Lab & pathology prices at Sanford Medical Center Mayville
Mayville, ND · every code in this section with a posted price and a Medicare benchmark.
594 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) | $49.60 | $62 | 2.7× |
| Acth (82024) | $106.40 | $133 | 2.8× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$54.40–$68 | $68–$85 | varies |
| Acute hepatitis panel (80074) | $217.60 | $272 | 4.6× |
| Acylcarnitines Quant (82017) | $49.60 | $62 | 2.9× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$28.80–$30.40 | $36–$38 | varies |
| Albumin serum (82040) range across 3 matching MRF lines |
$30.40–$31.20 | $38–$39 | varies |
| Aldolase (82085) | $64 | $80 | 6.6× |
| Aldosterone urine (82088) range across 4 matching MRF lines |
$100–$261.60 | $125–$327 | varies |
| Alkaline phosphatase isoenzymes (84080) | $50.40 | $63 | 3.4× |
| Allergen specific ige (86003) range across 43 matching MRF lines |
$14.40–$46.40 | $18–$58 | varies |
| Allergen specific igg (86001) | $54.40 | $68 | 7.0× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$56–$66.40 | $70–$83 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $74.40 | $93 | 5.1× |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$73.60–$97.60 | $92–$122 | varies |
| Alpha-Fetoprotein Serum (82105) | $89.60 | $112 | 5.3× |
| Alt (sgpt) (84460) | $36.80 | $46 | 6.9× |
| Amikacin trough (80150) | $37.60 | $47 | 2.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $101.60 | $127 | 4.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$96.80–$181.60 | $121–$227 | varies |
| Amino Acids Quant 2-5 (82136) | $113.60 | $142 | 5.8× |
| Ammonia (82140) range across 2 matching MRF lines |
$36.80–$68.80 | $46–$86 | varies |
| Amylase urine (82150) | $76.80 | $96 | 11.9× |
| Ana Titer (86039) | $72.80 | $91 | 6.5× |
| Anca screen each antibody (86036) | $52.80 | $66 | 4.4× |
| Anca Titer Each Antibody (86037) | $66.40 | $83 | 5.5× |
| Androstenedione (82157) | $68.80 | $86 | 2.3× |
| Angiotensin converting enzyme csf (82164) | $98.40 | $123 | 6.7× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$30.40–$48 | $38–$60 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $30.40 | $38 | 2.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$55.20–$108.80 | $69–$136 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$92.80–$96.80 | $116–$121 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$82.40–$88.80 | $103–$111 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$85.60–$96 | $107–$120 | varies |
| Antibody haemophilus influenza (86684) | $56.80 | $71 | 3.6× |
| Antibody helicobacter pylori (86677) | $84.80 | $106 | 5.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $77.60 | $97 | 5.4× |
| Antibody Herpes Smplx Type 1 (86695) | $71.20 | $89 | 5.4× |
| Antibody HIV-1&HIV-2 single result (86703) | $67.20 | $84 | 4.9× |
| Antibody HIV-2 (86702) | $63.20 | $79 | 4.7× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $804 | $1,005 | 2.5× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$80–$105.60 | $100–$132 | varies |
| Antibody Protozoa Nes (86753) | $42.40 | $53 | 3.4× |
| Antibody Titer (86886) | $37.60 | $47 | 7.3× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$32.80–$62.40 | $41–$78 | varies |
| Antigen typing (86905) | $23.20 | $29 | 6.1× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$56.80–$72.80 | $71–$91 | varies |
| Antistreptolysin o titer (86060) | $64.80 | $81 | 8.9× |
| Antithrombin iii activity (85300) | $120 | $150 | 10.1× |
| Antithrombin iii antigen (85301) | $71.20 | $89 | 6.6× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$52–$54.40 | $65–$68 | varies |
| Arsenic (82175) range across 4 matching MRF lines |
$48–$87.20 | $60–$109 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$40.80–$82.40 | $51–$103 | varies |
| Assay activated protein c (85307) | $91.20 | $114 | 6.0× |
| Assay Blood Carbon Dioxide (82374) | $27.20 | $34 | 5.6× |
| Assay myeloperoxidase (83876) range across 2 matching MRF lines |
$168–$169.60 | $210–$212 | varies |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$34.40–$113.60 | $43–$142 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$45.60–$46.40 | $57–$58 | varies |
| Assay of anti-mullerian hormone (82166) | $92.80 | $116 | 2.4× |
| Assay of blood/uric acid (84550) | $32 | $40 | 7.1× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$15.20–$36 | $19–$45 | varies |
| Assay of estrone (82679) | $60 | $75 | 2.4× |
| Assay of g6pd enzyme (82955) | $31.20 | $39 | 3.2× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$30.40–$69.60 | $38–$87 | varies |
| Assay of lactic acid (83605) | $57.60 | $72 | 5.0× |
| Assay of metanephrines (83835) | $46.40 | $58 | 2.7× |
| Assay of pyruvate (84210) | $57.60 | $72 | 4.0× |
| Assay of serotonin (84260) | $103.20 | $129 | 3.3× |
| Assay of serum potassium (84132) | $36.80 | $46 | 7.7× |
| Assay of Tyrosine (84510) | $56 | $70 | 5.3× |
| Assay of urea nitrogen (84520) | $27.20 | $34 | 6.9× |
| Assay of urine vma (84585) | $48.80 | $61 | 3.1× |
| Assay of vitamin b-1 (84425) | $54.40 | $68 | 2.6× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$9.60–$34.40 | $12–$43 | varies |
| Assay spec xcp ur&breath ia (82077) | $180.80 | $226 | 10.5× |
| Asy carbamazepin 10,11-epxid (80161) | $71.20 | $89 | 3.8× |
| Automated Leukocyte Count (85048) | $18.40 | $23 | 7.2× |
| B cells total count (86355) | $156 | $195 | 4.1× |
| Bartonella antibody (86611) range across 4 matching MRF lines |
$54.40–$60 | $68–$75 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$400–$420 | $500–$525 | varies |
| Bcr/abl1 gene minor bp (81207) | $364 | $455 | 2.5× |
| Bcr/Abl1 Gene Other Bp (81208) | $540 | $675 | 2.5× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$62.40–$140 | $78–$175 | varies |
| Beta hydroxybutyrate (82010) | $51.20 | $64 | 6.3× |
| Beta Lactamase (87185) | $29.60 | $37 | 6.2× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$50.40–$52.80 | $63–$66 | varies |
| Bile acids total (82239) | $43.20 | $54 | 2.5× |
| Bilirubin direct (82248) | $30.40 | $38 | 6.1× |
| Bilirubin total (82247) | $31.20 | $39 | 6.2× |
| Bilirubin total transcutaneous (88720) | $20.80 | $26 | 4.1× |
| Biotinidase (82261) | $53.60 | $67 | 3.2× |
| Blastomyces antibody (86612) | $66.40 | $83 | 5.1× |
| Bld Typing Serologic Rh Phnt (86906) | $44 | $55 | 5.7× |
| Blood Count Automated Differential Wbc Count (85004) | $32.80 | $41 | 5.1× |
| Blood Count Red Blood Cell Automated (85041) | $14.40 | $18 | 4.8× |
| Blood count reticulocyte automated (85045) | $43.20 | $54 | 10.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $34.40 | $43 | 9.1× |
| Blood gas (82803) | $105.60 | $132 | 4.1× |
| 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) | $20 | $25 | 4.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$137.60–$162.40 | $172–$203 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $55.20 | $69 | 3.4× |
| Blood typing serologic abo (86900) | $39.20 | $49 | 13.1× |
| Body fluid cell count (89050) | $25.60 | $32 | 5.4× |
| Bordetella antibody (86615) | $72 | $90 | 5.5× |
| C diff amplified probe (87493) | $192 | $240 | 5.2× |
| C-Peptide (84681) | $117.60 | $147 | 5.7× |
| C-reactive protein (86140) | $42.40 | $53 | 8.2× |
| Ca 19-9 (86301) | $101.60 | $127 | 4.9× |
| Cadmium (82300) range across 2 matching MRF lines |
$60–$62.40 | $75–$78 | varies |
| Calcitonin (82308) | $76.80 | $96 | 2.9× |
| Calcium ionized (82330) | $76 | $95 | 5.6× |
| Calcium total (82310) | $36 | $45 | 7.0× |
| Calculus Spectroscopy (82365) | $80 | $100 | 6.2× |
| Calprotectin Fecal (83993) | $117.60 | $147 | 6.0× |
| Calr gene com variants (81219) | $556 | $695 | 4.6× |
| Cancer Antigen 125 (86304) | $101.60 | $127 | 4.9× |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
$101.60–$131.20 | $127–$164 | varies |
| Candida antibody (86628) | $56.80 | $71 | 4.7× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$71.20–$88 | $89–$110 | varies |
| Carboxyhemoglobin (82375) | $107.20 | $134 | 8.7× |
| Carcinoembryonic antigen (82378) | $100 | $125 | 5.3× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$62.40–$119.20 | $78–$149 | varies |
| Carnitine Quantitative Each Specimen (82379) | $49.60 | $62 | 2.9× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$68.80–$80.80 | $86–$101 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$56.80–$96.80 | $71–$121 | varies |
| Cell count csf (89051) | $36.80 | $46 | 6.6× |
| Cell marker study (88182) | $247.20 | $309 | 4.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $331.20 | $414 | 2.4× |
| Ceruloplasmin (82390) | $64.80 | $81 | 6.0× |
| Cftr gene com variants (81220) | $1,336 | $1,670 | 2.4× |
| Cftr gene dup/delet variants (81222) | $1,061.60 | $1,327 | 2.4× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$35.20–$131.20 | $44–$164 | varies |
| Chlamydia antibody (86631) | $56 | $70 | 4.7× |
| Chlamydia Igm Antibody (86632) | $56 | $70 | 4.4× |
| Chlmy trch&neisra gonor mult (87494) range across 3 matching MRF lines |
$200.80–$342.40 | $251–$428 | varies |
| Chloride Serum (82435) | $27.20 | $34 | 5.9× |
| Chloride urine (82436) range across 2 matching MRF lines |
$14.40–$27.20 | $18–$34 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$28–$30.40 | $35–$38 | varies |
| Chorionic gonadotropin test (84702) | $72.80 | $91 | 4.8× |
| Chromium serum (82495) | $62.40 | $78 | 3.1× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$54.40–$56.80 | $68–$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–$171.20 | $143–$214 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$69.60–$72 | $87–$90 | varies |
| Ckmb (82553) | $71.20 | $89 | 6.2× |
| Clostridium Difficile (87324) | $80.80 | $101 | 6.7× |
| Clotting Funct Activity (85397) | $195.20 | $244 | 6.3× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$63.20–$66.40 | $79–$83 | varies |
| Cold agglutinin screen (86156) | $39.20 | $49 | 4.9× |
| Cold agglutinin titer (86157) | $33.60 | $42 | 4.2× |
| Collagen crosslinks (82523) | $53.60 | $67 | 2.9× |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
$57.60–$100 | $72–$125 | varies |
| Compatibility Each Unit Incubation (86921) | $140 | $175 | 0.8× |
| Compatibility test antiglob (86922) range across 3 matching MRF lines |
$134.40–$188.80 | $168–$236 | varies |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$56.80–$81.60 | $71–$102 | varies |
| Complement Total (Ch50) (86162) | $56.80 | $71 | 2.8× |
| Coombs direct (86880) | $33.60 | $42 | 6.2× |
| Copper urine (82525) range across 3 matching MRF lines |
$46.40–$82.40 | $58–$103 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$49.60–$108.80 | $62–$136 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$45.60–$83.20 | $57–$104 | varies |
| Creatine kinase total (82550) | $42.40 | $53 | 6.5× |
| Creatinine blood (82565) | $28 | $35 | 5.5× |
| Creatinine clearance (82575) | $59.20 | $74 | 6.3× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$16.80–$42.40 | $21–$53 | varies |
| Crossmatch immediate spin (86920) | $151.20 | $189 | 0.9× |
| Crp High Sensitivity (86141) | $77.60 | $97 | 6.0× |
| Cryofibrinogen (82585) range across 2 matching MRF lines |
$53.60–$57.60 | $67–$72 | varies |
| Cryoglobulin (82595) | $31.20 | $39 | 4.8× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$55.20–$72 | $69–$90 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$68.80–$72 | $86–$90 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$45.60–$90.40 | $57–$113 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $43.20 | $54 | 5.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $49.60 | $62 | 6.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $576 | $720 | 2.6× |
| Culture afb (87116) | $70.40 | $88 | 6.5× |
| Culture Anaerobic (87075) | $55.20 | $69 | 5.8× |
| Culture blood (87040) | $66.40 | $83 | 6.4× |
| Culture csf (87070) range across 3 matching MRF lines |
$47.20–$54.40 | $59–$68 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$43.20–$65.60 | $54–$82 | varies |
| Culture fungus blood (87103) | $55.20 | $69 | 2.7× |
| Culture screen only (87081) | $36 | $45 | 5.4× |
| Culture stool (87045) range across 2 matching MRF lines |
$66.40–$69.60 | $83–$87 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$28.80–$33.60 | $36–$42 | varies |
| Culture urine (87086) | $42.40 | $53 | 5.3× |
| Cyclosporine (80158) | $112.80 | $141 | 6.2× |
| Cyp2c19 gene analysis common variants (81225) | $256 | $320 | 0.9× |
| Cystatin C (82610) | $99.20 | $124 | 5.4× |
| Cytogenetics 10-30 (88273) range across 2 matching MRF lines |
$84.80–$288.80 | $106–$361 | varies |
| Cytogenetics 100-300 (88275) | $124.80 | $156 | 2.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$460–$3,205.60 | $575–$4,007 | varies |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$85.60–$86.40 | $107–$108 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $106.40 | $133 | 5.3× |
| Cytopath Cell Enhance Tech (88112) | $100.80 | $126 | 1.9× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $100.80 | $126 | 3.8× |
| Cytp Concentration Smears & Interpretation (88108) | $147.20 | $184 | 3.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $216.80 | $271 | 4.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $52 | $65 | 0.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $108 | $135 | 2.8× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,207.20 | $1,509 | 6.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $110.40 | $138 | 3.7× |
| Deoxyribonuclease antibody (86215) | $56.80 | $71 | 4.3× |
| Detect Agent Nos Dna Amp (87798) range across 11 matching MRF lines |
$86.40–$203.20 | $108–$254 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$103.20–$179.20 | $129–$224 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$42.40–$54.40 | $53–$68 | varies |
| Dhea (82626) | $61.60 | $77 | 2.4× |
| Dhea-S (82627) | $128 | $160 | 5.8× |
| Digoxin (80162) | $73.60 | $92 | 5.5× |
| Dihydrotestosterone (82642) | $71.20 | $89 | 2.4× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$39.20–$132 | $49–$165 | varies |
| Dna Antibody Native/Double Stranded (86225) | $80 | $100 | 5.8× |
| Dna/Rna Amplified Probe (87150) | $176 | $220 | 5.0× |
| DNA/RNA direct probe (87149) | $100 | $125 | 5.0× |
| Drug assay acetaminophen (80143) | $51.20 | $64 | 2.7× |
| Drug assay adalimumab (80145) | $172.80 | $216 | 4.5× |
| Drug assay felbamate (80167) | $71.20 | $89 | 3.8× |
| Drug Assay Infliximab (80230) | $150.40 | $188 | 3.9× |
| Drug Assay Itraconazole (80189) | $71.20 | $89 | 2.6× |
| Drug Assay Lacosamide (80235) | $97.60 | $122 | 3.6× |
| Drug Assay Vedolizumab (80280) | $193.60 | $242 | 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) | $39.20 | $49 | 3.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $68.80 | $86 | 5.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $71.20 | $89 | 5.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 8 matching MRF lines |
$150.40–$316.80 | $188–$396 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $61.60 | $77 | 4.9× |
| Ehrlichia antibody (86666) | $56.80 | $71 | 5.6× |
| El-1 Fecal Quantitative (82653) | $56 | $70 | 2.4× |
| Electrolyte panel (80051) | $45.60 | $57 | 6.5× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $172.80 | $216 | 2.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $54.40 | $68 | 4.5× |
| Eosinophil Smear (89190) | $24 | $30 | 4.1× |
| Erythropoietin (82668) | $57.60 | $72 | 3.1× |
| Estradiol serum (82670) | $138.40 | $173 | 5.0× |
| Estriol (82677) range across 2 matching MRF lines |
$58.40–$120.80 | $73–$151 | varies |
| Estrogens fractionated (82671) | $103.20 | $129 | 3.2× |
| Ethosuximide (80168) | $40 | $50 | 2.4× |
| Exam Synovial Fluid Crystals (89060) | $45.60 | $57 | 6.2× |
| F2 Gene (81240) | $192 | $240 | 2.9× |
| Factor ix activity (85250) | $94.40 | $118 | 5.0× |
| Factor v activity (85220) | $88 | $110 | 5.0× |
| Factor v leiden mutation (81241) | $192 | $240 | 2.6× |
| Factor vii assay (85230) | $92.80 | $116 | 5.2× |
| Factor viii assay (85240) | $70.40 | $88 | 3.9× |
| Factor X (85260) range across 2 matching MRF lines |
$104.80–$210.40 | $131–$263 | varies |
| Fat stain feces urine/respir secretions (89125) | $30.40 | $38 | 5.2× |
| Fat/Lipids Feces Quantitative (82710) | $57.60 | $72 | 3.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $161.60 | $202 | 9.4× |
| Fecal Fat Qualitative (82705) | $28.80 | $36 | 5.6× |
| Ferritin (82728) | $76.80 | $96 | 5.6× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $371.20 | $464 | 2.4× |
| Fetal Fibronectin (82731) | $352.80 | $441 | 5.5× |
| Fibrin Degradation Quant (85379) | $79.20 | $99 | 7.8× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $88 | $110 | 9.1× |
| Fibrinogen activity (85384) | $48 | $60 | 4.9× |
| Fibrinogen antigen (85385) | $40 | $50 | 2.8× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $86.40 | $108 | 5.6× |
| Flecainide level (80181) | $86.40 | $108 | 4.6× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$168.80–$188 | $211–$235 | varies |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$54.40–$328.80 | $68–$411 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $56.80 | $71 | 4.7× |
| Fmr1 Gene Charac Alleles (81244) | $120.80 | $151 | 2.7× |
| Fmr1 gene detection (81243) range across 2 matching MRF lines |
$139.20–$405.60 | $174–$507 | varies |
| Folic acid rbc (82747) | $124 | $155 | 7.0× |
| Folic Acid Serum (82746) | $83.20 | $104 | 5.7× |
| Follicle Stimulating Hormone (83001) | $97.60 | $122 | 5.3× |
| Frozen Section (88331) | $93.60 | $117 | 0.5× |
| Fungi Identification Mold (87107) | $62.40 | $78 | 6.0× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$62.40–$66.40 | $78–$83 | varies |
| Galactose transferase test (82776) | $34.40 | $43 | 2.9× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$76–$93.60 | $95–$117 | varies |
| 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) | $85.60 | $107 | 5.2× |
| Ggt (82977) | $54.40 | $68 | 7.6× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$68.80–$72 | $86–$90 | varies |
| Giardia lamblia antibody (86674) | $72.80 | $91 | 4.9× |
| Glucose 2 hr pp (82950) | $37.60 | $47 | 7.9× |
| Glucose Blood Test (82962) | $28.80 | $36 | 8.8× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$57.60–$60.80 | $72–$76 | varies |
| Glucose Serum (82947) | $35.20 | $44 | 9.0× |
| Glucose tolerance test (gtt) (82951) | $85.60 | $107 | 6.7× |
| Glycated Protein (82985) | $53.60 | $67 | 3.2× |
| Gonadotropin Chorionic Qualitative (84703) | $49.60 | $62 | 6.6× |
| Growth hormone (83003) | $46.40 | $58 | 2.8× |
| Gtt-added samples (82952) | $25.60 | $32 | 6.5× |
| H Pylori (C-13) Breath (83013) | $308 | $385 | 4.6× |
| Haptoglobin (83010) | $76.80 | $96 | 6.1× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$30.40–$38.40 | $38–$48 | varies |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$164–$164.80 | $205–$206 | varies |
| Hematocrit (85014) | $16.80 | $21 | 7.1× |
| Hemoglobin (85018) | $21.60 | $27 | 9.1× |
| Hemoglobin a1c (83036) | $55.20 | $69 | 5.7× |
| Hemoglobin electrophoresis (83020) | $45.60 | $57 | 3.5× |
| Hemoglobin plasma (83051) | $28.80 | $36 | 3.9× |
| Hemoglobin stability screen (83068) | $120.80 | $151 | 12.8× |
| Hemosiderin urine (83070) | $24 | $30 | 5.1× |
| Hep a ab igm (86709) | $60 | $75 | 5.3× |
| Heparin assay (85520) | $88.80 | $111 | 6.8× |
| Hepatitis a antibody total (86708) | $90.40 | $113 | 7.3× |
| Hepatitis b core ab igm (86705) | $67.20 | $84 | 5.7× |
| Hepatitis b core ab total (86704) | $66.40 | $83 | 5.5× |
| Hepatitis B Surface Antibody (86706) | $63.20 | $79 | 5.9× |
| Hepatitis B Surface Antigen (87340) | $60.80 | $76 | 5.9× |
| Hepatitis Be Antibody (86707) | $28.80 | $36 | 2.5× |
| Hepatitis Be Antigen (87350) | $28.80 | $36 | 2.5× |
| Hepatitis C Antibody (86803) | $81.60 | $102 | 5.7× |
| Hepatitis C Genotype (87902) | $603.20 | $754 | 2.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $129.60 | $162 | 3.0× |
| Herpes simplex type 2 (86696) | $103.20 | $129 | 5.3× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$36–$43.20 | $45–$54 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$159.20–$172.80 | $199–$216 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $224 | $280 | 29.0× |
| Histamine urine (83088) range across 2 matching MRF lines |
$79.20–$130.40 | $99–$163 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$56.80–$63.20 | $71–$79 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $116.80 | $146 | 4.9× |
| Hiv-1 Antibody (86701) | $38.40 | $48 | 4.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $415.20 | $519 | 4.9× |
| HIV-2 probe&revrse trnscripj (87538) range across 2 matching MRF lines |
$170.40–$351.20 | $213–$439 | varies |
| Hla Class I Typing Low Resolution Complete (81372) range across 2 matching MRF lines |
$714.40–$788 | $893–$985 | varies |
| Hla class ii high defin qual (86833) | $808.80 | $1,011 | 2.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $152 | $190 | 2.0× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $294.40 | $368 | 1.3× |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$298.40–$348 | $373–$435 | varies |
| Hla-b27 (86812) range across 2 matching MRF lines |
$136–$148 | $170–$185 | varies |
| Homocysteine (83090) | $96 | $120 | 5.4× |
| Homogenization Tissue (87176) | $39.20 | $49 | 6.7× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$96.80–$131.20 | $121–$164 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) | $131.20 | $164 | 1.9× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$86.40–$179.20 | $108–$224 | varies |
| Hydroxyprogesterone 17-d (83498) | $65.60 | $82 | 2.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $67.20 | $84 | 6.5× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $86.40 | $108 | 2.4× |
| Iaad ia shiga-like toxin (87427) | $63.20 | $79 | 5.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$88.80–$321.60 | $111–$402 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$86.40–$295.20 | $108–$369 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $110.40 | $138 | 2.6× |
| 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) | $173.60 | $217 | 4.9× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $208 | $260 | 5.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$86.40–$171.20 | $108–$214 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $144 | $180 | 2.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $348 | $435 | 2.4× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$696.80–$745.60 | $871–$932 | varies |
| Ig Light Chains Free Each (83521) | $53.60 | $67 | 3.1× |
| Igg subclasses (82787) | $45.60 | $57 | 5.7× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $338.40 | $423 | 0.9× |
| Immunfix e-phorsis/urine/csf (86335) | $175.20 | $219 | 6.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$49.60–$227.20 | $62–$284 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$54.40–$55.20 | $68–$69 | varies |
| Immunoassay nonantibody (83516) range across 27 matching MRF lines |
$52.80–$142.40 | $66–$178 | varies |
| Immunodiffusion Ouchterlony (86331) range across 3 matching MRF lines |
$30.40–$90.40 | $38–$113 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$122.40–$141.60 | $153–$177 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $288 | $360 | 1.7× |
| Immunohistochemistry (88342) | $238.40 | $298 | 1.4× |
| In situ hybridization 1st probe stain (88365) | $338.40 | $423 | 1.9× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$60.80–$69.60 | $76–$87 | varies |
| Influenza DNA amp probe (87502) | $248.80 | $311 | 2.6× |
| Inhibin A (86336) | $56.80 | $71 | 3.6× |
| Inhibin b (83520) range across 17 matching MRF lines |
$51.20–$190.40 | $64–$238 | varies |
| Insitu hybridization manual (88368) | $318.40 | $398 | 0.9× |
| Insulin free (83527) | $65.60 | $82 | 5.1× |
| Insulin total (83525) | $84.80 | $106 | 7.4× |
| Interleukin-6 (83529) | $100 | $125 | 5.8× |
| Intrinsic factor antibody (86340) | $56.80 | $71 | 3.8× |
| Iron (83540) | $32 | $40 | 4.9× |
| Iron Binding Capacity (83550) | $46.40 | $58 | 5.3× |
| Irradiation Blood Product Each Unit (86945) | $117.60 | $147 | 3.1× |
| Islet cell antibody (86341) range across 6 matching MRF lines |
$55.20–$448 | $69–$560 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $250.40 | $313 | 2.7× |
| Koh Prep (87220) | $28.80 | $36 | 6.7× |
| Lactate (ld) (ldh) enzyme (83615) | $44.80 | $56 | 7.4× |
| Lactoferrin fecal qualitative (83630) | $111.20 | $139 | 5.6× |
| Ldh Isoenzymes (83625) | $70.40 | $88 | 5.5× |
| LDL direct (83721) | $65.60 | $82 | 6.2× |
| Lead (83655) range across 5 matching MRF lines |
$29.60–$62.40 | $37–$78 | varies |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$30.40–$169.60 | $38–$212 | varies |
| Leukocyte Assessment Fecal (89055) | $27.20 | $34 | 6.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $35.20 | $44 | 1.2× |
| Level ii surg pathology grossµscopic exam (88302) | $68.80 | $86 | 1.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $494.40 | $618 | 1.4× |
| Lipase (83690) | $53.60 | $67 | 7.8× |
| Lipoprotein A (83695) | $51.20 | $64 | 3.6× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $52.80 | $66 | 4.7× |
| Lithium (80178) | $39.20 | $49 | 5.9× |
| Luteinizing Hormone (Lh) (83002) | $103.20 | $129 | 5.6× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$65.60–$112.80 | $82–$141 | varies |
| Lysozyme serum (85549) | $52 | $65 | 2.8× |
| Macroscopic exam arthropod (87168) | $28.80 | $36 | 6.7× |
| Macroscopic Exam Parasite (87169) | $28.80 | $36 | 6.7× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$16.80–$40 | $21–$50 | varies |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$59.20–$141.60 | $74–$177 | varies |
| Mercury urine (83825) range across 4 matching MRF lines |
$40–$98.40 | $50–$123 | varies |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$52.80–$185.60 | $66–$232 | varies |
| Microalbumin, quantitative (82043) | $57.60 | $72 | 10.0× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$55.20–$101.60 | $69–$127 | varies |
| Mitochondrial Antibody Each (86381) | $60.80 | $76 | 2.4× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $99.20 | $124 | 2.4× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 3 matching MRF lines |
$58.40–$118.40 | $73–$148 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $103.20 | $129 | 2.4× |
| Mopath procedure level 4 (81403) | $452 | $565 | 2.4× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$166.40–$170.40 | $208–$213 | varies |
| Mumps antibody (86735) range across 2 matching MRF lines |
$32–$76.80 | $40–$96 | varies |
| Muscle-Specific Kinase Antb (86366) | $540.80 | $676 | 29.4× |
| Mycophenolic Acid (80180) | $71.20 | $89 | 3.9× |
| Mycoplasma antibody (86738) | $78.40 | $98 | 5.9× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$54.40–$112.80 | $68–$141 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$94.40–$161.60 | $118–$202 | varies |
| Neutralization Test Viral (86382) | $54.40 | $68 | 3.2× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $312.80 | $391 | 2.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $496 | $620 | 1.9× |
| Niacin (84591) | $177.60 | $222 | 10.4× |
| Nk cells total count (86357) | $156 | $195 | 4.1× |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$56.80–$120 | $71–$150 | varies |
| Occult blood feces (82272) | $20 | $25 | 4.7× |
| Occult Blood Other Sources (82271) | $22.40 | $28 | 4.2× |
| Oncoprotein dcp (83951) | $156.80 | $196 | 2.4× |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$57.60–$113.60 | $72–$142 | varies |
| Osmolality serum (83930) | $35.20 | $44 | 5.3× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$16.80–$38.40 | $21–$48 | varies |
| Ova and parasites smears (87177) | $60 | $75 | 6.7× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$36–$57.60 | $45–$72 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $60.80 | $76 | 5.3× |
| Parvovirus antibody (86747) | $56.80 | $71 | 3.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $88.80 | $111 | 0.1× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $664 | $830 | 2.6× |
| Ph urine (81003) range across 3 matching MRF lines |
$17.60–$24 | $22–$30 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$68–$71.20 | $85–$89 | varies |
| Phenylalanine (84030) | $71.20 | $89 | 12.9× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$74.40–$82.40 | $93–$103 | varies |
| Phenytoin free (80186) | $71.20 | $89 | 5.2× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$28.80–$48 | $36–$60 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $98.40 | $123 | 5.5× |
| Phosphorus Serum (84100) | $32.80 | $41 | 6.9× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$14.40–$33.60 | $18–$42 | varies |
| Pinworm exam (87172) | $29.60 | $37 | 6.9× |
| Platelet Aggregation (85576) | $111.20 | $139 | 4.5× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$100–$123.20 | $125–$154 | varies |
| Platelet count automated (85049) | $31.20 | $39 | 7.0× |
| Platelet neutralization (85597) | $167.20 | $209 | 9.3× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$28.80–$48 | $36–$60 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $50.40 | $63 | 3.4× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$12–$27.20 | $15–$34 | varies |
| Prealbumin (84134) | $59.20 | $74 | 4.1× |
| Pregnenolone (84140) | $49.60 | $62 | 2.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $51.20 | $64 | 0.8× |
| Primidone (80188) | $71.20 | $89 | 4.3× |
| Procalcitonin (Pct) (84145) | $96 | $120 | 3.5× |
| Progesterone (84144) | $120 | $150 | 5.8× |
| Prolactin (84146) range across 3 matching MRF lines |
$48.80–$123.20 | $61–$154 | varies |
| Protein body fluid (84157) | $52 | $65 | 13.0× |
| Protein C Activity (85303) | $83.20 | $104 | 6.0× |
| Protein c antigen (85302) | $31.20 | $39 | 2.6× |
| Protein Electrophoresis Urine (84166) | $96.80 | $121 | 5.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$62.40–$73.60 | $78–$92 | varies |
| Protein S Free (85306) | $73.60 | $92 | 4.8× |
| Protein s total (85305) | $77.60 | $97 | 6.7× |
| Protein total serum (84155) | $33.60 | $42 | 9.2× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$22.40–$23.20 | $28–$29 | varies |
| Protein Western Blot Test (84182) | $120 | $150 | 4.1× |
| PSA free (84154) range across 3 matching MRF lines |
$57.60–$88.80 | $72–$111 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$208.80–$212 | $261–$265 | varies |
| Quantiferon tb gold plus (86480) range across 3 matching MRF lines |
$200–$250.40 | $250–$313 | varies |
| Quantitative assay drug (80299) range across 16 matching MRF lines |
$71.20–$148 | $89–$185 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$72.80–$117.60 | $91–$147 | varies |
| Rbc antibody elution (86860) | $157.60 | $197 | 0.9× |
| Rbc antibody identification (86870) | $304 | $380 | 0.8× |
| Rbc antibody screen (86850) | $97.60 | $122 | 10.0× |
| Reagent Strip/Blood Glucose (82948) | $16 | $20 | 3.2× |
| Renin activity plasma (84244) range across 3 matching MRF lines |
$51.20–$106.40 | $64–$133 | varies |
| Reptilase test (85635) | $50.40 | $63 | 5.1× |
| Reticulocyte Count (85046) | $32 | $40 | 5.7× |
| Reticulocyte Count Manual (85044) | $33.60 | $42 | 7.8× |
| Rh (86901) | $39.20 | $49 | 13.1× |
| Rheumatoid Factor Qualitative (86430) | $32 | $40 | 5.2× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$36–$38.40 | $45–$48 | varies |
| Ristocetin cofactor (85245) | $155.20 | $194 | 6.8× |
| Rotavirus ag eia (87425) | $59.20 | $74 | 4.9× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$11.20–$37.60 | $14–$47 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$64–$73.60 | $80–$92 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$36–$72.80 | $45–$91 | varies |
| Rubeola antibody (86765) | $83.20 | $104 | 6.5× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$24–$56.80 | $30–$71 | varies |
| Russell Viper Venon Time Undiluted (85612) | $55.20 | $69 | 3.2× |
| Rx metab gen seq alys pnl 6 (81418) | $256 | $320 | 0.3× |
| Salicylate Level (80179) | $175.20 | $219 | 9.4× |
| 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) | $22.40 | $28 | 5.2× |
| Sedimentation Rate, Automated (85652) | $18.40 | $23 | 6.8× |
| Selenium (84255) | $61.60 | $77 | 2.4× |
| Semen Anal Sperm Detection (89321) | $60.80 | $76 | 5.0× |
| Semen analysis motility and count (89310) | $59.20 | $74 | 6.9× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$46.40–$176 | $58–$220 | varies |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$53.60–$145.60 | $67–$182 | varies |
| Sickling of rbc reduction (85660) | $32.80 | $41 | 6.0× |
| Sirolimus (80195) | $129.60 | $162 | 9.4× |
| Skin test tuberculosis intradermal (86580) | $24 | $30 | 0.8× |
| Smear acid fast (87206) | $35.20 | $44 | 6.5× |
| Smear complex stain (87209) | $89.60 | $112 | 5.0× |
| Smear gram stain (87205) | $28.80 | $36 | 6.7× |
| Smear Special Stain (87207) | $45.60 | $57 | 7.6× |
| Smn1 Gene Dos/Deletion Alys (81329) | $328.80 | $411 | 2.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $27.20 | $34 | 4.7× |
| Sodium Serum (84295) | $32.80 | $41 | 6.8× |
| Sodium Urine (84300) range across 3 matching MRF lines |
$12.80–$56 | $16–$70 | varies |
| Somatomedin (84305) range across 3 matching MRF lines |
$53.60–$166.40 | $67–$208 | varies |
| Special Stains Group 1 (88312) | $223.20 | $279 | 4.2× |
| Special Stains Group 2 (88313) | $169.60 | $212 | 1.2× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$31.20–$38.40 | $39–$48 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$33.60–$64.80 | $42–$81 | varies |
| Staph a DNA amp probe (87640) | $136.80 | $171 | 3.9× |
| Stool cultr aerobic bact ea (87046) | $56 | $70 | 5.9× |
| Strep a assay w/optic (87880) | $56.80 | $71 | 3.4× |
| Strep a DNA amp probe (87651) | $105.60 | $132 | 3.0× |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$186.40–$195.20 | $233–$244 | varies |
| 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) | $98.40 | $123 | 17.9× |
| Sulfate urine (84392) range across 2 matching MRF lines |
$13.60–$29.60 | $17–$37 | varies |
| Surg path level iii (88304) | $156 | $195 | 2.9× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$128.80–$216.80 | $161–$271 | varies |
| Surgical pathology level vi (88309) | $694.40 | $868 | 0.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 3 matching MRF lines |
$28–$45.60 | $35–$57 | varies |
| Sweat Collection Iontophoresis (89230) | $36 | $45 | 0.7× |
| T cells absolute cd4 count (86361) | $97.60 | $122 | 3.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $189.60 | $237 | 4.0× |
| T cells total count (86359) | $156 | $195 | 4.1× |
| T3 Free (84481) range across 2 matching MRF lines |
$85.60–$90.40 | $107–$113 | varies |
| T3 reverse (84482) | $48 | $60 | 3.0× |
| T3 Total (84480) | $104.80 | $131 | 7.4× |
| T3 Uptake (84479) | $48.80 | $61 | 7.5× |
| T4 Free (84439) | $47.20 | $59 | 5.2× |
| T4 total (84436) | $40.80 | $51 | 5.9× |
| Tacrolimus (80197) | $91.20 | $114 | 6.6× |
| Tb ag response t-cell susp (86481) | $261.60 | $327 | 2.6× |
| Test for acetone/ketones (82009) | $27.20 | $34 | 6.0× |
| Testosterone Bioavailable (84410) range across 3 matching MRF lines |
$120–$124 | $150–$155 | varies |
| Testosterone total (84403) range across 6 matching MRF lines |
$60.80–$140 | $76–$175 | varies |
| Testosterone, Free (84402) range across 2 matching MRF lines |
$60–$61.60 | $75–$77 | varies |
| Theophylline (80198) | $76.80 | $96 | 5.4× |
| Thiopurine methyltransferase (84433) | $150.40 | $188 | 6.8× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$32.80–$40 | $41–$50 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$34.40–$58.40 | $43–$73 | varies |
| Thyroglobulin (84432) range across 4 matching MRF lines |
$47.20–$102.40 | $59–$128 | varies |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$54.40–$111.20 | $68–$139 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $130.40 | $163 | 2.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $42.40 | $53 | 3.7× |
| Tissue Culture Lymphocyte (88230) | $296 | $370 | 2.5× |
| Tobramycin peak (80200) | $60.80 | $76 | 3.8× |
| Topiramate (80201) | $71.20 | $89 | 6.0× |
| Touch prep (88161) | $109.60 | $137 | 3.7× |
| Toxoplasma ab igm (86778) | $74.40 | $93 | 5.2× |
| Toxoplasma antibody (86777) | $84.80 | $106 | 5.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $36.80 | $46 | 7.1× |
| Transferrin (84466) | $78.40 | $98 | 6.1× |
| Trichomonas Vaginalis Amplif (87661) | $153.60 | $192 | 4.4× |
| Triglycerides (84478) range across 2 matching MRF lines |
$30.40–$36 | $38–$45 | varies |
| Troponin Quant (84484) | $80 | $100 | 6.4× |
| Tumor Immunohistochem/Manual (88360) | $284 | $355 | 1.6× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$14.40–$51.20 | $18–$64 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$12.80–$43.20 | $16–$54 | varies |
| Urinalysis Microscopic Only (81015) | $20.80 | $26 | 6.8× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $16 | $20 | 7.4× |
| Urinalysis Volume Measure (81050) range across 2 matching MRF lines |
$17.60–$19.20 | $22–$24 | varies |
| Urine Bacteria Culture (87088) | $44.80 | $56 | 5.5× |
| Urine Pregnancy Test (81025) | $33.60 | $42 | 3.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $36 | $45 | 11.4× |
| Valproic acid (80164) range across 2 matching MRF lines |
$39.20–$88 | $49–$110 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$84–$111.20 | $105–$139 | varies |
| Varicella-zoster antibody (86787) | $54.40 | $68 | 4.2× |
| Viral Culture (87252) | $164.80 | $206 | 6.3× |
| Virus antibody nos (86790) | $35.20 | $44 | 2.7× |
| Viscosity serum (85810) | $48.80 | $61 | 4.2× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$122.40–$230.40 | $153–$288 | varies |
| Vitamin A (84590) | $51.20 | $64 | 4.4× |
| Vitamin b-12 (82607) | $80.80 | $101 | 5.4× |
| Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines |
$57.60–$160 | $72–$200 | varies |
| Vitamin B6 (84207) | $72 | $90 | 2.6× |
| Vitamin c (82180) | $29.60 | $37 | 3.0× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$96.80–$132 | $121–$165 | varies |
| Vitamin E (84446) | $51.20 | $64 | 3.6× |
| Vitamin K (84597) | $76 | $95 | 5.5× |
| Von willebrand factor ag (85246) | $184 | $230 | 8.0× |
| West nile virus ab igm (86788) | $79.20 | $99 | 4.7× |
| West Nile Virus Antibody (86789) | $83.20 | $104 | 5.8× |
| 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.