Lab & pathology prices at Sheridan Memorial Hospital
Sheridan, WY · every code in this section with a posted price and a Medicare benchmark.
628 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $182.40 | $228 | 4.7× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) range across 2 matching MRF lines |
$115.20–$203.20 | $144–$254 | varies |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$64.80–$311.20 | $81–$389 | varies |
| Acylcarnitines Quant (82017) | $159.20 | $199 | 9.4× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $25.60 | $32 | 1.6× |
| Adenovirus antibody (86603) | $25.60 | $32 | 2.0× |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$74.40–$198.40 | $93–$248 | varies |
| Albumin serum (82040) range across 3 matching MRF lines |
$7.20–$27.20 | $9–$34 | varies |
| Aldolase (82085) range across 2 matching MRF lines |
$12–$72.80 | $15–$91 | varies |
| Aldosterone urine (82088) range across 3 matching MRF lines |
$39.20–$228.80 | $49–$286 | varies |
| Alkaline phosphatase isoenzymes (84080) | $75.20 | $94 | 5.1× |
| Allergen specific ige (86003) range across 8 matching MRF lines |
$7.20–$100 | $9–$125 | varies |
| Allergen specific igg (86001) | $56.80 | $71 | 7.3× |
| Alpha-1-antitrypsin total (82103) | $68.80 | $86 | 5.1× |
| Alpha-Fetoprotein Serum (82105) | $79.20 | $99 | 4.7× |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$7.20–$34.40 | $9–$43 | varies |
| Aluminum (82108) | $104.80 | $131 | 4.1× |
| Amikacin trough (80150) range across 3 matching MRF lines |
$50.40–$55.20 | $63–$69 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $148.80 | $186 | 8.8× |
| Ammonia (82140) range across 2 matching MRF lines |
$20–$62.40 | $25–$78 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $269.60 | $337 | 2.7× |
| Amylase urine (82150) range across 3 matching MRF lines |
$9.60–$52 | $12–$65 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$12–$49.60 | $15–$62 | varies |
| Androstenedione (82157) | $177.60 | $222 | 6.1× |
| Angiotensin converting enzyme csf (82164) | $85.60 | $107 | 5.9× |
| Anti-Phospholipid Antibody (86148) | $140.80 | $176 | 8.8× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$17.60–$136.80 | $22–$171 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 3 matching MRF lines |
$17.60–$56.80 | $22–$71 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $70.40 | $88 | 4.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $72.80 | $91 | 4.3× |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$26.40–$88.80 | $33–$111 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 2 matching MRF lines |
$96–$116.80 | $120–$146 | varies |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$95.20–$102.40 | $119–$128 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$72–$95.20 | $90–$119 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $64.80 | $81 | 5.3× |
| Antibody helicobacter pylori (86677) range across 4 matching MRF lines |
$23.20–$160 | $29–$200 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$45.60–$93.60 | $57–$117 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $64.80 | $81 | 4.7× |
| Antibody HIV-2 (86702) | $272.80 | $341 | 20.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $222.40 | $278 | 11.5× |
| Antibody identification leukocyte antibodies (86021) | $105.60 | $132 | 7.0× |
| Antibody Lymphocytic Choriomeningitis (86727) | $25.60 | $32 | 2.0× |
| Antibody Titer (86886) | $190.40 | $238 | 36.8× |
| Antibody Treponema Pallidum (86780) | $68.80 | $86 | 5.2× |
| Antibody; encephalitis, st. louis (86653) range across 2 matching MRF lines |
$26.40–$96 | $33–$120 | varies |
| Antibody; influenza virus (86710) range across 2 matching MRF lines |
$55.20–$56.80 | $69–$71 | varies |
| Antigen typing (86905) | $556.80 | $696 | 145.4× |
| Antinuclear antibodies (86038) range across 7 matching MRF lines |
$16.80–$96.80 | $21–$121 | varies |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$39.20–$92.80 | $49–$116 | varies |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$133.60–$184 | $167–$230 | varies |
| Antithrombin iii antigen (85301) | $184.80 | $231 | 17.1× |
| Apolipoprotein a1 (82172) | $92.80 | $116 | 4.4× |
| Arsenic (82175) | $91.20 | $114 | 4.8× |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$132.80–$140.80 | $166–$176 | varies |
| Assay Blood Carbon Dioxide (82374) | $23.20 | $29 | 4.8× |
| Assay Nephelometry Not Spec (83883) | $148 | $185 | 10.9× |
| Assay of 5-hiaa (83497) | $43.20 | $54 | 3.3× |
| Assay of b-hexosaminidase each assay (83080) | $252 | $315 | 14.9× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$6.40–$27.20 | $8–$34 | varies |
| Assay of calcium in urine (82340) | $28 | $35 | 4.6× |
| Assay of cpk in blood (82552) | $101.60 | $127 | 7.6× |
| Assay of estrone (82679) | $84 | $105 | 3.4× |
| Assay of g6pd enzyme (82955) | $184 | $230 | 19.0× |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$12.80–$53.60 | $16–$67 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$53.60–$62.40 | $67–$78 | varies |
| Assay of metanephrines (83835) | $101.60 | $127 | 6.0× |
| Assay of proinsulin (84206) | $131.20 | $164 | 4.9× |
| Assay of pyruvate (84210) | $61.60 | $77 | 4.3× |
| Assay of serotonin (84260) | $104 | $130 | 3.4× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$7.20–$23.20 | $9–$29 | varies |
| Assay of sweat sodium (84302) | $65.60 | $82 | 13.5× |
| Assay of Tyrosine (84510) | $106.40 | $133 | 10.0× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$5.60–$20.80 | $7–$26 | varies |
| Assay of urine vma (84585) | $104.80 | $131 | 6.8× |
| Assay of vasoactive intestinal peptide (84586) | $292.80 | $366 | 8.3× |
| Assay of vitamin b-1 (84425) | $100 | $125 | 4.7× |
| Assay Ph Body Fluid Nos (83986) | $19.20 | $24 | 5.4× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $303.20 | $379 | 1.7× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$4.80–$14.40 | $6–$18 | varies |
| B cells total count (86355) | $52.80 | $66 | 1.4× |
| Bartonella antibody (86611) | $78.40 | $98 | 7.7× |
| Bcr/abl1 gene major bp (81206) | $550.40 | $688 | 3.4× |
| Bcr/abl1 gene minor bp (81207) | $467.20 | $584 | 3.2× |
| Bcr/Abl1 Gene Other Bp (81208) | $520 | $650 | 2.4× |
| Beta 2 glycoprotein i antibody each (86146) | $108.80 | $136 | 4.3× |
| Beta hydroxybutyrate (82010) | $256.80 | $321 | 31.4× |
| Beta Lactamase (87185) | $254.40 | $318 | 53.6× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$50.40–$139.20 | $63–$174 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $542.40 | $678 | 4.2× |
| Bile acids total (82239) | $57.60 | $72 | 3.4× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$7.20–$24 | $9–$30 | varies |
| Bilirubin total (82247) range across 3 matching MRF lines |
$7.20–$25.60 | $9–$32 | varies |
| Biotinidase (82261) | $68 | $85 | 4.0× |
| Blastomyces antibody (86612) | $52.80 | $66 | 4.1× |
| Bld Typing Serologic Rh Phnt (86906) | $58.40 | $73 | 7.5× |
| Blood Count Red Blood Cell Automated (85041) range across 2 matching MRF lines |
$17.60–$42.40 | $22–$53 | varies |
| Blood count reticulocyte automated (85045) | $72.80 | $91 | 18.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$5.60–$46.40 | $7–$58 | varies |
| Blood count spun microhematocrit (85013) | $34.40 | $43 | 4.9× |
| Blood gas (82803) range across 2 matching MRF lines |
$94.40–$206.40 | $118–$258 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $54.40 | $68 | 3.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$6.40–$18.40 | $8–$23 | varies |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $93.60 | $117 | 14.7× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$116.80–$156 | $146–$195 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$28–$119.20 | $35–$149 | varies |
| Bone marrow smear interpretation (85097) | $140.80 | $176 | 0.2× |
| Bordetella antibody (86615) | $118.40 | $148 | 9.0× |
| Braf gene analysis (81210) range across 2 matching MRF lines |
$291.20–$423.20 | $364–$529 | varies |
| Brucella antibody (86622) range across 2 matching MRF lines |
$76.80–$216.80 | $96–$271 | varies |
| C diff amplified probe (87493) range across 3 matching MRF lines |
$40–$478.40 | $50–$598 | varies |
| C-Peptide (84681) range across 2 matching MRF lines |
$20.80–$146.40 | $26–$183 | varies |
| C-reactive protein (86140) range across 2 matching MRF lines |
$7.20–$24.80 | $9–$31 | varies |
| Ca 19-9 (86301) | $98.40 | $123 | 4.7× |
| Cadmium (82300) | $83.20 | $104 | 3.5× |
| Caffeine (80155) | $105.60 | $132 | 2.7× |
| Calcitonin (82308) | $228 | $285 | 8.5× |
| Calcium ionized (82330) | $143.20 | $179 | 10.5× |
| Calcium total (82310) range across 2 matching MRF lines |
$7.20–$24 | $9–$30 | varies |
| Calculus Spectroscopy (82365) | $89.60 | $112 | 6.9× |
| Calprotectin Fecal (83993) | $239.20 | $299 | 12.2× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$28.80–$144.80 | $36–$181 | varies |
| Cancer Antigen 27.29 (86300) | $170.40 | $213 | 8.2× |
| Candida antibody (86628) range across 2 matching MRF lines |
$72.80–$136.80 | $91–$171 | varies |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$20–$68.80 | $25–$86 | varies |
| Carbohydrate Deficient Transferrin (82373) | $152.80 | $191 | 8.5× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$16.80–$68 | $21–$85 | varies |
| Carcinoembryonic antigen (82378) | $90.40 | $113 | 4.8× |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$90.40–$152.80 | $113–$191 | varies |
| Carnitine Quantitative Each Specimen (82379) | $56.80 | $71 | 3.4× |
| Catecholamines fractionated (82384) | $185.60 | $232 | 7.4× |
| Ccp antibody (86200) range across 4 matching MRF lines |
$18.40–$98.40 | $23–$123 | varies |
| Cell count csf (89051) range across 2 matching MRF lines |
$26.40–$56.80 | $33–$71 | varies |
| Ceruloplasmin (82390) | $72.80 | $91 | 6.8× |
| Cftr gene com variants (81220) | $1,528 | $1,910 | 2.7× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$80.80–$178.40 | $101–$223 | varies |
| Chlamydia antibody (86631) range across 3 matching MRF lines |
$16.80–$110.40 | $21–$138 | varies |
| Chlamydia Igm Antibody (86632) range across 3 matching MRF lines |
$17.60–$61.60 | $22–$77 | varies |
| Chloride other source (82438) | $65.60 | $82 | 13.1× |
| Chloride Serum (82435) | $21.60 | $27 | 4.7× |
| Chloride urine (82436) | $24 | $30 | 4.2× |
| Cholesterol total (82465) | $22.40 | $28 | 5.1× |
| Cholinesterase rbc (82482) | $40.80 | $51 | 4.2× |
| Cholinesterase Serum (82480) | $41.60 | $52 | 5.3× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$20.80–$78.40 | $26–$98 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) range across 3 matching MRF lines |
$256.80–$1,076 | $321–$1,345 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) | $134.40 | $168 | 3.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 3 matching MRF lines |
$45.60–$216 | $57–$270 | varies |
| Chromium serum (82495) | $101.60 | $127 | 5.0× |
| Chromogranin a (86316) | $131.20 | $164 | 6.3× |
| Chromosome Analysis 15-20 (88262) range across 3 matching MRF lines |
$425.60–$486.40 | $532–$608 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 6 matching MRF lines |
$48–$139.20 | $60–$174 | varies |
| Citric acid urine (82507) | $93.60 | $117 | 3.4× |
| Ckmb (82553) | $54.40 | $68 | 4.7× |
| Clostridium Difficile (87324) range across 3 matching MRF lines |
$16.80–$360 | $21–$450 | varies |
| Clot Factor VIII Multimetric (85247) | $110.40 | $138 | 4.8× |
| Clotting factor xii hageman (85280) | $163.20 | $204 | 8.4× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$208–$364 | $260–$455 | varies |
| Cns DNA amp probe type 12-25 (87483) | $986.40 | $1,233 | 2.4× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$6.40–$48 | $8–$60 | varies |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$64–$136.80 | $80–$171 | varies |
| Cold agglutinin titer (86157) | $56 | $70 | 6.9× |
| Collagen crosslinks (82523) | $112 | $140 | 6.0× |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$68–$508 | $85–$635 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $744.80 | $931 | 3.2× |
| Compatibility test antiglob (86922) | $176.80 | $221 | 1.0× |
| Complement Antigen Each Component (86160) | $65.60 | $82 | 5.5× |
| Complement Total (Ch50) (86162) | $165.60 | $207 | 8.1× |
| Coombs direct (86880) | $88 | $110 | 16.3× |
| Copper urine (82525) | $72 | $90 | 5.8× |
| Cortisol free (82530) range across 2 matching MRF lines |
$120.80–$195.20 | $151–$244 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$22.40–$190.40 | $28–$238 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$9.60–$31.20 | $12–$39 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$7.20–$25.60 | $9–$32 | varies |
| Creatinine clearance (82575) | $44 | $55 | 4.7× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$7.20–$24.80 | $9–$31 | varies |
| Crossmatch immediate spin (86920) | $144 | $180 | 0.8× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$18.40–$61.60 | $23–$77 | varies |
| Cryoglobulin (82595) | $42.40 | $53 | 6.6× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$22.40–$175.20 | $28–$219 | varies |
| Cryptosporidium ag eia (87328) | $66.40 | $83 | 4.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$11.20–$107.20 | $14–$134 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$11.20–$152 | $14–$190 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $91.20 | $114 | 11.8× |
| Culture aerobic quant other (87071) range across 2 matching MRF lines |
$13.60–$94.40 | $17–$118 | varies |
| Culture afb (87116) | $81.60 | $102 | 7.6× |
| Culture Anaerobic (87075) | $91.20 | $114 | 9.6× |
| Culture blood (87040) range across 2 matching MRF lines |
$14.40–$52 | $18–$65 | varies |
| Culture chlamydia (87110) range across 3 matching MRF lines |
$20–$185.60 | $25–$232 | varies |
| Culture csf (87070) range across 2 matching MRF lines |
$12–$73.60 | $15–$92 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$96.80–$124.80 | $121–$156 | varies |
| Culture fungus blood (87103) | $52 | $65 | 2.5× |
| Culture screen only (87081) range across 2 matching MRF lines |
$9.60–$60.80 | $12–$76 | varies |
| Culture stool (87045) | $65.60 | $82 | 6.9× |
| Culture typing if ea antiserum (87140) range across 4 matching MRF lines |
$8–$55.20 | $10–$69 | varies |
| Cyanide (82600) | $103.20 | $129 | 5.3× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$139.20–$264.80 | $174–$331 | varies |
| Cystatin C (82610) | $51.20 | $64 | 2.8× |
| Cytogenetics 100-300 (88275) | $114.40 | $143 | 2.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $3,185.60 | $3,982 | 2.7× |
| Cytomegalovirus igg (86644) | $72.80 | $91 | 5.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $315.20 | $394 | 5.9× |
| Deoxycortisol (82634) | $93.60 | $117 | 3.2× |
| Deoxyribonuclease antibody (86215) | $135.20 | $169 | 10.2× |
| Detect Agent Nos Dna Amp (87798) range across 12 matching MRF lines |
$53.60–$567.20 | $67–$709 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$239.20–$593.60 | $299–$742 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$486.40–$800 | $608–$1,000 | varies |
| Dhea (82626) | $163.20 | $204 | 6.5× |
| Dhea-S (82627) | $148.80 | $186 | 6.7× |
| Dibucaine number (82638) | $44 | $55 | 3.6× |
| Digoxin (80162) range across 2 matching MRF lines |
$18.40–$62.40 | $23–$78 | varies |
| Dihydrotestosterone (82642) | $89.60 | $112 | 3.1× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $768.80 | $961 | 5.6× |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$19.20–$103.20 | $24–$129 | varies |
| Dna/Rna Amplified Probe (87150) range across 4 matching MRF lines |
$42.40–$146.40 | $53–$183 | varies |
| Dna/Rna Sequencing (87153) | $392.80 | $491 | 3.4× |
| Drug assay adalimumab (80145) | $391.20 | $489 | 10.1× |
| Drug Assay Everolimus (80169) | $171.20 | $214 | 12.5× |
| Drug assay felbamate (80167) | $151.20 | $189 | 8.1× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$300–$643.20 | $375–$804 | varies |
| Drug Assay Lacosamide (80235) | $229.60 | $287 | 8.5× |
| Drug Assay Posaconazole (80187) | $146.40 | $183 | 5.4× |
| Drug assay voriconazole (80285) | $264 | $330 | 9.7× |
| Drug Screen Quant Clozapine (80159) | $234.40 | $293 | 11.6× |
| Drug Screen Quant Zonisamide (80203) | $171.20 | $214 | 12.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $152 | $190 | 11.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $79.20 | $99 | 6.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $166.40 | $208 | 12.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$84.80–$183.20 | $106–$229 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$5.60–$36 | $7–$45 | varies |
| Egfr Gene Analysis Common Variants (81235) | $1,164 | $1,455 | 3.6× |
| Ehrlichia antibody (86666) | $104.80 | $131 | 10.3× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$9.60–$101.60 | $12–$127 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $168.80 | $211 | 2.7× |
| Encephaltis East Eqne Anbdy (86652) range across 6 matching MRF lines |
$52.80–$122.40 | $66–$153 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$26.40–$100 | $33–$125 | varies |
| Enterovirus Antibody (86658) range across 3 matching MRF lines |
$26.40–$264 | $33–$330 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$109.60–$333.60 | $137–$417 | varies |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$376.80–$537.60 | $471–$672 | varies |
| Erythropoietin (82668) | $190.40 | $238 | 10.1× |
| Estradiol serum (82670) | $130.40 | $163 | 4.7× |
| Estriol (82677) | $74.40 | $93 | 3.1× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$56–$207.20 | $70–$259 | varies |
| F2 Gene (81240) | $239.20 | $299 | 3.6× |
| Factor ii activity (85210) | $196 | $245 | 15.1× |
| Factor Inhibitor Test (85335) | $266.40 | $333 | 20.7× |
| Factor ix activity (85250) range across 2 matching MRF lines |
$168–$204.80 | $210–$256 | varies |
| Factor v activity (85220) | $188.80 | $236 | 10.7× |
| Factor v leiden mutation (81241) | $232.80 | $291 | 3.2× |
| Factor vii assay (85230) | $188.80 | $236 | 10.5× |
| Factor viii assay (85240) | $92 | $115 | 5.1× |
| Factor X (85260) | $131.20 | $164 | 7.3× |
| Factor xi activity (85270) | $173.60 | $217 | 9.7× |
| Factor xiii screen (85291) | $132.80 | $166 | 14.6× |
| Fat/Lipids Feces Quantitative (82710) | $123.20 | $154 | 7.3× |
| Ferritin (82728) range across 2 matching MRF lines |
$19.20–$64.80 | $24–$81 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$202.40–$422.40 | $253–$528 | varies |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $161.60 | $202 | 3.0× |
| Fetal Fibronectin (82731) | $302.40 | $378 | 4.7× |
| Fetal screen rosette (85461) | $111.20 | $139 | 11.9× |
| Fibrin degradation products (85362) | $79.20 | $99 | 11.5× |
| Fibrin Degradation Quant (85379) range across 3 matching MRF lines |
$14.40–$63.20 | $18–$79 | varies |
| Fibrinogen activity (85384) range across 5 matching MRF lines |
$53.60–$87.20 | $67–$109 | varies |
| Fibrinogen antigen (85385) | $147.20 | $184 | 10.2× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 3 matching MRF lines |
$72–$96.80 | $90–$121 | varies |
| Flecainide level (80181) | $164.80 | $206 | 8.8× |
| Flow cytometry first marker (88184) range across 6 matching MRF lines |
$103.20–$2,587.20 | $129–$3,234 | varies |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$38.40–$616 | $48–$770 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$40.80–$160 | $51–$200 | varies |
| Fmr1 Gene Charac Alleles (81244) | $336 | $420 | 7.5× |
| Fmr1 gene detection (81243) | $352.80 | $441 | 6.2× |
| Folic acid rbc (82747) | $60 | $75 | 3.4× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$20–$68.80 | $25–$86 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$25.60–$88 | $32–$110 | varies |
| Francisella tularensis (86668) | $98.40 | $123 | 6.9× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $74.40 | $93 | 0.4× |
| Frozen Section (88331) | $214.40 | $268 | 1.2× |
| Fungi Identification Mold (87107) range across 3 matching MRF lines |
$111.20–$200 | $139–$250 | varies |
| Fungi Identification Yeast (87106) range across 4 matching MRF lines |
$90.40–$175.20 | $113–$219 | varies |
| Galactose transferase test (82776) | $7.20 | $9 | 0.6× |
| Galectin-3 (82777) | $262.40 | $328 | 5.9× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$22.40–$65.60 | $28–$82 | varies |
| Gases blood ph only (82800) | $68.80 | $86 | 6.3× |
| Gastrin (82941) | $95.20 | $119 | 5.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$365.60–$671.20 | $457–$839 | varies |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$71.20–$98.40 | $89–$123 | varies |
| Gentamicin (80170) | $145.60 | $182 | 8.9× |
| Ggt (82977) range across 3 matching MRF lines |
$8.80–$35.20 | $11–$44 | varies |
| Giardia antigen (87329) | $80 | $100 | 6.7× |
| Glucagon (82943) | $118.40 | $148 | 8.3× |
| Glucose 2 hr pp (82950) | $24 | $30 | 5.1× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$12.80–$36.06 | $16–$45.07 | varies |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$21.60–$51.20 | $27–$64 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$5.60–$25.60 | $7–$32 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$57.60–$64.80 | $72–$81 | varies |
| Glycated Protein (82985) | $50.40 | $63 | 3.0× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$10.40–$38.40 | $13–$48 | varies |
| Gonadotropin releasing hormone (83727) | $301.60 | $377 | 17.5× |
| Growth hormone (83003) | $123.20 | $154 | 7.4× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$26.40–$40 | $33–$50 | varies |
| H Pylori (C-13) Breath (83013) | $226.40 | $283 | 3.4× |
| H pylri clrthmcn rst amp prb (87513) | $776 | $970 | 22.1× |
| Haptoglobin (83010) | $60 | $75 | 4.8× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 2 matching MRF lines |
$571.20–$800 | $714–$1,000 | varies |
| Hdl Cholesterol (83718) | $39.20 | $49 | 4.8× |
| Helicobacter Pylori Stool (87338) | $101.60 | $127 | 7.1× |
| Helminth Antibody (86682) | $207.20 | $259 | 15.9× |
| Hematocrit (85014) range across 3 matching MRF lines |
$4.80–$36 | $6–$45 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$4.80–$16 | $6–$20 | varies |
| Hemoglobin a1c (83036) | $24 | $30 | 2.5× |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$148.80–$283.20 | $186–$354 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$89.60–$201.60 | $112–$252 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $35.20 | $44 | 4.3× |
| Hep a ab igm (86709) range across 3 matching MRF lines |
$16–$100.80 | $20–$126 | varies |
| Hepatitis a antibody total (86708) | $110.40 | $138 | 8.9× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$16.80–$101.60 | $21–$127 | varies |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$19.20–$74.40 | $24–$93 | varies |
| Hepatitis B Surface Antibody (86706) | $82.40 | $103 | 7.7× |
| Hepatitis B Surface Antigen (87340) range across 4 matching MRF lines |
$14.40–$106.40 | $18–$133 | varies |
| Hepatitis Be Antibody (86707) | $148.80 | $186 | 12.9× |
| Hepatitis Be Antigen (87350) | $224 | $280 | 19.4× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$20–$69.60 | $25–$87 | varies |
| Hepatitis C Genotype (87902) | $614.40 | $768 | 2.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$96–$577.60 | $120–$722 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$45.60–$97.60 | $57–$122 | varies |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$7.20–$24.80 | $9–$31 | varies |
| Hfe Gene (81256) | $219.20 | $274 | 3.4× |
| Histoplasma antibody (86698) range across 3 matching MRF lines |
$64–$136.80 | $80–$171 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 3 matching MRF lines |
$32.80–$204 | $41–$255 | varies |
| Hiv-1 Antibody (86701) | $181.60 | $227 | 20.4× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $447.20 | $559 | 5.3× |
| HIV-2 probe&revrse trnscripj (87538) range across 2 matching MRF lines |
$118.40–$393.60 | $148–$492 | varies |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$206.40–$415.20 | $258–$519 | varies |
| Hla-b27 (86812) | $140 | $175 | 5.4× |
| Homocysteine (83090) | $79.20 | $99 | 4.4× |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$50.40–$100 | $63–$125 | varies |
| Homovanillic acid urine (83150) | $116 | $145 | 5.2× |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$34.40–$78.40 | $43–$98 | varies |
| Hpv low-risk types (87623) | $78.40 | $98 | 2.2× |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 2 matching MRF lines |
$36–$100 | $45–$125 | varies |
| Hsv Dna Amp Probe (87529) range across 5 matching MRF lines |
$104.80–$198.40 | $131–$248 | varies |
| Hsv Dna Quant (87530) | $181.60 | $227 | 4.2× |
| Htlv-I Antibody (86687) | $87.20 | $109 | 9.6× |
| Hydroxycorticosteroids 17 (83491) | $102.40 | $128 | 5.7× |
| Hydroxyprogesterone 17-d (83498) | $207.20 | $259 | 7.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $263.20 | $329 | 25.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $56.80 | $71 | 4.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $116 | $145 | 3.3× |
| Iaadi inffluenza a virus (87276) | $148.80 | $186 | 9.3× |
| Iaadi not otherwise specified each organism (87299) | $148.80 | $186 | 9.2× |
| Iaadi parainfluenza virus each type (87279) | $148.80 | $186 | 9.1× |
| Iaadi respiratory synctial virus (87280) | $148.80 | $186 | 11.1× |
| Iaadiadoo trichomonas vaginalis (87808) | $40.80 | $51 | 2.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $184.80 | $231 | 5.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $156 | $195 | 4.4× |
| Iadna Cytomegalovirus Quantification (87497) | $368 | $460 | 8.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $537.60 | $672 | 12.5× |
| Iadna Herpes Virus-6 Quantification (87533) | $504 | $630 | 12.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $118.40 | $148 | 3.4× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $420 | $525 | 8.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $302.40 | $378 | 7.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $184.80 | $231 | 5.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 6 matching MRF lines |
$48–$147.20 | $60–$184 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $72.80 | $91 | 1.4× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $364.80 | $456 | 2.6× |
| Igg subclasses (82787) | $48.80 | $61 | 6.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $403.20 | $504 | 1.1× |
| Immune Complex Assay (86332) | $119.20 | $149 | 4.9× |
| Immunfix e-phorsis/urine/csf (86335) | $147.20 | $184 | 5.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$160.80–$686.40 | $201–$858 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 4 matching MRF lines |
$20.80–$68.80 | $26–$86 | varies |
| Immunoassay nonantibody (83516) range across 7 matching MRF lines |
$16–$1,090.40 | $20–$1,363 | varies |
| Immunodiffusion not elsewhere specified (86329) | $255.20 | $319 | 18.2× |
| Immunodiffusion Ouchterlony (86331) | $56.80 | $71 | 4.7× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$110.40–$197.60 | $138–$247 | varies |
| Immunohistochemistry (88342) | $292.80 | $366 | 1.7× |
| In situ hybridization 1st probe stain (88365) | $515.20 | $644 | 3.0× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $188.80 | $236 | 2.7× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $148.80 | $186 | 10.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) | $181.60 | $227 | 3.1× |
| Influenza assay w/optic (87804) | $45.60 | $57 | 2.8× |
| Inhibin A (86336) | $80 | $100 | 5.1× |
| Inhibin b (83520) range across 6 matching MRF lines |
$42.40–$271.20 | $53–$339 | varies |
| Insitu hybridization auto (88367) range across 4 matching MRF lines |
$672–$2,132 | $840–$2,665 | varies |
| Insitu hybridization manual (88368) | $403.20 | $504 | 1.1× |
| Insulin free (83527) | $81.60 | $102 | 6.3× |
| Insulin total (83525) range across 2 matching MRF lines |
$17.60–$79.20 | $22–$99 | varies |
| Intrinsic factor antibody (86340) | $50.40 | $63 | 3.3× |
| Iron (83540) range across 2 matching MRF lines |
$8.80–$21.60 | $11–$27 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$12–$29.60 | $15–$37 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$143.20–$192 | $179–$240 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $456 | $570 | 5.0× |
| Kras Gene Variants Exon 2 (81275) | $530.40 | $663 | 2.7× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$8.80–$44 | $11–$55 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$27.20–$65.60 | $34–$82 | varies |
| Lamellar Body Count (83664) | $63.20 | $79 | 3.3× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$50.40–$60 | $63–$75 | varies |
| LDL direct (83721) range across 2 matching MRF lines |
$14.40–$44 | $18–$55 | varies |
| Lead (83655) range across 2 matching MRF lines |
$13.60–$31.20 | $17–$39 | varies |
| Legionella antibody (86713) | $74.40 | $93 | 4.9× |
| Legionella antigen urine (87449) | $26.40 | $33 | 2.2× |
| Leptospira antibody (86720) | $137.60 | $172 | 8.5× |
| Leukocyte Histamine Release (86343) | $343.20 | $429 | 27.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $88.80 | $111 | 3.0× |
| Level ii surg pathology grossµscopic exam (88302) | $201.60 | $252 | 5.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $672 | $840 | 1.8× |
| Lipase (83690) range across 2 matching MRF lines |
$9.60–$48.80 | $12–$61 | varies |
| Lipoprotein A (83695) | $43.20 | $54 | 3.0× |
| Lipoprotein Bld Quan Part (83704) | $132 | $165 | 3.9× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $65.60 | $82 | 5.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $118.40 | $148 | 3.5× |
| Lithium (80178) range across 2 matching MRF lines |
$9.60–$64.80 | $12–$81 | varies |
| Luteinizing Hormone (Lh) (83002) | $88 | $110 | 4.8× |
| Lyme disease antibody (86618) | $86.40 | $108 | 5.1× |
| Lymphocyte transformation (86353) | $359.20 | $449 | 7.3× |
| M/phmtrc alys ishquant/semiq (88374) | $899.20 | $1,124 | 5.2× |
| Macroscopic Exam Parasite (87169) | $111.20 | $139 | 25.8× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$9.60–$159.20 | $12–$199 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$162.40–$226.40 | $203–$283 | varies |
| Mecp2 gene dup/delet variant (81304) | $1,260 | $1,575 | 8.4× |
| Mecp2 gene full seq (81302) range across 2 matching MRF lines |
$1,260–$2,208 | $1,575–$2,760 | varies |
| Mercury urine (83825) | $54.40 | $68 | 3.3× |
| Metabolic panel ionized ca (80047) | $65.60 | $82 | 4.8× |
| Methylmalonic acid serum (83921) | $104.80 | $131 | 4.9× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$8–$28 | $10–$35 | varies |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$18.40–$52.80 | $23–$66 | varies |
| Mitochondrial Antibody Each (86381) | $52 | $65 | 2.0× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $720.80 | $901 | 17.7× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 3 matching MRF lines |
$98.40–$577.60 | $123–$722 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $216 | $270 | 5.1× |
| Molecular Pathology Procedure Level 6 (81405) | $887.20 | $1,109 | 2.9× |
| Mononuclear cell antigen (86356) | $138.40 | $173 | 5.2× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$376–$548 | $470–$685 | varies |
| Mopath procedure level 4 (81403) | $586.40 | $733 | 3.2× |
| Mopath procedure level 7 (81406) range across 2 matching MRF lines |
$1,552.80–$2,068 | $1,941–$2,585 | varies |
| Mrsa Pcr (87641) | $160 | $200 | 4.6× |
| Mthfr Gene Analysis Common Variants (81291) | $280 | $350 | 4.3× |
| Mucopolysaccharides acid quantitative (83864) | $512.80 | $641 | 18.0× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$51.20–$113.60 | $64–$142 | varies |
| Mycobacteric Identification (87118) | $169.60 | $212 | 11.6× |
| Mycophenolic Acid (80180) | $252.80 | $316 | 14.0× |
| Mycoplasma antibody (86738) | $36 | $45 | 2.7× |
| Myelin basic protein csf (83873) | $70.40 | $88 | 4.1× |
| Myoglobin urine (83874) | $61.60 | $77 | 4.8× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$53.60–$159.20 | $67–$199 | varies |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$146.40–$160.80 | $183–$201 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) range across 2 matching MRF lines |
$228–$393.60 | $285–$492 | varies |
| Niacin (84591) | $188.80 | $236 | 11.1× |
| Nk cells total count (86357) | $52.80 | $66 | 1.4× |
| Nras gene variants exon 2&3 (81311) | $823.20 | $1,029 | 2.8× |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$24.80–$1,171.20 | $31–$1,464 | varies |
| Obstetric panel (80081) range across 2 matching MRF lines |
$329.60–$346.40 | $412–$433 | varies |
| Occult Blood Other Sources (82271) | $18.40 | $23 | 3.5× |
| Oligoclonal bands (83916) | $143.20 | $179 | 5.2× |
| Organic Acids Qualitative Each Specimen (83919) | $158.40 | $198 | 9.6× |
| Osmolality serum (83930) | $37.60 | $47 | 5.7× |
| Osmolality Urine (83935) | $41.60 | $52 | 6.1× |
| Osmotic fragility rbc incubated (85557) | $200.80 | $251 | 15.0× |
| Ova and parasites smears (87177) range across 4 matching MRF lines |
$10.40–$50.40 | $13–$63 | varies |
| Oxalate urine (83945) | $77.60 | $97 | 5.4× |
| Particle Agglutination Screen Each Antibody (86403) | $46.40 | $58 | 4.0× |
| Parvovirus antibody (86747) | $82.40 | $103 | 5.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $203.20 | $254 | 0.2× |
| Ph urine (81003) range across 2 matching MRF lines |
$4.80–$11.20 | $6–$14 | varies |
| Phenobarbital Level (80184) | $54.40 | $68 | 3.6× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$10.40–$26.40 | $13–$33 | varies |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$18.40–$145.60 | $23–$182 | varies |
| Phenytoin free (80186) | $115.20 | $144 | 8.4× |
| Phosphatase acid prostatic (84066) | $68 | $85 | 7.0× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$7.20–$24.80 | $9–$31 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 3 matching MRF lines |
$194.40–$254.40 | $243–$318 | varies |
| Phosphorus Serum (84100) range across 3 matching MRF lines |
$7.20–$112.80 | $9–$141 | varies |
| Phosphorus urine (84105) | $24.80 | $31 | 4.3× |
| Pinworm exam (87172) | $53.60 | $67 | 12.6× |
| Platelet Aggregation (85576) | $110.40 | $138 | 4.4× |
| Platelet Antibodies (86022) | $206.40 | $258 | 11.2× |
| Platelet count automated (85049) range across 2 matching MRF lines |
$6.40–$70.40 | $8–$88 | varies |
| Platelet neutralization (85597) | $185.60 | $232 | 10.3× |
| Pneumcysts jirovecii amp prb (87594) | $404.80 | $506 | 11.5× |
| Potassium Urine (84133) | $20.80 | $26 | 4.4× |
| Prealbumin (84134) | $68.80 | $86 | 4.7× |
| Pregnenolone (84140) | $112.80 | $141 | 5.5× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $277.60 | $347 | 1.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $166.40 | $208 | 2.8× |
| Primidone (80188) | $101.60 | $127 | 6.1× |
| Procalcitonin (Pct) (84145) | $230.40 | $288 | 8.5× |
| Progesterone (84144) | $97.60 | $122 | 4.7× |
| Prolactin (84146) | $92 | $115 | 4.7× |
| Protein body fluid (84157) | $43.20 | $54 | 10.8× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$171.20–$215.20 | $214–$269 | varies |
| Protein c antigen (85302) | $196 | $245 | 16.3× |
| Protein Electrophoresis Urine (84166) | $73.60 | $92 | 4.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $56 | $70 | 5.2× |
| Protein S Free (85306) range across 4 matching MRF lines |
$137.60–$255.20 | $172–$319 | varies |
| Protein s total (85305) range across 2 matching MRF lines |
$235.20–$255.20 | $294–$319 | varies |
| Protein total serum (84155) range across 2 matching MRF lines |
$18.40–$43.20 | $23–$54 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$5.60–$18.40 | $7–$23 | varies |
| Protein Western Blot Test (84182) range across 5 matching MRF lines |
$240–$1,536 | $300–$1,920 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $146.40 | $183 | 37.2× |
| PSA free (84154) | $76.80 | $96 | 4.2× |
| Pth Intact (83970) range across 2 matching MRF lines |
$56.80–$138.40 | $71–$173 | varies |
| Pyruvate kinase (84220) | $126.40 | $158 | 13.4× |
| Q Fever Antibody (86638) range across 3 matching MRF lines |
$27.20–$79.20 | $34–$99 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$61.60–$180 | $77–$225 | varies |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$114.40–$232.80 | $143–$291 | varies |
| Quantitative Screen Metals (83018) | $159.20 | $199 | 7.2× |
| Rbc antibody elution (86860) | $355.20 | $444 | 2.0× |
| Rbc antibody identification (86870) | $300 | $375 | 0.8× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$92.80–$188.80 | $116–$236 | varies |
| Rbc pretreatment serum (86978) | $200.80 | $251 | 3.3× |
| Rbc pretx incubatj w/enzymes (86971) | $166.40 | $208 | 1.0× |
| Rbc serum pretx incubj drugs (86975) | $117.60 | $147 | 0.3× |
| Renin activity plasma (84244) | $108 | $135 | 4.9× |
| Reptilase test (85635) | $122.40 | $153 | 12.4× |
| Resp virus 12-25 targets (87633) | $969.60 | $1,212 | 2.3× |
| Rh (86901) range across 3 matching MRF lines |
$26.40–$56.80 | $33–$71 | varies |
| Rheumatoid Factor Qualitative (86430) range across 2 matching MRF lines |
$8.80–$88 | $11–$110 | varies |
| Rheumatoid factor quant (86431) range across 5 matching MRF lines |
$15.20–$88.80 | $19–$111 | varies |
| Rickettsia antibody (86757) | $139.20 | $174 | 7.2× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$227.20–$234.40 | $284–$293 | varies |
| Rpr qualitative (86592) | $46.40 | $58 | 10.9× |
| Rsv ab (86756) | $48 | $60 | 3.0× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$63.20–$79.20 | $79–$99 | varies |
| Rubeola antibody (86765) | $81.60 | $102 | 6.3× |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$65.60–$100.80 | $82–$126 | varies |
| Rx metab gen seq alys pnl 6 (81418) | $2,280 | $2,850 | 2.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$70.40–$151.20 | $88–$189 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $108 | $135 | 2.6× |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$286.40–$365.60 | $358–$457 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $286.40 | $358 | 2.0× |
| Sedimentation Rate, Automated (85652) | $20.80 | $26 | 7.7× |
| Selenium (84255) | $112.80 | $141 | 4.4× |
| Semen Anal Sperm Detection (89321) | $80 | $100 | 6.6× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$12–$150.40 | $15–$188 | varies |
| Sex Hormone Binding Globulin (84270) | $83.20 | $104 | 3.8× |
| Sickling of rbc reduction (85660) | $40 | $50 | 7.3× |
| Sirolimus (80195) | $101.60 | $127 | 7.4× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$24–$71.20 | $30–$89 | varies |
| Skin test unlisted antigen each (86486) | $64 | $80 | 2.2× |
| Smear acid fast (87206) | $51.20 | $64 | 9.5× |
| Smear complex stain (87209) range across 3 matching MRF lines |
$24.80–$81.60 | $31–$102 | varies |
| Smear gram stain (87205) range across 2 matching MRF lines |
$6.40–$52 | $8–$65 | varies |
| Smear Special Stain (87207) range across 4 matching MRF lines |
$8.80–$160 | $11–$200 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$8–$22.40 | $10–$28 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$7.20–$23.20 | $9–$29 | varies |
| Sodium Urine (84300) | $23.20 | $29 | 4.6× |
| Soluble fibrin monomer (85366) | $300.80 | $376 | 3.7× |
| Soluble Transferrin Receptor (84238) | $122.40 | $153 | 3.3× |
| Somatomedin (84305) | $129.60 | $162 | 6.1× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$199.20–$276 | $249–$345 | varies |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$224–$269.60 | $280–$337 | varies |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$9.60–$95.20 | $12–$119 | varies |
| Spectrophotometry (84311) | $203.20 | $254 | 25.1× |
| Stool cultr aerobic bact ea (87046) range across 5 matching MRF lines |
$10.40–$65.60 | $13–$82 | varies |
| Strep a assay w/optic (87880) | $45.60 | $57 | 2.8× |
| Strep a DNA amp probe (87651) | $102.40 | $128 | 2.9× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $68.80 | $86 | 0.7× |
| Sugars Single Qual (84376) | $68.80 | $86 | 12.5× |
| Sulfate urine (84392) | $16 | $20 | 2.9× |
| Surg path level iii (88304) | $227.20 | $284 | 4.3× |
| Surgical pathology level IV (88305) | $225.60 | $282 | 4.2× |
| Surgical pathology level vi (88309) | $997.60 | $1,247 | 1.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$10.40–$51.20 | $13–$64 | varies |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$21.60–$38.40 | $27–$48 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $148.80 | $186 | 3.2× |
| T cells total count (86359) | $110.40 | $138 | 2.9× |
| T3 Free (84481) range across 2 matching MRF lines |
$27.20–$79.20 | $34–$99 | varies |
| T3 reverse (84482) | $175.20 | $219 | 11.1× |
| T3 Total (84480) range across 2 matching MRF lines |
$17.60–$66.40 | $22–$83 | varies |
| T3 Uptake (84479) | $27.20 | $34 | 4.2× |
| T4 Free (84439) range across 2 matching MRF lines |
$12.80–$42.40 | $16–$53 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$9.60–$32 | $12–$40 | varies |
| T4-neonatal (84437) | $10.40 | $13 | 1.6× |
| Tacrolimus (80197) | $115.20 | $144 | 8.4× |
| Tau phosphorylated each (84393) | $542.40 | $678 | 4.2× |
| Tb ag response t-cell susp (86481) | $105.60 | $132 | 1.1× |
| Test for acetone/ketones (82009) | $20 | $25 | 4.4× |
| Testosterone total (84403) | $40 | $50 | 1.5× |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$77.60–$213.60 | $97–$267 | varies |
| Theophylline (80198) | $96 | $120 | 6.8× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$52.80–$63.20 | $66–$79 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $155.20 | $194 | 24.0× |
| Thyroglobulin (84432) | $263.20 | $329 | 16.4× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$82.40–$83.20 | $103–$104 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $277.60 | $347 | 5.5× |
| Thyroxine binding globulin (84442) | $102.40 | $128 | 6.9× |
| Tissue Culture Amniotic Fluid (88235) | $859.20 | $1,074 | 5.7× |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$356–$404.80 | $445–$506 | varies |
| Topiramate (80201) | $92.80 | $116 | 7.8× |
| Total Tau (84394) | $542.40 | $678 | 4.2× |
| Touch prep (88161) | $155.20 | $194 | 5.3× |
| Toxoplasma ab igm (86778) | $71.20 | $89 | 4.9× |
| Toxoplasma antibody (86777) | $71.20 | $89 | 4.9× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$7.20–$34.40 | $9–$43 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$20.80–$60 | $26–$75 | varies |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$126.40–$196.80 | $158–$246 | varies |
| Triglycerides (84478) | $26.40 | $33 | 4.6× |
| Troponin Quant (84484) | $80 | $100 | 6.4× |
| Tumor immunohistochem/comput (88361) | $412.80 | $516 | 1.1× |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$100.80–$355.20 | $126–$444 | varies |
| Unlisted Cytogenetic Study (88299) | $447.20 | $559 | 8.4× |
| Unlisted Transfusion Medicine Procedure (86999) | $355.20 | $444 | 12.0× |
| Urea nitrogen urine (84540) | $24 | $30 | 4.3× |
| Uric acid other source (84560) | $23.20 | $29 | 4.6× |
| Urinalysis Volume Measure (81050) | $12.80 | $16 | 3.5× |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$11.20–$32 | $14–$40 | varies |
| Urine Pregnancy Test (81025) | $36.80 | $46 | 4.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$4.80–$27.20 | $6–$34 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$19.20–$90.40 | $24–$113 | varies |
| Vancomycin (80202) range across 2 matching MRF lines |
$19.20–$64.80 | $24–$81 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$25.60–$103.20 | $32–$129 | varies |
| Viral Culture (87252) | $296.80 | $371 | 11.4× |
| Virus antibody nos (86790) | $101.60 | $127 | 7.9× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$131.20–$140.80 | $164–$176 | varies |
| Viscosity serum (85810) | $124.80 | $156 | 10.7× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$35.20–$220 | $44–$275 | varies |
| Vitamin A (84590) | $90.40 | $113 | 7.8× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$20.80–$72 | $26–$90 | varies |
| Vitamin B6 (84207) | $167.20 | $209 | 6.0× |
| Vitamin c (82180) | $64.80 | $81 | 6.6× |
| Vitamin D 25-Hydroxy (82306) | $40 | $50 | 1.4× |
| Vitamin E (84446) | $72.80 | $91 | 5.1× |
| Vitamin K (84597) | $116.80 | $146 | 8.5× |
| Von willebrand factor ag (85246) range across 3 matching MRF lines |
$185.60–$227.20 | $232–$284 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$117.60–$119.20 | $147–$149 | varies |
| West Nile Virus Antibody (86789) | $117.60 | $147 | 8.2× |
| Western Blot Test (84181) | $970.40 | $1,213 | 57.0× |
| Zika Virus Dna/Rna Amp Probe (87662) | $330.40 | $413 | 6.4× |
| Zinc (84630) | $68 | $85 | 6.0× |
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.