Lab & pathology prices at Savoy Medical Center
Mamou, LA · every code in this section with a posted price and a Medicare benchmark.
567 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $134.54 | $224.23 | 12.1× |
| Acth (82024) | $114.69 | $191.15 | 3.0× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $928.42 | $1,547.36 | 28.5× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$41.88–$126.22 | $69.80–$210.37 | varies |
| Acute hepatitis panel (80074) | $487.16 | $811.94 | 10.2× |
| Adenovirus antibody (86603) range across 2 matching MRF lines |
$26.04–$587.41 | $43.40–$979.02 | varies |
| Albumin Fluid (82042) | $65.97 | $109.95 | 8.5× |
| Albumin serum (82040) | $65.97 | $109.95 | 13.3× |
| Aldolase (82085) | $82.81 | $138.01 | 8.5× |
| Aldosterone urine (82088) | $274.69 | $457.82 | 6.7× |
| Alkaline phosphatase isoenzymes (84080) | $132.73 | $221.22 | 9.0× |
| Allergen specific ige (86003) range across 110 matching MRF lines |
$24.07–$241.50 | $40.11–$402.50 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $43.31 | $72.18 | 3.0× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$63–$117.50 | $105–$195.83 | varies |
| Alpha-Fetoprotein Serum (82105) | $43.31 | $72.18 | 2.6× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$36.29–$59.75 | $60.49–$99.58 | varies |
| Amikacin trough (80150) range across 3 matching MRF lines |
$150.45–$150.79 | $250.75–$251.31 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 3 matching MRF lines |
$123.51–$146.97 | $205.85–$244.95 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $207.13 | $345.21 | 12.3× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $71.38 | $118.97 | 5.1× |
| Amino Acids Quant 2-5 (82136) range across 2 matching MRF lines |
$106.27–$378.35 | $177.11–$630.59 | varies |
| Amino acids; single, qualitative, each specimen Facility (82127) | $105.07 | $175.11 | 7.4× |
| Aminolevulinic acid (ala) (82135) | $187.87 | $313.12 | 11.4× |
| Ammonia (82140) | $232.79 | $387.98 | 16.0× |
| Amylase urine (82150) range across 4 matching MRF lines |
$59.75–$193.29 | $99.58–$322.15 | varies |
| Ana Titer (86039) | $123.18 | $205.30 | 11.0× |
| Anca screen each antibody (86036) | $81.34 | $135.57 | 6.8× |
| Androstenedione (82157) | $305.97 | $509.95 | 10.4× |
| Angiotensin converting enzyme csf (82164) | $212.74 | $354.56 | 14.6× |
| Anti-Phospholipid Antibody (86148) | $39.55 | $65.92 | 2.5× |
| Antibody aspergillus (86606) | $32.14 | $53.56 | 2.1× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $114.01 | $190.02 | 7.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $136.99 | $228.32 | 8.1× |
| Antibody Encephalitis California La Crosse (86651) | $37.69 | $62.81 | 2.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $166.81 | $278.01 | 12.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $30.45 | $50.75 | 2.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $113.12 | $188.54 | 6.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $75.06 | $125.10 | 6.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $67.51 | $112.52 | 4.7× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$65.36–$75.41 | $108.93–$125.69 | varies |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$26.42–$81.34 | $44.03–$135.57 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $360.28 | $600.47 | 28.9× |
| Antibody plasmodium malaria (86750) | $219.41 | $365.69 | 16.6× |
| Antibody Protozoa Nes (86753) | $59.26 | $98.76 | 4.8× |
| Antibody Titer (86886) | $71.30 | $118.83 | 13.8× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$14.69–$81.16 | $24.48–$135.26 | varies |
| Antibody; encephalitis, st. louis (86653) | $37.69 | $62.81 | 2.9× |
| Antigen typing (86905) | $70.45 | $117.41 | 18.4× |
| Antinuclear antibodies (86038) | $159.09 | $265.15 | 13.2× |
| Antistreptolysin O Screen (86063) | $88.16 | $146.93 | 15.3× |
| Antistreptolysin o titer (86060) | $231.62 | $386.04 | 31.7× |
| Antithrombin iii activity (85300) | $482.41 | $804.02 | 40.7× |
| Antithrombin iii antigen (85301) | $89.78 | $149.64 | 8.3× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$105.86–$135.14 | $176.44–$225.24 | varies |
| Arsenic (82175) range across 3 matching MRF lines |
$52.73–$105.67 | $87.89–$176.11 | varies |
| Assay Blood Carbon Dioxide (82374) | $59.75 | $99.58 | 12.2× |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$51.53–$113.59 | $85.88–$189.32 | varies |
| Assay of 5-hiaa (83497) | $144.16 | $240.27 | 11.2× |
| Assay of blood/uric acid (84550) | $59.75 | $99.58 | 13.2× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$44.51–$50.47 | $74.18–$84.11 | varies |
| Assay of cpk in blood (82552) range across 2 matching MRF lines |
$23.12–$66.17 | $38.54–$110.28 | varies |
| Assay of estrone (82679) | $305.97 | $509.95 | 12.3× |
| Assay of feces for trypsin (84490) | $203.32 | $338.86 | 20.5× |
| Assay of g6pd enzyme (82955) | $105.67 | $176.11 | 10.9× |
| Assay of gammaglobulin igm (82784) range across 6 matching MRF lines |
$72.98–$174.24 | $121.64–$290.40 | varies |
| Assay of lactic acid (83605) | $115.29 | $192.15 | 10.0× |
| Assay of manganese (83785) | $124.51 | $207.52 | 4.7× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$155.79–$197.09 | $259.65–$328.49 | varies |
| Assay of phosphatase acid total (84060) | $103.46 | $172.43 | 13.5× |
| Assay of pyruvate (84210) | $177.25 | $295.41 | 12.2× |
| Assay of serotonin (84260) | $354.29 | $590.49 | 11.4× |
| Assay of serum potassium (84132) | $59.75 | $99.58 | 12.6× |
| Assay of sweat sodium (84302) | $43.11 | $71.85 | 8.9× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$43.11–$59.75 | $71.85–$99.58 | varies |
| Assay of urine vma (84585) | $93.64 | $156.06 | 6.0× |
| Assay of vitamin b-1 (84425) | $262.06 | $436.77 | 12.3× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$18.65–$23.66 | $31.08–$39.43 | varies |
| Assay spec xcp ur&breath ia (82077) | $97.39 | $162.31 | 5.6× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $2,257.07 | $3,761.79 | 2.7× |
| Automated Leukocyte Count (85048) | $76.38 | $127.30 | 30.1× |
| Bacterial antigens 87802 (87802) | $46.98 | $78.30 | 3.7× |
| Bartonella antibody (86611) | $91.75 | $152.91 | 9.0× |
| Bcr/abl1 gene major bp (81206) | $220.30 | $367.16 | 1.3× |
| Bcr/abl1 gene minor bp (81207) | $228.13 | $380.21 | 1.6× |
| Bcr/Abl1 Gene Other Bp (81208) | $338.03 | $563.38 | 1.6× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$57.65–$57.82 | $96.08–$96.37 | varies |
| Beta hydroxybutyrate (82010) | $44.62 | $74.37 | 5.5× |
| Beta Lactamase (87185) | $44.18 | $73.63 | 9.3× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$92.50–$519.31 | $154.17–$865.52 | varies |
| Bile acids total (82239) | $62.56 | $104.27 | 3.7× |
| Bilirubin direct (82248) | $41.30 | $68.84 | 8.2× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$38.50–$56.32 | $64.17–$93.87 | varies |
| Blastomyces antibody (86612) | $94.80 | $158 | 7.3× |
| Blood count reticulocyte automated (85045) | $55.39 | $92.32 | 13.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $143.16 | $238.60 | 37.7× |
| Blood gas (82803) | $365.32 | $608.86 | 14.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $9 | $15 | 0.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $157 | $261.66 | 35.8× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $246.48 | $410.80 | 38.8× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $43.50 | $72.50 | 2.7× |
| Blood typing serologic abo (86900) | $43.50 | $72.50 | 14.5× |
| Body fluid cell count (89050) | $150.82 | $251.37 | 32.0× |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$90.14–$91.39 | $150.23–$152.32 | varies |
| Braf gene analysis (81210) | $214.29 | $357.15 | 1.2× |
| Brucella antibody (86622) | $99.65 | $166.08 | 11.2× |
| C diff amplified probe (87493) | $285.05 | $475.08 | 7.6× |
| C-Peptide (84681) | $161.20 | $268.67 | 7.7× |
| C-reactive protein (86140) | $120.47 | $200.79 | 23.3× |
| Ca 19-9 (86301) | $242.21 | $403.69 | 11.6× |
| Cadmium (82300) | $24.97 | $41.61 | 1.1× |
| Caffeine (80155) | $158.36 | $263.93 | 4.1× |
| Calcitonin (82308) | $52.33 | $87.22 | 2.0× |
| Calcium ionized (82330) | $35.09 | $58.49 | 2.6× |
| Calcium total (82310) range across 2 matching MRF lines |
$59.75–$96.25 | $99.58–$160.41 | varies |
| Calculus Spectroscopy (82365) | $95.04 | $158.40 | 7.4× |
| Calprotectin Fecal (83993) | $246.02 | $410.04 | 12.5× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$381.15–$1,299.40 | $635.25–$2,165.66 | varies |
| Cancer Antigen 125 (86304) | $190.51 | $317.51 | 9.2× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$57.64–$246.16 | $96.06–$410.27 | varies |
| Candida antibody (86628) | $26.75 | $44.59 | 2.2× |
| Carbamazepine free (80157) | $51.17 | $85.29 | 3.9× |
| Carbamazepine total (80156) | $102.52 | $170.86 | 7.0× |
| Carboxyhemoglobin (82375) | $100.45 | $167.42 | 8.2× |
| Carcinoembryonic antigen (82378) | $274.29 | $457.15 | 14.5× |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$41.27–$133.77 | $68.78–$222.95 | varies |
| Carnitine Quantitative Each Specimen (82379) | $65.03 | $108.39 | 3.9× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$177.25–$217.95 | $295.41–$363.25 | varies |
| Catecholamines total urine (82382) | $177.44 | $295.74 | 6.5× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$42.02–$65.89 | $70.04–$109.82 | varies |
| Cell count csf (89051) | $72.61 | $121.02 | 13.0× |
| Ceruloplasmin (82390) | $134.54 | $224.23 | 12.5× |
| Cftr gene com variants (81220) | $299.23 | $498.72 | 0.5× |
| Chemiluminescent assay (82397) range across 8 matching MRF lines |
$56.74–$260.44 | $94.57–$434.07 | varies |
| Chlamydia antibody (86631) | $20.11 | $33.52 | 1.7× |
| Chlamydia Igm Antibody (86632) range across 3 matching MRF lines |
$20.11–$34.66 | $33.52–$57.76 | varies |
| Chloride other source (82438) range across 2 matching MRF lines |
$35.49–$43.11 | $59.15–$71.85 | varies |
| Chloride Serum (82435) | $59.75 | $99.58 | 13.0× |
| Chloride urine (82436) | $59.75 | $99.58 | 10.4× |
| Cholesterol total (82465) | $59.75 | $99.58 | 13.7× |
| Cholinesterase Serum (82480) | $156.39 | $260.65 | 19.9× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$22.26–$299.15 | $37.10–$498.59 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $512.80 | $854.66 | 15.3× |
| Chromium serum (82495) | $40.85 | $68.09 | 2.0× |
| Chromogranin a (86316) | $69.13 | $115.22 | 3.3× |
| Chromosome Analysis 15-20 (88262) range across 4 matching MRF lines |
$512.80–$1,705.37 | $854.66–$2,842.29 | varies |
| Chromosome Analysis 20-25 (88264) | $512.80 | $854.66 | 3.5× |
| Chromosome analysis 45 cells (88263) | $1,836.58 | $3,060.97 | 12.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$20.11–$241.31 | $33.52–$402.19 | varies |
| Citric acid urine (82507) | $228.78 | $381.30 | 8.2× |
| Ckmb (82553) | $110.68 | $184.46 | 9.6× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$145.12–$145.13 | $241.86–$241.89 | varies |
| Clot Factor VIII Multimetric (85247) | $580.90 | $968.16 | 25.3× |
| Clot factor xiii fibrin stab (85290) | $118.37 | $197.28 | 7.2× |
| Clotting factor xii hageman (85280) | $70.13 | $116.88 | 3.6× |
| Clotting Funct Activity (85397) | $155.06 | $258.43 | 5.0× |
| Cold agglutinin screen (86156) | $52.96 | $88.27 | 6.6× |
| Compatibility Each Unit Incubation (86921) | $40.77 | $67.95 | 0.3× |
| Compatibility test antiglob (86922) | $171.59 | $285.99 | 1.1× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$50.45–$156.03 | $84.09–$260.05 | varies |
| Complement Total (Ch50) (86162) | $150.10 | $250.17 | 7.4× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$166.64–$584.48 | $277.73–$974.14 | varies |
| Coombs direct (86880) range across 2 matching MRF lines |
$51.86–$74.03 | $86.43–$123.39 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$30.88–$137.95 | $51.46–$229.91 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$131.53–$177.66 | $219.22–$296.10 | varies |
| Cortisol saliva (82533) | $250.23 | $417.05 | 15.4× |
| Creatine kinase total (82550) | $59.75 | $99.58 | 9.2× |
| Creatinine blood (82565) | $59.75 | $99.58 | 11.7× |
| Creatinine clearance (82575) | $118.30 | $197.16 | 12.5× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$31.88–$44.51 | $53.13–$74.18 | varies |
| Crossmatch immediate spin (86920) | $139.19 | $231.98 | 0.9× |
| Crp High Sensitivity (86141) | $67.88 | $113.13 | 5.2× |
| Cryofibrinogen (82585) | $133.33 | $222.22 | 9.4× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$46.32–$78.40 | $77.20–$130.66 | varies |
| Cryptococcus ab (86641) | $204.34 | $340.56 | 14.2× |
| Cryptococcus ag titer (87899) | $46.98 | $78.30 | 2.9× |
| Cryptosporidium (87272) | $95.66 | $159.44 | 8.0× |
| Cryptosporidium ag eia (87328) range across 3 matching MRF lines |
$190.47–$205.98 | $317.45–$343.30 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $57.32 | $95.53 | 7.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $57.32 | $95.53 | 7.1× |
| Culture Anaerobic (87075) | $104.72 | $174.53 | 11.1× |
| Culture blood (87040) | $150.18 | $250.30 | 14.6× |
| Culture csf (87070) range across 22 matching MRF lines |
$57.32–$120.02 | $95.53–$200.03 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$44.69–$179.48 | $74.49–$299.13 | varies |
| Culture fungus blood (87103) | $179.48 | $299.13 | 8.8× |
| Culture screen only (87081) range across 2 matching MRF lines |
$120.02–$130.57 | $200.03–$217.62 | varies |
| Culture stool (87045) | $146.95 | $244.92 | 15.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $28.35 | $47.25 | 5.5× |
| Culture urine (87086) | $120.02 | $200.03 | 14.9× |
| Cyclosporine (80158) | $269.85 | $449.75 | 15.0× |
| Cystatin C (82610) | $26.87 | $44.78 | 1.5× |
| Cytogenetics 10-30 (88273) | $179.26 | $298.77 | 5.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,355.24 | $2,258.74 | 1.2× |
| Cytomegalovirus igg (86644) | $136.99 | $228.32 | 9.5× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $80.09 | $133.48 | 4.0× |
| Cytopath Cell Enhance Tech (88112) | $139.96 | $233.26 | 3.0× |
| Cytopath Fl Nongyn Filter (88106) | $131.14 | $218.56 | 5.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $95.18 | $158.63 | 3.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $146.23 | $243.71 | 3.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $71.77 | $119.62 | 0.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $88.78 | $147.97 | 2.6× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $60.89 | $101.49 | 3.3× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $95.18 | $158.63 | 2.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $82.78 | $137.96 | 3.2× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$166.24–$933.66 | $277.07–$1,556.10 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$241.96–$290.44 | $403.26–$484.07 | varies |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) | $142.21 | $237.01 | 0.9× |
| Dhea (82626) | $160.20 | $267 | 6.3× |
| Dhea-S (82627) | $309.98 | $516.63 | 13.9× |
| Digoxin (80162) | $76.42 | $127.37 | 5.8× |
| Diphtheria antitoxoid (86648) | $48.30 | $80.50 | 3.2× |
| Dipropylacetic Acid Free (80165) | $156.59 | $260.99 | 11.6× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$31.78–$148.85 | $52.97–$248.08 | varies |
| Dna/Rna Amplified Probe (87150) | $407.45 | $679.09 | 11.6× |
| Drug assay acetaminophen (80143) | $264.37 | $440.61 | 14.2× |
| Drug Assay Lacosamide (80235) | $285.09 | $475.15 | 10.5× |
| Drug Assay Vedolizumab (80280) | $260.44 | $434.07 | 6.8× |
| Drug Screen Quant Clozapine (80159) | $168.06 | $280.10 | 8.3× |
| Drug Screen Quant Zonisamide (80203) | $173.45 | $289.09 | 13.1× |
| Drug Screen Quantitative Gabapentin (80171) | $42.75 | $71.25 | 2.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $48.91 | $81.51 | 3.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $150.60 | $251 | 11.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $97.82 | $163.04 | 7.4× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 13 matching MRF lines |
$33.83–$271.06 | $56.39–$451.76 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $27 | $45 | 2.1× |
| Egfr Gene Analysis Common Variants (81235) | $487.03 | $811.71 | 1.5× |
| El-1 Fecal Quantitative (82653) | $299.46 | $499.10 | 13.0× |
| Electrolyte panel (80051) | $82.99 | $138.31 | 11.8× |
| Encephaltis East Eqne Anbdy (86652) | $37.69 | $62.81 | 2.9× |
| Encephaltis West Eqne Antbdy (86654) | $37.69 | $62.81 | 2.9× |
| Enzyme cell activity (82657) | $204.26 | $340.44 | 9.2× |
| Eosinophil Smear (89190) | $49.34 | $82.24 | 8.5× |
| Erythropoietin (82668) | $333.44 | $555.73 | 17.7× |
| Estradiol serum (82670) | $197.50 | $329.16 | 7.1× |
| Estriol (82677) | $50.32 | $83.87 | 2.1× |
| Estrogen total (82672) | $309.38 | $515.63 | 14.3× |
| Estrogens fractionated (82671) | $144.16 | $240.27 | 4.5× |
| Exam Synovial Fluid Crystals (89060) | $101.92 | $169.86 | 13.9× |
| F2 Gene (81240) range across 2 matching MRF lines |
$87.38–$94.28 | $145.64–$157.14 | varies |
| Factor ii activity (85210) | $23 | $38.34 | 1.8× |
| Factor ix activity (85250) | $229.81 | $383.02 | 12.1× |
| Factor v activity (85220) | $131.99 | $219.99 | 7.5× |
| Factor v leiden mutation (81241) | $62.31 | $103.85 | 0.8× |
| Factor vii assay (85230) | $430.82 | $718.03 | 24.1× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$87.32–$247.01 | $145.54–$411.68 | varies |
| Factor X (85260) | $36.18 | $60.30 | 2.0× |
| Factor xi activity (85270) | $70.13 | $116.88 | 3.9× |
| Fat/Lipids Feces Quantitative (82710) | $98.45 | $164.08 | 5.9× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $257.95 | $429.92 | 39.5× |
| Fecal Fat Qualitative (82705) | $98.45 | $164.08 | 19.3× |
| Ferritin (82728) | $210.13 | $350.22 | 15.4× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $221.11 | $368.52 | 1.4× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $91.57 | $152.62 | 9.4× |
| Fibrinogen activity (85384) | $165.71 | $276.19 | 17.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $85.05 | $141.75 | 5.5× |
| Flecainide level (80181) | $150.03 | $250.05 | 8.0× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$142.90–$1,115.86 | $238.16–$1,859.76 | varies |
| Fluorescent antibody screen (86255) range across 6 matching MRF lines |
$54.28–$1,622.88 | $90.46–$2,704.80 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $73.07 | $121.79 | 6.1× |
| Folic acid rbc (82747) | $155.39 | $258.98 | 8.8× |
| Folic Acid Serum (82746) | $112.49 | $187.48 | 7.7× |
| Follicle Stimulating Hormone (83001) | $144.16 | $240.27 | 7.8× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $94.50 | $157.50 | 0.6× |
| Frozen Section (88331) | $86.23 | $143.71 | 0.6× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$49.77–$57.32 | $82.95–$95.53 | varies |
| Gammaglobulin ige (82785) | $72.98 | $121.64 | 4.4× |
| Gastrin (82941) | $175.04 | $291.73 | 9.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $652.05 | $1,086.75 | 1.6× |
| Gentamicin (80170) | $112.92 | $188.20 | 6.9× |
| Ggt (82977) | $59.75 | $99.58 | 8.3× |
| Giardia antigen (87329) | $239.59 | $399.32 | 20.0× |
| Glucose 2 hr pp (82950) range across 7 matching MRF lines |
$43.11–$90.62 | $71.85–$151.04 | varies |
| Glucose Blood Test (82962) | $26.06 | $43.44 | 7.9× |
| Glucose body fluid (82945) | $59.75 | $99.58 | 15.2× |
| Glucose Serum (82947) | $59.75 | $99.58 | 15.2× |
| Glucose tolerance test (gtt) (82951) | $90.62 | $151.04 | 7.0× |
| Glutathione (82978) | $789.49 | $1,315.82 | 51.1× |
| Gonadotropin Chorionic Qualitative (84703) | $161.61 | $269.35 | 21.5× |
| Growth Hormone Stimulation Panel (80428) | $157.72 | $262.86 | 2.4× |
| Gtt-added samples (82952) | $43.11 | $71.85 | 11.0× |
| H Pylori (C-13) Breath (83013) | $169.33 | $282.21 | 2.5× |
| Haptoglobin (83010) | $110.68 | $184.46 | 8.8× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $864.49 | $1,440.81 | 4.3× |
| Hdl Cholesterol (83718) | $141.36 | $235.60 | 17.3× |
| Helicobacter Pylori Stool (87338) | $274.51 | $457.51 | 19.1× |
| Helminth Antibody (86682) | $45.25 | $75.41 | 3.5× |
| Hematocrit (85014) | $46.23 | $77.05 | 19.5× |
| Hemoglobin (85018) | $46.23 | $77.05 | 19.5× |
| Hemoglobin a1c (83036) | $153.19 | $255.31 | 15.8× |
| Hemoglobin Chromotography (83021) | $97.85 | $163.08 | 5.4× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$93.03–$147.66 | $155.05–$246.10 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $95.44 | $159.06 | 11.6× |
| Hep a ab igm (86709) | $52.79 | $87.99 | 4.7× |
| Hepatitis a antibody total (86708) range across 4 matching MRF lines |
$37.72–$115.09 | $62.87–$191.82 | varies |
| Hepatitis b core ab igm (86705) | $54.05 | $90.08 | 4.6× |
| Hepatitis b core ab total (86704) | $91.93 | $153.22 | 7.6× |
| Hepatitis B Surface Antibody (86706) | $89.96 | $149.93 | 8.4× |
| Hepatitis B Surface Antigen (87340) | $133.81 | $223.01 | 13.0× |
| Hepatitis Be Antibody (86707) | $115.09 | $191.82 | 9.9× |
| Hepatitis Be Antigen (87350) | $174.10 | $290.16 | 15.1× |
| Hepatitis C Antibody (86803) | $118.87 | $198.11 | 8.3× |
| Hepatitis C Genotype (87902) | $163.53 | $272.55 | 0.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $375.76 | $626.27 | 8.8× |
| Hepatitis Delta Agent Antibody (86692) | $233.17 | $388.61 | 13.6× |
| Herpes simplex type 2 (86696) | $65.54 | $109.23 | 3.4× |
| Heterophile antibodies titer (86309) | $81.52 | $135.87 | 12.6× |
| Hfe Gene (81256) | $172.45 | $287.42 | 2.6× |
| Histamine urine (83088) range across 2 matching MRF lines |
$117.94–$349.28 | $196.56–$582.13 | varies |
| Histoplasma antibody (86698) | $187.63 | $312.72 | 13.6× |
| Histoplasma antigen urine (87385) | $146.38 | $243.97 | 11.0× |
| Hiv Genotype (87901) | $498.96 | $831.60 | 1.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $115.28 | $192.13 | 4.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$124.10–$669.06 | $206.84–$1,115.10 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $371.63 | $619.38 | 10.6× |
| Hla class ii typing high resolution one locus ea (81382) | $251.26 | $418.76 | 2.0× |
| Hla I Typing 1 Allele Hr (81381) | $907.45 | $1,512.41 | 5.3× |
| Hla-b27 (86812) | $111.68 | $186.14 | 4.3× |
| Homocysteine (83090) | $144.16 | $240.27 | 8.0× |
| Homovanillic acid urine (83150) | $187.87 | $313.12 | 8.4× |
| Human Epididymis Protein 4 (86305) | $335.92 | $559.86 | 16.1× |
| Hydroxycorticosteroids 17 (83491) | $236.20 | $393.66 | 13.2× |
| Hydroxyprogesterone 17-d (83498) | $171.43 | $285.72 | 6.3× |
| Iaad Ia Escherichia Coli 0157 (87335) | $46.98 | $78.30 | 3.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $216.10 | $360.17 | 15.5× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $241.31 | $402.19 | 6.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $114.20 | $190.33 | 3.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $123.88 | $206.47 | 2.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $371.63 | $619.38 | 10.6× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $181.11 | $301.85 | 4.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $169.61 | $282.69 | 4.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $254.24 | $423.74 | 7.2× |
| Ig Light Chains Free Each (83521) | $117.40 | $195.67 | 6.8× |
| Igg subclasses (82787) | $243.41 | $405.69 | 30.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $267.06 | $445.10 | 0.8× |
| Immune Complex Assay (86332) range across 2 matching MRF lines |
$60.33–$979.09 | $100.55–$1,631.82 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$89.96–$180.98 | $149.93–$301.64 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 7 matching MRF lines |
$54.74–$1,477.98 | $91.23–$2,463.30 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $186.02 | $310.04 | 7.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 15 matching MRF lines |
$53.87–$101.27 | $89.78–$168.78 | varies |
| Immunoassay nonantibody (83516) range across 10 matching MRF lines |
$42.20–$230.32 | $70.34–$383.86 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $313.13 | $521.89 | 13.5× |
| Immunofixation electrophoresis (86334) | $49.98 | $83.30 | 2.2× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$71.42–$135.35 | $119.03–$225.58 | varies |
| Immunohistochemistry (88342) | $128.57 | $214.28 | 0.8× |
| In situ hybridization 1st probe stain (88365) | $167.33 | $278.89 | 1.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $138.34 | $230.56 | 9.2× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $50.63 | $84.38 | 3.5× |
| Influenza DNA amp probe (87502) | $233.78 | $389.63 | 2.4× |
| Inhibin A (86336) range across 2 matching MRF lines |
$77.93–$105.22 | $129.89–$175.37 | varies |
| Inhibin b (83520) range across 14 matching MRF lines |
$41.10–$377.98 | $68.50–$629.97 | varies |
| Insitu hybridization auto (88367) | $232.58 | $387.63 | 0.7× |
| Insitu hybridization manual (88368) | $194.71 | $324.51 | 0.6× |
| Insulin antibodies (86337) | $295.72 | $492.86 | 13.8× |
| Insulin free (83527) | $50.40 | $84 | 3.9× |
| Insulin total (83525) | $100.45 | $167.42 | 8.8× |
| Intrinsic factor antibody (86340) | $248.68 | $414.47 | 16.5× |
| Iron (83540) | $45.91 | $76.52 | 7.1× |
| Iron Binding Capacity (83550) | $23.41 | $39.01 | 2.7× |
| Irradiation Blood Product Each Unit (86945) | $62.09 | $103.48 | 1.8× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$41.30–$1,008.29 | $68.84–$1,680.48 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$110.25–$273 | $183.75–$455 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $315 | $525 | 1.7× |
| Koh Prep (87220) | $52.57 | $87.62 | 12.3× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$59.75–$82.81 | $99.58–$138.01 | varies |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$52.93–$115.29 | $88.22–$192.15 | varies |
| Lead (83655) range across 3 matching MRF lines |
$50.13–$90.62 | $83.55–$151.04 | varies |
| Legionella antibody (86713) range across 3 matching MRF lines |
$83.50–$93.19 | $139.16–$155.31 | varies |
| Legionella pneumophila dfa (87278) | $66.80 | $111.33 | 4.3× |
| Leptospira antibody (86720) | $229.50 | $382.50 | 14.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $62.95 | $104.91 | 2.4× |
| Level ii surg pathology grossµscopic exam (88302) | $117.44 | $195.73 | 3.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $224.77 | $374.62 | 0.7× |
| Lipase (83690) range across 3 matching MRF lines |
$183.46–$233.99 | $305.77–$389.98 | varies |
| Lipoprotein A (83695) | $88.03 | $146.71 | 6.1× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $71.33 | $118.89 | 6.3× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $71.33 | $118.89 | 2.1× |
| Lithium (80178) | $49.63 | $82.72 | 7.5× |
| Luteinizing Hormone (Lh) (83002) | $212.74 | $354.56 | 11.5× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$73.07–$80.98 | $121.79–$134.96 | varies |
| Lysozyme serum (85549) | $41.95 | $69.91 | 2.2× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $194.71 | $324.51 | 1.3× |
| M/phmtrc alys ishquant/semiq (88374) | $382.13 | $636.89 | 2.5× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$59.75–$100.42 | $99.58–$167.36 | varies |
| Mass Spectrometry Quant (83789) | $80.86 | $134.77 | 3.4× |
| Mercury urine (83825) range across 2 matching MRF lines |
$62.36–$97.04 | $103.93–$161.74 | varies |
| Methylmalonic acid serum (83921) | $48.32 | $80.54 | 2.3× |
| Microalbumin, quantitative (82043) | $167.62 | $279.37 | 29.0× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$39.79–$82.41 | $66.31–$137.35 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $179.26 | $298.77 | 8.4× |
| Mopath procedure level 2 (81401) | $517.50 | $862.50 | 3.8× |
| Mpl gene analysis sequence analysis exon 10 (81339) range across 2 matching MRF lines |
$351.23–$926.29 | $585.38–$1,543.82 | varies |
| Mrsa Pcr (87641) | $111.17 | $185.29 | 3.2× |
| Mthfr Gene Analysis Common Variants (81291) | $178.21 | $297.01 | 2.7× |
| Mucopolysaccharides acid quantitative (83864) | $390.19 | $650.31 | 13.7× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$64.64–$68.77 | $107.73–$114.61 | varies |
| Mycobacteric Identification (87118) | $210.39 | $350.65 | 14.4× |
| Mycoplasma antibody (86738) range across 3 matching MRF lines |
$30.88–$130.71 | $51.47–$217.85 | varies |
| Mycoplasma culture (87109) | $58.18 | $96.97 | 3.8× |
| Myelin basic protein csf (83873) | $70.18 | $116.96 | 4.1× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$168.43–$203.32 | $280.71–$338.86 | varies |
| Natriuretic peptide (83880) | $280.51 | $467.51 | 7.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $589.68 | $982.80 | 8.2× |
| Niacin (84591) range across 3 matching MRF lines |
$94.64–$224.56 | $157.73–$374.27 | varies |
| Nuclear antigen antibody (86235) range across 14 matching MRF lines |
$49.92–$245.62 | $83.20–$409.37 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$52.33–$75.79 | $87.22–$126.32 | varies |
| Oligoclonal bands (83916) | $76.60 | $127.66 | 2.8× |
| Organic Acids Qualitative Each Specimen (83919) | $92.86 | $154.77 | 5.6× |
| Organic acids urine (83918) | $414.65 | $691.08 | 17.6× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$127.52–$168.83 | $212.53–$281.38 | varies |
| Osmolality Urine (83935) | $170.03 | $283.38 | 24.9× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$35.56–$211.79 | $59.26–$352.99 | varies |
| Oxalate urine (83945) | $129.73 | $216.22 | 9.0× |
| Parvovirus antibody (86747) | $365.56 | $609.27 | 24.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $56.03 | $93.39 | 0.1× |
| Ph urine (81003) range across 4 matching MRF lines |
$36.20–$60.77 | $60.33–$101.28 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$61.24–$98.08 | $102.06–$163.46 | varies |
| Phenotype Infect Agent Drug (87900) | $498.96 | $831.60 | 3.8× |
| Phenylalanine (84030) | $106.47 | $177.45 | 19.4× |
| Phenytoin (Dilantin) (80185) | $87.33 | $145.55 | 6.6× |
| Phenytoin free (80186) | $75.74 | $126.23 | 5.5× |
| Phosphatase acid prostatic (84066) | $58.95 | $98.25 | 6.1× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$32.48–$59.75 | $54.14–$99.58 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $100.89 | $168.15 | 5.6× |
| Phosphorus Serum (84100) | $35.49 | $59.15 | 7.5× |
| Phosphorus urine (84105) | $44.51 | $74.18 | 7.7× |
| Pinworm exam (87172) | $40.51 | $67.52 | 9.5× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$132.92–$353 | $221.53–$588.34 | varies |
| Platelet count automated (85049) | $49.58 | $82.64 | 11.1× |
| Porphobilinogen, urine; quantitative (84110) | $144.16 | $240.27 | 17.1× |
| Porphyrins Feces Quantitative (84126) | $464.57 | $774.28 | 11.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 4 matching MRF lines |
$54.28–$331.64 | $90.46–$552.73 | varies |
| Potassium Urine (84133) | $44.51 | $74.18 | 9.4× |
| Prealbumin (84134) | $120.10 | $200.17 | 8.2× |
| Pregnenolone (84140) | $68.23 | $113.72 | 3.3× |
| Primidone (80188) | $20.43 | $34.05 | 1.2× |
| Procalcitonin (Pct) (84145) | $91.21 | $152.02 | 3.4× |
| Progesterone (84144) | $138.75 | $231.25 | 6.7× |
| Prolactin (84146) | $288.73 | $481.22 | 14.9× |
| Protein body fluid (84157) | $94.84 | $158.07 | 23.7× |
| Protein c antigen (85302) | $434.61 | $724.35 | 36.2× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$114.49–$118.10 | $190.82–$196.83 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $215.74 | $359.57 | 20.1× |
| Protein s total (85305) | $1,039.63 | $1,732.72 | 89.5× |
| Protein total serum (84155) | $59.75 | $99.58 | 16.3× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$49.32–$155.99 | $82.20–$259.99 | varies |
| Protein Western Blot Test (84182) | $230.32 | $383.86 | 7.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$139.50–$146.48 | $232.50–$244.13 | varies |
| PSA free (84154) | $72.98 | $121.64 | 4.0× |
| Pth Intact (83970) range across 2 matching MRF lines |
$96.25–$217.75 | $160.41–$362.91 | varies |
| Quantiferon tb gold plus (86480) | $332.35 | $553.91 | 5.4× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$63.62–$290.24 | $106.03–$483.74 | varies |
| Quantitative Screen Metals (83018) | $203.32 | $338.86 | 9.3× |
| Rbc antibody identification (86870) range across 4 matching MRF lines |
$151.47–$287.42 | $252.45–$479.03 | varies |
| Rbc antibody screen (86850) | $171.59 | $285.99 | 17.6× |
| Renin activity plasma (84244) | $255.64 | $426.07 | 11.6× |
| Reptilase test (85635) | $89.53 | $149.22 | 9.1× |
| Resp virus 12-25 targets (87633) | $1,096.20 | $1,827 | 2.6× |
| Rh (86901) | $43.50 | $72.50 | 14.5× |
| Rheumatoid factor quant (86431) | $79.18 | $131.97 | 14.0× |
| Rickettsia antibody (86757) | $69.83 | $116.39 | 3.6× |
| Ristocetin cofactor (85245) | $106.98 | $178.30 | 4.7× |
| Rotavirus ag eia (87425) | $152.33 | $253.88 | 12.7× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$45.07–$94.09 | $75.11–$156.81 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$49.92–$94.80 | $83.20–$158 | varies |
| Rubeola antibody (86765) | $23.70 | $39.50 | 1.8× |
| Russell Viper Venom Time Diluted (85613) | $59.41 | $99.02 | 6.2× |
| Salicylate Level (80179) | $75.84 | $126.40 | 4.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$149.63–$179.55 | $249.38–$299.25 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $84.66 | $141.10 | 2.0× |
| Sedimentation rate (85651) | $87.99 | $146.65 | 20.6× |
| Selenium (84255) range across 2 matching MRF lines |
$49.38–$311.99 | $82.30–$519.98 | varies |
| Semen analysis complete (89320) | $196.33 | $327.21 | 15.9× |
| Semen analysis motility and count (89310) | $50.32 | $83.86 | 5.8× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$54.52–$453.60 | $90.86–$756 | varies |
| Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413) | $84.66 | $141.10 | 1.6× |
| Sex Hormone Binding Globulin (84270) | $72.79 | $121.31 | 3.3× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$48.02–$63.93 | $80.03–$106.55 | varies |
| Sirolimus (80195) | $146.18 | $243.63 | 10.6× |
| Skin Test Candida (86485) | $31.78 | $52.97 | 1.2× |
| Skin test tuberculosis intradermal (86580) | $31.78 | $52.97 | 1.2× |
| Smear acid fast (87206) | $54.52 | $90.86 | 10.1× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$50.63–$58.60 | $84.38–$97.67 | varies |
| Smear Special Stain (87207) | $51.49 | $85.82 | 8.6× |
| Sodium Serum (84295) | $56.14 | $93.57 | 11.7× |
| Sodium Urine (84300) | $44.51 | $74.18 | 8.8× |
| Soluble Transferrin Receptor (84238) | $173.44 | $289.07 | 4.7× |
| Somatomedin (84305) | $64.36 | $107.27 | 3.0× |
| Special Stains Group 1 (88312) | $154.42 | $257.36 | 3.3× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$45.43–$133.30 | $75.71–$222.17 | varies |
| Specific gravity body fluid (84315) | $51.53 | $85.88 | 15.7× |
| Specimen infect agnt concntj (87015) | $179.48 | $299.13 | 26.9× |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$19.28–$81.22 | $32.13–$135.36 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $29.95 | $49.92 | 0.2× |
| Stone Analysis (82355) | $187.07 | $311.79 | 16.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $134.55 | $224.25 | 1.5× |
| Sugars Single Qual (84376) | $50.64 | $84.40 | 9.2× |
| Surg path level iii (88304) | $130.49 | $217.49 | 2.8× |
| Surgical pathology level IV (88305) | $150.96 | $251.60 | 3.2× |
| Surgical pathology level vi (88309) | $263.54 | $439.23 | 0.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $58.39 | $97.31 | 12.3× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$77.57–$120.47 | $129.28–$200.79 | varies |
| T cells absolute cd4 count (86361) | $88.34 | $147.23 | 3.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $694.15 | $1,156.91 | 14.8× |
| T3 Free (84481) | $260.06 | $433.43 | 15.4× |
| T3 reverse (84482) | $363.92 | $606.53 | 23.1× |
| T3 Total (84480) | $391.59 | $652.65 | 27.6× |
| T3 Uptake (84479) range across 3 matching MRF lines |
$49.60–$109.88 | $82.67–$183.13 | varies |
| T4 Free (84439) | $166.22 | $277.03 | 18.4× |
| T4 total (84436) | $171.23 | $285.39 | 24.9× |
| Tacrolimus (80197) | $171.08 | $285.14 | 12.5× |
| Tau phosphorylated each (84393) | $604.33 | $1,007.22 | 4.7× |
| Tb ag response t-cell susp (86481) | $107.73 | $179.55 | 1.1× |
| Test for acetone/ketones (82009) | $93.03 | $155.05 | 20.6× |
| Testosterone Bioavailable (84410) | $40.16 | $66.94 | 0.8× |
| Testosterone total (84403) | $163.01 | $271.69 | 6.3× |
| Testosterone, Free (84402) | $161.61 | $269.35 | 6.3× |
| Tetanus antibody (86774) | $286.56 | $477.60 | 19.4× |
| Theophylline (80198) | $85.80 | $143 | 6.1× |
| Thiopurine methyltransferase (84433) | $679.64 | $1,132.74 | 30.7× |
| Thrombin Time (85670) | $9.64 | $16.07 | 1.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $50.81 | $84.69 | 7.9× |
| Thyroglobulin (84432) | $248.02 | $413.37 | 15.4× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$38.60–$131.62 | $64.33–$219.36 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $256.65 | $427.75 | 5.0× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $385.03 | $641.72 | 7.6× |
| Thyroxine binding globulin (84442) | $193.89 | $323.15 | 13.1× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$32.28–$55.14 | $53.80–$91.90 | varies |
| Tissue culture bone marrow (88237) | $262.86 | $438.10 | 1.8× |
| Tobramycin peak (80200) | $119.74 | $199.57 | 7.4× |
| Topiramate (80201) | $73.51 | $122.52 | 6.2× |
| Touch prep (88161) | $98.51 | $164.18 | 3.8× |
| Toxoplasma ab igm (86778) | $61.58 | $102.64 | 4.3× |
| Toxoplasma antibody (86777) | $61.58 | $102.64 | 4.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$25.06–$59.75 | $41.77–$99.58 | varies |
| Transferrin (84466) | $177.25 | $295.41 | 13.9× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $835.71 | $1,392.85 | 4.0× |
| Trichomonas Vaginalis Amplif (87661) | $42.53 | $70.88 | 1.2× |
| Triglycerides (84478) | $59.75 | $99.58 | 10.4× |
| Troponin Quant (84484) | $110.68 | $184.46 | 8.9× |
| Tumor immunohistochem/comput (88361) | $200.08 | $333.47 | 0.6× |
| Tumor Immunohistochem/Manual (88360) | $146.23 | $243.71 | 0.9× |
| Urea nitrogen urine (84540) | $60.35 | $100.59 | 10.9× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$44.51–$145.37 | $74.18–$242.28 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $30.38 | $50.64 | 14.0× |
| Urine Albumin Semiquantitative (82044) | $31.68 | $52.80 | 5.1× |
| Urine Pregnancy Test (81025) | $20.59 | $34.32 | 2.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $76.48 | $127.47 | 24.1× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $150.18 | $250.30 | 15.7× |
| Valproic acid (80164) | $110.71 | $184.51 | 8.2× |
| Vancomycin (80202) | $144.65 | $241.08 | 10.7× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$35.19–$133.77 | $58.65–$222.95 | varies |
| Vasopressin (84588) | $399.20 | $665.34 | 11.8× |
| Viral Culture (87252) range across 2 matching MRF lines |
$281.83–$456.77 | $469.71–$761.29 | varies |
| Viscosity serum (85810) | $185.14 | $308.57 | 15.9× |
| Vit D 1 25-Dihydroxy (82652) | $423.47 | $705.78 | 11.0× |
| Vitamin A (84590) | $162.81 | $271.35 | 14.0× |
| Vitamin b-12 (82607) | $125.12 | $208.53 | 8.3× |
| Vitamin B2 (Riboflavin) (84252) | $215.15 | $358.58 | 10.6× |
| Vitamin B6 (84207) | $336.65 | $561.08 | 12.0× |
| Vitamin c (82180) | $146.97 | $244.95 | 14.9× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$111.22–$423.47 | $185.36–$705.78 | varies |
| Vitamin E (84446) | $150.18 | $250.30 | 10.6× |
| Vitamin K (84597) | $82.61 | $137.68 | 6.0× |
| Von willebrand factor ag (85246) | $93.80 | $156.33 | 4.1× |
| Wbc Alkaline Phosphatase Count (85540) | $128.64 | $214.40 | 15.0× |
| West nile virus ab igm (86788) | $52.96 | $88.27 | 3.1× |
| West Nile Virus Antibody (86789) | $93.55 | $155.91 | 6.5× |
| Zinc (84630) | $137.95 | $229.91 | 12.1× |
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.