Lab & pathology prices at Sentara Martha Jefferson Hospital
Charlottesville, VA · every code in this section with a posted price and a Medicare benchmark.
871 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 |
$25–$104 | $50–$208 | varies |
| 5 Nucleotidase (83915) range across 2 matching MRF lines |
$15–$50 | $30–$100 | varies |
| Abl1 gene analysis kinase domain variants (81170) range across 2 matching MRF lines |
$132–$691 | $264–$1,382 | varies |
| Acetylcholine receptor binding antibody (86041) | $17.50 | $35 | 1.0× |
| Acetylcholine receptor blocking antibody (86042) range across 2 matching MRF lines |
$17.50–$63.50 | $35–$127 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) range across 2 matching MRF lines |
$17.50–$63.50 | $35–$127 | varies |
| Acth (82024) range across 2 matching MRF lines |
$10.50–$172.50 | $21–$345 | varies |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$12–$50 | $24–$100 | varies |
| Acute hepatitis panel (80074) | $235 | $470 | 4.9× |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$37.50–$77 | $75–$154 | varies |
| Adenovirus antibody (86603) range across 2 matching MRF lines |
$12–$55 | $24–$110 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) range across 2 matching MRF lines |
$27–$265 | $54–$530 | varies |
| Agglutinins Febrile Each Antigen (86000) | $26.50 | $53 | 3.8× |
| Albumin Fluid (82042) range across 7 matching MRF lines |
$3–$24.50 | $6–$49 | varies |
| Albumin serum (82040) range across 6 matching MRF lines |
$2–$23 | $4–$46 | varies |
| Aldolase (82085) range across 2 matching MRF lines |
$10.50–$54.50 | $21–$109 | varies |
| Aldosterone urine (82088) range across 8 matching MRF lines |
$12–$185 | $24–$370 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$7.50–$68 | $15–$136 | varies |
| Allergen spec ige qual multiallergen screen (86005) range across 2 matching MRF lines |
$7–$16 | $14–$32 | varies |
| Allergen specific ige (86003) range across 44 matching MRF lines |
$5.50–$38 | $2–$76 | varies |
| Allergen specific igg (86001) range across 3 matching MRF lines |
$22.50–$26 | $45–$52 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
$16–$42 | $32–$84 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 3 matching MRF lines |
$11–$104 | $22–$208 | varies |
| Alpha-1-antitrypsin total (82103) range across 6 matching MRF lines |
$10.50–$66 | $21–$132 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) range across 2 matching MRF lines |
$18.50–$77 | $37–$154 | varies |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$11.50–$77 | $23–$154 | varies |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$5–$24.50 | $10–$49 | varies |
| Aluminum (82108) range across 2 matching MRF lines |
$13–$114.50 | $26–$229 | varies |
| Amikacin trough (80150) | $88 | $176 | 5.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 4 matching MRF lines |
$14–$77 | $28–$154 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$56.50–$77 | $113–$154 | varies |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$18–$68.50 | $36–$137 | varies |
| Ammonia (82140) range across 4 matching MRF lines |
$8.50–$63.50 | $17–$127 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $49.50 | $99 | 0.5× |
| Amylase urine (82150) range across 6 matching MRF lines |
$6–$31.50 | $12–$63 | varies |
| Ana Titer (86039) | $50.50 | $101 | 4.5× |
| Anca screen each antibody (86036) range across 3 matching MRF lines |
$11–$23 | $22–$46 | varies |
| Anca Titer Each Antibody (86037) range across 6 matching MRF lines |
$17.50–$37.50 | $35–$75 | varies |
| Androstenedione (82157) range across 2 matching MRF lines |
$14–$130.50 | $28–$261 | varies |
| Androsterone (hormone) level (82160) range across 2 matching MRF lines |
$108–$114 | $216–$228 | varies |
| Angiotensin converting enzyme csf (82164) range across 4 matching MRF lines |
$11–$74 | $22–$148 | varies |
| Anti-Phospholipid Antibody (86148) | $69 | $138 | 4.3× |
| Antibody aspergillus (86606) range across 19 matching MRF lines |
$4–$66.50 | $8–$133 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 3 matching MRF lines |
$2.50–$46.50 | $5–$93 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$8–$69.50 | $16–$139 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $15.50 | $31 | 0.9× |
| Antibody Encephalitis California La Crosse (86651) range across 3 matching MRF lines |
$12–$53 | $24–$106 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $59 | $118 | 4.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$10.50–$66 | $21–$132 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 7 matching MRF lines |
$6.50–$80.50 | $13–$161 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 8 matching MRF lines |
$7.50–$55 | $15–$110 | varies |
| Antibody haemophilus influenza (86684) range across 2 matching MRF lines |
$24–$95.50 | $48–$191 | varies |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$62.50–$65 | $125–$130 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $65 | $130 | 4.5× |
| Antibody Herpes Smplx Type 1 (86695) range across 5 matching MRF lines |
$4.50–$59 | $9–$118 | varies |
| Antibody HIV-2 (86702) | $61.50 | $123 | 4.5× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $497 | $994 | 1.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$43–$82 | $86–$164 | varies |
| Antibody identification leukocyte antibodies (86021) range across 7 matching MRF lines |
$9–$65 | $18–$130 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 2 matching MRF lines |
$22–$42.50 | $44–$85 | varies |
| Antibody john cunningham virus (86711) | $172.50 | $345 | 10.2× |
| Antibody leishmania (86717) range across 10 matching MRF lines |
$52–$55 | $104–$110 | varies |
| Antibody Lymphocytic Choriomeningitis (86727) | $58 | $116 | 4.5× |
| Antibody plasmodium malaria (86750) | $129 | $258 | 9.8× |
| Antibody Protozoa Nes (86753) range across 8 matching MRF lines |
$12.50–$55 | $25–$110 | varies |
| Antibody Titer (86886) range across 4 matching MRF lines |
$10.50–$84 | $21–$168 | varies |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$11.50–$56 | $23–$112 | varies |
| Antibody; encephalitis, st. louis (86653) range across 2 matching MRF lines |
$12–$25 | $24–$50 | varies |
| Antibody; influenza virus (86710) range across 7 matching MRF lines |
$7–$61.50 | $14–$123 | varies |
| Antigen typing (86905) range across 2 matching MRF lines |
$18.50–$182 | $37–$364 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $25.50 | $51 | 4.5× |
| Antinomyces antibody (86602) | $46.50 | $93 | 4.6× |
| Antinuclear antibodies (86038) | $52.50 | $105 | 4.3× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$10–$32 | $20–$64 | varies |
| Antithrombin iii activity (85300) | $56 | $112 | 4.7× |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
$16.50–$21.50 | $33–$43 | varies |
| Apolipoprotein a1 (82172) range across 7 matching MRF lines |
$5.50–$71.50 | $11–$143 | varies |
| Aquaporin-4 Antb Cba Each (86052) range across 4 matching MRF lines |
$182.50–$401 | $365–$802 | varies |
| Aquaporin-4 Antb Elisa (86051) | $58.50 | $117 | 5.1× |
| Arsenic (82175) range across 10 matching MRF lines |
$7–$86.50 | $14–$173 | varies |
| Aspa gene analysis common variants (81200) | $142.50 | $285 | 3.0× |
| Aspergillus ag eia (87305) range across 3 matching MRF lines |
$49.50–$60 | $99–$120 | varies |
| Assay activated protein c (85307) | $76 | $152 | 5.0× |
| Assay Blood Carbon Dioxide (82374) range across 4 matching MRF lines |
$23–$39.50 | $46–$79 | varies |
| Assay Dir Meas Fr Estradiol (82681) range across 2 matching MRF lines |
$17–$36.50 | $34–$73 | varies |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$9.50–$63.50 | $19–$127 | varies |
| Assay of 5-hiaa (83497) range across 4 matching MRF lines |
$9–$59.50 | $18–$119 | varies |
| Assay of anti-mullerian hormone (82166) range across 2 matching MRF lines |
$17.50–$58.50 | $35–$117 | varies |
| Assay of b-hexosaminidase each assay (83080) range across 2 matching MRF lines |
$77–$114 | $154–$228 | varies |
| Assay of blood/uric acid (84550) | $22 | $44 | 4.9× |
| Assay of calcium in urine (82340) range across 4 matching MRF lines |
$3.50–$28.50 | $7–$57 | varies |
| Assay of cpk in blood (82552) | $58.50 | $117 | 4.4× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$15–$109 | $30–$218 | varies |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$10.50–$46 | $21–$92 | varies |
| Assay of gammaglobulin igm (82784) range across 17 matching MRF lines |
$2–$43 | $4–$86 | varies |
| Assay of lactic acid (83605) range across 6 matching MRF lines |
$48–$183 | $96–$366 | varies |
| Assay of manganese (83785) range across 4 matching MRF lines |
$24–$111.50 | $48–$223 | varies |
| Assay of metanephrines (83835) range across 6 matching MRF lines |
$12.50–$78.50 | $25–$157 | varies |
| Assay of phosphatase acid total (84060) | $34.50 | $69 | 4.5× |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$27.50–$78.50 | $55–$157 | varies |
| Assay of pyruvate (84210) range across 2 matching MRF lines |
$12–$48.50 | $24–$97 | varies |
| Assay of serotonin (84260) range across 3 matching MRF lines |
$16–$80 | $32–$160 | varies |
| Assay of serum potassium (84132) range across 6 matching MRF lines |
$22–$39 | $44–$78 | varies |
| Assay of Sialic Acid (84275) | $62 | $124 | 4.6× |
| Assay of sweat sodium (84302) range across 3 matching MRF lines |
$9.50–$23.50 | $19–$47 | varies |
| Assay of transcortin (84449) range across 2 matching MRF lines |
$50–$82.50 | $100–$165 | varies |
| Assay of urea nitrogen (84520) range across 4 matching MRF lines |
$19.50–$20 | $39–$40 | varies |
| Assay of urine vma (84585) range across 4 matching MRF lines |
$10–$67 | $20–$134 | varies |
| Assay of vasoactive intestinal peptide (84586) range across 2 matching MRF lines |
$51.50–$153 | $103–$306 | varies |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$11.50–$93.50 | $23–$187 | varies |
| Assay Ph Body Fluid Nos (83986) range across 7 matching MRF lines |
$2–$16 | $4–$32 | varies |
| Assay spec xcp ur&breath ia (82077) | $132 | $264 | 7.6× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $502 | $1,004 | 0.6× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $707 | $1,414 | 4.3× |
| Automated Leukocyte Count (85048) range across 3 matching MRF lines |
$13–$14 | $26–$28 | varies |
| B cells total count (86355) range across 4 matching MRF lines |
$9.50–$168 | $19–$336 | varies |
| Babesia microti amp prb (87469) | $167 | $334 | 4.8× |
| Bartonella antibody (86611) range across 10 matching MRF lines |
$7–$46.50 | $14–$93 | varies |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$51.50–$176 | $103–$352 | varies |
| Bcr/abl1 gene minor bp (81207) | $51.50 | $103 | 0.4× |
| Beta 2 glycoprotein i antibody each (86146) | $19 | $38 | 0.7× |
| Beta hydroxybutyrate (82010) | $36 | $72 | 4.4× |
| Beta Lactamase (87185) | $24.50 | $49 | 5.2× |
| Beta-2 Microglobulin (82232) range across 3 matching MRF lines |
$11.50–$72.50 | $23–$145 | varies |
| Bile acids total (82239) range across 2 matching MRF lines |
$12–$75.50 | $24–$151 | varies |
| Bilirubin direct (82248) | $24 | $48 | 4.8× |
| Bilirubin total (82247) range across 4 matching MRF lines |
$4.50–$24 | $9–$48 | varies |
| Bilirubin total transcutaneous (88720) | $28 | $56 | 5.6× |
| Blastomyces antibody (86612) range across 3 matching MRF lines |
$24–$58 | $48–$116 | varies |
| Bld Typing Serologic Rh Phnt (86906) range across 2 matching MRF lines |
$35.50–$43.50 | $71–$87 | varies |
| Blood count spun microhematocrit (85013) range across 2 matching MRF lines |
$11.50–$23 | $23–$46 | varies |
| Blood gas (82803) | $156.50 | $313 | 6.0× |
| Blood gases w/02 saturation (82805) | $155 | $310 | 2.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $22 | $44 | 1.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $21 | $42 | 4.8× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$19.50–$182 | $39–$364 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $43 | $86 | 2.6× |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$14.50–$65 | $29–$130 | varies |
| Bordetella antibody (86615) range across 4 matching MRF lines |
$26.50–$59 | $53–$118 | varies |
| Braf gene analysis (81210) range across 3 matching MRF lines |
$133–$234 | $266–$468 | varies |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $332.50 | $665 | 0.7× |
| Brca1&2 gen full seq dup/del (81162) range across 3 matching MRF lines |
$632.50–$4,632 | $1,265–$9,264 | varies |
| Brucella antibody (86622) range across 4 matching MRF lines |
$12.50–$40 | $25–$80 | varies |
| C diff amplified probe (87493) | $35 | $70 | 0.9× |
| C-Peptide (84681) range across 2 matching MRF lines |
$13–$90.50 | $26–$181 | varies |
| C-reactive protein (86140) | $23.50 | $47 | 4.5× |
| Ca 19-9 (86301) | $88 | $176 | 4.2× |
| Cadmium (82300) range across 5 matching MRF lines |
$8.50–$86.50 | $17–$173 | varies |
| Caffeine (80155) | $29.50 | $59 | 0.8× |
| Calcitonin (82308) range across 2 matching MRF lines |
$14.50–$121.50 | $29–$243 | varies |
| Calcium ionized (82330) | $66 | $132 | 4.8× |
| Calcium total (82310) range across 2 matching MRF lines |
$23.50–$24 | $47–$48 | varies |
| Calculus Spectroscopy (82365) range across 3 matching MRF lines |
$21.50–$58 | $43–$116 | varies |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$22.50–$82 | $45–$164 | varies |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$311–$322 | $622–$644 | varies |
| Cancer Antigen 125 (86304) | $88 | $176 | 4.2× |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
$11.50–$92.50 | $23–$185 | varies |
| Candida antibody (86628) range across 4 matching MRF lines |
$10.50–$53.50 | $21–$107 | varies |
| Candida Dna Dir Probe (87480) | $100 | $200 | 5.0× |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $2,545 | $5,090 | 4.4× |
| Carbamazepine free (80157) | $27.50 | $55 | 2.1× |
| Carbamazepine total (80156) | $86 | $172 | 5.9× |
| Carbohydrate Deficient Transferrin (82373) range across 2 matching MRF lines |
$14–$34.50 | $28–$69 | varies |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$54–$56.50 | $108–$113 | varies |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
$70–$86.50 | $140–$173 | varies |
| Cardiolipin ab iga (86147) | $19 | $38 | 0.7× |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$18.50–$74 | $37–$148 | varies |
| Carotene (82380) range across 2 matching MRF lines |
$11–$43 | $22–$86 | varies |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$14.50–$115.50 | $29–$231 | varies |
| Ccp antibody (86200) range across 3 matching MRF lines |
$24–$56 | $48–$112 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) range across 3 matching MRF lines |
$252.50–$601 | $505–$1,202 | varies |
| Cell count csf (89051) range across 4 matching MRF lines |
$31–$34 | $62–$68 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 5 matching MRF lines |
$77.50–$276.50 | $155–$553 | varies |
| Ceruloplasmin (82390) range across 2 matching MRF lines |
$10.50–$55 | $21–$110 | varies |
| Cftr gene com variants (81220) range across 4 matching MRF lines |
$124–$1,337 | $248–$2,674 | varies |
| Chemiluminescent assay (82397) range across 11 matching MRF lines |
$47.50–$310.50 | $95–$621 | varies |
| Chlamydia antibody (86631) range across 9 matching MRF lines |
$5–$53 | $10–$106 | varies |
| Chlamydia Igm Antibody (86632) range across 6 matching MRF lines |
$11–$57 | $22–$114 | varies |
| Chlamydia trachomatis ag if (87270) | $61.50 | $123 | 5.1× |
| Chloramphenicol level (82415) | $58.50 | $117 | 4.6× |
| Chloride other source (82438) | $23 | $46 | 4.6× |
| Chloride Serum (82435) | $22 | $44 | 4.8× |
| Chloride urine (82436) range across 4 matching MRF lines |
$23.50–$24 | $47–$48 | varies |
| Chlorinated Hydrocarbons Screen (82441) range across 4 matching MRF lines |
$28.50–$56 | $57–$112 | varies |
| Cholesterol total (82465) | $21 | $42 | 4.8× |
| Cholinesterase rbc (82482) range across 2 matching MRF lines |
$14–$36 | $28–$72 | varies |
| Cholinesterase Serum (82480) range across 4 matching MRF lines |
$5.50–$36 | $11–$72 | varies |
| Chorionic gonadotropin test (84702) range across 5 matching MRF lines |
$68.50–$205.50 | $137–$411 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $132.50 | $265 | 0.7× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $111 | $222 | 4.1× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $199.50 | $399 | 5.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines |
$22–$141 | $44–$282 | varies |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $179.50 | $359 | 1.0× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $184 | $368 | 1.1× |
| Chromium serum (82495) range across 5 matching MRF lines |
$25–$93.50 | $50–$187 | varies |
| Chromogranin a (86316) range across 5 matching MRF lines |
$35.50–$175.50 | $71–$351 | varies |
| Chromosome analys amniotic (88269) | $959.50 | $1,919 | 5.5× |
| Chromosome Analysis 15-20 (88262) | $686.50 | $1,373 | 5.5× |
| Chromosome Analysis 20-25 (88264) | $686.50 | $1,373 | 4.7× |
| Chromosome analysis, 5 (88261) | $1,019 | $2,038 | 3.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 13 matching MRF lines |
$10–$167 | $20–$334 | varies |
| Citric acid urine (82507) range across 7 matching MRF lines |
$11–$127 | $22–$254 | varies |
| Ckmb (82553) | $54 | $108 | 4.7× |
| Clostridium Difficile (87324) | $10.50 | $21 | 0.9× |
| Clot Factor VIII Multimetric (85247) range across 2 matching MRF lines |
$30–$112.50 | $60–$225 | varies |
| Clot factor xiii fibrin stab (85290) range across 2 matching MRF lines |
$35–$65.50 | $70–$131 | varies |
| Clotting factor viii related antigen (85244) | $47.50 | $95 | 2.3× |
| Clotting factor xii hageman (85280) range across 2 matching MRF lines |
$20.50–$26 | $41–$52 | varies |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$47.50–$111 | $95–$222 | varies |
| Clotting hi molec weight kininogen assay (85293) | $96.50 | $193 | 5.1× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $96.50 | $193 | 5.1× |
| Cns DNA amp probe type 12-25 (87483) | $463.50 | $927 | 1.1× |
| Coagulation time activated (85347) | $23.50 | $47 | 5.5× |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
$21.50–$51 | $43–$102 | varies |
| Cold agglutinin screen (86156) | $31 | $62 | 3.8× |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$9.50–$35.50 | $19–$71 | varies |
| Collagen crosslinks (82523) range across 7 matching MRF lines |
$16–$98.50 | $32–$197 | varies |
| Column Chromotography Quant (82542) range across 22 matching MRF lines |
$14–$464 | $28–$928 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $998.50 | $1,997 | 4.3× |
| Compatibility Each Unit Incubation (86921) | $185.50 | $371 | 1.1× |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$162–$192.50 | $324–$385 | varies |
| Complement Antigen Each Component (86160) range across 10 matching MRF lines |
$7–$103.50 | $14–$207 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$11.50–$77.50 | $23–$155 | varies |
| Complement/Function Activity (86161) range across 3 matching MRF lines |
$17–$69 | $34–$138 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 4 matching MRF lines |
$7.50–$142.50 | $15–$285 | varies |
| Coombs direct (86880) range across 4 matching MRF lines |
$25.50–$31.50 | $51–$63 | varies |
| Copper urine (82525) range across 6 matching MRF lines |
$8.50–$58 | $17–$116 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$10–$20 | $20–$40 | varies |
| Cortisol saliva (82533) range across 8 matching MRF lines |
$5–$74.50 | $10–$149 | varies |
| Creatine (82540) range across 4 matching MRF lines |
$9.50–$22.50 | $19–$45 | varies |
| Creatine kinase total (82550) | $31.50 | $63 | 4.8× |
| Creatinine blood (82565) | $24 | $48 | 4.7× |
| Creatinine clearance (82575) | $42 | $84 | 4.4× |
| Creatinine Urine (82570) range across 33 matching MRF lines |
$1.50–$27 | $3–$54 | varies |
| Crossmatch electronic (86923) | $200 | $400 | 1.2× |
| Crossmatch immediate spin (86920) | $192.50 | $385 | 1.2× |
| Crp High Sensitivity (86141) | $54 | $108 | 4.2× |
| Cryofibrinogen (82585) range across 2 matching MRF lines |
$13.50–$74 | $27–$148 | varies |
| Cryoglobulin (82595) range across 3 matching MRF lines |
$1.50–$42 | $3–$84 | varies |
| Cryptococcal Antigen (87327) | $61.50 | $123 | 4.6× |
| Cryptococcus ab (86641) | $65 | $130 | 4.5× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$27.50–$81 | $55–$162 | varies |
| Cryptosporidium ag eia (87328) | $29.50 | $59 | 2.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $43 | $86 | 5.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $63 | $126 | 7.8× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $109.50 | $219 | 0.5× |
| Culture aerobic quant other (87071) | $10.50 | $21 | 1.1× |
| Culture afb (87116) range across 3 matching MRF lines |
$7.50–$54.50 | $15–$109 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$47–$49 | $94–$98 | varies |
| Culture blood (87040) | $52 | $104 | 5.0× |
| Culture chlamydia (87110) range across 3 matching MRF lines |
$11.50–$68 | $23–$136 | varies |
| Culture csf (87070) range across 17 matching MRF lines |
$43.50–$45.50 | $87–$91 | varies |
| Culture fungus (87102) | $41.50 | $83 | 4.9× |
| Culture fungus blood (87103) | $43.50 | $87 | 2.1× |
| Culture screen only (87081) range across 13 matching MRF lines |
$15.50–$35.50 | $31–$71 | varies |
| Culture stool (87045) | $19 | $38 | 2.0× |
| Culture typing if ea antiserum (87140) range across 3 matching MRF lines |
$3.50–$27.50 | $7–$55 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $27 | $54 | 5.2× |
| Culture urine (87086) | $41 | $82 | 5.1× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $45.50 | $91 | 1.7× |
| Cyanide (82600) range across 2 matching MRF lines |
$17–$88.50 | $34–$177 | varies |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $66 | $132 | 4.6× |
| Cyclic amp (82030) | $118 | $236 | 4.6× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$60–$120 | $120–$240 | varies |
| Cyp2c19 gene analysis common variants (81225) range across 2 matching MRF lines |
$144–$1,059 | $288–$2,118 | varies |
| Cyp2c9 gene com variants (81227) | $133 | $266 | 0.8× |
| Cyp2d6 gene com variants (81226) range across 2 matching MRF lines |
$111–$1,711.50 | $222–$3,423 | varies |
| Cystatin C (82610) range across 2 matching MRF lines |
$17.50–$57.50 | $35–$115 | varies |
| Cytogenetics 10-30 (88273) | $188 | $376 | 5.4× |
| Cytogenetics 100-300 (88275) | $221.50 | $443 | 4.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$52.50–$580 | $105–$1,160 | varies |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$7–$65 | $14–$130 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 3 matching MRF lines |
$12.50–$26 | $25–$52 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$418.50–$438 | $837–$876 | varies |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) | $20 | $40 | 0.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $15.50 | $31 | 0.6× |
| Cytp Concentration Smears & Interpretation (88108) | $74 | $148 | 2.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $98 | $196 | 1.9× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $96 | $192 | 0.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $62.50 | $125 | 1.7× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,591 | $3,182 | 9.6× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $20 | $40 | 1.1× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $91 | $182 | 3.2× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $1,535 | $3,070 | 9.2× |
| Deoxycortisol (82634) range across 2 matching MRF lines |
$18.50–$133.50 | $37–$267 | varies |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
$12.50–$56.50 | $25–$113 | varies |
| Detect Agent Nos Dna Amp (87798) range across 22 matching MRF lines |
$30–$167 | $60–$334 | varies |
| Detect Agent Nos Dna Quant (87799) range across 11 matching MRF lines |
$42.50–$176 | $85–$352 | varies |
| Detect agnt mult DNA ampli (87801) range across 8 matching MRF lines |
$43–$499 | $86–$998 | varies |
| Dgp Antibody Each Ig Class (86258) range across 4 matching MRF lines |
$10–$52.50 | $20–$105 | varies |
| Dhea (82626) range across 2 matching MRF lines |
$16.50–$132 | $33–$264 | varies |
| Dhea-S (82627) range across 2 matching MRF lines |
$9.50–$99.50 | $19–$199 | varies |
| Dibucaine number (82638) range across 2 matching MRF lines |
$9–$54.50 | $18–$109 | varies |
| Digoxin (80162) | $78 | $156 | 5.9× |
| Dihydrotestosterone (82642) range across 2 matching MRF lines |
$24–$128 | $48–$256 | varies |
| Diphtheria antitoxoid (86648) | $20 | $40 | 1.3× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$17–$64.50 | $34–$129 | varies |
| Dna Antibody Native/Double Stranded (86225) | $59 | $118 | 4.3× |
| Dna Antibody Single Stranded (86226) | $54 | $108 | 4.5× |
| Dna/Rna Amplified Probe (87150) | $105 | $210 | 3.0× |
| DNA/RNA direct probe (87149) | $67.50 | $135 | 3.4× |
| Dna/Rna Sequencing (87153) | $170 | $340 | 1.5× |
| Dpyd gene common variants (81232) range across 3 matching MRF lines |
$145–$774.50 | $290–$1,549 | varies |
| Drug assay acetaminophen (80143) | $194.50 | $389 | 10.4× |
| Drug assay adalimumab (80145) range across 2 matching MRF lines |
$22.50–$62 | $45–$124 | varies |
| Drug Assay Amiodarone (80151) range across 2 matching MRF lines |
$15.50–$62 | $31–$124 | varies |
| Drug Assay Everolimus (80169) range across 2 matching MRF lines |
$40–$75.50 | $80–$151 | varies |
| Drug assay felbamate (80167) range across 2 matching MRF lines |
$17–$62 | $34–$124 | varies |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$22.50–$62 | $45–$124 | varies |
| Drug Assay Itraconazole (80189) range across 2 matching MRF lines |
$36.50–$62 | $73–$124 | varies |
| Drug Assay Lacosamide (80235) range across 2 matching MRF lines |
$25–$62 | $50–$124 | varies |
| Drug Assay Leflunomide (80193) range across 2 matching MRF lines |
$47.50–$62 | $95–$124 | varies |
| Drug Assay Posaconazole (80187) | $80.50 | $161 | 3.0× |
| Drug Assay Vedolizumab (80280) range across 2 matching MRF lines |
$129–$180.50 | $258–$361 | varies |
| Drug assay voriconazole (80285) | $80.50 | $161 | 3.0× |
| Drug Screen Quant Clozapine (80159) range across 2 matching MRF lines |
$11.50–$100 | $23–$200 | varies |
| Drug Screen Quant Zonisamide (80203) range across 2 matching MRF lines |
$21.50–$72 | $43–$144 | varies |
| Drug Screen Quantitative Gabapentin (80171) range across 2 matching MRF lines |
$14.50–$72 | $29–$144 | varies |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$12–$72 | $24–$144 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$13.50–$72 | $27–$144 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$20–$72 | $40–$144 | varies |
| Drug Screen Quantitative Procainamide Metabolite (80192) range across 2 matching MRF lines |
$14–$31 | $28–$62 | varies |
| Drug Screen Quantitative Tiagabine (80199) range across 2 matching MRF lines |
$32.50–$97 | $65–$194 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 51 matching MRF lines |
$13–$163.50 | $26–$327 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $67.50 | $135 | 5.4× |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
$337.50–$886 | $675–$1,772 | varies |
| Ehrlichia antibody (86666) range across 6 matching MRF lines |
$8.50–$46.50 | $17–$93 | varies |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$22.50–$52.50 | $45–$105 | varies |
| Electrolyte panel (80051) | $38 | $76 | 5.4× |
| Electron Microscopy (88348) range across 3 matching MRF lines |
$155.50–$847.50 | $311–$1,695 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $21 | $42 | 0.3× |
| Encephaltis East Eqne Anbdy (86652) range across 2 matching MRF lines |
$12–$25 | $24–$50 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$12–$25 | $24–$50 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $19.50 | $39 | 1.6× |
| Enterovirus Antibody (86658) range across 20 matching MRF lines |
$3.50–$58.50 | $7–$117 | varies |
| Enterovirus PCR (87498) | $145 | $290 | 4.1× |
| Enzyme cell activity (82657) range across 5 matching MRF lines |
$65–$272.50 | $130–$545 | varies |
| Enzyme histochemistry (88319) | $394.50 | $789 | 0.5× |
| Eosinophil Smear (89190) | $28 | $56 | 4.8× |
| Erythropoietin (82668) range across 2 matching MRF lines |
$15–$99 | $30–$198 | varies |
| Estradiol serum (82670) range across 4 matching MRF lines |
$15.50–$177.50 | $31–$355 | varies |
| Estriol (82677) range across 4 matching MRF lines |
$14.50–$110 | $29–$220 | varies |
| Estrogen total (82672) range across 3 matching MRF lines |
$15–$99 | $30–$198 | varies |
| Ethosuximide (80168) range across 2 matching MRF lines |
$13–$93 | $26–$186 | varies |
| Ethylene Glycol (82693) range across 3 matching MRF lines |
$11.50–$91.50 | $23–$183 | varies |
| Exam Synovial Fluid Crystals (89060) | $14.50 | $29 | 2.0× |
| Exome Sequence Analysis (81415) | $2,757.50 | $5,515 | 0.6× |
| F2 Gene (81240) range across 2 matching MRF lines |
$125–$145 | $250–$290 | varies |
| Factor ii activity (85210) range across 2 matching MRF lines |
$20.50–$22.50 | $41–$45 | varies |
| Factor Inhibitor Test (85335) range across 7 matching MRF lines |
$27–$181.50 | $54–$363 | varies |
| Factor ix activity (85250) range across 2 matching MRF lines |
$49–$92.50 | $98–$185 | varies |
| Factor v activity (85220) range across 3 matching MRF lines |
$18.50–$62.50 | $37–$125 | varies |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$79–$167 | $158–$334 | varies |
| Factor vii assay (85230) range across 2 matching MRF lines |
$20.50–$26 | $41–$52 | varies |
| Factor viii assay (85240) range across 3 matching MRF lines |
$13–$88 | $26–$176 | varies |
| Factor X (85260) range across 3 matching MRF lines |
$21–$71 | $42–$142 | varies |
| Factor xi activity (85270) range across 2 matching MRF lines |
$20.50–$26 | $41–$52 | varies |
| Factor xiii screen (85291) | $28.50 | $57 | 3.1× |
| Fat/Lipids Feces Quantitative (82710) range across 2 matching MRF lines |
$18–$64.50 | $36–$129 | varies |
| Fatty acids free (82725) range across 3 matching MRF lines |
$12–$62 | $24–$124 | varies |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) range across 2 matching MRF lines |
$23–$25.50 | $46–$51 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 2 matching MRF lines |
$45.50–$88 | $91–$176 | varies |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $35 | $70 | 5.4× |
| Fecal Fat Qualitative (82705) | $30 | $60 | 5.9× |
| Ferritin (82728) | $61 | $122 | 4.5× |
| Fetal Chrmoml Aneuploidy (81420) range across 3 matching MRF lines |
$405–$2,108 | $810–$4,216 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 3 matching MRF lines |
$22.50–$133 | $45–$266 | varies |
| Fetal Congenital Abnor Assay Two Proteins (81508) range across 3 matching MRF lines |
$30–$109 | $60–$218 | varies |
| Fetal Fibronectin (82731) | $66 | $132 | 1.0× |
| Fetal hemoglobin assay qual (83033) | $41 | $82 | 5.1× |
| Fetal screen rosette (85461) | $35.50 | $71 | 3.8× |
| Fibrin Degradation Quant (85379) | $51 | $102 | 5.0× |
| Fibrinogen activity (85384) | $43 | $86 | 4.4× |
| Fibrinogen antigen (85385) range across 2 matching MRF lines |
$12–$44.50 | $24–$89 | varies |
| Flecainide level (80181) range across 2 matching MRF lines |
$15–$62 | $30–$124 | varies |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$49.50–$209.50 | $99–$419 | varies |
| Fluorescent antibody screen (86255) range across 36 matching MRF lines |
$10.50–$609.50 | $21–$1,219 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 17 matching MRF lines |
$16.50–$57.50 | $33–$115 | varies |
| Fmr1 gene detection (81243) range across 2 matching MRF lines |
$183.50–$295 | $367–$590 | varies |
| Folic acid rbc (82747) range across 2 matching MRF lines |
$10–$76 | $20–$152 | varies |
| Folic Acid Serum (82746) | $82 | $164 | 5.6× |
| Follicle Stimulating Hormone (83001) | $82 | $164 | 4.4× |
| Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) | $119.50 | $239 | 4.2× |
| Francisella tularensis (86668) | $62 | $124 | 4.4× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $82.50 | $165 | 0.5× |
| Frozen Section (88331) | $76 | $152 | 0.5× |
| Fungi Identification Mold (87107) | $14 | $28 | 1.4× |
| Fungi Identification Yeast (87106) | $52 | $104 | 5.0× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $96 | $192 | 4.6× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$16.50–$72 | $33–$144 | varies |
| Gardner vag DNA dir probe (87510) | $100 | $200 | 5.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $40.50 | $81 | 4.1× |
| Gastric Analy W/Ph Ea Spec (82930) | $23.50 | $47 | 3.5× |
| Gastrin (82941) range across 2 matching MRF lines |
$11.50–$80.50 | $23–$161 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $350 | $700 | 0.8× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 10 matching MRF lines |
$575–$2,342 | $1,150–$4,684 | varies |
| Genet Virus Isolate Hsv (87255) range across 3 matching MRF lines |
$11.50–$173 | $23–$346 | varies |
| Genetic Tstg Severe Inh Cond (81443) range across 2 matching MRF lines |
$2,349.50–$3,159 | $4,699–$6,318 | varies |
| Gentamicin (80170) | $97 | $194 | 5.9× |
| Ggt (82977) range across 3 matching MRF lines |
$6.50–$34.50 | $13–$69 | varies |
| Giardia antigen (87329) | $61.50 | $123 | 5.1× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $586.50 | $1,173 | 5.8× |
| Glucagon (82943) range across 2 matching MRF lines |
$16.50–$66 | $33–$132 | varies |
| Glucose 2 hr pp (82950) | $22.50 | $45 | 4.7× |
| Glucose Blood Test (82962) | $26.50 | $53 | 8.1× |
| Glucose body fluid (82945) | $20 | $40 | 5.1× |
| Glucose Serum (82947) | $20 | $40 | 5.1× |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$47–$49 | $94–$98 | varies |
| Glutathione (82978) range across 2 matching MRF lines |
$37–$66 | $74–$132 | varies |
| Glycated Protein (82985) range across 3 matching MRF lines |
$9.50–$66 | $19–$132 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $35 | $70 | 4.7× |
| Growth hormone (83003) range across 2 matching MRF lines |
$11–$77 | $22–$154 | varies |
| Gtt-added samples (82952) | $20 | $40 | 5.1× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$30–$281.50 | $60–$563 | varies |
| H Pylori Drug Admin (83014) | $17.50 | $35 | 2.2× |
| Haloperidol (80173) range across 2 matching MRF lines |
$18–$86 | $36–$172 | varies |
| Haptoglobin (83010) | $64 | $128 | 5.1× |
| Hba1/hba2 full gene sequence (81259) | $230.50 | $461 | 0.4× |
| Hba1/Hba2 Gene (81257) range across 2 matching MRF lines |
$179–$232 | $358–$464 | varies |
| Hbb Full Gene Sequence (81364) range across 2 matching MRF lines |
$120–$1,144 | $240–$2,288 | varies |
| Hdl Cholesterol (83718) | $36.50 | $73 | 4.5× |
| Heavy metal qualitative any analytes (83015) | $86 | $172 | 4.1× |
| Heinz Bodies Direct (85441) | $23 | $46 | 5.5× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$18.50–$186.50 | $37–$373 | varies |
| Helminth Antibody (86682) range across 12 matching MRF lines |
$25–$137.50 | $50–$275 | varies |
| Hematocrit (85014) | $12.50 | $25 | 5.3× |
| Hemoglobin (85018) | $12.50 | $25 | 5.3× |
| Hemoglobin a1c (83036) | $48.50 | $97 | 5.0× |
| Hemoglobin Chromotography (83021) | $80 | $160 | 4.4× |
| Hemoglobin electrophoresis (83020) | $21 | $42 | 1.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $34.50 | $69 | 4.2× |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
$13.50–$55 | $27–$110 | varies |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $11 | $22 | 1.1× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $17.50 | $35 | 2.0× |
| Hep a ab igm (86709) | $48.50 | $97 | 4.3× |
| Heparin assay (85520) | $49.50 | $99 | 3.8× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$12–$53 | $24–$106 | varies |
| Hepatitis b core ab igm (86705) | $50.50 | $101 | 4.3× |
| Hepatitis b core ab total (86704) | $52.50 | $105 | 4.4× |
| Hepatitis B Surface Antibody (86706) | $34.50 | $69 | 3.2× |
| Hepatitis B Surface Antigen (87340) | $52 | $104 | 5.0× |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$10.50–$50 | $21–$100 | varies |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$11–$57.50 | $22–$115 | varies |
| Hepatitis C Antibody (86803) | $62 | $124 | 4.3× |
| Hepatitis C Genotype (87902) range across 4 matching MRF lines |
$63–$1,101.50 | $126–$2,203 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$120.50–$159.50 | $241–$319 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $167 | $334 | 3.9× |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$13–$73.50 | $26–$147 | varies |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $2,956.50 | $5,913 | 2.3× |
| Herpes simplex type 2 (86696) range across 6 matching MRF lines |
$6.50–$86 | $13–$172 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$23.50–$24 | $47–$48 | varies |
| Hexa gene analysis common variants (81255) range across 2 matching MRF lines |
$62.50–$586.50 | $125–$1,173 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$37.50–$250.50 | $75–$501 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $39.50 | $79 | 5.1× |
| Histamine urine (83088) range across 4 matching MRF lines |
$20–$134 | $40–$268 | varies |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$23–$56 | $46–$112 | varies |
| Histoplasma antigen urine (87385) | $57.50 | $115 | 4.3× |
| Hiv Antigen W/Hiv Antibodies (87806) | $96.50 | $193 | 2.9× |
| Hiv Genotype (87901) range across 4 matching MRF lines |
$35.50–$1,154.50 | $71–$2,309 | varies |
| Hiv-1 Antibody (86701) | $40 | $80 | 4.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$32.50–$349.50 | $65–$699 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $36 | $72 | 1.0× |
| Hla Class I Typing Low Resolution Complete (81372) range across 3 matching MRF lines |
$2,479.50–$2,851.50 | $4,959–$5,703 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 3 matching MRF lines |
$187–$210 | $374–$420 | varies |
| Hla class i&ii antibody qual (86828) range across 5 matching MRF lines |
$153.50–$156.50 | $307–$313 | varies |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) range across 6 matching MRF lines |
$966–$1,135 | $1,932–$2,270 | varies |
| Hla class ii high defin qual (86833) | $451 | $902 | 1.4× |
| Hla class ii typing high resolution one locus ea (81382) | $14.50 | $29 | 0.1× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $328 | $656 | 3.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 4 matching MRF lines |
$27.50–$385.50 | $55–$771 | varies |
| Hla I Typing 1 Allele Hr (81381) range across 5 matching MRF lines |
$77.50–$394.50 | $155–$789 | varies |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $1,095.50 | $2,191 | 3.2× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) range across 2 matching MRF lines |
$208–$455 | $416–$910 | varies |
| Hla ii type 1 ag equiv lr (81377) range across 2 matching MRF lines |
$79.50–$489.50 | $159–$979 | varies |
| Hla ii typing 1 allele hr (81383) range across 2 matching MRF lines |
$23–$146 | $46–$292 | varies |
| Hla ii typing 1 locus lr (81376) range across 8 matching MRF lines |
$14.50–$307.50 | $29–$615 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) | $172.50 | $345 | 3.0× |
| Homocysteine (83090) range across 2 matching MRF lines |
$13.50–$74 | $27–$148 | varies |
| Homovanillic acid urine (83150) range across 3 matching MRF lines |
$15.50–$88.50 | $31–$177 | varies |
| Hpa-1 genotyping gene analysis common variant (81105) range across 2 matching MRF lines |
$135–$245.50 | $270–$491 | varies |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$20.50–$49.50 | $41–$99 | varies |
| Hpv Types 16 & 18 Only (87625) range across 2 matching MRF lines |
$22.50–$49.50 | $45–$99 | varies |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$42–$167 | $84–$334 | varies |
| Hsv Dna Quant (87530) | $167 | $334 | 3.9× |
| Htlv-I Antibody (86687) | $38 | $76 | 4.2× |
| Htlv-ii antibody (86688) | $62.50 | $125 | 4.5× |
| Htt Gene Detc Abnor Alleles (81271) range across 3 matching MRF lines |
$182.50–$250.50 | $365–$501 | varies |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$87–$88.50 | $174–$177 | varies |
| Hydroxycorticosteroids 17 (83491) | $80.50 | $161 | 4.5× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$13.50–$121.50 | $27–$243 | varies |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $23 | $46 | 0.5× |
| Iaad Ia Cytomegalovirus (87332) | $58.50 | $117 | 4.9× |
| Iaad Ia Entamoeba Histolytica Grp (87337) range across 2 matching MRF lines |
$24.50–$106.50 | $49–$213 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$17.50–$17.66 | $35–$35.33 | varies |
| Iaad ia shiga-like toxin (87427) | $58.50 | $117 | 4.9× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $58.50 | $117 | 4.9× |
| Iaadi herpes smplx virus type 1 (87274) | $34 | $68 | 2.8× |
| Iaadi herpes smplx virus type 2 (87273) | $34 | $68 | 2.8× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $31.50 | $63 | 2.6× |
| Iadna Bartonella Amplified Probe Technique (87471) range across 2 matching MRF lines |
$117–$167 | $234–$334 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) range across 10 matching MRF lines |
$5.50–$167 | $11–$334 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 3 matching MRF lines |
$27.50–$79.50 | $55–$159 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $167 | $334 | 3.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $167 | $334 | 2.4× |
| Iadna hepatitis b virus amplified probe tq (87516) | $120.50 | $241 | 3.4× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$42.50–$159.50 | $85–$319 | varies |
| Iadna Herpes Virus-6 Quantification (87533) range across 3 matching MRF lines |
$110–$167 | $220–$334 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 3 matching MRF lines |
$36–$120.50 | $72–$241 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $167 | $334 | 4.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$42.50–$138.50 | $85–$277 | varies |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $19.50 | $39 | 0.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 11 matching MRF lines |
$10–$167 | $20–$334 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) range across 2 matching MRF lines |
$26.50–$38.50 | $53–$77 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $116.50 | $233 | 0.4× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $138.50 | $277 | 1.9× |
| Ig Light Chains Free Each (83521) range across 5 matching MRF lines |
$19–$61.50 | $38–$123 | varies |
| Igg subclasses (82787) range across 7 matching MRF lines |
$4–$145 | $8–$290 | varies |
| Igh gene rearrange amp meth (81261) | $260.50 | $521 | 1.3× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) range across 3 matching MRF lines |
$161–$1,138.50 | $322–$2,277 | varies |
| Igk rearrangeabn clonal pop (81264) | $417 | $834 | 2.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$156–$264.50 | $312–$529 | varies |
| Immune Complex Assay (86332) range across 3 matching MRF lines |
$28.50–$108 | $57–$216 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$6–$125 | $12–$250 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 31 matching MRF lines |
$17–$890.50 | $34–$1,781 | varies |
| Immunoassay infectious agent (86318) | $90.50 | $181 | 5.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 9 matching MRF lines |
$1.50–$66.50 | $3–$133 | varies |
| Immunoassay nonantibody (83516) range across 30 matching MRF lines |
$16–$179 | $32–$358 | varies |
| Immunodiffusion not elsewhere specified (86329) range across 2 matching MRF lines |
$16–$61.50 | $32–$123 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$8.50–$51 | $17–$102 | varies |
| Immunoelectrophoresis Serum (86320) | $18.50 | $37 | 0.6× |
| Immunofixation electrophoresis (86334) range across 5 matching MRF lines |
$5.50–$34 | $11–$68 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$93.50–$165 | $187–$330 | varies |
| Immunohistochemistry (88342) range across 9 matching MRF lines |
$21.50–$139 | $43–$278 | varies |
| In situ hybridization 1st probe stain (88365) range across 4 matching MRF lines |
$139–$213.50 | $278–$427 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $243 | $486 | 1.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) range across 2 matching MRF lines |
$31.80–$32 | $63.59–$64 | varies |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$60.50–$62 | $121–$124 | varies |
| Influenza DNA amp probe (87502) | $247 | $494 | 2.6× |
| Inhibin A (86336) range across 4 matching MRF lines |
$21.50–$72.50 | $43–$145 | varies |
| Inhibin b (83520) range across 77 matching MRF lines |
$5–$430 | $10–$860 | varies |
| Insitu hybridization auto (88367) | $502.50 | $1,005 | 1.4× |
| Insitu hybridization manual (88368) | $410.50 | $821 | 1.2× |
| Insulin antibodies (86337) | $88 | $176 | 4.1× |
| Insulin free (83527) range across 2 matching MRF lines |
$32–$60 | $64–$120 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$10–$63.50 | $20–$127 | varies |
| Interleukin-6 (83529) | $60 | $120 | 3.5× |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$12–$65 | $24–$130 | varies |
| Iron (83540) range across 2 matching MRF lines |
$30.50–$31.50 | $61–$63 | varies |
| Iron Binding Capacity (83550) | $39 | $78 | 4.5× |
| Irradiation Blood Product Each Unit (86945) | $389.50 | $779 | 10.7× |
| Islet cell antibody (86341) range across 6 matching MRF lines |
$22.50–$87.50 | $45–$175 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 4 matching MRF lines |
$149.50–$264 | $299–$528 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) range across 2 matching MRF lines |
$183–$824.50 | $366–$1,649 | varies |
| Ketosteroids 17 total (83586) | $59.50 | $119 | 4.6× |
| Kit Gene Analysis D816 Variant(S) (81273) range across 3 matching MRF lines |
$199–$422 | $398–$844 | varies |
| Kit Gene Analysis Targeted Sequence Analysis (81272) range across 3 matching MRF lines |
$165–$601 | $330–$1,202 | varies |
| Koh Prep (87220) range across 2 matching MRF lines |
$16.50–$21.50 | $33–$43 | varies |
| Kras Gene Analysis Additional Variant(S) (81276) | $292 | $584 | 1.5× |
| Lactate (ld) (ldh) enzyme (83615) | $28.50 | $57 | 4.7× |
| Lactoferrin Fecal Quantitative (83631) range across 2 matching MRF lines |
$32.50–$86.50 | $65–$173 | varies |
| Lamellar Body Count (83664) | $22.50 | $45 | 1.2× |
| Ldh Isoenzymes (83625) | $56.50 | $113 | 4.4× |
| LDL direct (83721) range across 2 matching MRF lines |
$9.50–$43 | $19–$86 | varies |
| Lead (83655) range across 15 matching MRF lines |
$4.50–$74 | $9–$148 | varies |
| Legionella antibody (86713) | $42 | $84 | 2.7× |
| Legionella antigen urine (87449) range across 7 matching MRF lines |
$10.50–$61.50 | $21–$123 | varies |
| Legionella pneumophila dfa (87278) range across 2 matching MRF lines |
$20–$61 | $40–$122 | varies |
| Leptospira antibody (86720) range across 2 matching MRF lines |
$56.50–$67.50 | $113–$135 | varies |
| Leucine Aminopeptidase Lap (83670) | $43 | $86 | 4.4× |
| Leukocyte Assessment Fecal (89055) | $23 | $46 | 5.4× |
| Leukocyte Histamine Release (86343) range across 3 matching MRF lines |
$12.50–$53 | $25–$106 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $38 | $76 | 1.3× |
| Level ii surg pathology grossµscopic exam (88302) range across 2 matching MRF lines |
$111–$116 | $222–$232 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $233.50 | $467 | 0.7× |
| Lidocaine (80176) range across 2 matching MRF lines |
$13.50–$31.50 | $27–$63 | varies |
| Lipase (83690) | $33 | $66 | 4.8× |
| Lipoprotein A (83695) range across 3 matching MRF lines |
$4–$70.50 | $8–$141 | varies |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$9.50–$140.50 | $19–$281 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) range across 2 matching MRF lines |
$12.50–$134.50 | $25–$269 | varies |
| Lithium (80178) | $38.50 | $77 | 5.8× |
| Liver ds alys 3 bmrk srm alg (81517) | $177.50 | $355 | 1.0× |
| Luteinizing Hormone (Lh) (83002) | $81.50 | $163 | 4.4× |
| Lyme disease antibody (86618) range across 5 matching MRF lines |
$10–$149.50 | $20–$299 | varies |
| Lysozyme serum (85549) range across 2 matching MRF lines |
$12–$96 | $24–$192 | varies |
| M. Genitalium Amp Probe (87563) | $36 | $72 | 1.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 3 matching MRF lines |
$67–$512.50 | $134–$1,025 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $548.50 | $1,097 | 3.3× |
| Macroscopic exam arthropod (87168) | $23.50 | $47 | 5.5× |
| Macroscopic Exam Parasite (87169) | $14 | $28 | 3.2× |
| Magnesium Urine (83735) range across 7 matching MRF lines |
$4–$32 | $8–$64 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$69.50–$83 | $139–$166 | varies |
| Mercury urine (83825) range across 6 matching MRF lines |
$6–$71.50 | $12–$143 | varies |
| Metabolic panel ionized ca (80047) | $122.50 | $245 | 8.9× |
| Methotrexate (80204) range across 2 matching MRF lines |
$17.50–$62 | $35–$124 | varies |
| Methylmalonic acid serum (83921) range across 5 matching MRF lines |
$6–$75.50 | $12–$151 | varies |
| Mgmt methylation analysis (81287) range across 4 matching MRF lines |
$228.50–$590 | $457–$1,180 | varies |
| Microalbumin, quantitative (82043) | $28 | $56 | 4.8× |
| Microsatellite instability (81301) range across 2 matching MRF lines |
$226–$248.50 | $452–$497 | varies |
| Microsomal Antibodies Each (86376) range across 7 matching MRF lines |
$6–$65 | $12–$130 | varies |
| Mitochondrial Antibody Each (86381) range across 2 matching MRF lines |
$10.50–$52.50 | $21–$105 | varies |
| Mlh1 Gene (81288) range across 2 matching MRF lines |
$257.50–$310 | $515–$620 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $19.50 | $39 | 0.5× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$121–$125.50 | $242–$251 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $410 | $820 | 2.7× |
| Molecular Pathology Procedure Level 6 (81405) range across 8 matching MRF lines |
$519–$1,679.50 | $1,038–$3,359 | varies |
| Mononuclear cell antigen (86356) range across 3 matching MRF lines |
$5.50–$108 | $11–$216 | varies |
| Mopath procedure level 1 (81400) range across 2 matching MRF lines |
$56–$190 | $112–$380 | varies |
| Mopath procedure level 2 (81401) range across 7 matching MRF lines |
$146.50–$395 | $293–$790 | varies |
| Mopath procedure level 4 (81403) range across 4 matching MRF lines |
$129–$633.50 | $258–$1,267 | varies |
| Mopath procedure level 5 (81404) range across 4 matching MRF lines |
$267.50–$1,117.50 | $535–$2,235 | varies |
| Mopath procedure level 7 (81406) range across 5 matching MRF lines |
$739.50–$2,197 | $1,479–$4,394 | varies |
| Mopath procedure level 8 (81407) | $846.50 | $1,693 | 1.0× |
| Mopath procedure level 9 (81408) range across 2 matching MRF lines |
$1,099.50–$14,365 | $2,199–$28,730 | varies |
| Morphometric analysis nerve (88356) | $159.50 | $319 | 3.1× |
| Mpl gene common variants (81338) range across 2 matching MRF lines |
$260.50–$421.50 | $521–$843 | varies |
| Mrsa Pcr (87641) | $145 | $290 | 4.1× |
| Msh6 Gene Known Variants (81299) | $216 | $432 | 0.7× |
| Mthfr Gene Analysis Common Variants (81291) range across 2 matching MRF lines |
$68–$184 | $136–$368 | varies |
| Mucopolysaccharides acid quantitative (83864) range across 3 matching MRF lines |
$31–$90.50 | $62–$181 | varies |
| Mumps antibody (86735) range across 3 matching MRF lines |
$17–$58.50 | $34–$117 | varies |
| Muscle-Specific Kinase Antb (86366) | $232.50 | $465 | 12.6× |
| Mycophenolic Acid (80180) range across 2 matching MRF lines |
$22.50–$97 | $45–$194 | varies |
| Mycoplasma antibody (86738) range across 5 matching MRF lines |
$8–$59 | $16–$118 | varies |
| Mycoplasma culture (87109) range across 3 matching MRF lines |
$15.50–$79.50 | $31–$159 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) range across 5 matching MRF lines |
$202–$386.50 | $404–$773 | varies |
| Myelin basic protein csf (83873) range across 3 matching MRF lines |
$7.50–$75.50 | $15–$151 | varies |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$15–$59.50 | $30–$119 | varies |
| Natriuretic peptide (83880) | $155.50 | $311 | 4.0× |
| Nerve teasing preparations (88362) | $67 | $134 | 0.1× |
| Neutralization Test Viral (86382) range across 5 matching MRF lines |
$40–$75 | $80–$150 | varies |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $137.50 | $275 | 1.0× |
| Nfct ds chrnc hcv 6 assays (81596) range across 3 matching MRF lines |
$70–$137 | $140–$274 | varies |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) range across 3 matching MRF lines |
$25–$530 | $50–$1,060 | varies |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) range across 4 matching MRF lines |
$3–$135 | $6–$270 | varies |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) range across 3 matching MRF lines |
$608.50–$2,471.50 | $1,217–$4,943 | varies |
| Niacin (84591) range across 5 matching MRF lines |
$22.50–$51.50 | $45–$103 | varies |
| Nickel level (83885) range across 3 matching MRF lines |
$35.50–$111 | $71–$222 | varies |
| Nk cells total count (86357) range across 5 matching MRF lines |
$9.50–$168 | $19–$336 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) range across 3 matching MRF lines |
$267.50–$360.50 | $535–$721 | varies |
| Ntrk translocation analysis (81194) range across 2 matching MRF lines |
$259.50–$672 | $519–$1,344 | varies |
| Nuclear antigen antibody (86235) range across 21 matching MRF lines |
$6.50–$120 | $13–$240 | varies |
| Occult blood feces (82272) | $19 | $38 | 4.5× |
| Occult Blood Other Sources (82271) | $22 | $44 | 4.1× |
| Oligoclonal bands (83916) range across 4 matching MRF lines |
$10.50–$91 | $21–$182 | varies |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) range across 2 matching MRF lines |
$221–$233.50 | $442–$467 | varies |
| Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) | $3,928 | $7,856 | 1.0× |
| Oncology breast mrna gene expression 21 genes (81519) | $2,317.50 | $4,635 | 0.6× |
| Organic Acids Qualitative Each Specimen (83919) | $75.50 | $151 | 4.6× |
| Organic acids urine (83918) | $67 | $134 | 2.8× |
| Osmolality serum (83930) | $31.50 | $63 | 4.8× |
| Osmolality Urine (83935) | $32 | $64 | 4.7× |
| Osmotic fragility rbc incubated (85557) | $66.50 | $133 | 5.0× |
| Osteocalcin (83937) range across 2 matching MRF lines |
$19.50–$116 | $39–$232 | varies |
| Ova and parasites smears (87177) range across 3 matching MRF lines |
$3.50–$44.50 | $7–$89 | varies |
| Oxalate urine (83945) range across 7 matching MRF lines |
$7.50–$191 | $15–$382 | varies |
| PABPN1 (polyºA» binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect… (81312) range across 2 matching MRF lines |
$607.50–$655.50 | $1,215–$1,311 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$12.50–$44.50 | $25–$89 | varies |
| Parvovirus antibody (86747) range across 3 matching MRF lines |
$9–$66.50 | $18–$133 | varies |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $394.50 | $789 | 0.5× |
| Pathology Consultation During Surgery (88329) | $160 | $320 | 2.8× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $273.50 | $547 | 1.1× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $505.50 | $1,011 | 1.5× |
| Ph urine (81003) | $25.50 | $51 | 11.3× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$5.50–$30.50 | $11–$61 | varies |
| Phenotype Infect Agent Drug (87900) range across 4 matching MRF lines |
$20–$662 | $40–$1,324 | varies |
| Phenylalanine (84030) | $95.50 | $191 | 17.4× |
| Phenytoin (Dilantin) (80185) | $78 | $156 | 5.9× |
| Phenytoin free (80186) range across 3 matching MRF lines |
$13–$75.50 | $26–$151 | varies |
| Phosphatase acid prostatic (84066) range across 2 matching MRF lines |
$11.50–$43 | $23–$86 | varies |
| Phosphatase alkaline (84075) range across 4 matching MRF lines |
$2.50–$24.50 | $5–$49 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$17–$35.50 | $34–$71 | varies |
| Phosphorus Serum (84100) | $22.50 | $45 | 4.7× |
| Phosphorus urine (84105) range across 6 matching MRF lines |
$3–$24.50 | $6–$49 | varies |
| Pik3ca gene analysis targeted sequence analysis (81309) | $383.50 | $767 | 1.4× |
| Pinworm exam (87172) range across 2 matching MRF lines |
$9.50–$16 | $19–$32 | varies |
| Platelet Aggregation (85576) | $38.50 | $77 | 1.5× |
| Platelet Antibodies (86022) range across 6 matching MRF lines |
$26.50–$339 | $53–$678 | varies |
| Platelet count automated (85049) | $24.50 | $49 | 5.5× |
| Platelet neutralization (85597) | $40 | $80 | 2.2× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) range across 3 matching MRF lines |
$114–$406 | $228–$812 | varies |
| Pooling blood platelets (86965) | $293 | $586 | 1.8× |
| Porphobilinogen, urine; quantitative (84110) range across 4 matching MRF lines |
$14–$38.50 | $2–$77 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 5 matching MRF lines |
$10.50–$67.50 | $21–$135 | varies |
| Potassium Urine (84133) range across 4 matching MRF lines |
$2.50–$21 | $5–$42 | varies |
| Prealbumin (84134) | $65 | $130 | 4.5× |
| Pregnancy-Associated Plasma Protein-A (84163) | $520.50 | $1,041 | 34.6× |
| Pregnenolone (84140) range across 2 matching MRF lines |
$27.50–$90.50 | $55–$181 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$227.50–$237.50 | $455–$475 | varies |
| Pretx serum rbc antibody identification dilution (86976) | $227.50 | $455 | 8.1× |
| Primidone (80188) range across 2 matching MRF lines |
$7–$31.50 | $14–$63 | varies |
| Procalcitonin (Pct) (84145) | $68 | $136 | 2.5× |
| Progesterone (84144) | $76 | $152 | 3.6× |
| Prolactin (84146) range across 2 matching MRF lines |
$15–$84.50 | $30–$169 | varies |
| Prostaglandin (84150) range across 5 matching MRF lines |
$145–$218.50 | $290–$437 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$2.50–$19 | $5–$38 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$14–$68 | $28–$136 | varies |
| Protein c antigen (85302) range across 3 matching MRF lines |
$12–$61.50 | $24–$123 | varies |
| Protein Electrophoresis Urine (84166) range across 5 matching MRF lines |
$3.50–$83 | $7–$166 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$2.50–$19 | $5–$38 | varies |
| Protein S Free (85306) range across 4 matching MRF lines |
$14–$37.50 | $28–$75 | varies |
| Protein s total (85305) range across 3 matching MRF lines |
$19.50–$32.50 | $39–$65 | varies |
| Protein total serum (84155) range across 3 matching MRF lines |
$3.50–$19 | $7–$38 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$19–$19.50 | $38–$39 | varies |
| Protein Western Blot Test (84182) range across 4 matching MRF lines |
$13.50–$61.50 | $27–$123 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $22 | $44 | 5.6× |
| Protoporphyrin rbc quantitative (84202) range across 5 matching MRF lines |
$7.50–$66 | $15–$132 | varies |
| PSA free (84154) | $81.50 | $163 | 4.4× |
| Pth Intact (83970) range across 5 matching MRF lines |
$55–$186.50 | $110–$373 | varies |
| Pyruvate kinase (84220) range across 2 matching MRF lines |
$42–$78 | $84–$156 | varies |
| Q Fever Antibody (86638) range across 3 matching MRF lines |
$6.50–$215.50 | $13–$431 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$43–$261.50 | $86–$523 | varies |
| Quantitative assay drug (80299) range across 63 matching MRF lines |
$12.50–$176 | $25–$352 | varies |
| Quantitative Screen Metals (83018) range across 9 matching MRF lines |
$24–$66 | $48–$132 | varies |
| Quinidine (80194) range across 2 matching MRF lines |
$5–$87 | $10–$174 | varies |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$84–$112 | $168–$224 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$159.50–$187.50 | $319–$375 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$49.50–$58 | $99–$116 | varies |
| Rbc pretreatment serum (86978) | $227.50 | $455 | 4.0× |
| Rbc pretx incubatj w/enzymes (86971) | $237.50 | $475 | 1.4× |
| Rbc serum pretx incubj drugs (86975) | $227.50 | $455 | 0.5× |
| Renin activity plasma (84244) range across 6 matching MRF lines |
$8.50–$101 | $17–$202 | varies |
| Reptilase test (85635) range across 2 matching MRF lines |
$40–$49 | $80–$98 | varies |
| Resp virus 12-25 targets (87633) | $258 | $516 | 0.6× |
| Resp Virus 6-11 Targets (87632) | $859 | $1,718 | 3.9× |
| Reticulocyte Count (85046) | $22 | $44 | 3.9× |
| Reticulocyte separation (86972) range across 2 matching MRF lines |
$227.50–$237.50 | $455–$475 | varies |
| Rh (86901) range across 3 matching MRF lines |
$61.50–$76 | $123–$152 | varies |
| Rheumatoid Factor Qualitative (86430) | $25 | $50 | 4.1× |
| Rheumatoid factor quant (86431) range across 6 matching MRF lines |
$7–$26.50 | $14–$53 | varies |
| Rickettsia antibody (86757) range across 12 matching MRF lines |
$9–$86 | $18–$172 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$17–$112.50 | $34–$225 | varies |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$15.50–$58.50 | $31–$117 | varies |
| Rpr qualitative (86592) range across 5 matching MRF lines |
$6–$19.50 | $12–$39 | varies |
| Rsv ab (86756) range across 2 matching MRF lines |
$26.50–$58 | $53–$116 | varies |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$60.50–$64.50 | $121–$129 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$7–$65 | $14–$130 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$17.50–$58 | $35–$116 | varies |
| Rufinamide (80210) range across 2 matching MRF lines |
$35.50–$62 | $71–$124 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$48.50–$49.50 | $97–$99 | varies |
| Salicylate Level (80179) | $194.50 | $389 | 10.4× |
| Salmonella antibody (86768) | $59 | $118 | 4.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$25.50–$54 | $51–$108 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 10 matching MRF lines |
$21–$21.06 | $42–$42.13 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $125 | $250 | 0.9× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $150 | $300 | 1.1× |
| Sedimentation Rate, Automated (85652) | $14 | $28 | 5.2× |
| Selenium (84255) range across 5 matching MRF lines |
$14–$116 | $28–$232 | varies |
| Semen Anal Sperm Detection (89321) | $69.50 | $139 | 5.8× |
| Semen analysis complete (89320) | $69.50 | $139 | 5.6× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$40.50–$238.50 | $81–$477 | varies |
| Sept9 Methylation Analysis (81327) | $173.50 | $347 | 0.9× |
| Serpina 1 gene (81332) range across 2 matching MRF lines |
$51–$322 | $102–$644 | varies |
| Sex Hormone Binding Globulin (84270) range across 3 matching MRF lines |
$8.50–$95.50 | $17–$191 | varies |
| Sickling of rbc reduction (85660) | $29.50 | $59 | 5.4× |
| Sirolimus (80195) range across 2 matching MRF lines |
$50.50–$103 | $101–$206 | varies |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$16.50–$18 | $33–$36 | varies |
| Skin test; histoplasmosis (86510) | $27.50 | $55 | 0.8× |
| Smear acid fast (87206) range across 4 matching MRF lines |
$4–$29.50 | $8–$59 | varies |
| Smear complex stain (87209) range across 2 matching MRF lines |
$6.50–$67.50 | $13–$135 | varies |
| Smear gram stain (87205) range across 6 matching MRF lines |
$11.50–$23.50 | $23–$47 | varies |
| Smear Special Stain (87207) range across 6 matching MRF lines |
$8.50–$25.50 | $17–$51 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) range across 3 matching MRF lines |
$110–$601 | $220–$1,202 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$15–$23.50 | $30–$47 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $194.50 | $389 | 3.8× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$22.50–$23 | $45–$46 | varies |
| Sodium Urine (84300) range across 4 matching MRF lines |
$3–$23 | $6–$46 | varies |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$12.50–$158.50 | $25–$317 | varies |
| Somatomedin (84305) range across 3 matching MRF lines |
$14.50–$94 | $29–$188 | varies |
| Somatostatin (84307) range across 2 matching MRF lines |
$37.50–$84 | $75–$168 | varies |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$50–$82 | $100–$164 | varies |
| Special Stains Group 2 (88313) range across 7 matching MRF lines |
$19.50–$142.50 | $10–$285 | varies |
| Specific gravity body fluid (84315) | $12.50 | $25 | 3.8× |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$4.50–$29.50 | $9–$59 | varies |
| Spectrophotometry (84311) range across 11 matching MRF lines |
$11–$65 | $22–$130 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $254.50 | $509 | 1.5× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $87.50 | $175 | 0.5× |
| Stem cells total count (86367) | $168 | $336 | 2.2× |
| Stool cultr aerobic bact ea (87046) | $7.50 | $15 | 0.8× |
| Strep a assay w/optic (87880) | $58.50 | $117 | 3.5× |
| Strep a DNA amp probe (87651) | $45.50 | $91 | 1.3× |
| Sugars Single Qual (84376) | $24 | $48 | 4.4× |
| Sulfate urine (84392) range across 2 matching MRF lines |
$3–$22 | $6–$44 | varies |
| Surg path level iii (88304) | $72 | $144 | 1.4× |
| Surgical pathology level IV (88305) range across 6 matching MRF lines |
$168.50 | $5–$337 | 3.3× |
| Surgical pathology level vi (88309) | $373.50 | $747 | 0.5× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$6.50–$20 | $13–$40 | varies |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$29–$112.50 | $58–$225 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$11.50–$206.50 | $23–$413 | varies |
| T cells total count (86359) range across 6 matching MRF lines |
$9.50–$167 | $19–$334 | varies |
| T3 Free (84481) | $74.50 | $149 | 4.4× |
| T3 reverse (84482) | $69.50 | $139 | 4.4× |
| T3 Total (84480) | $63.50 | $127 | 4.5× |
| T3 Uptake (84479) range across 3 matching MRF lines |
$5.50–$30.50 | $11–$61 | varies |
| T4 Free (84439) range across 3 matching MRF lines |
$40.50–$42 | $81–$84 | varies |
| T4 total (84436) range across 3 matching MRF lines |
$6–$33 | $12–$66 | varies |
| Tacrolimus (80197) | $82 | $164 | 6.0× |
| Tert gene targeted seq alys (81345) | $161 | $322 | 0.9× |
| Test for acetone/ketones (82009) | $22 | $44 | 4.9× |
| Testosterone total (84403) range across 4 matching MRF lines |
$6.50–$118 | $13–$236 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$6–$116 | $12–$232 | varies |
| Tetanus antibody (86774) | $16 | $32 | 1.1× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 2 matching MRF lines |
$745–$1,119 | $1,490–$2,238 | varies |
| Theophylline (80198) | $83.50 | $167 | 5.9× |
| Thiocyanate (84430) range across 2 matching MRF lines |
$13–$54 | $26–$108 | varies |
| Thrombin Time (85670) | $19 | $38 | 3.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $34 | $68 | 5.3× |
| Thyroglobulin (84432) range across 6 matching MRF lines |
$12.50–$74 | $25–$148 | varies |
| Thyroglobulin Antibody (86800) range across 6 matching MRF lines |
$6.50–$68.50 | $13–$137 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$25.50–$95.50 | $51–$191 | varies |
| Thyroxine binding globulin (84442) range across 2 matching MRF lines |
$12–$66 | $24–$132 | varies |
| Tiss cul neo disorders solid tumor (88239) | $788 | $1,576 | 5.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$15–$52.50 | $30–$105 | varies |
| Tissue Culture (88233) | $292 | $584 | 2.1× |
| Tissue Culture Amniotic Fluid (88235) range across 2 matching MRF lines |
$98–$305.50 | $196–$611 | varies |
| Tissue culture bone marrow (88237) | $696 | $1,392 | 4.8× |
| Tissue Culture Lymphocyte (88230) range across 4 matching MRF lines |
$130.50–$292 | $261–$584 | varies |
| Tobramycin peak (80200) | $88 | $176 | 5.5× |
| Topiramate (80201) range across 2 matching MRF lines |
$17.50–$70 | $35–$140 | varies |
| Touch prep (88161) | $50 | $100 | 1.8× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $10 | $20 | 0.5× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$7–$15.50 | $14–$31 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$7–$65 | $14–$130 | varies |
| Tp53 gene analysis targeted sequence analysis (81352) range across 3 matching MRF lines |
$485–$823 | $970–$1,646 | varies |
| Tpmt gene com variants (81335) | $373 | $746 | 2.1× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$4.50–$24.50 | $9–$49 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$9.50–$56.50 | $19–$113 | varies |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 4 matching MRF lines |
$148–$475 | $296–$950 | varies |
| Trg gene rearrangement anal (81342) range across 3 matching MRF lines |
$195–$260.50 | $390–$521 | varies |
| Trichinella Antibody (86784) | $56 | $112 | 4.5× |
| Trichomonas vagin dir probe (87660) | $100 | $200 | 5.0× |
| Trichomonas Vaginalis Amplif (87661) range across 6 matching MRF lines |
$18–$135.50 | $36–$271 | varies |
| Triglycerides (84478) | $28 | $56 | 4.9× |
| Troponin Quant (84484) | $46 | $92 | 3.7× |
| Trypsin feces qual (84488) | $10.50 | $21 | 1.4× |
| Tumor immunohistochem/comput (88361) range across 2 matching MRF lines |
$183–$304 | $366–$608 | varies |
| Tumor Immunohistochem/Manual (88360) range across 8 matching MRF lines |
$166–$454.50 | $332–$909 | varies |
| Ugt1a1 gene analysis common variants (81350) range across 4 matching MRF lines |
$28–$855.50 | $56–$1,711 | varies |
| Unlisted Surgical Pathology Procedure (88399) range across 7 matching MRF lines |
$3–$82.50 | $6–$165 | varies |
| Urea Nitrogen Clearance (84545) | $19.50 | $39 | 2.7× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$22–$22.50 | $44–$45 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$3–$22.50 | $6–$45 | varies |
| Urinalysis Microscopic Only (81015) | $24.50 | $49 | 8.0× |
| Urine Pregnancy Test (81025) | $63.50 | $127 | 7.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $40 | $80 | 12.6× |
| Valproic acid (80164) | $77.50 | $155 | 5.7× |
| Vancomycin (80202) | $81 | $162 | 6.0× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$11.50–$58 | $23–$116 | varies |
| Vasopressin (84588) | $147.50 | $295 | 4.3× |
| Viral Culture (87252) range across 6 matching MRF lines |
$5.50–$133 | $11–$266 | varies |
| Virus antibody nos (86790) range across 19 matching MRF lines |
$5.50–$59 | $11–$118 | varies |
| Virus inoculation, shell via (87254) range across 12 matching MRF lines |
$3.50–$127 | $7–$254 | varies |
| Viscosity serum (85810) range across 3 matching MRF lines |
$13.50–$61 | $27–$122 | varies |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$14–$208.50 | $28–$417 | varies |
| Vitamin A (84590) range across 2 matching MRF lines |
$12.50–$49 | $25–$98 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$9–$82 | $18–$164 | varies |
| Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines |
$19.50–$88.50 | $39–$177 | varies |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$11.50–$121.50 | $23–$243 | varies |
| Vitamin c (82180) range across 2 matching MRF lines |
$11–$44.50 | $22–$89 | varies |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$15–$160.50 | $30–$321 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$11.50–$63.50 | $23–$127 | varies |
| Vitamin K (84597) range across 2 matching MRF lines |
$25–$59.50 | $50–$119 | varies |
| Volatiles (84600) range across 2 matching MRF lines |
$71–$74 | $142–$148 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 3 matching MRF lines |
$34–$52.50 | $68–$105 | varies |
| Von willebrand factor ag (85246) range across 3 matching MRF lines |
$17–$22.50 | $34–$45 | varies |
| Wbc Alkaline Phosphatase Count (85540) | $43.50 | $87 | 5.1× |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$18–$66 | $36–$132 | varies |
| West Nile Virus Antibody (86789) range across 3 matching MRF lines |
$15–$56.50 | $30–$113 | varies |
| Western Blot Test (84181) range across 7 matching MRF lines |
$27–$75 | $54–$150 | varies |
| Xylose Absorption Test (84620) | $54.50 | $109 | 4.2× |
| Zika Virus Igm Antibody (86794) range across 2 matching MRF lines |
$92.50–$96.50 | $185–$193 | varies |
| Zinc (84630) range across 6 matching MRF lines |
$11–$52.50 | $22–$105 | 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.