Lab & pathology prices at Sidney Health Center
Sidney, MT · every code in this section with a posted price and a Medicare benchmark.
646 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $99.08 | $160 | 4.3× |
| 5 Nucleotidase (83915) | $63.78 | $103 | 5.7× |
| Acth (82024) | $227.87 | $368 | 5.9× |
| Acute hepatitis panel (80074) | $178.95 | $289 | 3.8× |
| Acylcarnitines Quant (82017) | $74.31 | $120 | 4.4× |
| Albumin Fluid (82042) | $32.20 | $52 | 4.1× |
| Albumin serum (82040) | $30.96 | $50 | 6.3× |
| Aldolase (82085) | $76.17 | $123 | 7.8× |
| Aldosterone urine (82088) | $183.91 | $297 | 4.5× |
| Alkaline phosphatase isoenzymes (84080) | $91.65 | $148 | 6.2× |
| Allergen spec ige qual multiallergen screen (86005) | $43.35 | $70 | 5.4× |
| Allergen specific ige (86003) | $27.87 | $45 | 5.3× |
| Allergen specific igg (86001) | $7.44 | $12 | 1.0× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$94.12–$97.22 | $152–$157 | varies |
| Alpha-Fetoprotein Serum (82105) | $59.45 | $96 | 3.5× |
| Alt (sgpt) (84460) | $30.35 | $49 | 5.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $75.55 | $122 | 3.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $70.59 | $114 | 4.2× |
| Amino Acids Quant 2-5 (82136) range across 2 matching MRF lines |
$79.88–$160.38 | $129–$259 | varies |
| Aminolevulinic acid (ala) (82135) | $118.89 | $192 | 7.2× |
| Ammonia (82140) | $87.93 | $142 | 6.0× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$91.65–$122.61 | $148–$198 | varies |
| Amylase urine (82150) | $40.87 | $66 | 6.3× |
| Ana Titer (86039) | $50.78 | $82 | 4.6× |
| Androstenedione (82157) | $210.53 | $340 | 7.2× |
| Angiotensin converting enzyme csf (82164) | $118.89 | $192 | 8.1× |
| Anti-Phospholipid Antibody (86148) | $62.54 | $101 | 3.9× |
| Antibody aspergillus (86606) | $47.06 | $76 | 3.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $40.25 | $65 | 3.1× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $104.65 | $169 | 6.8× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $123.84 | $200 | 7.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $94.74 | $153 | 6.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$102.79–$134.99 | $166–$218 | varies |
| Antibody haemophilus influenza (86684) | $91.03 | $147 | 5.7× |
| Antibody helicobacter pylori (86677) | $120.13 | $194 | 7.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $100.32 | $162 | 7.0× |
| Antibody Herpes Smplx Type 1 (86695) | $82.98 | $134 | 6.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $58.21 | $94 | 4.2× |
| Antibody HIV-2 (86702) range across 3 matching MRF lines |
$68.74–$108.98 | $111–$176 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) | $394.44 | $637 | 1.2× |
| Antibody identification leukocyte antibodies (86021) | $87.31 | $141 | 5.8× |
| Antibody plasmodium malaria (86750) | $56.97 | $92 | 4.3× |
| Antibody Protozoa Nes (86753) | $91.65 | $148 | 7.4× |
| Antibody Titer (86886) | $106.51 | $172 | 20.6× |
| Antibody Treponema Pallidum (86780) | $62.54 | $101 | 4.7× |
| Antigen typing (86905) | $222.92 | $360 | 58.2× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $106.51 | $172 | 18.6× |
| Antinuclear antibodies (86038) | $74.31 | $120 | 6.1× |
| Antistreptolysin O Screen (86063) | $35.30 | $57 | 6.1× |
| Antistreptolysin o titer (86060) range across 2 matching MRF lines |
$29.73–$51.40 | $48–$83 | varies |
| Antithrombin iii activity (85300) | $107.75 | $174 | 9.1× |
| Antithrombin iii antigen (85301) | $113.94 | $184 | 10.5× |
| Apolipoprotein a1 (82172) | $55.11 | $89 | 2.6× |
| Arsenic (82175) | $82.36 | $133 | 4.3× |
| Aspergillus ag eia (87305) | $123.84 | $200 | 10.3× |
| Assay activated protein c (85307) | $139.32 | $225 | 9.1× |
| Assay Blood Carbon Dioxide (82374) | $35.30 | $57 | 7.2× |
| Assay Nephelometry Not Spec (83883) range across 6 matching MRF lines |
$72.45–$117.65 | $117–$190 | varies |
| Assay of 5-hiaa (83497) | $52.64 | $85 | 4.1× |
| Assay of anti-mullerian hormone (82166) | $126.94 | $205 | 3.3× |
| Assay of blood/uric acid (84550) | $17.96 | $29 | 4.0× |
| Assay of calcium in urine (82340) | $36.54 | $59 | 6.1× |
| Assay of cpk in blood (82552) | $72.45 | $117 | 5.4× |
| Assay of estrone (82679) | $121.37 | $196 | 4.9× |
| Assay of g6pd enzyme (82955) | $92.27 | $149 | 9.5× |
| Assay of gammaglobulin igm (82784) | $77.40 | $125 | 8.3× |
| Assay of lactic acid (83605) | $74.93 | $121 | 6.5× |
| Assay of metanephrines (83835) | $185.15 | $299 | 10.9× |
| Assay of proinsulin (84206) | $89.17 | $144 | 3.3× |
| Assay of serotonin (84260) | $114.56 | $185 | 3.7× |
| Assay of serum potassium (84132) | $24.77 | $40 | 5.2× |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
$28.49–$37.78 | $46–$61 | varies |
| Assay of urea nitrogen (84520) | $27.87 | $45 | 7.1× |
| Assay of urine vma (84585) | $89.17 | $144 | 5.8× |
| Assay of vitamin b-1 (84425) | $130.04 | $210 | 6.1× |
| Assay Ph Body Fluid Nos (83986) | $9.91 | $16 | 2.8× |
| Assay spec xcp ur&breath ia (82077) | $68.12 | $110 | 3.9× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $224.16 | $362 | 1.3× |
| Automated Leukocyte Count (85048) | $9.29 | $15 | 3.7× |
| B cells total count (86355) range across 2 matching MRF lines |
$96.60–$170.90 | $156–$276 | varies |
| Bartonella antibody (86611) | $40.25 | $65 | 4.0× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$306.51–$395.67 | $495–$639 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$177.72–$294.74 | $287–$476 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $541.19 | $874 | 2.5× |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$94.12–$167.19 | $152–$270 | varies |
| Beta hydroxybutyrate (82010) | $39.63 | $64 | 4.9× |
| Beta Lactamase (87185) | $26.63 | $43 | 5.6× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$65.64–$68.12 | $106–$110 | varies |
| Bile acids total (82239) | $94.74 | $153 | 5.5× |
| Bilirubin direct (82248) | $40.25 | $65 | 8.0× |
| Bilirubin total (82247) | $43.35 | $70 | 8.6× |
| Bilirubin total transcutaneous (88720) range across 2 matching MRF lines |
$16.72–$17.96 | $27–$29 | varies |
| Biotinidase (82261) range across 2 matching MRF lines |
$21.68–$24.77 | $35–$40 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $37.78 | $61 | 4.9× |
| Blood Count Automated Differential Wbc Count (85004) | $17.96 | $29 | 2.8× |
| Blood Count Red Blood Cell Automated (85041) | $12.39 | $20 | 4.1× |
| Blood count reticulocyte automated (85045) | $24.15 | $39 | 6.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $13.63 | $22 | 3.6× |
| Blood count spun microhematocrit (85013) | $17.34 | $28 | 2.5× |
| Blood gas (82803) | $33.44 | $54 | 1.3× |
| Blood gases w/02 saturation (82805) | $62.54 | $101 | 0.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 4 matching MRF lines |
$31.58–$34.06 | $51–$55 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $6.20 | $10 | 1.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $90.41 | $146 | 14.2× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $54.49 | $88 | 3.3× |
| Blood typing serologic abo (86900) | $84.22 | $136 | 28.2× |
| Body fluid cell count (89050) | $35.30 | $57 | 7.5× |
| Bordetella antibody (86615) | $83.60 | $135 | 6.3× |
| Braf gene analysis (81210) | $378.96 | $612 | 2.2× |
| Breath Alcohol Test (82075) | $35.30 | $57 | 1.2× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$141.18–$150.47 | $228–$243 | varies |
| C-Peptide (84681) | $132.51 | $214 | 6.4× |
| C-reactive protein (86140) | $48.92 | $79 | 9.4× |
| Ca 19-9 (86301) | $144.90 | $234 | 7.0× |
| Cadmium (82300) | $66.88 | $108 | 2.8× |
| Caffeine (80155) | $71.21 | $115 | 1.8× |
| Calcitonin (82308) | $198.77 | $321 | 7.4× |
| Calcium ionized (82330) | $79.26 | $128 | 5.8× |
| Calcium total (82310) | $25.39 | $41 | 4.9× |
| Calculus Spectroscopy (82365) | $94.74 | $153 | 7.3× |
| Calprotectin Fecal (83993) | $155.42 | $251 | 7.9× |
| Calr gene com variants (81219) | $494.13 | $798 | 4.1× |
| Cancer Antigen 125 (86304) | $154.80 | $250 | 7.4× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$87.31–$90.41 | $141–$146 | varies |
| Carbamazepine total (80156) | $107.75 | $174 | 7.4× |
| Carboxyhemoglobin (82375) | $57.59 | $93 | 4.7× |
| Carcinoembryonic antigen (82378) | $100.32 | $162 | 5.3× |
| Cardiolipin ab iga (86147) | $186.38 | $301 | 7.3× |
| Carnitine Quantitative Each Specimen (82379) | $84.84 | $137 | 5.0× |
| Catecholamines fractionated (82384) | $144.90 | $234 | 5.7× |
| Ccp antibody (86200) | $78.02 | $126 | 6.0× |
| Cell count csf (89051) | $38.40 | $62 | 6.9× |
| Cell marker study (88182) | $143.66 | $232 | 2.7× |
| Ceruloplasmin (82390) | $86.69 | $140 | 8.1× |
| Chemiluminescent assay (82397) | $94.74 | $153 | 6.7× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $216.11 | $349 | 1.0× |
| Chlamydia antibody (86631) | $69.97 | $113 | 5.9× |
| Chlamydia Igm Antibody (86632) | $83.60 | $135 | 6.6× |
| Chlmy trch&neisra gonor mult (87494) | $65.02 | $105 | 0.9× |
| Chloride other source (82438) range across 2 matching MRF lines |
$58.21–$59.45 | $94–$96 | varies |
| Chloride Serum (82435) | $11.15 | $18 | 2.4× |
| Chloride urine (82436) | $24.15 | $39 | 4.2× |
| Cholesterol total (82465) | $16.10 | $26 | 3.7× |
| Cholinesterase rbc (82482) | $79.88 | $129 | 8.1× |
| Cholinesterase Serum (82480) | $65.02 | $105 | 8.3× |
| Chorionic gonadotropin test (84702) | $129.42 | $209 | 8.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $95.98 | $155 | 2.9× |
| Chromium serum (82495) | $94.74 | $153 | 4.7× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$118.27–$147.37 | $191–$238 | varies |
| Chromosome analys amniotic (88269) | $317.65 | $513 | 1.8× |
| Chromosome Analysis 15-20 (88262) | $469.98 | $759 | 3.7× |
| Chromosome Analysis 20-25 (88264) | $312.70 | $505 | 2.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$28.49–$122.61 | $46–$198 | varies |
| Citric acid urine (82507) | $87.31 | $141 | 3.1× |
| Ckmb (82553) | $55.73 | $90 | 4.8× |
| Clostridium Difficile (87324) | $90.41 | $146 | 7.5× |
| Clotting factor xii hageman (85280) | $191.34 | $309 | 9.9× |
| Cns DNA amp probe type 12-25 (87483) | $808.06 | $1,305 | 1.9× |
| Coccidioides antibody (86635) | $48.30 | $78 | 4.2× |
| Cold agglutinin screen (86156) | $28.49 | $46 | 3.5× |
| Cold agglutinin titer (86157) | $52.64 | $85 | 6.5× |
| Column Chromotography Quant (82542) | $209.91 | $339 | 8.7× |
| Compatibility test antiglob (86922) | $106.51 | $172 | 0.6× |
| Complement Antigen Each Component (86160) | $68.74 | $111 | 5.7× |
| Complement Total (Ch50) (86162) | $154.80 | $250 | 7.6× |
| Complement/Function Activity (86161) | $92.88 | $150 | 7.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $315.80 | $510 | 1.8× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $71.83 | $116 | 1.3× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $189.48 | $306 | 5.0× |
| Coombs direct (86880) | $260.69 | $421 | 48.4× |
| Copper urine (82525) range across 3 matching MRF lines |
$76.17–$78.64 | $123–$127 | varies |
| Cortisol free (82530) range across 3 matching MRF lines |
$98.46–$108.98 | $159–$176 | varies |
| Cortisol saliva (82533) | $112.08 | $181 | 6.9× |
| Creatine (82540) | $47.68 | $77 | 10.3× |
| Creatine kinase total (82550) | $40.87 | $66 | 6.3× |
| Creatinine blood (82565) | $27.87 | $45 | 5.4× |
| Creatinine clearance (82575) | $71.21 | $115 | 7.5× |
| Creatinine Urine (82570) | $27.87 | $45 | 5.4× |
| Crossmatch electronic (86923) | $105.89 | $171 | 0.6× |
| Crossmatch immediate spin (86920) | $73.69 | $119 | 0.4× |
| Crp High Sensitivity (86141) | $53.88 | $87 | 4.2× |
| Cryofibrinogen (82585) | $65.02 | $105 | 4.6× |
| Cryoglobulin (82595) | $61.31 | $99 | 9.5× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $148.61 | $240 | 11.4× |
| Cryptococcus ag titer (87899) | $36.54 | $59 | 2.3× |
| Cryptosporidium ag eia (87328) | $38.40 | $62 | 2.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $69.36 | $112 | 8.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $35.30 | $57 | 4.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $57.59 | $93 | 7.5× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $504.65 | $815 | 2.3× |
| Culture afb (87116) | $79.26 | $128 | 7.3× |
| Culture Anaerobic (87075) | $88.55 | $143 | 9.4× |
| Culture blood (87040) | $86.69 | $140 | 8.4× |
| Culture chlamydia (87110) | $56.97 | $92 | 2.9× |
| Culture csf (87070) | $75.55 | $122 | 8.8× |
| Culture fungus (87102) | $50.78 | $82 | 6.0× |
| Culture fungus blood (87103) | $63.78 | $103 | 3.1× |
| Culture screen only (87081) | $47.68 | $77 | 7.2× |
| Culture stool (87045) | $88.55 | $143 | 9.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $27.87 | $45 | 5.4× |
| Culture urine (87086) | $74.31 | $120 | 9.2× |
| Cyclosporine (80158) | $200.01 | $323 | 11.1× |
| Cystatin C (82610) | $88.55 | $143 | 4.8× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,512.71 | $2,443 | 1.3× |
| Cytomegalovirus igg (86644) | $114.56 | $185 | 8.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $73.69 | $119 | 3.6× |
| Cytopath Cell Enhance Tech (88112) | $81.12 | $131 | 1.5× |
| Cytp Concentration Smears & Interpretation (88108) | $135.61 | $219 | 3.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $163.47 | $264 | 3.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $58.21 | $94 | 0.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $89.79 | $145 | 2.4× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $803.73 | $1,298 | 4.6× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $35.30 | $57 | 1.9× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $47.06 | $76 | 2.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $38.40 | $62 | 1.3× |
| Deoxyribonuclease antibody (86215) | $75.55 | $122 | 5.7× |
| Detect Agent Nos Dna Amp (87798) range across 9 matching MRF lines |
$102.79–$165.95 | $166–$268 | varies |
| Detect Agent Nos Dna Quant (87799) | $144.90 | $234 | 3.4× |
| Detect agnt mult DNA ampli (87801) | $214.87 | $347 | 3.1× |
| Dgp Antibody Each Ig Class (86258) | $54.49 | $88 | 4.5× |
| Dhea (82626) | $183.29 | $296 | 7.3× |
| Dhea-S (82627) | $144.90 | $234 | 6.5× |
| Digoxin (80162) | $89.17 | $144 | 6.7× |
| Dihydrotestosterone (82642) | $194.43 | $314 | 6.6× |
| Dipropylacetic Acid Free (80165) | $79.26 | $128 | 5.9× |
| Dna Antibody Native/Double Stranded (86225) | $61.31 | $99 | 4.5× |
| Dna/Rna Amplified Probe (87150) | $76.17 | $123 | 2.2× |
| Drug assay acetaminophen (80143) | $226.63 | $366 | 12.2× |
| Drug assay adalimumab (80145) | $238.40 | $385 | 6.2× |
| Drug Assay Amiodarone (80151) | $47.68 | $77 | 2.6× |
| Drug Assay Infliximab (80230) | $220.44 | $356 | 5.7× |
| Drug Assay Lacosamide (80235) | $88.55 | $143 | 3.3× |
| Drug Screen Quant Zonisamide (80203) | $138.09 | $223 | 10.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $104.65 | $169 | 7.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $71.21 | $115 | 5.4× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $112.70 | $182 | 8.5× |
| Drug Test Prsmv Chem Anlyzr (80307) | $219.82 | $355 | 3.5× |
| Drug Test Prsmv Dir Opt Obs (80305) | $53.26 | $86 | 4.2× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$128.18–$140.56 | $207–$227 | varies |
| Egfr Gene Analysis Common Variants (81235) | $1,041.50 | $1,682 | 3.2× |
| Ehrlichia antibody (86666) | $104.65 | $169 | 10.3× |
| Electrolyte panel (80051) | $24.77 | $40 | 3.5× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $102.17 | $165 | 1.7× |
| Encephaltis East Eqne Anbdy (86652) | $69.97 | $113 | 5.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $73.69 | $119 | 6.1× |
| Enterovirus Antibody (86658) | $24.77 | $40 | 1.9× |
| Enterovirus PCR (87498) | $146.14 | $236 | 4.2× |
| Enzyme histochemistry (88319) | $137.47 | $222 | 0.2× |
| Erythropoietin (82668) | $146.14 | $236 | 7.8× |
| Estradiol serum (82670) | $147.37 | $238 | 5.3× |
| Estriol (82677) | $85.45 | $138 | 3.5× |
| Estrogen total (82672) | $111.46 | $180 | 5.1× |
| Estrogens fractionated (82671) | $177.72 | $287 | 5.5× |
| Ethosuximide (80168) | $115.18 | $186 | 7.0× |
| Exam Synovial Fluid Crystals (89060) | $52.64 | $85 | 7.2× |
| F2 Gene (81240) | $203.10 | $328 | 3.1× |
| Factor ii activity (85210) | $161 | $260 | 12.4× |
| Factor Inhibitor Test (85335) | $131.89 | $213 | 10.2× |
| Factor ix activity (85250) | $197.53 | $319 | 10.4× |
| Factor v activity (85220) | $213.63 | $345 | 12.1× |
| Factor v leiden mutation (81241) | $219.82 | $355 | 3.0× |
| Factor vii assay (85230) | $201.24 | $325 | 11.2× |
| Factor viii assay (85240) | $177.10 | $286 | 9.9× |
| Factor X (85260) | $132.51 | $214 | 7.4× |
| Factor xi activity (85270) | $189.48 | $306 | 10.6× |
| Factor xiii screen (85291) | $76.79 | $124 | 8.4× |
| Fat stain feces urine/respir secretions (89125) | $26.01 | $42 | 4.4× |
| Fat/Lipids Feces Quantitative (82710) | $154.80 | $250 | 9.2× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $166.57 | $269 | 25.5× |
| Fecal Fat Qualitative (82705) | $53.88 | $87 | 10.6× |
| Ferritin (82728) | $61.92 | $100 | 4.5× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $281.12 | $454 | 1.8× |
| Fetal Fibronectin (82731) | $297.84 | $481 | 4.6× |
| Fetal screen rosette (85461) | $47.06 | $76 | 5.0× |
| Fibrin Degradation Quant (85379) | $32.20 | $52 | 3.2× |
| Fibrinogen activity (85384) | $57.59 | $93 | 5.9× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 2 matching MRF lines |
$21.06–$50.78 | $34–$82 | varies |
| Flow cytometry first marker (88184) | $222.92 | $360 | 0.6× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$84.84–$260.69 | $137–$421 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $86.69 | $140 | 7.2× |
| Fmr1 gene detection (81243) | $390.72 | $631 | 6.8× |
| Folic acid rbc (82747) | $69.36 | $112 | 3.9× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$50.16–$52.02 | $81–$84 | varies |
| Follicle Stimulating Hormone (83001) | $157.90 | $255 | 8.5× |
| Francisella tularensis (86668) range across 2 matching MRF lines |
$39.01–$61.31 | $63–$99 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $24.15 | $39 | 0.1× |
| Frozen Section (88331) | $65.64 | $106 | 0.4× |
| Fungi Identification Mold (87107) | $62.54 | $101 | 6.1× |
| Fungi Identification Yeast (87106) | $57.59 | $93 | 5.6× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $105.27 | $170 | 5.0× |
| Gammaglobulin ige (82785) | $84.84 | $137 | 5.2× |
| Gases blood ph only (82800) | $34.06 | $55 | 3.1× |
| Gastrin (82941) | $118.89 | $192 | 6.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $856.36 | $1,383 | 2.1× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,569.06 | $2,534 | 2.1× |
| Gentamicin (80170) | $102.17 | $165 | 6.2× |
| Ggt (82977) | $30.35 | $49 | 4.2× |
| Giardia antigen (87329) | $57.59 | $93 | 4.8× |
| Giardia lamblia antibody (86674) | $82.36 | $133 | 5.6× |
| Glucagon (82943) | $143.04 | $231 | 10.0× |
| Glucose 2 hr pp (82950) | $51.40 | $83 | 10.8× |
| Glucose Blood Test (82962) | $7.44 | $12 | 2.3× |
| Glucose body fluid (82945) | $43.35 | $70 | 11.0× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$34.68–$37.16 | $56–$60 | varies |
| Glucose tolerance test (gtt) (82951) | $94.74 | $153 | 7.4× |
| Glycated Protein (82985) | $63.78 | $103 | 3.8× |
| Gonadotropin Chorionic Qualitative (84703) | $37.78 | $61 | 5.0× |
| Growth hormone (83003) | $104.03 | $168 | 6.2× |
| Gtt-added samples (82952) | $34.68 | $56 | 8.8× |
| H Pylori (C-13) Breath (83013) | $209.91 | $339 | 3.1× |
| Haptoglobin (83010) | $102.17 | $165 | 8.1× |
| Hdl Cholesterol (83718) | $43.35 | $70 | 5.3× |
| Helicobacter Pylori Stool (87338) | $166.57 | $269 | 11.6× |
| Helminth Antibody (86682) | $105.89 | $171 | 8.1× |
| Hematocrit (85014) | $14.25 | $23 | 6.0× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$11.77–$13.63 | $19–$22 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$32.82–$35.30 | $53–$57 | varies |
| Hemoglobin Chromotography (83021) | $84.22 | $136 | 4.7× |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$48.92–$78.64 | $79–$127 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $36.54 | $59 | 4.5× |
| Hemoglobin plasma (83051) | $41.49 | $67 | 5.7× |
| Hemoglobin stability screen (83068) | $45.21 | $73 | 4.8× |
| Hemosiderin urine (83070) | $62.54 | $101 | 13.2× |
| Hep a ab igm (86709) | $68.12 | $110 | 6.0× |
| Heparin assay (85520) | $191.96 | $310 | 14.7× |
| Hepatitis a antibody total (86708) | $63.16 | $102 | 5.1× |
| Hepatitis b core ab igm (86705) | $73.07 | $118 | 6.2× |
| Hepatitis b core ab total (86704) | $73.07 | $118 | 6.1× |
| Hepatitis B Surface Antibody (86706) | $37.16 | $60 | 3.5× |
| Hepatitis B Surface Antigen (87340) | $56.35 | $91 | 5.5× |
| Hepatitis Be Antibody (86707) | $75.55 | $122 | 6.5× |
| Hepatitis Be Antigen (87350) | $75.55 | $122 | 6.6× |
| Hepatitis C Antibody (86803) | $45.83 | $74 | 3.2× |
| Hepatitis C Genotype (87902) | $479.27 | $774 | 1.9× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $76.79 | $124 | 2.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $544.28 | $879 | 12.7× |
| Hepatitis Delta Agent Antibody (86692) | $81.74 | $132 | 4.8× |
| Herpes simplex type 2 (86696) | $130.66 | $211 | 6.8× |
| Heterophile Antibody Screen (86308) | $35.92 | $58 | 6.9× |
| Hfe Gene (81256) | $201.24 | $325 | 3.1× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $78.64 | $127 | 10.2× |
| Histamine urine (83088) | $167.19 | $270 | 5.7× |
| Histoplasma antibody (86698) | $61.31 | $99 | 4.4× |
| Hiv Genotype (87901) | $681.12 | $1,100 | 2.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $96.60 | $156 | 4.0× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$13.63–$96.60 | $22–$156 | varies |
| HIV-1 p24 antigen (87390) | $69.36 | $112 | 2.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $382.67 | $618 | 4.5× |
| HIV-2 probe&revrse trnscripj (87538) | $123.84 | $200 | 3.5× |
| Hla class ii high defin qual (86833) | $301.56 | $487 | 0.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $139.32 | $225 | 1.9× |
| Hla ii typing 1 locus lr (81376) | $255.12 | $412 | 2.1× |
| Hla-b27 (86812) | $163.47 | $264 | 6.3× |
| Homocysteine (83090) | $157.28 | $254 | 8.8× |
| Homogenization Tissue (87176) | $26.63 | $43 | 4.5× |
| Homovanillic acid urine (83150) | $50.16 | $81 | 2.2× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$69.36–$118.27 | $112–$191 | varies |
| Human Epididymis Protein 4 (86305) | $195.67 | $316 | 9.4× |
| Hydroxyprogesterone 17-d (83498) | $108.36 | $175 | 4.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $79.26 | $128 | 7.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $33.44 | $54 | 2.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$66.88–$71.21 | $108–$115 | varies |
| Iaad ia shiga-like toxin (87427) | $53.26 | $86 | 4.4× |
| Iaadiadoo trichomonas vaginalis (87808) | $28.49 | $46 | 1.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$103.41–$179.57 | $167–$290 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $66.26 | $107 | 1.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $107.75 | $174 | 3.1× |
| Iadna Cytomegalovirus Quantification (87497) | $423.54 | $684 | 9.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $162.24 | $262 | 2.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $368.43 | $595 | 8.6× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $185.15 | $299 | 5.3× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $278.03 | $449 | 7.9× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $76.79 | $124 | 2.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$58.21–$131.28 | $94–$212 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $131.89 | $213 | 0.9× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$63.16–$172.14 | $102–$278 | varies |
| Igg subclasses (82787) | $72.45 | $117 | 9.0× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $550.47 | $889 | 1.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $117.65 | $190 | 0.3× |
| Immune Complex Assay (86332) | $169.05 | $273 | 6.9× |
| Immunfix e-phorsis/urine/csf (86335) | $183.29 | $296 | 6.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$85.45–$144.28 | $138–$233 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $50.78 | $82 | 3.4× |
| Immunoassay nonantibody (83516) range across 15 matching MRF lines |
$88.55–$92.88 | $143–$150 | varies |
| Immunofixation electrophoresis (86334) | $101.55 | $164 | 4.5× |
| Immunohistochemistry (88342) | $152.33 | $246 | 0.9× |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$174.62–$207.44 | $282–$335 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) range across 2 matching MRF lines |
$102.79–$109.60 | $166–$177 | varies |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) | $35.30 | $57 | 1.0× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $32.82 | $53 | 2.7× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$33.44–$34.68 | $54–$56 | varies |
| Influenza DNA amp probe (87502) | $237.16 | $383 | 2.5× |
| Inhibin b (83520) range across 12 matching MRF lines |
$133.13–$182.05 | $215–$294 | varies |
| Insitu hybridization manual (88368) | $355.43 | $574 | 1.0× |
| Insulin free (83527) | $63.16 | $102 | 4.9× |
| Insulin total (83525) | $97.22 | $157 | 8.5× |
| Intrinsic factor antibody (86340) | $140.56 | $227 | 9.3× |
| Iron (83540) | $37.16 | $60 | 5.7× |
| Iron Binding Capacity (83550) | $46.44 | $75 | 5.3× |
| Irradiation Blood Product Each Unit (86945) | $110.84 | $179 | 2.9× |
| Islet cell antibody (86341) range across 3 matching MRF lines |
$32.20–$105.27 | $52–$170 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) | $365.33 | $590 | 2.9× |
| Koh Prep (87220) | $22.92 | $37 | 5.4× |
| Kras Gene Variants Exon 2 (81275) | $624.78 | $1,009 | 3.2× |
| Lactate (ld) (ldh) enzyme (83615) | $47.68 | $77 | 7.9× |
| Lactoferrin fecal qualitative (83630) | $105.27 | $170 | 5.3× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$39.01–$78.64 | $63–$127 | varies |
| LDL direct (83721) | $71.83 | $116 | 6.8× |
| Lead (83655) range across 3 matching MRF lines |
$38.40–$39.63 | $62–$64 | varies |
| Legionella antibody (86713) | $88.55 | $143 | 5.8× |
| Legionella antigen urine (87449) | $56.97 | $92 | 4.8× |
| Leukocyte Assessment Fecal (89055) | $26.01 | $42 | 6.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $43.97 | $71 | 1.5× |
| Level ii surg pathology grossµscopic exam (88302) | $92.88 | $150 | 2.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $173.38 | $280 | 0.5× |
| Lipase (83690) | $46.44 | $75 | 6.7× |
| Lipoprotein A (83695) | $48.92 | $79 | 3.4× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $118.89 | $192 | 3.5× |
| Lithium (80178) | $24.15 | $39 | 3.7× |
| Luteinizing Hormone (Lh) (83002) | $157.90 | $255 | 8.5× |
| Lyme disease antibody (86618) | $105.27 | $170 | 6.2× |
| M. Genitalium Amp Probe (87563) | $87.31 | $141 | 2.5× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $496.60 | $802 | 2.9× |
| M/phmtrc alys ishquant/semiq (88374) | $738.09 | $1,192 | 4.2× |
| Magnesium Urine (83735) | $46.44 | $75 | 6.9× |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$68.74–$164.09 | $111–$265 | varies |
| Mercury urine (83825) | $88.55 | $143 | 5.4× |
| Methotrexate (80204) | $73.07 | $118 | 1.9× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$71.21–$73.69 | $115–$119 | varies |
| Microalbumin, quantitative (82043) | $21.06 | $34 | 3.6× |
| Microsatellite instability (81301) | $725.09 | $1,171 | 2.1× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$90.41–$105.27 | $146–$170 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $101.55 | $164 | 4.7× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $157.28 | $254 | 3.7× |
| Mononuclear cell antigen (86356) range across 2 matching MRF lines |
$81.74–$328.18 | $132–$530 | varies |
| Mopath procedure level 1 (81400) | $268.74 | $434 | 4.2× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$281.12–$458.21 | $454–$740 | varies |
| Mopath procedure level 4 (81403) | $392.58 | $634 | 2.1× |
| Mopath procedure level 5 (81404) | $626.02 | $1,011 | 2.3× |
| Mrsa Pcr (87641) | $60.07 | $97 | 1.7× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $947.38 | $1,530 | 1.5× |
| Mucin Clot Body Fluid (83872) | $27.87 | $45 | 4.8× |
| Mumps antibody (86735) | $72.45 | $117 | 5.6× |
| Mycoplasma antibody (86738) | $79.26 | $128 | 6.0× |
| Myoglobin urine (83874) | $83.60 | $135 | 6.5× |
| Natriuretic peptide (83880) | $123.84 | $200 | 3.2× |
| Neutralization Test Viral (86382) | $85.45 | $138 | 5.1× |
| Nfct ds bv&vaginitis DNA alg (81515) | $223.54 | $361 | 0.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $202.48 | $327 | 2.8× |
| Niacin (84591) | $59.45 | $96 | 3.5× |
| Nk cells total count (86357) | $118.27 | $191 | 3.1× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $497.22 | $803 | 2.0× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$59.45–$61.31 | $96–$99 | varies |
| Obstetric panel (80081) | $331.90 | $536 | 4.4× |
| Occult blood feces (82272) | $14.25 | $23 | 3.4× |
| Occult Blood Other Sources (82271) | $34.06 | $55 | 6.4× |
| Oligoclonal bands (83916) | $91.65 | $148 | 3.3× |
| Organic Acids Qualitative Each Specimen (83919) | $183.29 | $296 | 11.1× |
| Osmolality serum (83930) | $52.02 | $84 | 7.9× |
| Osmolality Urine (83935) | $52.02 | $84 | 7.6× |
| Ova and parasites smears (87177) | $75.55 | $122 | 8.5× |
| Ova1 (81503) | $895.37 | $1,446 | 1.0× |
| Oxalate urine (83945) | $58.21 | $94 | 4.0× |
| Particle Agglutination Screen Each Antibody (86403) | $12.39 | $20 | 1.1× |
| Parvovirus antibody (86747) | $105.89 | $171 | 7.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $64.40 | $104 | 0.1× |
| Pathology Consultation During Surgery (88329) | $162.24 | $262 | 2.7× |
| Ph urine (81003) range across 2 matching MRF lines |
$12.39–$13.63 | $20–$22 | varies |
| Phenobarbital Level (80184) | $89.17 | $144 | 5.8× |
| Phenylalanine (84030) range across 3 matching MRF lines |
$24.77–$39.01 | $40–$63 | varies |
| Phenytoin (Dilantin) (80185) | $97.22 | $157 | 7.3× |
| Phenytoin free (80186) | $104.65 | $169 | 7.6× |
| Phosphatase alkaline (84075) | $27.25 | $44 | 5.3× |
| Phospholipid Neutralization Hexagonal (85598) | $53.88 | $87 | 3.0× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$27.87–$32.20 | $45–$52 | varies |
| Phosphorus urine (84105) | $21.68 | $35 | 3.8× |
| Pinworm exam (87172) | $39.01 | $63 | 9.1× |
| Platelet Aggregation (85576) | $91.65 | $148 | 3.7× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$182.05–$187.62 | $294–$303 | varies |
| Platelet count automated (85049) | $30.96 | $50 | 6.9× |
| Platelet neutralization (85597) | $113.94 | $184 | 6.3× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $438.40 | $708 | 2.1× |
| Porphyrins Feces Quantitative (84126) | $99.08 | $160 | 2.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $69.36 | $112 | 4.7× |
| Potassium Urine (84133) | $22.92 | $37 | 4.8× |
| Prealbumin (84134) | $84.84 | $137 | 5.8× |
| Pregnenolone (84140) | $95.98 | $155 | 4.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $80.50 | $130 | 1.3× |
| Pretx serum rbc antibody identification dilution (86976) | $65.64 | $106 | 2.2× |
| Primidone (80188) | $66.88 | $108 | 4.0× |
| Procalcitonin (Pct) (84145) | $125.08 | $202 | 4.6× |
| Progesterone (84144) | $114.56 | $185 | 5.5× |
| Prolactin (84146) | $144.90 | $234 | 7.5× |
| Protein body fluid (84157) | $39.01 | $63 | 9.8× |
| Protein C Activity (85303) | $127.56 | $206 | 9.2× |
| Protein Electrophoresis Urine (84166) | $115.80 | $187 | 6.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $99.08 | $160 | 9.2× |
| Protein S Free (85306) | $138.71 | $224 | 9.1× |
| Protein s total (85305) | $130.66 | $211 | 11.3× |
| Protein total serum (84155) | $23.53 | $38 | 6.4× |
| Protein Total Urine (84156) | $34.68 | $56 | 9.4× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $27.87 | $45 | 7.1× |
| PSA free (84154) | $84.84 | $137 | 4.6× |
| Pth Intact (83970) | $145.52 | $235 | 3.5× |
| Q Fever Antibody (86638) | $36.54 | $59 | 3.0× |
| Quantiferon tb gold plus (86480) | $164.71 | $266 | 2.7× |
| Quantitative assay drug (80299) range across 12 matching MRF lines |
$67.50–$138.09 | $109–$223 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$112.08–$115.80 | $181–$187 | varies |
| Rbc antibody elution (86860) | $106.51 | $172 | 0.6× |
| Rbc antibody identification (86870) | $222.92 | $360 | 0.6× |
| Rbc antibody screen (86850) | $76.17 | $123 | 7.8× |
| Rbc pretreatment serum (86978) | $95.98 | $155 | 1.6× |
| Reagent Strip/Blood Glucose (82948) | $5.58 | $9 | 1.1× |
| Renin activity plasma (84244) | $82.36 | $133 | 3.7× |
| Reptilase test (85635) | $58.83 | $95 | 6.0× |
| Reticulocyte Count (85046) | $34.06 | $55 | 6.1× |
| Reticulocyte separation (86972) | $106.51 | $172 | 0.6× |
| Rh (86901) | $59.45 | $96 | 19.9× |
| Rheumatoid Factor Qualitative (86430) | $25.39 | $41 | 4.1× |
| Rheumatoid factor quant (86431) | $26.63 | $43 | 4.7× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$67.50–$68.74 | $109–$111 | varies |
| Ristocetin cofactor (85245) | $200.63 | $324 | 8.7× |
| Rotavirus ag eia (87425) | $70.59 | $114 | 5.9× |
| Rpr qualitative (86592) | $32.82 | $53 | 7.7× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$40.87–$42.11 | $66–$68 | varies |
| Rubella Antibody (86762) | $86.07 | $139 | 6.0× |
| Rubeola antibody (86765) | $73.07 | $118 | 5.7× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$73.69–$89.17 | $119–$144 | varies |
| Russell Viper Venon Time Undiluted (85612) | $50.78 | $82 | 2.9× |
| Salicylate Level (80179) | $226.63 | $366 | 12.2× |
| Salmonella antibody (86768) | $39.01 | $63 | 3.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $131.89 | $213 | 2.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $35.30 | $57 | 0.8× |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$227.25–$241.49 | $367–$390 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $261.93 | $423 | 1.8× |
| Sedimentation rate (85651) | $14.87 | $24 | 3.5× |
| Sedimentation Rate, Automated (85652) | $27.87 | $45 | 10.3× |
| Selenium (84255) | $126.32 | $204 | 4.9× |
| Semen Anal Sperm Detection (89321) | $60.69 | $98 | 5.0× |
| Semen analysis complete (89320) | $108.36 | $175 | 8.8× |
| Semen analysis motility and count (89310) | $33.44 | $54 | 3.9× |
| Sensitivity mic (87186) | $75.55 | $122 | 8.7× |
| Serpina 1 gene (81332) | $174.62 | $282 | 4.0× |
| Sex Chromatin Identification Barr Bodies (88130) | $65.02 | $105 | 3.6× |
| Sickling of rbc reduction (85660) | $59.45 | $96 | 10.8× |
| Sirolimus (80195) | $168.43 | $272 | 12.3× |
| Skin test tuberculosis intradermal (86580) | $19.82 | $32 | 0.7× |
| Smear acid fast (87206) | $49.54 | $80 | 9.2× |
| Smear complex stain (87209) | $57.59 | $93 | 3.2× |
| Smear gram stain (87205) | $39.63 | $64 | 9.3× |
| Smear Special Stain (87207) | $58.83 | $95 | 9.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 5 matching MRF lines |
$21.06–$25.39 | $34–$41 | varies |
| Sodium Serum (84295) | $35.92 | $58 | 7.5× |
| Sodium Urine (84300) | $28.49 | $46 | 5.6× |
| Soluble fibrin monomer (85366) | $86.07 | $139 | 1.1× |
| Soluble Transferrin Receptor (84238) | $120.75 | $195 | 3.3× |
| Somatomedin (84305) range across 2 matching MRF lines |
$118.89–$168.43 | $192–$272 | varies |
| Special Stains Group 1 (88312) | $87.31 | $141 | 1.6× |
| Special Stains Group 2 (88313) | $71.21 | $115 | 0.5× |
| Specific gravity body fluid (84315) | $27.25 | $44 | 8.3× |
| Specimen infect agnt concntj (87015) | $48.30 | $78 | 7.2× |
| Spectrophotometry (84311) | $45.83 | $74 | 5.7× |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $133.75 | $216 | 2.5× |
| Stool cultr aerobic bact ea (87046) | $80.50 | $130 | 8.5× |
| Strep a assay w/optic (87880) range across 3 matching MRF lines |
$30.96–$38.40 | $50–$62 | varies |
| Strep a DNA amp probe (87651) | $79.88 | $129 | 2.3× |
| Strep b DNA amp probe (87653) | $150.47 | $243 | 4.3× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $76.79 | $124 | 14.0× |
| Sugars Single Qual (84376) | $61.31 | $99 | 11.1× |
| Sulfate urine (84392) | $20.44 | $33 | 3.7× |
| Surg path level iii (88304) | $63.78 | $103 | 1.2× |
| Surgical pathology level IV (88305) | $55.73 | $90 | 1.0× |
| Surgical pathology level vi (88309) | $230.97 | $373 | 0.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $29.73 | $48 | 4.0× |
| T cells absolute cd4 count (86361) | $165.95 | $268 | 6.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$136.85–$163.47 | $221–$264 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$107.13–$134.37 | $173–$217 | varies |
| T3 Free (84481) | $143.66 | $232 | 8.5× |
| T3 reverse (84482) | $139.32 | $225 | 8.8× |
| T3 Total (84480) | $52.02 | $84 | 3.7× |
| T3 Uptake (84479) | $35.92 | $58 | 5.6× |
| T4 Free (84439) | $32.20 | $52 | 3.6× |
| T4 total (84436) | $43.35 | $70 | 6.3× |
| T4-neonatal (84437) | $17.96 | $29 | 2.8× |
| Tacrolimus (80197) | $158.52 | $256 | 11.5× |
| Test for acetone/ketones (82009) | $19.20 | $31 | 4.2× |
| Testosterone Bioavailable (84410) | $160.38 | $259 | 3.1× |
| Testosterone total (84403) range across 3 matching MRF lines |
$20.44–$138.71 | $33–$224 | varies |
| Testosterone, Free (84402) | $216.11 | $349 | 8.5× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,631.60 | $2,635 | 2.7× |
| Theophylline (80198) | $85.45 | $138 | 6.0× |
| Thiocyanate (84430) | $108.36 | $175 | 9.3× |
| Thrombin Time (85670) | $52.64 | $85 | 9.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$45.83–$66.26 | $74–$107 | varies |
| Thyroglobulin (84432) | $82.36 | $133 | 5.1× |
| Thyroglobulin Antibody (86800) | $105.27 | $170 | 6.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $348.61 | $563 | 6.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $93.50 | $151 | 8.1× |
| Tissue Culture Amniotic Fluid (88235) | $294.12 | $475 | 2.0× |
| Tissue culture bone marrow (88237) | $451.40 | $729 | 3.1× |
| Tissue Culture Lymphocyte (88230) | $356.04 | $575 | 3.1× |
| Tobramycin peak (80200) | $68.74 | $111 | 4.3× |
| Topiramate (80201) | $118.89 | $192 | 10.0× |
| Toxoplasma ab igm (86778) | $118.89 | $192 | 8.3× |
| Toxoplasma antibody (86777) | $92.88 | $150 | 6.5× |
| Tp53 gene analysis targeted sequence analysis (81352) | $1,539.96 | $2,487 | 4.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $39.63 | $64 | 7.7× |
| Transferrin (84466) | $59.45 | $96 | 4.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $401.25 | $648 | 1.9× |
| Trg gene rearrangement anal (81342) | $355.43 | $574 | 1.8× |
| Trichomonas vagin dir probe (87660) | $30.35 | $49 | 1.5× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$53.88–$147.37 | $87–$238 | varies |
| Triglycerides (84478) | $27.87 | $45 | 4.9× |
| Troponin Quant (84484) | $74.31 | $120 | 6.0× |
| Tumor Immunohistochem/Manual (88360) | $205.58 | $332 | 1.2× |
| Unlisted Cytogenetic Study (88299) | $276.79 | $447 | 5.2× |
| Urea nitrogen urine (84540) | $26.63 | $43 | 4.8× |
| Uric acid other source (84560) | $27.25 | $44 | 5.4× |
| Urinalysis Microscopic Only (81015) | $14.25 | $23 | 4.7× |
| Urinalysis Volume Measure (81050) | $17.34 | $28 | 4.8× |
| Urine Albumin Semiquantitative (82044) | $14.25 | $23 | 2.3× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$22.92–$39.01 | $37–$63 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$18.58–$28.49 | $30–$46 | varies |
| Valproic acid (80164) | $104.03 | $168 | 7.7× |
| Vancomycin (80202) | $118.89 | $192 | 8.8× |
| Varicella-zoster antibody (86787) | $89.79 | $145 | 7.0× |
| Vasopressin (84588) | $201.24 | $325 | 5.9× |
| Viral Culture (87252) | $105.89 | $171 | 4.1× |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$71.83–$115.18 | $116–$186 | varies |
| Virus inoculate tissue addl (87253) | $56.97 | $92 | 2.8× |
| Virus inoculation, shell via (87254) | $59.45 | $96 | 3.0× |
| Viscosity serum (85810) | $86.69 | $140 | 7.4× |
| Vit D 1 25-Dihydroxy (82652) | $161 | $260 | 4.2× |
| Vitamin A (84590) | $112.70 | $182 | 9.7× |
| Vitamin b-12 (82607) | $80.50 | $130 | 5.3× |
| Vitamin B2 (Riboflavin) (84252) | $97.22 | $157 | 4.8× |
| Vitamin B6 (84207) | $139.94 | $226 | 5.0× |
| Vitamin c (82180) | $81.12 | $131 | 8.2× |
| Vitamin D 25-Hydroxy (82306) | $87.31 | $141 | 2.9× |
| Vitamin E (84446) | $92.27 | $149 | 6.5× |
| Vitamin K (84597) | $54.49 | $88 | 4.0× |
| Volatiles (84600) | $44.59 | $72 | 2.6× |
| Von willebrand factor ag (85246) | $217.34 | $351 | 9.5× |
| West nile virus ab igm (86788) | $89.17 | $144 | 5.3× |
| West Nile Virus Antibody (86789) | $73.69 | $119 | 5.1× |
| Zinc (84630) | $66.88 | $108 | 5.9× |
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.