Lab & pathology prices at Sheridan Hospital

Sheridan, MI · every code in this section with a posted price and a Medicare benchmark.

699 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $64 $80 4.1×
17-Hydroxypregnenolone (84143) $196.80 $246 8.6×
5 Nucleotidase (83915) $71.20 $89 6.4×
Acetylcholine receptor binding antibody (86041)
range across 4 matching MRF lines
$89.60–$555.20 $112–$694 varies
Acetylcholine receptor blocking antibody (86042) $158.40 $198 8.6×
Acetylcholn Rcptr Modlg Antb (86043) $158.40 $198 13.1×
Acth (82024) $185.60 $232 4.8×
Actin smooth muscle antibody each (86015) $84 $105 7.0×
Acute hepatitis panel (80074)
range across 2 matching MRF lines
$272–$299.20 $340–$374 varies
Acylcarnitines Quant (82017)
range across 3 matching MRF lines
$105.60–$319.20 $132–$399 varies
Agglutinins Febrile Each Antigen (86000) $108.80 $136 15.6×
Albumin Fluid (82042) $40.80 $51 5.2×
Albumin serum (82040) $48 $60 9.7×
Aldolase (82085) $62.40 $78 6.4×
Aldosterone urine (82088) $181.60 $227 4.5×
Alkaline phosphatase isoenzymes (84080)
range across 3 matching MRF lines
$43.20–$91.20 $54–$114 varies
Allergen specific ige (86003)
range across 54 matching MRF lines
$9.60–$952.80 $12–$1,191 varies
Allergen specific igg (86001)
range across 18 matching MRF lines
$24–$84.80 $30–$106 varies
Allg Spec Ige Recomb Ea (86008)
range across 32 matching MRF lines
$18.40–$179.20 $23–$224 varies
Alpha-1-antitrypsin phenotype (82104)
range across 2 matching MRF lines
$81.60–$171.20 $102–$214 varies
Alpha-1-antitrypsin total (82103) $154.40 $193 11.5×
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines
$42.40–$93.60 $53–$117 varies
Alt (sgpt) (84460)
range across 2 matching MRF lines
$41.60–$120 $52–$150 varies
Aluminum (82108) $60 $75 2.4×
Amikacin trough (80150) $44.80 $56 3.0×
Amino Acids 1 Quantitative Each Specimen (82131) $102.40 $128 4.5×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $137.60 $172 8.2×
Amino Acids Quant 2-5 (82136) $343.20 $429 17.5×
Ammonia (82140) $113.60 $142 7.8×
Amylase urine (82150) $67.20 $84 10.4×
Ana Titer (86039) $79.20 $99 7.1×
Anca screen each antibody (86036) $86.40 $108 7.2×
Anca Titer Each Antibody (86037)
range across 3 matching MRF lines
$150.40–$204 $188–$255 varies
Androstanediol Glucuronide (82154) $127.20 $159 4.4×
Androstenedione (82157) $71.20 $89 2.4×
Angiotensin converting enzyme csf (82164) $92.80 $116 6.4×
Anti-Phospholipid Antibody (86148) $128 $160 8.0×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 3 matching MRF lines
$138.40–$193.60 $173–$242 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$93.60–$138.40 $117–$173 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $73.60 $92 5.6×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines
$74.40–$96 $93–$120 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 3 matching MRF lines
$74.40–$105.60 $93–$132 varies
Antibody Fungus Not Elsewhere Specified (86671) $124.80 $156 10.2×
Antibody haemophilus influenza (86684) $180.80 $226 11.4×
Antibody helicobacter pylori (86677)
range across 2 matching MRF lines
$121.60–$123.20 $152–$154 varies
Antibody Herpes Smplx Non-Specific Type Test (86694) $39.20 $49 2.7×
Antibody Herpes Smplx Type 1 (86695)
range across 4 matching MRF lines
$73.60–$216.80 $92–$271 varies
Antibody HIV-2 (86702) $84 $105 6.2×
Antibody identification leukocyte antibodies (86021) $252.80 $316 16.8×
Antibody john cunningham virus (86711)
range across 2 matching MRF lines
$1,048–$2,710.40 $1,310–$3,388 varies
Antibody neisseria meningitidis (86741)
range across 5 matching MRF lines
$220–$691.20 $275–$864 varies
Antibody Protozoa Nes (86753) $132 $165 10.7×
Antibody Titer (86886) $196.80 $246 38.0×
Antibody Treponema Pallidum (86780)
range across 5 matching MRF lines
$69.60–$104.80 $87–$131 varies
Antibody; influenza virus (86710)
range across 6 matching MRF lines
$55.20–$86.40 $69–$108 varies
Antigen typing (86905) $128 $160 33.4×
Antinuclear antibodies (86038)
range across 5 matching MRF lines
$94.40–$137.60 $118–$172 varies
Antistreptolysin o titer (86060)
range across 2 matching MRF lines
$64–$76.80 $80–$96 varies
Antithrombin iii activity (85300) $186.40 $233 15.7×
Antithrombin iii antigen (85301) $186.40 $233 17.2×
Apolipoprotein a1 (82172)
range across 3 matching MRF lines
$92–$120 $115–$150 varies
Arsenic (82175)
range across 3 matching MRF lines
$79.20–$250.40 $99–$313 varies
Assay activated protein c (85307)
range across 4 matching MRF lines
$170.40–$2,069.60 $213–$2,587 varies
Assay Blood Carbon Dioxide (82374) $32.80 $41 6.7×
Assay Blood Catecholamines (82383) $200 $250 6.9×
Assay Nephelometry Not Spec (83883)
range across 4 matching MRF lines
$43.20–$120 $54–$150 varies
Assay of 5-hiaa (83497) $37.60 $47 2.9×
Assay of anti-mullerian hormone (82166) $162.40 $203 4.2×
Assay of blood/uric acid (84550) $44.80 $56 9.9×
Assay of calcium in urine (82340) $43.20 $54 7.2×
Assay of cpk in blood (82552) $78.40 $98 5.9×
Assay of estrone (82679) $84 $105 3.4×
Assay of g6pd enzyme (82955) $70.40 $88 7.3×
Assay of gammaglobulin igm (82784)
range across 6 matching MRF lines
$48–$92 $60–$115 varies
Assay of lactic acid (83605) $79.20 $99 6.8×
Assay of manganese (83785) $72 $90 2.7×
Assay of metanephrines (83835) $112 $140 6.6×
Assay of phosphatase acid total (84060) $72 $90 9.4×
Assay of proinsulin (84206) $100 $125 3.7×
Assay of pyruvate (84210) $175.20 $219 12.1×
Assay of semen fructose (82757) $96 $120 5.5×
Assay of serotonin (84260) $223.20 $279 7.2×
Assay of serum potassium (84132) $40.80 $51 8.6×
Assay of sweat sodium (84302) $35.20 $44 7.2×
Assay of urea nitrogen (84520) $36.80 $46 9.3×
Assay of urine vma (84585) $88 $110 5.7×
Assay of vitamin b-1 (84425)
range across 4 matching MRF lines
$141.60–$180.80 $177–$226 varies
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$31.20–$62.40 $39–$78 varies
Atomic Absorption (82190) $404.80 $506 25.5×
Autol Bld/Component Collj Storage Predeposited (86890) $706.40 $883 4.2×
Automated Leukocyte Count (85048) $59.20 $74 23.3×
Bartonella antibody (86611) $130.40 $163 12.8×
Bcr/abl1 gene major bp (81206) $231.20 $289 1.4×
Bcr/abl1 gene minor bp (81207) $231.20 $289 1.6×
Beta 2 glycoprotein i antibody each (86146) $128.80 $161 5.1×
Beta hydroxybutyrate (82010) $56 $70 6.9×
Beta Lactamase (87185) $37.60 $47 7.9×
Beta-2 Microglobulin (82232) $77.60 $97 4.8×
Beta-amyloid 1-40 (abeta 40) (82233) $404 $505 3.1×
Beta-amyloid; 1-42 (abeta 42) (82234) $404 $505 3.1×
Bile acids total (82239) $76 $95 4.4×
Bilirubin direct (82248)
range across 2 matching MRF lines
$39.20–$43.20 $49–$54 varies
Bilirubin total (82247)
range across 3 matching MRF lines
$51.20–$120 $64–$150 varies
Biotinidase (82261) $102.40 $128 6.1×
Bl Smear W/O Diff Wbc Count (85008) $37.60 $47 11.0×
Blastomyces antibody (86612) $72 $90 5.6×
Bld Typing Serologic Rh Phnt (86906) $168 $210 21.7×
Blood Count Red Blood Cell Automated (85041) $9.60 $12 3.2×
Blood count reticulocyte automated (85045) $41.60 $52 10.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $36 $45 9.5×
Blood gas (82803) $191.20 $239 7.3×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 4 matching MRF lines
$41.60–$62.40 $52–$78 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $26.40 $33 6.0×
Blood Type Antigen Donor Reagent Serum Each (86902) $176.80 $221 27.8×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $112 $140 6.9×
Blood typing serologic abo (86900) $93.60 $117 31.3×
Body fluid cell count (89050) $68 $85 14.4×
Bordetella antibody (86615) $180 $225 13.6×
Brca1&2 gen full seq dup/del (81162) $3,564 $4,455 2.0×
C diff amplified probe (87493)
range across 3 matching MRF lines
$168.80–$247.20 $211–$309 varies
C-Peptide (84681) $100 $125 4.8×
C-reactive protein (86140)
range across 2 matching MRF lines
$56–$72.80 $70–$91 varies
Ca 19-9 (86301) $144.80 $181 7.0×
Cadmium (82300) $56.80 $71 2.4×
Caffeine (80155) $124 $155 3.2×
Calcitonin (82308) $239.20 $299 8.9×
Calcium ionized (82330) $92.80 $116 6.8×
Calcium total (82310) $38.40 $48 7.4×
Calculus Spectroscopy (82365) $98.40 $123 7.6×
Calprotectin Fecal (83993) $197.60 $247 10.1×
Calr gene com variants (81219) $638.40 $798 5.2×
Cancer Antigen 125 (86304)
range across 2 matching MRF lines
$132.80–$139.20 $166–$174 varies
Cancer Antigen 27.29 (86300) $109.60 $137 5.3×
Carbamazepine free (80157) $74.40 $93 5.6×
Carbamazepine total (80156) $112 $140 7.7×
Carboxyhemoglobin (82375) $120.80 $151 9.8×
Carcinoembryonic antigen (82378) $144.80 $181 7.6×
Cardiolipin ab iga (86147)
range across 5 matching MRF lines
$76–$185.60 $95–$232 varies
Carnitine Quantitative Each Specimen (82379) $88.80 $111 5.3×
Carotene (82380) $60.80 $76 6.6×
Catecholamines fractionated (82384) $121.60 $152 4.8×
Ccp antibody (86200) $116 $145 9.0×
Cell count csf (89051)
range across 2 matching MRF lines
$79.20–$116 $99–$145 varies
Cell marker study (88182) $318.40 $398 6.1×
Ceruloplasmin (82390) $60.80 $76 5.7×
Cftr gene com variants (81220)
range across 2 matching MRF lines
$608–$624 $760–$780 varies
Chemiluminescent assay (82397)
range across 7 matching MRF lines
$72.80–$123.20 $91–$154 varies
Chlamydia antibody (86631) $45.60 $57 3.9×
Chlamydia Igm Antibody (86632) $45.60 $57 3.6×
Chlamydia trachomatis ag if (87270) $128 $160 10.7×
Chlmy trch&neisra gonor mult (87494) $264 $330 3.8×
Chloride Serum (82435) $50.40 $63 11.0×
Chloride urine (82436) $37.60 $47 6.5×
Cholesterol total (82465) $40.80 $51 9.4×
Cholinesterase rbc (82482) $188.80 $236 19.2×
Cholinesterase Serum (82480) $47.20 $59 6.0×
Chorionic gonadotropin test (84702)
range across 4 matching MRF lines
$42.40–$115.20 $53–$144 varies
Chromium serum (82495)
range across 3 matching MRF lines
$132–$180.80 $165–$226 varies
Chromogranin a (86316) $188.80 $236 9.1×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$772.80–$980.80 $966–$1,226 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$108–$128 $135–$160 varies
Citric acid urine (82507)
range across 3 matching MRF lines
$134.40–$160 $168–$200 varies
Ckmb (82553) $108.80 $136 9.4×
Clostridium Difficile (87324) $200.80 $251 16.8×
Clot Factor VIII Multimetric (85247) $201.60 $252 8.8×
Clot retraction (85170) $32.80 $41 2.0×
Clotting factor viii related antigen (85244) $78.40 $98 3.8×
Clotting factor xii hageman (85280) $123.20 $154 6.4×
Cns DNA amp probe type 12-25 (87483) $873.60 $1,092 2.1×
Coccidioides antibody (86635)
range across 6 matching MRF lines
$77.60–$88.80 $97–$111 varies
Cold agglutinin screen (86156) $63.20 $79 7.8×
Cold agglutinin titer (86157) $48.80 $61 6.1×
Collagen crosslinks (82523)
range across 4 matching MRF lines
$128–$159.20 $160–$199 varies
Column Chromotography Quant (82542)
range across 16 matching MRF lines
$49.60–$738.40 $62–$923 varies
Compatibility test antiglob (86922) $111.20 $139 0.7×
Complement Antigen Each Component (86160) $69.60 $87 5.8×
Complement Total (Ch50) (86162) $113.60 $142 5.6×
Complement/Function Activity (86161)
range across 2 matching MRF lines
$92–$529.60 $115–$662 varies
Coombs direct (86880) $61.60 $77 11.4×
Copper urine (82525)
range across 5 matching MRF lines
$69.60–$134.40 $87–$168 varies
Cortisol free (82530)
range across 2 matching MRF lines
$112.80–$164 $141–$205 varies
Cortisol saliva (82533) $115.20 $144 7.1×
Creatine kinase total (82550) $60.80 $76 9.3×
Creatinine blood (82565) $39.20 $49 7.7×
Creatinine clearance (82575) $87.20 $109 9.2×
Creatinine Urine (82570)
range across 11 matching MRF lines
$5.60–$646.40 $7–$808 varies
Crossmatch immediate spin (86920) $112 $140 0.7×
Crp High Sensitivity (86141) $85.60 $107 6.6×
Cryoglobulin (82595) $24 $30 3.7×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$48–$67.20 $60–$84 varies
Cryptosporidium (87272) $18.40 $23 1.5×
Cryptosporidium ag eia (87328) $165.60 $207 12.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 6 matching MRF lines
$8–$60.80 $10–$76 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $22.40 $28 2.8×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $69.60 $87 9.0×
Culture afb (87116)
range across 2 matching MRF lines
$117.60–$196.80 $147–$246 varies
Culture Anaerobic (87075)
range across 5 matching MRF lines
$13.60–$141.60 $17–$177 varies
Culture blood (87040) $120.80 $151 11.7×
Culture chlamydia (87110) $104 $130 5.3×
Culture csf (87070)
range across 11 matching MRF lines
$84–$128 $105–$160 varies
Culture fungus (87102) $105.60 $132 12.6×
Culture fungus blood (87103) $105.60 $132 5.2×
Culture screen only (87081)
range across 9 matching MRF lines
$33.60–$120.80 $42–$151 varies
Culture stool (87045)
range across 3 matching MRF lines
$92.80–$151.20 $116–$189 varies
Culture Typing Gas/High Pres Liq Chromatography (87143) $54.40 $68 4.3×
Culture typing if ea antiserum (87140)
range across 5 matching MRF lines
$42.40–$84 $53–$105 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $69.60 $87 13.4×
Culture typing other methods (87158) $351.20 $439 45.4×
Culture urine (87086) $77.60 $97 9.6×
Cyanide (82600) $83.20 $104 4.3×
Cyclosporine (80158) $100.80 $126 5.6×
Cystatin C (82610) $231.20 $289 12.5×
Cytogenetics 100-300 (88275) $142.40 $178 2.8×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$138.40–$148 $173–$185 varies
Cytopath Cell Enhance Tech (88112) $154.40 $193 3.0×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $108.80 $136 4.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $199.20 $249 3.8×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $121.60 $152 3.3×
Deoxyribonuclease antibody (86215)
range across 2 matching MRF lines
$43.20–$73.60 $54–$92 varies
Detect Agent Nos Dna Amp (87798)
range across 7 matching MRF lines
$185.60–$514.40 $232–$643 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$284–$416 $355–$520 varies
Detect agnt mult DNA ampli (87801) $518.40 $648 7.4×
Dgp Antibody Each Ig Class (86258) $84 $105 7.0×
Dhea (82626) $140.80 $176 5.6×
Dhea-S (82627) $119.20 $149 5.4×
Digoxin (80162) $102.40 $128 7.7×
Dihydrotestosterone (82642) $157.60 $197 5.4×
Diphtheria antitoxoid (86648)
range across 2 matching MRF lines
$140.80–$146.40 $176–$183 varies
Dipropylacetic Acid Free (80165) $64.80 $81 4.8×
Dna Antibody Native/Double Stranded (86225) $101.60 $127 7.4×
Dna Antibody Single Stranded (86226) $148.80 $186 12.3×
Dna/Rna Amplified Probe (87150) $71.20 $89 2.0×
DNA/RNA direct probe (87149) $54.40 $68 2.7×
Dna/Rna Sequencing (87153) $596 $745 5.2×
Drug Assay Infliximab (80230) $346.40 $433 9.0×
Drug Assay Itraconazole (80189) $128.80 $161 4.8×
Drug Assay Lacosamide (80235) $156.80 $196 5.8×
Drug assay voriconazole (80285) $368.80 $461 13.6×
Drug Screen Quant Clozapine (80159)
range across 2 matching MRF lines
$108.80–$411.20 $136–$514 varies
Drug Screen Quant Zonisamide (80203) $64.80 $81 4.9×
Drug Screen Quantitative Gabapentin (80171) $69.60 $87 3.2×
Drug Screen Quantitative Lamotrigine (80175) $91.20 $114 6.9×
Drug Screen Quantitative Levetiracetam (80177) $168 $210 12.7×
Drug Screen Quantitative Oxcarbazepine (80183) $67.20 $84 5.1×
Drug Screen Quantitative Procainamide Metabolite (80192) $45.60 $57 2.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 37 matching MRF lines
$20.80–$216.80 $26–$271 varies
Drug Test Prsmv Dir Opt Obs (80305) $33.60 $42 2.7×
Drug Test Prsmv Instrmnt (80306)
range across 3 matching MRF lines
$156–$237.60 $195–$297 varies
Ehrlichia antibody (86666)
range across 6 matching MRF lines
$132–$208 $165–$260 varies
El-1 Fecal Quantitative (82653) $199.20 $249 8.7×
Electrolyte panel (80051) $64 $80 9.1×
Encephaltis East Eqne Anbdy (86652) $52.80 $66 4.0×
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 2 matching MRF lines
$86.40–$150.40 $108–$188 varies
Enterovirus Antibody (86658)
range across 2 matching MRF lines
$22.40–$136 $28–$170 varies
Enterovirus PCR (87498) $706.40 $883 20.1×
Enzyme cell activity (82657) $245.60 $307 11.1×
Eosinophil Smear (89190) $44.80 $56 7.7×
Erythropoietin (82668) $107.20 $134 5.7×
Estradiol serum (82670) $175.20 $219 6.3×
Estriol (82677)
range across 2 matching MRF lines
$42.40–$92.80 $53–$116 varies
Estrogen total (82672) $100 $125 4.6×
Estrogens fractionated (82671) $338.40 $423 10.5×
Ethosuximide (80168) $74.40 $93 4.6×
Exam Synovial Fluid Crystals (89060) $68.80 $86 9.4×
F2 Gene (81240) $257.60 $322 3.9×
Factor Inhibitor Test (85335) $163.20 $204 12.7×
Factor ix activity (85250) $139.20 $174 7.3×
Factor v leiden mutation (81241)
range across 3 matching MRF lines
$239.20–$791.20 $299–$989 varies
Factor viii assay (85240)
range across 2 matching MRF lines
$162.40–$185.60 $203–$232 varies
Factor X (85260) $152.80 $191 8.5×
Factor xi activity (85270) $121.60 $152 6.8×
Fat stain feces urine/respir secretions (89125) $89.60 $112 15.2×
Fat/Lipids Feces Quantitative (82710)
range across 2 matching MRF lines
$64.80–$78.40 $81–$98 varies
Fatty acids free (82725) $65.60 $82 3.5×
Fecal Fat Qualitative (82705) $64.80 $81 12.7×
Ferritin (82728) $98.40 $123 7.2×
Fetal Chrmoml Aneuploidy (81420) $3,307.20 $4,134 4.4×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$117.60–$199.20 $147–$249 varies
Fibrinogen activity (85384) $62.40 $78 6.4×
Fibrinogen antigen (85385) $96 $120 6.6×
Flow cytometry first marker (88184)
range across 5 matching MRF lines
$32–$127.20 $40–$159 varies
Fluorescent antibody screen (86255)
range across 14 matching MRF lines
$43.20–$686.56 $54–$858.20 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 15 matching MRF lines
$35.20–$124.80 $44–$156 varies
Fmr1 Gene Charac Alleles (81244) $161.60 $202 3.6×
Fmr1 gene detection (81243) $464 $580 8.1×
Folic acid rbc (82747) $137.60 $172 7.8×
Folic Acid Serum (82746) $112.80 $141 7.7×
Follicle Stimulating Hormone (83001) $120 $150 6.5×
Fresh Frozen Plasma Thawing Each Unit (86927) $73.60 $92 0.4×
Frozen Section (88331) $295.20 $369 1.7×
Fungi Identification Mold (87107) $73.60 $92 7.1×
Fungi Identification Yeast (87106) $68.80 $86 6.7×
Gammaglobulin ige (82785) $92 $115 5.6×
Gases Blood O2 Saturation Only Direct Meas (82810) $42.40 $53 4.3×
Gases blood ph only (82800) $72.80 $91 6.6×
Gastrin (82941) $100 $125 5.7×
Genet Virus Isolate Hsv (87255) $120.80 $151 3.6×
Genetic Tstg Severe Inh Cond (81443) $808 $1,010 0.3×
Gentamicin (80170) $120 $150 7.3×
Ggt (82977) $49.60 $62 6.9×
Giardia antigen (87329)
range across 3 matching MRF lines
$31.20–$92.80 $39–$116 varies
Giardia lamblia antibody (86674) $101.60 $127 6.9×
Glucagon (82943) $86.40 $108 6.0×
Glucose 2 hr pp (82950) $42.40 $53 8.9×
Glucose Blood Test (82962) $26.40 $33 8.0×
Glucose body fluid (82945) $40.80 $51 10.4×
Glucose Serum (82947)
range across 2 matching MRF lines
$47.20–$48.80 $59–$61 varies
Glucose tolerance test (gtt) (82951)
range across 5 matching MRF lines
$52.80–$152 $66–$190 varies
Glutathione (82978)
range across 2 matching MRF lines
$104.80–$247.20 $131–$309 varies
Glycated Protein (82985) $33.60 $42 2.0×
Gonadotropin Chorionic Qualitative (84703) $68.80 $86 9.1×
Growth hormone (83003) $93.60 $117 5.6×
Gtt-added samples (82952)
range across 2 matching MRF lines
$50.40–$52.80 $63–$66 varies
H Pylori (C-13) Breath (83013) $225.60 $282 3.3×
H Pylori Drug Admin (83014) $23.20 $29 3.0×
Haloperidol (80173) $71.20 $89 4.5×
Haptoglobin (83010)
range across 2 matching MRF lines
$72.80–$120 $91–$150 varies
Hdl Cholesterol (83718) $68 $85 8.3×
Helicobacter Pylori Stool (87338) $155.20 $194 10.8×
Hematocrit (85014) $22.40 $28 9.5×
Hemoglobin (85018)
range across 3 matching MRF lines
$24–$60.80 $30–$76 varies
Hemoglobin a1c (83036) $81.60 $102 8.4×
Hemoglobin Chromotography (83021) $85.60 $107 4.7×
Hemoglobin electrophoresis (83020)
range across 4 matching MRF lines
$23.20–$78.40 $29–$98 varies
Hemoglobin F Fetal Chemical (83030) $58.40 $73 5.4×
Hemoglobin Methemoglobin Quantitative (83050) $42.40 $53 5.2×
Hemoglobin plasma (83051) $59.20 $74 8.1×
Hemoglobin stability screen (83068) $136.80 $171 14.4×
Hemoglobin-Oxygen Affinity (82820) $520.80 $651 39.0×
Hemosiderin urine (83070) $40.80 $51 8.6×
Hep a ab igm (86709) $73.60 $92 6.5×
Heparin assay (85520) $72.80 $91 5.6×
Hepatitis a antibody total (86708) $68 $85 5.5×
Hepatitis b core ab igm (86705) $78.40 $98 6.7×
Hepatitis b core ab total (86704) $63.20 $79 5.2×
Hepatitis B Surface Antibody (86706) $69.60 $87 6.5×
Hepatitis B Surface Antigen (87340) $63.20 $79 6.1×
Hepatitis Be Antibody (86707) $71.20 $89 6.2×
Hepatitis Be Antigen (87350) $64.80 $81 5.6×
Hepatitis C Antibody (86803) $100 $125 7.0×
Hepatitis C Genotype (87902) $524.80 $656 2.0×
Hepatitis C Probe&Rvrs Trnsc (87521) $249.60 $312 7.1×
Hepatitis C Revrs Trnscrpj (87522) $213.60 $267 5.0×
Hepatitis Delta Agent Antibody (86692) $97.60 $122 5.7×
Hereditary brst ca-related gen seq analys 10 gen (81432)
range across 3 matching MRF lines
$2,562.40–$3,956 $3,203–$4,945 varies
Herpes simplex type 2 (86696)
range across 6 matching MRF lines
$76.80–$216.80 $96–$271 varies
Heterophile Antibody Screen (86308) $52.80 $66 10.2×
Hfe Gene (81256) $526.40 $658 8.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $139.20 $174 18.0×
Histamine urine (83088) $93.60 $117 3.2×
Histoplasma antibody (86698) $70.40 $88 5.1×
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$123.20–$165.60 $154–$207 varies
Hiv Genotype (87901)
range across 3 matching MRF lines
$524.80–$789.60 $656–$987 varies
Hiv-1 Antibody (86701) $81.60 $102 9.2×
HIV-1 p24 antigen (87390) $136.80 $171 5.7×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 4 matching MRF lines
$107.20–$340.80 $134–$426 varies
HIV-2 probe&revrse trnscripj (87538) $438.40 $548 12.5×
Hla-b27 (86812) $134.40 $168 5.2×
Homocysteine (83090) $131.20 $164 7.3×
Homogenization Tissue (87176) $30.40 $38 5.2×
Homovanillic acid urine (83150) $236.80 $296 10.6×
Hpv High-Risk Types (87624) $232.80 $291 6.6×
Hpv sep hi-rsk typ&pool rslt (87626) $348 $435 5.0×
Hpv Types 16 & 18 Only (87625) $348 $435 8.6×
Hsv Dna Amp Probe (87529)
range across 3 matching MRF lines
$265.60–$281.60 $332–$352 varies
Htlv-I Antibody (86687) $404 $505 44.4×
Hydroxycorticosteroids 17 (83491) $122.40 $153 6.8×
Hydroxyprogesterone 17-d (83498) $132 $165 4.9×
Hydroxyproline total (83505) $62.40 $78 2.6×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $63.20 $79 6.1×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $138.40 $173 3.9×
Iaad ia shiga-like toxin (87427) $111.20 $139 9.3×
Iaad Ia Streptococcus Group A (87430) $59.20 $74 3.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $518.40 $648 14.8×
Iadna Candida Species Amplified Probe Tq (87481) $224 $280 6.4×
Iadna chlamydia pneumoniae amplified probe tq (87486) $323.20 $404 9.2×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $528 $660 15.0×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $537.60 $672 7.7×
Iadna Hepatitis B Virus Quantification (87517) $217.60 $272 5.1×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 2 matching MRF lines
$340.80–$438.40 $426–$548 varies
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $193.60 $242 5.5×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $620.80 $776 8.1×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $300 $375 7.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $579.20 $724 16.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 3 matching MRF lines
$108–$136.80 $135–$171 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593)
range across 2 matching MRF lines
$50.40–$190.40 $63–$238 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $500.80 $626 3.5×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $588 $735 2.2×
Ig Light Chains Free Each (83521)
range across 4 matching MRF lines
$110.40–$240 $138–$300 varies
Igg subclasses (82787) $41.60 $52 5.2×
Igh gene rearrange amp meth (81261) $630.40 $788 3.2×
Igk rearrangeabn clonal pop (81264) $630.40 $788 3.6×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines
$164–$346.40 $205–$433 varies
Immune Complex Assay (86332) $148 $185 6.1×
Immunfix e-phorsis/urine/csf (86335) $141.60 $177 4.8×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 17 matching MRF lines
$40.80–$1,302.40 $51–$1,628 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 19 matching MRF lines
$7.20–$140.80 $9–$176 varies
Immunoassay nonantibody (83516)
range across 19 matching MRF lines
$80–$1,147.20 $100–$1,434 varies
Immunodiffusion not elsewhere specified (86329) $162.40 $203 11.6×
Immunodiffusion Ouchterlony (86331) $86.40 $108 7.2×
Immunofixation electrophoresis (86334) $144 $180 6.4×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 3 matching MRF lines
$56–$224 $70–$280 varies
Immunohistochemistry (88342) $182.40 $228 1.1×
In situ hybridization 1st probe stain (88365) $124 $155 0.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336)
range across 2 matching MRF lines
$48.80–$50.40 $61–$63 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $138.40 $173 2.0×
Influenza a/b ag eia (87400) $68 $85 4.8×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$51.20–$55.20 $64–$69 varies
Influenza DNA amp probe (87502) $429.60 $537 4.5×
Inhibin A (86336) $42.40 $53 2.7×
Inhibin b (83520)
range across 35 matching MRF lines
$40.80–$401.60 $51–$502 varies
Insitu hybridization manual (88368) $496.80 $621 1.4×
Insulin antibodies (86337) $70.40 $88 3.3×
Insulin total (83525) $90.40 $113 7.9×
Intrinsic factor (stomach protein) level (83528) $88 $110 4.4×
Intrinsic factor antibody (86340) $117.60 $147 7.8×
Iron (83540) $64.80 $81 10.0×
Irradiation Blood Product Each Unit (86945) $133.60 $167 3.6×
Islet cell antibody (86341)
range across 4 matching MRF lines
$40–$131.20 $50–$164 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 5 matching MRF lines
$439.20–$619.20 $549–$774 varies
Jak2 Gene Trgt Sequence Alys (81279) $600.80 $751 3.2×
Ketosteroids 17 total (83586) $89.60 $112 7.0×
Koh Prep (87220) $44.80 $56 10.5×
Lactate (ld) (ldh) enzyme (83615) $47.20 $59 7.8×
Lactoferrin fecal qualitative (83630) $89.60 $112 4.5×
Ldh Isoenzymes (83625) $166.40 $208 13.0×
LDL direct (83721) $68 $85 6.5×
Lead (83655)
range across 3 matching MRF lines
$52.80–$216.80 $66–$271 varies
Legionella antibody (86713) $203.20 $254 13.3×
Legionella antigen urine (87449)
range across 7 matching MRF lines
$36.80–$448 $46–$560 varies
Leukocyte Assessment Fecal (89055) $41.60 $52 9.7×
Leukocyte Histamine Release (86343) $231.20 $289 18.6×
Level I Surg Pathology Gross Examination Only (88300) $61.60 $77 2.1×
Level ii surg pathology gross&microscopic exam (88302) $107.20 $134 2.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $527.20 $659 1.5×
Lidocaine (80176) $85.60 $107 5.8×
Lipase (83690)
range across 2 matching MRF lines
$31.20–$68.80 $39–$86 varies
Lipoprotein A (83695) $106.40 $133 7.4×
Lipoprotein Bld Quan Part (83704)
range across 3 matching MRF lines
$40.80–$107.20 $51–$134 varies
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $100.80 $126 9.0×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701)
range across 2 matching MRF lines
$76–$98.40 $95–$123 varies
Lipoprotein-Associated Phospholipase A2 (83698) $162.40 $203 3.5×
Lithium (80178) $56 $70 8.5×
Liver ds alys 3 bmrk srm alg (81517) $646.40 $808 3.7×
Luteinizing Hormone (Lh) (83002) $137.60 $172 7.4×
Lyme disease antibody (86618) $193.60 $242 11.4×
Lymphocyte transformation (86353) $223.20 $279 4.6×
Lysozyme serum (85549) $108 $135 5.8×
M. Genitalium Amp Probe (87563) $192.80 $241 5.5×
Macroscopic exam arthropod (87168)
range across 3 matching MRF lines
$79.20–$88 $99–$110 varies
Macroscopic Exam Parasite (87169) $38.40 $48 8.9×
Magnesium Urine (83735)
range across 5 matching MRF lines
$54.40–$92 $68–$115 varies
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines
$146.40–$596.80 $183–$746 varies
Mercury urine (83825)
range across 3 matching MRF lines
$100.80–$216.80 $126–$271 varies
Metabolic panel ionized ca (80047) $95.20 $119 6.9×
Methylmalonic acid serum (83921) $97.60 $122 4.6×
Microalbumin, quantitative (82043) $86.40 $108 14.9×
Microsomal Antibodies Each (86376) $83.20 $104 5.7×
Mitochondrial Antibody Each (86381) $84 $105 3.3×
Mlh1 Gene (81288) $704 $880 3.7×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $692.80 $866 3.4×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $692.80 $866 1.0×
Molecular Cytogenetics Dna Probe Each (88271) $92 $115 4.3×
Molecular Pathology Procedure Level 6 (81405) $432.80 $541 1.4×
Mopath procedure level 2 (81401) $948 $1,185 6.9×
Mopath procedure level 4 (81403) $461.60 $577 2.5×
Mopath procedure level 5 (81404) $432.80 $541 1.6×
Mopath procedure level 7 (81406) $432.80 $541 1.5×
Mpl gene analysis sequence analysis exon 10 (81339) $452.80 $566 2.4×
Mrsa Pcr (87641)
range across 2 matching MRF lines
$157.60–$168.80 $197–$211 varies
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $692.80 $866 3.2×
Msh2 Gene Analysis Full Sequence Analysis (81295) $692.80 $866 1.8×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $692.80 $866 2.9×
Msh6 Gene Analysis Full Sequence Analysis (81298) $692.80 $866 1.1×
Mthfr Gene Analysis Common Variants (81291) $526.40 $658 8.1×
Mucin Clot Body Fluid (83872) $76.80 $96 13.1×
Mucopolysaccharides acid quantitative (83864) $153.60 $192 5.4×
Mumps antibody (86735)
range across 4 matching MRF lines
$40–$94.40 $50–$118 varies
Muscle-Specific Kinase Antb (86366) $1,865.60 $2,332 101.4×
Mycobacteric Identification (87118) $193.60 $242 13.3×
Mycophenolic Acid (80180) $132 $165 7.3×
Mycoplasma antibody (86738) $98.40 $123 7.4×
Mycoplasma culture (87109) $128 $160 8.3×
Myelin basic protein csf (83873) $203.20 $254 11.8×
Myoglobin urine (83874) $72 $90 5.6×
Natriuretic peptide (83880) $188.80 $236 4.8×
Neurofilament light chain (83884) $465.60 $582 4.0×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $311.20 $389 10.7×
Nfct Agent Genotype Hepatitis B Virus (87912) $710.40 $888 2.8×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $516.80 $646 3.6×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $789.60 $987 6.1×
Niacin (84591)
range across 3 matching MRF lines
$128–$180.80 $160–$226 varies
Nickel level (83885) $101.60 $127 4.1×
Nuclear antigen antibody (86235)
range across 20 matching MRF lines
$83.20–$205.60 $104–$257 varies
Occult blood feces (82272) $29.60 $37 7.0×
Occult Blood Other Sources (82271) $46.40 $58 8.7×
Oligoclonal bands (83916) $282.40 $353 10.3×
Onco (Ovarian) Biochemical Assay Two Proteins (81500) $1,897.60 $2,372 7.3×
Organic Acids Qualitative Each Specimen (83919) $160.80 $201 9.8×
Organic acids urine (83918) $240 $300 10.2×
Osmolality serum (83930) $62.40 $78 9.4×
Osmolality Urine (83935) $61.60 $77 9.0×
Osmotic fragility rbc incubated (85557) $89.60 $112 6.7×
Osteocalcin (83937) $92 $115 3.1×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$25.60–$64 $32–$80 varies
Oxalate urine (83945)
range across 4 matching MRF lines
$30.40–$113.60 $38–$142 varies
Palb2 gene full gene seq (81307) $432.80 $541 0.6×
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines
$61.60–$188 $77–$235 varies
Parvovirus antibody (86747) $152 $190 10.1×
Path Consltj Surg Cytologic Exam Initial Site (88333) $1,204.80 $1,506 1.5×
Ph urine (81003)
range across 4 matching MRF lines
$10.40–$18.40 $13–$23 varies
Phenobarbital Level (80184) $102.40 $128 6.7×
Phenotype Infect Agent Drug (87900) $272 $340 2.1×
Phenytoin (Dilantin) (80185) $108 $135 8.2×
Phenytoin free (80186) $89.60 $112 6.5×
Phosphatase alkaline (84075) $43.20 $54 8.3×
Phospholipid Neutralization Hexagonal (85598) $186.40 $233 10.4×
Phosphorus Serum (84100) $39.20 $49 8.3×
Phosphorus urine (84105)
range across 3 matching MRF lines
$18.40–$30.40 $23–$38 varies
Pinworm exam (87172) $58.40 $73 13.7×
Platelet Aggregation (85576) $84 $105 3.4×
Platelet Antibodies (86022)
range across 4 matching MRF lines
$132.80–$212 $166–$265 varies
Platelet count automated (85049) $45.60 $57 10.2×
Platelet neutralization (85597) $186.40 $233 10.4×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $692.80 $866 3.4×
Pms2 gene full seq analysis (81317) $692.80 $866 1.0×
Pneumcysts jirovecii amp prb (87594) $474.40 $593 13.5×
Pooling blood platelets (86965) $1,619.20 $2,024 9.5×
Porphobilinogen Urine Qualitative (84106)
range across 2 matching MRF lines
$45.60–$2,166.40 $57–$2,708 varies
Porphobilinogen, urine; quantitative (84110) $97.60 $122 11.6×
Porphyrins Urine Quantitation & Fractionation (84120) $100.80 $126 6.9×
Potassium Urine (84133)
range across 2 matching MRF lines
$18.40–$30.40 $23–$38 varies
Prealbumin (84134) $108 $135 7.4×
Pregnancy-Associated Plasma Protein-A (84163) $120 $150 8.0×
Pregnenolone (84140) $166.40 $208 8.1×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $140.80 $176 2.4×
Primidone (80188) $92.80 $116 5.6×
Procalcitonin (Pct) (84145) $116 $145 4.3×
Progesterone (84144) $111.20 $139 5.3×
Prolactin (84146)
range across 2 matching MRF lines
$80–$175.20 $100–$219 varies
Prostaglandin (84150) $459.20 $574 11.0×
Protein body fluid (84157) $48 $60 12.0×
Protein C Activity (85303) $267.20 $334 19.3×
Protein c antigen (85302) $303.20 $379 25.2×
Protein Electrophoresis Urine (84166)
range across 3 matching MRF lines
$109.60–$112.80 $137–$141 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $112.80 $141 10.5×
Protein S Free (85306)
range across 2 matching MRF lines
$284–$296 $355–$370 varies
Protein s total (85305) $303.20 $379 26.1×
Protein Total Refractometry Any Src (84160) $24 $30 4.3×
Protein total serum (84155) $39.20 $49 10.7×
Protein Total Urine (84156)
range across 4 matching MRF lines
$48.80–$107.20 $61–$134 varies
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$164–$166.40 $205–$208 varies
Protoporphyrin rbc quantitative (84202) $45.60 $57 3.2×
PSA free (84154)
range across 3 matching MRF lines
$104–$122.40 $130–$153 varies
Pten Gene Analysis Duplication/Deletion Variant (81323) $432.80 $541 1.4×
Pten Gene Analysis Full Sequence Analysis (81321) $432.80 $541 0.7×
Pth Intact (83970)
range across 4 matching MRF lines
$152–$228.80 $190–$286 varies
Pyruvate kinase (84220) $140.80 $176 14.9×
Quantiferon tb gold plus (86480) $234.40 $293 3.8×
Quantitative assay drug (80299)
range across 14 matching MRF lines
$63.20–$246.40 $79–$308 varies
Quantitative Screen Metals (83018) $111.20 $139 5.1×
Quinidine (80194) $92.80 $116 6.4×
Rbc antibody elution (86860) $154.40 $193 0.9×
Rbc antibody identification (86870) $280 $350 0.8×
Rbc antibody screen (86850) $83.20 $104 8.5×
Rbc pretreatment serum (86978) $204 $255 3.5×
Rbc pretx incubatj w/enzymes (86971) $85.60 $107 0.5×
Receptor assay estrogen (84233) $650.40 $813 7.4×
Receptor assay progesterone (84234) $650.40 $813 10.0×
Renin activity plasma (84244) $84 $105 3.8×
Resp virus 12-25 targets (87633) $3,052.80 $3,816 7.3×
Resp Virus 6-11 Targets (87632) $2,031.20 $2,539 9.3×
Reticulated Platelet Assay (85055) $77.60 $97 2.2×
Reticulocyte separation (86972) $112.80 $141 0.7×
Rh (86901) $40.80 $51 13.6×
Rheumatoid Factor Qualitative (86430) $43.20 $54 7.0×
Rheumatoid factor quant (86431) $56 $70 9.9×
Rickettsia antibody (86757)
range across 6 matching MRF lines
$95.20–$163.20 $119–$204 varies
Ristocetin cofactor (85245) $133.60 $167 5.8×
Rotavirus ag eia (87425) $114.40 $143 9.5×
Rpr qualitative (86592) $48 $60 11.2×
Rsv Assay W/Optic (87807) $171.20 $214 13.1×
Rubella Antibody (86762) $72.80 $91 5.1×
Rubeola antibody (86765) $105.60 $132 8.2×
Russell Viper Venom Time Diluted (85613) $97.60 $122 10.2×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$120.80–$144 $151–$180 varies
Sars-cov-2 COVID-19 antibody (86769) $156.80 $196 3.7×
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines
$44–$46.40 $55–$58 varies
Selenium (84255) $133.60 $167 5.2×
Semen Anal Sperm Detection (89321) $71.20 $89 5.9×
Sensitivity mic (87186)
range across 5 matching MRF lines
$8–$258.40 $10–$323 varies
Sex Hormone Binding Globulin (84270) $122.40 $153 5.6×
Sickling of rbc reduction (85660) $64 $80 11.6×
Sirolimus (80195) $94.40 $118 6.9×
Skin test tuberculosis intradermal (86580)
range across 3 matching MRF lines
$25.60–$38.40 $32–$48 varies
Smear acid fast (87206) $50.40 $63 9.4×
Smear complex stain (87209)
range across 2 matching MRF lines
$24–$44.80 $30–$56 varies
Smear gram stain (87205)
range across 5 matching MRF lines
$15.20–$69.60 $19–$87 varies
Smear Special Stain (87207)
range across 2 matching MRF lines
$16–$48 $20–$60 varies
Smn1 Gene Dos/Deletion Alys (81329) $819.20 $1,024 6.0×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 3 matching MRF lines
$56.80–$58.40 $71–$73 varies
Sodium Serum (84295) $39.20 $49 8.1×
Sodium Urine (84300) $44 $55 8.7×
Soluble Transferrin Receptor (84238)
range across 2 matching MRF lines
$162.40–$186.40 $203–$233 varies
Somatomedin (84305)
range across 2 matching MRF lines
$112.80–$162.40 $141–$203 varies
Special Stains Group 1 (88312) $176 $220 3.4×
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$93.60–$159.20 $117–$199 varies
Specific gravity body fluid (84315) $16.80 $21 5.1×
Specimen infect agnt concntj (87015)
range across 4 matching MRF lines
$23.20–$56 $29–$70 varies
Spectrophotometry (84311)
range across 6 matching MRF lines
$31.20–$268.80 $39–$336 varies
Sperm Antibodies (89325) $202.40 $253 19.0×
Staph a DNA amp probe (87640) $141.60 $177 4.0×
Stool cultr aerobic bact ea (87046)
range across 6 matching MRF lines
$4.80–$84 $6–$105 varies
Strep a assay w/optic (87880)
range across 2 matching MRF lines
$34.40–$102.40 $43–$128 varies
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $29.60 $37 0.3×
Sulfate urine (84392)
range across 3 matching MRF lines
$33.60–$260.80 $42–$326 varies
Surg path level iii (88304) $136.80 $171 2.6×
Surgical pathology level IV (88305) $232.80 $291 4.5×
Surgical pathology level vi (88309) $471.20 $589 0.6×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 3 matching MRF lines
$116.80–$403.20 $146–$504 varies
Susceptibility Study Antimicrobial Disk Method (87184)
range across 2 matching MRF lines
$28.80–$112 $36–$140 varies
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $52.80 $66 7.2×
Syphilis Test Non-Trep Quant (86593) $35.20 $44 8.0×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $221.60 $277 4.7×
T cells total count (86359) $152 $190 4.0×
T3 Free (84481) $111.20 $139 6.6×
T3 reverse (84482)
range across 2 matching MRF lines
$112.80–$139.20 $141–$174 varies
T3 Total (84480) $84 $105 5.9×
T3 Uptake (84479) $111.20 $139 17.2×
T4 Free (84439) $97.60 $122 10.8×
T4 total (84436) $60 $75 8.7×
Tacrolimus (80197) $180.80 $226 13.2×
Tau phosphorylated each (84393) $848.80 $1,061 6.6×
Testosterone Bioavailable (84410) $99.20 $124 1.9×
Testosterone total (84403) $135.20 $169 5.2×
Testosterone, Free (84402) $99.20 $124 3.9×
Tetanus antibody (86774) $140.80 $176 9.5×
Theophylline (80198) $96 $120 6.8×
Thrombin Time (85670)
range across 3 matching MRF lines
$45.60–$64.80 $57–$81 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $169.60 $212 26.2×
Thyroglobulin (84432) $86.40 $108 5.4×
Thyroglobulin Antibody (86800) $89.60 $112 5.6×
Thyroid Stimulating Immunoglobulin (84445) $296 $370 5.8×
Thyroxine binding globulin (84442) $154.40 $193 10.4×
Tiss Trnsgltmnase Ea Ig Clas (86364) $84 $105 7.3×
Tissue culture bone marrow (88237) $346.40 $433 2.4×
Tissue Culture Lymphocyte (88230)
range across 2 matching MRF lines
$147.20–$513.60 $184–$642 varies
Tobramycin peak (80200) $157.60 $197 9.8×
Topiramate (80201) $137.60 $172 11.5×
Touch prep (88161) $64 $80 2.2×
Toxoplasma ab igm (86778) $74.40 $93 5.2×
Toxoplasma antibody (86777) $77.60 $97 5.4×
Tp53 gene analysis full gene sequence (81351) $432.80 $541 0.7×
Tp53 gene analysis targeted sequence analysis (81352) $1,810.40 $2,263 5.5×
Tpmt gene com variants (81335) $369.60 $462 2.1×
Transferase Aspartate Amino Ast Sgot (84450) $39.20 $49 7.6×
Transferrin (84466) $87.20 $109 6.8×
Trb@ Rearrangement Anal Amplification Method (81340) $776 $970 3.7×
Trg gene rearrangement anal (81342) $776 $970 3.9×
Trichinella Antibody (86784) $120.80 $151 9.6×
Trichomonas Vaginalis Amplif (87661) $258.40 $323 7.4×
Triglycerides (84478)
range across 4 matching MRF lines
$45.60–$59.20 $57–$74 varies
Troponin Quant (84484) $114.40 $143 9.2×
Tumor Immunohistochem/Manual (88360) $301.60 $377 1.8×
Unlisted Transfusion Medicine Procedure (86999)
range across 3 matching MRF lines
$189.60–$784.80 $237–$981 varies
Urea Nitrogen Clearance (84545) $104.80 $131 14.6×
Urea nitrogen urine (84540) $36.80 $46 6.6×
Uric acid other source (84560)
range across 4 matching MRF lines
$31.20–$124 $39–$155 varies
Urinalysis Microscopic Only (81015) $23.20 $29 7.6×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $24.80 $31 11.4×
Urinalysis Volume Measure (81050) $17.60 $22 4.8×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$32.80–$60.80 $41–$76 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $25.60 $32 8.1×
Urobilinogen urine qual (84578) $28.80 $36 6.4×
Valproic acid (80164) $127.20 $159 9.4×
Vancomycin (80202)
range across 2 matching MRF lines
$132–$170.40 $165–$213 varies
Varicella-zoster antibody (86787) $95.20 $119 7.4×
Very Long Chain Fatty Acids (82726) $392 $490 19.8×
Viral Culture (87252) $208.80 $261 8.0×
Virus antibody nos (86790)
range across 5 matching MRF lines
$54.40–$138.40 $68–$173 varies
Virus inoculate tissue addl (87253) $72 $90 3.6×
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $52 $65 2.7×
Viscosity serum (85810) $84.80 $106 7.3×
Vit D 1 25-Dihydroxy (82652) $91.20 $114 2.4×
Vitamin A (84590) $65.60 $82 5.7×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$112.80–$143.20 $141–$179 varies
Vitamin B2 (Riboflavin) (84252) $151.20 $189 7.5×
Vitamin B6 (84207) $96 $120 3.4×
Vitamin c (82180) $44 $55 4.4×
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines
$116.80–$160 $146–$200 varies
Vitamin E (84446) $80 $100 5.6×
Vitamin K (84597) $104.80 $131 7.6×
Volatiles (84600)
range across 3 matching MRF lines
$89.60–$150.40 $112–$188 varies
Von willebrand factor ag (85246) $131.20 $164 5.7×
Wbc Alkaline Phosphatase Count (85540) $128 $160 14.9×
West nile virus ab igm (86788)
range across 2 matching MRF lines
$71.20–$95.20 $89–$119 varies
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$58.40–$95.20 $73–$119 varies
Xylose Absorption Test (84620) $162.40 $203 12.6×
Zinc (84630) $62.40 $78 5.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.