Lab & pathology prices at Sarah Bush Lincoln Health Center
Mattoon, IL · every code in this section with a posted price and a Medicare benchmark.
805 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) range across 2 matching MRF lines |
$96–$240 | $96–$240 | varies |
| 5 Nucleotidase (83915) | $119 | $119 | 10.7× |
| Abl1 gene analysis kinase domain variants (81170) | $1,688 | $1,688 | 5.6× |
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$108–$139 | $108–$139 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 2 matching MRF lines |
$58–$139 | $58–$139 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) | $137 | $137 | 11.4× |
| Acth (82024) | $240 | $240 | 6.2× |
| Actin smooth muscle antibody each (86015) | $66 | $66 | 5.5× |
| Acute hepatitis panel (80074) | $344 | $344 | 7.2× |
| Acylcarnitines Quant (82017) range across 3 matching MRF lines |
$161–$363 | $161–$363 | varies |
| Albumin Fluid (82042) range across 4 matching MRF lines |
$44–$93 | $44–$93 | varies |
| Albumin serum (82040) range across 4 matching MRF lines |
$29–$79 | $29–$79 | varies |
| Aldolase (82085) | $61 | $61 | 6.3× |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$153–$289 | $153–$289 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$143–$164 | $143–$164 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $47 | $47 | 5.9× |
| Allergen specific ige (86003) range across 12 matching MRF lines |
$22.71–$97 | $22.71–$97 | varies |
| Allergen specific igg (86001) range across 3 matching MRF lines |
$62–$100 | $62–$100 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 4 matching MRF lines |
$28–$106 | $28–$106 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $185 | $185 | 12.8× |
| Alpha-1-antitrypsin total (82103) range across 5 matching MRF lines |
$84–$263 | $84–$263 | varies |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$95–$244 | $95–$244 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$37–$86 | $37–$86 | varies |
| Aluminum (82108) range across 2 matching MRF lines |
$60–$145 | $60–$145 | varies |
| Amikacin trough (80150) | $120 | $120 | 8.0× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$157–$196 | $157–$196 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $274 | $274 | 16.2× |
| Ammonia (82140) range across 2 matching MRF lines |
$226–$275 | $226–$275 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $439 | $439 | 4.5× |
| Amylase urine (82150) range across 3 matching MRF lines |
$94–$105 | $94–$105 | varies |
| Ana Titer (86039) range across 3 matching MRF lines |
$63–$77 | $63–$77 | varies |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$69–$104 | $69–$104 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$168–$192 | $168–$192 | varies |
| Angiotensin converting enzyme csf (82164) | $92 | $92 | 6.3× |
| Anti-Phospholipid Antibody (86148) | $159 | $159 | 9.9× |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$75–$147 | $75–$147 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$135–$159 | $135–$159 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 4 matching MRF lines |
$81–$198 | $81–$198 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 3 matching MRF lines |
$34–$216 | $34–$216 | varies |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$52–$149 | $52–$149 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$74–$152 | $74–$152 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$86–$160 | $86–$160 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$113–$162 | $113–$162 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$57–$166 | $57–$166 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 5 matching MRF lines |
$50–$99 | $50–$99 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$83–$154 | $83–$154 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$109–$129 | $109–$129 | varies |
| Antibody HIV-2 (86702) | $190 | $190 | 14.1× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $511 | $511 | 1.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $207.64 | $207.64 | 10.7× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$182–$420 | $182–$420 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 3 matching MRF lines |
$81–$309 | $81–$309 | varies |
| Antibody john cunningham virus (86711) range across 2 matching MRF lines |
$96–$204 | $96–$204 | varies |
| Antibody Lymphocytic Choriomeningitis (86727) range across 2 matching MRF lines |
$55.98–$101 | $55.98–$101 | varies |
| Antibody Protozoa Nes (86753) range across 5 matching MRF lines |
$59–$181 | $59–$181 | varies |
| Antibody Titer (86886) range across 2 matching MRF lines |
$62–$151 | $62–$151 | varies |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$83–$172 | $83–$172 | varies |
| Antibody; encephalitis, st. louis (86653) range across 2 matching MRF lines |
$83–$121 | $83–$121 | varies |
| Antigen typing (86905) range across 9 matching MRF lines |
$128–$266 | $128–$266 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$69–$191 | $69–$191 | varies |
| Antistreptolysin o titer (86060) | $105 | $105 | 14.4× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$74–$167 | $74–$167 | varies |
| Antithrombin iii antigen (85301) | $53.94 | $53.94 | 5.0× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$120–$174 | $120–$174 | varies |
| Aquaporin-4 Antb Cba Each (86052) range across 4 matching MRF lines |
$72–$449 | $72–$449 | varies |
| Aquaporin-4 Antb Elisa (86051) range across 2 matching MRF lines |
$390–$405 | $390–$405 | varies |
| Arsenic (82175) range across 5 matching MRF lines |
$102–$163 | $102–$163 | varies |
| Aspergillus ag eia (87305) | $211 | $211 | 17.6× |
| Assay activated protein c (85307) range across 3 matching MRF lines |
$97–$217 | $97–$217 | varies |
| Assay Blood Carbon Dioxide (82374) | $73 | $73 | 15.0× |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$84–$282 | $84–$282 | varies |
| Assay of 5-hiaa (83497) range across 4 matching MRF lines |
$81–$350 | $81–$350 | varies |
| Assay of anti-mullerian hormone (82166) | $201 | $201 | 5.2× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$68–$73 | $68–$73 | varies |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$64–$126 | $64–$126 | varies |
| Assay of cpk in blood (82552) | $95 | $95 | 7.1× |
| Assay of estrone (82679) | $141 | $141 | 5.7× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$42–$62 | $42–$62 | varies |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$58–$133 | $58–$133 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$66–$170 | $66–$170 | varies |
| Assay of manganese (83785) range across 2 matching MRF lines |
$90–$104 | $90–$104 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$107–$186 | $107–$186 | varies |
| Assay of proinsulin (84206) | $98 | $98 | 3.7× |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
$82–$108 | $82–$108 | varies |
| Assay of serotonin (84260) | $175 | $175 | 5.6× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$60–$171 | $60–$171 | varies |
| Assay of sweat sodium (84302) | $67 | $67 | 13.8× |
| Assay of transcortin (84449) | $225 | $225 | 12.5× |
| Assay of Tyrosine (84510) | $136 | $136 | 12.8× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$34–$62 | $34–$62 | varies |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$104.25–$125 | $104.25–$125 | varies |
| Assay of vasoactive intestinal peptide (84586) | $177 | $177 | 5.0× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$120–$133 | $120–$133 | varies |
| Assay Ph Body Fluid Nos (83986) range across 5 matching MRF lines |
$24–$79 | $24–$79 | varies |
| Assay spec xcp ur&breath ia (82077) | $141 | $141 | 8.2× |
| ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative… (81176) | $1,679 | $1,679 | 6.9× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,500 | $1,500 | 1.8× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$45–$46 | $45–$46 | varies |
| B cells total count (86355) range across 3 matching MRF lines |
$105–$251 | $105–$251 | varies |
| Babesia microti amp prb (87469) | $159 | $159 | 4.5× |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$57–$103 | $57–$103 | varies |
| Bcr/abl1 gene major bp (81206) range across 4 matching MRF lines |
$571–$1,029 | $571–$1,029 | varies |
| Bcr/abl1 gene minor bp (81207) range across 3 matching MRF lines |
$519–$833 | $519–$833 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $484 | $484 | 2.3× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$47–$223 | $47–$223 | varies |
| Beta Lactamase (87185) | $91 | $91 | 19.2× |
| Beta-2 Microglobulin (82232) range across 3 matching MRF lines |
$92–$186 | $92–$186 | varies |
| Beta-amyloid 1-40 (abeta 40) (82233) | $400 | $400 | 3.1× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $400 | $400 | 3.1× |
| Bile acids total (82239) | $97 | $97 | 5.7× |
| Bilirubin direct (82248) | $83 | $83 | 16.5× |
| Bilirubin total (82247) | $83 | $83 | 16.5× |
| Bilirubin total transcutaneous (88720) | $46 | $46 | 9.2× |
| Blastomyces antibody (86612) range across 3 matching MRF lines |
$81–$119 | $81–$119 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $229 | $229 | 1.3× |
| Bld Typing Serologic Rh Phnt (86906) | $129 | $129 | 16.6× |
| Blood Count Manual Cell Count Each (85032) | $56 | $56 | 13.0× |
| Blood Count Red Blood Cell Automated (85041) | $26 | $26 | 8.6× |
| Blood count reticulocyte automated (85045) | $68 | $68 | 17.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $54 | $54 | 14.2× |
| Blood gas (82803) range across 3 matching MRF lines |
$232–$306 | $232–$306 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $89 | $89 | 5.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$17–$55 | $17–$55 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 4 matching MRF lines |
$128–$255 | $128–$255 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $27 | $27 | 1.7× |
| Blood typing serologic abo (86900) range across 3 matching MRF lines |
$76–$95 | $76–$95 | varies |
| Body fluid cell count (89050) range across 6 matching MRF lines |
$47–$77 | $47–$77 | varies |
| Bone marrow smear interpretation (85097) range across 3 matching MRF lines |
$226–$2,190 | $226–$2,190 | varies |
| Braf gene analysis (81210) range across 3 matching MRF lines |
$438–$1,499 | $438–$1,499 | varies |
| Brca1&2 gen full seq dup/del (81162) | $3,900 | $3,900 | 2.1× |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$30–$43 | $30–$43 | varies |
| Brucella antibody (86622) | $57 | $57 | 6.4× |
| C diff amplified probe (87493) | $326 | $326 | 8.7× |
| C-Peptide (84681) | $130 | $130 | 6.2× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$77–$84 | $77–$84 | varies |
| Ca 19-9 (86301) | $130 | $130 | 6.2× |
| Cadmium (82300) range across 3 matching MRF lines |
$52–$163 | $52–$163 | varies |
| Calcitonin (82308) | $152 | $152 | 5.7× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$86–$95 | $86–$95 | varies |
| Calcium total (82310) | $84 | $84 | 16.3× |
| Calculus Spectroscopy (82365) | $81 | $81 | 6.3× |
| Calprotectin Fecal (83993) | $448 | $448 | 22.8× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$650–$898 | $650–$898 | varies |
| Cancer Antigen 125 (86304) range across 3 matching MRF lines |
$130–$179 | $130–$179 | varies |
| Cancer Antigen 27.29 (86300) | $130 | $130 | 6.2× |
| Candida antibody (86628) | $86 | $86 | 7.2× |
| Candida Dna Dir Probe (87480) | $138 | $138 | 6.9× |
| Carbamazepine free (80157) range across 2 matching MRF lines |
$45–$124 | $45–$124 | varies |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$93.50–$218 | $93.50–$218 | varies |
| Carbohydrate Deficient Transferrin (82373) range across 2 matching MRF lines |
$244–$295 | $244–$295 | varies |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
$149–$176 | $149–$176 | varies |
| Carcinoembryonic antigen (82378) | $295 | $295 | 15.6× |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$41–$228 | $41–$228 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 3 matching MRF lines |
$98–$170 | $98–$170 | varies |
| Carotene (82380) | $83 | $83 | 9.0× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$142–$157 | $142–$157 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$73–$76 | $73–$76 | varies |
| Cell count csf (89051) range across 4 matching MRF lines |
$62–$89 | $62–$89 | varies |
| Cell marker study (88182) range across 3 matching MRF lines |
$267–$489 | $267–$489 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$439–$505 | $439–$505 | varies |
| Ceruloplasmin (82390) | $68 | $68 | 6.3× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$573–$1,239 | $573–$1,239 | varies |
| Cftr gene full sequence (81223) | $1,500 | $1,500 | 3.0× |
| Chemiluminescent assay (82397) range across 6 matching MRF lines |
$80–$449.08 | $80–$449.08 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$42–$117 | $42–$117 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$24–$129 | $24–$129 | varies |
| Chlmy trch&neisra gonor mult (87494) | $534 | $534 | 7.6× |
| Chloride other source (82438) range across 2 matching MRF lines |
$58–$79 | $58–$79 | varies |
| Chloride Serum (82435) | $69 | $69 | 15.0× |
| Chloride urine (82436) range across 2 matching MRF lines |
$79–$97 | $79–$97 | varies |
| Cholesterol total (82465) | $71 | $71 | 16.3× |
| Cholinesterase rbc (82482) | $108 | $108 | 11.0× |
| Cholinesterase Serum (82480) | $108 | $108 | 13.7× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$188–$237 | $188–$237 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) | $261 | $261 | 7.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $278 | $278 | 8.3× |
| Chromium serum (82495) range across 3 matching MRF lines |
$114–$191 | $114–$191 | varies |
| Chromogranin a (86316) range across 5 matching MRF lines |
$130–$351.75 | $130–$351.75 | varies |
| Chromosome Analysis 15-20 (88262) range across 3 matching MRF lines |
$519–$1,106 | $519–$1,106 | varies |
| Chromosome Analysis 20-25 (88264) | $456 | $456 | 3.2× |
| Chromosome analysis, 5 (88261) range across 3 matching MRF lines |
$472–$1,548 | $472–$1,548 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 5 matching MRF lines |
$130–$312 | $130–$312 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$151–$195 | $151–$195 | varies |
| Ckmb (82553) range across 2 matching MRF lines |
$93–$181 | $93–$181 | varies |
| Clostridium Difficile (87324) | $188 | $188 | 15.7× |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$72–$237 | $72–$237 | varies |
| Clot factor xiii fibrin stab (85290) | $302 | $302 | 18.5× |
| Clotting factor xii hageman (85280) | $109 | $109 | 5.6× |
| Clotting Funct Activity (85397) range across 4 matching MRF lines |
$145–$295 | $145–$295 | varies |
| Cns DNA amp probe type 12-25 (87483) | $1,164 | $1,164 | 2.8× |
| Coagulation time activated (85347) | $57 | $57 | 13.3× |
| Coccidioides antibody (86635) range across 6 matching MRF lines |
$66–$142 | $66–$142 | varies |
| Cold agglutinin screen (86156) | $108 | $108 | 13.4× |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$51–$121 | $51–$121 | varies |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$106–$211 | $106–$211 | varies |
| Column Chromotography Quant (82542) range across 10 matching MRF lines |
$151–$2,000 | $151–$2,000 | varies |
| Compatibility test antiglob (86922) range across 3 matching MRF lines |
$197–$286 | $197–$286 | varies |
| Complement Antigen Each Component (86160) range across 6 matching MRF lines |
$68–$300 | $68–$300 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$128–$187 | $128–$187 | varies |
| Complement/Function Activity (86161) range across 4 matching MRF lines |
$68–$182 | $68–$182 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 4 matching MRF lines |
$595–$716 | $595–$716 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 5 matching MRF lines |
$477–$642 | $477–$642 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 4 matching MRF lines |
$390–$530 | $390–$530 | varies |
| Coombs direct (86880) range across 4 matching MRF lines |
$76–$100 | $76–$100 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$70–$104 | $70–$104 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$104–$170 | $104–$170 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$130–$253 | $130–$253 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$103–$149 | $103–$149 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$64–$84 | $64–$84 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$149–$154 | $149–$154 | varies |
| Creatinine Urine (82570) range across 7 matching MRF lines |
$42–$139 | $42–$139 | varies |
| Crossmatch electronic (86923) | $197 | $197 | 1.1× |
| Crossmatch immediate spin (86920) | $197 | $197 | 1.1× |
| Crp High Sensitivity (86141) | $202 | $202 | 15.6× |
| Cryoglobulin (82595) range across 3 matching MRF lines |
$41–$94 | $41–$94 | varies |
| Cryptococcal Antigen (87327) | $76 | $76 | 5.7× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$76–$176 | $76–$176 | varies |
| Cryptosporidium ag eia (87328) | $164 | $164 | 11.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 5 matching MRF lines |
$62–$109 | $62–$109 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$69–$154.70 | $69–$154.70 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,229 | $1,229 | 5.6× |
| Culture aerobic quant other (87071) | $119 | $119 | 12.0× |
| Culture afb (87116) range across 4 matching MRF lines |
$61–$155 | $61–$155 | varies |
| Culture Anaerobic (87075) | $140 | $140 | 14.8× |
| Culture blood (87040) range across 2 matching MRF lines |
$156–$161 | $156–$161 | varies |
| Culture chlamydia (87110) | $173 | $173 | 8.8× |
| Culture csf (87070) range across 4 matching MRF lines |
$105–$136 | $105–$136 | varies |
| Culture fungus (87102) | $109 | $109 | 13.0× |
| Culture fungus blood (87103) | $115 | $115 | 5.6× |
| Culture screen only (87081) range across 3 matching MRF lines |
$104–$118 | $104–$118 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$140–$154 | $140–$154 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $53 | $53 | 4.2× |
| Culture typing if ea antiserum (87140) | $81 | $81 | 14.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$70–$200 | $70–$200 | varies |
| Culture typing other methods (87158) range across 3 matching MRF lines |
$44–$197 | $44–$197 | varies |
| Culture urine (87086) | $123 | $123 | 15.2× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $140 | $140 | 9.8× |
| Cyclosporine (80158) | $113 | $113 | 6.3× |
| Cyp2c19 gene analysis common variants (81225) | $476 | $476 | 1.6× |
| Cyp2c9 gene com variants (81227) | $250 | $250 | 1.4× |
| Cyp2d6 gene com variants (81226) range across 2 matching MRF lines |
$541.10–$625 | $541.10–$625 | varies |
| Cyp3a4 gene common variants (81230) | $200 | $200 | 1.1× |
| Cyp3a5 gene common variants (81231) | $200 | $200 | 1.1× |
| Cystatin C (82610) | $59 | $59 | 3.2× |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
$358–$453 | $358–$453 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$1,670–$4,177 | $1,670–$4,177 | varies |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$47–$203 | $47–$203 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$177–$205 | $177–$205 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$173–$336 | $173–$336 | varies |
| Cytotoxic Antibody Screen Std (86807) | $157 | $157 | 2.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 2 matching MRF lines |
$177–$205 | $177–$205 | varies |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$112–$177 | $112–$177 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $319 | $319 | 5.7× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $430 | $430 | 2.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$155–$202 | $155–$202 | varies |
| Cytp Urine 3-5 Probes Cmptr (88121) | $478 | $478 | 2.6× |
| Deoxycortisol (82634) range across 2 matching MRF lines |
$95–$187 | $95–$187 | varies |
| Deoxyribonuclease antibody (86215) | $75 | $75 | 5.7× |
| Detect Agent Nos Dna Amp (87798) range across 8 matching MRF lines |
$52–$429 | $52–$429 | varies |
| Detect Agent Nos Dna Quant (87799) range across 6 matching MRF lines |
$121–$409 | $121–$409 | varies |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
$124–$484 | $124–$484 | varies |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$55–$143 | $55–$143 | varies |
| Dhea (82626) range across 2 matching MRF lines |
$157–$251 | $157–$251 | varies |
| Dhea-S (82627) | $139 | $139 | 6.3× |
| Digoxin (80162) | $208 | $208 | 15.7× |
| Dihydrotestosterone (82642) | $165 | $165 | 5.6× |
| Dipropylacetic Acid Free (80165) | $97 | $97 | 7.2× |
| Dmd Duplication/Deletion Analysis (81161) | $810 | $810 | 2.9× |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$78–$208 | $78–$208 | varies |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$114–$325 | $114–$325 | varies |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$136–$256 | $136–$256 | varies |
| Dna/Rna Sequencing (87153) range across 3 matching MRF lines |
$254–$461 | $254–$461 | varies |
| Dpyd gene common variants (81232) range across 2 matching MRF lines |
$530–$829 | $530–$829 | varies |
| Drug assay acetaminophen (80143) | $351 | $351 | 18.8× |
| Drug assay adalimumab (80145) | $366 | $366 | 9.5× |
| Drug Assay Amiodarone (80151) | $120 | $120 | 6.4× |
| Drug Assay Everolimus (80169) | $204 | $204 | 14.9× |
| Drug Assay Infliximab (80230) range across 3 matching MRF lines |
$200–$479 | $200–$479 | varies |
| Drug Assay Itraconazole (80189) | $153 | $153 | 5.6× |
| Drug Assay Lacosamide (80235) | $182 | $182 | 6.7× |
| Drug Assay Leflunomide (80193) | $218 | $218 | 5.7× |
| Drug Assay Posaconazole (80187) | $187 | $187 | 6.9× |
| Drug Assay Vedolizumab (80280) | $244 | $244 | 6.3× |
| Drug assay voriconazole (80285) | $188 | $188 | 6.9× |
| Drug Asy Hydroxychloroquine (80220) | $230 | $230 | 12.3× |
| Drug Screen Quant Clozapine (80159) | $114 | $114 | 5.7× |
| Drug Screen Quantitative Gabapentin (80171) | $113 | $113 | 5.2× |
| Drug Screen Quantitative Lamotrigine (80175) | $83 | $83 | 6.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $83 | $83 | 6.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $106 | $106 | 8.0× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 19 matching MRF lines |
$46–$728 | $46–$728 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 4 matching MRF lines |
$37–$48 | $37–$48 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 4 matching MRF lines |
$55–$204 | $55–$204 | varies |
| Egfr Gene Analysis Common Variants (81235) range across 3 matching MRF lines |
$547–$1,662 | $547–$1,662 | varies |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$66–$102.50 | $66–$102.50 | varies |
| El-1 Fecal Quantitative (82653) | $274 | $274 | 11.9× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$105–$109 | $105–$109 | varies |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$1,161–$1,758 | $1,161–$1,758 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
$130–$303 | $130–$303 | varies |
| Encephaltis East Eqne Anbdy (86652) range across 2 matching MRF lines |
$52–$154 | $52–$154 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$52–$153 | $52–$153 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $69 | $69 | 5.7× |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
$34–$172 | $34–$172 | varies |
| Enterovirus PCR (87498) | $310 | $310 | 8.8× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$260–$266 | $260–$266 | varies |
| Enzyme histochemistry (88319) range across 2 matching MRF lines |
$360–$939 | $360–$939 | varies |
| Erythropoietin (82668) | $118 | $118 | 6.3× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$86–$181 | $86–$181 | varies |
| Estriol (82677) range across 2 matching MRF lines |
$150–$170 | $150–$170 | varies |
| Estrogens fractionated (82671) range across 2 matching MRF lines |
$183–$248 | $183–$248 | varies |
| Ethosuximide (80168) | $103 | $103 | 6.3× |
| Ethylene Glycol (82693) range across 2 matching MRF lines |
$105–$300 | $105–$300 | varies |
| Exam Synovial Fluid Crystals (89060) range across 3 matching MRF lines |
$74–$114 | $74–$114 | varies |
| F2 Gene (81240) | $512 | $512 | 7.8× |
| Factor ii activity (85210) | $141.35 | $141.35 | 10.9× |
| Factor Inhibitor Test (85335) | $233 | $233 | 18.1× |
| Factor ix activity (85250) range across 3 matching MRF lines |
$108–$209 | $108–$209 | varies |
| Factor v activity (85220) | $104 | $104 | 5.9× |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$458–$558 | $458–$558 | varies |
| Factor vii assay (85230) | $112 | $112 | 6.3× |
| Factor viii assay (85240) range across 6 matching MRF lines |
$67–$371 | $67–$371 | varies |
| Factor X (85260) | $101 | $101 | 5.6× |
| Factor xi activity (85270) | $101 | $101 | 5.6× |
| Fat/Lipids Feces Quantitative (82710) range across 2 matching MRF lines |
$110–$122 | $110–$122 | varies |
| Fatty acids free (82725) | $162.12 | $162.12 | 8.6× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $211 | $211 | 12.3× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $82 | $82 | 12.6× |
| Fecal Fat Qualitative (82705) | $104 | $104 | 20.4× |
| Ferritin (82728) | $213 | $213 | 15.6× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $667.73 | $667.73 | 4.4× |
| Fetal Fibronectin (82731) | $709 | $709 | 11.0× |
| Fetal screen rosette (85461) | $372 | $372 | 39.7× |
| Fibrin degradation products (85362) | $97 | $97 | 14.1× |
| Fibrin Degradation Quant (85379) | $160 | $160 | 15.7× |
| Fibrinogen activity (85384) range across 4 matching MRF lines |
$60–$310 | $60–$310 | varies |
| Fibrinogen antigen (85385) range across 2 matching MRF lines |
$54–$173 | $54–$173 | varies |
| Flecainide level (80181) | $105 | $105 | 5.6× |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$199–$531 | $199–$531 | varies |
| Flt3 Gene (81245) | $928 | $928 | 5.6× |
| Flt3 gene analysis (81246) | $468 | $468 | 5.6× |
| Fluorescent antibody screen (86255) range across 13 matching MRF lines |
$69–$1,200 | $69–$1,200 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 19 matching MRF lines |
$76–$1,600 | $76–$1,600 | varies |
| Fmr1 Gene Charac Alleles (81244) | $297 | $297 | 6.6× |
| Fmr1 gene detection (81243) range across 3 matching MRF lines |
$295–$472 | $295–$472 | varies |
| Folic acid rbc (82747) | $110 | $110 | 6.2× |
| Folic Acid Serum (82746) | $213 | $213 | 14.5× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$105–$287 | $105–$287 | varies |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$82–$197 | $82–$197 | varies |
| Frozen Section (88331) range across 2 matching MRF lines |
$284–$382 | $284–$382 | varies |
| Fungi Identification Yeast (87106) | $88 | $88 | 8.5× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $91.65 | $91.65 | 4.3× |
| Galectin-3 (82777) | $303 | $303 | 6.8× |
| Gammaglobulin ige (82785) range across 4 matching MRF lines |
$84–$206 | $84–$206 | varies |
| Gardner vag DNA dir probe (87510) | $125 | $125 | 6.2× |
| Gardner Vag Dna Quant (87512) range across 2 matching MRF lines |
$56.45–$176 | $56.45–$176 | varies |
| Gastrin (82941) | $100 | $100 | 5.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,246 | $1,246 | 3.0× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 2 matching MRF lines |
$3,263.70–$4,775 | $3,263.70–$4,775 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 3 matching MRF lines |
$3,127–$5,000 | $3,127–$5,000 | varies |
| Genet Virus Isolate Hsv (87255) | $230 | $230 | 6.8× |
| Gentamicin (80170) | $255 | $255 | 15.6× |
| Ggt (82977) range across 2 matching MRF lines |
$80–$110 | $80–$110 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$81–$144 | $81–$144 | varies |
| Glucagon (82943) | $81 | $81 | 5.7× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$74–$77 | $74–$77 | varies |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$39–$57 | $39–$57 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$62–$67 | $62–$67 | varies |
| Glucose Serum (82947) range across 4 matching MRF lines |
$46–$62 | $46–$62 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$187–$208 | $187–$208 | varies |
| Glutathione (82978) | $196 | $196 | 12.7× |
| Glycated Protein (82985) range across 2 matching MRF lines |
$105–$150 | $105–$150 | varies |
| Gonadotropin Chorionic Qualitative (84703) range across 6 matching MRF lines |
$44–$125 | $44–$125 | varies |
| Growth hormone (83003) range across 2 matching MRF lines |
$99–$104 | $99–$104 | varies |
| Gtt-added samples (82952) range across 3 matching MRF lines |
$58–$67 | $58–$67 | varies |
| H Pylori (C-13) Breath (83013) | $419 | $419 | 6.2× |
| Haloperidol (80173) | $112 | $112 | 7.1× |
| Haptoglobin (83010) | $79 | $79 | 6.3× |
| Hba1/hba2 full gene sequence (81259) | $1,560 | $1,560 | 2.6× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 2 matching MRF lines |
$624–$735 | $624–$735 | varies |
| Hbb Full Gene Sequence (81364) range across 3 matching MRF lines |
$811.45–$1,560 | $811.45–$1,560 | varies |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$126–$130 | $126–$130 | varies |
| Helicobacter Pylori Stool (87338) | $133 | $133 | 9.2× |
| Helminth Antibody (86682) range across 5 matching MRF lines |
$81–$185 | $81–$185 | varies |
| Hematocrit (85014) | $42 | $42 | 17.7× |
| Hemoglobin (85018) range across 7 matching MRF lines |
$23–$42 | $23–$42 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$61–$152 | $61–$152 | varies |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$144–$400 | $144–$400 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$95–$400 | $95–$400 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $69 | $69 | 8.4× |
| Hemoglobin plasma (83051) | $31.79 | $31.79 | 4.3× |
| Hemosiderin urine (83070) | $96 | $96 | 20.2× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$81–$88 | $81–$88 | varies |
| Heparin assay (85520) range across 4 matching MRF lines |
$52–$196 | $52–$196 | varies |
| Heparin Neutralization (85525) range across 2 matching MRF lines |
$67–$100 | $67–$100 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$77–$78 | $77–$78 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$89–$100 | $89–$100 | varies |
| Hepatitis b core ab total (86704) | $76 | $76 | 6.3× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$102–$103 | $102–$103 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$87–$97 | $87–$97 | varies |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$74–$139 | $74–$139 | varies |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$66–$74 | $66–$74 | varies |
| Hepatitis C Antibody (86803) | $115 | $115 | 8.1× |
| Hepatitis C Genotype (87902) | $1,119.91 | $1,119.91 | 4.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$266–$617 | $266–$617 | varies |
| Hepatitis Delta Agent Antibody (86692) | $112 | $112 | 6.5× |
| Heredtry Nurondcrn Tum Dsrdr (81437) | $2,500 | $2,500 | 1.9× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$121–$164 | $121–$164 | varies |
| Heterophile Antibody Screen (86308) range across 4 matching MRF lines |
$34.48–$86 | $34.48–$86 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$346–$667 | $346–$667 | varies |
| Histamine urine (83088) range across 2 matching MRF lines |
$99–$180.05 | $99–$180.05 | varies |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$92–$146 | $92–$146 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$150–$249 | $150–$249 | varies |
| Hiv Genotype (87901) | $650 | $650 | 2.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 4 matching MRF lines |
$107–$217 | $107–$217 | varies |
| Hiv-1 Antibody (86701) | $183 | $183 | 20.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $530 | $530 | 6.2× |
| HIV-2 probe&revrse trnscripj (87538) | $220 | $220 | 6.3× |
| Hla Class I Typing High Resolution One Locus Ea (81380) range across 2 matching MRF lines |
$572–$598 | $572–$598 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $456 | $456 | 3.6× |
| Hla class i&ii antibody qual (86828) range across 2 matching MRF lines |
$324–$425 | $324–$425 | varies |
| Hla class ii typing high resolution one locus ea (81382) range across 3 matching MRF lines |
$494–$863 | $494–$863 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $292 | $292 | 3.9× |
| Hla I Typing 1 Allele Hr (81381) range across 3 matching MRF lines |
$291–$480 | $291–$480 | varies |
| Hla ii typing 1 allele hr (81383) | $208 | $208 | 1.9× |
| Hla ii typing 1 locus lr (81376) | $183 | $183 | 1.5× |
| Hla-b27 (86812) | $161 | $161 | 6.2× |
| Homocysteine (83090) range across 2 matching MRF lines |
$112–$245 | $112–$245 | varies |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$114–$118.65 | $114–$118.65 | varies |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$213–$337 | $213–$337 | varies |
| Hpv Types 16 & 18 Only (87625) range across 2 matching MRF lines |
$145.17–$188 | $145.17–$188 | varies |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$199–$403 | $199–$403 | varies |
| Hsv Dna Quant (87530) range across 2 matching MRF lines |
$95–$456 | $95–$456 | varies |
| Htt Gene Detc Abnor Alleles (81271) | $576 | $576 | 4.2× |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$142–$251 | $142–$251 | varies |
| Hydroxycorticosteroids 17 (83491) range across 2 matching MRF lines |
$152–$203 | $152–$203 | varies |
| Hydroxyprogesterone 17-d (83498) range across 3 matching MRF lines |
$73–$223 | $73–$223 | varies |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $105 | $105 | 8.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $135 | $135 | 13.1× |
| Iaad ia shiga-like toxin (87427) range across 3 matching MRF lines |
$82–$154 | $82–$154 | varies |
| Iaadi inffluenza a virus (87276) | $60 | $60 | 3.7× |
| Iaadi not otherwise specified each organism (87299) | $29 | $29 | 1.8× |
| Iaadi parainfluenza virus each type (87279) | $35 | $35 | 2.1× |
| Iaadi pneumocustis carinii (87281) | $114 | $114 | 9.5× |
| Iaadi respiratory synctial virus (87280) | $66 | $66 | 4.9× |
| Iaadi Varicella Zoster Virus (87290) | $112 | $112 | 8.3× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $199 | $199 | 5.7× |
| Iadna Bartonella Amplified Probe Technique (87471) | $390 | $390 | 11.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $199 | $199 | 5.7× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 3 matching MRF lines |
$61–$202 | $61–$202 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $52 | $52 | 1.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $199 | $199 | 5.7× |
| Iadna Cytomegalovirus Quantification (87497) | $260 | $260 | 6.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 6 matching MRF lines |
$170–$277 | $170–$277 | varies |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $199 | $199 | 5.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $266 | $266 | 6.2× |
| Iadna Herpes Virus-6 Quantification (87533) | $338 | $338 | 8.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $127 | $127 | 3.6× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) range across 2 matching MRF lines |
$333.95–$334 | $333.95–$334 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $236 | $236 | 5.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$52–$174 | $52–$174 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$199–$312 | $199–$312 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $222 | $222 | 4.3× |
| Idh1 common variants (81120) | $894 | $894 | 4.6× |
| Idh2 common variants (81121) | $1,138 | $1,138 | 3.8× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$98–$131 | $98–$131 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$46–$104 | $46–$104 | varies |
| Igh gene rearrange amp meth (81261) range across 3 matching MRF lines |
$931–$1,442 | $931–$1,442 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,276 | $1,276 | 4.3× |
| Igk rearrangeabn clonal pop (81264) range across 2 matching MRF lines |
$750–$943 | $750–$943 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 6 matching MRF lines |
$317–$989 | $317–$989 | varies |
| Immune Complex Assay (86332) | $162 | $162 | 6.6× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$191–$291 | $191–$291 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$104–$414 | $104–$414 | varies |
| Immunoassay infectious agent (86318) | $104 | $104 | 5.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 5 matching MRF lines |
$58–$151 | $58–$151 | varies |
| Immunoassay nonantibody (83516) range across 19 matching MRF lines |
$30–$300 | $30–$300 | varies |
| Immunodiffusion not elsewhere specified (86329) | $175 | $175 | 12.5× |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$34–$95 | $34–$95 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $225 | $225 | 9.7× |
| Immunofixation electrophoresis (86334) range across 5 matching MRF lines |
$69–$303 | $69–$303 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 4 matching MRF lines |
$197–$728.12 | $197–$728.12 | varies |
| Immunohistochemistry (88342) range across 11 matching MRF lines |
$195–$675 | $195–$675 | varies |
| In situ hybridization 1st probe stain (88365) range across 4 matching MRF lines |
$332–$891 | $332–$891 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $900 | $900 | 4.9× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $38 | $38 | 2.6× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $66 | $66 | 5.4× |
| Influenza assay w/optic (87804) | $83 | $83 | 5.0× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$318–$331 | $318–$331 | varies |
| Inhibin A (86336) range across 2 matching MRF lines |
$93–$181 | $93–$181 | varies |
| Inhibin b (83520) range across 15 matching MRF lines |
$108–$650 | $108–$650 | varies |
| Insitu hybridization auto (88367) | $525 | $525 | 1.4× |
| Insitu hybridization manual (88368) | $502 | $502 | 1.3× |
| Insulin antibodies (86337) | $121 | $121 | 5.7× |
| Insulin free (83527) | $136 | $136 | 10.5× |
| Insulin total (83525) range across 3 matching MRF lines |
$64–$177 | $64–$177 | varies |
| Interleukin-6 (83529) | $174 | $174 | 10.1× |
| Intrinsic factor antibody (86340) | $95 | $95 | 6.3× |
| Iron (83540) range across 2 matching MRF lines |
$103–$174 | $103–$174 | varies |
| Iron Binding Capacity (83550) | $67 | $67 | 7.7× |
| Irradiation Blood Product Each Unit (86945) | $166 | $166 | 4.1× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$133–$400 | $133–$400 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$422–$998 | $422–$998 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) range across 2 matching MRF lines |
$482–$604 | $482–$604 | varies |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $1,851 | $1,851 | 5.6× |
| Koh Prep (87220) | $47 | $47 | 11.0× |
| Kras Gene Analysis Additional Variant(S) (81276) range across 2 matching MRF lines |
$764–$1,059 | $764–$1,059 | varies |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$1,104–$1,671 | $1,104–$1,671 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $98 | $98 | 16.2× |
| Lactoferrin fecal qualitative (83630) | $144 | $144 | 7.3× |
| Ldh Isoenzymes (83625) | $89 | $89 | 7.0× |
| LDL direct (83721) range across 2 matching MRF lines |
$59–$134 | $59–$134 | varies |
| Lead (83655) range across 8 matching MRF lines |
$69–$156 | $69–$156 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$150–$287 | $150–$287 | varies |
| Leptospira antibody (86720) | $134 | $134 | 8.3× |
| Leukocyte Assessment Fecal (89055) | $69 | $69 | 16.2× |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
$67–$117 | $67–$117 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$133–$177 | $133–$177 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 6 matching MRF lines |
$41–$597 | $41–$597 | varies |
| Lipase (83690) range across 2 matching MRF lines |
$108–$118 | $108–$118 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$93–$165 | $93–$165 | varies |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$83–$231 | $83–$231 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) | $208 | $208 | 4.5× |
| Lithium (80178) range across 2 matching MRF lines |
$105–$116 | $105–$116 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$287–$296 | $287–$296 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$118–$161 | $118–$161 | varies |
| Lymphocyte transformation (86353) range across 3 matching MRF lines |
$108–$207 | $108–$207 | varies |
| Lymphocytotoxicity Assay (86805) | $489 | $489 | 2.6× |
| Lysozyme serum (85549) | $111 | $111 | 5.9× |
| M. Genitalium Amp Probe (87563) | $199 | $199 | 5.7× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 5 matching MRF lines |
$630–$1,375 | $630–$1,375 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $666 | $666 | 3.6× |
| Macroscopic exam arthropod (87168) | $225 | $225 | 52.7× |
| Macroscopic Exam Parasite (87169) | $71 | $71 | 16.5× |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$72–$164 | $72–$164 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$150–$400 | $150–$400 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$92–$166 | $92–$166 | varies |
| Methotrexate (80204) | $200 | $200 | 5.2× |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$120–$141.20 | $120–$141.20 | varies |
| Mgmt methylation analysis (81287) | $1,171 | $1,171 | 9.4× |
| Microalbumin, quantitative (82043) range across 4 matching MRF lines |
$63–$95 | $63–$95 | varies |
| Microbe Suscept Macrobroth (87188) | $99.43 | $99.43 | 15.0× |
| Microsatellite instability (81301) range across 2 matching MRF lines |
$1,841–$2,092 | $1,841–$2,092 | varies |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$82–$206 | $82–$206 | varies |
| Mitochondrial Antibody Each (86381) range across 2 matching MRF lines |
$66–$144 | $66–$144 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $506 | $506 | 2.5× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,688.50 | $1,688.50 | 2.5× |
| Mog-Igg1 Antb Cba Each (86362) range across 2 matching MRF lines |
$208–$275 | $208–$275 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
$130–$350 | $130–$350 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
$138–$389 | $138–$389 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $1,133 | $1,133 | 7.5× |
| Molecular Pathology Procedure Level 6 (81405) range across 5 matching MRF lines |
$766–$1,724 | $766–$1,724 | varies |
| Mononuclear cell antigen (86356) range across 6 matching MRF lines |
$84–$275 | $84–$275 | varies |
| Mopath procedure level 2 (81401) range across 7 matching MRF lines |
$414–$1,080 | $414–$1,080 | varies |
| Mopath procedure level 4 (81403) range across 4 matching MRF lines |
$504–$980 | $504–$980 | varies |
| Mopath procedure level 5 (81404) range across 6 matching MRF lines |
$557–$2,500 | $557–$2,500 | varies |
| Mopath procedure level 7 (81406) range across 5 matching MRF lines |
$456–$3,748 | $456–$3,748 | varies |
| Mopath procedure level 8 (81407) | $1,000 | $1,000 | 1.2× |
| Mopath procedure level 9 (81408) range across 2 matching MRF lines |
$2,500–$3,586 | $2,500–$3,586 | varies |
| Mpl gene common variants (81338) range across 2 matching MRF lines |
$391–$924 | $391–$924 | varies |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$216–$304 | $216–$304 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $533.25 | $533.25 | 2.5× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $954.25 | $954.25 | 2.5× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $595 | $595 | 2.5× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $1,604.62 | $1,604.62 | 2.5× |
| Mthfr Gene Analysis Common Variants (81291) | $527 | $527 | 8.1× |
| Mumps antibody (86735) | $74 | $74 | 5.7× |
| Muscle-Specific Kinase Antb (86366) | $395 | $395 | 21.5× |
| Mycophenolic Acid (80180) | $102 | $102 | 5.7× |
| Mycoplasma antibody (86738) | $164 | $164 | 12.4× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $996 | $996 | 5.7× |
| Myelin basic protein csf (83873) | $108 | $108 | 6.3× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$81–$82 | $81–$82 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$244–$387 | $244–$387 | varies |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$128–$156 | $128–$156 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $456 | $456 | 3.6× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $468 | $468 | 1.8× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $1,288 | $1,288 | 5.0× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) range across 3 matching MRF lines |
$156–$389 | $156–$389 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $125 | $125 | 0.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) range across 2 matching MRF lines |
$234–$400 | $234–$400 | varies |
| Niacin (84591) range across 3 matching MRF lines |
$150–$313 | $150–$313 | varies |
| Nickel level (83885) | $145 | $145 | 5.9× |
| Nitroblue Tetrazolium Dye (86384) | $62 | $62 | 4.6× |
| Nk cells total count (86357) range across 3 matching MRF lines |
$58–$377 | $58–$377 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $1,383 | $1,383 | 5.6× |
| Nras gene variants exon 2&3 (81311) | $1,816 | $1,816 | 6.1× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$34–$214 | $34–$214 | varies |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) | $3,424 | $3,424 | 1.0× |
| Obstetric panel (80081) | $836 | $836 | 11.2× |
| Occult blood feces (82272) | $42 | $42 | 9.9× |
| Occult Blood Other Sources (82271) | $40 | $40 | 7.5× |
| Oligoclonal bands (83916) | $188 | $188 | 6.9× |
| Oncoprotein Her-2/Neu (83950) | $510 | $510 | 7.9× |
| Organic acids urine (83918) | $348 | $348 | 14.7× |
| Osmolality serum (83930) | $103 | $103 | 15.6× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$108–$112 | $108–$112 | varies |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$61–$63 | $61–$63 | varies |
| Ova1 (81503) | $1,000 | $1,000 | 1.1× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$92–$138 | $92–$138 | varies |
| Parvovirus antibody (86747) | $177 | $177 | 11.8× |
| Pathology Consultation During Surgery (88329) range across 2 matching MRF lines |
$163–$225 | $163–$225 | varies |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $1,700 | $1,700 | 5.2× |
| Ph urine (81003) range across 9 matching MRF lines |
$20–$52 | $20–$52 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$170–$181 | $170–$181 | varies |
| Phenotype Infect Agent Drug (87900) | $353 | $353 | 2.7× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$170–$211 | $170–$211 | varies |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$76–$213 | $76–$213 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$60–$78 | $60–$78 | varies |
| Phosphatase alkaline (84075) | $86 | $86 | 16.6× |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$122–$152 | $122–$152 | varies |
| Phosphorus Serum (84100) | $74 | $74 | 15.6× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$76–$81 | $76–$81 | varies |
| Pinworm exam (87172) | $60 | $60 | 14.1× |
| Platelet Aggregation (85576) | $396 | $396 | 15.9× |
| Platelet Antibodies (86022) range across 6 matching MRF lines |
$87–$612 | $87–$612 | varies |
| Platelet count automated (85049) | $73 | $73 | 16.3× |
| Platelet neutralization (85597) | $113 | $113 | 6.3× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $1,311 | $1,311 | 6.3× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $508.75 | $508.75 | 2.5× |
| Pms2 gene full seq analysis (81317) | $1,691.25 | $1,691.25 | 2.5× |
| Pneumcysts jirovecii amp prb (87594) | $354 | $354 | 10.1× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$93–$100 | $93–$100 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$83–$155 | $83–$155 | varies |
| Potassium Urine (84133) range across 2 matching MRF lines |
$69–$93 | $69–$93 | varies |
| Prealbumin (84134) | $92 | $92 | 6.3× |
| Pregnenolone (84140) range across 2 matching MRF lines |
$58–$116 | $58–$116 | varies |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) range across 2 matching MRF lines |
$197–$372 | $197–$372 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 4 matching MRF lines |
$168–$215 | $168–$215 | varies |
| Primidone (80188) | $162 | $162 | 9.8× |
| Procalcitonin (Pct) (84145) | $408 | $408 | 15.0× |
| Progesterone (84144) | $292 | $292 | 14.0× |
| Prolactin (84146) range across 2 matching MRF lines |
$109–$297 | $109–$297 | varies |
| Prostaglandin (84150) | $376 | $376 | 9.0× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$43.67–$61 | $43.67–$61 | varies |
| Protein C Activity (85303) range across 4 matching MRF lines |
$78–$198 | $78–$198 | varies |
| Protein c antigen (85302) | $62 | $62 | 5.2× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$45–$124 | $45–$124 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$60–$152 | $60–$152 | varies |
| Protein S Free (85306) range across 5 matching MRF lines |
$90–$196 | $90–$196 | varies |
| Protein s total (85305) range across 3 matching MRF lines |
$83–$170 | $83–$170 | varies |
| Protein total serum (84155) range across 3 matching MRF lines |
$21–$61 | $21–$61 | varies |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$21–$65 | $21–$65 | varies |
| Protein Western Blot Test (84182) range across 8 matching MRF lines |
$63–$292 | $63–$292 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $62 | $62 | 15.7× |
| Protoporphyrin rbc quantitative (84202) | $127 | $127 | 8.9× |
| PSA free (84154) | $172 | $172 | 9.4× |
| Pth Intact (83970) range across 3 matching MRF lines |
$180–$421 | $180–$421 | varies |
| Pyruvate kinase (84220) | $101 | $101 | 10.7× |
| Q Fever Antibody (86638) | $156 | $156 | 12.9× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$200–$351 | $200–$351 | varies |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$201–$301 | $201–$301 | varies |
| Quantitative Screen Metals (83018) range across 4 matching MRF lines |
$124–$230 | $124–$230 | varies |
| Rbc antibody elution (86860) range across 3 matching MRF lines |
$255–$296 | $255–$296 | varies |
| Rbc antibody identification (86870) | $414 | $414 | 1.1× |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$95–$151 | $95–$151 | varies |
| Rbc pretreatment serum (86978) range across 4 matching MRF lines |
$128–$199 | $128–$199 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $197 | $197 | 1.1× |
| Reagent Strip/Blood Glucose (82948) | $60 | $60 | 11.9× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$138–$223 | $138–$223 | varies |
| Reptilase test (85635) range across 2 matching MRF lines |
$135–$148 | $135–$148 | varies |
| Resp Virus 6-11 Targets (87632) | $948.56 | $948.56 | 4.3× |
| Reticulocyte Count Manual (85044) | $56 | $56 | 13.0× |
| Reticulocyte separation (86972) | $197 | $197 | 1.1× |
| Rh (86901) range across 2 matching MRF lines |
$69–$72 | $69–$72 | varies |
| Rheumatoid factor quant (86431) range across 5 matching MRF lines |
$32–$175 | $32–$175 | varies |
| Rickettsia antibody (86757) | $156 | $156 | 8.1× |
| Ristocetin cofactor (85245) range across 3 matching MRF lines |
$59–$199 | $59–$199 | varies |
| Rotavirus ag eia (87425) | $171 | $171 | 14.3× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$32–$82 | $32–$82 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$167–$176 | $167–$176 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$81–$203 | $81–$203 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$73–$81 | $73–$81 | varies |
| Rufinamide (80210) | $191 | $191 | 7.0× |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
$66–$156 | $66–$156 | varies |
| Salicylate Level (80179) | $349 | $349 | 18.7× |
| Salmonella antibody (86768) | $58 | $58 | 4.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 6 matching MRF lines |
$164–$267 | $164–$267 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$130–$183.26 | $130–$183.26 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $207 | $207 | 5.0× |
| Sarscov2 & inf a&b amp prb (87636) | $388 | $388 | 2.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $434 | $434 | 3.0× |
| Sedimentation Rate, Automated (85652) | $46 | $46 | 17.0× |
| Selenium (84255) | $185 | $185 | 7.2× |
| Semen Anal Sperm Detection (89321) | $76 | $76 | 6.3× |
| Semen analysis complete (89320) | $114 | $114 | 9.3× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $82 | $82 | 8.3× |
| Sensitivity mic (87186) range across 7 matching MRF lines |
$119–$179 | $119–$179 | varies |
| Serpina 1 gene (81332) | $229 | $229 | 5.2× |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$38–$216 | $38–$216 | varies |
| Sickling of rbc reduction (85660) range across 5 matching MRF lines |
$58–$107 | $58–$107 | varies |
| Sirolimus (80195) | $86 | $86 | 6.3× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$20–$34 | $20–$34 | varies |
| Skin test; histoplasmosis (86510) | $50 | $50 | 1.2× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$50–$170 | $50–$170 | varies |
| Smear complex stain (87209) | $113 | $113 | 6.3× |
| Smear gram stain (87205) range across 3 matching MRF lines |
$48–$71 | $48–$71 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$60–$166 | $60–$166 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $302 | $302 | 2.2× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$41–$113 | $41–$113 | varies |
| So neo gsap DNA aly cpy nmbrµsatellite ins (81458) | $2,000 | $2,000 | 1.9× |
| So neo gsap DNA/DNA&RNA (81459) | $3,079 | $3,079 | 1.0× |
| Sodium Serum (84295) | $76 | $76 | 15.8× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$76–$101 | $76–$101 | varies |
| Soluble Transferrin Receptor (84238) | $159.10 | $159.10 | 4.4× |
| Somatomedin (84305) | $133 | $133 | 6.3× |
| Somatostatin (84307) | $268 | $268 | 14.7× |
| Special Stains Group 1 (88312) range across 5 matching MRF lines |
$135–$426 | $135–$426 | varies |
| Special Stains Group 2 (88313) range across 9 matching MRF lines |
$135–$541 | $135–$541 | varies |
| Specific gravity body fluid (84315) | $40 | $40 | 12.2× |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$56–$104 | $56–$104 | varies |
| Spectrophotometry (84311) range across 5 matching MRF lines |
$82–$250 | $82–$250 | varies |
| Stool cultr aerobic bact ea (87046) | $119 | $119 | 12.6× |
| Strep a assay w/optic (87880) range across 3 matching MRF lines |
$43–$176 | $43–$176 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$156–$162 | $156–$162 | varies |
| Strep b DNA amp probe (87653) | $131 | $131 | 3.7× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $269 | $269 | 23.3× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$31–$67 | $31–$67 | varies |
| Sulfate urine (84392) | $58 | $58 | 10.6× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$206–$382 | $206–$382 | varies |
| Surgical pathology level IV (88305) range across 5 matching MRF lines |
$37–$703 | $37–$703 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$659–$939 | $659–$939 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$73–$195 | $73–$195 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 4 matching MRF lines |
$76–$135 | $76–$135 | varies |
| Syphilis Test Non-Trep Quant (86593) range across 4 matching MRF lines |
$72–$97 | $72–$97 | varies |
| T cells absolute cd4 count (86361) | $152 | $152 | 5.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$66–$292 | $66–$292 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$63–$266 | $63–$266 | varies |
| T3 Free (84481) range across 3 matching MRF lines |
$89–$306 | $89–$306 | varies |
| T3 reverse (84482) range across 2 matching MRF lines |
$58–$95 | $58–$95 | varies |
| T3 Total (84480) range across 2 matching MRF lines |
$47–$172 | $47–$172 | varies |
| T3 Uptake (84479) range across 3 matching MRF lines |
$54–$94 | $54–$94 | varies |
| T4 Free (84439) range across 5 matching MRF lines |
$92–$149 | $92–$149 | varies |
| T4 total (84436) range across 3 matching MRF lines |
$66–$108 | $66–$108 | varies |
| Tacrolimus (80197) | $86 | $86 | 6.3× |
| Tau phosphorylated each (84393) range across 3 matching MRF lines |
$500–$560.80 | $500–$560.80 | varies |
| Test for acetone/ketones (82009) | $73 | $73 | 16.2× |
| Testosterone total (84403) range across 3 matching MRF lines |
$74–$325 | $74–$325 | varies |
| Testosterone, Free (84402) range across 5 matching MRF lines |
$80–$251 | $80–$251 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 3 matching MRF lines |
$2,288–$4,317 | $2,288–$4,317 | varies |
| Theophylline (80198) | $217 | $217 | 15.3× |
| Thiopurine methyltransferase (84433) | $286 | $286 | 12.9× |
| Thrombin Time (85670) range across 5 matching MRF lines |
$37–$114 | $37–$114 | varies |
| Thromboplastin Inhibition Tissue (85705) | $112 | $112 | 11.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$66–$98 | $66–$98 | varies |
| Thyroglobulin (84432) range across 4 matching MRF lines |
$100–$186 | $100–$186 | varies |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$100–$193 | $100–$193 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $317 | $317 | 6.2× |
| Thyroxine binding globulin (84442) | $98 | $98 | 6.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 5 matching MRF lines |
$52–$125 | $52–$125 | varies |
| Tissue Culture (88233) | $1,095 | $1,095 | 7.8× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$456–$686 | $456–$686 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$477–$844 | $477–$844 | varies |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$166–$187 | $166–$187 | varies |
| Topiramate (80201) | $76 | $76 | 6.4× |
| Touch prep (88161) range across 2 matching MRF lines |
$155–$183 | $155–$183 | varies |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$31–$144 | $31–$144 | varies |
| Toxoplasma antibody (86777) range across 3 matching MRF lines |
$42–$154 | $42–$154 | varies |
| Tpmt gene com variants (81335) | $454 | $454 | 2.6× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$37–$84 | $37–$84 | varies |
| Transferrin (84466) | $201 | $201 | 15.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $728 | $728 | 3.5× |
| Trg gene rearrangement anal (81342) | $1,371 | $1,371 | 6.8× |
| Trichomonas vagin dir probe (87660) | $125 | $125 | 6.2× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$73–$191 | $73–$191 | varies |
| Triglycerides (84478) | $89 | $89 | 15.5× |
| Troponin Quant (84484) range across 3 matching MRF lines |
$138–$156 | $138–$156 | varies |
| Tumor immunohistochem/comput (88361) range across 3 matching MRF lines |
$361–$1,276 | $361–$1,276 | varies |
| Tumor Immunohistochem/Manual (88360) range across 6 matching MRF lines |
$326–$704 | $326–$704 | varies |
| Ugt1a1 gene analysis common variants (81350) range across 2 matching MRF lines |
$286–$390 | $286–$390 | varies |
| Unlisted Transfusion Medicine Procedure (86999) range across 2 matching MRF lines |
$79–$316 | $79–$316 | varies |
| Urea Nitrogen Clearance (84545) | $80 | $80 | 11.1× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$74–$77 | $74–$77 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$74–$101 | $74–$101 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $106 | $106 | 48.8× |
| Urinalysis Volume Measure (81050) | $47 | $47 | 12.9× |
| Urine Bacteria Culture (87088) | $123 | $123 | 15.2× |
| Urine Pregnancy Test (81025) range across 3 matching MRF lines |
$42–$120 | $42–$120 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $62 | $62 | 19.6× |
| Valproic acid (80164) range across 2 matching MRF lines |
$97–$209 | $97–$209 | varies |
| Vancomycin (80202) | $209 | $209 | 15.4× |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$55–$126 | $55–$126 | varies |
| Vasopressin (84588) | $148 | $148 | 4.4× |
| Viral Culture (87252) range across 2 matching MRF lines |
$148–$254 | $148–$254 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$124–$215 | $124–$215 | varies |
| Virus inoculate tissue addl (87253) range across 3 matching MRF lines |
$114–$179 | $114–$179 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$110–$171 | $110–$171 | varies |
| Viscosity serum (85810) | $73 | $73 | 6.3× |
| Vit D 1 25-Dihydroxy (82652) | $240 | $240 | 6.2× |
| Vitamin A (84590) | $87 | $87 | 7.5× |
| Vitamin b-12 (82607) | $237 | $237 | 15.7× |
| Vitamin B2 (Riboflavin) (84252) | $114 | $114 | 5.6× |
| Vitamin B6 (84207) | $176 | $176 | 6.3× |
| Vitamin c (82180) | $56 | $56 | 5.7× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$167–$203 | $167–$203 | varies |
| Vitamin E (84446) | $88 | $88 | 6.2× |
| Vitamin K (84597) | $147 | $147 | 10.7× |
| Volatiles (84600) | $192 | $192 | 11.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $278 | $278 | 23.1× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$68–$199 | $68–$199 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$96–$177 | $96–$177 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$81–$149 | $81–$149 | varies |
| Whole Mitochondrial Genome (81460) | $1,500 | $1,500 | 1.2× |
| Whole mitochondrial genome analysis panel (81465) | $1,500 | $1,500 | 1.6× |
| Xm Archive Tissue Molec Anal (88363) | $89 | $89 | 2.9× |
| Zinc (84630) range across 3 matching MRF lines |
$54–$124 | $54–$124 | 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.