Lab & pathology prices at Sanford Jackson Medical Center
Jackson, MN · every code in this section with a posted price and a Medicare benchmark.
567 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $69.60 | $87 | 3.1× |
| Acetylcholine receptor binding antibody (86041) | $47.20 | $59 | 2.6× |
| Acth (82024) | $112 | $140 | 2.9× |
| Actin smooth muscle antibody each (86015) | $52.80 | $66 | 4.4× |
| Acute hepatitis panel (80074) | $328.80 | $411 | 6.9× |
| Albumin serum (82040) range across 2 matching MRF lines |
$31.20–$54.40 | $39–$68 | varies |
| Aldolase (82085) | $128 | $160 | 13.2× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$104.80–$234.40 | $131–$293 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$50.40–$57.60 | $63–$72 | varies |
| Allergen specific ige (86003) range across 4 matching MRF lines |
$33.60–$54.40 | $42–$68 | varies |
| Allergen specific igg (86001) | $54.40 | $68 | 7.0× |
| Allg Spec Ige Recomb Ea (86008) | $52 | $65 | 2.9× |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$40–$222.40 | $50–$278 | varies |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$92–$160.80 | $115–$201 | varies |
| Alpha-Fetoprotein Serum (82105) | $147.20 | $184 | 8.8× |
| Alt (sgpt) (84460) | $53.60 | $67 | 10.1× |
| Aluminum (82108) | $34.40 | $43 | 1.4× |
| Amikacin trough (80150) | $40 | $50 | 2.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $194.40 | $243 | 8.5× |
| Ammonia (82140) | $210.40 | $263 | 14.4× |
| Amylase urine (82150) | $60 | $75 | 9.3× |
| Ana Titer (86039) | $67.20 | $84 | 6.0× |
| Anca screen each antibody (86036) | $56 | $70 | 4.6× |
| Androstenedione (82157) | $68.80 | $86 | 2.3× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$145.60–$204 | $182–$255 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$32–$51.20 | $40–$64 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $32 | $40 | 2.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $52.80 | $66 | 3.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $80 | $100 | 4.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $51.20 | $64 | 3.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$90.40–$145.60 | $113–$182 | varies |
| Antibody haemophilus influenza (86684) | $56.80 | $71 | 3.6× |
| Antibody helicobacter pylori (86677) | $196 | $245 | 11.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $255.20 | $319 | 17.7× |
| Antibody Herpes Smplx Type 1 (86695) | $250.40 | $313 | 19.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $103.20 | $129 | 7.5× |
| Antibody HIV-2 (86702) | $85.60 | $107 | 6.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $305.60 | $382 | 15.8× |
| Antibody identification leukocyte antibodies (86021) | $177.60 | $222 | 11.8× |
| Antibody Protozoa Nes (86753) | $54.40 | $68 | 4.4× |
| Antibody Titer (86886) | $77.60 | $97 | 15.0× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$41.60–$112 | $52–$140 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$56.80–$80.80 | $71–$101 | varies |
| Antistreptolysin o titer (86060) | $87.20 | $109 | 11.9× |
| Antithrombin iii activity (85300) | $340.80 | $426 | 28.8× |
| Antithrombin iii antigen (85301) | $328.80 | $411 | 30.4× |
| Apolipoprotein a1 (82172) | $50.40 | $63 | 2.4× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $190.40 | $238 | 5.0× |
| Arsenic (82175) range across 3 matching MRF lines |
$45.60–$154.40 | $57–$193 | varies |
| Aspergillus ag eia (87305) | $40.80 | $51 | 3.4× |
| Assay activated protein c (85307) | $302.40 | $378 | 19.7× |
| Assay Blood Carbon Dioxide (82374) | $56.80 | $71 | 11.6× |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$108.80–$481.60 | $136–$602 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$46.40–$86.40 | $58–$108 | varies |
| Assay of anti-mullerian hormone (82166) | $90.40 | $113 | 2.3× |
| Assay of blood/uric acid (84550) | $59.20 | $74 | 13.1× |
| Assay of calcium in urine (82340) | $73.60 | $92 | 12.2× |
| Assay of g6pd enzyme (82955) | $31.20 | $39 | 3.2× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$28.80–$82.40 | $36–$103 | varies |
| Assay of lactic acid (83605) | $64.80 | $81 | 5.6× |
| Assay of manganese (83785) | $164.80 | $206 | 6.2× |
| Assay of metanephrines (83835) | $46.40 | $58 | 2.7× |
| Assay of proinsulin (84206) | $64.80 | $81 | 2.4× |
| Assay of serotonin (84260) | $103.20 | $129 | 3.3× |
| Assay of serum potassium (84132) | $52 | $65 | 10.9× |
| Assay of sweat sodium (84302) | $28 | $35 | 5.8× |
| Assay of urea nitrogen (84520) | $54.40 | $68 | 13.8× |
| Assay of urine vma (84585) | $48.80 | $61 | 3.1× |
| Assay of vitamin b-1 (84425) | $52 | $65 | 2.4× |
| Assay Ph Body Fluid Nos (83986) | $46.40 | $58 | 13.0× |
| Assay spec xcp ur&breath ia (82077) | $116.80 | $146 | 6.8× |
| Automated Leukocyte Count (85048) | $36.80 | $46 | 14.5× |
| B cells total count (86355) range across 2 matching MRF lines |
$103.20–$120 | $129–$150 | varies |
| Bartonella antibody (86611) range across 3 matching MRF lines |
$81.60–$163.20 | $102–$204 | varies |
| Bcr/abl1 gene major bp (81206) | $400 | $500 | 2.4× |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$352–$353.60 | $440–$442 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $524 | $655 | 2.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$156.80–$257.60 | $196–$322 | varies |
| Beta hydroxybutyrate (82010) | $83.20 | $104 | 10.2× |
| Beta Lactamase (87185) | $46.40 | $58 | 9.8× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$90.40–$269.60 | $113–$337 | varies |
| Bile acids total (82239) | $57.60 | $72 | 3.4× |
| Bilirubin direct (82248) | $54.40 | $68 | 10.8× |
| Bilirubin total (82247) | $54.40 | $68 | 10.8× |
| Blastomyces antibody (86612) | $56 | $70 | 4.3× |
| Blood Count Automated Differential Wbc Count (85004) | $48.80 | $61 | 7.5× |
| Blood Count Red Blood Cell Automated (85041) | $33.60 | $42 | 11.1× |
| Blood count reticulocyte automated (85045) | $62.40 | $78 | 15.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $68.80 | $86 | 18.1× |
| Blood gas (82803) | $277.60 | $347 | 10.6× |
| Blood gases w/02 saturation (82805) | $307.20 | $384 | 3.9× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $57.60 | $72 | 3.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $50.40 | $63 | 11.5× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $125.60 | $157 | 19.8× |
| Blood typing serologic abo (86900) | $56 | $70 | 18.7× |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$28.80–$81.60 | $36–$102 | varies |
| Bordetella antibody (86615) | $305.60 | $382 | 23.2× |
| Breath Alcohol Test (82075) | $90.40 | $113 | 3.0× |
| Brucella antibody (86622) | $56.80 | $71 | 6.4× |
| C diff amplified probe (87493) | $164.80 | $206 | 4.4× |
| C-Peptide (84681) | $101.60 | $127 | 4.9× |
| C-reactive protein (86140) | $77.60 | $97 | 15.0× |
| Ca 19-9 (86301) | $101.60 | $127 | 4.9× |
| Cadmium (82300) range across 3 matching MRF lines |
$24.80–$59.20 | $31–$74 | varies |
| Calcitonin (82308) | $76.80 | $96 | 2.9× |
| Calcium ionized (82330) | $130.40 | $163 | 9.5× |
| Calcium total (82310) | $54.40 | $68 | 10.5× |
| Calculus Spectroscopy (82365) | $156.80 | $196 | 12.2× |
| Calprotectin Fecal (83993) | $232.80 | $291 | 11.9× |
| Cancer Antigen 125 (86304) | $101.60 | $127 | 4.9× |
| Cancer Antigen 27.29 (86300) | $101.60 | $127 | 4.9× |
| Carbamazepine free (80157) | $71.20 | $89 | 5.4× |
| Carbamazepine total (80156) | $97.60 | $122 | 6.7× |
| Carboxyhemoglobin (82375) | $110.40 | $138 | 9.0× |
| Carcinoembryonic antigen (82378) | $100 | $125 | 5.3× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$59.20–$121.60 | $74–$152 | varies |
| Carnitine Quantitative Each Specimen (82379) | $52 | $65 | 3.1× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$76.80–$84.80 | $96–$106 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$56.80–$172 | $71–$215 | varies |
| Cell count csf (89051) | $52 | $65 | 9.3× |
| Ceruloplasmin (82390) | $133.60 | $167 | 12.4× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$41.60–$138.40 | $52–$173 | varies |
| Chlamydia antibody (86631) | $54.40 | $68 | 4.6× |
| Chlamydia Igm Antibody (86632) | $54.40 | $68 | 4.3× |
| Chlmy trch&neisra gonor mult (87494) range across 4 matching MRF lines |
$200.80–$272.80 | $251–$341 | varies |
| Chloride other source (82438) | $28.80 | $36 | 5.8× |
| Chloride Serum (82435) | $54.40 | $68 | 11.8× |
| Chloride urine (82436) | $56 | $70 | 9.7× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$28.80–$50.40 | $36–$63 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$46.40–$138.40 | $58–$173 | varies |
| Chromium serum (82495) | $59.20 | $74 | 2.9× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$52.80–$56.80 | $66–$71 | varies |
| Chromosome Analysis 15-20 (88262) | $306.40 | $383 | 2.4× |
| Chromosome analysis 45 cells (88263) | $366.40 | $458 | 2.4× |
| Chromosome analysis, 5 (88261) | $644.80 | $806 | 2.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$114.40–$172.80 | $143–$216 | varies |
| Citric acid urine (82507) | $76 | $95 | 2.7× |
| Ckmb (82553) | $208.80 | $261 | 18.1× |
| Clostridium Difficile (87324) | $144.80 | $181 | 12.1× |
| Clotting Funct Activity (85397) | $82.40 | $103 | 2.7× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$56–$116.80 | $70–$146 | varies |
| Collagen crosslinks (82523) | $53.60 | $67 | 2.9× |
| Column Chromotography Quant (82542) | $57.60 | $72 | 2.4× |
| Compatibility test antiglob (86922) | $224.80 | $281 | 1.3× |
| Complement Antigen Each Component (86160) | $70.40 | $88 | 5.9× |
| Complement Total (Ch50) (86162) | $56.80 | $71 | 2.8× |
| Coombs direct (86880) | $89.60 | $112 | 16.6× |
| Copper urine (82525) range across 3 matching MRF lines |
$50.40–$127.20 | $63–$159 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$52–$328.80 | $65–$411 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$47.20–$93.60 | $59–$117 | varies |
| Creatine kinase total (82550) | $60 | $75 | 9.2× |
| Creatinine blood (82565) | $54.40 | $68 | 10.6× |
| Creatinine clearance (82575) | $65.60 | $82 | 6.9× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$19.20–$56.80 | $24–$71 | varies |
| Crossmatch electronic (86923) | $64.80 | $81 | 0.4× |
| Crossmatch immediate spin (86920) | $94.40 | $118 | 0.5× |
| Crp High Sensitivity (86141) | $130.40 | $163 | 10.1× |
| Cryofibrinogen (82585) | $57.60 | $72 | 4.1× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$31.20–$44.80 | $39–$56 | varies |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$111.20–$128 | $139–$160 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$136.80–$141.60 | $171–$177 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$68–$90.40 | $85–$113 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$57.60–$122.40 | $72–$153 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $96.80 | $121 | 12.6× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $610.40 | $763 | 2.8× |
| Culture afb (87116) range across 3 matching MRF lines |
$57.60–$148.80 | $72–$186 | varies |
| Culture Anaerobic (87075) | $105.60 | $132 | 11.2× |
| Culture blood (87040) | $90.40 | $113 | 8.8× |
| Culture chlamydia (87110) | $151.20 | $189 | 7.7× |
| Culture csf (87070) range across 2 matching MRF lines |
$57.60–$60.80 | $72–$76 | varies |
| Culture fungus (87102) | $77.60 | $97 | 9.2× |
| Culture fungus blood (87103) | $103.20 | $129 | 5.0× |
| Culture screen only (87081) range across 3 matching MRF lines |
$44–$136.80 | $55–$171 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$92.80–$102.40 | $116–$128 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$33.60–$38.40 | $42–$48 | varies |
| Culture urine (87086) | $47.20 | $59 | 5.8× |
| Cyanide (82600) | $121.60 | $152 | 6.3× |
| Cyclosporine (80158) | $265.60 | $332 | 14.7× |
| Cyp2c19 gene analysis common variants (81225) | $256 | $320 | 0.9× |
| Cystatin C (82610) | $99.20 | $124 | 5.4× |
| Cytogenetics 10-30 (88273) | $84.80 | $106 | 2.4× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$124.80–$254.40 | $156–$318 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$460–$3,205.60 | $575–$4,007 | varies |
| Cytomegalovirus igg (86644) | $80 | $100 | 5.6× |
| Cytopath Cell Enhance Tech (88112) | $193.60 | $242 | 3.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $106.40 | $133 | 4.0× |
| Cytp Concentration Smears & Interpretation (88108) | $160.80 | $201 | 4.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $283.20 | $354 | 5.3× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,129.60 | $1,412 | 6.4× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $122.40 | $153 | 4.1× |
| Detect Agent Nos Dna Amp (87798) range across 6 matching MRF lines |
$86.40–$184 | $108–$230 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$103.20–$131.20 | $129–$164 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$31.20–$54.40 | $39–$68 | varies |
| Dhea (82626) | $61.60 | $77 | 2.4× |
| Dhea-S (82627) | $337.60 | $422 | 15.2× |
| Digoxin (80162) | $146.40 | $183 | 11.0× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$37.60–$132 | $47–$165 | varies |
| Dna Antibody Native/Double Stranded (86225) | $110.40 | $138 | 8.0× |
| Dna Antibody Single Stranded (86226) | $286.40 | $358 | 23.6× |
| Dna/Rna Amplified Probe (87150) | $164 | $205 | 4.7× |
| DNA/RNA direct probe (87149) | $108.80 | $136 | 5.4× |
| Drug assay acetaminophen (80143) | $214.40 | $268 | 11.5× |
| Drug assay adalimumab (80145) | $451.20 | $564 | 11.7× |
| Drug Assay Amiodarone (80151) | $49.60 | $62 | 2.7× |
| Drug Assay Everolimus (80169) | $71.20 | $89 | 5.2× |
| Drug Assay Infliximab (80230) | $150.40 | $188 | 3.9× |
| Drug Assay Itraconazole (80189) | $71.20 | $89 | 2.6× |
| Drug Assay Lacosamide (80235) | $96 | $120 | 3.5× |
| Drug Assay Vedolizumab (80280) | $191.20 | $239 | 5.0× |
| Drug Screen Quant Clozapine (80159) | $71.20 | $89 | 3.5× |
| Drug Screen Quant Zonisamide (80203) | $71.20 | $89 | 5.4× |
| Drug Screen Quantitative Gabapentin (80171) | $71.20 | $89 | 3.3× |
| Drug Screen Quantitative Lamotrigine (80175) | $37.60 | $47 | 2.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $164.80 | $206 | 12.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $71.20 | $89 | 5.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$150.40–$640 | $188–$800 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $58.40 | $73 | 4.6× |
| Drug Test Prsmv Instrmnt (80306) | $145.60 | $182 | 8.5× |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$54.40–$56.80 | $68–$71 | varies |
| El-1 Fecal Quantitative (82653) | $57.60 | $72 | 2.5× |
| Electrolyte panel (80051) | $115.20 | $144 | 16.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $54.40 | $68 | 4.5× |
| Enterovirus PCR (87498) | $200 | $250 | 5.7× |
| Eosinophil Smear (89190) | $44 | $55 | 7.6× |
| Erythropoietin (82668) | $57.60 | $72 | 3.1× |
| Estradiol serum (82670) | $296 | $370 | 10.6× |
| Estriol (82677) | $140.80 | $176 | 5.8× |
| Estrogen total (82672) | $52.80 | $66 | 2.4× |
| Estrogens fractionated (82671) | $108 | $135 | 3.3× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$43.20–$95.20 | $54–$119 | varies |
| Exam Synovial Fluid Crystals (89060) | $97.60 | $122 | 13.3× |
| F2 Gene (81240) range across 2 matching MRF lines |
$192–$568 | $240–$710 | varies |
| Factor ix activity (85250) | $344 | $430 | 18.1× |
| Factor v activity (85220) range across 2 matching MRF lines |
$52.80–$287.20 | $66–$359 | varies |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$192–$501.60 | $240–$627 | varies |
| Factor viii assay (85240) | $204.80 | $256 | 11.4× |
| Factor X (85260) range across 2 matching MRF lines |
$192–$209.60 | $240–$262 | varies |
| Fat stain feces urine/respir secretions (89125) | $56.80 | $71 | 9.7× |
| Fat/Lipids Feces Quantitative (82710) | $57.60 | $72 | 3.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $160 | $200 | 9.3× |
| Fecal Fat Qualitative (82705) | $89.60 | $112 | 17.6× |
| Ferritin (82728) | $126.40 | $158 | 9.3× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $371.20 | $464 | 2.4× |
| Fetal Fibronectin (82731) | $449.60 | $562 | 7.0× |
| Fibrin Degradation Quant (85379) | $143.20 | $179 | 14.1× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $167.20 | $209 | 17.2× |
| Fibrinogen activity (85384) | $48 | $60 | 4.9× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$221.60–$558.40 | $277–$698 | varies |
| Fluorescent antibody screen (86255) range across 9 matching MRF lines |
$52.80–$328.80 | $66–$411 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$56.80–$132.80 | $71–$166 | varies |
| Fmr1 Gene Charac Alleles (81244) | $120.80 | $151 | 2.7× |
| Fmr1 gene detection (81243) | $139.20 | $174 | 2.4× |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$57.60–$166.40 | $72–$208 | varies |
| Folic Acid Serum (82746) | $119.20 | $149 | 8.1× |
| Follicle Stimulating Hormone (83001) | $165.60 | $207 | 8.9× |
| Francisella tularensis (86668) | $200.80 | $251 | 14.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $88 | $110 | 0.5× |
| Fungi Identification Mold (87107) range across 3 matching MRF lines |
$51.20–$79.20 | $64–$99 | varies |
| Fungi Identification Yeast (87106) | $80 | $100 | 7.8× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$120–$124.80 | $150–$156 | varies |
| Gases blood ph only (82800) | $42.40 | $53 | 3.9× |
| Gastrin (82941) | $48.80 | $61 | 2.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,227.20 | $1,534 | 2.9× |
| Gentamicin (80170) | $101.60 | $127 | 6.2× |
| Ggt (82977) | $33.60 | $42 | 4.7× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$140–$141.60 | $175–$177 | varies |
| Glucose 2 hr pp (82950) | $54.40 | $68 | 11.5× |
| Glucose Blood Test (82962) | $28.80 | $36 | 8.8× |
| Glucose body fluid (82945) | $38.40 | $48 | 9.8× |
| Glucose Serum (82947) | $54.40 | $68 | 13.8× |
| Glucose tolerance test (gtt) (82951) | $292.80 | $366 | 22.8× |
| Glycated Protein (82985) | $51.20 | $64 | 3.1× |
| Gonadotropin Chorionic Qualitative (84703) | $75.20 | $94 | 10.0× |
| Gonadotropin releasing hormone (83727) | $260 | $325 | 15.1× |
| Growth hormone (83003) | $48.80 | $61 | 2.9× |
| Gtt-added samples (82952) | $38.40 | $48 | 9.8× |
| H Pylori (C-13) Breath (83013) | $297.60 | $372 | 4.4× |
| Haptoglobin (83010) | $136.80 | $171 | 10.9× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$28.80–$88.80 | $36–$111 | varies |
| Helicobacter Pylori Stool (87338) | $285.60 | $357 | 19.9× |
| Hematocrit (85014) | $36.80 | $46 | 15.5× |
| Hemoglobin (85018) | $36.80 | $46 | 15.5× |
| Hemoglobin a1c (83036) | $64.80 | $81 | 6.7× |
| Hemoglobin electrophoresis (83020) | $117.60 | $147 | 9.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $64.80 | $81 | 7.9× |
| Hemoglobin stability screen (83068) | $88 | $110 | 9.3× |
| Hep a ab igm (86709) | $85.60 | $107 | 7.6× |
| Heparin assay (85520) | $237.60 | $297 | 18.2× |
| Hepatitis a antibody total (86708) | $44 | $55 | 3.6× |
| Hepatitis b core ab igm (86705) | $211.20 | $264 | 17.9× |
| Hepatitis b core ab total (86704) | $84.80 | $106 | 7.0× |
| Hepatitis B Surface Antibody (86706) | $87.20 | $109 | 8.1× |
| Hepatitis B Surface Antigen (87340) | $71.20 | $89 | 6.9× |
| Hepatitis Be Antibody (86707) | $29.60 | $37 | 2.6× |
| Hepatitis Be Antigen (87350) | $29.60 | $37 | 2.6× |
| Hepatitis C Antibody (86803) | $147.20 | $184 | 10.3× |
| Hepatitis C Genotype (87902) | $603.20 | $754 | 2.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $124 | $155 | 2.9× |
| Herpes simplex type 2 (86696) | $95.20 | $119 | 4.9× |
| Heterophile Antibody Screen (86308) | $88 | $110 | 17.0× |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$54.40–$60 | $68–$75 | varies |
| Hiv Genotype (87901) | $971.20 | $1,214 | 3.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $112 | $140 | 4.7× |
| Hiv-1 Antibody (86701) | $66.40 | $83 | 7.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $418.40 | $523 | 4.9× |
| HIV-2 probe&revrse trnscripj (87538) | $86.40 | $108 | 2.5× |
| Hla class ii typing high resolution one locus ea (81382) | $299.20 | $374 | 2.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $238.40 | $298 | 3.2× |
| Hla ii typing 1 locus lr (81376) | $298.40 | $373 | 2.4× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$188.80–$294.40 | $236–$368 | varies |
| Homocysteine (83090) | $96 | $120 | 5.4× |
| Homogenization Tissue (87176) | $52 | $65 | 8.8× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$96.80–$147.20 | $121–$184 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) | $147.20 | $184 | 2.1× |
| Hsv Dna Amp Probe (87529) | $248 | $310 | 7.1× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$65.60–$87.20 | $82–$109 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $67.20 | $84 | 6.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $137.60 | $172 | 9.9× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $73.60 | $92 | 6.1× |
| Iaadi inffluenza a virus (87276) | $96.80 | $121 | 6.0× |
| Iaadi not otherwise specified each organism (87299) | $106.40 | $133 | 6.6× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $143.20 | $179 | 6.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $86.40 | $108 | 2.5× |
| Iadna Cytomegalovirus Quantification (87497) | $104.80 | $131 | 2.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $171.20 | $214 | 2.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $100 | $125 | 2.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$86.40–$192.80 | $108–$241 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $187.20 | $234 | 4.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$86.40–$116 | $108–$145 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $152.80 | $191 | 3.0× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $348 | $435 | 2.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $738.40 | $923 | 2.8× |
| Ig Light Chains Free Each (83521) | $59.20 | $74 | 3.4× |
| Igg subclasses (82787) | $81.60 | $102 | 10.2× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$177.60–$192 | $222–$240 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$52–$412 | $65–$515 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $52.80 | $66 | 3.5× |
| Immunoassay nonantibody (83516) range across 13 matching MRF lines |
$53.60–$279.20 | $67–$349 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$32–$57.60 | $40–$72 | varies |
| Immunofixation electrophoresis (86334) | $185.60 | $232 | 8.3× |
| Immunohistochemistry (88342) | $240 | $300 | 1.4× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $116.80 | $146 | 8.1× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $96.80 | $121 | 7.9× |
| Influenza assay w/optic (87804) | $89.60 | $112 | 5.4× |
| Influenza DNA amp probe (87502) | $248.80 | $311 | 2.6× |
| Inhibin A (86336) range across 2 matching MRF lines |
$56.80–$128.80 | $71–$161 | varies |
| Inhibin b (83520) range across 19 matching MRF lines |
$45.60–$439.20 | $57–$549 | varies |
| Insulin total (83525) | $137.60 | $172 | 12.0× |
| Interleukin-6 (83529) | $101.60 | $127 | 5.9× |
| Intrinsic factor antibody (86340) | $56.80 | $71 | 3.8× |
| Iron (83540) | $65.60 | $82 | 10.1× |
| Iron Binding Capacity (83550) | $80 | $100 | 9.2× |
| Irradiation Blood Product Each Unit (86945) | $112 | $140 | 2.9× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$55.20–$448 | $69–$560 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$250.40–$296.80 | $313–$371 | varies |
| Koh Prep (87220) | $68.80 | $86 | 16.1× |
| Lactate (ld) (ldh) enzyme (83615) | $36.80 | $46 | 6.1× |
| Lactoferrin fecal qualitative (83630) | $112.80 | $141 | 5.7× |
| Ldh Isoenzymes (83625) | $100 | $125 | 7.8× |
| LDL direct (83721) | $88.80 | $111 | 8.5× |
| Lead (83655) range across 4 matching MRF lines |
$30.40–$128 | $38–$160 | varies |
| Legionella antibody (86713) range across 2 matching MRF lines |
$156.80–$206.40 | $196–$258 | varies |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$164–$169.60 | $205–$212 | varies |
| Leukocyte Assessment Fecal (89055) | $44 | $55 | 10.3× |
| Leukocyte Histamine Release (86343) | $100 | $125 | 8.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $71.20 | $89 | 2.4× |
| Level ii surg pathology grossµscopic exam (88302) | $136 | $170 | 3.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $582.40 | $728 | 1.6× |
| Lipase (83690) | $100 | $125 | 14.5× |
| Lipoprotein A (83695) | $48.80 | $61 | 3.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $50.40 | $63 | 4.5× |
| Lithium (80178) | $56 | $70 | 8.5× |
| Luteinizing Hormone (Lh) (83002) | $155.20 | $194 | 8.4× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$88–$159.20 | $110–$199 | varies |
| Macroscopic exam arthropod (87168) | $79.20 | $99 | 18.5× |
| Macroscopic Exam Parasite (87169) | $79.20 | $99 | 18.4× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$35.20–$80 | $44–$100 | varies |
| Mass Spectrometry Quant (83789) | $504.80 | $631 | 20.9× |
| Mercury urine (83825) range across 2 matching MRF lines |
$39.20–$128.80 | $49–$161 | varies |
| Metabolic panel ionized ca (80047) | $132 | $165 | 9.6× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$52–$100.80 | $65–$126 | varies |
| Microalbumin, quantitative (82043) | $183.20 | $229 | 31.7× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$136.80–$159.20 | $171–$199 | varies |
| Mitochondrial Antibody Each (86381) | $62.40 | $78 | 2.5× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $420 | $525 | 11.1× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $99.20 | $124 | 2.4× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$58.40–$169.60 | $73–$212 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $103.20 | $129 | 2.4× |
| Mopath procedure level 1 (81400) range across 2 matching MRF lines |
$154.40–$410.40 | $193–$513 | varies |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$452–$732 | $565–$915 | varies |
| Mrsa Pcr (87641) | $125.60 | $157 | 3.6× |
| Mumps antibody (86735) | $188 | $235 | 14.4× |
| Muscle-Specific Kinase Antb (86366) | $540.80 | $676 | 29.4× |
| Mycophenolic Acid (80180) | $71.20 | $89 | 3.9× |
| Mycoplasma antibody (86738) | $81.60 | $102 | 6.2× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$49.60–$198.40 | $62–$248 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$94.40–$205.60 | $118–$257 | varies |
| Neutralization Test Viral (86382) | $115.20 | $144 | 6.8× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $312.80 | $391 | 2.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $496 | $620 | 1.9× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$103.20–$120 | $129–$150 | varies |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$56.80–$100.80 | $71–$126 | varies |
| Occult blood feces (82272) | $48.80 | $61 | 11.5× |
| Occult Blood Other Sources (82271) | $45.60 | $57 | 8.6× |
| Osmolality serum (83930) | $60 | $75 | 9.1× |
| Osmolality Urine (83935) | $60 | $75 | 8.8× |
| Osmotic fragility rbc incubated (85557) | $187.20 | $234 | 14.0× |
| Ova and parasites smears (87177) | $43.20 | $54 | 4.9× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$57.60–$75.20 | $72–$94 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $136.80 | $171 | 11.9× |
| Parvovirus antibody (86747) | $56.80 | $71 | 3.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $130.40 | $163 | 0.2× |
| Ph urine (81003) range across 2 matching MRF lines |
$40–$46.40 | $50–$58 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$71.20–$90.40 | $89–$113 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$148.80–$185.60 | $186–$232 | varies |
| Phenytoin free (80186) | $71.20 | $89 | 5.2× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$28.80–$54.40 | $36–$68 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $84.80 | $106 | 4.7× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$28–$56.80 | $35–$71 | varies |
| Phosphorus urine (84105) | $43.20 | $54 | 7.5× |
| Pinworm exam (87172) | $49.60 | $62 | 11.6× |
| Platelet Aggregation (85576) | $128.80 | $161 | 5.2× |
| Platelet Antibodies (86022) | $298.40 | $373 | 16.2× |
| Platelet count automated (85049) | $83.20 | $104 | 18.6× |
| Porphyrins Feces Quantitative (84126) | $122.40 | $153 | 3.1× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $50.40 | $63 | 3.4× |
| Potassium Urine (84133) | $40.80 | $51 | 8.6× |
| Prealbumin (84134) | $122.40 | $153 | 8.4× |
| Pregnenolone (84140) | $49.60 | $62 | 2.4× |
| Primidone (80188) | $71.20 | $89 | 4.3× |
| Procalcitonin (Pct) (84145) | $220.80 | $276 | 8.1× |
| Progesterone (84144) | $148 | $185 | 7.1× |
| Prolactin (84146) range across 2 matching MRF lines |
$48.80–$178.40 | $61–$223 | varies |
| Protein body fluid (84157) | $36 | $45 | 9.0× |
| Protein C Activity (85303) | $393.60 | $492 | 28.4× |
| Protein c antigen (85302) | $29.60 | $37 | 2.5× |
| Protein Electrophoresis Urine (84166) | $126.40 | $158 | 7.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $80.80 | $101 | 7.5× |
| Protein S Free (85306) | $152.80 | $191 | 10.0× |
| Protein s total (85305) | $452.80 | $566 | 39.0× |
| Protein total serum (84155) | $54.40 | $68 | 14.8× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$59.20–$66.40 | $74–$83 | varies |
| Protein Western Blot Test (84182) | $103.20 | $129 | 3.5× |
| PSA free (84154) range across 3 matching MRF lines |
$57.60–$106.40 | $72–$133 | varies |
| Pth Intact (83970) | $279.20 | $349 | 6.8× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$32–$64 | $40–$80 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$179.20–$268.80 | $224–$336 | varies |
| Quantitative assay drug (80299) range across 12 matching MRF lines |
$44–$244 | $55–$305 | varies |
| Quantitative Screen Metals (83018) | $69.60 | $87 | 3.2× |
| Rbc antibody identification (86870) | $480 | $600 | 1.3× |
| Rbc antibody screen (86850) | $112.80 | $141 | 11.5× |
| Reagent Strip/Blood Glucose (82948) | $28 | $35 | 5.6× |
| Renin activity plasma (84244) range across 3 matching MRF lines |
$51.20–$76.80 | $64–$96 | varies |
| Reticulocyte Count (85046) | $60 | $75 | 10.8× |
| Rh (86901) | $56 | $70 | 18.7× |
| Rheumatoid Factor Qualitative (86430) | $44.80 | $56 | 7.3× |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$52–$109.60 | $65–$137 | varies |
| Rickettsia antibody (86757) | $56.80 | $71 | 2.9× |
| Ristocetin cofactor (85245) | $277.60 | $347 | 12.1× |
| Rotavirus ag eia (87425) | $105.60 | $132 | 8.8× |
| Rpr qualitative (86592) | $28.80 | $36 | 6.7× |
| Rsv Assay W/Optic (87807) | $124.80 | $156 | 9.5× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$37.60–$88 | $47–$110 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$33.60–$191.20 | $42–$239 | varies |
| Russell Viper Venom Time Diluted (85613) | $76 | $95 | 7.9× |
| Rx metab gen seq alys pnl 6 (81418) | $256 | $320 | 0.3× |
| Salicylate Level (80179) | $133.60 | $167 | 7.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $124.80 | $156 | 2.4× |
| Sarscov2 & inf a&b amp prb (87636) | $349.60 | $437 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $460.80 | $576 | 3.2× |
| Sc std carbapenem resist gen (87183) | $152.80 | $191 | 4.4× |
| Sedimentation rate (85651) | $64.80 | $81 | 15.2× |
| Semen Anal Sperm Detection (89321) | $41.60 | $52 | 3.5× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$47.20–$77.60 | $59–$97 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$51.20–$57.60 | $64–$72 | varies |
| Sickling of rbc reduction (85660) | $64.80 | $81 | 11.8× |
| Sirolimus (80195) | $207.20 | $259 | 15.1× |
| Skin test tuberculosis intradermal (86580) | $48 | $60 | 1.6× |
| Smear acid fast (87206) | $60 | $75 | 11.1× |
| Smear complex stain (87209) | $66.40 | $83 | 3.7× |
| Smear gram stain (87205) | $32 | $40 | 7.5× |
| Smear Special Stain (87207) | $88.80 | $111 | 14.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $57.60 | $72 | 9.9× |
| Sodium Serum (84295) | $52 | $65 | 10.8× |
| Sodium Urine (84300) | $39.20 | $49 | 7.7× |
| Somatomedin (84305) range across 3 matching MRF lines |
$56–$262.40 | $70–$328 | varies |
| Special Stains Group 1 (88312) | $225.60 | $282 | 4.2× |
| Special Stains Group 2 (88313) | $199.20 | $249 | 1.5× |
| Specimen infect agnt concntj (87015) | $43.20 | $54 | 6.5× |
| Spectrophotometry (84311) | $100.80 | $126 | 12.4× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$56–$62.40 | $70–$78 | varies |
| Strep a assay w/optic (87880) | $80.80 | $101 | 4.9× |
| Strep a DNA amp probe (87651) | $105.60 | $132 | 3.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 2 matching MRF lines |
$55.20–$156 | $69–$195 | varies |
| Sugars Single Qual (84376) | $92.80 | $116 | 16.9× |
| Surg path level iii (88304) | $131.20 | $164 | 2.4× |
| Surgical pathology level IV (88305) | $224.80 | $281 | 4.2× |
| Surgical pathology level vi (88309) | $806.40 | $1,008 | 1.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$46.40–$57.60 | $58–$72 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $77.60 | $97 | 10.4× |
| Syphilis Test Non-Trep Quant (86593) | $66.40 | $83 | 15.1× |
| T cells absolute cd4 count (86361) | $268 | $335 | 10.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$114.40–$150.40 | $143–$188 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$103.20–$120 | $129–$150 | varies |
| T3 Free (84481) | $206.40 | $258 | 12.2× |
| T3 reverse (84482) | $45.60 | $57 | 2.9× |
| T3 Total (84480) | $136 | $170 | 9.6× |
| T3 Uptake (84479) | $48.80 | $61 | 7.5× |
| T4 Free (84439) | $68 | $85 | 7.5× |
| T4 total (84436) | $88.80 | $111 | 12.9× |
| Tacrolimus (80197) | $346.40 | $433 | 25.2× |
| Tau phosphorylated each (84393) | $500 | $625 | 3.9× |
| Tb ag response t-cell susp (86481) | $170.40 | $213 | 1.7× |
| Test for acetone/ketones (82009) | $35.20 | $44 | 7.8× |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
$67.20–$124.80 | $84–$156 | varies |
| Testosterone total (84403) range across 4 matching MRF lines |
$60.80–$229.60 | $76–$287 | varies |
| Testosterone, Free (84402) | $60 | $75 | 2.4× |
| Theophylline (80198) | $100.80 | $126 | 7.1× |
| Thiopurine methyltransferase (84433) | $150.40 | $188 | 6.8× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $117.60 | $147 | 18.2× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$45.60–$149.60 | $57–$187 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$52.80–$95.20 | $66–$119 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $124 | $155 | 2.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $48.80 | $61 | 4.2× |
| Tissue culture bone marrow (88237) | $491.20 | $614 | 3.4× |
| Tissue Culture Lymphocyte (88230) | $296 | $370 | 2.5× |
| Tobramycin peak (80200) | $152.80 | $191 | 9.5× |
| Topiramate (80201) | $71.20 | $89 | 6.0× |
| Toxoplasma ab igm (86778) | $136 | $170 | 9.4× |
| Toxoplasma antibody (86777) | $136 | $170 | 9.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $53.60 | $67 | 10.3× |
| Transferrin (84466) | $120.80 | $151 | 9.5× |
| Triglycerides (84478) range across 2 matching MRF lines |
$28.80–$59.20 | $36–$74 | varies |
| Troponin Quant (84484) | $179.20 | $224 | 14.4× |
| Tumor Immunohistochem/Manual (88360) | $264 | $330 | 1.5× |
| Urea nitrogen urine (84540) | $49.60 | $62 | 8.9× |
| Uric acid other source (84560) | $59.20 | $74 | 11.7× |
| Urinalysis Microscopic Only (81015) | $35.20 | $44 | 11.5× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $41.60 | $52 | 19.2× |
| Urinalysis Volume Measure (81050) | $28.80 | $36 | 7.9× |
| Urine Albumin Semiquantitative (82044) | $44 | $55 | 7.1× |
| Urine Bacteria Culture (87088) | $38.40 | $48 | 4.7× |
| Urine Pregnancy Test (81025) | $73.60 | $92 | 8.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $58.40 | $73 | 18.4× |
| Valproic acid (80164) range across 2 matching MRF lines |
$37.60–$103.20 | $47–$129 | varies |
| Vancomycin (80202) | $150.40 | $188 | 11.1× |
| Varicella-zoster antibody (86787) | $54.40 | $68 | 4.2× |
| Vasopressin (84588) | $255.20 | $319 | 7.5× |
| Viral Culture (87252) | $228 | $285 | 8.7× |
| Virus antibody nos (86790) range across 3 matching MRF lines |
$33.60–$124.80 | $42–$156 | varies |
| Virus inoculate tissue addl (87253) | $128 | $160 | 6.3× |
| Virus inoculation, shell via (87254) | $219.20 | $274 | 11.2× |
| Viscosity serum (85810) | $99.20 | $124 | 8.5× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$122.40–$433.60 | $153–$542 | varies |
| Vitamin A (84590) | $48.80 | $61 | 4.2× |
| Vitamin b-12 (82607) | $119.20 | $149 | 7.9× |
| Vitamin B2 (Riboflavin) (84252) | $57.60 | $72 | 2.8× |
| Vitamin B6 (84207) | $68.80 | $86 | 2.4× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$96.80–$132 | $121–$165 | varies |
| Vitamin E (84446) | $48.80 | $61 | 3.4× |
| Vitamin K (84597) | $76 | $95 | 5.5× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $54.40 | $68 | 4.5× |
| Von willebrand factor ag (85246) | $302.40 | $378 | 13.2× |
| West nile virus ab igm (86788) | $96 | $120 | 5.7× |
| West Nile Virus Antibody (86789) | $77.60 | $97 | 5.4× |
| Zinc (84630) range across 2 matching MRF lines |
$26.40–$40 | $33–$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.