Lab & pathology prices at SGMC Health Berrien
Nashville, GA · every code in this section with a posted price and a Medicare benchmark.
635 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $66.75 | $89 | 2.9× |
| Acetylcholine receptor binding antibody (86041) | $86.25 | $115 | 4.7× |
| Acth (82024) range across 3 matching MRF lines |
$190.50–$203.25 | $254–$271 | varies |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$411–$437.25 | $548–$583 | varies |
| Acylcarnitines Quant (82017) | $93 | $124 | 5.5× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$65.25–$72.75 | $87–$97 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$15–$16.50 | $20–$22 | varies |
| Aldolase (82085) | $61.50 | $82 | 6.3× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$401.25–$426.75 | $535–$569 | varies |
| Alkaline phosphatase isoenzymes (84080) | $142.50 | $190 | 9.6× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$34.50–$50.25 | $46–$67 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 3 matching MRF lines |
$208.50–$277.50 | $278–$370 | varies |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$176.25–$187.50 | $235–$250 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$184.50–$196.50 | $246–$262 | varies |
| Alt (sgpt) (84460) | $51 | $68 | 9.6× |
| Aluminum (82108) | $131.25 | $175 | 5.2× |
| Amikacin trough (80150) | $108 | $144 | 7.2× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $80.25 | $107 | 3.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $159.75 | $213 | 9.5× |
| Ammonia (82140) range across 2 matching MRF lines |
$45.75–$51 | $61–$68 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $340.50 | $454 | 3.5× |
| Amylase urine (82150) range across 2 matching MRF lines |
$70.50–$75 | $94–$100 | varies |
| Ana Titer (86039) | $148.50 | $198 | 13.3× |
| Anca Titer Each Antibody (86037) | $186 | $248 | 15.4× |
| Androstenedione (82157) | $22.50 | $30 | 0.8× |
| Angiotensin converting enzyme csf (82164) range across 3 matching MRF lines |
$143.25–$153 | $191–$204 | varies |
| Anti-Phospholipid Antibody (86148) | $73.50 | $98 | 4.6× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$47.25–$49.50 | $63–$66 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $252.75 | $337 | 19.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $213.75 | $285 | 13.8× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $188.25 | $251 | 11.2× |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$73.50–$76.50 | $98–$102 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $96.75 | $129 | 6.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $138 | $184 | 7.6× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$126–$167.25 | $168–$223 | varies |
| Antibody haemophilus influenza (86684) range across 2 matching MRF lines |
$68.25–$69.75 | $91–$93 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $30.75 | $41 | 2.1× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$174–$231.75 | $232–$309 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $67.50 | $90 | 4.9× |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$302.25–$402 | $403–$536 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $153.75 | $205 | 7.9× |
| Antibody plasmodium malaria (86750) | $50.25 | $67 | 3.8× |
| Antibody Protozoa Nes (86753) | $159.75 | $213 | 12.9× |
| Antibody Titer (86886) | $199.50 | $266 | 38.5× |
| Antibody Treponema Pallidum (86780) | $80.25 | $107 | 6.1× |
| Antibody; encephalitis, st. louis (86653) range across 2 matching MRF lines |
$73.50–$76.50 | $98–$102 | varies |
| Antibody; influenza virus (86710) | $48.75 | $65 | 3.6× |
| Antigen typing (86905) | $174 | $232 | 45.4× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $171 | $228 | 29.9× |
| Antistreptolysin O Screen (86063) | $63 | $84 | 10.9× |
| Antistreptolysin o titer (86060) | $114.75 | $153 | 15.7× |
| Antithrombin iii activity (85300) | $251.25 | $335 | 21.2× |
| Apolipoprotein a1 (82172) | $59.25 | $79 | 2.8× |
| Arsenic (82175) range across 2 matching MRF lines |
$75.75–$80.25 | $101–$107 | varies |
| Aspergillus ag eia (87305) | $53.25 | $71 | 4.4× |
| Assay activated protein c (85307) | $75 | $100 | 4.9× |
| Assay Blood Carbon Dioxide (82374) range across 3 matching MRF lines |
$16.50–$66 | $22–$88 | varies |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$63.75–$73.50 | $85–$98 | varies |
| Assay of 5-hiaa (83497) | $129.75 | $173 | 10.1× |
| Assay of blood/uric acid (84550) | $63.75 | $85 | 14.1× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$27.75–$30 | $37–$40 | varies |
| Assay of cpk in blood (82552) | $81.75 | $109 | 6.1× |
| Assay of g6pd enzyme (82955) | $83.25 | $111 | 8.6× |
| Assay of gammaglobulin igm (82784) | $126 | $168 | 13.5× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$59.25–$60.75 | $79–$81 | varies |
| Assay of manganese (83785) | $225 | $300 | 8.4× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$302.25–$353.25 | $403–$471 | varies |
| Assay of proinsulin (84206) range across 2 matching MRF lines |
$99–$100.50 | $132–$134 | varies |
| Assay of pyruvate (84210) | $93 | $124 | 6.4× |
| Assay of serotonin (84260) | $102 | $136 | 3.3× |
| Assay of serum potassium (84132) | $27 | $36 | 5.7× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$7.50–$10.50 | $10–$14 | varies |
| Assay of urine vma (84585) | $135 | $180 | 8.7× |
| Assay of vasoactive intestinal peptide (84586) | $413.25 | $551 | 11.7× |
| Assay of vitamin b-1 (84425) | $189.75 | $253 | 8.9× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$39–$45.75 | $52–$61 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $577.50 | $770 | 3.9× |
| Automated Leukocyte Count (85048) | $198 | $264 | 78.0× |
| B cells total count (86355) | $147.75 | $197 | 3.9× |
| Bartonella antibody (86611) | $78.75 | $105 | 7.7× |
| Bcr/abl1 gene major bp (81206) | $671.25 | $895 | 4.1× |
| Bcr/abl1 gene minor bp (81207) | $700.50 | $934 | 4.8× |
| Bcr/Abl1 Gene Other Bp (81208) | $366 | $488 | 1.7× |
| Beta 2 glycoprotein i antibody each (86146) | $167.25 | $223 | 6.6× |
| Beta hydroxybutyrate (82010) | $126 | $168 | 15.4× |
| Beta Lactamase (87185) | $24 | $32 | 5.1× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$55.50–$58.50 | $74–$78 | varies |
| Bile acids total (82239) | $51.75 | $69 | 3.0× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$60–$63.75 | $80–$85 | varies |
| Bilirubin total (82247) range across 2 matching MRF lines |
$73.50–$78 | $98–$104 | varies |
| Bilirubin total transcutaneous (88720) range across 2 matching MRF lines |
$46.50–$47.25 | $62–$63 | varies |
| Biotinidase (82261) | $145.50 | $194 | 8.6× |
| Bld Typing Serologic Rh Phnt (86906) | $72.75 | $97 | 9.4× |
| Blood Count Manual Cell Count Each (85032) | $48.75 | $65 | 11.3× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $36 | $48 | 9.5× |
| Blood gas (82803) | $63.75 | $85 | 2.4× |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$47.25–$68.25 | $63–$91 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$15–$16.50 | $20–$22 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$195.75–$222.75 | $261–$297 | varies |
| Blood typing serologic abo (86900) | $205.50 | $274 | 68.7× |
| Body fluid cell count (89050) | $132.75 | $177 | 28.1× |
| Braf gene analysis (81210) range across 2 matching MRF lines |
$150.75–$157.50 | $201–$210 | varies |
| Brca1&2 gen full seq dup/del (81162) | $3,421.50 | $4,562 | 1.9× |
| Brucella antibody (86622) | $62.25 | $83 | 7.0× |
| C diff amplified probe (87493) | $139.50 | $186 | 3.7× |
| C-Peptide (84681) | $192.75 | $257 | 9.3× |
| C-reactive protein (86140) | $155.25 | $207 | 30.0× |
| Ca 19-9 (86301) | $32.25 | $43 | 1.5× |
| Cadmium (82300) range across 2 matching MRF lines |
$93–$93.75 | $124–$125 | varies |
| Calcitonin (82308) | $75 | $100 | 2.8× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$47.25–$71.25 | $63–$95 | varies |
| Calcium total (82310) range across 4 matching MRF lines |
$7.50–$11.25 | $10–$15 | varies |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$238.50–$253.50 | $318–$338 | varies |
| Calprotectin Fecal (83993) range across 2 matching MRF lines |
$383.25–$459 | $511–$612 | varies |
| Calr gene com variants (81219) | $736.50 | $982 | 6.1× |
| Cancer Antigen 125 (86304) | $248.25 | $331 | 11.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$103.50–$173.25 | $138–$231 | varies |
| Candida Dna Dir Probe (87480) range across 2 matching MRF lines |
$63–$64.50 | $84–$86 | varies |
| Carbamazepine free (80157) | $147 | $196 | 11.1× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$39–$43.50 | $52–$58 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$95.25–$101.25 | $127–$135 | varies |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$202.50–$212.25 | $270–$283 | varies |
| Carnitine Quantitative Each Specimen (82379) | $78.75 | $105 | 4.7× |
| Carotene (82380) | $115.50 | $154 | 12.5× |
| Catecholamines fractionated (82384) | $131.25 | $175 | 5.2× |
| Ccp antibody (86200) | $288 | $384 | 22.2× |
| Cell count csf (89051) | $102.75 | $137 | 18.3× |
| Cell marker study (88182) | $96.75 | $129 | 2.1× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $338.25 | $451 | 2.5× |
| Ceruloplasmin (82390) | $111 | $148 | 10.3× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$1,272–$1,295.25 | $1,696–$1,727 | varies |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$150.75–$177 | $201–$236 | varies |
| Chlamydia antibody (86631) | $7.50 | $10 | 0.6× |
| Chlamydia Igm Antibody (86632) | $10.50 | $14 | 0.8× |
| Chloride other source (82438) range across 2 matching MRF lines |
$30–$61.50 | $40–$82 | varies |
| Chloride Serum (82435) | $12 | $16 | 2.6× |
| Chloride urine (82436) range across 2 matching MRF lines |
$27.75–$30 | $37–$40 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$37.50–$39.75 | $50–$53 | varies |
| Cholinesterase Serum (82480) | $114 | $152 | 14.5× |
| Chorionic gonadotropin test (84702) | $192.75 | $257 | 12.8× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $767.25 | $1,023 | 4.4× |
| Chromium serum (82495) | $91.50 | $122 | 4.5× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$30.75–$87 | $41–$116 | varies |
| Chromosome Analysis 15-20 (88262) | $323.25 | $431 | 2.6× |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$714–$714.75 | $952–$953 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $75 | $100 | 2.1× |
| Citric acid urine (82507) | $40.50 | $54 | 1.5× |
| Ckmb (82553) range across 3 matching MRF lines |
$121.50–$136.50 | $162–$182 | varies |
| Clostridium Difficile (87324) | $103.50 | $138 | 8.6× |
| Clot Factor VIII Multimetric (85247) | $234.75 | $313 | 10.2× |
| Clotting factor xii hageman (85280) | $223.50 | $298 | 11.6× |
| Clotting Funct Activity (85397) | $158.25 | $211 | 5.1× |
| Cns DNA amp probe type 12-25 (87483) | $1,373.25 | $1,831 | 3.3× |
| Coagulation time activated (85347) | $27.75 | $37 | 6.5× |
| Coccidioides antibody (86635) | $27.75 | $37 | 2.4× |
| Cold agglutinin titer (86157) | $73.50 | $98 | 9.1× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$189.75–$211.50 | $253–$282 | varies |
| Compatibility Each Unit Incubation (86921) range across 3 matching MRF lines |
$90.75–$134.25 | $121–$179 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$93.75–$140.25 | $125–$187 | varies |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$188.25–$189 | $251–$252 | varies |
| Complement Total (Ch50) (86162) | $213.75 | $285 | 10.5× |
| Complement/Function Activity (86161) | $98.25 | $131 | 8.2× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $197.25 | $263 | 4.3× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $68.25 | $91 | 2.1× |
| Coombs direct (86880) range across 2 matching MRF lines |
$153.75–$162.75 | $205–$217 | varies |
| Copper urine (82525) range across 3 matching MRF lines |
$100.50–$107.25 | $134–$143 | varies |
| Cortisol free (82530) | $170.25 | $227 | 10.2× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$185.25–$201 | $247–$268 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$64.50–$71.25 | $86–$95 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$11.25–$12 | $15–$16 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$112.50–$120 | $150–$160 | varies |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$15–$17.25 | $20–$23 | varies |
| Crossmatch immediate spin (86920) | $234.75 | $313 | 1.6× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$219–$222.75 | $292–$297 | varies |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$48–$51.75 | $64–$69 | varies |
| Cryptococcus ag titer (87899) | $69.75 | $93 | 4.3× |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$78.75–$81.75 | $105–$109 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$43.50–$50.25 | $58–$67 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$28.50–$109.50 | $38–$146 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
$12–$12.75 | $16–$17 | varies |
| Culture aerobic quant other (87071) | $147 | $196 | 14.9× |
| Culture afb (87116) range across 2 matching MRF lines |
$115.50–$157.50 | $154–$210 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$294–$294.75 | $392–$393 | varies |
| Culture blood (87040) | $181.50 | $242 | 17.6× |
| Culture chlamydia (87110) | $123.75 | $165 | 6.3× |
| Culture csf (87070) range across 2 matching MRF lines |
$117.75–$156.75 | $157–$209 | varies |
| Culture fungus (87102) | $73.50 | $98 | 8.7× |
| Culture screen only (87081) | $120.75 | $161 | 18.2× |
| Culture stool (87045) range across 2 matching MRF lines |
$90–$90.75 | $120–$121 | varies |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$15.75–$23.25 | $21–$31 | varies |
| Cyclosporine (80158) range across 2 matching MRF lines |
$61.50–$69 | $82–$92 | varies |
| Cyp2c19 gene analysis common variants (81225) | $748.50 | $998 | 2.6× |
| Cystatin C (82610) | $66.75 | $89 | 3.6× |
| Cytogenetics 100-300 (88275) | $291.75 | $389 | 5.7× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,272.75 | $1,697 | 1.1× |
| Cytomegalovirus igg (86644) | $188.25 | $251 | 13.1× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 3 matching MRF lines |
$117–$156 | $156–$208 | varies |
| Cytopath Cell Enhance Tech (88112) | $121.50 | $162 | 2.7× |
| Cytopath Fl Nongyn Filter (88106) | $59.25 | $79 | 2.3× |
| Cytp Concentration Smears & Interpretation (88108) | $84 | $112 | 2.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $60.75 | $81 | 1.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $105.75 | $141 | 0.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $114 | $152 | 3.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $203.25 | $271 | 1.4× |
| Deoxyribonuclease antibody (86215) | $86.25 | $115 | 6.5× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$164.25–$176.25 | $219–$235 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$102–$426.75 | $136–$569 | varies |
| Detect agnt mult DNA ampli (87801) | $165 | $220 | 2.4× |
| Dhea (82626) range across 3 matching MRF lines |
$396–$421.50 | $528–$562 | varies |
| Dhea-S (82627) range across 2 matching MRF lines |
$274.50–$292.50 | $366–$390 | varies |
| Digoxin (80162) range across 3 matching MRF lines |
$42–$60.75 | $56–$81 | varies |
| Dihydrotestosterone (82642) | $54.75 | $73 | 1.9× |
| Diphtheria antitoxoid (86648) | $189 | $252 | 12.4× |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$18.75–$21.75 | $25–$29 | varies |
| Dna Antibody Native/Double Stranded (86225) | $244.50 | $326 | 17.8× |
| Dna/Rna Amplified Probe (87150) | $36.75 | $49 | 1.0× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$26.25–$62.25 | $35–$83 | varies |
| Dna/Rna Sequencing (87153) | $316.50 | $422 | 2.7× |
| Dpyd gene common variants (81232) | $681.75 | $909 | 3.9× |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$108–$120.75 | $144–$161 | varies |
| Drug Assay Amiodarone (80151) | $118.50 | $158 | 6.4× |
| Drug Assay Everolimus (80169) range across 2 matching MRF lines |
$148.50–$165 | $198–$220 | varies |
| Drug Assay Posaconazole (80187) | $151.50 | $202 | 5.6× |
| Drug assay voriconazole (80285) | $102 | $136 | 3.8× |
| Drug Screen Quant Clozapine (80159) | $71.25 | $95 | 3.5× |
| Drug Screen Quant Zonisamide (80203) range across 2 matching MRF lines |
$86.25–$91.50 | $115–$122 | varies |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$71.25–$75.75 | $95–$101 | varies |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$121.50–$135 | $162–$180 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$181.50–$202.50 | $242–$270 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$477.75–$594 | $637–$792 | varies |
| Egfr Gene Analysis Common Variants (81235) | $1,392 | $1,856 | 4.3× |
| Ehrlichia antibody (86666) | $39 | $52 | 3.8× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$27–$28.50 | $36–$38 | varies |
| Electron Microscopy (88348) | $2,370.75 | $3,161 | 3.4× |
| Encephaltis East Eqne Anbdy (86652) range across 2 matching MRF lines |
$73.50–$76.50 | $98–$102 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$73.50–$76.50 | $98–$102 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$209.25–$210.75 | $279–$281 | varies |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$149.25–$156 | $199–$208 | varies |
| Enzyme histochemistry (88319) | $1,098.75 | $1,465 | 1.6× |
| Eosinophil Smear (89190) | $32.25 | $43 | 5.6× |
| Epilepsy Genomic Sequence Analysis Panel (81419) | $581.25 | $775 | 0.2× |
| Erythropoietin (82668) range across 3 matching MRF lines |
$145.50–$162.75 | $194–$217 | varies |
| Estradiol serum (82670) range across 2 matching MRF lines |
$225–$239.25 | $300–$319 | varies |
| Estriol (82677) | $141 | $188 | 5.8× |
| Estrogen total (82672) | $52.50 | $70 | 2.4× |
| Estrogens fractionated (82671) | $560.25 | $747 | 17.3× |
| Exam Synovial Fluid Crystals (89060) | $117.75 | $157 | 16.1× |
| F2 Gene (81240) range across 4 matching MRF lines |
$109.50–$174.75 | $146–$233 | varies |
| Factor ix activity (85250) range across 2 matching MRF lines |
$492–$528.75 | $656–$705 | varies |
| Factor v activity (85220) | $213 | $284 | 12.1× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$422.25–$449.25 | $563–$599 | varies |
| Factor vii assay (85230) | $261.75 | $349 | 14.6× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$264–$264.75 | $352–$353 | varies |
| Factor X (85260) | $147.75 | $197 | 8.3× |
| Factor xi activity (85270) | $413.25 | $551 | 23.1× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $270 | $360 | 41.3× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$70.50–$73.50 | $94–$98 | varies |
| Ferritin (82728) range across 2 matching MRF lines |
$120.75–$129 | $161–$172 | varies |
| Fetal Chrmoml Aneuploidy (81420) | $967.50 | $1,290 | 1.3× |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$101.25–$103.50 | $135–$138 | varies |
| Fetal Fibronectin (82731) | $564 | $752 | 8.8× |
| Fetal screen rosette (85461) | $84.75 | $113 | 9.1× |
| Fibrin degradation products (85362) | $88.50 | $118 | 12.8× |
| Fibrin Degradation Quant (85379) | $102 | $136 | 10.0× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $162 | $216 | 16.7× |
| Fibrinogen activity (85384) | $170.25 | $227 | 17.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $48.75 | $65 | 3.1× |
| Flecainide level (80181) | $118.50 | $158 | 6.4× |
| Flow cytometry first marker (88184) | $846.75 | $1,129 | 2.7× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$192.75–$195 | $257–$260 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $313.50 | $418 | 26.0× |
| Fmr1 gene detection (81243) | $396 | $528 | 6.9× |
| Folic acid rbc (82747) | $167.25 | $223 | 9.5× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$167.25–$168 | $223–$224 | varies |
| Follicle Stimulating Hormone (83001) | $153.75 | $205 | 8.3× |
| Francisella tularensis (86668) | $57 | $76 | 4.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) range across 2 matching MRF lines |
$168.75–$179.25 | $225–$239 | varies |
| Frozen Section (88331) | $207.75 | $277 | 1.4× |
| Fungi Identification Mold (87107) | $181.50 | $242 | 17.6× |
| Fungi Identification Yeast (87106) | $67.50 | $90 | 6.5× |
| Galactose (82760) | $270 | $360 | 24.1× |
| Gammaglobulin ige (82785) | $171.75 | $229 | 10.4× |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
$63–$64.50 | $84–$86 | varies |
| Gastrin (82941) | $139.50 | $186 | 7.9× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,164.75 | $1,553 | 2.8× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,635 | $2,180 | 2.2× |
| Gentamicin (80170) | $80.25 | $107 | 4.9× |
| Ggt (82977) | $75 | $100 | 10.4× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$95.25–$108 | $127–$144 | varies |
| Glucose 2 hr pp (82950) | $38.25 | $51 | 8.1× |
| Glucose body fluid (82945) | $26.25 | $35 | 6.7× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$12–$12.75 | $16–$17 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$257.25–$305.25 | $343–$407 | varies |
| Glutathione (82978) | $158.25 | $211 | 10.2× |
| Glycated Protein (82985) | $57 | $76 | 3.4× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$104.25–$138.75 | $139–$185 | varies |
| Growth hormone (83003) | $204 | $272 | 12.2× |
| Gtt-added samples (82952) | $14.25 | $19 | 3.6× |
| H Pylori (C-13) Breath (83013) | $225.75 | $301 | 3.4× |
| H Pylori Drug Admin (83014) | $38.25 | $51 | 4.9× |
| Haptoglobin (83010) | $75.75 | $101 | 6.0× |
| Hba1/Hba2 Gene (81257) | $714 | $952 | 7.0× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 2 matching MRF lines |
$691.50–$721.50 | $922–$962 | varies |
| Hdl Cholesterol (83718) range across 3 matching MRF lines |
$78–$81 | $104–$108 | varies |
| Helicobacter Pylori Stool (87338) | $181.50 | $242 | 12.6× |
| Helminth Antibody (86682) | $141.75 | $189 | 10.9× |
| Hematocrit (85014) range across 2 matching MRF lines |
$13.50–$18.75 | $18–$25 | varies |
| Hemoglobin (85018) | $17.25 | $23 | 7.3× |
| Hemoglobin a1c (83036) | $34.50 | $46 | 3.6× |
| Hemoglobin Chromotography (83021) | $150 | $200 | 8.3× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$140.25–$159 | $187–$212 | varies |
| Hemoglobin stability screen (83068) | $41.25 | $55 | 4.4× |
| Hemolysins&Agglutinins Incubated (86941) | $131.25 | $175 | 10.8× |
| Hep a ab igm (86709) | $281.25 | $375 | 25.0× |
| Heparin assay (85520) range across 2 matching MRF lines |
$113.25–$117.75 | $151–$157 | varies |
| Heparin-Protamine Tolerance Tst (85530) | $59.25 | $79 | 4.5× |
| Hepatitis a antibody total (86708) range across 3 matching MRF lines |
$27.75–$72.75 | $37–$97 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$45–$99.75 | $60–$133 | varies |
| Hepatitis b core ab total (86704) | $45 | $60 | 3.7× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$47.25–$84.75 | $63–$113 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$84.75–$112.50 | $113–$150 | varies |
| Hepatitis Be Antibody (86707) | $84.75 | $113 | 7.3× |
| Hepatitis Be Antigen (87350) | $105.75 | $141 | 9.2× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$224.25–$225 | $299–$300 | varies |
| Hepatitis C Genotype (87902) | $613.50 | $818 | 2.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $143.25 | $191 | 3.3× |
| Hepatitis Delta Agent Antibody (86692) | $51 | $68 | 3.0× |
| Herpes simplex type 2 (86696) | $238.50 | $318 | 12.3× |
| Heterophile Antibody Screen (86308) | $75.75 | $101 | 14.6× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$438–$465.75 | $584–$621 | varies |
| Histoplasma antigen urine (87385) | $206.25 | $275 | 15.6× |
| Hiv Genotype (87901) | $1,131.75 | $1,509 | 4.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$59.25–$68.25 | $79–$91 | varies |
| Hiv-1 Antibody (86701) | $251.25 | $335 | 28.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $467.25 | $623 | 5.5× |
| Hla class i&ii antibody qual (86828) | $101.25 | $135 | 1.6× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $139.50 | $186 | 1.3× |
| Hla I Typing 1 Allele Hr (81381) range across 2 matching MRF lines |
$195–$234.75 | $260–$313 | varies |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$162.75–$170.25 | $217–$227 | varies |
| Hla-b27 (86812) | $267 | $356 | 10.3× |
| Homocysteine (83090) range across 2 matching MRF lines |
$302.25–$402 | $403–$536 | varies |
| Homogenization Tissue (87176) | $18.75 | $25 | 3.2× |
| Hpv High-Risk Types (87624) | $244.50 | $326 | 7.0× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$303.75–$434.25 | $405–$579 | varies |
| Human Epididymis Protein 4 (86305) | $170.25 | $227 | 8.2× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$313.50–$321 | $418–$428 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $112.50 | $150 | 10.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $21 | $28 | 1.5× |
| Iaad ia shiga-like toxin (87427) | $62.25 | $83 | 5.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $461.25 | $615 | 13.1× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $73.50 | $98 | 2.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$127.50–$133.50 | $170–$178 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $535.50 | $714 | 12.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $115.50 | $154 | 2.7× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$87.75–$91.50 | $117–$122 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $620.25 | $827 | 17.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$372.75–$388.50 | $497–$518 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $156.75 | $209 | 4.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$75–$102 | $100–$136 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $528 | $704 | 10.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $294 | $392 | 2.1× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $684.75 | $913 | 2.6× |
| Idh1 common variants (81120) | $309.75 | $413 | 1.6× |
| Idh2 common variants (81121) | $309.75 | $413 | 1.0× |
| Igg subclasses (82787) | $174.75 | $233 | 21.8× |
| Igh gene rearrange amp meth (81261) | $311.25 | $415 | 1.6× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,178.25 | $1,571 | 4.0× |
| Igk rearrangeabn clonal pop (81264) | $212.25 | $283 | 1.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $372 | $496 | 1.2× |
| Immunfix e-phorsis/urine/csf (86335) | $96.75 | $129 | 3.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$164.25–$228 | $219–$304 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$45–$85.50 | $60–$114 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$98.25–$162.75 | $131–$217 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $354 | $472 | 15.3× |
| Immunoelectrophoresis Serum (86320) | $246.75 | $329 | 8.2× |
| Immunofixation electrophoresis (86334) | $86.25 | $115 | 3.9× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $298.50 | $398 | 2.0× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$415.50–$480.75 | $554–$641 | varies |
| In situ hybridization 1st probe stain (88365) | $312 | $416 | 2.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $261.75 | $349 | 3.7× |
| Influenza assay w/optic (87804) | $55.50 | $74 | 3.4× |
| Influenza DNA amp probe (87502) | $139.50 | $186 | 1.5× |
| Inhibin b (83520) range across 5 matching MRF lines |
$108.75–$289.50 | $145–$386 | varies |
| Insitu hybridization auto (88367) | $661.50 | $882 | 2.1× |
| Insitu hybridization manual (88368) | $557.25 | $743 | 1.8× |
| Insulin antibodies (86337) | $35.25 | $47 | 1.6× |
| Insulin total (83525) | $157.50 | $210 | 13.8× |
| Intrinsic factor antibody (86340) | $44.25 | $59 | 2.9× |
| Iron (83540) range across 2 matching MRF lines |
$51.75–$75.75 | $69–$101 | varies |
| Iron Binding Capacity (83550) | $96.75 | $129 | 11.1× |
| Irradiation Blood Product Each Unit (86945) | $88.50 | $118 | 2.7× |
| Islet cell antibody (86341) | $387 | $516 | 16.4× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$716.25–$762 | $955–$1,016 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $440.25 | $587 | 2.4× |
| Jt spc pthgn&rx rsist gen26+ (87627) | $1,274.25 | $1,699 | 1.9× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) range across 2 matching MRF lines |
$466.50–$474.75 | $622–$633 | varies |
| Kras Gene Variants Exon 2 (81275) | $394.50 | $526 | 2.0× |
| Lactate (ld) (ldh) enzyme (83615) | $90 | $120 | 14.9× |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$84–$84.75 | $112–$113 | varies |
| Ldh Isoenzymes (83625) | $59.25 | $79 | 4.6× |
| LDL direct (83721) | $72 | $96 | 6.9× |
| Lead (83655) | $59.25 | $79 | 4.9× |
| Legionella antibody (86713) | $177.75 | $237 | 11.6× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$24–$27 | $32–$36 | varies |
| Leptospira antibody (86720) | $103.50 | $138 | 6.4× |
| Level I Surg Pathology Gross Examination Only (88300) | $63 | $84 | 2.5× |
| Level ii surg pathology grossµscopic exam (88302) | $212.25 | $283 | 6.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $846.75 | $1,129 | 2.7× |
| Lipase (83690) range across 2 matching MRF lines |
$103.50–$104.25 | $138–$139 | varies |
| Lipoprotein A (83695) range across 2 matching MRF lines |
$27–$27.75 | $36–$37 | varies |
| Lipoprotein Bld Quan Part (83704) | $107.25 | $143 | 3.1× |
| Lithium (80178) range across 2 matching MRF lines |
$73.50–$78 | $98–$104 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$191.25–$192 | $255–$256 | varies |
| M. Genitalium Amp Probe (87563) | $114.75 | $153 | 3.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $924 | $1,232 | 6.2× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$43.50–$50.25 | $58–$67 | varies |
| Mercury urine (83825) | $79.50 | $106 | 4.9× |
| Metabolic panel ionized ca (80047) range across 2 matching MRF lines |
$75.75–$84.75 | $101–$113 | varies |
| Methylmalonic acid serum (83921) | $181.50 | $242 | 8.6× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$93.75–$99.75 | $125–$133 | varies |
| Microsatellite instability (81301) | $344.25 | $459 | 1.0× |
| Microsomal Antibodies Each (86376) | $189.75 | $253 | 13.0× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $522.75 | $697 | 0.8× |
| Mog-Igg1 Antb Cba Each (86362) | $163.50 | $218 | 13.6× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$207.75–$276 | $277–$368 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $23.25 | $31 | 0.5× |
| Molecular Pathology Procedure Level 6 (81405) | $1,157.25 | $1,543 | 3.8× |
| Mononuclear cell antigen (86356) | $54.75 | $73 | 2.0× |
| Mopath procedure level 2 (81401) | $564 | $752 | 4.1× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$294–$306.75 | $392–$409 | varies |
| Mopath procedure level 5 (81404) | $9.75 | $13 | 0.0× |
| Mpl gene common variants (81338) | $493.50 | $658 | 3.3× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $330.75 | $441 | 0.9× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $520.50 | $694 | 0.8× |
| Mthfr Gene Analysis Common Variants (81291) | $190.50 | $254 | 2.9× |
| Mucopolysaccharides acid quantitative (83864) | $484.50 | $646 | 17.0× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$54–$57 | $72–$76 | varies |
| Mycoplasma antibody (86738) | $101.25 | $135 | 7.6× |
| Myoglobin urine (83874) | $63 | $84 | 4.9× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$45.75–$52.50 | $61–$70 | varies |
| Neutralization Test Viral (86382) | $139.50 | $186 | 8.2× |
| Nfct ds bv&vaginitis DNA alg (81515) | $601.50 | $802 | 2.3× |
| Niacin (84591) | $247.50 | $330 | 14.5× |
| Nk cells total count (86357) | $71.25 | $95 | 1.9× |
| Nras gene variants exon 2&3 (81311) | $318 | $424 | 1.1× |
| Nuclear antigen antibody (86235) | $196.50 | $262 | 11.0× |
| Obstetric panel (80081) | $225 | $300 | 3.0× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$27–$30 | $36–$40 | varies |
| Occult Blood Other Sources (82271) | $34.50 | $46 | 6.5× |
| Oligoclonal bands (83916) | $65.25 | $87 | 2.4× |
| Organic Acids Qualitative Each Specimen (83919) | $150 | $200 | 9.1× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$76.50–$87.75 | $102–$117 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$72.75–$73.50 | $97–$98 | varies |
| Ova and parasites smears (87177) | $99 | $132 | 11.1× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$51–$53.25 | $68–$71 | varies |
| Pancreatic Elastase Fecal (82656) range across 3 matching MRF lines |
$108.75–$116.25 | $145–$155 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 3 matching MRF lines |
$78–$81 | $104–$108 | varies |
| Parvovirus antibody (86747) | $172.50 | $230 | 11.5× |
| Path Clin Consltj Mod 21-40 (80504) | $293.25 | $391 | 2.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $470.25 | $627 | 0.7× |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | $293.25 | $391 | 2.0× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $88.50 | $118 | 1.9× |
| Pathology Consultation During Surgery (88329) | $53.25 | $71 | 1.0× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $681 | $908 | 2.1× |
| Ph urine (81003) | $121.50 | $162 | 54.0× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$29.25–$32.25 | $39–$43 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$36.75–$41.25 | $49–$55 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$54–$60.75 | $72–$81 | varies |
| Phosphatase alkaline (84075) | $60.75 | $81 | 11.7× |
| Phospholipid Neutralization Hexagonal (85598) | $75 | $100 | 4.2× |
| Phosphorus Serum (84100) | $9.75 | $13 | 2.1× |
| Phosphorus urine (84105) | $57 | $76 | 9.9× |
| Platelet Aggregation (85576) | $132 | $176 | 5.3× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$173.25–$247.50 | $231–$330 | varies |
| Platelet count automated (85049) | $30 | $40 | 6.7× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $96.75 | $129 | 0.5× |
| Pms2 gene full seq analysis (81317) | $567.75 | $757 | 0.8× |
| Pooling blood platelets (86965) | $397.50 | $530 | 2.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $186.75 | $249 | 12.7× |
| Potassium Urine (84133) | $12 | $16 | 2.5× |
| Prealbumin (84134) | $45.75 | $61 | 3.1× |
| Pregnenolone (84140) | $186 | $248 | 9.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $116.25 | $155 | 2.2× |
| Procalcitonin (Pct) (84145) | $196.50 | $262 | 7.2× |
| Progesterone (84144) | $187.50 | $250 | 9.0× |
| Prolactin (84146) | $189.75 | $253 | 9.8× |
| Protein body fluid (84157) | $117.75 | $157 | 29.4× |
| Protein C Activity (85303) | $417 | $556 | 30.1× |
| Protein c antigen (85302) | $277.50 | $370 | 23.1× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$63.75–$64.50 | $85–$86 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $69.75 | $93 | 6.5× |
| Protein S Free (85306) | $366.75 | $489 | 23.9× |
| Protein total serum (84155) | $75 | $100 | 20.4× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$13.50–$15.75 | $18–$21 | varies |
| Protein Western Blot Test (84182) | $141.75 | $189 | 4.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $54 | $72 | 13.7× |
| PSA free (84154) | $132 | $176 | 7.2× |
| Pth Intact (83970) range across 2 matching MRF lines |
$62.25–$71.25 | $83–$95 | varies |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$24.75–$25.50 | $33–$34 | varies |
| Quantiferon tb gold plus (86480) | $254.25 | $339 | 4.1× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$136.50–$179.25 | $182–$239 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$125.25–$130.50 | $167–$174 | varies |
| Rbc antibody elution (86860) | $249.75 | $333 | 1.7× |
| Rbc antibody identification (86870) | $451.50 | $602 | 1.4× |
| Rbc antibody screen (86850) | $198.75 | $265 | 20.3× |
| Rbc pretreatment serum (86978) | $106.50 | $142 | 2.1× |
| Rbc pretx incubatj w/enzymes (86971) | $351.75 | $469 | 2.4× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$258–$258.75 | $344–$345 | varies |
| Reptilase test (85635) | $72.75 | $97 | 7.4× |
| Resp virus 12-25 targets (87633) | $874.50 | $1,166 | 2.1× |
| Reticulocyte Count Manual (85044) | $58.50 | $78 | 13.6× |
| Reticulocyte separation (86972) | $150.75 | $201 | 1.0× |
| Rh (86901) | $99 | $132 | 33.1× |
| Rheumatoid Factor Qualitative (86430) | $66 | $88 | 10.7× |
| Rheumatoid factor quant (86431) | $81.75 | $109 | 14.4× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$126.75–$132.75 | $169–$177 | varies |
| Rotavirus ag eia (87425) | $63 | $84 | 5.3× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$64.50–$65.25 | $86–$87 | varies |
| Rsv Assay W/Optic (87807) | $18.75 | $25 | 1.4× |
| Rubella Antibody (86762) | $93 | $124 | 6.5× |
| Rufinamide (80210) | $80.25 | $107 | 3.0× |
| Russell Viper Venom Time Diluted (85613) | $114 | $152 | 11.9× |
| Salicylate Level (80179) range across 2 matching MRF lines |
$21–$23.25 | $28–$31 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $192 | $256 | 3.7× |
| Sars-cov-2 COVID-19 antibody (86769) | $117.75 | $157 | 2.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $260.25 | $347 | 1.8× |
| Sedimentation Rate, Automated (85652) | $54 | $72 | 20.0× |
| Selenium (84255) | $257.25 | $343 | 10.1× |
| Semen Anal Sperm Detection (89321) | $90.75 | $121 | 7.5× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$18.75–$21.75 | $25–$29 | varies |
| Sex Chromatin Identification Barr Bodies (88130) | $79.50 | $106 | 4.4× |
| Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) | $17.25 | $23 | 2.2× |
| Sex Hormone Binding Globulin (84270) | $180.75 | $241 | 8.3× |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$9.75–$13.50 | $13–$18 | varies |
| Sirolimus (80195) | $127.50 | $170 | 9.3× |
| Skin test tuberculosis intradermal (86580) | $42.75 | $57 | 1.7× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$11.25–$12 | $15–$16 | varies |
| Smear gram stain (87205) | $72 | $96 | 16.9× |
| Smear Special Stain (87207) | $24 | $32 | 4.0× |
| Smn1 Gene Dos/Deletion Alys (81329) | $469.50 | $626 | 3.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$18.75–$19.50 | $25–$26 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $528.75 | $705 | 10.4× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$9–$16.50 | $12–$22 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$12–$13.50 | $16–$18 | varies |
| Soluble fibrin monomer (85366) | $142.50 | $190 | 1.8× |
| Somatomedin (84305) | $214.50 | $286 | 10.1× |
| Special Stains Group 1 (88312) | $227.25 | $303 | 5.0× |
| Special Stains Group 2 (88313) | $199.50 | $266 | 1.7× |
| Specific gravity body fluid (84315) | $27.75 | $37 | 8.5× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$40.50–$42 | $54–$56 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$103.50–$210 | $138–$280 | varies |
| Splitting Blood/Blood Products Each Unit (86985) range across 2 matching MRF lines |
$119.25–$298.50 | $159–$398 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$44.25–$51 | $59–$68 | varies |
| Strep a assay w/optic (87880) | $123.75 | $165 | 7.5× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$88.50–$102 | $118–$136 | varies |
| Strep b DNA amp probe (87653) | $127.50 | $170 | 3.6× |
| Sugars Single Qual (84376) | $87 | $116 | 15.8× |
| Surg path level iii (88304) | $281.25 | $375 | 6.2× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$266.25–$316.50 | $355–$422 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$747–$779.25 | $996–$1,039 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $9.75 | $13 | 2.1× |
| Syphilis Test Non-Trep Quant (86593) | $193.50 | $258 | 44.0× |
| T cells absolute cd4 count (86361) | $59.25 | $79 | 2.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $126.75 | $169 | 2.7× |
| T cells total count (86359) | $147.75 | $197 | 3.9× |
| T3 Free (84481) | $199.50 | $266 | 11.8× |
| T3 reverse (84482) | $71.25 | $95 | 4.5× |
| T3 Total (84480) | $120.75 | $161 | 8.5× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$70.50–$71.25 | $94–$95 | varies |
| T4 Free (84439) range across 2 matching MRF lines |
$162.75–$182.25 | $217–$243 | varies |
| T4 total (84436) | $57 | $76 | 8.3× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$33–$36 | $44–$48 | varies |
| Tb ag response t-cell susp (86481) | $402 | $536 | 4.0× |
| Testosterone total (84403) | $239.25 | $319 | 9.3× |
| Testosterone, Free (84402) | $256.50 | $342 | 10.1× |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$162.75–$216.75 | $217–$289 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $2,200.50 | $2,934 | 3.7× |
| Theophylline (80198) | $75.75 | $101 | 5.4× |
| Thiopurine methyltransferase (84433) | $395.25 | $527 | 17.8× |
| Thrombin Time (85670) | $63.75 | $85 | 11.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $98.25 | $131 | 15.2× |
| Thyroglobulin (84432) | $132.75 | $177 | 8.3× |
| Thyroglobulin Antibody (86800) | $163.50 | $218 | 10.3× |
| Thyroid Stimulating Immunoglobulin (84445) | $444.75 | $593 | 8.7× |
| Tissue culture bone marrow (88237) | $463.50 | $618 | 3.2× |
| Tobramycin peak (80200) | $78 | $104 | 4.8× |
| Topiramate (80201) range across 2 matching MRF lines |
$150–$159.75 | $200–$213 | varies |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$32.25–$270 | $43–$360 | varies |
| Toxoplasma antibody (86777) | $101.25 | $135 | 7.0× |
| Tp53 gene analysis full gene sequence (81351) | $1,203.75 | $1,605 | 1.9× |
| Tpmt gene com variants (81335) | $828 | $1,104 | 4.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $42.75 | $57 | 8.3× |
| Transferrin (84466) | $210.75 | $281 | 16.5× |
| Trb@ gene rearrange dirprobe (81341) | $275.25 | $367 | 5.6× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $298.50 | $398 | 1.4× |
| Trichinella Antibody (86784) | $191.25 | $255 | 15.2× |
| Trichomonas vagin dir probe (87660) range across 2 matching MRF lines |
$63–$64.50 | $84–$86 | varies |
| Trichomonas Vaginalis Amplif (87661) | $234.75 | $313 | 6.7× |
| Triglycerides (84478) range across 2 matching MRF lines |
$94.50–$95.25 | $126–$127 | varies |
| Troponin Quant (84484) | $114 | $152 | 9.1× |
| Tumor immunohistochem/comput (88361) | $640.50 | $854 | 2.0× |
| Tumor Immunohistochem/Manual (88360) | $637.50 | $850 | 4.3× |
| Ugt1a1 gene analysis common variants (81350) | $2,844.75 | $3,793 | 12.2× |
| Urea nitrogen urine (84540) | $24 | $32 | 4.3× |
| Uric acid other source (84560) | $117.75 | $157 | 23.2× |
| Urinalysis Microscopic Only (81015) | $32.25 | $43 | 10.6× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $33.75 | $45 | 15.6× |
| Urinalysis Volume Measure (81050) | $7.50 | $10 | 2.1× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$39.75–$45.75 | $53–$61 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $41.25 | $55 | 13.0× |
| Valproic acid (80164) range across 2 matching MRF lines |
$43.50–$47.25 | $58–$63 | varies |
| Vancomycin (80202) range across 3 matching MRF lines |
$36.75–$95.25 | $49–$127 | varies |
| Varicella-zoster antibody (86787) | $190.50 | $254 | 14.8× |
| Vasopressin (84588) range across 2 matching MRF lines |
$355.50–$362.25 | $474–$483 | varies |
| Viral Culture (87252) | $162.75 | $217 | 6.2× |
| Virus antibody nos (86790) | $222.75 | $297 | 17.3× |
| Virus inoculation, shell via (87254) | $57 | $76 | 2.9× |
| Viscosity serum (85810) | $67.50 | $90 | 5.8× |
| Vit D 1 25-Dihydroxy (82652) range across 3 matching MRF lines |
$197.25–$210 | $263–$280 | varies |
| Vitamin A (84590) | $96 | $128 | 8.3× |
| Vitamin b-12 (82607) range across 3 matching MRF lines |
$60.75–$64.50 | $81–$86 | varies |
| Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines |
$58.50–$61.50 | $78–$82 | varies |
| Vitamin B6 (84207) | $413.25 | $551 | 14.7× |
| Vitamin c (82180) | $62.25 | $83 | 6.3× |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$77.25–$245.25 | $103–$327 | varies |
| Vitamin E (84446) range across 2 matching MRF lines |
$106.50–$107.25 | $142–$143 | varies |
| Vitamin K (84597) range across 2 matching MRF lines |
$138.75–$144.75 | $185–$193 | varies |
| Volatiles (84600) | $96 | $128 | 5.6× |
| Von willebrand factor ag (85246) | $206.25 | $275 | 9.0× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$38.25–$39.75 | $51–$53 | varies |
| West Nile Virus Antibody (86789) | $38.25 | $51 | 2.7× |
| Xm Archive Tissue Molec Anal (88363) | $32.25 | $43 | 1.3× |
| Zika Virus Dna/Rna Amp Probe (87662) | $279.75 | $373 | 5.5× |
| Zika Virus Igm Antibody (86794) | $135 | $180 | 8.0× |
| Zinc (84630) | $174.75 | $233 | 15.3× |
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.