Lab & pathology prices at Salem Memorial District Hospital
Salem, MO · every code in this section with a posted price and a Medicare benchmark.
599 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $66.56 | $88.75 | 2.9× |
| 5 Nucleotidase (83915) | $26.06 | $34.75 | 2.3× |
| Acetylcholine receptor binding antibody (86041) | $204.75 | $273 | 11.1× |
| Acth (82024) | $110.25 | $147 | 2.9× |
| Acute hepatitis panel (80074) | $220.50 | $294 | 4.6× |
| Acylcarnitines Quant (82017) | $224.44 | $299.25 | 13.3× |
| Agglutinins Febrile Each Antigen (86000) range across 3 matching MRF lines |
$29.06–$98.44 | $38.75–$131.25 | varies |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$36.19–$39.38 | $48.25–$52.50 | varies |
| Albumin serum (82040) | $43.31 | $57.75 | 8.7× |
| Aldolase (82085) | $98.44 | $131.25 | 10.1× |
| Aldosterone urine (82088) | $350.44 | $467.25 | 8.6× |
| Alkaline phosphatase isoenzymes (84080) | $47.25 | $63 | 3.2× |
| Allergen specific ige (86003) range across 98 matching MRF lines |
$14.25–$47.25 | $19–$63 | varies |
| Allergen specific igg (86001) range across 7 matching MRF lines |
$16.50–$86.63 | $22–$115.50 | varies |
| Allg Spec Ige Recomb Ea (86008) | $24.45 | $32.60 | 1.4× |
| Alpha-1-antitrypsin phenotype (82104) | $192.94 | $257.25 | 13.3× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$90.56–$102.38 | $120.75–$136.50 | varies |
| Alpha-Fetoprotein Serum (82105) | $90.56 | $120.75 | 5.4× |
| Alt (sgpt) (84460) | $47.25 | $63 | 8.9× |
| Aluminum (82108) | $145.69 | $194.25 | 5.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $74.81 | $99.75 | 3.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$622.13–$637.88 | $829.50–$850.50 | varies |
| Aminolevulinic acid (ala) (82135) | $47.25 | $63 | 2.9× |
| Ammonia (82140) range across 3 matching MRF lines |
$43.31–$114.19 | $57.75–$152.25 | varies |
| Amylase urine (82150) range across 2 matching MRF lines |
$39.38–$141.75 | $52.50–$189 | varies |
| Androstenedione (82157) | $110.25 | $147 | 3.8× |
| Angiotensin converting enzyme csf (82164) | $98.44 | $131.25 | 6.7× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$259.88–$342.56 | $346.50–$456.75 | varies |
| Antibody aspergillus (86606) | $39.38 | $52.50 | 2.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $37.88 | $50.50 | 2.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$78.75–$181.13 | $105–$241.50 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 4 matching MRF lines |
$36.19–$90.56 | $48.25–$120.75 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $133.88 | $178.50 | 10.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$22.13–$27.69 | $29.50–$36.92 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$23.63–$27.69 | $31.50–$36.92 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$145.69–$149.63 | $194.25–$199.50 | varies |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$118.13–$133.88 | $157.50–$178.50 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$43.31–$86.63 | $57.75–$115.50 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$157.50–$228.38 | $210–$304.50 | varies |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$118.13–$307.13 | $157.50–$409.50 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $212.63 | $283.50 | 17.1× |
| Antibody neisseria meningitidis (86741) | $114.19 | $152.25 | 8.7× |
| Antibody Protozoa Nes (86753) | $70.88 | $94.50 | 5.7× |
| Antibody rotavirus (86759) | $27.56 | $36.75 | 1.5× |
| Antibody Titer (86886) | $228.75 | $305 | 44.2× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$20.44–$78.75 | $27.25–$105 | varies |
| Antibody; influenza virus (86710) | $47.25 | $63 | 3.5× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $228.75 | $305 | 40.0× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$78.75–$187.50 | $105–$250 | varies |
| Antistreptolysin O Screen (86063) range across 2 matching MRF lines |
$7.50–$31.50 | $10–$42 | varies |
| Antistreptolysin o titer (86060) | $47.25 | $63 | 6.5× |
| Antithrombin iii activity (85300) | $342.56 | $456.75 | 28.9× |
| Apc gene full sequence (81201) | $1,925.25 | $2,567 | 2.5× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$13.31–$70.88 | $17.75–$94.50 | varies |
| Arsenic (82175) range across 2 matching MRF lines |
$78.75–$114.19 | $105–$152.25 | varies |
| Aspergillus ag eia (87305) | $107.44 | $143.25 | 9.0× |
| Assay activated protein c (85307) | $200.81 | $267.75 | 13.1× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$36.19–$39.38 | $48.25–$52.50 | varies |
| Assay myeloperoxidase (83876) | $66 | $88 | 1.3× |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$70.88–$192.94 | $94.50–$257.25 | varies |
| Assay of 5-hiaa (83497) | $106.31 | $141.75 | 8.2× |
| Assay of blood/uric acid (84550) | $39.38 | $52.50 | 8.7× |
| Assay of calcium in urine (82340) | $28.31 | $37.75 | 4.7× |
| Assay of cpk in blood (82552) | $90.56 | $120.75 | 6.8× |
| Assay of estrone (82679) | $74.81 | $99.75 | 3.0× |
| Assay of g6pd enzyme (82955) | $43.31 | $57.75 | 4.5× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$37.50–$102.38 | $50–$136.50 | varies |
| Assay of lactic acid (83605) | $98.44 | $131.25 | 8.5× |
| Assay of manganese (83785) | $236.25 | $315 | 8.9× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$118.13–$283.50 | $157.50–$378 | varies |
| Assay of phosphatase acid total (84060) | $94.50 | $126 | 12.4× |
| Assay of proinsulin (84206) | $232.31 | $309.75 | 8.7× |
| Assay of pyruvate (84210) | $98.44 | $131.25 | 6.8× |
| Assay of serotonin (84260) | $149.06 | $198.75 | 4.8× |
| Assay of serum potassium (84132) | $40.13 | $53.50 | 8.4× |
| Assay of sweat sodium (84302) range across 3 matching MRF lines |
$21.19–$43.31 | $28.25–$57.75 | varies |
| Assay of transcortin (84449) | $102.38 | $136.50 | 5.7× |
| Assay of urea nitrogen (84520) range across 8 matching MRF lines |
$39.38–$40.13 | $52.50–$53.50 | varies |
| Assay of urine vma (84585) | $110.25 | $147 | 7.1× |
| Assay of vasoactive intestinal peptide (84586) | $315 | $420 | 8.9× |
| Assay of vitamin b-1 (84425) | $240.19 | $320.25 | 11.3× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$30–$86.63 | $40–$115.50 | varies |
| Assay spec xcp ur&breath ia (82077) | $102.38 | $136.50 | 5.9× |
| Automated Leukocyte Count (85048) | $23.63 | $31.50 | 9.3× |
| B cells total count (86355) | $122.06 | $162.75 | 3.2× |
| Bartonella antibody (86611) | $70.88 | $94.50 | 7.0× |
| Bcr/abl1 gene major bp (81206) | $283.50 | $378 | 1.7× |
| Bcr/abl1 gene minor bp (81207) | $283.50 | $378 | 2.0× |
| Beta 2 glycoprotein i antibody each (86146) | $232.31 | $309.75 | 9.1× |
| Beta Lactamase (87185) | $7.88 | $10.50 | 1.7× |
| Beta-2 Microglobulin (82232) | $86.63 | $115.50 | 5.4× |
| Bilirubin direct (82248) | $47.25 | $63 | 9.4× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$47.25–$70.88 | $63–$94.50 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $21.19 | $28.25 | 6.2× |
| Blastomyces antibody (86612) | $39.38 | $52.50 | 3.1× |
| Bleeding time test (85002) | $43.31 | $57.75 | 9.0× |
| Blood Count Automated Differential Wbc Count (85004) | $74.81 | $99.75 | 11.6× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $70.88 | $94.50 | 14.0× |
| Blood Count Red Blood Cell Automated (85041) | $28.31 | $37.75 | 9.4× |
| Blood count reticulocyte automated (85045) | $39.38 | $52.50 | 9.9× |
| Blood gas (82803) | $129.94 | $173.25 | 5.0× |
| Blood gases w/02 saturation (82805) | $212.63 | $283.50 | 2.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 4 matching MRF lines |
$28.31–$29.06 | $37.75–$38.75 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $225 | $300 | 35.4× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $145.69 | $194.25 | 8.9× |
| Blood typing serologic abo (86900) | $150 | $200 | 50.2× |
| Bordetella antibody (86615) range across 4 matching MRF lines |
$27.56–$78.75 | $36.75–$105 | varies |
| Brca1&2 gen full seq dup/del (81162) | $3,375 | $4,500 | 1.8× |
| Breath Alcohol Test (82075) | $24.38 | $32.50 | 0.8× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$39.38–$145.69 | $52.50–$194.25 | varies |
| C-Peptide (84681) | $78.75 | $105 | 3.8× |
| C-reactive protein (86140) range across 4 matching MRF lines |
$15–$51.19 | $20–$68.25 | varies |
| Ca 19-9 (86301) | $86.63 | $115.50 | 4.2× |
| Cadmium (82300) range across 3 matching MRF lines |
$74.81–$114.19 | $99.75–$152.25 | varies |
| Calcitonin (82308) | $47.25 | $63 | 1.8× |
| Calcium ionized (82330) | $43.31 | $57.75 | 3.2× |
| Calcium total (82310) range across 4 matching MRF lines |
$16.50–$43.31 | $22–$57.75 | varies |
| Calculus Spectroscopy (82365) | $113.56 | $151.41 | 8.8× |
| Calprotectin Fecal (83993) | $204.75 | $273 | 10.4× |
| Cancer Antigen 125 (86304) | $39.38 | $52.50 | 1.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$86.63–$173.25 | $115.50–$231 | varies |
| Candida antibody (86628) range across 2 matching MRF lines |
$98.44–$181.13 | $131.25–$241.50 | varies |
| Carbamazepine free (80157) | $43.31 | $57.75 | 3.3× |
| Carbamazepine total (80156) | $110.25 | $147 | 7.6× |
| Carbohydrate Deficient Transferrin (82373) | $212.63 | $283.50 | 11.8× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$70.88–$102.38 | $94.50–$136.50 | varies |
| Carcinoembryonic antigen (82378) | $114.19 | $152.25 | 6.0× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$43.31–$77.96 | $57.75–$103.95 | varies |
| Carnitine Quantitative Each Specimen (82379) | $240.19 | $320.25 | 14.2× |
| Carotene (82380) | $19.74 | $26.32 | 2.1× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$102.38–$137.81 | $136.50–$183.75 | varies |
| Ccp antibody (86200) | $165.38 | $220.50 | 12.8× |
| Cell count csf (89051) range across 3 matching MRF lines |
$38.63–$90 | $51.50–$120 | varies |
| Ceruloplasmin (82390) | $47.25 | $63 | 4.4× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$511.88–$759.94 | $682.50–$1,013.25 | varies |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$122.06–$244.13 | $162.75–$325.50 | varies |
| Chlamydia antibody (86631) range across 4 matching MRF lines |
$37.88–$90.56 | $50.50–$120.75 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$82.69–$90.56 | $110.25–$120.75 | varies |
| Chloride other source (82438) range across 2 matching MRF lines |
$39.38–$43.31 | $52.50–$57.75 | varies |
| Chloride Serum (82435) | $39.38 | $52.50 | 8.6× |
| Chloride urine (82436) | $33 | $44 | 5.7× |
| Cholesterol total (82465) | $39.38 | $52.50 | 9.1× |
| Cholinesterase rbc (82482) | $28.31 | $37.75 | 2.9× |
| Cholinesterase Serum (82480) | $43.31 | $57.75 | 5.5× |
| Chorionic gonadotropin test (84702) | $112.50 | $150 | 7.5× |
| Chromium serum (82495) | $118.13 | $157.50 | 5.8× |
| Chromogranin a (86316) range across 5 matching MRF lines |
$20.44–$145.69 | $27.25–$194.25 | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$200.81–$567 | $267.75–$756 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $98.44 | $131.25 | 2.8× |
| Citric acid urine (82507) | $181.13 | $241.50 | 6.5× |
| Ckmb (82553) range across 2 matching MRF lines |
$98.44–$239.28 | $131.25–$319.04 | varies |
| Clostridium Difficile (87324) | $184.28 | $245.70 | 15.4× |
| Clot factor xiii fibrin stab (85290) | $62.25 | $83 | 3.8× |
| Clot retraction (85170) | $74.81 | $99.75 | 4.6× |
| Clotting Funct Activity (85397) | $271.69 | $362.25 | 8.8× |
| Coccidioides antibody (86635) | $37.88 | $50.50 | 3.3× |
| Cold agglutinin titer (86157) | $43.31 | $57.75 | 5.4× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$141.75–$208.69 | $189–$278.25 | varies |
| Column Chromotography Quant (82542) range across 14 matching MRF lines |
$37.88–$758.03 | $50.50–$1,010.70 | varies |
| Compatibility test antiglob (86922) | $300 | $400 | 1.8× |
| Complement Antigen Each Component (86160) range across 8 matching MRF lines |
$29.06–$165.38 | $38.75–$220.50 | varies |
| Complement Total (Ch50) (86162) range across 3 matching MRF lines |
$78.75–$145.69 | $105–$194.25 | varies |
| Complement/Function Activity (86161) | $90.56 | $120.75 | 7.5× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $228.75 | $305 | 1.3× |
| Coombs direct (86880) | $85.50 | $114 | 15.9× |
| Copper urine (82525) range across 2 matching MRF lines |
$90.56–$94.50 | $120.75–$126 | varies |
| Cortisol free (82530) range across 4 matching MRF lines |
$70.88–$220.50 | $94.50–$294 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$70.88–$141.75 | $94.50–$189 | varies |
| Creatine kinase total (82550) | $70.88 | $94.50 | 10.9× |
| Creatinine blood (82565) | $40.13 | $53.50 | 7.8× |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$13.31–$86.63 | $17.75–$115.50 | varies |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$24.38–$575.78 | $32.50–$767.70 | varies |
| Crp High Sensitivity (86141) range across 3 matching MRF lines |
$45–$83.44 | $60–$111.25 | varies |
| Cryofibrinogen (82585) range across 2 matching MRF lines |
$21–$26.06 | $28–$34.75 | varies |
| Cryoglobulin (82595) | $78.75 | $105 | 12.2× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$86.63–$200.81 | $115.50–$267.75 | varies |
| Cryptosporidium (87272) | $59.06 | $78.75 | 4.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$25.13–$75 | $33.50–$100 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $94.50 | $126 | 11.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $137.81 | $183.75 | 17.9× |
| Culture afb (87116) | $118.13 | $157.50 | 10.9× |
| Culture Anaerobic (87075) | $236.25 | $315 | 24.9× |
| Culture blood (87040) range across 3 matching MRF lines |
$43.31–$204.75 | $57.75–$273 | varies |
| Culture chlamydia (87110) | $45 | $60 | 2.3× |
| Culture csf (87070) range across 6 matching MRF lines |
$17.25–$183.15 | $23–$244.20 | varies |
| Culture fungus (87102) | $137.81 | $183.75 | 16.4× |
| Culture fungus blood (87103) | $94.50 | $126 | 4.6× |
| Culture screen only (87081) range across 5 matching MRF lines |
$27.56–$192.94 | $36.75–$257.25 | varies |
| Culture stool (87045) | $106.31 | $141.75 | 11.3× |
| Cyanide (82600) | $114.19 | $152.25 | 5.9× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $38.63 | $51.50 | 2.7× |
| Cyclic amp (82030) | $102.38 | $136.50 | 4.0× |
| Cyclosporine (80158) | $173.25 | $231 | 9.6× |
| Cyp2c19 gene analysis common variants (81225) | $354.38 | $472.50 | 1.2× |
| Cyp2d6 gene com variants (81226) | $413.44 | $551.25 | 0.9× |
| Cystatin C (82610) | $114.19 | $152.25 | 6.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,307.38 | $3,076.50 | 2.0× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$33–$90.56 | $44–$120.75 | varies |
| Cytopath Cell Enhance Tech (88112) | $76.50 | $102 | 1.5× |
| Cytp Concentration Smears & Interpretation (88108) | $51.75 | $69 | 1.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $76.50 | $102 | 1.5× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $228.75 | $305 | 1.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 4 matching MRF lines |
$51.75–$137.81 | $69–$183.75 | varies |
| Cytp Slides C/V Mnl Scr Under Phys (88150) range across 2 matching MRF lines |
$40.13–$70.88 | $53.50–$94.50 | varies |
| Deoxyribonuclease antibody (86215) | $29.06 | $38.75 | 2.2× |
| Detect Agent Nos Dna Amp (87798) range across 11 matching MRF lines |
$13.31–$618.19 | $17.75–$824.25 | varies |
| Detect Agent Nos Dna Quant (87799) | $330.75 | $441 | 7.7× |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$19.27–$137.81 | $25.69–$183.75 | varies |
| Dhea (82626) | $90.56 | $120.75 | 3.6× |
| Dhea-S (82627) range across 5 matching MRF lines |
$24.38–$228.38 | $32.50–$304.50 | varies |
| Digoxin (80162) range across 3 matching MRF lines |
$17.81–$102.38 | $23.75–$136.50 | varies |
| Dipropylacetic Acid Free (80165) | $11.81 | $15.75 | 0.9× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$137.81–$173.25 | $183.75–$231 | varies |
| DNA/RNA direct probe (87149) | $47.25 | $63 | 2.4× |
| Drug assay acetaminophen (80143) | $110.25 | $147 | 5.9× |
| Drug Assay Everolimus (80169) | $145.69 | $194.25 | 10.6× |
| Drug Assay Infliximab (80230) | $216.56 | $288.75 | 5.6× |
| Drug assay voriconazole (80285) | $177.19 | $236.25 | 6.5× |
| Drug Screen Quant Clozapine (80159) | $94.50 | $126 | 4.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $189 | $252 | 14.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $106.31 | $141.75 | 8.0× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $114.19 | $152.25 | 6.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 8 matching MRF lines |
$39.38–$311.06 | $52.50–$414.75 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$33–$33.75 | $44–$45 | varies |
| Drug Test Prsmv Instrmnt (80306) | $133.88 | $178.50 | 7.8× |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$66.94–$70.88 | $89.25–$94.50 | varies |
| El-1 Fecal Quantitative (82653) | $371.25 | $495 | 16.2× |
| Electrolyte panel (80051) | $86.63 | $115.50 | 12.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $567 | $756 | 9.2× |
| Enterovirus Antibody (86658) | $27.69 | $36.92 | 2.1× |
| Erythropoietin (82668) | $98.44 | $131.25 | 5.2× |
| Estradiol serum (82670) range across 4 matching MRF lines |
$70.88–$216.56 | $94.50–$288.75 | varies |
| Estriol (82677) | $133.88 | $178.50 | 5.5× |
| Estrogen total (82672) | $165.38 | $220.50 | 7.6× |
| Estrogens fractionated (82671) | $346.50 | $462 | 10.7× |
| Ethosuximide (80168) | $22.88 | $30.50 | 1.4× |
| Exam Synovial Fluid Crystals (89060) | $39.38 | $52.50 | 5.4× |
| F2 Gene (81240) | $192.94 | $257.25 | 2.9× |
| Factor ii activity (85210) | $208.69 | $278.25 | 16.1× |
| Factor Inhibitor Test (85335) | $271.69 | $362.25 | 21.1× |
| Factor ix activity (85250) range across 2 matching MRF lines |
$98.44–$326.81 | $131.25–$435.75 | varies |
| Factor v activity (85220) | $208.69 | $278.25 | 11.8× |
| Factor v leiden mutation (81241) | $504 | $672 | 6.9× |
| Factor vii assay (85230) | $189 | $252 | 10.6× |
| Factor viii assay (85240) | $126 | $168 | 7.0× |
| Factor X (85260) | $236.25 | $315 | 13.2× |
| Factor xi activity (85270) | $98.44 | $131.25 | 5.5× |
| Fat/Lipids Feces Quantitative (82710) | $204.75 | $273 | 12.2× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 2 matching MRF lines |
$107.06–$220.50 | $142.75–$294 | varies |
| Fecal Fat Qualitative (82705) range across 3 matching MRF lines |
$39.38–$114.19 | $52.50–$152.25 | varies |
| Ferritin (82728) | $90.56 | $120.75 | 6.6× |
| Fetal Fibronectin (82731) | $527.63 | $703.50 | 8.2× |
| Fibrin degradation products (85362) | $90.56 | $120.75 | 13.1× |
| Fibrin Degradation Quant (85379) | $98.44 | $131.25 | 9.7× |
| Fibrinogen activity (85384) | $82.69 | $110.25 | 8.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $43.31 | $57.75 | 2.8× |
| Flow cytometry first marker (88184) | $814.03 | $1,085.37 | 2.3× |
| Fluorescent antibody screen (86255) range across 14 matching MRF lines |
$26.06–$271.69 | $34.75–$362.25 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 5 matching MRF lines |
$74.81–$98.44 | $99.75–$131.25 | varies |
| Fmr1 gene detection (81243) | $311.06 | $414.75 | 5.5× |
| Folic acid rbc (82747) | $133.88 | $178.50 | 7.6× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$30–$106.31 | $40–$141.75 | varies |
| Follicle Stimulating Hormone (83001) range across 3 matching MRF lines |
$192.94–$208.69 | $257.25–$278.25 | varies |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$74.81–$112.61 | $99.75–$150.15 | varies |
| Frozen Section (88331) | $228.75 | $305 | 1.3× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$86.63–$106.31 | $115.50–$141.75 | varies |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $259.88 | $346.50 | 12.3× |
| Galectin-3 (82777) | $78.75 | $105 | 1.8× |
| Gammaglobulin ige (82785) | $24.45 | $32.60 | 1.5× |
| Gases blood ph only (82800) | $43.31 | $57.75 | 3.9× |
| Gastric Analy W/Ph Ea Spec (82930) | $90.56 | $120.75 | 13.5× |
| Gastrin (82941) | $33 | $44 | 1.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $775.69 | $1,034.25 | 1.9× |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$98.44–$200.81 | $131.25–$267.75 | varies |
| Genome Sequence Analysis (81425) | $5,167.50 | $6,890 | 1.0× |
| Gentamicin (80170) | $133.88 | $178.50 | 8.2× |
| Ggt (82977) | $43.31 | $57.75 | 6.0× |
| Giardia antigen (87329) | $110.25 | $147 | 9.2× |
| Giardia lamblia antibody (86674) | $26.81 | $35.75 | 1.8× |
| Glucose Blood Test (82962) | $25.13 | $33.50 | 7.7× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$28.31–$66 | $37.75–$88 | varies |
| Glucose Serum (82947) | $39.38 | $52.50 | 10.0× |
| Glucose tolerance test (gtt) (82951) range across 8 matching MRF lines |
$21.19–$112.50 | $28.25–$150 | varies |
| Glycated Protein (82985) | $43.31 | $57.75 | 2.6× |
| Gonadotropin Chorionic Qualitative (84703) | $78.75 | $105 | 10.5× |
| Growth hormone (83003) range across 2 matching MRF lines |
$70.88–$110.25 | $94.50–$147 | varies |
| Gtt-added samples (82952) | $29.06 | $38.75 | 7.4× |
| H Pylori (C-13) Breath (83013) | $173.25 | $231 | 2.6× |
| Haloperidol (80173) | $43.31 | $57.75 | 2.7× |
| Haptoglobin (83010) | $90.56 | $120.75 | 7.2× |
| Hdl Cholesterol (83718) | $78.75 | $105 | 9.6× |
| Helicobacter Pylori Stool (87338) | $228.38 | $304.50 | 15.9× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$70.88–$137.81 | $94.50–$183.75 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$28.31–$56.63 | $37.75–$75.50 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$23.63–$28.31 | $31.50–$37.75 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$6.38–$113.56 | $8.50–$151.41 | varies |
| Hemoglobin Chromotography (83021) | $82.69 | $110.25 | 4.6× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$66.94–$70.88 | $89.25–$94.50 | varies |
| Hemoglobin plasma (83051) | $70.88 | $94.50 | 9.7× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $40.13 | $53.50 | 4.3× |
| Hemoglobin urine (83069) | $40.13 | $53.50 | 10.2× |
| Hemoglobin-Oxygen Affinity (82820) | $66.94 | $89.25 | 5.0× |
| Hemosiderin urine (83070) | $89.55 | $119.40 | 18.9× |
| Hep a ab igm (86709) | $86.63 | $115.50 | 7.7× |
| Heparin assay (85520) | $192.94 | $257.25 | 14.7× |
| Hepatitis a antibody total (86708) | $28.31 | $37.75 | 2.3× |
| Hepatitis b core ab igm (86705) | $78.75 | $105 | 6.7× |
| Hepatitis b core ab total (86704) range across 4 matching MRF lines |
$25.13–$110.25 | $33.50–$147 | varies |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$39.38–$41.25 | $52.50–$55 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$15.75–$39.38 | $21–$52.50 | varies |
| Hepatitis Be Antibody (86707) | $74.81 | $99.75 | 6.5× |
| Hepatitis Be Antigen (87350) | $74.81 | $99.75 | 6.5× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$21.75–$70.88 | $29–$94.50 | varies |
| Hepatitis c antibody confirmatory test (86804) | $287.44 | $383.25 | 18.6× |
| Hepatitis C Genotype (87902) range across 5 matching MRF lines |
$207.38–$720.56 | $276.50–$960.75 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$82.69–$173.25 | $110.25–$231 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$381.94–$752.06 | $509.25–$1,002.75 | varies |
| Hepatitis delta ag (87380) | $133.88 | $178.50 | 7.3× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) range across 3 matching MRF lines |
$1,312.50–$4,725 | $1,750–$6,300 | varies |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) range across 2 matching MRF lines |
$921.38–$1,312.50 | $1,228.50–$1,750 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$31.50–$86.63 | $42–$115.50 | varies |
| Heterophile Antibody Screen (86308) | $47.25 | $63 | 9.1× |
| Hfe Gene (81256) | $291.38 | $388.50 | 4.5× |
| Histamine urine (83088) range across 2 matching MRF lines |
$78.75–$86.63 | $105–$115.50 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$34.69–$94.50 | $46.25–$126 | varies |
| Histoplasma antigen urine (87385) | $126 | $168 | 9.5× |
| Hiv Genotype (87901) | $661.50 | $882 | 2.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$36–$94.50 | $48–$126 | varies |
| Hiv-1 Antibody (86701) | $228.38 | $304.50 | 25.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $322.88 | $430.50 | 3.8× |
| Hla ii type 1 ag equiv lr (81377) | $98.44 | $131.25 | 1.0× |
| Hla ii typing 1 allele hr (81383) | $98.44 | $131.25 | 0.9× |
| Hla-b27 (86812) | $70.88 | $94.50 | 2.7× |
| Homocysteine (83090) | $200.81 | $267.75 | 11.2× |
| Homovanillic acid urine (83150) | $36.75 | $49 | 1.6× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$157.50–$429.19 | $210–$572.25 | varies |
| Hydroxycorticosteroids 17 (83491) | $24.38 | $32.50 | 1.4× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$36.19–$82.69 | $48.25–$110.25 | varies |
| Hydroxyproline total (83505) | $417.38 | $556.50 | 17.2× |
| Iadna Cytomegalovirus Quantification (87497) | $614.25 | $819 | 14.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $82.69 | $110.25 | 1.2× |
| Iadna Hepatitis B Virus Quantification (87517) range across 3 matching MRF lines |
$472.50–$531.56 | $630–$708.75 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $192.94 | $257.25 | 4.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $98.44 | $131.25 | 2.8× |
| Igg subclasses (82787) range across 8 matching MRF lines |
$39.38–$102.38 | $52.50–$136.50 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$74.81–$269.81 | $99.75–$359.75 | varies |
| Immunoassay infectious agent (86318) | $114.19 | $152.25 | 6.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 24 matching MRF lines |
$18.19–$189 | $24.25–$252 | varies |
| Immunoassay nonantibody (83516) range across 11 matching MRF lines |
$38.63–$618.19 | $51.50–$824.25 | varies |
| Immunodiffusion not elsewhere specified (86329) | $204.75 | $273 | 14.6× |
| Immunodiffusion Ouchterlony (86331) | $200.81 | $267.75 | 16.8× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $74.81 | $99.75 | 3.2× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$74.81–$157.50 | $99.75–$210 | varies |
| Immunohistochemistry (88342) | $112.50 | $150 | 0.7× |
| In situ hybridization 1st probe stain (88365) | $228.75 | $305 | 1.3× |
| Influenza a/b ag eia (87400) | $165.38 | $220.50 | 11.7× |
| Influenza assay w/optic (87804) | $90.56 | $120.75 | 5.5× |
| Inhibin A (86336) range across 2 matching MRF lines |
$110.25–$169.31 | $147–$225.75 | varies |
| Inhibin b (83520) range across 33 matching MRF lines |
$26.81–$330.75 | $35.75–$441 | varies |
| Insitu hybridization auto (88367) | $300 | $400 | 0.8× |
| Insitu hybridization manual (88368) | $446.25 | $595 | 1.2× |
| Insulin antibodies (86337) | $232.31 | $309.75 | 10.9× |
| Insulin free (83527) | $129.94 | $173.25 | 10.0× |
| Insulin total (83525) range across 2 matching MRF lines |
$94.50–$98.44 | $126–$131.25 | varies |
| Intrinsic factor antibody (86340) | $106.31 | $141.75 | 7.0× |
| Iron (83540) range across 3 matching MRF lines |
$6.38–$70.88 | $8.50–$94.50 | varies |
| Iron Binding Capacity (83550) range across 3 matching MRF lines |
$6.38–$106.31 | $8.50–$141.75 | varies |
| Irradiation Blood Product Each Unit (86945) | $51.75 | $69 | 1.4× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$78.75–$232.31 | $105–$309.75 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $393.75 | $525 | 4.3× |
| Ketosteroids 17 total (83586) | $102.38 | $136.50 | 8.0× |
| Koh Prep (87220) range across 2 matching MRF lines |
$18.94–$78.75 | $25.25–$105 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$65.81–$70.88 | $87.75–$94.50 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$27.56–$70.13 | $36.75–$93.50 | varies |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $106.31 | $141.75 | 5.3× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$94.50–$114.19 | $126–$152.25 | varies |
| LDL direct (83721) range across 2 matching MRF lines |
$34.69–$60.38 | $46.25–$80.50 | varies |
| Lead (83655) range across 6 matching MRF lines |
$43.31–$145.69 | $57.75–$194.25 | varies |
| Legionella antibody (86713) | $118.13 | $157.50 | 7.7× |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$74.81–$255.94 | $99.75–$341.25 | varies |
| Legionella pneumophila dfa (87278) | $118.13 | $157.50 | 7.6× |
| Leptospira antibody (86720) | $39.38 | $52.50 | 2.4× |
| Leukocyte Assessment Fecal (89055) | $23.63 | $31.50 | 5.5× |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$15–$122.06 | $20–$162.75 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $37.50 | $50 | 1.3× |
| Level ii surg pathology grossµscopic exam (88302) | $75 | $100 | 2.0× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $446.25 | $595 | 1.2× |
| Lipase (83690) range across 2 matching MRF lines |
$7.88–$94.50 | $10.50–$126 | varies |
| Lipoprotein A (83695) | $70.88 | $94.50 | 4.9× |
| Lipoprotein Bld Quan Part (83704) | $82.69 | $110.25 | 2.4× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $43.31 | $57.75 | 1.3× |
| Lipoprotein-Associated Phospholipase A2 (83698) range across 2 matching MRF lines |
$30–$55.13 | $40–$73.50 | varies |
| Lithium (80178) | $86.63 | $115.50 | 13.1× |
| Luteinizing Hormone (Lh) (83002) range across 4 matching MRF lines |
$78.75–$157.50 | $105–$210 | varies |
| Lyme disease antibody (86618) | $70.88 | $94.50 | 4.2× |
| Lysozyme serum (85549) | $66.75 | $89 | 3.6× |
| M/phmtrc alys ishquant/semiq (88374) | $354.38 | $472.50 | 2.1× |
| Macroscopic Exam Parasite (87169) | $18.94 | $25.25 | 4.4× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$21.19–$110.25 | $28.25–$147 | varies |
| Mass Spectrometry Quant (83789) range across 5 matching MRF lines |
$102.38–$200.81 | $136.50–$267.75 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$39.38–$106.31 | $52.50–$141.75 | varies |
| Metabolic panel ionized ca (80047) | $98.44 | $131.25 | 7.2× |
| Methylmalonic acid serum (83921) | $322.88 | $430.50 | 15.2× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$29.06–$29.55 | $38.75–$39.40 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$86.63–$98.44 | $115.50–$131.25 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $181.13 | $241.50 | 8.5× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $141.75 | $189 | 3.3× |
| Molecular Pathology Procedure Level 3 (81402) | $555.19 | $740.25 | 3.7× |
| Mononuclear cell antigen (86356) | $177.19 | $236.25 | 6.6× |
| Mopath procedure level 2 (81401) range across 6 matching MRF lines |
$370.13–$677.25 | $493.50–$903 | varies |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$165.38–$393.75 | $220.50–$525 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$267.75–$519.75 | $357–$693 | varies |
| Mopath procedure level 7 (81406) | $460.69 | $614.25 | 1.6× |
| Mopath procedure level 9 (81408) | $659.99 | $879.99 | 0.3× |
| Morphometric Analysis Tumor (88358) | $228.75 | $305 | 1.3× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $921.38 | $1,228.50 | 1.4× |
| Mthfr Gene Analysis Common Variants (81291) | $562.50 | $750 | 8.6× |
| Mucin Clot Body Fluid (83872) | $25.13 | $33.50 | 4.3× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$43.31–$141.75 | $57.75–$189 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,012.50 | $1,350 | 55.0× |
| Mycoplasma antibody (86738) | $90.56 | $120.75 | 6.8× |
| Myelin basic protein csf (83873) | $70.88 | $94.50 | 4.1× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$102.38–$106.31 | $136.50–$141.75 | varies |
| Natriuretic peptide (83880) | $200.81 | $267.75 | 5.1× |
| Neutralization Test Viral (86382) | $86.63 | $115.50 | 5.1× |
| Niacin (84591) range across 3 matching MRF lines |
$90.56–$110.25 | $120.75–$147 | varies |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$33–$200.81 | $44–$267.75 | varies |
| Occult blood feces (82272) | $29.06 | $38.75 | 6.9× |
| Occult Blood Other Sources (82271) | $29.06 | $38.75 | 5.5× |
| Oligoclonal bands (83916) | $47.25 | $63 | 1.7× |
| Organic Acids Qualitative Each Specimen (83919) | $708.75 | $945 | 43.1× |
| Organic acids urine (83918) | $708.75 | $945 | 30.0× |
| Osmolality serum (83930) | $47.25 | $63 | 7.1× |
| Osmolality Urine (83935) | $47.25 | $63 | 6.9× |
| Osteocalcin (83937) | $110.25 | $147 | 3.7× |
| Ova and parasites smears (87177) | $90.56 | $120.75 | 10.2× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$74.81–$96.94 | $99.75–$129.25 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$82.69–$90.56 | $110.25–$120.75 | varies |
| Parvovirus antibody (86747) range across 3 matching MRF lines |
$29.06–$137.81 | $38.75–$183.75 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,004.25 | $1,339 | 1.2× |
| Ph urine (81003) | $51.19 | $68.25 | 22.8× |
| Phenobarbital Level (80184) | $102.38 | $136.50 | 6.7× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$74.81–$165.38 | $99.75–$220.50 | varies |
| Phenytoin (Dilantin) (80185) | $102.38 | $136.50 | 7.7× |
| Phenytoin free (80186) | $126 | $168 | 9.2× |
| Phosphatase acid prostatic (84066) | $102.38 | $136.50 | 10.6× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$78.75–$82.69 | $105–$110.25 | varies |
| Phosphorus Serum (84100) | $43.31 | $57.75 | 9.1× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$15.75–$33 | $21–$44 | varies |
| Platelet Aggregation (85576) | $196.88 | $262.50 | 7.9× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$86.63–$204.75 | $115.50–$273 | varies |
| Platelet count automated (85049) | $37.88 | $50.50 | 8.5× |
| Pooling blood platelets (86965) | $228.75 | $305 | 1.3× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$18.94–$74.81 | $25.25–$99.75 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 3 matching MRF lines |
$90.56–$126 | $120.75–$168 | varies |
| Porphyrins, urine; qualitative (84119) | $74.81 | $99.75 | 5.6× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$36.19–$98.44 | $48.25–$131.25 | varies |
| Prealbumin (84134) | $90.56 | $120.75 | 6.2× |
| Pregnanediol (84135) | $126 | $168 | 5.9× |
| Pregnanetriol (84138) | $126 | $168 | 6.0× |
| Primidone (80188) | $47.25 | $63 | 2.8× |
| Procalcitonin (Pct) (84145) | $212.63 | $283.50 | 7.8× |
| Progesterone (84144) | $86.63 | $115.50 | 4.2× |
| Prolactin (84146) | $90.56 | $120.75 | 4.7× |
| Prostaglandin (84150) | $385.88 | $514.50 | 9.2× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$37.88–$90.56 | $50.50–$120.75 | varies |
| Protein c antigen (85302) | $200.81 | $267.75 | 16.7× |
| Protein Electrophoresis Urine (84166) | $141.75 | $189 | 8.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 4 matching MRF lines |
$90.56–$141.75 | $120.75–$189 | varies |
| Protein S Free (85306) | $185.06 | $246.75 | 12.1× |
| Protein s total (85305) range across 2 matching MRF lines |
$196.88–$228.38 | $262.50–$304.50 | varies |
| Protein total serum (84155) range across 6 matching MRF lines |
$31.50–$90.56 | $42–$120.75 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$39.38–$43.31 | $52.50–$57.75 | varies |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$66–$204.75 | $88–$273 | varies |
| PSA free (84154) | $74.81 | $99.75 | 4.1× |
| Pth Intact (83970) range across 4 matching MRF lines |
$82.69–$315 | $110.25–$420 | varies |
| Quantiferon tb gold plus (86480) | $200.81 | $267.75 | 3.2× |
| Quantitative assay drug (80299) range across 25 matching MRF lines |
$36.94–$409.50 | $49.25–$546 | varies |
| Quantitative Screen Metals (83018) range across 4 matching MRF lines |
$86.63–$228.38 | $115.50–$304.50 | varies |
| Quinidine (80194) | $252 | $336 | 17.3× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$446.25–$456.75 | $595–$609 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$76.50–$150 | $102–$200 | varies |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$114.19–$165.38 | $152.25–$220.50 | varies |
| Resp virus 12-25 targets (87633) | $752.06 | $1,002.75 | 1.8× |
| Reticulocyte Count (85046) | $51.19 | $68.25 | 9.2× |
| Reticulocyte Count Manual (85044) | $39.38 | $52.50 | 9.1× |
| Rh (86901) range across 2 matching MRF lines |
$51.75–$52.50 | $69–$70 | varies |
| Rheumatoid Factor Qualitative (86430) | $7.50 | $10 | 1.2× |
| Rheumatoid factor quant (86431) | $30 | $40 | 5.3× |
| Rickettsia antibody (86757) range across 6 matching MRF lines |
$43.31–$86.63 | $57.75–$115.50 | varies |
| Ristocetin cofactor (85245) | $90.56 | $120.75 | 3.9× |
| Rotavirus ag eia (87425) | $82.69 | $110.25 | 6.9× |
| Rpr qualitative (86592) | $39.38 | $52.50 | 9.2× |
| Rsv ab (86756) range across 2 matching MRF lines |
$18.19–$24.38 | $24.25–$32.50 | varies |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$37.88–$94.50 | $50.50–$126 | varies |
| Rubeola antibody (86765) | $37.88 | $50.50 | 2.9× |
| Russell Viper Venom Time Diluted (85613) | $141.75 | $189 | 14.8× |
| Salicylate Level (80179) | $110.25 | $147 | 5.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$82.69–$110.25 | $110.25–$147 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$66.94–$78.75 | $89.25–$105 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $287.44 | $383.25 | 2.0× |
| Sedimentation rate (85651) | $39.38 | $52.50 | 9.2× |
| Selenium (84255) | $66.94 | $89.25 | 2.6× |
| Semen analysis complete (89320) | $102.38 | $136.50 | 8.3× |
| Semen analysis motility and count (89310) | $43.31 | $57.75 | 5.0× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$36.19–$602.44 | $48.25–$803.25 | varies |
| Serpina 1 gene (81332) | $326.81 | $435.75 | 7.5× |
| Sex Hormone Binding Globulin (84270) | $18.94 | $25.25 | 0.9× |
| Sickling of rbc reduction (85660) | $20.44 | $27.25 | 3.7× |
| Sirolimus (80195) | $228.38 | $304.50 | 16.6× |
| Skin test tuberculosis intradermal (86580) | $19.69 | $26.25 | 0.7× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$39.38–$70.88 | $52.50–$94.50 | varies |
| Smear gram stain (87205) range across 5 matching MRF lines |
$7.50–$133.43 | $10–$177.90 | varies |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$47.25–$70.88 | $63–$94.50 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$7.50–$38.63 | $10–$51.50 | varies |
| Sodium Serum (84295) | $47.25 | $63 | 9.8× |
| Sodium Urine (84300) | $39.38 | $52.50 | 7.8× |
| Soluble Transferrin Receptor (84238) | $354.38 | $472.50 | 9.7× |
| Somatomedin (84305) range across 2 matching MRF lines |
$102.38–$149.63 | $136.50–$199.50 | varies |
| Somatostatin (84307) | $91.31 | $121.75 | 5.0× |
| Special Stains Group 1 (88312) | $76.50 | $102 | 1.5× |
| Special Stains Group 2 (88313) | $51.75 | $69 | 0.4× |
| Specific gravity body fluid (84315) | $23.63 | $31.50 | 7.2× |
| Specimen infect agnt concntj (87015) | $11.81 | $15.75 | 1.8× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $187.50 | $250 | 1.1× |
| Strep a assay w/optic (87880) | $78.75 | $105 | 4.8× |
| Strep a DNA amp probe (87651) | $78.75 | $105 | 2.2× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) range across 2 matching MRF lines |
$82.69–$240.19 | $110.25–$320.25 | varies |
| Sugars Single Qual (84376) | $100.13 | $133.50 | 18.2× |
| Surg path level iii (88304) | $112.50 | $150 | 2.2× |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$76.50–$181.13 | $102–$241.50 | varies |
| Surgical pathology level vi (88309) | $525 | $700 | 0.7× |
| T cells absolute cd4 count (86361) | $173.25 | $231 | 6.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$165.38–$228.38 | $220.50–$304.50 | varies |
| T cells total count (86359) | $133.88 | $178.50 | 3.5× |
| T3 Free (84481) | $114.19 | $152.25 | 6.7× |
| T3 reverse (84482) range across 2 matching MRF lines |
$86.63–$118.13 | $115.50–$157.50 | varies |
| T3 Total (84480) range across 2 matching MRF lines |
$70.88–$74.81 | $94.50–$99.75 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$6.38–$94.50 | $8.50–$126 | varies |
| T4 total (84436) | $86.63 | $115.50 | 12.6× |
| Tacrolimus (80197) | $259.88 | $346.50 | 18.9× |
| Test for acetone/ketones (82009) range across 3 matching MRF lines |
$82.69–$98.44 | $110.25–$131.25 | varies |
| Testosterone total (84403) | $90.56 | $120.75 | 3.5× |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$40.13–$240.19 | $53.50–$320.25 | varies |
| Tetanus antibody (86774) | $106.31 | $141.75 | 7.2× |
| Theophylline (80198) | $110.25 | $147 | 7.8× |
| Thiocyanate (84430) | $192.94 | $257.25 | 16.6× |
| Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) | $78.75 | $105 | 2.2× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$22.88–$177.19 | $30.50–$236.25 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$26.81–$118.13 | $35.75–$157.50 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $504 | $672 | 9.9× |
| Thyroxine binding globulin (84442) | $43.31 | $57.75 | 2.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $173.25 | $231 | 15.0× |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$515.81–$531.56 | $687.75–$708.75 | varies |
| Topiramate (80201) | $94.50 | $126 | 7.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $39.38 | $52.50 | 2.0× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$30–$98.44 | $40–$131.25 | varies |
| Toxoplasma antibody (86777) range across 4 matching MRF lines |
$26.06–$106.31 | $34.75–$141.75 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $47.25 | $63 | 9.1× |
| Transferrin (84466) | $86.63 | $115.50 | 6.8× |
| Trichinella Antibody (86784) | $51.19 | $68.25 | 4.1× |
| Trichomonas Vaginalis Amplif (87661) | $118.13 | $157.50 | 3.4× |
| Triglycerides (84478) | $70.88 | $94.50 | 12.3× |
| Troponin Quant (84484) | $133.88 | $178.50 | 10.7× |
| Tumor immunohistochem/comput (88361) | $446.25 | $595 | 1.2× |
| Tumor Immunohistochem/Manual (88360) | $228.75 | $305 | 1.3× |
| Ugt1a1 gene analysis common variants (81350) | $350.44 | $467.25 | 1.5× |
| Urea Nitrogen Clearance (84545) | $90.56 | $120.75 | 12.6× |
| Urea nitrogen urine (84540) | $86.63 | $115.50 | 15.6× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$14.25–$43.31 | $19–$57.75 | varies |
| Urinalysis Microscopic Only (81015) range across 3 matching MRF lines |
$20.44–$37.88 | $27.25–$50.50 | varies |
| Urinalysis Volume Measure (81050) | $28.31 | $37.75 | 7.8× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$23.63–$94.50 | $31.50–$126 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 4 matching MRF lines |
$6.38–$51.19 | $8.50–$68.25 | varies |
| Urobilinogen urine qual (84578) | $31.50 | $42 | 7.0× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $94.50 | $126 | 9.9× |
| Valproic acid (80164) | $94.50 | $126 | 7.0× |
| Vancomycin (80202) range across 3 matching MRF lines |
$145.69–$173.25 | $194.25–$231 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$82.69–$133.88 | $110.25–$178.50 | varies |
| Vasopressin (84588) | $94.50 | $126 | 2.8× |
| Very Long Chain Fatty Acids (82726) | $295.31 | $393.75 | 15.0× |
| Viral Culture (87252) range across 2 matching MRF lines |
$43.31–$225 | $57.75–$300 | varies |
| Virus antibody nos (86790) range across 10 matching MRF lines |
$40.13–$118.13 | $53.50–$157.50 | varies |
| Virus inoculation, shell via (87254) | $43.31 | $57.75 | 2.2× |
| Viscosity serum (85810) | $37.88 | $50.50 | 3.2× |
| Vit D 1 25-Dihydroxy (82652) | $114.19 | $152.25 | 3.0× |
| Vitamin A (84590) | $43.31 | $57.75 | 3.7× |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$27.56–$157.50 | $36.75–$210 | varies |
| Vitamin B2 (Riboflavin) (84252) | $181.13 | $241.50 | 8.9× |
| Vitamin B6 (84207) | $252 | $336 | 9.0× |
| Vitamin c (82180) | $43.31 | $57.75 | 4.4× |
| Vitamin D 25-Hydroxy (82306) | $141.75 | $189 | 4.8× |
| Vitamin E (84446) | $38.63 | $51.50 | 2.7× |
| Vitamin K (84597) | $330.75 | $441 | 24.1× |
| Volatiles (84600) range across 3 matching MRF lines |
$90.56–$102.38 | $120.75–$136.50 | varies |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$126–$262.85 | $168–$350.46 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $43.31 | $57.75 | 5.0× |
| West Nile Virus Antibody (86789) | $59.06 | $78.75 | 4.1× |
| Zinc (84630) range across 3 matching MRF lines |
$78.75–$86.63 | $105–$115.50 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.