Lab & pathology prices at Sibley Memorial Hospital

Washington, DC · every code in this section with a posted price and a Medicare benchmark.

1083 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $168 $168 10.9×
17-Hydroxypregnenolone (84143) $270 $270 11.8×
5 Nucleotidase (83915)
range across 3 matching MRF lines		 $94–$314 $94–$314 varies
Abl1 gene analysis kinase domain variants (81170) $1,276 $1,276 4.3×
Acetylcholine receptor binding antibody (86041) $137 $137 7.4×
Acetylcholine receptor blocking antibody (86042) $233 $233 12.7×
Acetylcholinesterase Assay (82013) $132 $132 10.7×
Acetylcholn Rcptr Modlg Antb (86043) $233 $233 19.3×
Acth (82024)
range across 3 matching MRF lines		 $286–$928 $286–$928 varies
Acth Stimulation Panel Adrenal Insufficiency (80400) $485 $485 14.9×
Actin smooth muscle antibody each (86015) $298 $298 24.7×
Acute hepatitis panel (80074) $934 $934 19.6×
Acylcarnitines Quant (82017) $199 $199 11.8×
Adenovirus antibody (86603)
range across 4 matching MRF lines		 $218–$2,594 $218–$2,594 varies
Agglutinins Febrile Each Antigen (86000)
range across 4 matching MRF lines		 $32–$227 $32–$227 varies
Albumin Fluid (82042)
range across 3 matching MRF lines		 $8–$62 $8–$62 varies
Albumin serum (82040)
range across 5 matching MRF lines		 $28–$123 $28–$123 varies
Aldolase (82085)
range across 3 matching MRF lines		 $53–$158 $53–$158 varies
Aldosterone urine (82088)
range across 4 matching MRF lines		 $212–$790 $212–$790 varies
Alkaline phosphatase isoenzymes (84080)
range across 3 matching MRF lines		 $126–$404 $126–$404 varies
Allergen spec ige qual multiallergen screen (86005) $34 $34 4.3×
Allergen specific ige (86003)
range across 5 matching MRF lines		 $22–$334 $22–$334 varies
Allergen specific igg (86001) $62 $62 7.9×
Allg Spec Ige Recomb Ea (86008) $124 $124 6.9×
Alpha-1-antitrypsin phenotype (82104)
range across 2 matching MRF lines		 $64–$171 $64–$171 varies
Alpha-1-antitrypsin total (82103)
range across 3 matching MRF lines		 $28–$314 $28–$314 varies
Alpha-Fetoprotein Amniotic Fluid (82106)
range across 2 matching MRF lines		 $58–$393 $58–$393 varies
Alpha-Fetoprotein Serum (82105)
range across 3 matching MRF lines		 $121–$394 $121–$394 varies
Alt (sgpt) (84460)
range across 5 matching MRF lines		 $4–$184 $4–$184 varies
Aluminum (82108)
range across 2 matching MRF lines		 $168–$224 $168–$224 varies
Amikacin trough (80150)
range across 3 matching MRF lines		 $113–$460 $113–$460 varies
Amino Acids 1 Quantitative Each Specimen (82131)
range across 9 matching MRF lines		 $97–$1,046 $97–$1,046 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines		 $120–$161 $120–$161 varies
Amino Acids Multiple Qualitative Each Specimen (82128) $164 $164 11.8×
Amino Acids Quant 2-5 (82136) $199 $199 10.1×
Aminolevulinic acid (ala) (82135)
range across 3 matching MRF lines		 $116–$382 $116–$382 varies
Ammonia (82140)
range across 3 matching MRF lines		 $58–$301 $58–$301 varies
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 2 matching MRF lines		 $242–$762 $242–$762 varies
Amylase urine (82150)
range across 5 matching MRF lines		 $6–$501 $6–$501 varies
Ana Titer (86039)
range across 2 matching MRF lines		 $100–$134 $100–$134 varies
Anca screen each antibody (86036) $289 $289 24.0×
Androstanediol Glucuronide (82154) $342 $342 11.9×
Androstenedione (82157)
range across 3 matching MRF lines		 $248–$797 $248–$797 varies
Angiotensin converting enzyme csf (82164)
range across 4 matching MRF lines		 $138–$444 $138–$444 varies
Angiotensin II (82163) $242 $242 11.8×
Anti-Phospholipid Antibody (86148)
range across 5 matching MRF lines		 $40–$146 $40–$146 varies
Antibody aspergillus (86606)
range across 5 matching MRF lines		 $47–$84 $47–$84 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 2 matching MRF lines		 $38–$50 $38–$50 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 3 matching MRF lines		 $104–$140 $104–$140 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 3 matching MRF lines		 $70–$382 $70–$382 varies
Antibody Encephalitis California La Crosse (86651)
range across 3 matching MRF lines		 $54–$129 $54–$129 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $156 $156 11.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 3 matching MRF lines		 $138–$186 $138–$186 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 3 matching MRF lines		 $138–$196 $138–$196 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 8 matching MRF lines		 $51–$423 $51–$423 varies
Antibody haemophilus influenza (86684) $188 $188 11.9×
Antibody helicobacter pylori (86677)
range across 3 matching MRF lines		 $58–$211 $58–$211 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 3 matching MRF lines		 $58–$186 $58–$186 varies
Antibody Herpes Smplx Type 1 (86695)
range across 4 matching MRF lines		 $54–$206 $54–$206 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 2 matching MRF lines		 $284–$382 $284–$382 varies
Antibody HIV-2 (86702)
range across 3 matching MRF lines		 $40–$230 $40–$230 varies
Antibody Hla Class I High Definition Panel Qual (86832) $734 $734 2.3×
Antibody Hla Class I Phenotype Panel Qualitative (86830) $644 $644 6.7×
Antibody Hla Class II Phenotype Panel Qual (86831) $846 $846 10.3×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 3 matching MRF lines		 $80–$750 $80–$750 varies
Antibody identification leukocyte antibodies (86021)
range across 6 matching MRF lines		 $76–$1,211 $76–$1,211 varies
Antibody Identification Platelet Immunogl Assay (86023)
range across 4 matching MRF lines		 $51–$132 $51–$132 varies
Antibody leishmania (86717) $146 $146 11.9×
Antibody Lymphocytic Choriomeningitis (86727)
range across 3 matching MRF lines		 $53–$242 $53–$242 varies
Antibody neisseria meningitidis (86741) $157 $157 11.9×
Antibody nocardia (86744)
range across 2 matching MRF lines		 $230–$308 $230–$308 varies
Antibody Protozoa Nes (86753)
range across 9 matching MRF lines		 $51–$422 $51–$422 varies
Antibody Titer (86886)
range across 4 matching MRF lines		 $32–$708 $32–$708 varies
Antibody Treponema Pallidum (86780)
range across 4 matching MRF lines		 $76–$256 $76–$256 varies
Antibody yersinia (86793) $104 $104 7.9×
Antibody; campylobacter (86625) $156 $156 11.9×
Antibody; encephalitis, st. louis (86653)
range across 3 matching MRF lines		 $54–$129 $54–$129 varies
Antibody; influenza virus (86710)
range across 5 matching MRF lines		 $56–$396 $56–$396 varies
Antigen typing (86905)
range across 18 matching MRF lines		 $20–$1,024 $20–$1,024 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885)
range across 2 matching MRF lines		 $137–$278 $137–$278 varies
Antinomyces antibody (86602) $122 $122 12.0×
Antinuclear antibodies (86038)
range across 4 matching MRF lines		 $22–$256 $22–$256 varies
Antistreptolysin O Screen (86063)
range across 4 matching MRF lines		 $69–$176 $69–$176 varies
Antistreptolysin o titer (86060)
range across 3 matching MRF lines		 $70–$240 $70–$240 varies
Antithrombin iii activity (85300)
range across 6 matching MRF lines		 $50–$302 $50–$302 varies
Antithrombin iii antigen (85301) $130 $130 12.0×
Apolipoprotein a1 (82172)
range across 7 matching MRF lines		 $15–$417 $15–$417 varies
Aquaporin-4 Antb Cba Each (86052) $322 $322 26.7×
Arsenic (82175)
range across 3 matching MRF lines		 $171–$560 $171–$560 varies
Ashkenazi Jewish Assoc Dis (81412) $8,960 $8,960 3.7×
Aspergillus ag eia (87305)
range across 4 matching MRF lines		 $253–$375 $253–$375 varies
Assay activated protein c (85307)
range across 2 matching MRF lines		 $185–$248 $185–$248 varies
Assay Blood Carbon Dioxide (82374)
range across 3 matching MRF lines		 $35–$132 $35–$132 varies
Assay Blood Catecholamines (82383)
range across 3 matching MRF lines		 $242–$776 $242–$776 varies
Assay Dir Meas Fr Estradiol (82681) $550 $550 19.7×
Assay Duodenal Fluid Trypsin (84485) $90 $90 12.5×
Assay Nephelometry Not Spec (83883)
range across 5 matching MRF lines		 $58–$96 $58–$96 varies
Assay of 5-hiaa (83497)
range across 3 matching MRF lines		 $99–$327 $99–$327 varies
Assay of anti-mullerian hormone (82166) $157 $157 4.1×
Assay of b-hexosaminidase each assay (83080) $199 $199 11.8×
Assay of blood/uric acid (84550)
range across 4 matching MRF lines		 $4–$123 $4–$123 varies
Assay of calcium in urine (82340) $73 $73 12.1×
Assay of corticosterone (82528) $266 $266 11.8×
Assay of cpk in blood (82552)
range across 3 matching MRF lines		 $130–$430 $130–$430 varies
Assay of estrone (82679)
range across 2 matching MRF lines		 $222–$298 $222–$298 varies
Assay of feces for trypsin (84490)
range across 3 matching MRF lines		 $58–$186 $58–$186 varies
Assay of g6pd enzyme (82955)
range across 3 matching MRF lines		 $94–$314 $94–$314 varies
Assay of gammaglobulin igm (82784)
range across 13 matching MRF lines		 $39–$476 $39–$476 varies
Assay of lactic acid (83605)
range across 4 matching MRF lines		 $15–$308 $15–$308 varies
Assay of manganese (83785)
range across 2 matching MRF lines		 $168–$227 $168–$227 varies
Assay of metanephrines (83835)
range across 3 matching MRF lines		 $130–$430 $130–$430 varies
Assay of phosphatase acid total (84060)
range across 3 matching MRF lines		 $97–$315 $97–$315 varies
Assay of phosphatase alkaline heat stable (84078) $88 $88 10.7×
Assay of procainamide (80190)
range across 3 matching MRF lines		 $130–$720 $130–$720 varies
Assay of proinsulin (84206)
range across 2 matching MRF lines		 $238–$319 $238–$319 varies
Assay of prostate specific antigen complexed (84152) $218 $218 11.9×
Assay of pyruvate (84210)
range across 2 matching MRF lines		 $249–$334 $249–$334 varies
Assay of semen fructose (82757) $206 $206 11.9×
Assay of serotonin (84260)
range across 3 matching MRF lines		 $232–$741 $232–$741 varies
Assay of serum potassium (84132)
range across 5 matching MRF lines		 $4–$123 $4–$123 varies
Assay of sweat sodium (84302)
range across 3 matching MRF lines		 $34–$92 $34–$92 varies
Assay of transcortin (84449) $213 $213 11.8×
Assay of urea nitrogen (84520)
range across 4 matching MRF lines		 $4–$136 $4–$136 varies
Assay of urine vma (84585)
range across 3 matching MRF lines		 $164–$532 $164–$532 varies
Assay of vasoactive intestinal peptide (84586)
range across 2 matching MRF lines		 $268–$359 $268–$359 varies
Assay of vitamin b-1 (84425)
range across 4 matching MRF lines		 $110–$404 $110–$404 varies
Assay Ph Body Fluid Nos (83986)
range across 7 matching MRF lines		 $10–$88 $10–$88 varies
Assay spec xcp ur&breath ia (82077) $406 $406 23.5×
Asstd Fertilization Microtq > 10 Oocytes (89281) $1,989 $1,989 9.9×
Asstd oocyte fert 10 or less (89280) $3,081 $3,081 3.2×
Asy carbamazepin 10,11-epxid (80161) $390 $390 20.9×
Autol Bld/Component Collj Storage Predeposited (86890)
range across 5 matching MRF lines		 $106–$561 $106–$561 varies
Autol bld/component collj storage salvage (86891) $1,077 $1,077 1.1×
Automated Leukocyte Count (85048)
range across 4 matching MRF lines		 $26–$100 $26–$100 varies
B cells total count (86355) $447 $447 11.8×
Bacterial antigens 87802 (87802) $144 $144 11.3×
Bartonella antibody (86611)
range across 5 matching MRF lines		 $34–$56 $34–$56 varies
Bcr/abl1 gene major bp (81206)
range across 4 matching MRF lines		 $1,132–$2,931 $1,132–$2,931 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines		 $558–$2,577 $558–$2,577 varies
Bcr/Abl1 Gene Other Bp (81208) $2,862 $2,862 13.3×
Beta 2 glycoprotein i antibody each (86146)
range across 3 matching MRF lines		 $103–$298 $103–$298 varies
Beta hydroxybutyrate (82010)
range across 4 matching MRF lines		 $46–$186 $46–$186 varies
Beta Lactamase (87185) $62 $62 13.1×
Beta-2 Microglobulin (82232)
range across 3 matching MRF lines		 $48–$64 $48–$64 varies
Bile acids total (82239)
range across 3 matching MRF lines		 $65–$102 $65–$102 varies
Bile acids, cholylglycine (82240) $315 $315 11.9×
Bilirubin direct (82248)
range across 4 matching MRF lines		 $4–$136 $4–$136 varies
Bilirubin total (82247)
range across 5 matching MRF lines		 $4–$123 $4–$123 varies
Bilirubin total transcutaneous (88720)
range across 3 matching MRF lines		 $60–$127 $60–$127 varies
Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) $1,989 $1,989 9.9×
Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) $1,989 $1,989 9.9×
Biotinidase (82261) $199 $199 11.8×
Bl Smear W/O Diff Wbc Count (85008)
range across 2 matching MRF lines		 $65–$88 $65–$88 varies
Blastomyces antibody (86612)
range across 3 matching MRF lines		 $111–$149 $111–$149 varies
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $175 $175 5.1×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078)
range across 2 matching MRF lines		 $91–$163 $91–$163 varies
Bld Typing Serologic Rh Phnt (86906)
range across 3 matching MRF lines		 $78–$159 $78–$159 varies
Bleeding time test (85002)
range across 2 matching MRF lines		 $137–$182 $137–$182 varies
Blood Count Automated Differential Wbc Count (85004) $87 $87 13.4×
Blood Count Manual Cell Count Each (85032)
range across 2 matching MRF lines		 $92–$123 $92–$123 varies
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $44 $44 8.7×
Blood Count Red Blood Cell Automated (85041)
range across 3 matching MRF lines		 $16–$101 $16–$101 varies
Blood count reticulocyte automated (85045)
range across 3 matching MRF lines		 $30–$106 $30–$106 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 3 matching MRF lines		 $8–$87 $8–$87 varies
Blood count spun microhematocrit (85013) $28 $28 4.0×
Blood gas (82803)
range across 8 matching MRF lines		 $50–$476 $50–$476 varies
Blood gases w/02 saturation (82805) $336 $336 4.3×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $189 $189 11.9×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 3 matching MRF lines		 $24–$58 $24–$58 varies
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 3 matching MRF lines		 $81–$449 $81–$449 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904)
range across 3 matching MRF lines		 $40–$121 $40–$121 varies
Blood typing serologic abo (86900)
range across 4 matching MRF lines		 $44–$190 $44–$190 varies
Body fluid cell count (89050)
range across 2 matching MRF lines		 $12–$71 $12–$71 varies
Bone marrow smear interpretation (85097)
range across 3 matching MRF lines		 $86–$815 $86–$815 varies
Bordetella antibody (86615)
range across 4 matching MRF lines		 $55–$274 $55–$274 varies
Borrelia miyamotoi amp prb (87478) $116 $116 3.3×
Braf gene analysis (81210)
range across 4 matching MRF lines		 $46–$2,339 $46–$2,339 varies
Brucella antibody (86622)
range across 2 matching MRF lines		 $178–$240 $178–$240 varies
C diff amplified probe (87493)
range across 2 matching MRF lines		 $215–$319 $215–$319 varies
C-Peptide (84681)
range across 2 matching MRF lines		 $324–$436 $324–$436 varies
C-reactive protein (86140)
range across 7 matching MRF lines		 $10–$1,115 $10–$1,115 varies
Ca 19-9 (86301)
range across 2 matching MRF lines		 $336–$450 $336–$450 varies
Cadmium (82300) $275 $275 11.6×
Caffeine (80155) $168 $168 4.4×
Calcitonin (82308)
range across 3 matching MRF lines		 $202–$552 $202–$552 varies
Calcium ionized (82330)
range across 4 matching MRF lines		 $21–$207 $21–$207 varies
Calcium total (82310)
range across 6 matching MRF lines		 $4–$123 $4–$123 varies
Calcium; after calcium infusion test (82331)
range across 3 matching MRF lines		 $203–$654 $203–$654 varies
Calculus assay quant (82360) $154 $154 12.0×
Calculus Spectroscopy (82365) $154 $154 11.9×
Calculus Xray Diffraction (82370)
range across 3 matching MRF lines		 $129–$298 $129–$298 varies
Calprotectin Fecal (83993) $242 $242 12.3×
Calr gene com variants (81219)
range across 2 matching MRF lines		 $807–$1,453 $807–$1,453 varies
Cancer Antigen 125 (86304)
range across 3 matching MRF lines		 $66–$486 $66–$486 varies
Cancer Antigen 27.29 (86300)
range across 4 matching MRF lines		 $214–$393 $214–$393 varies
Candida antibody (86628) $126 $126 10.5×
Car Ion Chnnlpath Inc 10 Gns (81413)
range across 2 matching MRF lines		 $331–$3,085 $331–$3,085 varies
Car Ion Chnnlpath Inc 2 Gns (81414) $331 $331 0.6×
Carbamazepine free (80157) $490 $490 37.0×
Carbamazepine total (80156)
range across 4 matching MRF lines		 $25–$490 $25–$490 varies
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $71 $71 5.0×
Carboxyhemoglobin (82375)
range across 5 matching MRF lines		 $97–$390 $97–$390 varies
Carcinoembryonic antigen (82378)
range across 3 matching MRF lines		 $110–$486 $110–$486 varies
Cardiolipin ab iga (86147)
range across 3 matching MRF lines		 $103–$852 $103–$852 varies
Carnitine Quantitative Each Specimen (82379) $199 $199 11.8×
Carotene (82380)
range across 3 matching MRF lines		 $69–$228 $69–$228 varies
Catecholamines fractionated (82384)
range across 3 matching MRF lines		 $310–$1,000 $310–$1,000 varies
Catecholamines total urine (82382)
range across 3 matching MRF lines		 $134–$433 $134–$433 varies
Ccp antibody (86200)
range across 2 matching MRF lines		 $20–$154 $20–$154 varies
Cebpa Gene Analysis Full Gene Sequence (81218)
range across 2 matching MRF lines		 $1,616–$2,098 $1,616–$2,098 varies
Cell count csf (89051)
range across 3 matching MRF lines		 $32–$145 $32–$145 varies
Cell enumeration & id (86152)
range across 2 matching MRF lines		 $1,501–$2,014 $1,501–$2,014 varies
Cell marker study (88182)
range across 4 matching MRF lines		 $70–$839 $70–$839 varies
Cellular Function Assay Stimul&Detect Biomarke (86352) $1,606 $1,606 11.8×
Ceruloplasmin (82390)
range across 3 matching MRF lines		 $116–$382 $116–$382 varies
Cftr gene com variants (81220) $772 $772 1.4×
Chemiluminescent assay (82397)
range across 4 matching MRF lines		 $54–$264 $54–$264 varies
Chimerism w/comp to baseline w/cell selection ea (81268)
range across 2 matching MRF lines		 $909–$961 $909–$961 varies
Chimerism w/comp to baseline w/o cell selection (81267)
range across 4 matching MRF lines		 $687–$3,689 $687–$3,689 varies
Chlamydia antibody (86631)
range across 3 matching MRF lines		 $129–$436 $129–$436 varies
Chlamydia Igm Antibody (86632)
range across 3 matching MRF lines		 $250–$436 $250–$436 varies
Chloramphenicol level (82415)
range across 2 matching MRF lines		 $204–$272 $204–$272 varies
Chloride other source (82438)
range across 3 matching MRF lines		 $35–$123 $35–$123 varies
Chloride Serum (82435)
range across 3 matching MRF lines		 $35–$123 $35–$123 varies
Chloride urine (82436)
range across 2 matching MRF lines		 $92–$123 $92–$123 varies
Cholesterol total (82465)
range across 5 matching MRF lines		 $6–$123 $6–$123 varies
Cholinesterase rbc (82482)
range across 3 matching MRF lines		 $106–$286 $106–$286 varies
Cholinesterase Serum (82480)
range across 3 matching MRF lines		 $190–$707 $190–$707 varies
Chorionic gonadotropin test (84702)
range across 4 matching MRF lines		 $30–$434 $30–$434 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $2,667 $2,667 14.1×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $282 $282 10.5×
Chrmsm Analysis Addl High Resolution Study (88289)
range across 2 matching MRF lines		 $598–$1,002 $598–$1,002 varies
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 4 matching MRF lines		 $100–$375 $100–$375 varies
Chrmsm Analysis Addl Specialized Banding (88283) $1,018 $1,018 14.8×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $2,568 $2,568 14.8×
Chromium serum (82495)
range across 2 matching MRF lines		 $88–$118 $88–$118 varies
Chromogenic Substrate Assay (85130) $142 $142 11.9×
Chromogranin a (86316) $246 $246 11.8×
Chromosome analys amniotic (88269)
range across 2 matching MRF lines		 $657–$2,467 $657–$2,467 varies
Chromosome Analysis 15-20 (88262)
range across 4 matching MRF lines		 $492–$3,685 $492–$3,685 varies
Chromosome Analysis 20-25 (88264)
range across 2 matching MRF lines		 $502–$845 $502–$845 varies
Chromosome analysis 45 cells (88263)
range across 2 matching MRF lines		 $1,321–$2,228 $1,321–$2,228 varies
Chromosome analysis, 5 (88261) $2,621 $2,621 9.9×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines		 $168–$247 $168–$247 varies
Citric acid urine (82507) $328 $328 11.8×
Ckmb (82553)
range across 4 matching MRF lines		 $16–$316 $16–$316 varies
Clostridium Difficile (87324)
range across 4 matching MRF lines		 $160–$421 $160–$421 varies
Clot Factor VIII Multimetric (85247)
range across 2 matching MRF lines		 $156–$209 $156–$209 varies
Clot factor xiii fibrin stab (85290)
range across 5 matching MRF lines		 $45–$315 $45–$315 varies
Clot retraction (85170)
range across 3 matching MRF lines		 $24–$88 $24–$88 varies
Clotting factor viii related antigen (85244) $242 $242 11.9×
Clotting factor xii hageman (85280)
range across 3 matching MRF lines		 $119–$422 $119–$422 varies
Clotting Funct Activity (85397) $272 $272 8.8×
Clotting hi molec weight kininogen assay (85293) $224 $224 11.8×
Clotting prekallikrein assay fletcher fact assay (85292) $224 $224 11.8×
Coagulation time activated (85347)
range across 2 matching MRF lines		 $322–$430 $322–$430 varies
Coccidioides antibody (86635)
range across 2 matching MRF lines		 $102–$136 $102–$136 varies
Cold agglutinin screen (86156) $194 $194 24.0×
Cold agglutinin titer (86157)
range across 3 matching MRF lines		 $46–$194 $46–$194 varies
Collagen crosslinks (82523)
range across 4 matching MRF lines		 $30–$113 $30–$113 varies
Column Chromotography Quant (82542)
range across 4 matching MRF lines		 $87–$356 $87–$356 varies
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 3 matching MRF lines		 $826–$1,292 $826–$1,292 varies
Compatibility Each Unit Incubation (86921)
range across 2 matching MRF lines		 $125–$254 $125–$254 varies
Compatibility test antiglob (86922)
range across 3 matching MRF lines		 $84–$254 $84–$254 varies
Complement Antigen Each Component (86160)
range across 6 matching MRF lines		 $100–$583 $100–$583 varies
Complement Fixation Tests Each Antigen (86171)
range across 4 matching MRF lines		 $50–$293 $50–$293 varies
Complement Total (Ch50) (86162)
range across 4 matching MRF lines		 $119–$390 $119–$390 varies
Complement/Function Activity (86161)
range across 2 matching MRF lines		 $70–$94 $70–$94 varies
Consltj Compre Review Reprt Referred Matrl (88325)
range across 8 matching MRF lines		 $436–$1,940 $436–$1,940 varies
Consltj&Reprt Material Requiring Prepj Slides (88323)
range across 3 matching MRF lines		 $312–$631 $312–$631 varies
Consltj&Reprt Slides Prepared Elsewhere (88321)
range across 6 matching MRF lines		 $50–$820 $50–$820 varies
Coombs direct (86880)
range across 4 matching MRF lines		 $9–$185 $9–$185 varies
Copper urine (82525)
range across 5 matching MRF lines		 $102–$334 $102–$334 varies
Cortisol free (82530) $199 $199 11.9×
Cortisol saliva (82533)
range across 3 matching MRF lines		 $109–$348 $109–$348 varies
Creatine (82540)
range across 4 matching MRF lines		 $65–$218 $65–$218 varies
Creatine kinase (CK), (CPK); isoforms Facility (82554) $140 $140 11.8×
Creatine kinase total (82550)
range across 3 matching MRF lines		 $6–$206 $6–$206 varies
Creatinine blood (82565)
range across 6 matching MRF lines		 $4–$203 $4–$203 varies
Creatinine clearance (82575)
range across 3 matching MRF lines		 $62–$207 $62–$207 varies
Creatinine Urine (82570)
range across 6 matching MRF lines		 $7–$123 $7–$123 varies
Crossmatch electronic (86923) $420 $420 2.1×
Crossmatch immediate spin (86920)
range across 3 matching MRF lines		 $86–$218 $86–$218 varies
Crp High Sensitivity (86141)
range across 3 matching MRF lines		 $25–$126 $25–$126 varies
Cryofibrinogen (82585)
range across 3 matching MRF lines		 $24–$142 $24–$142 varies
Cryoglobulin (82595)
range across 4 matching MRF lines		 $62–$228 $62–$228 varies
Cryopreservation; embryo(s) (89258) $3,081 $3,081 3.2×
Cryopreservation; sperm (89259) $683 $683 3.4×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $150 $150 11.5×
Cryptococcal Antigen (87327) $144 $144 10.7×
Cryptococcus ab (86641) $171 $171 11.9×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines		 $35–$215 $35–$215 varies
Cryptosporidium (87272)
range across 2 matching MRF lines		 $96–$144 $96–$144 varies
Cryptosporidium ag eia (87328)
range across 4 matching MRF lines		 $60–$384 $60–$384 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 6 matching MRF lines		 $10–$179 $10–$179 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $106 $106 13.1×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 2 matching MRF lines		 $138–$205 $138–$205 varies
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $252 $252 1.2×
Culture aerobic quant other (87071)
range across 2 matching MRF lines		 $20–$125 $20–$125 varies
Culture afb (87116)
range across 4 matching MRF lines		 $98–$333 $98–$333 varies
Culture Anaerobic (87075)
range across 4 matching MRF lines		 $108–$314 $108–$314 varies
Culture blood (87040)
range across 7 matching MRF lines		 $82–$658 $82–$658 varies
Culture chlamydia (87110)
range across 3 matching MRF lines		 $281–$486 $281–$486 varies
Culture csf (87070)
range across 8 matching MRF lines		 $30–$273 $30–$273 varies
Culture fungus (87102)
range across 4 matching MRF lines		 $76–$281 $76–$281 varies
Culture fungus blood (87103)
range across 2 matching MRF lines		 $158–$234 $158–$234 varies
Culture oocyte/embryos<4day (89250) $1,989 $1,989 9.9×
Culture screen only (87081)
range across 8 matching MRF lines		 $46–$623 $46–$623 varies
Culture stool (87045)
range across 2 matching MRF lines		 $168–$249 $168–$249 varies
Culture Typing Gas/High Pres Liq Chromatography (87143) $164 $164 13.1×
Culture typing if ea antiserum (87140) $73 $73 13.1×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 2 matching MRF lines		 $190–$281 $190–$281 varies
Culture typing other methods (87158) $69 $69 8.9×
Culture urine (87086)
range across 4 matching MRF lines		 $20–$170 $20–$170 varies
Culture, typing; identification by pulse field gel typing Facility (87152) $69 $69 8.9×
Cyanide (82600)
range across 3 matching MRF lines		 $130–$430 $130–$430 varies
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608)
range across 2 matching MRF lines		 $67–$90 $67–$90 varies
Cyclic amp (82030)
range across 2 matching MRF lines		 $305–$402 $305–$402 varies
Cyclosporine (80158)
range across 2 matching MRF lines		 $282–$379 $282–$379 varies
Cyp2c19 gene analysis common variants (81225) $3,804 $3,804 13.1×
Cyp2c9 gene com variants (81227) $646 $646 3.7×
Cyp2d6 gene com variants (81226)
range across 3 matching MRF lines		 $984–$5,888 $984–$5,888 varies
Cyp3a4 gene common variants (81230) $646 $646 3.7×
Cyp3a5 gene common variants (81231) $646 $646 3.7×
Cystatin C (82610) $162 $162 8.7×
Cytog genom-wid alys hem mal (81195) $4,106 $4,106 2.2×
Cytogenetics 10-30 (88273) $477 $477 13.7×
Cytogenetics 100-300 (88275)
range across 6 matching MRF lines		 $160–$1,714 $160–$1,714 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 8 matching MRF lines		 $661–$6,045 $661–$6,045 varies
Cytogenomic neo microra alys (81277) $1,609 $1,609 1.4×
Cytomegalovirus igg (86644)
range across 3 matching MRF lines		 $60–$410 $60–$410 varies
Cytopath C/V Index Add-On (88155) $107 $107 7.3×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $363 $363 17.9×
Cytopath Cell Enhance Tech (88112) $487 $487 7.9×
Cytopath Fl Nongyn Filter (88106) $264 $264 7.7×
Cytopath unlstd proc (88199) $264 $264 4.3×
Cytotoxic Antibody Screen Std (86807)
range across 3 matching MRF lines		 $76–$181 $76–$181 varies
Cytotoxic pra quick (86808)
range across 3 matching MRF lines		 $57–$136 $57–$136 varies
Cytp Concentration Smears & Interpretation (88108) $264 $264 6.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 3 matching MRF lines		 $84–$171 $84–$171 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 3 matching MRF lines		 $122–$314 $122–$314 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 3 matching MRF lines		 $74–$333 $74–$333 varies
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120)
range across 2 matching MRF lines		 $436–$876 $436–$876 varies
Cytp Slides C/V Mnl Scr Under Phys (88150) $190 $190 10.2×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $190 $190 10.2×
Cytp smrs any oth src extnd std > 5 slides (88162) $264 $264 4.3×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $264 $264 7.7×
Cytp Urine 3-5 Probes Cmptr (88121) $990 $990 4.9×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164)
range across 3 matching MRF lines		 $69–$163 $69–$163 varies
Deoxycortisol (82634) $345 $345 11.8×
Deoxyribonuclease antibody (86215)
range across 2 matching MRF lines		 $202–$271 $202–$271 varies
Desoxycorticosterone (82633)
range across 2 matching MRF lines		 $286–$384 $286–$384 varies
Detect Agent Nos Dna Amp (87798)
range across 16 matching MRF lines		 $145–$1,550 $145–$1,550 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines		 $595–$879 $595–$879 varies
Detect agnt mult DNA ampli (87801) $918 $918 13.1×
Dgp Antibody Each Ig Class (86258) $322 $322 26.7×
Dhea (82626) $300 $300 11.9×
Dhea-S (82627)
range across 2 matching MRF lines		 $44–$58 $44–$58 varies
Dibucaine number (82638)
range across 3 matching MRF lines		 $46–$203 $46–$203 varies
Digoxin (80162)
range across 3 matching MRF lines		 $294–$564 $294–$564 varies
Dihydrotestosterone (82642) $152 $152 5.2×
Diphtheria antitoxoid (86648) $181 $181 11.9×
Dipropylacetic Acid Free (80165) $367 $367 27.1×
Dmd Duplication/Deletion Analysis (81161) $8,120 $8,120 29.1×
Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) $543 $543 4.0×
Dna Antibody Native/Double Stranded (86225)
range across 7 matching MRF lines		 $50–$276 $50–$276 varies
Dna Antibody Single Stranded (86226) $143 $143 11.8×
Dna/Rna Amplified Probe (87150) $100 $100 2.8×
DNA/RNA direct probe (87149)
range across 2 matching MRF lines		 $60–$262 $60–$262 varies
Dna/Rna Sequencing (87153)
range across 3 matching MRF lines		 $518–$645 $518–$645 varies
Dpyd gene common variants (81232) $646 $646 3.7×
Drug assay acetaminophen (80143) $158 $158 8.5×
Drug assay adalimumab (80145)
range across 2 matching MRF lines		 $116–$194 $116–$194 varies
Drug Assay Amiodarone (80151) $123 $123 6.6×
Drug Assay Everolimus (80169) $162 $162 11.8×
Drug assay felbamate (80167) $95 $95 5.1×
Drug Assay Infliximab (80230) $194 $194 5.0×
Drug Assay Itraconazole (80189) $88 $88 3.2×
Drug Assay Lacosamide (80235) $194 $194 7.2×
Drug Assay Leflunomide (80193) $356 $356 9.2×
Drug Assay Posaconazole (80187) $194 $194 7.2×
Drug assay voriconazole (80285) $194 $194 7.2×
Drug Asy Hydroxychloroquine (80220) $356 $356 19.1×
Drug Screen Quant Clozapine (80159) $400 $400 19.9×
Drug Screen Quant Zonisamide (80203) $157 $157 11.8×
Drug Screen Quantitative Gabapentin (80171) $158 $158 7.3×
Drug Screen Quantitative Lamotrigine (80175) $158 $158 11.9×
Drug Screen Quantitative Levetiracetam (80177) $158 $158 11.9×
Drug Screen Quantitative Oxcarbazepine (80183) $158 $158 11.9×
Drug Screen Quantitative Procainamide Metabolite (80192)
range across 3 matching MRF lines		 $154–$722 $154–$722 varies
Drug Test Prsmv Chem Anlyzr (80307)
range across 8 matching MRF lines		 $42–$682 $42–$682 varies
Egfr Gene Analysis Common Variants (81235)
range across 4 matching MRF lines		 $1,054–$4,302 $1,054–$4,302 varies
Ehrlichia antibody (86666)
range across 4 matching MRF lines		 $42–$1,054 $42–$1,054 varies
El-1 Fecal Quantitative (82653) $242 $242 10.5×
Electrolyte panel (80051)
range across 4 matching MRF lines		 $10–$280 $10–$280 varies
Electron Microscopy (88348)
range across 2 matching MRF lines		 $1,881–$3,799 $1,881–$3,799 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664)
range across 3 matching MRF lines		 $168–$262 $168–$262 varies
Embryo hatching microtechnique (89253) $404 $404 2.0×
Encephaltis East Eqne Anbdy (86652)
range across 3 matching MRF lines		 $54–$256 $54–$256 varies
Encephaltis West Eqne Antbdy (86654)
range across 3 matching MRF lines		 $54–$174 $54–$174 varies
Endomysial Antibody Each Immunoglobulin Class (86231) $322 $322 26.6×
Enterovirus Antibody (86658)
range across 4 matching MRF lines		 $54–$1,705 $54–$1,705 varies
Enterovirus PCR (87498)
range across 3 matching MRF lines		 $196–$804 $196–$804 varies
Enzyme cell activity (82657)
range across 3 matching MRF lines		 $253–$962 $253–$962 varies
Enzyme histochemistry (88319) $2,386 $2,386 2.5×
Eosinophil Smear (89190)
range across 3 matching MRF lines		 $36–$111 $36–$111 varies
Erythropoietin (82668)
range across 4 matching MRF lines		 $119–$414 $119–$414 varies
Estradiol serum (82670)
range across 4 matching MRF lines		 $35–$550 $35–$550 varies
Estriol (82677)
range across 2 matching MRF lines		 $137–$184 $137–$184 varies
Estrogen total (82672)
range across 4 matching MRF lines		 $98–$363 $98–$363 varies
Estrogens fractionated (82671)
range across 2 matching MRF lines		 $432–$580 $432–$580 varies
Ethosuximide (80168) $224 $224 13.7×
Ethylene Glycol (82693)
range across 2 matching MRF lines		 $52–$69 $52–$69 varies
Euglobulin lysis (85360)
range across 3 matching MRF lines		 $35–$158 $35–$158 varies
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines		 $94–$159 $94–$159 varies
Exome Re-Evaluation (81417)
range across 2 matching MRF lines		 $1,101–$1,116 $1,101–$1,116 varies
Exome Sequence Analysis (81415)
range across 3 matching MRF lines		 $1,651–$12,133 $1,651–$12,133 varies
Exome sequence analysis each comparator exome (81416)
range across 4 matching MRF lines		 $826–$17,828 $826–$17,828 varies
Extnd Cul Oocyte/Embryo 4-7 Days (89272) $1,989 $1,989 2.1×
F2 Gene (81240)
range across 5 matching MRF lines		 $18–$251 $18–$251 varies
Factor ii activity (85210)
range across 3 matching MRF lines		 $35–$244 $35–$244 varies
Factor Inhibitor Test (85335)
range across 2 matching MRF lines		 $168–$227 $168–$227 varies
Factor ix activity (85250)
range across 3 matching MRF lines		 $119–$422 $119–$422 varies
Factor v activity (85220)
range across 4 matching MRF lines		 $35–$540 $35–$540 varies
Factor v leiden mutation (81241)
range across 2 matching MRF lines		 $291–$1,093 $291–$1,093 varies
Factor vii assay (85230)
range across 3 matching MRF lines		 $35–$356 $35–$356 varies
Factor viii assay (85240)
range across 3 matching MRF lines		 $119–$422 $119–$422 varies
Factor X (85260)
range across 3 matching MRF lines		 $119–$422 $119–$422 varies
Factor xi activity (85270)
range across 3 matching MRF lines		 $119–$422 $119–$422 varies
Factor xiii screen (85291) $96 $96 10.5×
Fat differential, feces, quantitative Facility (82715)
range across 2 matching MRF lines		 $35–$105 $35–$105 varies
Fat stain feces urine/respir secretions (89125) $64 $64 10.9×
Fat/Lipids Feces Quantitative (82710)
range across 4 matching MRF lines		 $132–$432 $132–$432 varies
Fatty acids free (82725)
range across 4 matching MRF lines		 $38–$134 $38–$134 varies
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $92 $92 11.9×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $174 $174 10.1×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $122 $122 12.0×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420)
range across 2 matching MRF lines		 $314–$420 $314–$420 varies
Fecal Fat Qualitative (82705)
range across 4 matching MRF lines		 $35–$123 $35–$123 varies
Ferritin (82728)
range across 3 matching MRF lines		 $127–$408 $127–$408 varies
Fetal Congenital Abnor Assay Two Proteins (81508) $78 $78 1.4×
Fetal Fibronectin (82731)
range across 2 matching MRF lines		 $790–$1,060 $790–$1,060 varies
Fetal hemoglobin assay qual (83033) $68 $68 8.5×
Fetal Lung Maturity Fluorescence Polarization (83663) $224 $224 11.8×
Fetal screen rosette (85461)
range across 2 matching MRF lines		 $100–$134 $100–$134 varies
Fibrin degradation products (85362)
range across 3 matching MRF lines		 $69–$236 $69–$236 varies
Fibrin Degradation Quant (85379)
range across 3 matching MRF lines		 $30–$298 $30–$298 varies
Fibrin dgradj products d-dimer qual/semiquan (85378)
range across 2 matching MRF lines		 $129–$172 $129–$172 varies
Fibrinogen activity (85384)
range across 5 matching MRF lines		 $17–$123 $17–$123 varies
Fibrinogen antigen (85385) $101 $101 7.0×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $62 $62 4.0×
Flow cytometry first marker (88184)
range across 4 matching MRF lines		 $40–$2,278 $40–$2,278 varies
Flt3 Gene (81245)
range across 4 matching MRF lines		 $676–$2,748 $676–$2,748 varies
Flt3 gene analysis (81246)
range across 3 matching MRF lines		 $399–$1,838 $399–$1,838 varies
Fluorescent antibody screen (86255)
range across 10 matching MRF lines		 $40–$849 $40–$849 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 5 matching MRF lines		 $111–$400 $111–$400 varies
Fmr1 Gene Charac Alleles (81244) $102 $102 2.3×
Fmr1 gene detection (81243) $816 $816 14.3×
Folic acid rbc (82747)
range across 3 matching MRF lines		 $82–$293 $82–$293 varies
Folic Acid Serum (82746)
range across 5 matching MRF lines		 $25–$400 $25–$400 varies
Follicle Stimulating Hormone (83001)
range across 3 matching MRF lines		 $30–$612 $30–$612 varies
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $312 $312 10.9×
Francisella tularensis (86668)
range across 4 matching MRF lines		 $119–$160 $119–$160 varies
Fresh Frozen Plasma Thawing Each Unit (86927)
range across 7 matching MRF lines		 $47–$1,412 $47–$1,412 varies
Frozen Blood Each Unit Freezing (86930) $728 $728 3.6×
Frozen Blood Each Unit Thawing (86931) $804 $804 4.0×
Frozen Section (88331)
range across 3 matching MRF lines		 $148–$300 $148–$300 varies
Fungi Identification Mold (87107)
range across 3 matching MRF lines		 $92–$267 $92–$267 varies
Fungi Identification Yeast (87106)
range across 3 matching MRF lines		 $116–$281 $116–$281 varies
Galactokinase rbc (82759) $254 $254 11.8×
Galactose (82760)
range across 3 matching MRF lines		 $170–$343 $170–$343 varies
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $248 $248 11.8×
Gammaglobulin ige (82785)
range across 3 matching MRF lines		 $130–$430 $130–$430 varies
Gases Blood O2 Saturation Only Direct Meas (82810)
range across 2 matching MRF lines		 $178–$240 $178–$240 varies
Gases blood ph only (82800)
range across 3 matching MRF lines		 $24–$135 $24–$135 varies
Gastric Analy W/Ph Ea Spec (82930)
range across 2 matching MRF lines		 $43–$65 $43–$65 varies
Gastrin (82941)
range across 3 matching MRF lines		 $116–$382 $116–$382 varies
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $2,327 $2,327 5.6×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 2 matching MRF lines		 $3,055–$6,628 $3,055–$6,628 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)
range across 10 matching MRF lines		 $218–$7,843 $218–$7,843 varies
Genet Virus Isolate Hsv (87255) $445 $445 13.1×
Genome Sequence Analysis (81425)
range across 3 matching MRF lines		 $2,201–$4,402 $2,201–$4,402 varies
Genome sequence analysis each comparator genome (81426)
range across 3 matching MRF lines		 $1,101–$2,201 $1,101–$2,201 varies
Gentamicin (80170)
range across 2 matching MRF lines		 $410–$692 $410–$692 varies
Ggt (82977)
range across 5 matching MRF lines		 $4–$382 $4–$382 varies
Gh suppression panel (80430) $1,165 $1,165 9.0×
Giardia antigen (87329)
range across 2 matching MRF lines		 $70–$104 $70–$104 varies
Gjb2 Gene Analysis Full Gene Sequence (81252) $2,863 $2,863 28.3×
Gluc-6-phosphate dehydrogenase screen (82960) $73 $73 12.1×
Glucagon (82943)
range across 2 matching MRF lines		 $76–$102 $76–$102 varies
Glucose 2 hr pp (82950)
range across 2 matching MRF lines		 $92–$123 $92–$123 varies
Glucose Blood Test (82962) $27 $27 8.2×
Glucose body fluid (82945)
range across 6 matching MRF lines		 $35–$123 $35–$123 varies
Glucose Serum (82947)
range across 4 matching MRF lines		 $4–$729 $4–$729 varies
Glucose tolerance test (gtt) (82951)
range across 7 matching MRF lines		 $132–$354 $132–$354 varies
Glucosidase beta (82963) $95 $95 4.4×
Glycated Protein (82985)
range across 2 matching MRF lines		 $42–$56 $42–$56 varies
Gonadotropin Chorionic Hcg Free Beta Chain (84704) $85 $85 5.6×
Gonadotropin Chorionic Qualitative (84703)
range across 4 matching MRF lines		 $17–$219 $17–$219 varies
Gonadotropin releasing hormone (83727)
range across 2 matching MRF lines		 $824–$1,106 $824–$1,106 varies
Growth hormone (83003)
range across 3 matching MRF lines		 $119–$550 $119–$550 varies
Gtt-added samples (82952)
range across 7 matching MRF lines		 $30–$82 $30–$82 varies
H Pylori (C-13) Breath (83013) $795 $795 11.8×
Haloperidol (80173) $217 $217 13.8×
Haptoglobin (83010)
range across 4 matching MRF lines		 $53–$392 $53–$392 varies
Hdl Cholesterol (83718)
range across 4 matching MRF lines		 $6–$408 $6–$408 varies
Heavy metal qualitative any analytes (83015)
range across 3 matching MRF lines		 $90–$1,077 $90–$1,077 varies
Heinz Bodies Direct (85441) $50 $50 11.9×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $68 $68 10.0×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines		 $352–$520 $352–$520 varies
Helminth Antibody (86682)
range across 4 matching MRF lines		 $132–$178 $132–$178 varies
Hemagglutination Inhibition (86280) $98 $98 12.0×
Hematocrit (85014)
range across 4 matching MRF lines		 $4–$100 $4–$100 varies
Hemoglobin (85018)
range across 7 matching MRF lines		 $24–$162 $24–$162 varies
Hemoglobin a1c (83036)
range across 4 matching MRF lines		 $30–$292 $30–$292 varies
Hemoglobin Chromotography (83021) $213 $213 11.8×
Hemoglobin electrophoresis (83020)
range across 3 matching MRF lines		 $121–$394 $121–$394 varies
Hemoglobin F Fetal Chemical (83030)
range across 3 matching MRF lines		 $78–$258 $78–$258 varies
Hemoglobin Methemoglobin Quantitative (83050)
range across 3 matching MRF lines		 $69–$228 $69–$228 varies
Hemoglobin plasma (83051)
range across 3 matching MRF lines		 $83–$272 $83–$272 varies
Hemoglobin quan tc per day carboxyhemoglobin (88740) $45 $45 4.8×
Hemoglobin stability screen (83068) $26 $26 2.7×
Hemoglobin-Oxygen Affinity (82820) $118 $118 8.8×
Hemoglobin; methemoglobin, qualitative Facility (83045) $58 $58 8.9×
Hemolysin Acid (85475)
range across 3 matching MRF lines		 $35–$135 $35–$135 varies
Hemolysins&Agglutinins Auto Screen Each (86940)
range across 2 matching MRF lines		 $236–$477 $236–$477 varies
Hemolysins&Agglutinins Incubated (86941) $216 $216 17.8×
Hemosiderin urine (83070)
range across 3 matching MRF lines		 $35–$134 $35–$134 varies
Hep a ab igm (86709)
range across 6 matching MRF lines		 $30–$335 $30–$335 varies
Heparin assay (85520)
range across 2 matching MRF lines		 $420–$564 $420–$564 varies
Heparin Neutralization (85525) $141 $141 11.9×
Heparin-Protamine Tolerance Tst (85530)
range across 3 matching MRF lines		 $40–$168 $40–$168 varies
Hepatitis a antibody total (86708)
range across 4 matching MRF lines		 $83–$216 $83–$216 varies
Hepatitis b core ab igm (86705)
range across 3 matching MRF lines		 $33–$230 $33–$230 varies
Hepatitis b core ab total (86704)
range across 4 matching MRF lines		 $83–$177 $83–$177 varies
Hepatitis B Surface Antibody (86706)
range across 5 matching MRF lines		 $11–$228 $11–$228 varies
Hepatitis B Surface Antigen (87340)
range across 7 matching MRF lines		 $25–$204 $25–$204 varies
Hepatitis Be Antibody (86707)
range across 5 matching MRF lines		 $76–$304 $76–$304 varies
Hepatitis Be Antigen (87350)
range across 3 matching MRF lines		 $76–$293 $76–$293 varies
Hepatitis C Antibody (86803)
range across 4 matching MRF lines		 $30–$241 $30–$241 varies
Hepatitis c antibody confirmatory test (86804)
range across 2 matching MRF lines		 $414–$5,614 $414–$5,614 varies
Hepatitis C Genotype (87902)
range across 3 matching MRF lines		 $301–$1,126 $301–$1,126 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $458 $458 13.1×
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines		 $108–$972 $108–$972 varies
Hepatitis delta ag (87380) $216 $216 11.8×
Hepatitis Delta Agent Antibody (86692)
range across 2 matching MRF lines		 $121–$162 $121–$162 varies
Herpes simplex type 2 (86696)
range across 2 matching MRF lines		 $80–$106 $80–$106 varies
Heterophile antibodies titer (86309) $76 $76 11.7×
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310)
range across 3 matching MRF lines		 $50–$186 $50–$186 varies
Heterophile Antibody Screen (86308)
range across 3 matching MRF lines		 $35–$126 $35–$126 varies
Hfe Gene (81256)
range across 2 matching MRF lines		 $498–$1,165 $498–$1,165 varies
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 4 matching MRF lines		 $49–$184 $49–$184 varies
Histamine urine (83088)
range across 3 matching MRF lines		 $337–$1,090 $337–$1,090 varies
Histoplasma antibody (86698)
range across 2 matching MRF lines		 $352–$472 $352–$472 varies
Histoplasma antigen urine (87385)
range across 2 matching MRF lines		 $301–$445 $301–$445 varies
Hiv Genotype (87901)
range across 2 matching MRF lines		 $1,016–$1,502 $1,016–$1,502 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines		 $30–$315 $30–$315 varies
Hiv-1 Antibody (86701)
range across 3 matching MRF lines		 $30–$230 $30–$230 varies
HIV-1 p24 antigen (87390)
range across 2 matching MRF lines		 $391–$577 $391–$577 varies
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 3 matching MRF lines		 $96–$972 $96–$972 varies
HIV-2 probe&revrse trnscripj (87538) $458 $458 13.1×
Hla Class I Typing High Resolution Complete (81379) $5,964 $5,964 17.8×
Hla Class I Typing Low Resolution Complete (81372) $3,929 $3,929 9.7×
Hla Class I Typing Low Resolution One Locus Each (81373) $918 $918 7.2×
Hla class i&ii antibody qual (86828) $217 $217 3.4×
Hla class ii high defin qual (86833) $702 $702 2.2×
Hla class ii typing high resolution one locus ea (81382)
range across 3 matching MRF lines		 $1,576–$2,787 $1,576–$2,787 varies
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $948 $948 8.7×
Hla I Low Resolution One Antigen Equivalent Each (81374) $1,295 $1,295 17.4×
Hla I Typing 1 Allele Hr (81381) $1,684 $1,684 9.9×
Hla i&li low resolution hla-a -b&-drb1 (81371) $1,262 $1,262 3.1×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $3,927 $3,927 17.8×
Hla ii typing 1 allele hr (81383)
range across 2 matching MRF lines		 $138–$1,943 $138–$1,943 varies
Hla ii typing 1 locus lr (81376)
range across 3 matching MRF lines		 $1,152–$3,503 $1,152–$3,503 varies
Hla Typing a/B/C Multiple Antigens (86813)
range across 3 matching MRF lines		 $350–$2,783 $350–$2,783 varies
Hla Typing Dr/Dq Multiple Antigens (86817) $762 $762 7.2×
Hla Typing Dr/Dq Single Antigen (86816) $330 $330 10.9×
Hla-b27 (86812)
range across 2 matching MRF lines		 $434–$583 $434–$583 varies
Homocysteine (83090)
range across 2 matching MRF lines		 $390–$523 $390–$523 varies
Homogenization Tissue (87176) $76 $76 12.9×
Homovanillic acid urine (83150)
range across 3 matching MRF lines		 $216–$696 $216–$696 varies
Hpv High-Risk Types (87624)
range across 2 matching MRF lines		 $215–$701 $215–$701 varies
Hsv Dna Amp Probe (87529)
range across 5 matching MRF lines		 $132–$590 $132–$590 varies
Hsv Dna Quant (87530) $372 $372 8.7×
Htlv-I Antibody (86687)
range across 2 matching MRF lines		 $196–$264 $196–$264 varies
Htlv-ii antibody (86688)
range across 2 matching MRF lines		 $196–$264 $196–$264 varies
Hydroxycorticosteroids 17 (83491)
range across 4 matching MRF lines		 $84–$273 $84–$273 varies
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines		 $136–$182 $136–$182 varies
Hydroxyproline free (83500)
range across 3 matching MRF lines		 $232–$380 $232–$380 varies
Hydroxyproline total (83505)
range across 3 matching MRF lines		 $232–$381 $232–$381 varies
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $146 $146 12.2×
Iaad Ia Cytomegalovirus (87332)
range across 2 matching MRF lines		 $145–$214 $145–$214 varies
Iaad Ia Entamoeba Histolytica Grp (87337) $144 $144 12.0×
Iaad Ia Escherichia Coli 0157 (87335) $146 $146 11.5×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $136 $136 13.2×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420)
range across 2 matching MRF lines		 $54–$80 $54–$80 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $204 $204 5.8×
Iaad ia shiga-like toxin (87427)
range across 2 matching MRF lines		 $143–$212 $143–$212 varies
Iaad Ia Streptococcus Group A (87430) $146 $146 8.7×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $144 $144 12.0×
Iaadi inffluenza a virus (87276)
range across 2 matching MRF lines		 $97–$144 $97–$144 varies
Iaadi not otherwise specified each organism (87299) $146 $146 9.1×
Iaadi parainfluenza virus each type (87279)
range across 2 matching MRF lines		 $97–$144 $97–$144 varies
Iaadi pneumocustis carinii (87281) $146 $146 12.2×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $146 $146 12.2×
Iaadi respiratory synctial virus (87280)
range across 2 matching MRF lines		 $97–$144 $97–$144 varies
Iaadi Varicella Zoster Virus (87290) $146 $146 10.9×
Iaadiadoo trichomonas vaginalis (87808)
range across 2 matching MRF lines		 $57–$84 $57–$84 varies
Iadna Bartonella Amplified Probe Technique (87471) $458 $458 13.1×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)
range across 4 matching MRF lines		 $116–$994 $116–$994 varies
Iadna Candida Species Amplified Probe Tq (87481) $161 $161 4.6×
Iadna chlamydia pneumoniae amplified probe tq (87486)
range across 2 matching MRF lines		 $426–$628 $426–$628 varies
Iadna Chlamydia Trachomatis Direct Probe Tq (87490)
range across 2 matching MRF lines		 $168–$262 $168–$262 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines		 $712–$1,053 $712–$1,053 varies
Iadna Cytomegalovirus Quantification (87497) $370 $370 8.6×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $359 $359 5.1×
Iadna hepatitis b virus amplified probe tq (87516) $458 $458 13.1×
Iadna Hepatitis B Virus Quantification (87517)
range across 3 matching MRF lines		 $155–$971 $155–$971 varies
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $460 $460 13.1×
Iadna Herpes Virus-6 Quantification (87533) $370 $370 8.9×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 3 matching MRF lines		 $390–$599 $390–$599 varies
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $460 $460 13.1×
Iadna Multiple Organisms Direct Probe Tq (87800) $522 $522 12.0×
Iadna Mycobacteria Species Direct Probe Tq (87550) $262 $262 13.1×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines		 $331–$489 $331–$489 varies
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $265 $265 9.9×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $460 $460 13.1×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines		 $168–$247 $168–$247 varies
Iadna Nos Direct Probe Tq Each Organism (87797) $262 $262 8.7×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $56 $56 1.1×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $540 $540 3.8×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $1,550 $1,550 5.9×
Idh1 common variants (81120) $929 $929 4.8×
Idh2 common variants (81121) $929 $929 3.1×
Ifnl3 gene analysis rs12979860 variant (81283) $654 $654 8.9×
Ig Light Chains Free Each (83521) $96 $96 5.6×
Igg subclasses (82787)
range across 2 matching MRF lines		 $154–$207 $154–$207 varies
Igh gene rearrange amp meth (81261)
range across 2 matching MRF lines		 $728–$3,522 $728–$3,522 varies
Igh@ Variable Region Somatic Mutation Analysis (81263) $1,135 $1,135 3.9×
Igk rearrangeabn clonal pop (81264) $558 $558 3.2×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $643 $643 1.5×
Immune Complex Assay (86332) $290 $290 11.9×
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines		 $134–$234 $134–$234 varies
Immunoassay analyte qual/semiqual single step (83518) $101 $101 10.5×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 13 matching MRF lines		 $56–$1,412 $56–$1,412 varies
Immunoassay infectious agent (86318) $154 $154 8.5×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $178 $178 11.9×
Immunoassay nonantibody (83516)
range across 6 matching MRF lines		 $46–$298 $46–$298 varies
Immunodiffusion not elsewhere specified (86329)
range across 2 matching MRF lines		 $412–$552 $412–$552 varies
Immunodiffusion Ouchterlony (86331)
range across 2 matching MRF lines		 $50–$67 $50–$67 varies
Immunoelectrophoresis Other Fluids Concentration (86325)
range across 4 matching MRF lines		 $118–$569 $118–$569 varies
Immunoelectrophoresis Serum (86320)
range across 5 matching MRF lines		 $218–$713 $218–$713 varies
Immunofixation electrophoresis (86334) $266 $266 11.9×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 4 matching MRF lines		 $108–$2,790 $108–$2,790 varies
Immunohistochemistry (88342)
range across 16 matching MRF lines		 $108–$1,714 $108–$1,714 varies
In situ hybridization 1st probe stain (88365)
range across 3 matching MRF lines		 $164–$606 $164–$606 varies
In situ hybridization ea multiplex probe stain (88366) $448 $448 2.2×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $144 $144 9.0×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260)
range across 2 matching MRF lines		 $97–$144 $97–$144 varies
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275)
range across 2 matching MRF lines		 $97–$144 $97–$144 varies
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) $265 $265 13.2×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $667 $667 13.0×
Influenza a/b ag eia (87400)
range across 4 matching MRF lines		 $85–$126 $85–$126 varies
Influenza assay w/optic (87804) $144 $144 8.7×
Influenza DNA amp probe (87502) $490 $490 5.1×
Inherited Cardmypthy 5 Gns (81439) $661 $661 1.1×
Inhibin A (86336)
range across 2 matching MRF lines		 $76–$102 $76–$102 varies
Inhibin b (83520)
range across 53 matching MRF lines		 $26–$2,175 $26–$2,175 varies
Insitu hybridization auto (88367) $449 $449 1.1×
Insitu hybridization manual (88368)
range across 3 matching MRF lines		 $164–$1,898 $164–$1,898 varies
Insulin antibodies (86337) $206 $206 9.6×
Insulin free (83527)
range across 2 matching MRF lines		 $123–$166 $123–$166 varies
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434)
range across 2 matching MRF lines		 $1,002–$1,678 $1,002–$1,678 varies
Insulin total (83525)
range across 4 matching MRF lines		 $25–$472 $25–$472 varies
Interleukin-6 (83529) $81 $81 4.7×
Intrinsic factor antibody (86340)
range across 2 matching MRF lines		 $230–$308 $230–$308 varies
Iron (83540)
range across 5 matching MRF lines		 $37–$136 $37–$136 varies
Iron Binding Capacity (83550)
range across 4 matching MRF lines		 $43–$206 $43–$206 varies
Iron stain peripheral blood (85536) $76 $76 11.0×
Irradiation Blood Product Each Unit (86945)
range across 2 matching MRF lines		 $159–$321 $159–$321 varies
Islet cell antibody (86341)
range across 2 matching MRF lines		 $22–$234 $22–$234 varies
Isocitric dehydrogenase (IDH) Facility (83570)
range across 3 matching MRF lines		 $53–$182 $53–$182 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 4 matching MRF lines		 $769–$1,740 $769–$1,740 varies
Ketosteroids 17 total (83586)
range across 3 matching MRF lines		 $148–$484 $148–$484 varies
Kit Gene Analysis Targeted Sequence Analysis (81272)
range across 4 matching MRF lines		 $1,276–$2,098 $1,276–$2,098 varies
Koh Prep (87220)
range across 2 matching MRF lines		 $82–$122 $82–$122 varies
Kras Gene Analysis Additional Variant(S) (81276) $1,257 $1,257 6.5×
Kras Gene Variants Exon 2 (81275)
range across 2 matching MRF lines		 $647–$2,576 $647–$2,576 varies
L/s ratio (83661)
range across 3 matching MRF lines		 $199–$646 $199–$646 varies
Lactate (ld) (ldh) enzyme (83615)
range across 7 matching MRF lines		 $4–$254 $4–$254 varies
Lactoferrin fecal qualitative (83630)
range across 2 matching MRF lines		 $178–$240 $178–$240 varies
Lactogen Hpl Human Chorionic Somatomammotropin (83632)
range across 3 matching MRF lines		 $166–$535 $166–$535 varies
Lamellar Body Count (83664) $226 $226 11.7×
Ldh Isoenzymes (83625)
range across 3 matching MRF lines		 $110–$999 $110–$999 varies
LDL direct (83721)
range across 2 matching MRF lines		 $302–$406 $302–$406 varies
Lead (83655)
range across 5 matching MRF lines		 $132–$432 $132–$432 varies
Legionella antibody (86713)
range across 5 matching MRF lines		 $116–$222 $116–$222 varies
Legionella antigen urine (87449)
range across 5 matching MRF lines		 $58–$106 $58–$106 varies
Legionella DNA probe (87540)
range across 2 matching MRF lines		 $251–$371 $251–$371 varies
Legionella pneumophila dfa (87278)
range across 2 matching MRF lines		 $232–$343 $232–$343 varies
Leptospira antibody (86720)
range across 3 matching MRF lines		 $284–$633 $284–$633 varies
Leucine Aminopeptidase Lap (83670)
range across 3 matching MRF lines		 $90–$292 $90–$292 varies
Leukocyte Assessment Fecal (89055)
range across 2 matching MRF lines		 $66–$90 $66–$90 varies
Leukocyte Histamine Release (86343) $147 $147 11.8×
Level I Surg Pathology Gross Examination Only (88300)
range across 4 matching MRF lines		 $34–$142 $34–$142 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 3 matching MRF lines		 $49–$250 $49–$250 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 3 matching MRF lines		 $286–$692 $286–$692 varies
Lidocaine (80176)
range across 3 matching MRF lines		 $102–$419 $102–$419 varies
Lipase (83690)
range across 4 matching MRF lines		 $8–$180 $8–$180 varies
Lipoprotein A (83695)
range across 2 matching MRF lines		 $25–$154 $25–$154 varies
Lipoprotein Bld Quan Part (83704)
range across 2 matching MRF lines		 $244–$328 $244–$328 varies
Lipoprotein Blood Electrophorectic Sep&Quan (83700)
range across 2 matching MRF lines		 $432–$580 $432–$580 varies
Lipoprotein Blood High Resoltj&Quantj Subclass (83701)
range across 2 matching MRF lines		 $58–$78 $58–$78 varies
Lipoprotein-Associated Phospholipase A2 (83698) $119 $119 2.6×
Lithium (80178)
range across 4 matching MRF lines		 $20–$221 $20–$221 varies
Luteinizing Hormone (Lh) (83002)
range across 4 matching MRF lines		 $35–$607 $35–$607 varies
Lyme disease antibody (86618)
range across 4 matching MRF lines		 $70–$140 $70–$140 varies
Lymphocyte Culture Mixed (86821) $668 $668 18.3×
Lymphocyte transformation (86353) $580 $580 11.8×
Lymphocytotoxicity Assay (86805) $398 $398 2.1×
Lysozyme serum (85549) $172 $172 9.2×
M. Genitalium Amp Probe (87563) $942 $942 26.8×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561)
range across 2 matching MRF lines		 $638–$942 $638–$942 varies
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $523 $523 2.6×
Macroscopic exam arthropod (87168)
range across 4 matching MRF lines		 $43–$118 $43–$118 varies
Macroscopic Exam Parasite (87169)
range across 4 matching MRF lines		 $29–$262 $29–$262 varies
Magnesium Urine (83735)
range across 8 matching MRF lines		 $10–$219 $10–$219 varies
Mass Spectrometry Quant (83789) $216 $216 9.0×
Meat fibers, feces (89160) $56 $56 11.5×
Mecp2 gene full seq (81302) $2,233 $2,233 4.2×
Mercury urine (83825)
range across 3 matching MRF lines		 $396–$532 $396–$532 varies
Methemalbumin (83857) $128 $128 11.9×
Methotrexate (80204) $119 $119 3.1×
Methylmalonic acid serum (83921)
range across 3 matching MRF lines		 $147–$197 $147–$197 varies
Mgmt methylation analysis (81287) $652 $652 5.2×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines		 $124–$166 $124–$166 varies
Microbe Suscept Macrobroth (87188) $75 $75 11.3×
Microsatellite instability (81301)
range across 3 matching MRF lines		 $992–$5,152 $992–$5,152 varies
Microsomal Antibodies Each (86376)
range across 5 matching MRF lines		 $23–$262 $23–$262 varies
Mitochondrial Antibody Each (86381) $322 $322 12.7×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $2,486 $2,486 12.3×
Mog-Igg1 Antb Cba Each (86362) $322 $322 26.7×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $491 $491 13.0×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $397 $397 9.8×
Molecular Cytogenetics Dna Probe Each (88271)
range across 7 matching MRF lines		 $86–$1,353 $86–$1,353 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 2 matching MRF lines		 $138–$517 $138–$517 varies
Molecular Pathology Procedure Level 3 (81402)
range across 4 matching MRF lines		 $648–$1,793 $648–$1,793 varies
Molecular Pathology Procedure Level 6 (81405)
range across 3 matching MRF lines		 $221–$1,939 $221–$1,939 varies
Mononuclear cell antigen (86356)
range across 2 matching MRF lines		 $104–$140 $104–$140 varies
Mopath procedure level 1 (81400)
range across 4 matching MRF lines		 $478–$1,939 $478–$1,939 varies
Mopath procedure level 2 (81401)
range across 13 matching MRF lines		 $70–$3,389 $70–$3,389 varies
Mopath procedure level 4 (81403)
range across 6 matching MRF lines		 $18–$929 $18–$929 varies
Mopath procedure level 5 (81404)
range across 7 matching MRF lines		 $18–$17,829 $18–$17,829 varies
Mopath procedure level 7 (81406)
range across 5 matching MRF lines		 $111–$10,431 $111–$10,431 varies
Mopath procedure level 8 (81407) $4,233 $4,233 5.0×
Mopath procedure level 9 (81408) $7,851 $7,851 3.9×
Morphometric analysis nerve (88356) $819 $819 13.3×
Morphometric Analysis Tumor (88358)
range across 2 matching MRF lines		 $924–$1,866 $924–$1,866 varies
Mrsa Pcr (87641)
range across 2 matching MRF lines		 $196–$291 $196–$291 varies
Mthfr Gene Analysis Common Variants (81291)
range across 2 matching MRF lines		 $404–$508 $404–$508 varies
Mucin Clot Body Fluid (83872)
range across 4 matching MRF lines		 $158–$210 $158–$210 varies
Mucopolysaccharides acid quantitative (83864)
range across 3 matching MRF lines		 $161–$522 $161–$522 varies
Mumps antibody (86735)
range across 5 matching MRF lines		 $11–$293 $11–$293 varies
Muscle-Specific Kinase Antb (86366) $233 $233 12.7×
Mycobacteric Identification (87118)
range across 4 matching MRF lines		 $62–$212 $62–$212 varies
Mycophenolic Acid (80180) $213 $213 11.8×
Mycoplasma antibody (86738)
range across 5 matching MRF lines		 $174–$402 $174–$402 varies
Mycoplasma culture (87109)
range across 4 matching MRF lines		 $184–$1,248 $184–$1,248 varies
Myd88 Gene P.Leu265pro Vrnt (81305) $695 $695 4.0×
Myelin basic protein csf (83873)
range across 3 matching MRF lines		 $218–$715 $218–$715 varies
Myoglobin urine (83874)
range across 3 matching MRF lines		 $58–$226 $58–$226 varies
Natriuretic peptide (83880)
range across 3 matching MRF lines		 $48–$768 $48–$768 varies
Neisseria Dir Na Probe (87590) $262 $262 9.7×
Nerve teasing preparations (88362)
range across 2 matching MRF lines		 $1,415–$2,386 $1,415–$2,386 varies
Neutralization Test Viral (86382)
range across 2 matching MRF lines		 $218–$292 $218–$292 varies
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $775 $775 6.0×
Nfct Agent Genotype Hepatitis B Virus (87912) $3,363 $3,363 13.1×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910)
range across 2 matching MRF lines		 $436–$645 $436–$645 varies
Nfct Ds Bv&Vaginitis Dna Alg (81514) $1,872 $1,872 7.1×
Nfct ds chrnc hcv 6 assays (81596)
range across 2 matching MRF lines		 $262–$320 $262–$320 varies
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906)
range across 3 matching MRF lines		 $402–$441 $402–$441 varies
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $6,354 $6,354 13.0×
Niacin (84591)
range across 2 matching MRF lines		 $184–$246 $184–$246 varies
Nitroblue Tetrazolium Dye (86384) $136 $136 10.0×
Nk cells total count (86357) $447 $447 11.8×
Noonan Spectrum Disorders (81442) $661 $661 0.3×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310)
range across 4 matching MRF lines		 $1,263–$3,223 $1,263–$3,223 varies
Nras gene variants exon 2&3 (81311)
range across 2 matching MRF lines		 $1,884–$1,920 $1,884–$1,920 varies
Nuclear antigen antibody (86235)
range across 7 matching MRF lines		 $68–$352 $68–$352 varies
Nudt15 Gene Common Variants (81306) $1,015 $1,015 3.5×
Nzym actv blood cells/tiss radact substrate ea (82658) $213 $213 4.8×
Occult blood feces (82272)
range across 3 matching MRF lines		 $10–$15 $10–$15 varies
Occult Blood Other Sources (82271)
range across 2 matching MRF lines		 $94–$126 $94–$126 varies
Oligoclonal bands (83916)
range across 2 matching MRF lines		 $478–$642 $478–$642 varies
Oncoprotein dcp (83951) $762 $762 11.8×
Oocyte identification from follicular fluid (89254) $1,989 $1,989 9.9×
Organic Acids Qualitative Each Specimen (83919) $196 $196 11.9×
Organic acids urine (83918) $196 $196 8.3×
Osmolality serum (83930)
range across 3 matching MRF lines		 $38–$124 $38–$124 varies
Osmolality Urine (83935)
range across 3 matching MRF lines		 $38–$150 $38–$150 varies
Osmotic fragility rbc incubated (85557) $62 $62 4.6×
Osmotic Fragility RBC Unincubated (85555) $76 $76 10.2×
Osteocalcin (83937)
range across 3 matching MRF lines		 $48–$158 $48–$158 varies
Ova and parasites smears (87177)
range across 3 matching MRF lines		 $94–$368 $94–$368 varies
Oxalate urine (83945)
range across 3 matching MRF lines		 $131–$432 $131–$432 varies
Pancreatic Elastase Fecal (82656) $242 $242 21.0×
Particle Agglut Antbdy Titr (86406) $126 $126 11.8×
Particle Agglutination Screen Each Antibody (86403)
range across 4 matching MRF lines		 $47–$81 $47–$81 varies
Parvovirus antibody (86747)
range across 3 matching MRF lines		 $50–$66 $50–$66 varies
Path Consltj Surg Cytologic Exam Initial Site (88333) $1,057 $1,057 1.1×
Pathology Consultation During Surgery (88329)
range across 4 matching MRF lines		 $90–$214 $90–$214 varies
Ph urine (81003)
range across 6 matching MRF lines		 $4–$124 $4–$124 varies
Phenobarbital Level (80184)
range across 2 matching MRF lines		 $218–$367 $218–$367 varies
Phenotype Infect Agent Drug (87900)
range across 4 matching MRF lines		 $429–$762 $429–$762 varies
Phenylalanine (84030)
range across 3 matching MRF lines		 $76–$255 $76–$255 varies
Phenytoin (Dilantin) (80185)
range across 3 matching MRF lines		 $119–$490 $119–$490 varies
Phenytoin free (80186)
range across 2 matching MRF lines		 $154–$259 $154–$259 varies
Phosphatase acid prostatic (84066)
range across 3 matching MRF lines		 $40–$198 $40–$198 varies
Phosphatase alkaline (84075)
range across 5 matching MRF lines		 $4–$132 $4–$132 varies
Phosphatidylglycerol (84081) $196 $196 11.9×
Phospholipid Neutralization Hexagonal (85598) $213 $213 11.8×
Phosphorus Serum (84100)
range across 5 matching MRF lines		 $4–$123 $4–$123 varies
Phosphorus urine (84105)
range across 3 matching MRF lines		 $35–$114 $35–$114 varies
Pinworm exam (87172)
range across 3 matching MRF lines		 $32–$139 $32–$139 varies
Platelet Aggregation (85576)
range across 2 matching MRF lines		 $376–$503 $376–$503 varies
Platelet Antibodies (86022)
range across 10 matching MRF lines		 $30–$684 $30–$684 varies
Platelet count automated (85049)
range across 2 matching MRF lines		 $92–$123 $92–$123 varies
Platelet neutralization (85597)
range across 2 matching MRF lines		 $113–$213 $113–$213 varies
Pml/Raralpha Common Breakpoints Qual/Quant (81315)
range across 4 matching MRF lines		 $352–$3,688 $352–$3,688 varies
Pmp22 Gene Analysis Full Sequence Analysis (81325) $3,821 $3,821 5.0×
Pooling blood platelets (86965)
range across 2 matching MRF lines		 $39–$218 $39–$218 varies
Porphobilinogen Urine Qualitative (84106)
range across 3 matching MRF lines		 $69–$228 $69–$228 varies
Porphobilinogen, urine; quantitative (84110)
range across 3 matching MRF lines		 $98–$324 $98–$324 varies
Porphyrins Feces Quantitative (84126) $302 $302 7.7×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 3 matching MRF lines		 $102–$334 $102–$334 varies
Porphyrins, urine; qualitative (84119)
range across 3 matching MRF lines		 $212–$284 $212–$284 varies
Potassium Urine (84133)
range across 6 matching MRF lines		 $4–$123 $4–$123 varies
Prealbumin (84134)
range across 2 matching MRF lines		 $180–$241 $180–$241 varies
Pregnancy-Associated Plasma Protein-A (84163) $85 $85 5.6×
Pregnanediol (84135)
range across 3 matching MRF lines		 $84–$273 $84–$273 varies
Pregnanetriol (84138)
range across 3 matching MRF lines		 $84–$272 $84–$272 varies
Pregnenolone (84140)
range across 2 matching MRF lines		 $310–$417 $310–$417 varies
Preparation of embryo for transfer (89255) $404 $404 6.6×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977)
range across 2 matching MRF lines		 $72–$804 $72–$804 varies
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970)
range across 3 matching MRF lines		 $62–$136 $62–$136 varies
Pretx serum rbc antibody identification dilution (86976)
range across 2 matching MRF lines		 $51–$104 $51–$104 varies
Primidone (80188)
range across 3 matching MRF lines		 $112–$458 $112–$458 varies
Procalcitonin (Pct) (84145) $317 $317 11.6×
Progesterone (84144)
range across 2 matching MRF lines		 $44–$58 $44–$58 varies
Prolactin (84146)
range across 3 matching MRF lines		 $137–$540 $137–$540 varies
Prostaglandin (84150) $294 $294 7.0×
Protein body fluid (84157)
range across 3 matching MRF lines		 $86–$123 $86–$123 varies
Protein C Activity (85303)
range across 2 matching MRF lines		 $302–$406 $302–$406 varies
Protein c antigen (85302)
range across 2 matching MRF lines		 $109–$146 $109–$146 varies
Protein Electrophoresis Urine (84166)
range across 7 matching MRF lines		 $58–$450 $58–$450 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 3 matching MRF lines		 $140–$390 $140–$390 varies
Protein S Free (85306)
range across 3 matching MRF lines		 $90–$186 $90–$186 varies
Protein s total (85305)
range across 3 matching MRF lines		 $90–$186 $90–$186 varies
Protein total serum (84155)
range across 4 matching MRF lines		 $4–$219 $4–$219 varies
Protein Total Urine (84156)
range across 4 matching MRF lines		 $7–$132 $7–$132 varies
Protein Western Blot Test (84182)
range across 3 matching MRF lines		 $74–$1,362 $74–$1,362 varies
Prothrombin Time Substitution Plasma Frctj Each (85611)
range across 3 matching MRF lines		 $62–$220 $62–$220 varies
Protoporphyrin rbc quantitative (84202)
range across 3 matching MRF lines		 $218–$496 $218–$496 varies
PSA free (84154)
range across 2 matching MRF lines		 $256–$344 $256–$344 varies
Pten Gene Analysis Duplication/Deletion Variant (81323) $1,143 $1,143 3.8×
Pten Gene Analysis Full Sequence Analysis (81321) $7,833 $7,833 13.1×
Pten gene analysis known familial variant (81322)
range across 2 matching MRF lines		 $225–$764 $225–$764 varies
Pth Intact (83970)
range across 4 matching MRF lines		 $300–$980 $300–$980 varies
Pyruvate kinase (84220) $112 $112 11.9×
Q Fever Antibody (86638)
range across 2 matching MRF lines		 $129–$174 $129–$174 varies
Quantiferon tb gold plus (86480)
range across 3 matching MRF lines		 $35–$180 $35–$180 varies
Quantitative assay drug (80299)
range across 43 matching MRF lines		 $58–$1,281 $58–$1,281 varies
Quantitative Screen Metals (83018)
range across 3 matching MRF lines		 $118–$158 $118–$158 varies
Quinidine (80194)
range across 3 matching MRF lines		 $145–$593 $145–$593 varies
Rbc antibody elution (86860)
range across 3 matching MRF lines		 $94–$278 $94–$278 varies
Rbc antibody identification (86870)
range across 4 matching MRF lines		 $123–$884 $123–$884 varies
Rbc antibody screen (86850)
range across 3 matching MRF lines		 $67–$146 $67–$146 varies
Rbc pretreatment serum (86978)
range across 3 matching MRF lines		 $110–$223 $110–$223 varies
Rbc pretx incubatj w/enzymes (86971) $449 $449 2.2×
Rbc serum pretx incubj drugs (86975)
range across 2 matching MRF lines		 $47–$523 $47–$523 varies
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines		 $32–$44 $32–$44 varies
Receptor assay estrogen (84233)
range across 2 matching MRF lines		 $715–$762 $715–$762 varies
Receptor assay progesterone (84234)
range across 3 matching MRF lines		 $399–$784 $399–$784 varies
Renin activity plasma (84244)
range across 3 matching MRF lines		 $170–$556 $170–$556 varies
Reptilase test (85635) $84 $84 8.5×
Resp virus 12-25 targets (87633) $1,180 $1,180 2.8×
Resp Virus 6-11 Targets (87632) $2,789 $2,789 12.8×
Reticulated Platelet Assay (85055) $316 $316 8.8×
Reticulocyte Count (85046) $66 $66 11.8×
Reticulocyte Count Manual (85044) $51 $51 11.8×
Reticulocyte separation (86972)
range across 3 matching MRF lines		 $307–$1,457 $307–$1,457 varies
Rh (86901)
range across 4 matching MRF lines		 $34–$296 $34–$296 varies
Rheumatoid Factor Qualitative (86430)
range across 4 matching MRF lines		 $14–$132 $14–$132 varies
Rheumatoid factor quant (86431)
range across 4 matching MRF lines		 $26–$138 $26–$138 varies
Rickettsia antibody (86757) $230 $230 11.9×
Ristocetin cofactor (85245)
range across 2 matching MRF lines		 $404–$543 $404–$543 varies
Rotavirus ag eia (87425)
range across 2 matching MRF lines		 $54–$80 $54–$80 varies
Rpr qualitative (86592)
range across 5 matching MRF lines		 $32–$158 $32–$158 varies
Rsv ab (86756) $154 $154 9.7×
Rsv Assay W/Optic (87807) $144 $144 11.0×
Rubella Antibody (86762)
range across 5 matching MRF lines		 $11–$349 $11–$349 varies
Rubeola antibody (86765)
range across 4 matching MRF lines		 $11–$312 $11–$312 varies
Rufinamide (80210) $176 $176 6.5×
Russell Viper Venom Time Diluted (85613) $114 $114 11.9×
Russell Viper Venon Time Undiluted (85612)
range across 2 matching MRF lines		 $54–$74 $54–$74 varies
Rx metab gen seq alys pnl 6 (81418) $1,510 $1,510 1.6×
Salicylate Level (80179) $158 $158 8.5×
Salmonella antibody (86768)
range across 3 matching MRF lines		 $54–$74 $54–$74 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines		 $230–$254 $230–$254 varies
Sars-cov-2 COVID-19 antibody (86769) $190 $190 4.5×
Sarscov2&inf a&b&rsv amp prb (87637)
range across 2 matching MRF lines		 $470–$518 $470–$518 varies
Sedimentation rate (85651)
range across 3 matching MRF lines		 $26–$110 $26–$110 varies
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines		 $6–$32 $6–$32 varies
Selenium (84255)
range across 2 matching MRF lines		 $168–$227 $168–$227 varies
Semen Anal Sperm Detection (89321)
range across 3 matching MRF lines		 $50–$232 $50–$232 varies
Semen analysis complete (89322) $229 $229 14.8×
Semen analysis complete (89320)
range across 2 matching MRF lines		 $35–$180 $35–$180 varies
Semen analysis motility and count (89310) $128 $128 14.9×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $134 $134 13.6×
Sensitivity mic (87186)
range across 9 matching MRF lines		 $10–$951 $10–$951 varies
Serpina 1 gene (81332) $777 $777 17.8×
Serum Bactericidal Titer (87197)
range across 3 matching MRF lines		 $132–$449 $132–$449 varies
Sex Chromatin Identification Barr Bodies (88130)
range across 3 matching MRF lines		 $60–$225 $60–$225 varies
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines		 $98–$132 $98–$132 varies
Sickling of rbc reduction (85660)
range across 4 matching MRF lines		 $35–$123 $35–$123 varies
Sirolimus (80195) $452 $452 32.9×
Skin test tuberculosis intradermal (86580) $110 $110 3.2×
SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) $646 $646 3.7×
Smear acid fast (87206)
range across 5 matching MRF lines		 $24–$130 $24–$130 varies
Smear complex stain (87209) $74 $74 4.1×
Smear gram stain (87205)
range across 4 matching MRF lines		 $9–$104 $9–$104 varies
Smear Special Stain (87207)
range across 7 matching MRF lines		 $26–$300 $26–$300 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 7 matching MRF lines		 $32–$148 $32–$148 varies
Snrpn/Ube3a Methylation Analysis (81331) $1,208 $1,208 23.7×
Sodium Serum (84295)
range across 3 matching MRF lines		 $35–$123 $35–$123 varies
Sodium Urine (84300)
range across 5 matching MRF lines		 $7–$123 $7–$123 varies
Soluble Transferrin Receptor (84238)
range across 2 matching MRF lines		 $127–$170 $127–$170 varies
Somatomedin (84305)
range across 3 matching MRF lines		 $52–$123 $52–$123 varies
Special Stains Group 1 (88312)
range across 11 matching MRF lines		 $78–$360 $78–$360 varies
Special Stains Group 2 (88313)
range across 14 matching MRF lines		 $50–$343 $50–$343 varies
Specific gravity body fluid (84315) $30 $30 9.1×
Specimen infect agnt concntj (87015)
range across 6 matching MRF lines		 $46–$139 $46–$139 varies
Spectrophotometry (84311)
range across 6 matching MRF lines		 $30–$1,374 $30–$1,374 varies
Sperm Antibodies (89325)
range across 3 matching MRF lines		 $58–$396 $58–$396 varies
Sperm identification from aspiration (89257) $404 $404 6.6×
Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $404 $404 6.6×
Splitting Blood/Blood Products Each Unit (86985)
range across 3 matching MRF lines		 $102–$281 $102–$281 varies
Sprm id from tstis tiss frsh/cryoprsrvd (89264) $1,989 $1,989 32.3×
Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) $683 $683 11.1×
Staph a DNA amp probe (87640)
range across 2 matching MRF lines		 $196–$458 $196–$458 varies
Stem cells total count (86367) $447 $447 5.7×
Stone Analysis (82355)
range across 2 matching MRF lines		 $174–$232 $174–$232 varies
Stool cultr aerobic bact ea (87046)
range across 5 matching MRF lines		 $26–$69 $26–$69 varies
Storage per Year Embryo (89342) $683 $683 3.4×
Storage per year sperm/semen (89343) $404 $404 2.0×
Strep a assay w/optic (87880)
range across 2 matching MRF lines		 $128–$189 $128–$189 varies
Strep a DNA amp probe (87651) $337 $337 9.6×
Strep b DNA amp probe (87653)
range across 2 matching MRF lines		 $196–$458 $196–$458 varies
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $112 $112 1.2×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378)
range across 2 matching MRF lines		 $96–$136 $96–$136 varies
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $65 $65 11.8×
Sugars Single Qual (84376)
range across 2 matching MRF lines		 $42–$65 $42–$65 varies
Sugars, chromatographic, TLC or paper chromatography Facility (84375)
range across 2 matching MRF lines		 $204–$273 $204–$273 varies
Sulfate urine (84392) $56 $56 10.2×
Surg path level iii (88304)
range across 4 matching MRF lines		 $90–$365 $90–$365 varies
Surgical pathology level IV (88305)
range across 6 matching MRF lines		 $74–$550 $74–$550 varies
Surgical pathology level vi (88309)
range across 3 matching MRF lines		 $400–$1,032 $400–$1,032 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 4 matching MRF lines		 $28–$336 $28–$336 varies
Susceptibility Study Antimicrobial Disk Method (87184)
range across 3 matching MRF lines		 $40–$146 $40–$146 varies
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $136 $136 3.4×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190)
range across 2 matching MRF lines		 $60–$73 $60–$73 varies
Sweat Collection Iontophoresis (89230) $304 $304 4.9×
Syphilis Test Non-Trep Quant (86593)
range across 3 matching MRF lines		 $32–$126 $32–$126 varies
T cells absolute cd4 count (86361) $317 $317 11.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 4 matching MRF lines		 $86–$357 $86–$357 varies
T cells total count (86359)
range across 4 matching MRF lines		 $44–$338 $44–$338 varies
T3 Free (84481)
range across 3 matching MRF lines		 $31–$46 $31–$46 varies
T3 reverse (84482)
range across 2 matching MRF lines		 $146–$196 $146–$196 varies
T3 Total (84480)
range across 3 matching MRF lines		 $25–$390 $25–$390 varies
T3 Uptake (84479)
range across 3 matching MRF lines		 $106–$344 $106–$344 varies
T4 Free (84439)
range across 4 matching MRF lines		 $27–$390 $27–$390 varies
T4 total (84436)
range across 4 matching MRF lines		 $20–$316 $20–$316 varies
Tacrolimus (80197)
range across 2 matching MRF lines		 $440–$742 $440–$742 varies
Tb ag response t-cell susp (86481)
range across 2 matching MRF lines		 $52–$105 $52–$105 varies
Test for acetone/ketones (82009)
range across 3 matching MRF lines		 $16–$85 $16–$85 varies
Test for urine cystines (82615)
range across 2 matching MRF lines		 $38–$96 $38–$96 varies
Testosterone total (84403)
range across 6 matching MRF lines		 $45–$550 $45–$550 varies
Testosterone, Free (84402)
range across 2 matching MRF lines		 $394–$529 $394–$529 varies
Tetanus antibody (86774) $175 $175 11.8×
Tgsap so/hl 51/< RNA alys (81456) $7,711 $7,711 2.6×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 6 matching MRF lines		 $1,939–$3,458 $1,939–$3,458 varies
Thawing and expansion of frozen cells, each aliquot Facility (88241) $150 $150 12.4×
Thawing Cryopresrved Sperm (89353) $404 $404 6.6×
Thawing of cryopreserved embryos (89352) $1,989 $1,989 9.9×
Theophylline (80198)
range across 5 matching MRF lines		 $118–$490 $118–$490 varies
Thiocyanate (84430) $55 $55 4.7×
Thrombin Time (85670)
range across 3 matching MRF lines		 $32–$114 $32–$114 varies
Thrombomodulin Facility (85337) $123 $123 7.1×
Thromboplastin Inhibition Tissue (85705)
range across 2 matching MRF lines		 $306–$410 $306–$410 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 4 matching MRF lines		 $62–$220 $62–$220 varies
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $199 $199 5.7×
Thyroglobulin (84432)
range across 3 matching MRF lines		 $28–$354 $28–$354 varies
Thyroglobulin Antibody (86800)
range across 4 matching MRF lines		 $25–$186 $25–$186 varies
Thyroid Stimulating Immunoglobulin (84445)
range across 2 matching MRF lines		 $218–$292 $218–$292 varies
Thyroxine binding globulin (84442)
range across 4 matching MRF lines		 $137–$472 $137–$472 varies
Tiss cul neo disorders solid tumor (88239) $2,188 $2,188 14.8×
Tiss Trnsgltmnase Ea Ig Clas (86364) $298 $298 25.8×
Tissue Culture (88233)
range across 2 matching MRF lines		 $1,234–$2,077 $1,234–$2,077 varies
Tissue Culture Amniotic Fluid (88235)
range across 2 matching MRF lines		 $406–$2,183 $406–$2,183 varies
Tissue culture bone marrow (88237)
range across 2 matching MRF lines		 $508–$856 $508–$856 varies
Tissue Culture Lymphocyte (88230)
range across 2 matching MRF lines		 $598–$1,007 $598–$1,007 varies
Tobramycin peak (80200)
range across 5 matching MRF lines		 $119–$490 $119–$490 varies
Topiramate (80201)
range across 2 matching MRF lines		 $204–$343 $204–$343 varies
Touch prep (88161)
range across 3 matching MRF lines		 $74–$442 $74–$442 varies
Toxin/Antitoxin Assay Tissue Culture (87230) $227 $227 11.5×
Toxoplasma ab igm (86778)
range across 3 matching MRF lines		 $58–$148 $58–$148 varies
Toxoplasma antibody (86777)
range across 3 matching MRF lines		 $58–$148 $58–$148 varies
Tpmt gene com variants (81335)
range across 2 matching MRF lines		 $328–$699 $328–$699 varies
Transferase Aspartate Amino Ast Sgot (84450)
range across 5 matching MRF lines		 $4–$184 $4–$184 varies
Transferrin (84466)
range across 3 matching MRF lines		 $102–$334 $102–$334 varies
Trg gene rearrangement anal (81342)
range across 2 matching MRF lines		 $929–$3,585 $929–$3,585 varies
Trichinella Antibody (86784)
range across 3 matching MRF lines		 $76–$266 $76–$266 varies
Trichomonas vagin dir probe (87660)
range across 2 matching MRF lines		 $168–$249 $168–$249 varies
Trichomonas Vaginalis Amplif (87661) $1,482 $1,482 42.2×
Triglycerides (84478)
range across 5 matching MRF lines		 $4–$136 $4–$136 varies
Troponin Quant (84484)
range across 3 matching MRF lines		 $25–$313 $25–$313 varies
Troponin, qualitative (84512) $88 $88 8.7×
Trypsin feces qual (84488)
range across 3 matching MRF lines		 $38–$157 $38–$157 varies
Tumor immunohistochem/comput (88361)
range across 2 matching MRF lines		 $164–$444 $164–$444 varies
Tumor Immunohistochem/Manual (88360) $487 $487 2.4×
Ugt1a1 gene analysis common variants (81350) $773 $773 3.3×
Unlisted miscellaneous pathology test (89240) $221 $221 3.6×
Unlisted Surgical Pathology Procedure (88399) $264 $264 4.3×
Unlisted Transfusion Medicine Procedure (86999)
range across 3 matching MRF lines		 $81–$765 $81–$765 varies
Urea Nitrogen Clearance (84545)
range across 3 matching MRF lines		 $58–$186 $58–$186 varies
Urea nitrogen urine (84540)
range across 2 matching MRF lines		 $102–$136 $102–$136 varies
Uric acid other source (84560)
range across 3 matching MRF lines		 $35–$123 $35–$123 varies
Urinalysis Microscopic Only (81015)
range across 3 matching MRF lines		 $27–$124 $27–$124 varies
Urinalysis Qual/Semiquant Except Immunoassays (81005)
range across 7 matching MRF lines		 $16–$294 $16–$294 varies
Urinalysis Volume Measure (81050)
range across 3 matching MRF lines		 $32–$44 $32–$44 varies
Urine Albumin Semiquantitative (82044)
range across 2 matching MRF lines		 $94–$126 $94–$126 varies
Urine Bacteria Culture (87088)
range across 3 matching MRF lines		 $47–$212 $47–$212 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines		 $154–$206 $154–$206 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 5 matching MRF lines		 $10–$160 $10–$160 varies
Urobilinogen urine qual (84578)
range across 3 matching MRF lines		 $90–$292 $90–$292 varies
Urobilinogen, feces, quantitative Facility (84577)
range across 3 matching MRF lines		 $90–$291 $90–$291 varies
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $84 $84 8.8×
Valproic acid (80164)
range across 3 matching MRF lines		 $25–$367 $25–$367 varies
Vancomycin (80202)
range across 2 matching MRF lines		 $293–$493 $293–$493 varies
Varicella-zoster antibody (86787)
range across 4 matching MRF lines		 $11–$313 $11–$313 varies
Vasopressin (84588)
range across 2 matching MRF lines		 $92–$123 $92–$123 varies
Very Long Chain Fatty Acids (82726) $213 $213 10.8×
Viral Culture (87252)
range across 13 matching MRF lines		 $176–$508 $176–$508 varies
Virus antibody nos (86790)
range across 19 matching MRF lines		 $48–$710 $48–$710 varies
Virus inoculate tissue addl (87253)
range across 3 matching MRF lines		 $178–$511 $178–$511 varies
Virus inoculation, shell via (87254)
range across 3 matching MRF lines		 $253–$393 $253–$393 varies
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $256 $256 13.1×
Viscosity serum (85810)
range across 3 matching MRF lines		 $79–$260 $79–$260 varies
Vit D 1 25-Dihydroxy (82652)
range across 3 matching MRF lines		 $40–$1,040 $40–$1,040 varies
Vitamin A (84590)
range across 3 matching MRF lines		 $58–$270 $58–$270 varies
Vitamin b-12 (82607)
range across 4 matching MRF lines		 $22–$444 $22–$444 varies
Vitamin B2 (Riboflavin) (84252)
range across 3 matching MRF lines		 $143–$436 $143–$436 varies
Vitamin B6 (84207)
range across 3 matching MRF lines		 $126–$524 $126–$524 varies
Vitamin c (82180)
range across 3 matching MRF lines		 $38–$198 $38–$198 varies
Vitamin D 25-Hydroxy (82306)
range across 3 matching MRF lines		 $23–$776 $23–$776 varies
Vitamin E (84446)
range across 3 matching MRF lines		 $132–$432 $132–$432 varies
Vitamin K (84597)
range across 2 matching MRF lines		 $458–$615 $458–$615 varies
Vkorc1 gene (81355)
range across 2 matching MRF lines		 $283–$292 $283–$292 varies
Volatiles (84600)
range across 4 matching MRF lines		 $40–$266 $40–$266 varies
Voltage-Gated Calcium Channel Antibody Each (86596)
range across 3 matching MRF lines		 $68–$234 $68–$234 varies
Volume Reduction Blood/Blood Product Each Unit (86960)
range across 2 matching MRF lines		 $420–$422 $420–$422 varies
Von willebrand factor ag (85246)
range across 2 matching MRF lines		 $194–$261 $194–$261 varies
Wbc Alkaline Phosphatase Count (85540)
range across 3 matching MRF lines		 $58–$192 $58–$192 varies
West nile virus ab igm (86788)
range across 3 matching MRF lines		 $100–$182 $100–$182 varies
West Nile Virus Antibody (86789)
range across 3 matching MRF lines		 $80–$182 $80–$182 varies
Western Blot Test (84181)
range across 2 matching MRF lines		 $5,930–$7,954 $5,930–$7,954 varies
Whole Mitochondrial Genome (81460) $331 $331 0.3×
Whole mitochondrial genome analysis panel (81465) $331 $331 0.4×
Xm Archive Tissue Molec Anal (88363)
range across 2 matching MRF lines		 $50–$264 $50–$264 varies
Xylose Absorption Test (84620)
range across 3 matching MRF lines		 $137–$442 $137–$442 varies
Zika Virus Dna/Rna Amp Probe (87662) $705 $705 13.7×
Zika Virus Igm Antibody (86794) $710 $710 42.1×
Zinc (84630)
range across 3 matching MRF lines		 $96–$316 $96–$316 varies

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