | $7.80 | $12 | 1.6× |
| Beta-2 Microglobulin (82232) | $114.40 | $176 | 7.1× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $176.15 | $271 | 1.4× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $176.15 | $271 | 1.4× |
| Bile acids total (82239) | $84.50 | $130 | 4.9× |
| Bilirubin direct (82248) | $46.15 | $71 | 9.2× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$352.30–$929.50 | — | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $4.55 | $7 | 1.3× |
| Blastomyces antibody (86612) | $80.60 | $124 | 6.2× |
| Bld Typing Serologic Rh Phnt (86906) | $145.60 | $224 | 18.8× |
| Blood Count Automated Differential Wbc Count (85004) | $14.30 | $22 | 2.2× |
| Blood Count Red Blood Cell Automated (85041) | $7.80 | $12 | 2.6× |
| Blood count reticulocyte automated (85045) | $52 | $80 | 13.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $72.80 | $112 | 19.2× |
| Blood gas (82803) range across 7 matching MRF lines |
$187.20–$229.45 | $288–$353 | varies |
| Blood gases w/02 saturation (82805) | $219.05 | $337 | 2.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $167.70 | $258 | 10.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $48.75 | $75 | 11.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $89.70 | $138 | 14.1× |
| Blood typing serologic abo (86900) | $68.90 | $106 | 23.0× |
| Body fluid cell count (89050) range across 4 matching MRF lines |
$42.90–$46.15 | $66–$71 | varies |
| Bordetella antibody (86615) | $143.65 | $221 | 10.9× |
| Brca1&2 gen full seq dup/del (81162) | $2,490.80 | $3,832 | 1.4× |
| Brucella antibody (86622) | $34.45 | $53 | 3.9× |
| C diff amplified probe (87493) | $937.30 | — | 25.1× |
| C-Peptide (84681) | $195 | $300 | 9.4× |
| C-reactive protein (86140) | $66.30 | $102 | 12.8× |
| Ca 19-9 (86301) | $141.70 | $218 | 6.8× |
| Cadmium (82300) | $65 | $100 | 2.7× |
| Calcitonin (82308) | $156 | $240 | 5.8× |
| Calcium ionized (82330) | $116.35 | $179 | 8.5× |
| Calcium total (82310) | $36.40 | $56 | 7.1× |
| Calculus Spectroscopy (82365) | $152.75 | $235 | 11.8× |
| Calprotectin Fecal (83993) | $313.30 | $482 | 16.0× |
| Calr gene com variants (81219) | $378.95 | $583 | 3.1× |
| Cancer Antigen 125 (86304) | $230.10 | $354 | 11.1× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$117–$180.70 | $180–$278 | varies |
| Candida antibody (86628) | $16.90 | $26 | 1.4× |
| Candida Dna Dir Probe (87480) | $109.20 | $168 | 5.4× |
| Carbamazepine total (80156) | $204.75 | $315 | 14.1× |
| Carbohydrate Deficient Transferrin (82373) | $26 | $40 | 1.4× |
| Carboxyhemoglobin (82375) | $128.05 | $197 | 10.4× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$174.85–$191.75 | $269–$295 | varies |
| Cardiolipin ab iga (86147) | $120.90 | $186 | 4.8× |
| Carnitine Quantitative Each Specimen (82379) | $205.40 | $316 | 12.2× |
| Catecholamines fractionated (82384) | $202.15 | $311 | 8.0× |
| Ccp antibody (86200) | $82.55 | $127 | 6.4× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $454.35 | $699 | 1.9× |
| Cell count csf (89051) | $58.50 | $90 | 10.4× |
| Cell marker study (88182) | $473.20 | $728 | 8.6× |
| Ceruloplasmin (82390) | $91 | $140 | 8.5× |
| Cftr gene com variants (81220) | $799.50 | $1,230 | 1.4× |
| Chemiluminescent assay (82397) | $26 | $40 | 1.8× |
| Chlamydia antibody (86631) | $63.05 | $97 | 5.3× |
| Chlamydia Igm Antibody (86632) | $63.05 | $97 | 5.0× |
| Chloride other source (82438) | $141.05 | $217 | 28.2× |
| Chloride Serum (82435) | $27.30 | $42 | 5.9× |
| Chloride urine (82436) | $51.35 | $79 | 8.9× |
| Cholesterol total (82465) | $32.50 | $50 | 7.5× |
| Chorionic gonadotropin test (84702) | $182.65 | $281 | 12.1× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $128.05 | $197 | 4.8× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $427.70 | $658 | 12.4× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $254.15 | $391 | 7.6× |
| Chromium serum (82495) | $120.25 | $185 | 5.9× |
| Chromogranin a (86316) | $203.45 | $313 | 9.8× |
| Chromosome Analysis 15-20 (88262) | $507 | $780 | 4.0× |
| Chromosome Analysis 20-25 (88264) | $880.75 | $1,355 | 6.1× |
| Chromosome analysis, 5 (88261) | $848.90 | $1,306 | 3.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $1,537.25 | — | 43.8× |
| Citric acid urine (82507) | $114.40 | $176 | 4.1× |
| Ckmb (82553) | $180.05 | $277 | 15.6× |
| Clostridium Difficile (87324) | $208.65 | $321 | 17.4× |
| Clot factor xiii fibrin stab (85290) | $113.75 | $175 | 7.0× |
| Clotting factor xii hageman (85280) | $163.80 | $252 | 8.5× |
| Clotting Funct Activity (85397) | $282.75 | $435 | 9.2× |
| Cns DNA amp probe type 12-25 (87483) | $995.15 | $1,531 | 2.4× |
| Coccidioides antibody (86635) | $80.60 | $124 | 7.0× |
| Cold agglutinin screen (86156) range across 2 matching MRF lines |
$84.50–$89.05 | $130–$137 | varies |
| Cold agglutinin titer (86157) | $44.20 | $68 | 5.5× |
| Collagen crosslinks (82523) | $143.65 | $221 | 7.7× |
| Column Chromotography Quant (82542) range across 9 matching MRF lines |
$66.30–$284.05 | $102–$437 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $417.95 | $643 | 1.8× |
| Compatibility test antiglob (86922) | $83.20 | $128 | 0.5× |
| Complement Antigen Each Component (86160) range across 13 matching MRF lines |
$40.30–$167.70 | $62–$258 | varies |
| Complement Total (Ch50) (86162) | $254.15 | $391 | 12.5× |
| Complement/Function Activity (86161) | $52 | $80 | 4.3× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $135.20 | $208 | 2.5× |
| Coombs direct (86880) range across 4 matching MRF lines |
$48.75–$61.75 | $75–$95 | varies |
| Copper urine (82525) range across 5 matching MRF lines |
$85.80–$198.90 | $132–$306 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$141.05–$276.25 | $217–$425 | varies |
| Cortisol saliva (82533) | $163.80 | $252 | 10.0× |
| Creatine (82540) | $464.75 | $715 | 100.2× |
| Creatine kinase total (82550) | $83.20 | $128 | 12.8× |
| Creatinine blood (82565) | $2,827.82 | — | 552.3× |
| Creatinine clearance (82575) | $126.75 | $195 | 13.4× |
| Creatinine Urine (82570) | $106.60 | $164 | 20.6× |
| Crossmatch immediate spin (86920) | $957.45 | — | 5.3× |
| Crp High Sensitivity (86141) | $119.60 | $184 | 9.2× |
| Cryoglobulin (82595) | $98.80 | $152 | 15.3× |
| Cryptococcus ag titer (87899) | $100.10 | $154 | 6.2× |
| Cryptosporidium ag eia (87328) | $68.90 | $106 | 5.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $54.60 | $84 | 6.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $86.45 | $133 | 10.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $104 | $160 | 13.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $312.65 | $481 | 1.4× |
| Culture aerobic quant other (87071) | $40.30 | $62 | 4.1× |
| Culture afb (87116) | $30.55 | $47 | 2.8× |
| Culture Anaerobic (87075) | $219.70 | $338 | 23.2× |
| Culture bacteria anaerobic (87073) | $40.30 | $62 | 4.2× |
| Culture blood (87040) | $274.95 | $423 | 26.6× |
| Culture chlamydia (87110) | $108.55 | $167 | 5.5× |
| Culture csf (87070) | $118.95 | — | 13.8× |
| Culture fungus (87102) | $13 | $20 | 1.5× |
| Culture fungus blood (87103) | $132.60 | $204 | 6.5× |
| Culture screen only (87081) range across 11 matching MRF lines |
$18.85–$141.70 | $29–$218 | varies |
| Culture stool (87045) | $178.10 | $274 | 18.9× |
| Culture typing if ea antiserum (87140) | $71.50 | $110 | 12.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $24.70 | $38 | 4.8× |
| Culture typing other methods (87158) | $558.35 | $859 | 72.1× |
| Culture urine (87086) | $79.30 | $122 | 9.8× |
| Cyclosporine (80158) | $213.85 | $329 | 11.8× |
| Cystatin C (82610) | $146.25 | $225 | 7.9× |
| Cytogenetics 100-300 (88275) | $369.85 | $569 | 7.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,546.05 | $3,917 | 2.2× |
| Cytomegalovirus igg (86644) | $61.75 | $95 | 4.3× |
| Cytopath Cell Enhance Tech (88112) | $241.15 | $371 | 4.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $218.40 | $336 | 8.2× |
| Cytp Concentration Smears & Interpretation (88108) | $136.50 | $210 | 3.5× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $186.55 | $287 | 3.4× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $105.30 | $162 | 0.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $111.80 | $172 | 2.8× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $218.40 | $336 | 1.2× |
| Deoxyribonuclease antibody (86215) | $109.20 | $168 | 8.2× |
| Detect Agent Nos Dna Amp (87798) | $1,537.25 | — | 43.8× |
| Detect Agent Nos Dna Quant (87799) | $137.15 | $211 | 3.2× |
| Detect agnt mult DNA ampli (87801) | $310.70 | $478 | 4.4× |
| Dgp Antibody Each Ig Class (86258) | $20.80 | $32 | 1.7× |
| Dhea (82626) | $92.30 | $142 | 3.7× |
| Dhea-S (82627) | $233.35 | $359 | 10.5× |
| Digoxin (80162) | $186.55 | $287 | 14.0× |
| Dihydrotestosterone (82642) | $43.55 | $67 | 1.5× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$45.50–$66.30 | $70–$102 | varies |
| Dna Antibody Native/Double Stranded (86225) | $171.60 | $264 | 12.5× |
| Dna Antibody Single Stranded (86226) | $103.35 | $159 | 8.5× |
| Dna/Rna Amplified Probe (87150) | $42.25 | $65 | 1.2× |
| DNA/RNA direct probe (87149) | $52 | $80 | 2.6× |
| Dna/Rna Sequencing (87153) | $281.45 | $433 | 2.4× |
| Dpyd gene common variants (81232) | $262.60 | $404 | 1.5× |
| Drug assay acetaminophen (80143) | $27.30 | $42 | 1.5× |
| Drug assay adalimumab (80145) | $57.85 | $89 | 1.5× |
| Drug Assay Amiodarone (80151) | $208.65 | $321 | 11.2× |
| Drug Assay Everolimus (80169) | $36.40 | $56 | 2.7× |
| Drug Assay Infliximab (80230) | $93.60 | $144 | 2.4× |
| Drug Assay Itraconazole (80189) | $36.40 | $56 | 1.3× |
| Drug Assay Lacosamide (80235) | $110.50 | $170 | 4.1× |
| Drug Assay Posaconazole (80187) | $37.05 | $57 | 1.4× |
| Drug assay voriconazole (80285) | $403.65 | $621 | 14.9× |
| Drug Screen Quant Clozapine (80159) | $134.55 | $207 | 6.7× |
| Drug Screen Quant Zonisamide (80203) | $405.60 | $624 | 30.6× |
| Drug Screen Quantitative Gabapentin (80171) | $196.30 | $302 | 9.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $101.40 | $156 | 7.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $227.50 | $350 | 17.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $227.50 | $350 | 17.2× |
| Drug Test Prsmv Chem Anlyzr (80307) | $1,656.20 | — | 26.7× |
| Drug Test Prsmv Instrmnt (80306) | $171.60 | $264 | 10.0× |
| Ehrlichia antibody (86666) | $40.30 | $62 | 4.0× |
| El-1 Fecal Quantitative (82653) | $40.95 | $63 | 1.8× |
| Electrolyte panel (80051) | $109.20 | $168 | 15.6× |
| Electron Microscopy (88348) | $1,169.35 | $1,799 | 1.4× |
| Encephaltis East Eqne Anbdy (86652) | $104 | $160 | 7.9× |
| Encephaltis West Eqne Antbdy (86654) | $104 | $160 | 7.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $22.10 | $34 | 1.8× |
| Enterovirus Antibody (86658) range across 8 matching MRF lines |
$36.40–$122.20 | $56–$188 | varies |
| Enterovirus PCR (87498) | $345.15 | $531 | 9.8× |
| Enzyme cell activity (82657) | $209.30 | $322 | 9.4× |
| Enzyme histochemistry (88319) | $52 | $80 | 0.1× |
| Erythropoietin (82668) | $157.30 | $242 | 8.4× |
| Estradiol serum (82670) | $94.90 | $146 | 3.4× |
| Estriol (82677) | $169 | $260 | 7.0× |
| Estrogen total (82672) | $185.90 | $286 | 8.6× |
| Ethosuximide (80168) | $152.75 | $235 | 9.3× |
| Ethylene Glycol (82693) | $111.15 | $171 | 7.5× |
| Exam Synovial Fluid Crystals (89060) | $68.90 | $106 | 9.4× |
| F2 Gene (81240) | $108.55 | $167 | 1.7× |
| Factor ii activity (85210) | $32.50 | $50 | 2.5× |
| Factor Inhibitor Test (85335) | $210.60 | $324 | 16.4× |
| Factor ix activity (85250) | $132.60 | $204 | 7.0× |
| Factor v activity (85220) | $165.75 | $255 | 9.4× |
| Factor v leiden mutation (81241) | $108.55 | $167 | 1.5× |
| Factor vii assay (85230) | $165.75 | $255 | 9.3× |
| Factor viii assay (85240) | $198.90 | $306 | 11.1× |
| Factor X (85260) | $130 | $200 | 7.3× |
| Fat/Lipids Feces Quantitative (82710) | $213.85 | $329 | 12.7× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 2 matching MRF lines |
$24.70–$189.80 | $38–$292 | varies |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $98.15 | $151 | 15.0× |
| Fecal Fat Qualitative (82705) | $51.35 | $79 | 10.1× |
| Ferritin (82728) | $128.70 | $198 | 9.4× |
| Fetal Chrmoml Aneuploidy (81420) | $1,232.40 | $1,896 | 1.6× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $266.50 | $410 | 1.7× |
| Fetal Fibronectin (82731) | $252.85 | $389 | 3.9× |
| Fetal screen rosette (85461) | $40.95 | $63 | 4.4× |
| Fibrin degradation products (85362) | $154.05 | $237 | 22.4× |
| Fibrin Degradation Quant (85379) | $106.60 | $164 | 10.5× |
| Fibrinogen activity (85384) | $120.25 | $185 | 12.4× |
| Fibrinogen antigen (85385) | $20.80 | $32 | 1.4× |
| Flecainide level (80181) | $178.10 | $274 | 9.6× |
| Flow cytometry first marker (88184) | $385.45 | $593 | 1.0× |
| Flt3 Gene (81245) | $251.55 | $387 | 1.5× |
| Flt3 gene analysis (81246) | $152.75 | $235 | 1.8× |
| Fluorescent antibody screen (86255) | $203.45 | $313 | 16.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $106.60 | $164 | 8.8× |
| Fmr1 gene detection (81243) | $395.20 | $608 | 6.9× |
| Folic acid rbc (82747) | $158.60 | $244 | 9.0× |
| Folic Acid Serum (82746) | $134.55 | $207 | 9.2× |
| Follicle Stimulating Hormone (83001) | $225.55 | $347 | 12.1× |
| Francisella tularensis (86668) | $94.25 | $145 | 6.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $109.20 | $168 | 0.6× |
| Frozen Section (88331) | $281.45 | $433 | 1.6× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$192.40–$727.35 | $296–$1,119 | varies |
| Fungi Identification Yeast (87106) | $113.10 | $174 | 11.0× |
| Gammaglobulin ige (82785) | $192.40 | $296 | 11.7× |
| Gardner vag DNA dir probe (87510) | $80.60 | $124 | 4.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $172.25 | $265 | 17.6× |
| Gases blood ph only (82800) range across 4 matching MRF lines |
$72.15–$93.60 | $111–$144 | varies |
| Gastrin (82941) | $267.80 | $412 | 15.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $741 | $1,140 | 1.8× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,089.40 | $1,676 | 1.4× |
| Genet Virus Isolate Hsv (87255) | $145.60 | $224 | 4.3× |
| Gentamicin (80170) | $158.60 | $244 | 9.7× |
| Ggt (82977) | $51.35 | $79 | 7.1× |
| Giardia antigen (87329) | $68.25 | $105 | 5.7× |
| Glucose 2 hr pp (82950) | $68.25 | $105 | 14.4× |
| Glucose body fluid (82945) | $41.60 | $64 | 10.6× |
| Glucose Serum (82947) | $48.75 | $75 | 12.4× |
| Glucose tolerance test (gtt) (82951) | $142.35 | $219 | 11.1× |
| Glutathione (82978) | $22.10 | $34 | 1.4× |
| Glycated Protein (82985) | $120.90 | $186 | 7.2× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$120.90–$135.20 | $186–$208 | varies |
| Growth hormone (83003) | $203.45 | $313 | 12.2× |
| Gtt-added samples (82952) | $44.20 | $68 | 11.3× |
| H Pylori (C-13) Breath (83013) | $352.30 | $542 | 5.2× |
| H Pylori Drug Admin (83014) | $111.80 | $172 | 14.2× |
| Haptoglobin (83010) | $139.75 | $215 | 11.1× |
| Hba1/Hba2 Gene (81257) | $146.90 | $226 | 1.4× |
| Hdl Cholesterol (83718) | $92.30 | $142 | 11.3× |
| Helicobacter Pylori Stool (87338) | $192.40 | $296 | 13.4× |
| Helminth Antibody (86682) | $161.20 | $248 | 12.4× |
| Hematocrit (85014) | $219.70 | — | 92.7× |
| Hemoglobin (85018) | $332.80 | — | 140.4× |
| Hemoglobin a1c (83036) | $94.90 | $146 | 9.8× |
| Hemoglobin Chromotography (83021) | $288.60 | $444 | 16.0× |
| Hemoglobin electrophoresis (83020) | $91 | $140 | 7.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $33.15 | $51 | 4.0× |
| Hemoglobin plasma (83051) | $104 | $160 | 14.2× |
| Hemosiderin urine (83070) | $111.15 | $171 | 23.4× |
| Hep a ab igm (86709) | $185.90 | $286 | 16.5× |
| Heparin assay (85520) range across 2 matching MRF lines |
$221–$232.05 | $340–$357 | varies |
| Hepatitis a antibody total (86708) | $139.75 | $215 | 11.3× |
| Hepatitis b core ab igm (86705) | $186.55 | $287 | 15.8× |
| Hepatitis b core ab total (86704) | $119.60 | $184 | 9.9× |
| Hepatitis B Surface Antibody (86706) | $161.20 | $248 | 15.0× |
| Hepatitis B Surface Antigen (87340) | $71.50 | $110 | 6.9× |
| Hepatitis Be Antibody (86707) | $72.15 | $111 | 6.2× |
| Hepatitis Be Antigen (87350) | $63.05 | $97 | 5.5× |
| Hepatitis C Antibody (86803) | $137.80 | $212 | 9.7× |
| Hepatitis c antibody confirmatory test (86804) | $332.15 | $511 | 21.4× |
| Hepatitis C Genotype (87902) | $668.85 | $1,029 | 2.6× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $243.75 | $375 | 6.9× |
| Hepatitis C Revrs Trnscrpj (87522) | $248.95 | $383 | 5.8× |
| Hepatitis Delta Agent Antibody (86692) | $133.90 | $206 | 7.8× |
| Herpes simplex type 2 (86696) range across 7 matching MRF lines |
$93.60–$138.45 | $144–$213 | varies |
| Heterophile Antibody Screen (86308) | $72.15 | $111 | 13.9× |
| Hfe Gene (81256) | $419.90 | $646 | 6.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $14.30 | $22 | 1.8× |
| Histamine urine (83088) | $133.25 | $205 | 4.5× |
| Histoplasma antibody (86698) | $38.35 | $59 | 2.8× |
| Histoplasma antigen urine (87385) | $195.65 | $301 | 14.8× |
| Hiv Antigen W/Hiv Antibodies (87806) | $125.45 | $193 | 3.8× |
| Hiv Genotype (87901) | $1,002.30 | $1,542 | 3.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $51.35 | $79 | 2.1× |
| Hiv-1 Antibody (86701) | $90.35 | $139 | 10.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $326.30 | $502 | 3.8× |
| HIV-2 probe&revrse trnscripj (87538) | $312 | $480 | 8.9× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $182.65 | $281 | 1.4× |
| Hla class ii typing high resolution one locus ea (81382) | $186.55 | $287 | 1.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $166.40 | $256 | 2.2× |
| Hla I Typing 1 Allele Hr (81381) | $369.85 | $569 | 2.2× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $471.90 | $726 | 1.4× |
| Hla ii type 1 ag equiv lr (81377) | $153.40 | $236 | 1.6× |
| Hla ii typing 1 allele hr (81383) | $332.80 | $512 | 3.0× |
| Hla ii typing 1 locus lr (81376) | $175.50 | $270 | 1.4× |
| Homocysteine (83090) | $230.75 | $355 | 12.9× |
| Homogenization Tissue (87176) | $65 | $100 | 11.1× |
| Hpv High-Risk Types (87624) range across 5 matching MRF lines |
$96.20–$115.05 | $148–$177 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) | $100.10 | $154 | 1.4× |
| Hpv Types 16 & 18 Only (87625) | $60.45 | $93 | 1.5× |
| Hsv Dna Amp Probe (87529) range across 8 matching MRF lines |
$345.15–$362.70 | $531–$558 | varies |
| Human Epididymis Protein 4 (86305) | $161.20 | $248 | 7.7× |
| Hydroxyprogesterone 17-d (83498) | $68.90 | $106 | 2.5× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $16.90 | $26 | 1.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $19.50 | $30 | 1.4× |
| Iaad ia shiga-like toxin (87427) | $75.40 | $116 | 6.3× |
| Iaadi pneumocustis carinii (87281) | $317.85 | $489 | 26.5× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $53.30 | $82 | 1.5× |
| Iadna Bartonella Amplified Probe Technique (87471) | $369.85 | $569 | 10.5× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $263.25 | $405 | 7.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $48.75 | $75 | 1.4× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $101.40 | $156 | 2.9× |
| Iadna Cytomegalovirus Quantification (87497) | $1,073.80 | $1,652 | 25.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $180.05 | $277 | 2.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $53.30 | $82 | 1.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $145.60 | $224 | 3.4× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $48.10 | $74 | 1.4× |
| Iadna Herpes Virus-6 Quantification (87533) | $213.20 | $328 | 5.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $312 | $480 | 8.9× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $316.55 | $487 | 9.0× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $109.85 | $169 | 1.4× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $572.65 | $881 | 13.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $299 | $460 | 8.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $1,537.25 | — | 43.8× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $165.75 | $255 | 3.2× |
| Ig Light Chains Free Each (83521) | $30.55 | $47 | 1.8× |
| Igg subclasses (82787) | $382.85 | $589 | 47.7× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $442.65 | $681 | 1.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $189.15 | $291 | 0.5× |
| Immune Complex Assay (86332) | $186.55 | $287 | 7.7× |
| Immunfix e-phorsis/urine/csf (86335) | $116.35 | $179 | 4.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$111.15–$345.15 | $171–$531 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$132.60–$161.20 | $204–$248 | varies |
| Immunoassay nonantibody (83516) range across 31 matching MRF lines |
$45.50–$178.10 | $70–$274 | varies |
| Immunodiffusion Ouchterlony (86331) | $29.90 | $46 | 2.5× |
| Immunofixation electrophoresis (86334) | $215.80 | $332 | 9.7× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $229.45 | $353 | 1.3× |
| Immunohistochemistry (88342) | $189.15 | $291 | 1.0× |
| In situ hybridization 1st probe stain (88365) | $226.20 | $348 | 1.3× |
| Influenza assay w/optic (87804) | $192.40 | $296 | 11.6× |
| Influenza DNA amp probe (87502) | $304.85 | $469 | 3.2× |
| Inherited Cardmypthy 5 Gns (81439) | $838.50 | $1,290 | 1.4× |
| Inhibin A (86336) | $71.50 | $110 | 4.6× |
| Inhibin b (83520) range across 30 matching MRF lines |
$161.20–$241.15 | $248–$371 | varies |
| Insitu hybridization manual (88368) | $351.65 | $541 | 0.9× |
| Insulin antibodies (86337) | $49.40 | $76 | 2.3× |
| Insulin free (83527) | $53.95 | $83 | 4.2× |
| Insulin total (83525) | $130.65 | $201 | 11.4× |
| Interleukin-6 (83529) | $30.55 | $47 | 1.8× |
| Intrinsic factor antibody (86340) | $108.55 | $167 | 7.2× |
| Iron (83540) | $68.90 | $106 | 10.6× |
| Iron Binding Capacity (83550) | $94.25 | $145 | 10.8× |
| Irradiation Blood Product Each Unit (86945) | $249.60 | $384 | 6.3× |
| Islet cell antibody (86341) | $111.15 | $171 | 4.7× |
| Jak2 gene analysis p.val617phe variant (81270) | $440.05 | $677 | 4.8× |
| Jak2 Gene Trgt Sequence Alys (81279) | $45.50 | $70 | 0.2× |
| Jt spc pthgn&rx rsist gen26+ (87627) | $928.20 | $1,428 | 1.4× |
| Kit Gene Analysis D816 Variant(S) (81273) | $285.35 | $439 | 2.3× |
| Lactate (ld) (ldh) enzyme (83615) | $59.15 | $91 | 9.8× |
| Lactoferrin fecal qualitative (83630) | $76.05 | $117 | 3.9× |
| Lactoferrin Fecal Quantitative (83631) | $63.05 | $97 | 3.2× |
| Ldh Isoenzymes (83625) | $185.25 | $285 | 14.5× |
| LDL direct (83721) | $104 | $160 | 9.9× |
| Lead (83655) | $141.70 | $218 | 11.7× |
| Legionella antibody (86713) | $29.25 | $45 | 1.9× |
| Legionella antigen urine (87449) | $87.10 | $134 | 7.3× |
| Leptospira antibody (86720) | $93.60 | $144 | 5.8× |
| Leukocyte Assessment Fecal (89055) | $72.15 | $111 | 16.9× |
| Level I Surg Pathology Gross Examination Only (88300) | $32.50 | $50 | 1.1× |
| Level ii surg pathology grossµscopic exam (88302) | $152.75 | $235 | 3.9× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $448.50 | $690 | 1.2× |
| Lipase (83690) | $108.55 | $167 | 15.8× |
| Lipoprotein A (83695) | $162.50 | $250 | 11.3× |
| Lipoprotein Bld Quan Part (83704) | $101.40 | $156 | 3.0× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $69.55 | $107 | 1.5× |
| Lithium (80178) | $122.85 | $189 | 18.6× |
| Liver ds alys 3 bmrk srm alg (81517) | $252.85 | $389 | 1.4× |
| Luteinizing Hormone (Lh) (83002) | $196.30 | $302 | 10.6× |
| Lyme disease antibody (86618) range across 7 matching MRF lines |
$225.55–$229.45 | $347–$353 | varies |
| Lysozyme serum (85549) | $83.85 | $129 | 4.5× |
| M. Genitalium Amp Probe (87563) | $93.60 | $144 | 2.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $176.80 | $272 | 1.0× |
| Magnesium Urine (83735) range across 7 matching MRF lines |
$65.65–$96.20 | $101–$148 | varies |
| Mass Spectrometry Quant (83789) | $237.25 | $365 | 9.8× |
| Meat fibers, feces (89160) | $17.55 | $27 | 3.6× |
| Mercury urine (83825) | $150.80 | $232 | 9.3× |
| Methotrexate (80204) | $98.80 | $152 | 2.6× |
| Methylmalonic acid serum (83921) | $163.80 | $252 | 7.7× |
| Microalbumin, quantitative (82043) | $94.25 | $145 | 16.3× |
| Microbe Suscept Macrobroth (87188) | $325 | $500 | 48.9× |
| Microsomal Antibodies Each (86376) | $133.25 | $205 | 9.2× |
| Mitochondrial Antibody Each (86381) | $45.50 | $70 | 1.8× |
| Mog-Igg1 Antb Cba Each (86362) | $22.10 | $34 | 1.8× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $56.55 | $87 | 1.5× |
| Molecular Cytogenetics Dna Probe Each (88271) | $150.80 | $232 | 7.0× |
| Molecular Pathology Procedure Level 3 (81402) | $453.05 | $697 | 3.0× |
| Molecular Pathology Procedure Level 6 (81405) | $961.35 | $1,479 | 3.2× |
| Mononuclear cell antigen (86356) | $274.95 | $423 | 10.3× |
| Mopath procedure level 1 (81400) | $268.45 | $413 | 4.2× |
| Mopath procedure level 2 (81401) | $348.40 | $536 | 2.5× |
| Mopath procedure level 4 (81403) | $615.55 | $947 | 3.3× |
| Mopath procedure level 5 (81404) | $769.60 | $1,184 | 2.8× |
| Mopath procedure level 7 (81406) | $1,202.50 | $1,850 | 4.3× |
| Mopath procedure level 8 (81407) | $1,516.45 | $2,333 | 1.8× |
| Mopath procedure level 9 (81408) | $2,809.30 | $4,322 | 1.4× |
| Mpl gene common variants (81338) | $45.50 | $70 | 0.3× |
| Mrsa Pcr (87641) | $126.75 | $195 | 3.6× |
| Mthfr Gene Analysis Common Variants (81291) | $130 | $200 | 2.0× |
| Mumps antibody (86735) | $68.25 | $105 | 5.2× |
| Muscle-Specific Kinase Antb (86366) | $27.95 | $43 | 1.5× |
| Mycobacteric Identification (87118) | $150.80 | $232 | 10.3× |
| Mycophenolic Acid (80180) | $332.15 | $511 | 18.4× |
| Mycoplasma antibody (86738) | $108.55 | $167 | 8.2× |
| Mycoplasma culture (87109) | $120.90 | $186 | 7.9× |
| Myelin basic protein csf (83873) | $192.40 | $296 | 11.2× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$163.80–$203.45 | $252–$313 | varies |
| Natriuretic peptide (83880) | $159.25 | $245 | 4.1× |
| Neurofilament light chain (83884) | $158.60 | $244 | 1.4× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $668.85 | $1,029 | 2.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $362.70 | $558 | 5.0× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $956.80 | $1,472 | 7.4× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $49.40 | $76 | 1.9× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $1,374.75 | $2,115 | 2.8× |
| Niacin (84591) | $195 | $300 | 11.4× |
| Nk cells total count (86357) | $176.15 | $271 | 4.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $453.05 | $697 | 1.8× |
| Nuclear antigen antibody (86235) range across 75 matching MRF lines |
$81.90–$141.05 | $126–$217 | varies |
| Obstetric panel (80081) | $233.35 | $359 | 3.1× |
| Occult blood feces (82272) | $48.75 | $75 | 11.5× |
| Occult Blood Other Sources (82271) | $40.95 | $63 | 7.7× |
| Oligoclonal bands (83916) | $192.40 | $296 | 7.0× |
| Organic Acids Qualitative Each Specimen (83919) | $25.35 | $39 | 1.5× |
| Osmolality serum (83930) | $51.35 | $79 | 7.8× |
| Osmolality Urine (83935) | $48.75 | $75 | 7.1× |
| Osteocalcin (83937) | $241.80 | $372 | 8.1× |
| Ova and parasites smears (87177) | $143.65 | $221 | 16.1× |
| Oxalate urine (83945) | $98.80 | $152 | 6.8× |
| Parvovirus antibody (86747) | $81.25 | $125 | 5.4× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $140.40 | $216 | 0.2× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $77.35 | $119 | 1.4× |
| Ph urine (81003) | $53.95 | $83 | 24.0× |
| Phenobarbital Level (80184) | $174.20 | $268 | 11.4× |
| Phenotype Infect Agent Drug (87900) | $261.30 | $402 | 2.0× |
| Phenytoin (Dilantin) (80185) | $149.50 | $230 | 11.3× |
| Phenytoin free (80186) | $148.85 | $229 | 10.8× |
| Phosphatase alkaline (84075) | $48.10 | $74 | 9.3× |
| Phospholipid Neutralization Hexagonal (85598) | $119.60 | $184 | 6.7× |
| Phosphorus Serum (84100) | $58.50 | $90 | 12.3× |
| Phosphorus urine (84105) | $89.70 | $138 | 15.5× |
| Pinworm exam (87172) | $62.40 | $96 | 14.6× |
| Platelet Aggregation (85576) | $183.30 | $282 | 7.4× |
| Platelet Antibodies (86022) | $405.60 | $624 | 22.1× |
| Platelet count automated (85049) | $54.60 | $84 | 12.2× |
| Platelet neutralization (85597) | $138.45 | $213 | 7.7× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $345.80 | $532 | 1.7× |
| Pneumcysts jirovecii amp prb (87594) | $50.70 | $78 | 1.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $274.30 | $422 | 18.6× |
| Potassium Urine (84133) | $34.45 | $53 | 7.3× |
| Prealbumin (84134) | $111.80 | $172 | 7.7× |
| Pregnenolone (84140) | $146.25 | $225 | 7.1× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $236.60 | $364 | 1.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $96.20 | $148 | 1.5× |
| Primidone (80188) | $131.95 | $203 | 8.0× |
| Procalcitonin (Pct) (84145) | $58.50 | $90 | 2.1× |
| Progesterone (84144) | $86.45 | $133 | 4.1× |
| Prolactin (84146) | $192.40 | $296 | 9.9× |
| Protein body fluid (84157) | $66.30 | $102 | 16.6× |
| Protein C Activity (85303) | $245.70 | $378 | 17.8× |
| Protein c antigen (85302) | $453.05 | $697 | 37.7× |
| Protein Electrophoresis Urine (84166) | $87.75 | $135 | 4.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $91 | $140 | 8.5× |
| Protein S Free (85306) | $196.30 | $302 | 12.8× |
| Protein s total (85305) | $72.15 | $111 | 6.2× |
| Protein total serum (84155) range across 2 matching MRF lines |
$1,712.75–$1,768.65 | — | varies |
| Protein Total Urine (84156) | $79.30 | $122 | 21.6× |
| Protein Western Blot Test (84182) | $401.70 | $618 | 13.8× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $17.55 | $27 | 4.5× |
| Protoporphyrin rbc quantitative (84202) | $123.50 | $190 | 8.6× |
| PSA free (84154) | $53.30 | $82 | 2.9× |
| Pth Intact (83970) | $302.25 | $465 | 7.3× |
| Q Fever Antibody (86638) range across 8 matching MRF lines |
$80.60–$87.75 | $124–$135 | varies |
| Quantiferon tb gold plus (86480) | $96.20 | $148 | 1.6× |
| Quantitative assay drug (80299) | $219.05 | $337 | 11.8× |
| Quantitative Screen Metals (83018) | $155.35 | $239 | 7.1× |
| Rbc antibody elution (86860) | $156 | $240 | 0.9× |
| Rbc antibody identification (86870) | $196.30 | $302 | 0.5× |
| Rbc antibody screen (86850) | $134.55 | $207 | 13.8× |
| Rbc pretreatment serum (86978) | $89.70 | $138 | 1.4× |
| Renin activity plasma (84244) | $280.15 | $431 | 12.7× |
| Resp virus 12-25 targets (87633) | $626.60 | $964 | 1.5× |
| Reticulocyte Count (85046) | $68.25 | $105 | 12.3× |
| Reticulocyte separation (86972) | $365.95 | $563 | 2.0× |
| Rh (86901) | $69.55 | $107 | 23.3× |
| Rheumatoid factor quant (86431) | $59.15 | $91 | 10.4× |
| Rickettsia antibody (86757) | $76.70 | $118 | 4.0× |
| Ristocetin cofactor (85245) | $253.50 | $390 | 11.1× |
| Rotavirus ag eia (87425) | $161.20 | $248 | 13.5× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$44.85–$68.90 | $69–$106 | varies |
| Rsv Assay W/Optic (87807) | $176.15 | $271 | 13.4× |
| Rubella Antibody (86762) range across 6 matching MRF lines |
$105.95–$131.95 | $163–$203 | varies |
| Rubeola antibody (86765) | $130 | $200 | 10.1× |
| Rufinamide (80210) | $45.50 | $70 | 1.7× |
| Russell Viper Venom Time Diluted (85613) | $68.90 | $106 | 7.2× |
| Salicylate Level (80179) | $43.55 | $67 | 2.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $138.45 | $213 | 2.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $124.80 | $192 | 3.0× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $44.20 | $68 | 1.1× |
| Sarscov2 & inf a&b amp prb (87636) | $281.45 | $433 | 2.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $281.45 | $433 | 2.0× |
| Sedimentation Rate, Automated (85652) | $76.70 | $118 | 28.4× |
| Selenium (84255) | $94.25 | $145 | 3.7× |
| Semen Anal Sperm Detection (89321) | $31.20 | $48 | 2.6× |
| Semen analysis complete (89320) range across 2 matching MRF lines |
$24.70–$111.80 | $38–$172 | varies |
| Semen analysis motility and count (89310) | $9.10 | $14 | 1.1× |
| Sensitivity mic (87186) range across 9 matching MRF lines |
$72.15–$76.05 | $111–$117 | varies |
| Serpina 1 gene (81332) | $87.75 | $135 | 2.0× |
| Sex Hormone Binding Globulin (84270) | $172.25 | $265 | 7.9× |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$36.40–$38.35 | $56–$59 | varies |
| Sirolimus (80195) | $158.60 | $244 | 11.6× |
| Smear acid fast (87206) | $52 | $80 | 9.6× |
| Smear complex stain (87209) | $49.40 | $76 | 2.7× |
| Smear gram stain (87205) | $45.50 | $70 | 10.7× |
| Smear Special Stain (87207) | $117.65 | $181 | 19.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $53.95 | — | 9.3× |
| Sodium Serum (84295) | $23.40 | $36 | 4.9× |
| Sodium Urine (84300) range across 4 matching MRF lines |
$39–$46.15 | $60–$71 | varies |
| Soluble Transferrin Receptor (84238) | $336.05 | $517 | 9.2× |
| Somatomedin (84305) | $163.80 | $252 | 7.7× |
| Special Stains Group 1 (88312) | $204.10 | $314 | 3.7× |
| Special Stains Group 2 (88313) | $132.60 | $204 | 0.9× |
| Specific gravity body fluid (84315) | $24.70 | $38 | 7.5× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$892.45–$1,072.50 | — | varies |
| Spectrophotometry (84311) | $117.65 | $181 | 14.5× |
| Splitting Blood/Blood Products Each Unit (86985) | $218.40 | $336 | 1.2× |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$38.35–$45.50 | $59–$70 | varies |
| Strep a assay w/optic (87880) | $79.30 | $122 | 4.8× |
| Strep a DNA amp probe (87651) | $91.65 | $141 | 2.6× |
| Strep b DNA amp probe (87653) | $172.25 | $265 | 4.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $77.35 | $119 | 0.8× |
| Sulfate urine (84392) | $18.85 | $29 | 3.4× |
| Surg path level iii (88304) | $212.55 | $327 | 3.9× |
| Surgical pathology level IV (88305) | $299 | $460 | 5.4× |
| Surgical pathology level vi (88309) | $535.60 | $824 | 0.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $12.35 | $19 | 2.6× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $38.35 | $59 | 5.1× |
| Syphilis Test Non-Trep Quant (86593) | $71.50 | $110 | 16.3× |
| T cells absolute cd4 count (86361) | $94.90 | $146 | 3.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $176.15 | $271 | 3.7× |
| T cells total count (86359) | $148.85 | $229 | 3.9× |
| T3 Free (84481) | $183.30 | $282 | 10.8× |
| T3 reverse (84482) | $178.10 | $274 | 11.3× |
| T3 Total (84480) | $226.85 | $349 | 16.0× |
| T3 Uptake (84479) | $76.05 | $117 | 11.8× |
| T4 Free (84439) | $1,021.80 | — | 113.3× |
| T4 total (84436) | $86.45 | $133 | 12.6× |
| Tacrolimus (80197) | $237.25 | $365 | 17.3× |
| Tau phosphorylated each (84393) | $176.15 | $271 | 1.4× |
| Tb ag response t-cell susp (86481) | $143.65 | $221 | 1.4× |
| Test for urine cystines (82615) | $13 | $20 | 1.4× |
| Testosterone Bioavailable (84410) | $93.60 | $144 | 1.8× |
| Testosterone total (84403) | $226.85 | $349 | 8.8× |
| Testosterone, Free (84402) | $345.15 | $531 | 13.6× |
| Theophylline (80198) | $176.15 | $271 | 12.5× |
| Thiopurine methyltransferase (84433) | $33.15 | $51 | 1.5× |
| Thrombin Time (85670) | $98.15 | $151 | 17.0× |
| Thromboplastin Inhibition Tissue (85705) | $68.90 | $106 | 7.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $219.05 | $337 | 33.9× |
| Thyroglobulin (84432) | $141.05 | $217 | 8.8× |
| Thyroglobulin Antibody (86800) | $142.35 | $219 | 8.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $256.75 | $395 | 5.0× |
| Tiss cul neo disorders solid tumor (88239) | $211.90 | $326 | 1.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $20.80 | $32 | 1.8× |
| Tissue Culture (88233) | $445.90 | $686 | 3.2× |
| Tissue culture bone marrow (88237) | $438.10 | $674 | 3.0× |
| Tissue Culture Lymphocyte (88230) | $853.45 | $1,313 | 7.3× |
| Tobramycin peak (80200) | $212.55 | $327 | 13.2× |
| Topiramate (80201) | $218.40 | $336 | 18.3× |
| Toxoplasma ab igm (86778) | $152.10 | $234 | 10.6× |
| Toxoplasma antibody (86777) | $96.85 | $149 | 6.7× |
| Tpmt gene com variants (81335) | $490.75 | $755 | 2.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $45.50 | $70 | 8.8× |
| Transferrin (84466) | $86.45 | $133 | 6.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $403.65 | $621 | 1.9× |
| Trg gene rearrangement anal (81342) | $403.65 | $621 | 2.0× |
| Trichomonas vagin dir probe (87660) | $109.20 | $168 | 5.4× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$1,537.25–$2,995.20 | — | varies |
| Triglycerides (84478) range across 4 matching MRF lines |
$29.90–$51.35 | $46–$79 | varies |
| Troponin Quant (84484) | $177.45 | $273 | 14.2× |
| Tumor Immunohistochem/Manual (88360) | $329.55 | $507 | 1.8× |
| Urea nitrogen urine (84540) | $38.35 | $59 | 6.9× |
| Uric acid other source (84560) range across 4 matching MRF lines |
$68.25–$93.60 | $105–$144 | varies |
| Urinalysis Microscopic Only (81015) | $36.40 | $56 | 11.9× |
| Urinalysis Volume Measure (81050) | $25.35 | $39 | 7.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $321.10 | — | 101.3× |
| Valproic acid (80164) | $202.15 | $311 | 14.9× |
| Vancomycin (80202) range across 3 matching MRF lines |
$131.95–$158.60 | $203–$244 | varies |
| Varicella-zoster antibody (86787) | $131.95 | $203 | 10.2× |
| Very Long Chain Fatty Acids (82726) | $189.15 | $291 | 9.6× |
| Viral Culture (87252) | $122.85 | $189 | 4.7× |
| Virus antibody nos (86790) | $117.65 | $181 | 9.1× |
| Virus inoculate tissue addl (87253) | $72.80 | $112 | 3.6× |
| Virus inoculation, shell via (87254) | $93.60 | $144 | 4.8× |
| Viscosity serum (85810) | $166.40 | $256 | 14.3× |
| Vit D 1 25-Dihydroxy (82652) | $249.60 | $384 | 6.5× |
| Vitamin A (84590) | $160.55 | $247 | 13.8× |
| Vitamin b-12 (82607) | $166.40 | $256 | 11.0× |
| Vitamin B2 (Riboflavin) (84252) | $406.90 | $626 | 20.1× |
| Vitamin B6 (84207) | $195 | $300 | 6.9× |
| Vitamin c (82180) | $98.80 | $152 | 10.0× |
| Vitamin D 25-Hydroxy (82306) | $124.80 | $192 | 4.2× |
| Vitamin E (84446) | $261.30 | $402 | 18.4× |
| Vitamin K (84597) | $19.50 | $30 | 1.4× |
| Volatiles (84600) | $24.70 | $38 | 1.4× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $32.50 | $50 | 2.7× |
| Von willebrand factor ag (85246) | $222.30 | $342 | 9.7× |
| West nile virus ab igm (86788) | $34.45 | $53 | 2.0× |
| West Nile Virus Antibody (86789) | $34.45 | $53 | 2.4× |
| Zika Virus Dna/Rna Amp Probe (87662) | $131.30 | $202 | 2.6× |
| Zika Virus Igm Antibody (86794) | $43.55 | $67 | 2.6× |
| Zinc (84630) | $91 | $140 | 8.0× |
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.