Lab & pathology prices at Sanford Thief River Falls Medical Center
Thief River Falls, MN · every code in this section with a posted price and a Medicare benchmark.
719 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor binding antibody (86041) | $47.20 | $59 | 2.6× |
| Acth (82024) | $101.60 | $127 | 2.6× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$36.80–$52.80 | $46–$66 | varies |
| Acute hepatitis panel (80074) | $390.40 | $488 | 8.2× |
| Acylcarnitines Quant (82017) | $49.60 | $62 | 2.9× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$28.80–$50.40 | $36–$63 | varies |
| Albumin serum (82040) range across 3 matching MRF lines |
$28.80–$45.60 | $36–$57 | varies |
| Aldolase (82085) | $64.80 | $81 | 6.7× |
| Aldosterone urine (82088) range across 5 matching MRF lines |
$98.40–$294.40 | $123–$368 | varies |
| Alkaline phosphatase isoenzymes (84080) | $50.40 | $63 | 3.4× |
| Allergen specific ige (86003) range across 50 matching MRF lines |
$14.40–$61.60 | $18–$77 | varies |
| Allergen specific igg (86001) | $54.40 | $68 | 7.0× |
| Allg Spec Ige Recomb Ea (86008) range across 7 matching MRF lines |
$49.60–$59.20 | $62–$74 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $208.80 | $261 | 14.4× |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$35.20–$143.20 | $44–$179 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$126.40–$138.40 | $158–$173 | varies |
| Alt (sgpt) (84460) | $43.20 | $54 | 8.2× |
| Aluminum (82108) | $196.80 | $246 | 7.7× |
| Amikacin trough (80150) | $40 | $50 | 2.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $80 | $100 | 3.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $110.40 | $138 | 6.5× |
| Amino Acids Quant 2-5 (82136) | $266.40 | $333 | 13.6× |
| Ammonia (82140) range across 2 matching MRF lines |
$38.40–$70.40 | $48–$88 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $267.20 | $334 | 2.7× |
| Amylase urine (82150) range across 2 matching MRF lines |
$68–$105.60 | $85–$132 | varies |
| Ana Titer (86039) | $98.40 | $123 | 8.8× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$54.40–$55.20 | $68–$69 | varies |
| Anca Titer Each Antibody (86037) | $55.20 | $69 | 4.6× |
| Androstenedione (82157) | $70.40 | $88 | 2.4× |
| Angiotensin converting enzyme csf (82164) range across 3 matching MRF lines |
$46.40–$140.80 | $58–$176 | varies |
| Anti-Phospholipid Antibody (86148) | $186.40 | $233 | 11.6× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$32–$84.80 | $40–$106 | 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) | $158.40 | $198 | 9.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $60 | $75 | 3.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$82.40–$90.40 | $103–$113 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$55.20–$74.40 | $69–$93 | varies |
| Antibody haemophilus influenza (86684) | $56.80 | $71 | 3.6× |
| Antibody helicobacter pylori (86677) | $128 | $160 | 7.6× |
| Antibody Herpes Smplx Type 1 (86695) | $84 | $105 | 6.4× |
| Antibody HIV-1&HIV-2 single result (86703) | $66.40 | $83 | 4.8× |
| Antibody HIV-2 (86702) | $60.80 | $76 | 4.5× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $404.80 | $506 | 1.3× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$190.40–$228.80 | $238–$286 | varies |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$54.40–$134.40 | $68–$168 | varies |
| Antibody Titer (86886) | $53.60 | $67 | 10.3× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$34.40–$66.40 | $43–$83 | varies |
| Antigen typing (86905) | $54.40 | $68 | 14.2× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$54.40–$97.60 | $68–$122 | varies |
| Antistreptolysin o titer (86060) | $98.40 | $123 | 13.5× |
| Antithrombin iii activity (85300) | $140 | $175 | 11.8× |
| Antithrombin iii antigen (85301) | $122.40 | $153 | 11.3× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$50.40–$54.40 | $63–$68 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 3 matching MRF lines |
$91.20–$190.40 | $114–$238 | varies |
| Arsenic (82175) range across 6 matching MRF lines |
$45.60–$185.60 | $57–$232 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$40.80–$176 | $51–$220 | varies |
| Assay activated protein c (85307) | $100.80 | $126 | 6.6× |
| Assay Blood Carbon Dioxide (82374) | $30.40 | $38 | 6.2× |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$36–$264 | $45–$330 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$46.40–$52.80 | $58–$66 | varies |
| Assay of anti-mullerian hormone (82166) range across 2 matching MRF lines |
$90.40–$100 | $113–$125 | varies |
| Assay of blood/uric acid (84550) | $40.80 | $51 | 9.0× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$16–$52 | $20–$65 | 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 5 matching MRF lines |
$24–$40.80 | $30–$51 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$64–$84.80 | $80–$106 | varies |
| 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 pyruvate (84210) | $57.60 | $72 | 4.0× |
| Assay of serotonin (84260) | $103.20 | $129 | 3.3× |
| Assay of serum potassium (84132) | $46.40 | $58 | 9.7× |
| Assay of sweat sodium (84302) | $28 | $35 | 5.8× |
| Assay of Tyrosine (84510) | $194.40 | $243 | 18.3× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$44.80–$45.60 | $56–$57 | varies |
| Assay of urine vma (84585) | $48.80 | $61 | 3.1× |
| Assay of vasoactive intestinal peptide (84586) | $96 | $120 | 2.7× |
| Assay of vitamin b-1 (84425) | $52 | $65 | 2.4× |
| 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) | $144.80 | $181 | 8.4× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $481.60 | $602 | 2.7× |
| Automated Leukocyte Count (85048) | $33.60 | $42 | 13.2× |
| B cells total count (86355) range across 2 matching MRF lines |
$111.20–$117.60 | $139–$147 | varies |
| Bartonella antibody (86611) range across 4 matching MRF lines |
$64.80–$88 | $81–$110 | varies |
| Bcr/abl1 gene major bp (81206) range across 5 matching MRF lines |
$384–$400 | $480–$500 | varies |
| Bcr/abl1 gene minor bp (81207) range across 3 matching MRF lines |
$339.20–$353.60 | $424–$442 | varies |
| Bcr/Abl1 Gene Other Bp (81208) range across 3 matching MRF lines |
$502.40–$524 | $628–$655 | varies |
| Beta 2 glycoprotein i antibody each (86146) | $133.60 | $167 | 5.2× |
| Beta hydroxybutyrate (82010) | $31.20 | $39 | 3.8× |
| Beta Lactamase (87185) | $32.80 | $41 | 6.9× |
| Beta-2 Microglobulin (82232) | $52.80 | $66 | 3.3× |
| Bile acids total (82239) | $44.80 | $56 | 2.6× |
| Bilirubin direct (82248) | $44.80 | $56 | 8.9× |
| Bilirubin total (82247) | $42.40 | $53 | 8.4× |
| Biotinidase (82261) range across 2 matching MRF lines |
$56–$64.80 | $70–$81 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $51.20 | $64 | 14.9× |
| Blastomyces antibody (86612) | $69.60 | $87 | 5.4× |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | $237.60 | $297 | 4.4× |
| Blood Count Automated Differential Wbc Count (85004) | $41.60 | $52 | 6.4× |
| Blood Count Red Blood Cell Automated (85041) | $28 | $35 | 9.3× |
| Blood count reticulocyte automated (85045) | $70.40 | $88 | 17.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $41.60 | $52 | 10.9× |
| Blood gas (82803) | $191.20 | $239 | 7.3× |
| 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) | $62.40 | $78 | 14.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$103.20–$160 | $129–$200 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $147.20 | $184 | 9.0× |
| Blood typing serologic abo (86900) | $49.60 | $62 | 16.6× |
| Body fluid cell count (89050) range across 4 matching MRF lines |
$29.60–$82.40 | $37–$103 | varies |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$123.20–$132 | $154–$165 | varies |
| Braf gene analysis (81210) range across 3 matching MRF lines |
$410.40–$460 | $513–$575 | varies |
| Breath Alcohol Test (82075) | $44.80 | $56 | 1.5× |
| Brucella antibody (86622) | $56.80 | $71 | 6.4× |
| C diff amplified probe (87493) | $132.80 | $166 | 3.6× |
| C-Peptide (84681) | $111.20 | $139 | 5.3× |
| C-reactive protein (86140) | $73.60 | $92 | 14.2× |
| Ca 19-9 (86301) | $101.60 | $127 | 4.9× |
| Cadmium (82300) range across 5 matching MRF lines |
$56.80–$166.40 | $71–$208 | varies |
| Calcitonin (82308) | $76.80 | $96 | 2.9× |
| Calcium ionized (82330) | $98.40 | $123 | 7.2× |
| Calcium total (82310) | $52 | $65 | 10.1× |
| Calculus Spectroscopy (82365) range across 3 matching MRF lines |
$57.60–$100.80 | $72–$126 | varies |
| Calprotectin Fecal (83993) | $206.40 | $258 | 10.5× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$440–$512.80 | $550–$641 | varies |
| Cancer Antigen 125 (86304) | $101.60 | $127 | 4.9× |
| Cancer Antigen 27.29 (86300) | $101.60 | $127 | 4.9× |
| Candida antibody (86628) | $56.80 | $71 | 4.7× |
| Candida Dna Dir Probe (87480) | $101.60 | $127 | 5.1× |
| Carbamazepine total (80156) | $104.80 | $131 | 7.2× |
| Carboxyhemoglobin (82375) | $128 | $160 | 10.4× |
| Carcinoembryonic antigen (82378) | $100 | $125 | 5.3× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$59.20–$119.20 | $74–$149 | varies |
| Carnitine Quantitative Each Specimen (82379) | $47.20 | $59 | 2.8× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$68.80–$76.80 | $86–$96 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$50.40–$56.80 | $63–$71 | varies |
| Cell count csf (89051) | $86.40 | $108 | 15.4× |
| Cell marker study (88182) range across 2 matching MRF lines |
$319.20–$324.80 | $399–$406 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $358.40 | $448 | 2.6× |
| Ceruloplasmin (82390) | $82.40 | $103 | 7.7× |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$36.80–$128 | $46–$160 | 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–$384.80 | $251–$481 | varies |
| Chloride other source (82438) | $28.80 | $36 | 5.8× |
| Chloride Serum (82435) | $30.40 | $38 | 6.6× |
| Chloride urine (82436) range across 2 matching MRF lines |
$15.20–$49.60 | $19–$62 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$28.80–$36.80 | $36–$46 | varies |
| Cholinesterase rbc (82482) | $35.20 | $44 | 3.6× |
| Cholinesterase Serum (82480) | $35.20 | $44 | 4.5× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$45.60–$98.40 | $57–$123 | varies |
| Chromium serum (82495) | $59.20 | $74 | 2.9× |
| Chromogenic Substrate Assay (85130) | $289.60 | $362 | 24.4× |
| 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 20-25 (88264) | $338.40 | $423 | 2.3× |
| 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–$173.60 | $143–$217 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$72.80–$76 | $91–$95 | varies |
| Ckmb (82553) | $99.20 | $124 | 8.6× |
| Clostridium Difficile (87324) | $52 | $65 | 4.3× |
| Clot Factor VIII Multimetric (85247) | $69.60 | $87 | 3.0× |
| Clotting factor xii hageman (85280) | $88.80 | $111 | 4.6× |
| Clotting Funct Activity (85397) range across 3 matching MRF lines |
$132.80–$211.20 | $166–$264 | varies |
| Cns DNA amp probe type 12-25 (87483) | $1,633.60 | $2,042 | 3.9× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$54.40–$95.20 | $68–$119 | varies |
| Cold agglutinin titer (86157) | $63.20 | $79 | 7.8× |
| Collagen crosslinks (82523) | $53.60 | $67 | 2.9× |
| Column Chromotography Quant (82542) range across 7 matching MRF lines |
$57.60–$230.40 | $72–$288 | varies |
| Compatibility test antiglob (86922) | $144 | $180 | 0.8× |
| Complement Antigen Each Component (86160) range across 3 matching MRF lines |
$56.80–$104.80 | $71–$131 | varies |
| Complement Total (Ch50) (86162) | $56.80 | $71 | 2.8× |
| Complement/Function Activity (86161) | $56.80 | $71 | 4.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$152–$171.20 | $190–$214 | varies |
| Coombs direct (86880) | $63.20 | $79 | 11.7× |
| Copper urine (82525) range across 4 matching MRF lines |
$45.60–$108 | $57–$135 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$47.20–$108.80 | $59–$136 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$47.20–$118.40 | $59–$148 | varies |
| Creatine (82540) | $59.20 | $74 | 12.8× |
| Creatine kinase total (82550) | $65.60 | $82 | 10.1× |
| Creatinine blood (82565) | $40 | $50 | 7.8× |
| Creatinine clearance (82575) | $70.40 | $88 | 7.4× |
| Creatinine Urine (82570) range across 9 matching MRF lines |
$17.60–$100.80 | $22–$126 | varies |
| Crossmatch immediate spin (86920) | $136 | $170 | 0.8× |
| Crp High Sensitivity (86141) | $91.20 | $114 | 7.0× |
| Cryofibrinogen (82585) | $57.60 | $72 | 4.1× |
| Cryoglobulin (82595) | $31.20 | $39 | 4.8× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $44.80 | $56 | 3.4× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$49.60–$134.40 | $62–$168 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$81.60–$89.60 | $102–$112 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$76.80–$90.40 | $96–$113 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $84.80 | $106 | 10.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $48.80 | $61 | 6.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $576 | $720 | 2.6× |
| Culture afb (87116) range across 2 matching MRF lines |
$57.60–$102.40 | $72–$128 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$78.40–$88.80 | $98–$111 | varies |
| Culture blood (87040) | $145.60 | $182 | 14.1× |
| Culture chlamydia (87110) | $103.20 | $129 | 5.3× |
| Culture csf (87070) range across 3 matching MRF lines |
$43.20–$159.20 | $54–$199 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$121.60–$128 | $152–$160 | varies |
| Culture fungus blood (87103) | $147.20 | $184 | 7.2× |
| Culture screen only (87081) range across 3 matching MRF lines |
$65.60–$133.60 | $82–$167 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$54.40–$116 | $68–$145 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $56 | $70 | 10.8× |
| Culture urine (87086) | $92 | $115 | 11.4× |
| Cyclosporine (80158) | $130.40 | $163 | 7.2× |
| 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 30 matching MRF lines |
$64.80–$361.60 | $81–$452 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 5 matching MRF lines |
$460–$2,989.60 | $575–$3,737 | varies |
| Cytogenomic neo microra alys (81277) | $2,716 | $3,395 | 2.3× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$66.40–$90.40 | $83–$113 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $74.40 | $93 | 3.7× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$97.60–$233.60 | $122–$292 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $95.20 | $119 | 3.6× |
| Cytp Concentration Smears & Interpretation (88108) | $117.60 | $147 | 3.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $230.40 | $288 | 4.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $124.80 | $156 | 3.2× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) range across 2 matching MRF lines |
$1,044–$1,308.80 | $1,305–$1,636 | varies |
| Deoxyribonuclease antibody (86215) | $56.80 | $71 | 4.3× |
| Detect Agent Nos Dna Amp (87798) range across 20 matching MRF lines |
$86.40–$304 | $108–$380 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$103.20–$275.20 | $129–$344 | varies |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
$201.60–$316.80 | $252–$396 | varies |
| Dgp Antibody Each Ig Class (86258) range across 3 matching MRF lines |
$44–$54.40 | $55–$68 | varies |
| Dhea (82626) | $61.60 | $77 | 2.4× |
| Dhea-S (82627) | $143.20 | $179 | 6.4× |
| Digoxin (80162) | $134.40 | $168 | 10.1× |
| Dihydrotestosterone (82642) | $71.20 | $89 | 2.4× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$41.60–$132 | $52–$165 | varies |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$54.40–$103.20 | $68–$129 | varies |
| Dna/Rna Amplified Probe (87150) | $139.20 | $174 | 4.0× |
| DNA/RNA direct probe (87149) | $67.20 | $84 | 3.4× |
| Drug assay acetaminophen (80143) | $116.80 | $146 | 6.3× |
| Drug assay adalimumab (80145) | $238.40 | $298 | 6.2× |
| Drug Assay Amiodarone (80151) | $36 | $45 | 1.9× |
| Drug assay felbamate (80167) | $36.80 | $46 | 2.0× |
| Drug Assay Infliximab (80230) | $150.40 | $188 | 3.9× |
| Drug Assay Lacosamide (80235) | $119.20 | $149 | 4.4× |
| Drug Assay Posaconazole (80187) | $71.20 | $89 | 2.6× |
| Drug Assay Vedolizumab (80280) | $232.80 | $291 | 6.0× |
| Drug assay voriconazole (80285) | $71.20 | $89 | 2.6× |
| 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) range across 2 matching MRF lines |
$63.20–$71.20 | $79–$89 | varies |
| Drug Screen Quantitative Lamotrigine (80175) | $37.60 | $47 | 2.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $109.60 | $137 | 8.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $71.20 | $89 | 5.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 14 matching MRF lines |
$68–$440.80 | $85–$551 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $58.40 | $73 | 4.6× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$82.40–$162.40 | $103–$203 | varies |
| Egfr Gene Analysis Common Variants (81235) | $1,008 | $1,260 | 3.1× |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$54.40–$56.80 | $68–$71 | varies |
| El-1 Fecal Quantitative (82653) | $53.60 | $67 | 2.3× |
| Electrolyte panel (80051) | $116.80 | $146 | 16.7× |
| Electron Microscopy (88348) | $1,024.80 | $1,281 | 1.2× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $169.60 | $212 | 2.8× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$54.40–$95.20 | $68–$119 | varies |
| Enterovirus Antibody (86658) | $37.60 | $47 | 2.9× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$200–$247.20 | $250–$309 | varies |
| Enzyme cell activity (82657) | $230.40 | $288 | 10.4× |
| Enzyme histochemistry (88319) | $276.80 | $346 | 0.3× |
| Eosinophil Smear (89190) | $55.20 | $69 | 9.5× |
| Erythropoietin (82668) | $57.60 | $72 | 3.1× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$67.20–$128 | $84–$160 | varies |
| Estriol (82677) | $58.40 | $73 | 2.4× |
| Estrogens fractionated (82671) | $85.60 | $107 | 2.7× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$39.20–$132 | $49–$165 | varies |
| Ethylene Glycol (82693) | $200 | $250 | 13.4× |
| Exam Synovial Fluid Crystals (89060) | $56.80 | $71 | 7.7× |
| F2 Gene (81240) | $192 | $240 | 2.9× |
| Factor ii activity (85210) | $106.40 | $133 | 8.2× |
| Factor Inhibitor Test (85335) | $36 | $45 | 2.8× |
| Factor ix activity (85250) range across 2 matching MRF lines |
$78.40–$83.20 | $98–$104 | varies |
| Factor v activity (85220) | $236 | $295 | 13.4× |
| Factor v leiden mutation (81241) | $192 | $240 | 2.6× |
| Factor vii assay (85230) | $102.40 | $128 | 5.7× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$77.60–$78.40 | $97–$98 | varies |
| Factor X (85260) | $208.80 | $261 | 11.7× |
| Factor xi activity (85270) | $86.40 | $108 | 4.8× |
| Factor xiii screen (85291) | $40 | $50 | 4.4× |
| Fat stain feces urine/respir secretions (89125) | $20 | $25 | 3.4× |
| Fat/Lipids Feces Quantitative (82710) | $57.60 | $72 | 3.4× |
| Fatty acids free (82725) | $57.60 | $72 | 3.1× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $60 | $75 | 9.2× |
| Ferritin (82728) | $89.60 | $112 | 6.6× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $371.20 | $464 | 2.4× |
| Fetal Fibronectin (82731) | $311.20 | $389 | 4.8× |
| Fetal screen rosette (85461) | $30.40 | $38 | 3.2× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$44–$113.60 | $55–$142 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$42.40–$48 | $53–$60 | varies |
| Fibrinogen antigen (85385) | $40.80 | $51 | 2.8× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $86.40 | $108 | 5.6× |
| Flow cytometry first marker (88184) range across 11 matching MRF lines |
$193.60–$558.40 | $242–$698 | varies |
| Flt3 Gene (81245) range across 2 matching MRF lines |
$387.20–$443.20 | $484–$554 | varies |
| Flt3 gene analysis (81246) range across 2 matching MRF lines |
$194.40–$222.40 | $243–$278 | varies |
| Fluorescent antibody screen (86255) range across 10 matching MRF lines |
$52.80–$328.80 | $66–$411 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $54.40 | $68 | 4.5× |
| Fmr1 Gene Charac Alleles (81244) | $120.80 | $151 | 2.7× |
| Fmr1 gene detection (81243) range across 3 matching MRF lines |
$139.20–$436 | $174–$545 | varies |
| Folic acid rbc (82747) | $172 | $215 | 9.7× |
| Folic Acid Serum (82746) | $95.20 | $119 | 6.5× |
| Follicle Stimulating Hormone (83001) | $132 | $165 | 7.1× |
| Francisella tularensis (86668) | $107.20 | $134 | 7.6× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $235.20 | $294 | 1.3× |
| Frozen Section (88331) | $250.40 | $313 | 1.4× |
| Fungi Identification Mold (87107) | $64 | $80 | 6.2× |
| Fungi Identification Yeast (87106) | $64 | $80 | 6.2× |
| Galactose transferase test (82776) | $20 | $25 | 1.7× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$84.80–$88.80 | $106–$111 | varies |
| Gardner vag DNA dir probe (87510) | $101.60 | $127 | 5.1× |
| Gases blood ph only (82800) | $38.40 | $48 | 3.5× |
| Gastrin (82941) | $48.80 | $61 | 2.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,227.20 | $1,534 | 2.9× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 6 matching MRF lines |
$1,778.40–$2,392 | $2,223–$2,990 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $7,123.20 | $8,904 | 2.4× |
| Gentamicin (80170) | $100 | $125 | 6.1× |
| Ggt (82977) | $62.40 | $78 | 8.7× |
| Giardia antigen (87329) | $158.40 | $198 | 13.2× |
| Giardia lamblia antibody (86674) | $194.40 | $243 | 13.2× |
| Glucagon (82943) | $48.80 | $61 | 3.4× |
| Glucose 2 hr pp (82950) | $62.40 | $78 | 13.1× |
| Glucose Blood Test (82962) | $28.80 | $36 | 8.8× |
| Glucose body fluid (82945) | $64 | $80 | 16.3× |
| Glucose Serum (82947) | $62.40 | $78 | 15.9× |
| Glucose tolerance test (gtt) (82951) | $84 | $105 | 6.5× |
| Glycated Protein (82985) | $51.20 | $64 | 3.1× |
| Gonadotropin Chorionic Qualitative (84703) | $90.40 | $113 | 12.0× |
| Growth hormone (83003) | $48.80 | $61 | 2.9× |
| Gtt-added samples (82952) | $36.80 | $46 | 9.4× |
| H Pylori (C-13) Breath (83013) | $252 | $315 | 3.7× |
| Haptoglobin (83010) | $108 | $135 | 8.6× |
| Hba1/hba2 full gene sequence (81259) | $1,464 | $1,830 | 2.4× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $493.60 | $617 | 2.4× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$28.80–$85.60 | $36–$107 | varies |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$133.60–$139.20 | $167–$174 | varies |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$56.80–$144.80 | $71–$181 | varies |
| Hematocrit (85014) | $35.20 | $44 | 14.9× |
| Hemoglobin (85018) | $36 | $45 | 15.2× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$31.20–$67.20 | $39–$84 | varies |
| Hemoglobin Chromotography (83021) | $60 | $75 | 3.3× |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$51.20–$177.60 | $64–$222 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $61.60 | $77 | 7.5× |
| Hemoglobin plasma (83051) | $90.40 | $113 | 12.4× |
| Hemoglobin stability screen (83068) | $138.40 | $173 | 14.6× |
| Hemosiderin urine (83070) | $22.40 | $28 | 4.7× |
| Hep a ab igm (86709) | $60.80 | $76 | 5.4× |
| Heparin assay (85520) | $166.40 | $208 | 12.7× |
| Hepatitis a antibody total (86708) | $108 | $135 | 8.7× |
| Hepatitis b core ab igm (86705) | $63.20 | $79 | 5.4× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$66.40–$84.80 | $83–$106 | varies |
| Hepatitis B Surface Antibody (86706) | $88.80 | $111 | 8.3× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$33.60–$68.80 | $42–$86 | varies |
| Hepatitis Be Antibody (86707) | $29.60 | $37 | 2.6× |
| Hepatitis Be Antigen (87350) | $29.60 | $37 | 2.6× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$66.40–$80 | $83–$100 | varies |
| Hepatitis C Genotype (87902) | $603.20 | $754 | 2.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$87.20–$92.80 | $109–$116 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$120–$120.80 | $150–$151 | varies |
| Herpes simplex type 2 (86696) | $132.80 | $166 | 6.9× |
| Heterophile Antibody Screen (86308) | $51.20 | $64 | 9.9× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$159.20–$172.80 | $199–$216 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $266.40 | $333 | 34.5× |
| Histamine urine (83088) range across 2 matching MRF lines |
$75.20–$130.40 | $94–$163 | varies |
| Histoplasma antibody (86698) | $62.40 | $78 | 4.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $89.60 | $112 | 3.7× |
| Hiv-1 Antibody (86701) | $53.60 | $67 | 6.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $522.40 | $653 | 6.1× |
| HIV-2 probe&revrse trnscripj (87538) range across 3 matching MRF lines |
$86.40–$351.20 | $108–$439 | varies |
| Hla Class I Typing Low Resolution Complete (81372) | $856.80 | $1,071 | 2.1× |
| Hla class ii high defin qual (86833) | $371.20 | $464 | 1.1× |
| Hla class ii typing high resolution one locus ea (81382) | $465.60 | $582 | 3.8× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $148 | $185 | 2.0× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $1,108 | $1,385 | 5.0× |
| Hla ii type 1 ag equiv lr (81377) | $136.80 | $171 | 1.4× |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$99.20–$298.40 | $124–$373 | varies |
| Hla-b27 (86812) range across 2 matching MRF lines |
$116.80–$203.20 | $146–$254 | varies |
| Homocysteine (83090) | $96 | $120 | 5.4× |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$33.60–$40.80 | $42–$51 | varies |
| Homovanillic acid urine (83150) | $60.80 | $76 | 2.7× |
| Hpv High-Risk Types (87624) | $131.20 | $164 | 3.7× |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 2 matching MRF lines |
$131.20–$154.40 | $164–$193 | varies |
| Hpv Types 16 & 18 Only (87625) | $170.40 | $213 | 4.2× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$87.20–$152.80 | $109–$191 | varies |
| Htlv-I Antibody (86687) | $66.40 | $83 | 7.3× |
| Htlv-ii antibody (86688) | $66.40 | $83 | 4.7× |
| Htt Gene Detc Abnor Alleles (81271) | $373.60 | $467 | 2.7× |
| Human Epididymis Protein 4 (86305) | $56.80 | $71 | 2.7× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$65.60–$133.60 | $82–$167 | varies |
| 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) | $90.40 | $113 | 7.5× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 4 matching MRF lines |
$86.40–$400.80 | $108–$501 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $100 | $125 | 2.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $288.80 | $361 | 8.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 3 matching MRF lines |
$86.40–$345.60 | $108–$432 | varies |
| 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 amplified probe tq (87516) | $87.20 | $109 | 2.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $100 | $125 | 2.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 5 matching MRF lines |
$86.40–$222.40 | $108–$278 | varies |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $211.20 | $264 | 2.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$155.20–$319.20 | $194–$399 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$206.40–$288.80 | $258–$361 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$83.20–$211.20 | $104–$264 | 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–$717.60 | $870–$897 | varies |
| Idh1 common variants (81120) | $471.20 | $589 | 2.4× |
| Idh2 common variants (81121) | $721.60 | $902 | 2.4× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$53.60–$56.80 | $67–$71 | varies |
| Igg subclasses (82787) | $52 | $65 | 6.5× |
| Igh gene rearrange amp meth (81261) | $464 | $580 | 2.3× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $718.40 | $898 | 2.4× |
| Igk rearrangeabn clonal pop (81264) | $404.80 | $506 | 2.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$336–$558.40 | $420–$698 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$112.80–$131.20 | $141–$164 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 7 matching MRF lines |
$51.20–$288 | $64–$360 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $52.80 | $66 | 3.5× |
| Immunoassay nonantibody (83516) range across 25 matching MRF lines |
$47.20–$178.40 | $59–$223 | varies |
| Immunodiffusion Ouchterlony (86331) range across 3 matching MRF lines |
$32–$90.40 | $40–$113 | varies |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$94.40–$192 | $118–$240 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
$284–$288 | $355–$360 | varies |
| Immunohistochemistry (88342) range across 5 matching MRF lines |
$165.60–$265.60 | $207–$332 | varies |
| In situ hybridization 1st probe stain (88365) range across 7 matching MRF lines |
$333.60–$979.20 | $417–$1,224 | varies |
| Influenza assay w/optic (87804) | $70.40 | $88 | 4.3× |
| Influenza DNA amp probe (87502) | $248.80 | $311 | 2.6× |
| Inhibin A (86336) | $56.80 | $71 | 3.6× |
| Inhibin b (83520) range across 21 matching MRF lines |
$45.60–$228 | $57–$285 | varies |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$435.20–$493.60 | $544–$617 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$54.40–$64.80 | $68–$81 | varies |
| Insulin total (83525) | $123.20 | $154 | 10.8× |
| Interleukin-6 (83529) | $101.60 | $127 | 5.9× |
| Intrinsic factor antibody (86340) | $56.80 | $71 | 3.8× |
| Iron (83540) range across 2 matching MRF lines |
$61.60–$92.80 | $77–$116 | varies |
| Iron Binding Capacity (83550) | $42.40 | $53 | 4.9× |
| Irradiation Blood Product Each Unit (86945) | $164 | $205 | 4.3× |
| Islet cell antibody (86341) range across 10 matching MRF lines |
$55.20–$448 | $69–$560 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 5 matching MRF lines |
$230.40–$286.40 | $288–$358 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) | $526.40 | $658 | 4.2× |
| Koh Prep (87220) | $43.20 | $54 | 10.1× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$28–$59.20 | $35–$74 | varies |
| Lactoferrin fecal qualitative (83630) | $98.40 | $123 | 5.0× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$49.60–$68.80 | $62–$86 | varies |
| LDL direct (83721) | $88 | $110 | 8.4× |
| Lead (83655) range across 6 matching MRF lines |
$31.20–$78.40 | $39–$98 | varies |
| Legionella antibody (86713) | $56.80 | $71 | 3.7× |
| Legionella antigen urine (87449) range across 5 matching MRF lines |
$32–$164 | $40–$205 | varies |
| Leukocyte Assessment Fecal (89055) | $68 | $85 | 15.9× |
| Leukocyte Histamine Release (86343) | $100 | $125 | 8.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $59.20 | $74 | 2.0× |
| Level ii surg pathology grossµscopic exam (88302) | $123.20 | $154 | 3.2× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$516.80–$522.40 | $646–$653 | varies |
| Lipase (83690) | $88 | $110 | 12.8× |
| Lipoprotein A (83695) | $48.80 | $61 | 3.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $50.40 | $63 | 4.5× |
| Lithium (80178) | $67.20 | $84 | 10.2× |
| Luteinizing Hormone (Lh) (83002) | $124 | $155 | 6.7× |
| Lyme disease antibody (86618) range across 5 matching MRF lines |
$54.40–$168 | $68–$210 | varies |
| Lymphocyte transformation (86353) range across 2 matching MRF lines |
$229.60–$585.60 | $287–$732 | varies |
| Lysozyme serum (85549) | $52.80 | $66 | 2.8× |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$103.20–$369.60 | $129–$462 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 12 matching MRF lines |
$796–$833.60 | $995–$1,042 | varies |
| Macroscopic exam arthropod (87168) | $20.80 | $26 | 4.9× |
| Macroscopic Exam Parasite (87169) | $23.20 | $29 | 5.4× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$17.60–$76 | $22–$95 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$59.20–$180 | $74–$225 | varies |
| Mercury urine (83825) range across 5 matching MRF lines |
$39.20–$108 | $49–$135 | varies |
| Metabolic panel ionized ca (80047) | $195.20 | $244 | 14.2× |
| Methotrexate (80204) | $101.60 | $127 | 2.6× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$50.40–$52 | $63–$65 | varies |
| Mgmt methylation analysis (81287) range across 2 matching MRF lines |
$571.20–$620.80 | $714–$776 | varies |
| Microalbumin, quantitative (82043) | $83.20 | $104 | 14.4× |
| Microsatellite instability (81301) | $816 | $1,020 | 2.3× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$52.80–$126.40 | $66–$158 | varies |
| Mitochondrial Antibody Each (86381) | $59.20 | $74 | 2.3× |
| Mlh1 Gene (81288) | $450.40 | $563 | 2.3× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 2 matching MRF lines |
$84–$420 | $105–$525 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $99.20 | $124 | 2.4× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 54 matching MRF lines |
$55.20–$475.20 | $69–$594 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 6 matching MRF lines |
$103.20–$224 | $129–$280 | varies |
| Mopath procedure level 1 (81400) | $154.40 | $193 | 2.4× |
| Mopath procedure level 2 (81401) range across 3 matching MRF lines |
$331.20–$926.40 | $414–$1,158 | varies |
| Mopath procedure level 4 (81403) | $452 | $565 | 2.4× |
| Morphometric analysis nerve (88356) | $292 | $365 | 5.4× |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 2 matching MRF lines |
$452–$488.80 | $565–$611 | varies |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$131.20–$136 | $164–$170 | varies |
| Msh6 Gene Known Variants (81299) | $710.40 | $888 | 2.3× |
| Mthfr Gene Analysis Common Variants (81291) | $538.40 | $673 | 8.2× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$33.60–$128 | $42–$160 | varies |
| Muscle-Specific Kinase Antb (86366) | $540.80 | $676 | 29.4× |
| Mycobacteric Identification (87118) | $97.60 | $122 | 6.7× |
| Mycophenolic Acid (80180) | $71.20 | $89 | 3.9× |
| Mycoplasma antibody (86738) | $98.40 | $123 | 7.4× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $607.20 | $759 | 3.5× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$37.60–$159.20 | $47–$199 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$94.40–$229.60 | $118–$287 | varies |
| Nerve teasing preparations (88362) | $304 | $380 | 0.4× |
| 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× |
| Niacin (84591) | $172.80 | $216 | 10.1× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$111.20–$117.60 | $139–$147 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $577.60 | $722 | 2.3× |
| Nuclear antigen antibody (86235) range across 6 matching MRF lines |
$52–$120 | $65–$150 | varies |
| Obstetric panel (80081) | $521.60 | $652 | 7.0× |
| Occult blood feces (82272) | $32 | $40 | 7.6× |
| Occult Blood Other Sources (82271) | $26.40 | $33 | 5.0× |
| Oligoclonal bands (83916) range across 4 matching MRF lines |
$72–$79.20 | $90–$99 | varies |
| Organic Acids Qualitative Each Specimen (83919) | $57.60 | $72 | 3.5× |
| Osmolality serum (83930) | $64 | $80 | 9.7× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$17.60–$80.80 | $22–$101 | varies |
| Osmotic fragility rbc incubated (85557) | $204 | $255 | 15.3× |
| Osteocalcin (83937) | $66.40 | $83 | 2.2× |
| Ova and parasites smears (87177) | $97.60 | $122 | 11.0× |
| Ova1 (81503) | $2,188.80 | $2,736 | 2.4× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$37.60–$57.60 | $47–$72 | varies |
| Parvovirus antibody (86747) | $56.80 | $71 | 3.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $91.20 | $114 | 0.1× |
| Ph urine (81003) range across 3 matching MRF lines |
$43.20–$47.20 | $54–$59 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$71.20–$104.80 | $89–$131 | varies |
| Phenylalanine (84030) | $108 | $135 | 19.6× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$115.20–$152.80 | $144–$191 | varies |
| Phenytoin free (80186) | $71.20 | $89 | 5.2× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$28.80–$46.40 | $36–$58 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$78.40–$120.80 | $98–$151 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$28–$48.80 | $35–$61 | varies |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$15.20–$62.40 | $19–$78 | varies |
| Pik3ca gene analysis targeted sequence analysis (81309) | $2,050.40 | $2,563 | 7.5× |
| Pinworm exam (87172) | $28 | $35 | 6.6× |
| Platelet Aggregation (85576) | $108 | $135 | 4.3× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$68–$347.20 | $85–$434 | varies |
| Platelet count automated (85049) | $49.60 | $62 | 11.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) range across 2 matching MRF lines |
$485.60–$500.80 | $607–$626 | varies |
| Pneumcysts jirovecii amp prb (87594) | $87.20 | $109 | 2.5× |
| Porphobilinogen, urine; quantitative (84110) | $104 | $130 | 12.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $50.40 | $63 | 3.4× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$12–$32 | $15–$40 | varies |
| Prealbumin (84134) | $80 | $100 | 5.5× |
| Pregnenolone (84140) | $49.60 | $62 | 2.4× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $111.20 | $139 | 1.8× |
| Primidone (80188) | $71.20 | $89 | 4.3× |
| Procalcitonin (Pct) (84145) | $100 | $125 | 3.7× |
| Progesterone (84144) | $109.60 | $137 | 5.3× |
| Prolactin (84146) range across 2 matching MRF lines |
$48.80–$128.80 | $61–$161 | varies |
| Protein body fluid (84157) | $55.20 | $69 | 13.8× |
| Protein C Activity (85303) | $235.20 | $294 | 17.0× |
| Protein c antigen (85302) | $29.60 | $37 | 2.5× |
| Protein Electrophoresis Urine (84166) | $86.40 | $108 | 4.8× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$55.20–$126.40 | $69–$158 | varies |
| Protein S Free (85306) | $166.40 | $208 | 10.9× |
| Protein s total (85305) range across 2 matching MRF lines |
$32.80–$171.20 | $41–$214 | varies |
| Protein total serum (84155) | $44.80 | $56 | 12.2× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$16.80–$37.60 | $21–$47 | varies |
| Protein Western Blot Test (84182) | $73.60 | $92 | 2.5× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $68.80 | $86 | 17.5× |
| PSA free (84154) range across 3 matching MRF lines |
$57.60–$72.80 | $72–$91 | varies |
| Pth Intact (83970) range across 2 matching MRF lines |
$100.80–$246.40 | $126–$308 | varies |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$32–$62.40 | $40–$78 | varies |
| Quantiferon tb gold plus (86480) | $229.60 | $287 | 3.7× |
| Quantitative assay drug (80299) range across 12 matching MRF lines |
$44–$256 | $55–$320 | varies |
| Quantitative Screen Metals (83018) | $69.60 | $87 | 3.2× |
| Rbc antibody elution (86860) | $144 | $180 | 0.8× |
| Rbc antibody identification (86870) | $212.80 | $266 | 0.6× |
| Rbc antibody screen (86850) | $117.60 | $147 | 12.0× |
| Rbc pretreatment serum (86978) | $224.80 | $281 | 3.7× |
| Rbc pretx incubatj w/enzymes (86971) | $289.60 | $362 | 1.6× |
| Reagent Strip/Blood Glucose (82948) | $36.80 | $46 | 7.3× |
| Renin activity plasma (84244) range across 3 matching MRF lines |
$51.20–$151.20 | $64–$189 | varies |
| Resp Virus 6-11 Targets (87632) | $465.60 | $582 | 2.1× |
| Reticulocyte Count (85046) | $60.80 | $76 | 10.9× |
| Rh (86901) | $43.20 | $54 | 14.4× |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$40–$87.20 | $50–$109 | varies |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$66.40–$74.40 | $83–$93 | varies |
| Rickettsia antibody (86757) | $56.80 | $71 | 2.9× |
| Ristocetin cofactor (85245) | $89.60 | $112 | 3.9× |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$42.40–$130.40 | $53–$163 | varies |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$46.40–$66.40 | $58–$83 | varies |
| Rsv Assay W/Optic (87807) | $63.20 | $79 | 4.8× |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$37.60–$79.20 | $47–$99 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$33.60–$112 | $42–$140 | varies |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$25.60–$41.60 | $32–$52 | varies |
| Russell Viper Venon Time Undiluted (85612) | $46.40 | $58 | 2.7× |
| Rx metab gen seq alys pnl 6 (81418) | $256 | $320 | 0.3× |
| Salicylate Level (80179) | $75.20 | $94 | 4.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $124.80 | $156 | 2.4× |
| Sars-cov-2 COVID-19 antibody (86769) | $71.20 | $89 | 1.7× |
| 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) | $61.60 | $77 | 14.4× |
| Sedimentation Rate, Automated (85652) | $43.20 | $54 | 16.0× |
| Selenium (84255) | $61.60 | $77 | 2.4× |
| Semen Anal Sperm Detection (89321) | $60 | $75 | 5.0× |
| Semen analysis complete (89322) | $140 | $175 | 9.0× |
| Semen analysis motility and count (89310) | $72 | $90 | 8.4× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$47.20–$176 | $59–$220 | varies |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$51.20–$149.60 | $64–$187 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$32.80–$70.40 | $41–$88 | varies |
| Sirolimus (80195) | $81.60 | $102 | 5.9× |
| Skin test tuberculosis intradermal (86580) | $32 | $40 | 1.1× |
| Smear acid fast (87206) | $76.80 | $96 | 14.2× |
| Smear complex stain (87209) | $97.60 | $122 | 5.4× |
| Smear gram stain (87205) | $72 | $90 | 16.9× |
| Smear Special Stain (87207) | $101.60 | $127 | 17.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $72 | $90 | 12.4× |
| Snrpn/Ube3a Methylation Analysis (81331) | $348 | $435 | 6.8× |
| So neo gsap DNA mcrstl ins (81457) range across 4 matching MRF lines |
$1,564.80–$4,023.20 | $1,956–$5,029 | varies |
| So neo gsap DNA/DNA&RNA (81459) | $5,124 | $6,405 | 1.7× |
| Sodium Serum (84295) | $47.20 | $59 | 9.8× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$13.60–$56.80 | $17–$71 | varies |
| Soluble fibrin monomer (85366) | $192.80 | $241 | 2.4× |
| Soluble Transferrin Receptor (84238) | $122.40 | $153 | 3.3× |
| Somatomedin (84305) range across 3 matching MRF lines |
$51.20–$199.20 | $64–$249 | varies |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$195.20–$217.60 | $244–$272 | varies |
| Special Stains Group 2 (88313) range across 5 matching MRF lines |
$161.60–$178.40 | $202–$223 | varies |
| Specific gravity body fluid (84315) | $32 | $40 | 9.8× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$39.20–$41.60 | $49–$52 | varies |
| Spectrophotometry (84311) range across 4 matching MRF lines |
$64.80–$120 | $81–$150 | varies |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $172 | $215 | 3.2× |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) | $375.20 | $469 | 7.0× |
| Staph a DNA amp probe (87640) | $144.80 | $181 | 4.1× |
| Stool cultr aerobic bact ea (87046) | $80 | $100 | 8.5× |
| Strep a assay w/optic (87880) | $66.40 | $83 | 4.0× |
| Strep a DNA amp probe (87651) | $105.60 | $132 | 3.0× |
| Strep b DNA amp probe (87653) | $139.20 | $174 | 4.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $55.20 | $69 | 0.6× |
| Sugars Single Qual (84376) | $104 | $130 | 18.9× |
| Sulfate urine (84392) range across 2 matching MRF lines |
$14.40–$44 | $18–$55 | varies |
| Surg path level iii (88304) | $164.80 | $206 | 3.1× |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$88.80–$148 | $111–$185 | varies |
| Surgical pathology level vi (88309) | $694.40 | $868 | 0.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 3 matching MRF lines |
$25.60–$61.60 | $32–$77 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $48.80 | $61 | 6.5× |
| Syphilis Test Non-Trep Quant (86593) | $11.20 | $14 | 2.5× |
| T cells absolute cd4 count (86361) | $124 | $155 | 4.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$132–$147.20 | $165–$184 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$111.20–$117.60 | $139–$147 | varies |
| T3 Free (84481) | $102.40 | $128 | 6.0× |
| T3 reverse (84482) | $45.60 | $57 | 2.9× |
| T3 Total (84480) | $102.40 | $128 | 7.2× |
| T3 Uptake (84479) | $48.80 | $61 | 7.5× |
| T4 Free (84439) | $89.60 | $112 | 9.9× |
| T4 total (84436) | $52.80 | $66 | 7.7× |
| Tacrolimus (80197) | $180.80 | $226 | 13.2× |
| Tb ag response t-cell susp (86481) | $304 | $380 | 3.0× |
| Tert gene targeted seq alys (81345) | $1,071.20 | $1,339 | 5.8× |
| Test for acetone/ketones (82009) | $74.40 | $93 | 16.5× |
| Testosterone Bioavailable (84410) range across 3 matching MRF lines |
$120–$124.80 | $150–$156 | varies |
| Testosterone total (84403) range across 5 matching MRF lines |
$60.80–$169.60 | $76–$212 | varies |
| Testosterone, Free (84402) | $60 | $75 | 2.4× |
| Tgsap so/hl 51/< RNA alys (81456) | $7,058.40 | $8,823 | 2.4× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $2,193.60 | $2,742 | 3.7× |
| Theophylline (80198) | $112.80 | $141 | 8.0× |
| Thiopurine methyltransferase (84433) | $152 | $190 | 6.9× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$27.20–$53.60 | $34–$67 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$58.40–$81.60 | $73–$102 | varies |
| Thyroglobulin (84432) range across 5 matching MRF lines |
$45.60–$188 | $57–$235 | varies |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$52.80–$126.40 | $66–$158 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $124 | $155 | 2.4× |
| Thyroxine binding globulin (84442) | $48.80 | $61 | 3.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $44 | $55 | 3.8× |
| Tissue Culture (88233) | $343.20 | $429 | 2.4× |
| Tissue culture bone marrow (88237) range across 4 matching MRF lines |
$314.40–$569.60 | $393–$712 | varies |
| Tissue Culture Lymphocyte (88230) | $296 | $370 | 2.5× |
| Tobramycin peak (80200) | $167.20 | $209 | 10.4× |
| Topiramate (80201) | $71.20 | $89 | 6.0× |
| Touch prep (88161) | $144.80 | $181 | 4.9× |
| Toxoplasma ab igm (86778) | $120.80 | $151 | 8.4× |
| Toxoplasma antibody (86777) | $93.60 | $117 | 6.5× |
| Tp53 gene analysis full gene sequence (81351) | $1,503.20 | $1,879 | 2.3× |
| Tp53 gene analysis targeted sequence analysis (81352) | $804 | $1,005 | 2.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $44.80 | $56 | 8.6× |
| Transferrin (84466) | $69.60 | $87 | 5.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 4 matching MRF lines |
$489.60–$509.60 | $612–$637 | varies |
| Trg gene rearrangement anal (81342) range across 4 matching MRF lines |
$472–$492 | $590–$615 | varies |
| Trichomonas vagin dir probe (87660) | $101.60 | $127 | 5.1× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$108–$120.80 | $135–$151 | varies |
| Triglycerides (84478) range across 3 matching MRF lines |
$28.80–$149.60 | $36–$187 | varies |
| Troponin Quant (84484) | $116.80 | $146 | 9.4× |
| Tumor immunohistochem/comput (88361) | $193.60 | $242 | 0.5× |
| Tumor Immunohistochem/Manual (88360) range across 14 matching MRF lines |
$193.60–$272 | $242–$340 | varies |
| Unlisted reproductive medicine lab procedure (89398) | $66.40 | $83 | 1.2× |
| Unlisted Transfusion Medicine Procedure (86999) range across 2 matching MRF lines |
$67.20–$484.80 | $84–$606 | varies |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$15.20–$69.60 | $19–$87 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$13.60–$53.60 | $17–$67 | varies |
| Urinalysis Microscopic Only (81015) | $38.40 | $48 | 12.6× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $50.40 | $63 | 23.2× |
| Urinalysis Volume Measure (81050) | $16.80 | $21 | 4.6× |
| Urine Albumin Semiquantitative (82044) | $63.20 | $79 | 10.1× |
| Urine Bacteria Culture (87088) | $37.60 | $47 | 4.6× |
| Urine Pregnancy Test (81025) | $30.40 | $38 | 3.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $60.80 | $76 | 19.2× |
| Valproic acid (80164) range across 2 matching MRF lines |
$41.60–$120 | $52–$150 | varies |
| Vancomycin (80202) | $154.40 | $193 | 11.4× |
| Varicella-zoster antibody (86787) | $54.40 | $68 | 4.2× |
| Vasopressin (84588) | $157.60 | $197 | 4.6× |
| Very Long Chain Fatty Acids (82726) | $92 | $115 | 4.7× |
| Viral Culture (87252) | $251.20 | $314 | 9.6× |
| Virus antibody nos (86790) range across 5 matching MRF lines |
$33.60–$102.40 | $42–$128 | varies |
| Virus inoculate tissue addl (87253) | $146.40 | $183 | 7.2× |
| Virus inoculation, shell via (87254) | $159.20 | $199 | 8.1× |
| Viscosity serum (85810) | $82.40 | $103 | 7.1× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$122.40–$269.60 | $153–$337 | varies |
| Vitamin A (84590) | $48.80 | $61 | 4.2× |
| Vitamin b-12 (82607) | $90.40 | $113 | 6.0× |
| Vitamin B2 (Riboflavin) (84252) | $57.60 | $72 | 2.8× |
| Vitamin B6 (84207) | $68.80 | $86 | 2.4× |
| Vitamin c (82180) | $28 | $35 | 2.8× |
| 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) range across 2 matching MRF lines |
$86.40–$100 | $108–$125 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$52.80–$82.40 | $66–$103 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$52.80–$114.40 | $66–$143 | varies |
| Zinc (84630) | $104.80 | $131 | 9.2× |
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.