Lab & pathology prices at Scenic Mountain Medical Center
Big Spring, TX · every code in this section with a posted price and a Medicare benchmark.
703 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abl1 gene analysis kinase domain variants (81170) | $570 | $1,140 | 1.9× |
| Acth (82024) | $307 | $614 | 7.9× |
| Acute hepatitis panel (80074) | $307.50 | $615 | 6.5× |
| Acylcarnitines Quant (82017) | $398.50 | $797 | 23.6× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $33 | $66 | 2.0× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $90 | $180 | 1.4× |
| Agglutinins Febrile Each Antigen (86000) | $17 | $34 | 2.4× |
| Albumin Fluid (82042) | $79 | $158 | 10.2× |
| Albumin serum (82040) | $79 | $158 | 16.0× |
| Aldolase (82085) | $135.50 | $271 | 14.0× |
| Aldosterone urine (82088) | $286 | $572 | 7.0× |
| Alkaline phosphatase isoenzymes (84080) | $103.50 | $207 | 7.0× |
| Allergen specific ige (86003) | $24.50 | $49 | 4.7× |
| Allergen specific igg (86001) | $22.50 | $45 | 2.9× |
| Allg Spec Ige Recomb Ea (86008) | $17.50 | $35 | 1.0× |
| Alpha-1-antitrypsin phenotype (82104) | $604.50 | $1,209 | 41.8× |
| Alpha-1-antitrypsin total (82103) | $174.50 | $349 | 13.0× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$88–$285.50 | $176–$571 | varies |
| Alt (sgpt) (84460) | $126 | $252 | 23.8× |
| Aluminum (82108) | $190.50 | $381 | 7.5× |
| Amikacin trough (80150) | $105.50 | $211 | 7.0× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $196 | $392 | 8.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $410 | $820 | 24.3× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $31 | $62 | 2.2× |
| Ammonia (82140) | $67.50 | $135 | 4.6× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $264.50 | $529 | 2.7× |
| Amylase urine (82150) | $152.50 | $305 | 23.5× |
| Ana Titer (86039) | $30 | $60 | 2.7× |
| Androstenedione (82157) | $116 | $232 | 4.0× |
| Angiotensin converting enzyme csf (82164) | $147 | $294 | 10.1× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$64.50–$67 | $129–$134 | varies |
| Antibody aspergillus (86606) | $182.50 | $365 | 12.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $41 | $82 | 3.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $139.50 | $279 | 9.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$105.50–$168.50 | $211–$337 | varies |
| Antibody Encephalitis California La Crosse (86651) | $73 | $146 | 5.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$56.50–$157.50 | $113–$315 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$61.50–$157.50 | $123–$315 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$61.50–$157.50 | $123–$315 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $43 | $86 | 3.5× |
| Antibody haemophilus influenza (86684) | $81.50 | $163 | 5.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$105.50–$116 | $211–$232 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$68.50–$116 | $137–$232 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$28–$214 | $56–$428 | varies |
| Antibody HIV-2 (86702) | $64.50 | $129 | 4.8× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $195.50 | $391 | 10.1× |
| Antibody identification leukocyte antibodies (86021) | $158.50 | $317 | 10.5× |
| Antibody Protozoa Nes (86753) | $90 | $180 | 7.3× |
| Antibody Titer (86886) | $143 | $286 | 27.6× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$51.50–$97 | $103–$194 | varies |
| Antibody yersinia (86793) | $112 | $224 | 8.5× |
| Antibody; encephalitis, st. louis (86653) | $73 | $146 | 5.5× |
| Antibody; influenza virus (86710) | $61 | $122 | 4.5× |
| Antigen typing (86905) range across 2 matching MRF lines |
$102–$371.50 | $204–$743 | varies |
| Antinuclear antibodies (86038) | $234 | $468 | 19.4× |
| Antistreptolysin o titer (86060) | $137 | $274 | 18.8× |
| Antithrombin iii activity (85300) | $253 | $506 | 21.4× |
| Antithrombin iii antigen (85301) | $212.50 | $425 | 19.7× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $1,591 | $3,182 | 3.2× |
| Apc gene full sequence (81201) | $1,110.50 | $2,221 | 1.4× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$41.50–$54.50 | $83–$109 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $124 | $248 | 10.3× |
| Arsenic (82175) | $75 | $150 | 4.0× |
| Aspergillus ag eia (87305) | $44 | $88 | 3.7× |
| Assay activated protein c (85307) | $90.50 | $181 | 5.9× |
| Assay Blood Carbon Dioxide (82374) | $199 | $398 | 40.8× |
| Assay Nephelometry Not Spec (83883) | $80.50 | $161 | 5.9× |
| Assay of 5-hiaa (83497) | $159 | $318 | 12.3× |
| Assay of blood/uric acid (84550) | $135.50 | $271 | 30.0× |
| Assay of calcium in urine (82340) | $93 | $186 | 15.4× |
| Assay of cpk in blood (82552) | $342 | $684 | 25.5× |
| Assay of g6pd enzyme (82955) | $101.50 | $203 | 10.5× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$33.50–$51.50 | $67–$103 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$128–$135.50 | $256–$271 | varies |
| Assay of metanephrines (83835) | $272.50 | $545 | 16.1× |
| Assay of proinsulin (84206) | $93 | $186 | 3.5× |
| Assay of pyruvate (84210) | $54 | $108 | 3.7× |
| Assay of semen fructose (82757) | $25 | $50 | 1.4× |
| Assay of serotonin (84260) | $113 | $226 | 3.6× |
| Assay of serum potassium (84132) | $67.50 | $135 | 14.2× |
| Assay of sweat sodium (84302) | $27 | $54 | 5.6× |
| Assay of Tyrosine (84510) | $34.50 | $69 | 3.2× |
| Assay of urea nitrogen (84520) | $90 | $180 | 22.8× |
| Assay of urine vma (84585) | $63.50 | $127 | 4.1× |
| Assay of vitamin b-1 (84425) | $58.50 | $117 | 2.8× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$25.50–$61 | $51–$122 | varies |
| Assay spec xcp ur&breath ia (82077) | $216 | $432 | 12.5× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $295 | $590 | 1.7× |
| Automated Leukocyte Count (85048) | $63.50 | $127 | 25.0× |
| B cells total count (86355) | $96.50 | $193 | 2.6× |
| Bartonella antibody (86611) | $186.50 | $373 | 18.3× |
| Bcr/abl1 gene major bp (81206) | $183 | $366 | 1.1× |
| Bcr/abl1 gene minor bp (81207) | $132.50 | $265 | 0.9× |
| Bcr/Abl1 Gene Other Bp (81208) | $91.50 | $183 | 0.4× |
| Beta 2 glycoprotein i antibody each (86146) | $265.50 | $531 | 10.4× |
| Beta hydroxybutyrate (82010) | $38 | $76 | 4.7× |
| Beta Lactamase (87185) | $62 | $124 | 13.1× |
| Beta-2 Microglobulin (82232) | $121.50 | $243 | 7.5× |
| Bile acids total (82239) | $41.50 | $83 | 2.4× |
| Bilirubin direct (82248) | $110.50 | $221 | 22.0× |
| Bilirubin total (82247) | $110.50 | $221 | 22.0× |
| Bilirubin total transcutaneous (88720) | $22 | $44 | 4.4× |
| Biotinidase (82261) | $69.50 | $139 | 4.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $22 | $44 | 6.4× |
| Blastomyces antibody (86612) | $44 | $88 | 3.4× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $279 | $558 | 1.6× |
| Bld Typing Serologic Rh Phnt (86906) | $157.50 | $315 | 20.3× |
| Bleeding time test (85002) | $135 | $270 | 28.0× |
| Blood Count Automated Differential Wbc Count (85004) | $107.50 | $215 | 16.6× |
| Blood Count Red Blood Cell Automated (85041) | $8.50 | $17 | 2.8× |
| Blood count reticulocyte automated (85045) | $76 | $152 | 19.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $51.50 | $103 | 13.6× |
| Blood gas (82803) range across 2 matching MRF lines |
$42.50–$615 | $85–$1,230 | varies |
| Blood gases w/02 saturation (82805) | $190.50 | $381 | 2.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $78 | $156 | 4.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 7 matching MRF lines |
$96.50–$298 | $193–$596 | varies |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$43–$83 | $86–$166 | varies |
| Body fluid cell count (89050) | $130.50 | $261 | 27.6× |
| Bone marrow smear interpretation (85097) | $251.50 | $503 | 0.3× |
| Bordetella antibody (86615) | $200 | $400 | 15.2× |
| Braf gene analysis (81210) | $232.50 | $465 | 1.3× |
| Brucella antibody (86622) | $75 | $150 | 8.4× |
| C diff amplified probe (87493) | $149 | $298 | 4.0× |
| C-Peptide (84681) range across 2 matching MRF lines |
$95.50–$99 | $191–$198 | varies |
| C-reactive protein (86140) | $129 | $258 | 24.9× |
| Ca 19-9 (86301) | $188.50 | $377 | 9.1× |
| Cadmium (82300) | $75 | $150 | 3.2× |
| Calcitonin (82308) | $176 | $352 | 6.6× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$46.50–$135.50 | $93–$271 | varies |
| Calcium total (82310) | $85.50 | $171 | 16.6× |
| Calculus assay quant (82360) | $56.50 | $113 | 4.4× |
| Calculus Xray Diffraction (82370) | $149 | $298 | 11.9× |
| Calprotectin Fecal (83993) | $124 | $248 | 6.3× |
| Calr gene com variants (81219) | $211 | $422 | 1.7× |
| Cancer Antigen 125 (86304) | $212.50 | $425 | 10.2× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$165–$205.50 | $330–$411 | varies |
| Candida antibody (86628) | $21.50 | $43 | 1.8× |
| Candida Dna Dir Probe (87480) | $43 | $86 | 2.1× |
| Carbamazepine total (80156) | $190.50 | $381 | 13.1× |
| Carbohydrate Deficient Transferrin (82373) | $112.50 | $225 | 6.2× |
| Carboxyhemoglobin (82375) | $242.50 | $485 | 19.7× |
| Carcinoembryonic antigen (82378) | $209.50 | $419 | 11.0× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$64.50–$92 | $129–$184 | varies |
| Carnitine Quantitative Each Specimen (82379) | $200.50 | $401 | 11.9× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$94.50–$209.50 | $189–$419 | varies |
| Ccp antibody (86200) | $182.50 | $365 | 14.1× |
| Cell count csf (89051) range across 2 matching MRF lines |
$130.50–$183 | $261–$366 | varies |
| Cell marker study (88182) | $492 | $984 | 9.4× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $350.50 | $701 | 2.6× |
| Ceruloplasmin (82390) | $105.50 | $211 | 9.8× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $387.50 | $775 | 2.3× |
| Cftr gene com variants (81220) | $396.50 | $793 | 0.7× |
| Cftr gene full sequence (81223) | $562.50 | $1,125 | 1.1× |
| Chemiluminescent assay (82397) | $37.50 | $75 | 2.7× |
| Chlamydia antibody (86631) | $111 | $222 | 9.4× |
| Chlamydia Igm Antibody (86632) | $111 | $222 | 8.8× |
| Chloride other source (82438) | $38 | $76 | 7.6× |
| Chloride Serum (82435) | $44 | $88 | 9.6× |
| Chloride urine (82436) | $44 | $88 | 7.7× |
| Cholesterol total (82465) | $128.50 | $257 | 29.5× |
| Cholinesterase rbc (82482) | $83 | $166 | 8.5× |
| Chorionic gonadotropin test (84702) | $286 | $572 | 19.0× |
| Chromogenic Substrate Assay (85130) | $25.50 | $51 | 2.1× |
| Chromogranin a (86316) | $145 | $290 | 7.0× |
| Chromosome analys amniotic (88269) | $653 | $1,306 | 3.8× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$371.50–$513 | $743–$1,026 | varies |
| Chromosome Analysis 20-25 (88264) | $143.50 | $287 | 1.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $224 | $448 | 6.4× |
| Citric acid urine (82507) | $75.50 | $151 | 2.7× |
| Ckmb (82553) | $183 | $366 | 15.8× |
| Clostridium Difficile (87324) | $226.50 | $453 | 18.9× |
| Clot Factor VIII Multimetric (85247) | $198 | $396 | 8.6× |
| Clotting factor xii hageman (85280) | $124.50 | $249 | 6.4× |
| Clotting Funct Activity (85397) | $95.50 | $191 | 3.1× |
| Cns DNA amp probe type 12-25 (87483) | $380.50 | $761 | 0.9× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$22–$80 | $44–$160 | varies |
| Coccidioides antibody (86635) | $44 | $88 | 3.8× |
| Cold agglutinin screen (86156) | $64 | $128 | 7.9× |
| Cold agglutinin titer (86157) | $64.50 | $129 | 8.0× |
| Collagen crosslinks (82523) | $388.50 | $777 | 20.8× |
| Column Chromotography Quant (82542) | $329.50 | $659 | 13.7× |
| Compatibility test antiglob (86922) | $149 | $298 | 0.9× |
| Complement Antigen Each Component (86160) | $242.50 | $485 | 20.2× |
| Complement Total (Ch50) (86162) | $270.50 | $541 | 13.3× |
| Complement/Function Activity (86161) | $174 | $348 | 14.5× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $248.50 | $497 | 1.5× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $553.50 | $1,107 | 10.6× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $155 | $310 | 4.1× |
| Coombs direct (86880) range across 2 matching MRF lines |
$82–$93 | $164–$186 | varies |
| Copper urine (82525) | $71 | $142 | 5.7× |
| Cortisol free (82530) | $199 | $398 | 11.9× |
| Cortisol saliva (82533) | $149 | $298 | 9.1× |
| Creatine kinase total (82550) | $145 | $290 | 22.3× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$97–$102 | $194–$204 | varies |
| Creatinine clearance (82575) | $174 | $348 | 18.4× |
| Creatinine Urine (82570) | $97 | $194 | 18.7× |
| Crossmatch immediate spin (86920) | $124.50 | $249 | 0.7× |
| Crp High Sensitivity (86141) | $71.50 | $143 | 5.5× |
| Cryoglobulin (82595) | $56.50 | $113 | 8.7× |
| Cryptococcal Antigen (87327) | $32.50 | $65 | 2.4× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$32–$152.50 | $64–$305 | varies |
| Cryptosporidium ag eia (87328) | $58 | $116 | 4.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$116–$345 | $232–$690 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $116 | $232 | 14.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $168.50 | $337 | 21.9× |
| Culture aerobic quant other (87071) | $242.50 | $485 | 24.5× |
| Culture afb (87116) range across 2 matching MRF lines |
$83–$140 | $166–$280 | varies |
| Culture Anaerobic (87075) | $313.50 | $627 | 33.1× |
| Culture blood (87040) | $191.50 | $383 | 18.6× |
| Culture chlamydia (87110) | $130 | $260 | 6.6× |
| Culture csf (87070) | $212.50 | $425 | 24.7× |
| Culture fungus (87102) | $168.50 | $337 | 20.0× |
| Culture fungus blood (87103) | $120 | $240 | 5.9× |
| Culture screen only (87081) | $264.50 | $529 | 39.9× |
| Culture stool (87045) | $234.50 | $469 | 24.8× |
| Culture typing if ea antiserum (87140) | $136.50 | $273 | 24.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $34 | $68 | 6.6× |
| Culture typing other methods (87158) | $74 | $148 | 9.6× |
| Culture urine (87086) | $151.50 | $303 | 18.8× |
| Cyclosporine (80158) | $362.50 | $725 | 20.1× |
| Cystatin C (82610) | $29.50 | $59 | 1.6× |
| Cytogenetics 100-300 (88275) | $371.50 | $743 | 7.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $801 | $1,602 | 0.7× |
| Cytogenomic neo microra alys (81277) | $834 | $1,668 | 0.7× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$40–$168.50 | $80–$337 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $85.50 | $171 | 4.2× |
| Cytopath Cell Enhance Tech (88112) | $238.50 | $477 | 4.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $76.50 | $153 | 2.9× |
| Cytp Concentration Smears & Interpretation (88108) | $248.50 | $497 | 6.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $189.50 | $379 | 3.6× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $189.50 | $379 | 1.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $189.50 | $379 | 5.1× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $41.50 | $83 | 2.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $82 | $164 | 2.8× |
| Deoxyribonuclease antibody (86215) | $12 | $24 | 0.9× |
| Detect Agent Nos Dna Amp (87798) range across 3 matching MRF lines |
$25.50–$242 | $51–$484 | varies |
| Detect Agent Nos Dna Quant (87799) | $551.50 | $1,103 | 12.9× |
| Detect agnt mult DNA ampli (87801) | $206 | $412 | 2.9× |
| Dhea (82626) | $229 | $458 | 9.1× |
| Dhea-S (82627) | $152.50 | $305 | 6.9× |
| Digoxin (80162) | $75.50 | $151 | 5.7× |
| Dihydrotestosterone (82642) | $153.50 | $307 | 5.2× |
| Diphtheria antitoxoid (86648) | $87 | $174 | 5.7× |
| Dna Antibody Native/Double Stranded (86225) | $201 | $402 | 14.6× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$25.50–$256 | $51–$512 | varies |
| DNA/RNA direct probe (87149) | $84.50 | $169 | 4.2× |
| Dna/Rna Sequencing (87153) | $109.50 | $219 | 0.9× |
| Drug assay acetaminophen (80143) | $273.50 | $547 | 14.7× |
| Drug Assay Amiodarone (80151) | $216 | $432 | 11.6× |
| Drug Assay Everolimus (80169) | $35 | $70 | 2.5× |
| Drug assay felbamate (80167) | $37.50 | $75 | 2.0× |
| Drug Assay Lacosamide (80235) | $122.50 | $245 | 4.5× |
| Drug Assay Leflunomide (80193) | $216 | $432 | 5.6× |
| Drug Assay Posaconazole (80187) | $142.50 | $285 | 5.3× |
| Drug Screen Quant Clozapine (80159) | $96.50 | $193 | 4.8× |
| Drug Screen Quant Zonisamide (80203) | $216 | $432 | 16.3× |
| Drug Screen Quantitative Gabapentin (80171) | $88 | $176 | 4.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $87.50 | $175 | 6.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $145.50 | $291 | 11.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $87.50 | $175 | 6.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 3 matching MRF lines |
$219–$709 | $438–$1,418 | varies |
| Egfr Gene Analysis Common Variants (81235) | $671.50 | $1,343 | 2.1× |
| Ehrlichia antibody (86666) | $211 | $422 | 20.7× |
| Electrolyte panel (80051) | $214 | $428 | 30.5× |
| Electron Microscopy (88348) | $892 | $1,784 | 1.1× |
| Encephaltis East Eqne Anbdy (86652) | $73 | $146 | 5.5× |
| Enterovirus Antibody (86658) | $1,168.50 | $2,337 | 89.7× |
| Enzyme cell activity (82657) | $205.50 | $411 | 9.3× |
| Enzyme histochemistry (88319) | $273 | $546 | 0.3× |
| Erythropoietin (82668) | $174.50 | $349 | 9.3× |
| Estradiol serum (82670) | $241 | $482 | 8.6× |
| Estrogens fractionated (82671) | $83 | $166 | 2.6× |
| Ethosuximide (80168) | $35.50 | $71 | 2.2× |
| Exam Synovial Fluid Crystals (89060) | $89.50 | $179 | 12.2× |
| F2 Gene (81240) | $223 | $446 | 3.4× |
| Factor ii activity (85210) | $23.50 | $47 | 1.8× |
| Factor Inhibitor Test (85335) | $135 | $270 | 10.5× |
| Factor ix activity (85250) | $129 | $258 | 6.8× |
| Factor v activity (85220) | $199 | $398 | 11.3× |
| Factor v leiden mutation (81241) | $193 | $386 | 2.6× |
| Factor vii assay (85230) | $119 | $238 | 6.6× |
| Factor viii assay (85240) | $199 | $398 | 11.1× |
| Factor X (85260) | $199 | $398 | 11.1× |
| Factor xi activity (85270) | $132.50 | $265 | 7.4× |
| Fat/Lipids Feces Quantitative (82710) range across 2 matching MRF lines |
$257.50–$298 | $515–$596 | varies |
| Fecal Fat Qualitative (82705) | $53.50 | $107 | 10.5× |
| Ferritin (82728) | $137 | $274 | 10.1× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $265.50 | $531 | 1.7× |
| Fetal Fibronectin (82731) | $483 | $966 | 7.5× |
| Fetal screen rosette (85461) | $64 | $128 | 6.8× |
| Fibrin degradation products (85362) | $251.50 | $503 | 36.5× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$64.50–$190.50 | $129–$381 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$40–$163 | $80–$326 | varies |
| Fibrinogen antigen (85385) | $76 | $152 | 5.3× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $25.50 | $51 | 1.6× |
| Flow cytometry first marker (88184) | $116.50 | $233 | 0.3× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$90.50–$460.50 | $181–$921 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $105 | $210 | 8.7× |
| Fmr1 gene detection (81243) | $327 | $654 | 5.7× |
| Folic acid rbc (82747) | $227 | $454 | 12.9× |
| Folic Acid Serum (82746) | $136.50 | $273 | 9.3× |
| Follicle Stimulating Hormone (83001) | $261 | $522 | 14.0× |
| Francisella tularensis (86668) | $134.50 | $269 | 9.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $52.50 | $105 | 0.3× |
| Frozen Section (88331) | $184.50 | $369 | 1.1× |
| Fungi Identification Mold (87107) | $136.50 | $273 | 13.2× |
| Fungi Identification Yeast (87106) | $46.50 | $93 | 4.5× |
| Galactose transferase test (82776) | $34.50 | $69 | 2.9× |
| Gammaglobulin ige (82785) | $252 | $504 | 15.3× |
| Gardner vag DNA dir probe (87510) | $43 | $86 | 2.1× |
| Gardner Vag Dna Quant (87512) | $79 | $158 | 1.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $94.50 | $189 | 9.7× |
| Gastrin (82941) | $107 | $214 | 6.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $305.50 | $611 | 0.7× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $2,015 | $4,030 | 0.7× |
| Genet Virus Isolate Hsv (87255) | $152.50 | $305 | 4.5× |
| Gentamicin (80170) | $176.50 | $353 | 10.8× |
| Ggt (82977) | $113.50 | $227 | 15.8× |
| Giardia antigen (87329) | $58 | $116 | 4.8× |
| Glucagon (82943) | $254 | $508 | 17.8× |
| Glucose Blood Test (82962) | $35.50 | $71 | 10.8× |
| Glucose body fluid (82945) | $63.50 | $127 | 16.2× |
| Glucose Serum (82947) | $111 | $222 | 28.2× |
| Glucose tolerance test (gtt) (82951) | $216.50 | $433 | 16.8× |
| Glutathione (82978) | $82 | $164 | 5.3× |
| Glycated Protein (82985) | $110.50 | $221 | 6.6× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $106 | $212 | 6.9× |
| Gonadotropin Chorionic Qualitative (84703) | $192 | $384 | 25.5× |
| Growth hormone (83003) | $122 | $244 | 7.3× |
| Gtt-added samples (82952) | $64.50 | $129 | 16.5× |
| H Pylori (C-13) Breath (83013) | $122 | $244 | 1.8× |
| Haloperidol (80173) | $93 | $186 | 5.9× |
| Haptoglobin (83010) | $69.50 | $139 | 5.5× |
| Hba1/hba2 full gene sequence (81259) | $436 | $872 | 0.7× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $327 | $654 | 1.6× |
| Hbb duplication/deletion variants (81363) | $389 | $778 | 1.9× |
| Hbb Full Gene Sequence (81364) | $381 | $762 | 1.2× |
| Hbb Gene Com Variants (81361) | $171.50 | $343 | 1.0× |
| Hdl Cholesterol (83718) | $111 | $222 | 13.6× |
| Helicobacter Pylori Stool (87338) | $39.50 | $79 | 2.7× |
| Helminth Antibody (86682) | $92 | $184 | 7.1× |
| Hematocrit (85014) | $61.50 | $123 | 25.9× |
| Hemoglobin (85018) | $57 | $114 | 24.1× |
| Hemoglobin a1c (83036) | $137 | $274 | 14.1× |
| Hemoglobin Chromotography (83021) | $160 | $320 | 8.9× |
| Hemoglobin electrophoresis (83020) | $160 | $320 | 12.4× |
| Hemoglobin Methemoglobin Quantitative (83050) | $75.50 | $151 | 9.2× |
| Hemoglobin plasma (83051) | $78 | $156 | 10.7× |
| Hemosiderin urine (83070) | $37.50 | $75 | 7.9× |
| Hep a ab igm (86709) | $76 | $152 | 6.7× |
| Heparin assay (85520) range across 2 matching MRF lines |
$64.50–$164 | $129–$328 | varies |
| Heparin Neutralization (85525) | $29.50 | $59 | 2.5× |
| Hepatitis a antibody total (86708) | $168.50 | $337 | 13.6× |
| Hepatitis b core ab igm (86705) | $79 | $158 | 6.7× |
| Hepatitis b core ab total (86704) | $66.50 | $133 | 5.5× |
| Hepatitis B Surface Antibody (86706) | $122.50 | $245 | 11.4× |
| Hepatitis B Surface Antigen (87340) | $135 | $270 | 13.1× |
| Hepatitis Be Antibody (86707) | $52 | $104 | 4.5× |
| Hepatitis Be Antigen (87350) | $149 | $298 | 12.9× |
| Hepatitis C Antibody (86803) | $94.50 | $189 | 6.6× |
| Hepatitis C Genotype (87902) | $391.50 | $783 | 1.5× |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$140.50–$166.50 | $281–$333 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $535.50 | $1,071 | 12.5× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$68.50–$116 | $137–$232 | varies |
| Heterophile Antibody Screen (86308) | $163 | $326 | 31.5× |
| Hfe Gene (81256) | $190.50 | $381 | 2.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $166 | $332 | 21.5× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$67–$196.50 | $134–$393 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$30–$39.50 | $60–$79 | varies |
| Hiv Genotype (87901) | $994.50 | $1,989 | 3.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $214 | $428 | 8.9× |
| Hiv-1 Antibody (86701) | $214 | $428 | 24.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $515.50 | $1,031 | 6.1× |
| HIV-2 probe&revrse trnscripj (87538) | $184 | $368 | 5.2× |
| Hla class ii typing high resolution one locus ea (81382) | $307 | $614 | 2.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $160 | $320 | 2.2× |
| Hla I Typing 1 Allele Hr (81381) | $135.50 | $271 | 0.8× |
| Hla ii typing 1 allele hr (81383) | $106 | $212 | 1.0× |
| Hla ii typing 1 locus lr (81376) | $105 | $210 | 0.9× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$315.50–$331 | $631–$662 | varies |
| Homocysteine (83090) | $277.50 | $555 | 15.5× |
| Homogenization Tissue (87176) | $46.50 | $93 | 7.9× |
| Hpv High-Risk Types (87624) | $136.50 | $273 | 3.9× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $136.50 | $273 | 1.9× |
| Hpv Types 16 & 18 Only (87625) | $135 | $270 | 3.3× |
| Hsv Dna Amp Probe (87529) | $416.50 | $833 | 11.9× |
| Human Epididymis Protein 4 (86305) | $207 | $414 | 9.9× |
| Hydroxyprogesterone 17-d (83498) | $113 | $226 | 4.2× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $55.50 | $111 | 4.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $54 | $108 | 5.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $32 | $64 | 2.3× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $110.50 | $221 | 3.1× |
| Iaad ia shiga-like toxin (87427) | $30 | $60 | 2.5× |
| Iaadi not otherwise specified each organism (87299) | $74 | $148 | 4.6× |
| Iadna Bartonella Amplified Probe Technique (87471) | $105.50 | $211 | 3.0× |
| Iadna Candida Species Amplified Probe Tq (87481) | $82 | $164 | 2.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$25.50–$127.50 | $51–$255 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $416.50 | $833 | 11.9× |
| Iadna Cytomegalovirus Quantification (87497) | $276 | $552 | 6.4× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $114 | $228 | 1.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $313 | $626 | 7.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $147.50 | $295 | 4.2× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $33.50 | $67 | 1.0× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $211.50 | $423 | 2.8× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $83 | $166 | 1.9× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $211.50 | $423 | 5.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $25.50 | $51 | 0.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $234 | $468 | 6.7× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $45.50 | $91 | 0.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $110.50 | $221 | 0.8× |
| Igg subclasses (82787) | $150 | $300 | 18.7× |
| Igh gene rearrange amp meth (81261) | $500.50 | $1,001 | 2.5× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $359.50 | $719 | 1.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $209 | $418 | 0.6× |
| Immune Complex Assay (86332) | $88 | $176 | 3.6× |
| Immunfix e-phorsis/urine/csf (86335) | $325.50 | $651 | 11.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $249 | $498 | 13.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $58.50 | $117 | 3.9× |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$129–$353.50 | $258–$707 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$62–$133 | $124–$266 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$193–$445.50 | $386–$891 | varies |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$324.50–$500.50 | $649–$1,001 | varies |
| In situ hybridization 1st probe stain (88365) | $234 | $468 | 1.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $125.50 | $251 | 1.8× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $83 | $166 | 2.4× |
| Influenza assay w/optic (87804) | $102 | $204 | 6.2× |
| Influenza DNA amp probe (87502) | $527 | $1,054 | 5.5× |
| Inhibin A (86336) | $164 | $328 | 10.5× |
| Inhibin b (83520) range across 3 matching MRF lines |
$164–$193 | $328–$386 | varies |
| Insulin antibodies (86337) | $129 | $258 | 6.0× |
| Insulin free (83527) | $128.50 | $257 | 9.9× |
| Insulin total (83525) range across 2 matching MRF lines |
$50–$63 | $100–$126 | varies |
| Intrinsic factor antibody (86340) | $64 | $128 | 4.2× |
| Iron (83540) | $76 | $152 | 11.7× |
| Iron Binding Capacity (83550) | $100 | $200 | 11.4× |
| Irradiation Blood Product Each Unit (86945) | $272 | $544 | 7.2× |
| Islet cell antibody (86341) | $538.50 | $1,077 | 22.8× |
| Jak2 gene analysis p.val617phe variant (81270) | $276 | $552 | 3.0× |
| Jak2 Gene Trgt Sequence Alys (81279) | $493.50 | $987 | 2.7× |
| Kit Gene Analysis D816 Variant(S) (81273) | $344.50 | $689 | 2.8× |
| Koh Prep (87220) | $96.50 | $193 | 22.6× |
| Kras Gene Variants Exon 2 (81275) | $472.50 | $945 | 2.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$63.50–$107 | $127–$214 | varies |
| Lactoferrin fecal qualitative (83630) | $130.50 | $261 | 6.6× |
| Lamellar Body Count (83664) | $91.50 | $183 | 4.7× |
| LDL direct (83721) | $113 | $226 | 10.8× |
| Lead (83655) | $172.50 | $345 | 14.2× |
| Legionella antibody (86713) | $109.50 | $219 | 7.2× |
| Legionella antigen urine (87449) | $184 | $368 | 15.4× |
| Legionella pneumophila dfa (87278) | $30 | $60 | 1.9× |
| Leptospira antibody (86720) | $100 | $200 | 6.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $141 | $282 | 4.9× |
| Level ii surg pathology grossµscopic exam (88302) | $201.50 | $403 | 5.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $646.50 | $1,293 | 1.8× |
| Lipase (83690) | $160 | $320 | 23.2× |
| Lipoprotein A (83695) | $189.50 | $379 | 13.2× |
| Lipoprotein Bld Quan Part (83704) | $63.50 | $127 | 1.9× |
| Lithium (80178) | $115 | $230 | 17.4× |
| Luteinizing Hormone (Lh) (83002) | $264.50 | $529 | 14.3× |
| Lyme disease antibody (86618) | $193 | $386 | 11.3× |
| Lymphocyte transformation (86353) | $115 | $230 | 2.3× |
| Lysozyme serum (85549) | $64 | $128 | 3.4× |
| M. Genitalium Amp Probe (87563) | $184 | $368 | 5.2× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $375 | $750 | 2.2× |
| Magnesium Urine (83735) | $122 | $244 | 18.2× |
| Mass Spectrometry Quant (83789) | $74.50 | $149 | 3.1× |
| Mercury urine (83825) | $75 | $150 | 4.6× |
| Methotrexate (80204) | $216 | $432 | 5.6× |
| Methylmalonic acid serum (83921) | $150 | $300 | 7.1× |
| Microalbumin, quantitative (82043) | $163 | $326 | 28.2× |
| Microbe Suscept Macrobroth (87188) | $99 | $198 | 14.9× |
| Microsatellite instability (81301) | $499 | $998 | 1.4× |
| Microsomal Antibodies Each (86376) | $157.50 | $315 | 10.8× |
| Mog-Igg1 Antb Cba Each (86362) | $82 | $164 | 6.8× |
| Molecular Cytogenetics Dna Probe Each (88271) | $371.50 | $743 | 17.3× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $138 | $276 | 3.3× |
| Molecular Pathology Procedure Level 3 (81402) | $287 | $574 | 1.9× |
| Molecular Pathology Procedure Level 6 (81405) | $375 | $750 | 1.2× |
| Mononuclear cell antigen (86356) | $157.50 | $315 | 5.9× |
| Mopath procedure level 2 (81401) | $290 | $580 | 2.1× |
| Mopath procedure level 4 (81403) | $493.50 | $987 | 2.7× |
| Mopath procedure level 5 (81404) | $376 | $752 | 1.4× |
| Mopath procedure level 7 (81406) | $834 | $1,668 | 2.9× |
| Mopath procedure level 9 (81408) | $603 | $1,206 | 0.3× |
| Mpl gene common variants (81338) | $287 | $574 | 1.9× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$80.50–$199 | $161–$398 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $46 | $92 | 0.7× |
| Mumps antibody (86735) | $27 | $54 | 2.1× |
| Mycophenolic Acid (80180) | $65.50 | $131 | 3.6× |
| Mycoplasma antibody (86738) | $186 | $372 | 14.0× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $330 | $660 | 1.9× |
| Myelin basic protein csf (83873) | $214 | $428 | 12.4× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$90–$105.50 | $180–$211 | varies |
| Natriuretic peptide (83880) | $140.50 | $281 | 3.6× |
| Neutralization Test Viral (86382) | $107.50 | $215 | 6.4× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $319.50 | $639 | 2.5× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $415 | $830 | 1.6× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $552.50 | $1,105 | 2.1× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $394 | $788 | 3.1× |
| Niacin (84591) | $107.50 | $215 | 6.3× |
| Nk cells total count (86357) | $74 | $148 | 2.0× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $218.50 | $437 | 0.9× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$80–$118 | $160–$236 | varies |
| Obstetric panel (80081) | $186 | $372 | 2.5× |
| Occult blood feces (82272) | $67 | $134 | 15.8× |
| Occult Blood Other Sources (82271) | $67 | $134 | 12.6× |
| Oligoclonal bands (83916) | $210.50 | $421 | 7.7× |
| Organic acids urine (83918) | $276.50 | $553 | 11.7× |
| Osmolality serum (83930) | $63.50 | $127 | 9.6× |
| Osmolality Urine (83935) | $63.50 | $127 | 9.3× |
| Ova and parasites smears (87177) | $172.50 | $345 | 19.4× |
| Ova1 (81503) | $280.50 | $561 | 0.3× |
| Oxalate urine (83945) | $174 | $348 | 12.0× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$32–$172.50 | $64–$345 | varies |
| Parvovirus antibody (86747) | $91.50 | $183 | 6.1× |
| Ph urine (81003) | $76 | $152 | 33.8× |
| Phenobarbital Level (80184) | $85.50 | $171 | 5.6× |
| Phenotype Infect Agent Drug (87900) | $307 | $614 | 2.4× |
| Phenylalanine (84030) | $154.50 | $309 | 28.1× |
| Phenytoin (Dilantin) (80185) | $87.50 | $175 | 6.6× |
| Phosphatase acid prostatic (84066) | $75 | $150 | 7.8× |
| Phosphatase alkaline (84075) | $122.50 | $245 | 23.6× |
| Phospholipid Neutralization Hexagonal (85598) | $234 | $468 | 13.0× |
| Phosphorus Serum (84100) | $91.50 | $183 | 19.3× |
| Phosphorus urine (84105) | $22 | $44 | 3.8× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$95–$279.50 | $190–$559 | varies |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$216.50–$309 | $433–$618 | varies |
| Platelet count automated (85049) | $107.50 | $215 | 24.0× |
| Platelet neutralization (85597) | $122 | $244 | 6.8× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $254 | $508 | 1.2× |
| Pneumcysts jirovecii amp prb (87594) | $184.50 | $369 | 5.3× |
| Pooling blood platelets (86965) | $27 | $54 | 0.2× |
| Porphobilinogen, urine; quantitative (84110) | $126 | $252 | 14.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $157 | $314 | 10.7× |
| Potassium Urine (84133) | $67.50 | $135 | 14.3× |
| Prealbumin (84134) | $62.50 | $125 | 4.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $90 | $180 | 1.5× |
| Primidone (80188) | $62 | $124 | 3.7× |
| Procalcitonin (Pct) (84145) | $168.50 | $337 | 6.2× |
| Progesterone (84144) | $235.50 | $471 | 11.3× |
| Prolactin (84146) | $145 | $290 | 7.5× |
| Prostaglandin (84150) | $219.50 | $439 | 5.3× |
| Protein body fluid (84157) | $78 | $156 | 19.5× |
| Protein C Activity (85303) | $560.50 | $1,121 | 40.5× |
| Protein c antigen (85302) | $422.50 | $845 | 35.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $287.50 | $575 | 26.8× |
| Protein S Free (85306) | $674.50 | $1,349 | 44.0× |
| Protein s total (85305) | $67 | $134 | 5.8× |
| Protein Total Refractometry Any Src (84160) | $80.50 | $161 | 14.3× |
| Protein total serum (84155) | $157 | $314 | 42.8× |
| Protein Total Urine (84156) | $157 | $314 | 42.8× |
| Protein Western Blot Test (84182) | $58.50 | $117 | 2.0× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $94.50 | $189 | 24.0× |
| PSA free (84154) | $223.50 | $447 | 12.2× |
| Pth Intact (83970) | $300 | $600 | 7.3× |
| Q Fever Antibody (86638) | $145.50 | $291 | 12.0× |
| Quantiferon tb gold plus (86480) | $187.50 | $375 | 3.0× |
| Quantitative assay drug (80299) | $216 | $432 | 11.6× |
| Quantitative Screen Metals (83018) | $103.50 | $207 | 4.7× |
| Rbc antibody elution (86860) | $107.50 | $215 | 0.6× |
| Rbc antibody identification (86870) range across 6 matching MRF lines |
$57–$176.50 | $114–$353 | varies |
| Rbc antibody screen (86850) | $121.50 | $243 | 12.4× |
| Rbc pretreatment serum (86978) | $117.50 | $235 | 2.0× |
| Rbc serum pretx incubj drugs (86975) | $98.50 | $197 | 0.2× |
| Renin activity plasma (84244) | $145.50 | $291 | 6.6× |
| Reptilase test (85635) | $88 | $176 | 8.9× |
| Resp virus 12-25 targets (87633) | $301.50 | $603 | 0.7× |
| Resp Virus 6-11 Targets (87632) | $384 | $768 | 1.8× |
| Rh (86901) range across 3 matching MRF lines |
$30–$83 | $60–$166 | varies |
| Rheumatoid Factor Qualitative (86430) | $83 | $166 | 13.5× |
| Rheumatoid factor quant (86431) | $124.50 | $249 | 22.0× |
| Rickettsia antibody (86757) | $122 | $244 | 6.3× |
| Ristocetin cofactor (85245) | $98 | $196 | 4.3× |
| Rotavirus ag eia (87425) | $193 | $386 | 16.1× |
| Rpr qualitative (86592) | $72 | $144 | 16.9× |
| Rsv Assay W/Optic (87807) | $176.50 | $353 | 13.5× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$54–$105.50 | $108–$211 | varies |
| Rubeola antibody (86765) | $35.50 | $71 | 2.8× |
| Russell Viper Venom Time Diluted (85613) | $75.50 | $151 | 7.9× |
| Salicylate Level (80179) | $273.50 | $547 | 14.7× |
| Salmonella antibody (86768) | $23.50 | $47 | 1.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $110.50 | $221 | 2.2× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$48–$83.50 | $96–$167 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $553.50 | $1,107 | 3.9× |
| Sedimentation Rate, Automated (85652) | $130.50 | $261 | 48.3× |
| Selenium (84255) | $22.50 | $45 | 0.9× |
| Semen Anal Sperm Detection (89321) | $22.50 | $45 | 1.9× |
| Semen analysis complete (89320) | $72 | $144 | 5.8× |
| Semen analysis motility and count (89310) | $71 | $142 | 8.2× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$168–$471.50 | $336–$943 | varies |
| Serpina 1 gene (81332) | $168 | $336 | 3.8× |
| Sex Chromatin Identification Barr Bodies (88130) | $79 | $158 | 4.4× |
| Sex Hormone Binding Globulin (84270) | $64 | $128 | 2.9× |
| Sickling of rbc reduction (85660) | $67 | $134 | 12.2× |
| Sirolimus (80195) | $161.50 | $323 | 11.8× |
| Smear acid fast (87206) | $74 | $148 | 13.7× |
| Smear complex stain (87209) | $52 | $104 | 2.9× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$88–$96.50 | $176–$193 | varies |
| Smear Special Stain (87207) | $252.50 | $505 | 42.2× |
| Smn1 Gene Dos/Deletion Alys (81329) | $290 | $580 | 2.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $242.50 | $485 | 41.7× |
| Sodium Serum (84295) | $41.50 | $83 | 8.6× |
| Sodium Urine (84300) | $41.50 | $83 | 8.2× |
| Soluble fibrin monomer (85366) | $25 | $50 | 0.3× |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$58–$216.50 | $116–$433 | varies |
| Somatomedin (84305) | $199 | $398 | 9.4× |
| Special Stains Group 1 (88312) | $184 | $368 | 3.5× |
| Special Stains Group 2 (88313) | $91.50 | $183 | 0.7× |
| Specific gravity body fluid (84315) | $18 | $36 | 5.5× |
| Specimen infect agnt concntj (87015) | $39.50 | $79 | 5.9× |
| Spectrophotometry (84311) | $95 | $190 | 11.7× |
| Sperm Antibodies (89325) | $183 | $366 | 17.2× |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $188.50 | $377 | 3.6× |
| Splitting Blood/Blood Products Each Unit (86985) | $61.50 | $123 | 0.4× |
| Staph a DNA amp probe (87640) | $83 | $166 | 2.4× |
| Stone Analysis (82355) | $337 | $674 | 29.1× |
| Stool cultr aerobic bact ea (87046) | $223.50 | $447 | 23.7× |
| Strep a assay w/optic (87880) | $130 | $260 | 7.9× |
| Strep a DNA amp probe (87651) | $199.50 | $399 | 5.7× |
| Strep b DNA amp probe (87653) | $256 | $512 | 7.3× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $44.50 | $89 | 0.5× |
| Sugars Single Qual (84376) | $13.50 | $27 | 2.5× |
| Sulfate urine (84392) | $13.50 | $27 | 2.5× |
| Surg path level iii (88304) | $261 | $522 | 5.0× |
| Surgical pathology level IV (88305) | $422.50 | $845 | 8.1× |
| Surgical pathology level vi (88309) | $909 | $1,818 | 1.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $33.50 | $67 | 7.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $182.50 | $365 | 24.4× |
| Sweat Collection Iontophoresis (89230) | $196.50 | $393 | 3.8× |
| Syphilis Test Non-Trep Quant (86593) | $72 | $144 | 16.4× |
| T cells absolute cd4 count (86361) | $136 | $272 | 5.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $196 | $392 | 4.2× |
| T cells total count (86359) range across 2 matching MRF lines |
$196–$227 | $392–$454 | varies |
| T3 Free (84481) | $234 | $468 | 13.8× |
| T3 reverse (84482) | $25.50 | $51 | 1.6× |
| T3 Total (84480) | $129 | $258 | 9.1× |
| T3 Uptake (84479) | $160 | $320 | 24.7× |
| T4 Free (84439) | $129 | $258 | 14.3× |
| T4 total (84436) | $166 | $332 | 24.2× |
| T4-neonatal (84437) | $22 | $44 | 3.4× |
| Tacrolimus (80197) | $205 | $410 | 14.9× |
| Test for acetone/ketones (82009) | $76 | $152 | 16.8× |
| Testosterone total (84403) range across 2 matching MRF lines |
$135–$280 | $270–$560 | varies |
| Testosterone, Free (84402) | $135 | $270 | 5.3× |
| Tetanus antibody (86774) | $66.50 | $133 | 4.5× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,607.50 | $3,215 | 2.7× |
| Theophylline (80198) | $129 | $258 | 9.1× |
| Thiocyanate (84430) | $42.50 | $85 | 3.7× |
| Thrombin Time (85670) | $58 | $116 | 10.1× |
| Thromboplastin Inhibition Tissue (85705) | $24.50 | $49 | 2.5× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $126 | $252 | 19.5× |
| Thyroglobulin (84432) | $23 | $46 | 1.4× |
| Thyroglobulin Antibody (86800) | $272 | $544 | 17.1× |
| Thyroid Stimulating Immunoglobulin (84445) | $520 | $1,040 | 10.2× |
| Thyroxine binding globulin (84442) | $101.50 | $203 | 6.9× |
| Tissue Culture (88233) | $371.50 | $743 | 2.6× |
| Tissue culture bone marrow (88237) | $143.50 | $287 | 1.0× |
| Tissue Culture Lymphocyte (88230) | $285.50 | $571 | 2.5× |
| Tobramycin peak (80200) | $158 | $316 | 9.8× |
| Topiramate (80201) | $151.50 | $303 | 12.7× |
| Toxoplasma ab igm (86778) | $105.50 | $211 | 7.3× |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$40–$105.50 | $80–$211 | varies |
| Tpmt gene com variants (81335) | $190.50 | $381 | 1.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $119 | $238 | 23.0× |
| Transferrin (84466) | $137 | $274 | 10.7× |
| Trg gene rearrangement anal (81342) | $290 | $580 | 1.4× |
| Trichomonas vagin dir probe (87660) | $43 | $86 | 2.1× |
| Trichomonas Vaginalis Amplif (87661) | $83 | $166 | 2.4× |
| Triglycerides (84478) | $165 | $330 | 28.7× |
| Troponin Quant (84484) | $200.50 | $401 | 16.1× |
| Tumor immunohistochem/comput (88361) | $238.50 | $477 | 0.7× |
| Tumor Immunohistochem/Manual (88360) | $238.50 | $477 | 1.4× |
| Unlisted Transfusion Medicine Procedure (86999) range across 3 matching MRF lines |
$150–$440.50 | $300–$881 | varies |
| Urea nitrogen urine (84540) | $29 | $58 | 5.2× |
| Uric acid other source (84560) | $72 | $144 | 14.2× |
| Urinalysis Microscopic Only (81015) | $76 | $152 | 24.9× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $91.50 | $183 | 42.2× |
| Urine Bacteria Culture (87088) | $51 | $102 | 6.3× |
| Urine Pregnancy Test (81025) | $200.50 | $401 | 23.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $115 | $230 | 36.3× |
| Valproic acid (80164) | $240 | $480 | 17.7× |
| Vancomycin (80202) | $264.50 | $529 | 19.5× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$27–$135.50 | $54–$271 | varies |
| Vasopressin (84588) | $178 | $356 | 5.2× |
| Viral Culture (87252) range across 2 matching MRF lines |
$83.50–$176.50 | $167–$353 | varies |
| Virus antibody nos (86790) | $80 | $160 | 6.2× |
| Virus inoculate tissue addl (87253) | $50 | $100 | 2.5× |
| Virus inoculation, shell via (87254) | $41.50 | $83 | 2.1× |
| Vit D 1 25-Dihydroxy (82652) | $324 | $648 | 8.4× |
| Vitamin A (84590) | $74 | $148 | 6.4× |
| Vitamin b-12 (82607) | $105 | $210 | 7.0× |
| Vitamin B2 (Riboflavin) (84252) | $18.50 | $37 | 0.9× |
| Vitamin B6 (84207) | $128.50 | $257 | 4.6× |
| Vitamin c (82180) | $78 | $156 | 7.9× |
| Vitamin D 25-Hydroxy (82306) | $182.50 | $365 | 6.2× |
| Vitamin E (84446) | $77.50 | $155 | 5.5× |
| Vitamin K (84597) | $22.50 | $45 | 1.6× |
| Von willebrand factor ag (85246) | $229 | $458 | 10.0× |
| Wbc Alkaline Phosphatase Count (85540) | $161.50 | $323 | 18.8× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$93–$94.50 | $186–$189 | varies |
| West Nile Virus Antibody (86789) range across 3 matching MRF lines |
$79.50–$130.50 | $159–$261 | varies |
| Zika Virus Igm Antibody (86794) | $211 | $422 | 12.5× |
| Zinc (84630) | $85.50 | $171 | 7.5× |
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.