Lab & pathology prices at Southeastern Medical Center
Cambridge, OH · every code in this section with a posted price and a Medicare benchmark.
1013 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $142.35 | $219 | 6.2× |
| 5 Nucleotidase (83915) range across 2 matching MRF lines |
$408.85–$1,645.15 | $629–$2,531 | varies |
| Abl1 gene analysis kinase domain variants (81170) | $754 | $1,160 | 2.5× |
| Acetylcholine receptor binding antibody (86041) | $65 | $100 | 3.5× |
| Acetylcholinesterase Assay (82013) | $162.50 | $250 | 13.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $146.25 | $225 | 12.1× |
| Acth (82024) | $152.10 | $234 | 3.9× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $170.95 | $263 | 5.2× |
| Actin smooth muscle antibody each (86015) | $87.75 | $135 | 7.3× |
| Acute hepatitis panel (80074) | $208 | $320 | 4.4× |
| Acylcarnitines Quant (82017) | $164.45 | $253 | 9.7× |
| Adenovirus antibody (86603) | $98.15 | $151 | 7.6× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $145.60 | $224 | 2.3× |
| Agglutinins Febrile Each Antigen (86000) | $33.80 | $52 | 4.8× |
| Albumin Fluid (82042) | $29.90 | $46 | 3.8× |
| Albumin serum (82040) range across 4 matching MRF lines |
$33.80–$72.80 | $52–$112 | varies |
| Aldolase (82085) | $79.30 | $122 | 8.2× |
| Aldosterone urine (82088) | $135.20 | $208 | 3.3× |
| Alkaline phosphatase isoenzymes (84080) | $46.80 | $72 | 3.2× |
| Allergen specific ige (86003) | $32.50 | $50 | 6.2× |
| Allergen specific igg (86001) | $32.50 | $50 | 4.2× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$9.75–$243.75 | $15–$375 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $92.30 | $142 | 6.4× |
| Alpha-1-antitrypsin total (82103) | $68.25 | $105 | 5.1× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $96.20 | $148 | 5.7× |
| Alpha-Fetoprotein Serum (82105) | $72.80 | $112 | 4.3× |
| Alt (sgpt) (84460) | $11.05 | $17 | 2.1× |
| Aluminum (82108) | $105.30 | $162 | 4.1× |
| Amikacin trough (80150) | $67.60 | $104 | 4.5× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $150.15 | $231 | 6.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$206.70–$300.95 | $318–$463 | varies |
| Amino Acids Quant 2-5 (82136) | $77.35 | $119 | 3.9× |
| Aminolevulinic acid (ala) (82135) | $130.65 | $201 | 7.9× |
| Ammonia (82140) | $99.45 | $153 | 6.8× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $147.55 | $227 | 1.5× |
| Amylase urine (82150) | $50.05 | $77 | 7.7× |
| Ana Titer (86039) range across 2 matching MRF lines |
$17.55–$98.15 | $27–$151 | varies |
| Anca screen each antibody (86036) | $54.60 | $84 | 4.5× |
| Anca Titer Each Antibody (86037) | $273 | $420 | 22.7× |
| Androstenedione (82157) | $65.65 | $101 | 2.2× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$69.55–$133.90 | $107–$206 | varies |
| Angiotensin II (82163) | $48.75 | $75 | 2.4× |
| Anti-Phospholipid Antibody (86148) | $243.10 | $374 | 15.1× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$52.65–$105.30 | $81–$162 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $61.10 | $94 | 4.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $178.75 | $275 | 11.5× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $95.55 | $147 | 5.7× |
| Antibody Encephalitis California La Crosse (86651) | $33.80 | $52 | 2.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $57.20 | $88 | 4.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $82.55 | $127 | 5.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $96.85 | $149 | 5.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $68.25 | $105 | 5.6× |
| Antibody haemophilus influenza (86684) | $44.20 | $68 | 2.8× |
| Antibody helicobacter pylori (86677) | $110.50 | $170 | 6.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $24.70 | $38 | 1.7× |
| Antibody Herpes Smplx Type 1 (86695) | $79.30 | $122 | 6.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $42.25 | $65 | 3.1× |
| Antibody HIV-2 (86702) | $53.30 | $82 | 3.9× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $722.15 | $1,111 | 2.2× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$227.50–$248.30 | $350–$382 | varies |
| Antibody identification leukocyte antibodies (86021) | $135.20 | $208 | 9.0× |
| Antibody Identification Platelet Immunogl Assay (86023) | $78 | $120 | 6.3× |
| Antibody leishmania (86717) | $68.25 | $105 | 5.6× |
| Antibody Lymphocytic Choriomeningitis (86727) | $154.70 | $238 | 12.0× |
| Antibody plasmodium malaria (86750) | $16.25 | $25 | 1.2× |
| Antibody Protozoa Nes (86753) | $155.35 | $239 | 12.5× |
| Antibody Titer (86886) | $88.40 | $136 | 17.1× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$66.95–$70.85 | $103–$109 | varies |
| Antibody yersinia (86793) | $165.10 | $254 | 12.5× |
| Antibody; campylobacter (86625) | $36.40 | $56 | 2.8× |
| Antibody; encephalitis, st. louis (86653) | $33.80 | $52 | 2.6× |
| Antibody; influenza virus (86710) | $42.90 | $66 | 3.2× |
| Antigen typing (86905) | $126.75 | $195 | 33.1× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $67.60 | $104 | 11.8× |
| Antinuclear antibodies (86038) | $82.55 | $127 | 6.8× |
| Antistreptolysin o titer (86060) | $63.05 | $97 | 8.6× |
| Antithrombin iii activity (85300) | $102.70 | $158 | 8.7× |
| Antithrombin iii antigen (85301) | $93.60 | $144 | 8.7× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $4,651.40 | $7,156 | 9.2× |
| Apc Gene Analysis Known Familial Variants (81202) | $820.30 | $1,262 | 2.9× |
| Apc gene full sequence (81201) | $2,154.75 | $3,315 | 2.8× |
| Apolipoprotein a1 (82172) | $54.60 | $84 | 2.6× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $345.15 | $531 | 9.1× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) | $531.05 | $817 | 3.9× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81174) | $1,136.20 | $1,748 | 6.1× |
| Arsenic (82175) range across 3 matching MRF lines |
$60.45–$62.40 | $93–$96 | varies |
| Ashkenazi Jewish Assoc Dis (81412) | $975 | $1,500 | 0.4× |
| Aspa gene analysis common variants (81200) | $295.10 | $454 | 6.2× |
| Aspergillus ag eia (87305) | $139.10 | $214 | 11.6× |
| Assay activated protein c (85307) | $117.65 | $181 | 7.7× |
| Assay Blood Carbon Dioxide (82374) | $39.65 | $61 | 8.1× |
| Assay Dir Meas Fr Estradiol (82681) range across 2 matching MRF lines |
$179.40–$359.45 | $276–$553 | varies |
| Assay myeloperoxidase (83876) | $88.40 | $136 | 1.7× |
| Assay Nephelometry Not Spec (83883) | $61.10 | $94 | 4.5× |
| Assay of 5-hiaa (83497) | $79.95 | $123 | 6.2× |
| Assay of anti-mullerian hormone (82166) | $109.85 | $169 | 2.8× |
| Assay of b-hexosaminidase each assay (83080) range across 3 matching MRF lines |
$99.45–$457.60 | $153–$704 | varies |
| Assay of blood/uric acid (84550) | $29.90 | $46 | 6.6× |
| Assay of calcium in urine (82340) | $44.20 | $68 | 7.3× |
| Assay of corticosterone (82528) | $46.15 | $71 | 2.0× |
| Assay of cpk in blood (82552) | $63.70 | $98 | 4.8× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$20.15–$79.95 | $31–$123 | varies |
| Assay of g6pd enzyme (82955) | $71.50 | $110 | 7.4× |
| Assay of gammaglobulin igm (82784) | $58.50 | $90 | 6.3× |
| Assay of lactic acid (83605) | $72.80 | $112 | 6.3× |
| Assay of manganese (83785) | $79.95 | $123 | 3.0× |
| Assay of metanephrines (83835) | $146.25 | $225 | 8.6× |
| Assay of procainamide (80190) | $37.70 | $58 | 0.6× |
| Assay of proinsulin (84206) | $157.95 | $243 | 5.9× |
| Assay of pyruvate (84210) | $56.55 | $87 | 3.9× |
| Assay of semen fructose (82757) | $140.40 | $216 | 8.1× |
| Assay of serotonin (84260) | $126.75 | $195 | 4.1× |
| Assay of serum potassium (84132) | $20.15 | $31 | 4.2× |
| Assay of sweat sodium (84302) | $63.70 | $98 | 13.1× |
| Assay of transcortin (84449) | $97.50 | $150 | 5.4× |
| Assay of Tyrosine (84510) | $92.30 | $142 | 8.7× |
| Assay of urea nitrogen (84520) | $22.10 | $34 | 5.6× |
| Assay of urine vma (84585) | $107.90 | $166 | 7.0× |
| Assay of vasoactive intestinal peptide (84586) | $159.25 | $245 | 4.5× |
| Assay of vitamin b-1 (84425) | $87.75 | $135 | 4.1× |
| Assay Ph Body Fluid Nos (83986) | $24.70 | $38 | 6.9× |
| Assay Phosphohexose Enzymes (84087) | $469.30 | $722 | 43.7× |
| Assay spec xcp ur&breath ia (82077) | $93.60 | $144 | 5.4× |
| Asy carbamazepin 10,11-epxid (80161) | $95.55 | $147 | 5.1× |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) | $1,125.15 | $1,731 | 8.2× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) | $642.20 | $988 | 4.7× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) | $642.20 | $988 | 4.7× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) | $642.20 | $988 | 4.7× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) | $311.35 | $479 | 2.3× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,605.50 | $2,470 | 1.9× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $87.10 | $134 | 0.5× |
| Autol bld/component collj storage salvage (86891) | $4,755.40 | $7,316 | 6.2× |
| Automated Leukocyte Count (85048) | $27.30 | $42 | 10.7× |
| B cells total count (86355) | $153.40 | $236 | 4.1× |
| Babesia microti amp prb (87469) | $237.25 | $365 | 6.8× |
| Bartonella antibody (86611) | $180.05 | $277 | 17.7× |
| Bcr/abl1 gene major bp (81206) | $388.70 | $598 | 2.4× |
| Bcr/abl1 gene minor bp (81207) | $399.75 | $615 | 2.8× |
| Bcr/Abl1 Gene Other Bp (81208) | $497.25 | $765 | 2.3× |
| Beta 2 glycoprotein i antibody each (86146) | $202.80 | $312 | 8.0× |
| Beta hydroxybutyrate (82010) | $43.55 | $67 | 5.3× |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$26.65–$40.30 | $41–$62 | varies |
| Beta-2 Microglobulin (82232) | $68.90 | $106 | 4.3× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $570.70 | $878 | 4.4× |
| Bile acids total (82239) | $37.70 | $58 | 2.2× |
| Bilirubin direct (82248) | $27.30 | $42 | 5.4× |
| Bilirubin total (82247) | $33.15 | $51 | 6.6× |
| Bilirubin total transcutaneous (88720) | $114.40 | $176 | 22.8× |
| Biotinidase (82261) | $45.50 | $70 | 2.7× |
| Bl Smear W/O Diff Wbc Count (85008) | $57.85 | $89 | 16.9× |
| Blastomyces antibody (86612) | $69.55 | $107 | 5.4× |
| Bld Typing Serologic Rh Phnt (86906) | $86.45 | $133 | 11.2× |
| Blm Gene (81209) | $640.90 | $986 | 16.3× |
| Blood Count Manual Cell Count Each (85032) | $42.90 | $66 | 10.0× |
| Blood count reticulocyte automated (85045) | $38.35 | $59 | 9.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $28.60 | $44 | 7.5× |
| Blood count spun microhematocrit (85013) | $40.95 | $63 | 5.9× |
| Blood gas (82803) | $140.40 | $216 | 5.4× |
| Blood gases w/02 saturation (82805) range across 4 matching MRF lines |
$45.50–$226.20 | $70–$348 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $48.10 | $74 | 3.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $24.70 | $38 | 5.6× |
| Blood Sulfhemoglobin Assay (83060) | $37.70 | $58 | 4.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $318.50 | $490 | 50.2× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $78.65 | $121 | 4.8× |
| Blood typing serologic abo (86900) | $31.20 | $48 | 10.4× |
| Body fluid cell count (89050) | $44.20 | $68 | 9.4× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$58.50–$140.40 | $90–$216 | varies |
| Borrelia miyamotoi amp prb (87478) | $843.70 | $1,298 | 24.0× |
| Braf gene analysis (81210) | $335.40 | $516 | 1.9× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) | $2,730 | $4,200 | 5.8× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $774.80 | $1,192 | 2.1× |
| Brca1&2 gen full seq dup/del (81162) | $2,867.80 | $4,412 | 1.6× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $774.80 | $1,192 | 2.1× |
| Brucella antibody (86622) | $78.65 | $121 | 8.8× |
| C diff amplified probe (87493) range across 4 matching MRF lines |
$239.85–$1,120.60 | $369–$1,724 | varies |
| C-Peptide (84681) | $77.35 | $119 | 3.7× |
| C-reactive protein (86140) | $61.10 | $94 | 11.8× |
| Ca 19-9 (86301) | $87.75 | $135 | 4.2× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) | $978.90 | $1,506 | 7.1× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial… (81186) | $820.30 | $1,262 | 4.4× |
| Cadmium (82300) | $82.55 | $127 | 3.5× |
| Caffeine (80155) | $78 | $120 | 2.0× |
| Calcitonin (82308) | $115.70 | $178 | 4.3× |
| Calcium ionized (82330) | $93.60 | $144 | 6.8× |
| Calcium total (82310) range across 3 matching MRF lines |
$35.10–$50.05 | $54–$77 | varies |
| Calculus Spectroscopy (82365) | $47.45 | $73 | 3.7× |
| Calprotectin Fecal (83993) | $222.95 | $343 | 11.4× |
| Calr gene com variants (81219) | $517.40 | $796 | 4.3× |
| Cancer Antigen 125 (86304) | $106.60 | $164 | 5.1× |
| Cancer Antigen 27.29 (86300) | $100.75 | $155 | 4.8× |
| Candida antibody (86628) | $158.60 | $244 | 13.2× |
| Candida Dna Dir Probe (87480) | $80.60 | $124 | 4.0× |
| Carbamazepine free (80157) | $76.70 | $118 | 5.8× |
| Carbamazepine total (80156) | $99.45 | $153 | 6.8× |
| Carbohydrate Deficient Transferrin (82373) | $94.25 | $145 | 5.2× |
| Carboxyhemoglobin (82375) range across 4 matching MRF lines |
$48.10–$50.70 | $74–$78 | varies |
| Carcinoembryonic antigen (82378) | $115.05 | $177 | 6.1× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$35.10–$179.40 | $54–$276 | varies |
| Carnitine Quantitative Each Specimen (82379) | $179.40 | $276 | 10.6× |
| Carotene (82380) | $53.95 | $83 | 5.9× |
| Catecholamines fractionated (82384) | $113.75 | $175 | 4.5× |
| Ccp antibody (86200) | $102.70 | $158 | 7.9× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $765.05 | $1,177 | 3.2× |
| Cell count csf (89051) | $64.35 | $99 | 11.5× |
| Cell enumeration & id (86152) | $725.40 | $1,116 | 2.9× |
| Cell marker study (88182) range across 2 matching MRF lines |
$76.05–$755.30 | $117–$1,162 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $992.55 | $1,527 | 7.3× |
| Ceruloplasmin (82390) | $63.05 | $97 | 5.9× |
| Cftr Gene Analysis Known Familial Variants (81221) | $820.30 | $1,262 | 8.4× |
| Cftr gene com variants (81220) | $338.65 | $521 | 0.6× |
| Cftr gene dup/delet variants (81222) | $989.30 | $1,522 | 2.3× |
| Cftr gene full sequence (81223) | $2,072.85 | $3,189 | 4.2× |
| Chemiluminescent assay (82397) | $137.15 | $211 | 9.7× |
| Chlamydia antibody (86631) | $94.90 | $146 | 8.0× |
| Chlamydia Igm Antibody (86632) | $66.95 | $103 | 5.3× |
| Chloride other source (82438) range across 2 matching MRF lines |
$11.05–$21.45 | $17–$33 | varies |
| Chloride Serum (82435) | $35.75 | $55 | 7.8× |
| Chloride urine (82436) | $29.25 | $45 | 5.1× |
| Chlorinated Hydrocarbons Screen (82441) | $98.15 | $151 | 16.3× |
| Cholesterol total (82465) | $17.55 | $27 | 4.0× |
| Cholinesterase rbc (82482) | $27.30 | $42 | 2.8× |
| Cholinesterase Serum (82480) | $48.10 | $74 | 6.1× |
| Chorionic gonadotropin test (84702) | $109.85 | $169 | 7.3× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $705.90 | $1,086 | 3.7× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $89.70 | $138 | 3.3× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $181.35 | $279 | 5.3× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $19.50 | $30 | 0.6× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $19.50 | $30 | 0.3× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $422.50 | $650 | 2.4× |
| Chromium serum (82495) | $149.50 | $230 | 7.4× |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
$47.45–$468 | $73–$720 | varies |
| Chromogranin a (86316) range across 2 matching MRF lines |
$111.15–$366.60 | $171–$564 | varies |
| Chromosome analys amniotic (88269) | $343.85 | $529 | 2.0× |
| Chromosome Analysis 15-20 (88262) | $137.15 | $211 | 1.1× |
| Chromosome Analysis 20-25 (88264) | $241.80 | $372 | 1.7× |
| Chromosome analysis, 5 (88261) | $612.95 | $943 | 2.3× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $92.95 | $143 | 2.6× |
| Citric acid urine (82507) | $177.45 | $273 | 6.4× |
| Ckmb (82553) | $64.35 | $99 | 5.6× |
| Clostridium Difficile (87324) | $66.95 | $103 | 5.6× |
| Clot Factor VIII Multimetric (85247) | $196.30 | $302 | 8.6× |
| Clot factor xiii fibrin stab (85290) | $229.45 | $353 | 14.0× |
| Clotting factor xii hageman (85280) | $130.65 | $201 | 6.8× |
| Clotting Funct Activity (85397) range across 3 matching MRF lines |
$41.60–$194.35 | $64–$299 | varies |
| Clotting hi molec weight kininogen assay (85293) | $406.25 | $625 | 21.5× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $406.25 | $625 | 21.5× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) | $2,291.25 | $3,525 | 16.7× |
| Cns DNA amp probe type 12-25 (87483) | $645.45 | $993 | 1.5× |
| Coagulation time activated (85347) | $42.90 | $66 | 10.0× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$68.90–$70.85 | $106–$109 | varies |
| Cold agglutinin titer (86157) | $65.65 | $101 | 8.1× |
| Collagen crosslinks (82523) | $52.65 | $81 | 2.8× |
| Column Chromotography Quant (82542) | $145.60 | $224 | 6.0× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $925.60 | $1,424 | 4.0× |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $464.10 | $714 | 1.5× |
| Compatibility Each Unit Incubation (86921) | $13 | $20 | 0.1× |
| Compatibility test antiglob (86922) | $115.70 | $178 | 0.7× |
| Complement Antigen Each Component (86160) | $96.85 | $149 | 8.1× |
| Complement Fixation Tests Each Antigen (86171) | $101.40 | $156 | 10.1× |
| Complement Total (Ch50) (86162) | $163.15 | $251 | 8.0× |
| Complement/Function Activity (86161) | $106.60 | $164 | 8.9× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $124.15 | $191 | 0.8× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$291.85–$351 | $449–$540 | varies |
| Coombs direct (86880) | $54.60 | $84 | 10.1× |
| Copper urine (82525) | $52.65 | $81 | 4.2× |
| Cortisol free (82530) | $102.70 | $158 | 6.1× |
| Cortisol saliva (82533) | $111.15 | $171 | 6.8× |
| Creatine (82540) | $39 | $60 | 8.4× |
| Creatine kinase total (82550) | $40.95 | $63 | 6.3× |
| Creatinine blood (82565) | $24.70 | $38 | 4.8× |
| Creatinine clearance (82575) | $61.75 | $95 | 6.5× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$30.55–$42.25 | $47–$65 | varies |
| Crossmatch electronic (86923) | $114.40 | $176 | 0.7× |
| Crossmatch immediate spin (86920) | $94.90 | $146 | 0.6× |
| Crp High Sensitivity (86141) | $73.45 | $113 | 5.7× |
| Cryofibrinogen (82585) | $32.50 | $50 | 2.3× |
| Cryoglobulin (82595) | $42.25 | $65 | 6.5× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $82.55 | $127 | 6.3× |
| Cryptococcus ag titer (87899) | $46.15 | $71 | 2.9× |
| Cryptosporidium ag eia (87328) | $54.60 | $84 | 4.0× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Facility (81190) | $820.30 | $1,262 | 4.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $42.25 | $65 | 5.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $64.35 | $99 | 8.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $76.05 | $117 | 9.9× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) range across 2 matching MRF lines |
$389.35–$1,031.55 | $599–$1,587 | varies |
| Culture aerobic quant other (87071) | $171.60 | $264 | 17.4× |
| Culture afb (87116) | $94.90 | $146 | 8.8× |
| Culture Anaerobic (87075) | $76.70 | $118 | 8.1× |
| Culture blood (87040) | $65.65 | $101 | 6.4× |
| Culture chlamydia (87110) | $98.15 | $151 | 5.0× |
| Culture csf (87070) | $62.40 | $96 | 7.2× |
| Culture fungus (87102) | $94.90 | $146 | 11.3× |
| Culture fungus blood (87103) | $209.30 | $322 | 10.2× |
| Culture screen only (87081) | $55.25 | $85 | 8.3× |
| Culture stool (87045) | $64.35 | $99 | 6.8× |
| Culture typing if ea antiserum (87140) | $39 | $60 | 7.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $22.10 | $34 | 4.3× |
| Culture urine (87086) | $35.75 | $55 | 4.4× |
| Cyanide (82600) | $113.75 | $175 | 5.9× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $186.55 | $287 | 13.0× |
| Cyclic amp (82030) | $80.60 | $124 | 3.1× |
| Cyclosporine (80158) | $66.30 | $102 | 3.7× |
| Cyp2c19 gene analysis common variants (81225) | $877.50 | $1,350 | 3.0× |
| Cyp2c9 gene com variants (81227) | $458.90 | $706 | 2.6× |
| Cyp2d6 gene com variants (81226) | $370.50 | $570 | 0.8× |
| Cyp3a4 gene common variants (81230) | $887.90 | $1,366 | 5.1× |
| Cyp3a5 gene common variants (81231) | $1,036.75 | $1,595 | 5.9× |
| Cystatin C (82610) | $131.30 | $202 | 7.1× |
| Cytogenetics 10-30 (88273) | $158.60 | $244 | 4.6× |
| Cytogenetics 100-300 (88275) | $248.30 | $382 | 4.9× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $3,234.40 | $4,976 | 3.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$3,109.60–$5,796.70 | $4,784–$8,918 | varies |
| Cytogenomic neo microra alys (81277) range across 2 matching MRF lines |
$2,887.95–$4,368 | $4,443–$6,720 | varies |
| Cytomegalovirus igg (86644) | $90.35 | $139 | 6.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $48.10 | $74 | 2.4× |
| Cytopath Cell Enhance Tech (88112) | $178.75 | $275 | 3.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $61.75 | $95 | 2.3× |
| Cytp Concentration Smears & Interpretation (88108) | $100.75 | $155 | 2.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines |
$516.75–$7,800 | $795–$12,000 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $196.30 | $302 | 1.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $124.80 | $192 | 3.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $516.10 | $794 | 3.2× |
| Deoxycortisol (82634) | $75.40 | $116 | 2.6× |
| Deoxyribonuclease antibody (86215) | $31.20 | $48 | 2.4× |
| Desoxycorticosterone (82633) range across 3 matching MRF lines |
$44.85–$348.40 | $69–$536 | varies |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$29.90–$132.60 | $46–$204 | varies |
| Detect Agent Nos Dna Quant (87799) | $328.90 | $506 | 7.7× |
| Detect agnt mult DNA ampli (87801) range across 4 matching MRF lines |
$53.95–$5,850 | $83–$9,000 | varies |
| Dgp Antibody Each Ig Class (86258) | $79.95 | $123 | 6.6× |
| Dhea (82626) | $136.50 | $210 | 5.4× |
| Dhea-S (82627) | $82.55 | $127 | 3.7× |
| Dibucaine number (82638) | $29.90 | $46 | 2.4× |
| Digoxin (80162) | $92.30 | $142 | 7.0× |
| Digoxin free (80163) | $74.75 | $115 | 5.6× |
| Dihydrotestosterone (82642) | $81.90 | $126 | 2.8× |
| Diphtheria antitoxoid (86648) | $66.30 | $102 | 4.4× |
| Dipropylacetic Acid Free (80165) | $63.70 | $98 | 4.7× |
| Dmd Duplication/Deletion Analysis (81161) | $1,745.25 | $2,685 | 6.3× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $1,414.40 | $2,176 | 10.3× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$72.80–$74.10 | $112–$114 | varies |
| Dna Antibody Single Stranded (86226) | $79.95 | $123 | 6.6× |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$18.85–$101.40 | $29–$156 | varies |
| DNA/RNA direct probe (87149) | $120.25 | $185 | 6.0× |
| Dna/Rna Sequencing (87153) | $243.10 | $374 | 2.1× |
| Dpyd gene common variants (81232) | $1,097.20 | $1,688 | 6.3× |
| Drug assay acetaminophen (80143) | $118.95 | $183 | 6.4× |
| Drug assay adalimumab (80145) | $165.10 | $254 | 4.3× |
| Drug Assay Amiodarone (80151) | $85.15 | $131 | 4.6× |
| Drug Assay Everolimus (80169) | $59.80 | $92 | 4.4× |
| Drug assay felbamate (80167) | $75.40 | $116 | 4.0× |
| Drug Assay Infliximab (80230) | $160.55 | $247 | 4.2× |
| Drug Assay Itraconazole (80189) | $85.80 | $132 | 3.2× |
| Drug Assay Lacosamide (80235) | $141.05 | $217 | 5.2× |
| Drug Assay Leflunomide (80193) | $134.55 | $207 | 3.5× |
| Drug Assay Posaconazole (80187) | $127.40 | $196 | 4.7× |
| Drug Assay Vedolizumab (80280) | $610.35 | $939 | 15.8× |
| Drug assay voriconazole (80285) | $249.60 | $384 | 9.2× |
| Drug Asy Hydroxychloroquine (80220) | $436.15 | $671 | 23.4× |
| Drug Screen Quant Clozapine (80159) | $50.70 | $78 | 2.5× |
| Drug Screen Quant Zonisamide (80203) | $48.75 | $75 | 3.7× |
| Drug Screen Quantitative Gabapentin (80171) | $40.95 | $63 | 1.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $85.80 | $132 | 6.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $102.70 | $158 | 7.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $83.85 | $129 | 6.3× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $78.65 | $121 | 4.7× |
| Drug Screen Quantitative Tiagabine (80199) | $78 | $120 | 2.9× |
| Drug Test Prsmv Chem Anlyzr (80307) | $109.20 | $168 | 1.8× |
| Drug Test Prsmv Dir Opt Obs (80305) | $61.10 | $94 | 4.8× |
| Egfr Gene Analysis Common Variants (81235) | $1,228.50 | $1,890 | 3.8× |
| Ehrlichia antibody (86666) | $75.40 | $116 | 7.4× |
| El-1 Fecal Quantitative (82653) | $219.05 | $337 | 9.5× |
| Electrolyte panel (80051) | $48.10 | $74 | 6.9× |
| Electron Microscopy (88348) | $821.60 | $1,264 | 1.1× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $109.85 | $169 | 1.8× |
| Encephaltis East Eqne Anbdy (86652) | $94.90 | $146 | 7.2× |
| Encephaltis West Eqne Antbdy (86654) | $110.50 | $170 | 8.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$79.95–$234 | $123–$360 | varies |
| Enterovirus Antibody (86658) | $152.75 | $235 | 11.7× |
| Enterovirus PCR (87498) | $196.30 | $302 | 5.6× |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$148.85–$674.70 | $229–$1,038 | varies |
| Enzyme histochemistry (88319) | $510.25 | $785 | 0.7× |
| Eosinophil Smear (89190) | $82.55 | $127 | 14.3× |
| Erythropoietin (82668) | $99.45 | $153 | 5.3× |
| Estradiol serum (82670) | $93.60 | $144 | 3.4× |
| Estriol (82677) | $65 | $100 | 2.7× |
| Ethosuximide (80168) | $83.85 | $129 | 5.1× |
| Ethylene Glycol (82693) | $111.15 | $171 | 7.5× |
| Euglobulin lysis (85360) | $24.70 | $38 | 2.9× |
| Exam Synovial Fluid Crystals (89060) | $49.40 | $76 | 6.7× |
| Exome Sequence Analysis (81415) | $7,537.40 | $11,596 | 1.6× |
| F2 Gene (81240) | $157.30 | $242 | 2.4× |
| F9 full gene sequence (81238) | $3,254.55 | $5,007 | 5.4× |
| Factor ii activity (85210) | $68.25 | $105 | 5.3× |
| Factor Inhibitor Test (85335) | $195 | $300 | 15.2× |
| Factor ix activity (85250) | $101.40 | $156 | 5.3× |
| Factor v activity (85220) | $68.90 | $106 | 3.9× |
| Factor v leiden mutation (81241) | $321.10 | $494 | 4.4× |
| Factor vii assay (85230) | $149.50 | $230 | 8.4× |
| Factor viii assay (85240) | $65.65 | $101 | 3.7× |
| Factor X (85260) | $101.40 | $156 | 5.7× |
| Factor xi activity (85270) | $167.70 | $258 | 9.4× |
| Factor xiii screen (85291) | $510.25 | $785 | 56.0× |
| Fancc Gene (81242) | $640.90 | $986 | 17.5× |
| Fat stain feces urine/respir secretions (89125) | $18.85 | $29 | 3.2× |
| Fat/Lipids Feces Quantitative (82710) | $76.05 | $117 | 4.5× |
| Fatty acids free (82725) range across 2 matching MRF lines |
$62.40–$182 | $96–$280 | varies |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $89.70 | $138 | 11.6× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $258.05 | $397 | 15.0× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $81.25 | $125 | 12.4× |
| Ferritin (82728) | $72.80 | $112 | 5.3× |
| Fetal Chrmoml Aneuploidy (81420) | $3,274.05 | $5,037 | 4.3× |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$66.95–$73.45 | $103–$113 | varies |
| Fetal Fibronectin (82731) | $139.10 | $214 | 2.2× |
| Fetal screen rosette (85461) | $247 | $380 | 26.4× |
| Fibrin degradation products (85362) | $131.95 | $203 | 19.2× |
| Fibrin Degradation Quant (85379) | $96.85 | $149 | 9.5× |
| Fibrinogen activity (85384) | $76.70 | $118 | 7.9× |
| Fibrinogen antigen (85385) | $117.65 | $181 | 8.1× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $62.40 | $96 | 4.0× |
| Flecainide level (80181) | $85.15 | $131 | 4.6× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$213.20–$244.40 | $328–$376 | varies |
| Flt3 Gene (81245) | $812.50 | $1,250 | 4.9× |
| Flt3 gene analysis (81246) | $423.15 | $651 | 5.1× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$98.80–$631.80 | $152–$972 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $154.70 | $238 | 12.8× |
| Fluoride serum (82735) | $69.55 | $107 | 3.8× |
| Fmr1 Gene Charac Alleles (81244) | $221 | $340 | 4.9× |
| Fmr1 gene detection (81243) | $349.05 | $537 | 6.1× |
| Folic acid rbc (82747) | $107.25 | $165 | 6.1× |
| Folic Acid Serum (82746) | $65.65 | $101 | 4.5× |
| Follicle Stimulating Hormone (83001) | $84.50 | $130 | 4.5× |
| Francisella tularensis (86668) | $260.65 | $401 | 18.4× |
| Frozen Section (88331) | $257.40 | $396 | 1.6× |
| Fungi Identification Mold (87107) | $79.30 | $122 | 7.7× |
| Fungi Identification Yeast (87106) | $70.85 | $109 | 6.9× |
| FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Facility (81289) | $1,136.20 | $1,748 | 6.1× |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) | $1,401.40 | $2,156 | 10.2× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $76.05 | $117 | 1.3× |
| G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248) | $4,146.35 | $6,379 | 11.0× |
| G6pd gene analysis full gene sequence (81249) | $1,779.70 | $2,738 | 3.0× |
| Galactose (82760) | $723.45 | $1,113 | 64.6× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $83.20 | $128 | 3.9× |
| Galectin-3 (82777) | $222.95 | $343 | 5.0× |
| Gammaglobulin ige (82785) | $81.25 | $125 | 4.9× |
| Gardner vag DNA dir probe (87510) | $80.60 | $124 | 4.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $67.60 | $104 | 6.9× |
| Gases blood ph only (82800) | $65.65 | $101 | 6.0× |
| Gastrin (82941) | $92.95 | $143 | 5.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $581.10 | $894 | 1.4× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $536.25 | $825 | 11.3× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,885.35 | $4,439 | 3.8× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $6,844.50 | $10,530 | 2.3× |
| Genet Virus Isolate Hsv (87255) | $92.95 | $143 | 2.7× |
| Genetic Tstg Severe Inh Cond (81443) range across 2 matching MRF lines |
$3,948.75–$9,636.90 | $6,075–$14,826 | varies |
| Gentamicin (80170) | $111.80 | $172 | 6.8× |
| Ggt (82977) | $41.60 | $64 | 5.8× |
| Giardia antigen (87329) | $55.90 | $86 | 4.7× |
| Giardia lamblia antibody (86674) | $76.05 | $117 | 5.2× |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) | $820.30 | $1,262 | 13.3× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $677.30 | $1,042 | 6.7× |
| Gjb6 Gene Analysis Common Variants (81254) | $836.55 | $1,287 | 23.9× |
| Glucagon (82943) | $90.35 | $139 | 6.3× |
| Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) | $96.85 | $149 | 2.1× |
| Glucose 2 hr pp (82950) | $25.35 | $39 | 5.3× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$42.90–$50.70 | $66–$78 | varies |
| Glucose Serum (82947) | $22.10 | $34 | 5.6× |
| Glucose tolerance test (gtt) (82951) | $76.70 | $118 | 6.0× |
| Glucosidase beta (82963) | $988.65 | $1,521 | 46.0× |
| Glutathione (82978) | $674.70 | $1,038 | 43.7× |
| Glycated Protein (82985) | $37.05 | $57 | 2.2× |
| Gonadotropin Chorionic Qualitative (84703) | $65.65 | $101 | 8.7× |
| Gonadotropin releasing hormone (83727) | $308.10 | $474 | 17.9× |
| Growth hormone (83003) | $66.95 | $103 | 4.0× |
| Growth Hormone Stimulation Panel (80428) | $434.20 | $668 | 6.5× |
| Gtt-added samples (82952) | $28.60 | $44 | 7.3× |
| H Pylori (C-13) Breath (83013) | $200.85 | $309 | 3.0× |
| H pylri clrthmcn rst amp prb (87513) | $148.20 | $228 | 4.2× |
| Haloperidol (80173) | $29.25 | $45 | 1.9× |
| Haptoglobin (83010) | $68.90 | $106 | 5.5× |
| HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) | $820.30 | $1,262 | 2.2× |
| Hba1/hba2 full gene sequence (81259) | $891.15 | $1,371 | 1.5× |
| Hba1/Hba2 Gene (81257) | $611.65 | $941 | 6.0× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $570.05 | $877 | 2.8× |
| HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) | $820.30 | $1,262 | 2.2× |
| Hbb duplication/deletion variants (81363) | $614.25 | $945 | 3.0× |
| Hbb Full Gene Sequence (81364) | $626.60 | $964 | 1.9× |
| Hdl Cholesterol (83718) | $55.90 | $86 | 6.8× |
| Hearing Loss Dup/Del Analysis (81431) | $1,451.45 | $2,233 | 2.1× |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) | $3,473.60 | $5,344 | 2.1× |
| Heinz Bodies Direct (85441) | $25.35 | $39 | 6.0× |
| Helicobacter Pylori Stool (87338) | $139.10 | $214 | 9.7× |
| Helminth Antibody (86682) | $78.65 | $121 | 6.0× |
| Hematocrit (85014) | $20.80 | $32 | 8.8× |
| Hemoglobin (85018) | $16.90 | $26 | 7.1× |
| Hemoglobin a1c (83036) | $26 | $40 | 2.7× |
| Hemoglobin Chromotography (83021) | $89.05 | $137 | 4.9× |
| Hemoglobin electrophoresis (83020) | $89.05 | $137 | 6.9× |
| Hemoglobin Methemoglobin Quantitative (83050) range across 5 matching MRF lines |
$27.95–$33.80 | $43–$52 | varies |
| Hemoglobin plasma (83051) | $82.55 | $127 | 11.3× |
| Hemoglobin stability screen (83068) | $97.50 | $150 | 10.3× |
| Hemosiderin urine (83070) | $99.45 | $153 | 20.9× |
| Hep a ab igm (86709) | $77.35 | $119 | 6.9× |
| Heparin assay (85520) | $139.75 | $215 | 10.7× |
| Hepatitis a antibody total (86708) | $70.85 | $109 | 5.7× |
| Hepatitis b core ab igm (86705) | $62.40 | $96 | 5.3× |
| Hepatitis b core ab total (86704) | $65 | $100 | 5.4× |
| Hepatitis b surface ag quan (87467) | $488.15 | $751 | 19.3× |
| Hepatitis B Surface Antibody (86706) | $50.05 | $77 | 4.7× |
| Hepatitis B Surface Antigen (87340) | $52.65 | $81 | 5.1× |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$26.65–$40.95 | $41–$63 | varies |
| Hepatitis Be Antigen (87350) | $42.90 | $66 | 3.7× |
| Hepatitis C Antibody (86803) | $86.45 | $133 | 6.1× |
| Hepatitis c antibody confirmatory test (86804) | $506.35 | $779 | 32.7× |
| Hepatitis C Genotype (87902) | $618.15 | $951 | 2.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$174.20–$341.90 | $268–$526 | varies |
| Hepatitis delta ag (87380) | $197.60 | $304 | 10.8× |
| Hepatitis Delta Agent Antibody (86692) | $73.45 | $113 | 4.3× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $6,710.60 | $10,324 | 5.1× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $5,607.55 | $8,627 | 4.3× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $4,460.95 | $6,863 | 7.6× |
| Heredtry Nurondcrn Tum Dsrdr (81437) | $6,230.25 | $9,585 | 4.8× |
| Herpes simplex type 2 (86696) | $90.35 | $139 | 4.7× |
| Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) | $22.75 | $35 | 3.1× |
| Heterophile Antibody Screen (86308) | $64.35 | $99 | 12.4× |
| Hexa gene analysis common variants (81255) | $475.80 | $732 | 9.2× |
| Hfe Gene (81256) | $480.35 | $739 | 7.3× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $63.05 | $97 | 8.2× |
| Histamine urine (83088) | $216.45 | $333 | 7.3× |
| Histoplasma antibody (86698) | $119.60 | $184 | 8.7× |
| Histoplasma antigen urine (87385) | $111.15 | $171 | 8.4× |
| Hiv Genotype (87901) | $284.70 | $438 | 1.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $62.40 | $96 | 2.6× |
| Hiv-1 Antibody (86701) | $79.30 | $122 | 8.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $241.80 | $372 | 2.8× |
| HIV-2 probe&revrse trnscripj (87538) | $254.80 | $392 | 7.3× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $889.20 | $1,368 | 5.0× |
| Hla Class I Typing Low Resolution Complete (81372) | $349.70 | $538 | 0.9× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $341.25 | $525 | 2.7× |
| Hla class ii high defin qual (86833) | $657.15 | $1,011 | 2.0× |
| Hla class ii typing high resolution one locus ea (81382) | $728 | $1,120 | 5.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $233.35 | $359 | 3.1× |
| Hla I Typing 1 Allele Hr (81381) | $306.80 | $472 | 1.8× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $399.75 | $615 | 1.8× |
| Hla ii typing 1 allele hr (81383) | $136.50 | $210 | 1.3× |
| Hla ii typing 1 locus lr (81376) | $193.05 | $297 | 1.6× |
| Hla-b27 (86812) range across 2 matching MRF lines |
$52.65–$87.10 | $81–$134 | varies |
| Homocysteine (83090) | $124.15 | $191 | 6.9× |
| Homogenization Tissue (87176) | $87.75 | $135 | 14.9× |
| Homovanillic acid urine (83150) | $156 | $240 | 7.0× |
| Hpa-1 genotyping gene analysis common variant (81105) range across 2 matching MRF lines |
$91–$107.90 | $140–$166 | varies |
| Hpa-15 genotyping gene analysis common variant (81112) range across 2 matching MRF lines |
$91–$107.90 | $140–$166 | varies |
| Hpa-2 genotyping gene analysis common variant (81106) range across 2 matching MRF lines |
$91–$107.90 | $140–$166 | varies |
| Hpa-3 genotyping gene analysis common variant (81107) range across 2 matching MRF lines |
$91–$107.90 | $140–$166 | varies |
| Hpa-4 genotyping gene analysis common variant (81108) range across 2 matching MRF lines |
$91–$107.90 | $140–$166 | varies |
| Hpa-5 genotyping gene analysis common variant (81109) range across 2 matching MRF lines |
$91–$107.90 | $140–$166 | varies |
| Hpa-6 genotyping gene analysis common variant (81110) range across 2 matching MRF lines |
$91–$107.90 | $140–$166 | varies |
| Hpa-9 Genotyping (81111) range across 2 matching MRF lines |
$91–$107.90 | $140–$166 | varies |
| Hpv High-Risk Types (87624) | $56.55 | $87 | 1.6× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $65.65 | $101 | 0.9× |
| Hpv Types 16 & 18 Only (87625) | $66.95 | $103 | 1.7× |
| Hsv Dna Amp Probe (87529) | $173.55 | $267 | 4.9× |
| Hsv Dna Quant (87530) | $173.55 | $267 | 4.1× |
| Htlv-I Antibody (86687) | $105.30 | $162 | 11.6× |
| Htt Gene Detc Abnor Alleles (81271) | $438.75 | $675 | 3.2× |
| Human Epididymis Protein 4 (86305) | $73.45 | $113 | 3.5× |
| Hydroxycorticosteroids 17 (83491) | $86.45 | $133 | 4.8× |
| Hydroxyprogesterone 17-d (83498) | $98.15 | $151 | 3.6× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $128.70 | $198 | 10.7× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $87.10 | $134 | 8.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $92.30 | $142 | 6.6× |
| Iaadi pneumocustis carinii (87281) | $164.45 | $253 | 13.7× |
| Iaadi respiratory synctial virus (87280) | $148.20 | $228 | 11.0× |
| Iaadiadoo trichomonas vaginalis (87808) | $14.30 | $22 | 0.9× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $33.15 | $51 | 0.9× |
| Iadna Bartonella Amplified Probe Technique (87471) | $197.60 | $304 | 5.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $185.90 | $286 | 5.3× |
| Iadna Candida Species Amplified Probe Tq (87481) | $79.30 | $122 | 2.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $153.40 | $236 | 4.4× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $23.40 | $36 | 1.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$208.65–$237.90 | $321–$366 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $280.15 | $431 | 6.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $80.60 | $124 | 1.1× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $33.15 | $51 | 0.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $276.25 | $425 | 6.4× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$46.80–$144.95 | $72–$223 | varies |
| Iadna Herpes Virus-6 Quantification (87533) | $866.45 | $1,333 | 20.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $207.35 | $319 | 5.9× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $188.50 | $290 | 2.5× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $447.85 | $689 | 9.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $148.85 | $229 | 3.6× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $153.40 | $236 | 4.4× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $92.95 | $143 | 2.6× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $68.90 | $106 | 1.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $158.60 | $244 | 1.1× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $562.90 | $866 | 2.1× |
| Idh1 common variants (81120) | $650.65 | $1,001 | 3.4× |
| Idh2 common variants (81121) | $650.65 | $1,001 | 2.2× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $590.20 | $908 | 8.0× |
| Ig Light Chains Free Each (83521) | $86.45 | $133 | 5.0× |
| Igg subclasses (82787) | $154.05 | $237 | 19.2× |
| Igh gene rearrange amp meth (81261) | $612.95 | $943 | 3.1× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,003.60 | $1,544 | 3.4× |
| Igk rearrangeabn clonal pop (81264) | $613.60 | $944 | 3.6× |
| Ikbkap Gene Analysis Common Variants (81260) | $640.90 | $986 | 16.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $266.50 | $410 | 0.8× |
| Immune Complex Assay (86332) range across 2 matching MRF lines |
$124.80–$644.80 | $192–$992 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $128.05 | $197 | 4.4× |
| Immunoassay analyte qual/semiqual single step (83518) | $2,788.50 | $4,290 | 289.3× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
$278.85–$835.90 | $429–$1,286 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$61.10–$65 | $94–$100 | varies |
| Immunoassay nonantibody (83516) range across 4 matching MRF lines |
$64.35–$493.35 | $99–$759 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$31.20–$164.45 | $48–$253 | varies |
| Immunofixation electrophoresis (86334) | $124.80 | $192 | 5.6× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $221 | $340 | 1.4× |
| Immunohistochemistry (88342) | $257.40 | $396 | 1.6× |
| In situ hybridization 1st probe stain (88365) | $241.80 | $372 | 1.5× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $59.80 | $92 | 4.1× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | $141.05 | $217 | 7.0× |
| Influenza a/b ag eia (87400) | $65.65 | $101 | 4.6× |
| Influenza assay w/optic (87804) | $65.65 | $101 | 4.0× |
| Influenza DNA amp probe (87502) | $217.10 | $334 | 2.3× |
| Inherited Cardmypthy 5 Gns (81439) | $5,387.20 | $8,288 | 9.2× |
| Inhibin A (86336) range across 2 matching MRF lines |
$30.55–$109.20 | $47–$168 | varies |
| Inhibin b (83520) | $110.50 | $170 | 6.4× |
| Insitu hybridization auto (88367) | $517.40 | $796 | 1.5× |
| Insitu hybridization manual (88368) | $345.80 | $532 | 1.0× |
| Insulin antibodies (86337) | $94.25 | $145 | 4.4× |
| Insulin free (83527) | $43.55 | $67 | 3.4× |
| Insulin total (83525) | $67.60 | $104 | 5.9× |
| Interleukin-6 (83529) | $97.50 | $150 | 5.6× |
| Intrinsic factor antibody (86340) | $90.35 | $139 | 6.0× |
| Iron (83540) | $37.05 | $57 | 5.7× |
| Iron Binding Capacity (83550) | $20.80 | $32 | 2.4× |
| Islet cell antibody (86341) | $137.15 | $211 | 5.8× |
| Jak2 gene analysis p.val617phe variant (81270) | $534.30 | $822 | 5.8× |
| Jak2 Gene Trgt Sequence Alys (81279) | $388.05 | $597 | 2.1× |
| Ketosteroids 17 total (83586) | $110.50 | $170 | 8.6× |
| Kit Gene Analysis D816 Variant(S) (81273) | $870.35 | $1,339 | 7.0× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $731.90 | $1,126 | 2.2× |
| Kras Gene Analysis Additional Variant(S) (81276) | $388.70 | $598 | 2.0× |
| Kras Gene Variants Exon 2 (81275) | $1,889.55 | $2,907 | 9.8× |
| L/s ratio (83661) | $261.95 | $403 | 11.9× |
| Lactate (ld) (ldh) enzyme (83615) | $41.60 | $64 | 6.9× |
| Lactoferrin fecal qualitative (83630) | $73.45 | $113 | 3.7× |
| Lactoferrin Fecal Quantitative (83631) | $147.55 | $227 | 7.5× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $165.75 | $255 | 8.2× |
| Lamellar Body Count (83664) | $44.85 | $69 | 2.3× |
| Ldh Isoenzymes (83625) | $58.50 | $90 | 4.6× |
| LDL direct (83721) | $47.45 | $73 | 4.5× |
| Lead (83655) | $55.25 | $85 | 4.6× |
| Legionella antibody (86713) | $61.10 | $94 | 4.0× |
| Legionella antigen urine (87449) | $73.45 | $113 | 6.1× |
| Legionella pneumophila dfa (87278) | $76.05 | $117 | 4.9× |
| Leptospira antibody (86720) | $87.10 | $134 | 5.4× |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$203.45–$211.90 | $313–$326 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $73.45 | $113 | 2.7× |
| Level ii surg pathology grossµscopic exam (88302) | $122.20 | $188 | 3.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $402.35 | $619 | 1.2× |
| Lidocaine (80176) | $75.40 | $116 | 5.1× |
| Lipase (83690) | $61.10 | $94 | 8.9× |
| Lipoprotein A (83695) | $30.55 | $47 | 2.1× |
| Lipoprotein Bld Quan Part (83704) | $67.60 | $104 | 2.0× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $65 | $100 | 5.8× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $79.95 | $123 | 2.4× |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | $35.10 | $54 | 2.8× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $196.30 | $302 | 4.2× |
| Listeria Monocytogenes (86723) | $107.90 | $166 | 8.2× |
| Lithium (80178) | $48.10 | $74 | 7.3× |
| Liver ds alys 3 bmrk srm alg (81517) | $260.65 | $401 | 1.5× |
| Luteinizing Hormone (Lh) (83002) | $87.75 | $135 | 4.7× |
| Lyme disease antibody (86618) | $103.35 | $159 | 6.1× |
| Lymphocyte transformation (86353) | $433.55 | $667 | 8.8× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) | $841.75 | $1,295 | 17.7× |
| Lysozyme serum (85549) | $66.95 | $103 | 3.6× |
| M. Genitalium Amp Probe (87563) | $79.30 | $122 | 2.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$403.65–$1,006.85 | $621–$1,549 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $472.55 | $727 | 2.9× |
| Macroscopic exam arthropod (87168) | $77.35 | $119 | 18.1× |
| Macroscopic Exam Parasite (87169) | $65 | $100 | 15.1× |
| Magnesium Urine (83735) | $31.20 | $48 | 4.7× |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$107.90–$570.70 | $166–$878 | varies |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $667.55 | $1,027 | 17.0× |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) | $820.30 | $1,262 | 6.8× |
| Mercury urine (83825) | $63.05 | $97 | 3.9× |
| Metabolic panel ionized ca (80047) | $18.20 | $28 | 1.3× |
| Methotrexate (80204) | $865.15 | $1,331 | 22.4× |
| Methylmalonic acid serum (83921) | $170.95 | $263 | 8.1× |
| Mgmt methylation analysis (81287) | $807.30 | $1,242 | 6.5× |
| Microalbumin, quantitative (82043) | $37.70 | $58 | 6.5× |
| Microbe Suscept Macrobroth (87188) | $265.85 | $409 | 40.0× |
| Microsatellite instability (81301) | $1,976.65 | $3,041 | 5.7× |
| Microsomal Antibodies Each (86376) | $92.95 | $143 | 6.4× |
| Mitochondrial Antibody Each (86381) | $64.35 | $99 | 2.5× |
| Mlh1 Gene (81288) | $773.50 | $1,190 | 4.0× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,377.35 | $2,119 | 2.0× |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $306.15 | $471 | 0.9× |
| Mog-Igg1 Antb Cba Each (86362) | $1,333.80 | $2,052 | 110.7× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $833.95 | $1,283 | 22.1× |
| Molecular Cytogenetics Dna Probe Each (88271) | $265.20 | $408 | 12.4× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $59.15 | $91 | 1.4× |
| Molecular Pathology Procedure Level 3 (81402) | $1,204.45 | $1,853 | 8.0× |
| Molecular Pathology Procedure Level 6 (81405) range across 3 matching MRF lines |
$1,812.20–$4,537.65 | $2,788–$6,981 | varies |
| Mononuclear cell antigen (86356) range across 3 matching MRF lines |
$140.40–$263.25 | $216–$405 | varies |
| Mopath procedure level 1 (81400) | $429 | $660 | 6.7× |
| Mopath procedure level 2 (81401) | $378.30 | $582 | 2.8× |
| Mopath procedure level 4 (81403) range across 3 matching MRF lines |
$365.95–$610.35 | $563–$939 | varies |
| Mopath procedure level 5 (81404) | $677.95 | $1,043 | 2.5× |
| Mopath procedure level 7 (81406) range across 2 matching MRF lines |
$2,887.95–$4,368 | $4,443–$6,720 | varies |
| Mopath procedure level 8 (81407) | $1,738.75 | $2,675 | 2.1× |
| Mopath procedure level 9 (81408) | $5,090.80 | $7,832 | 2.5× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $204.10 | $314 | 1.1× |
| Mrsa Pcr (87641) | $147.55 | $227 | 4.2× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $1,377.35 | $2,119 | 3.6× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $820.30 | $1,262 | 2.4× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) range across 2 matching MRF lines |
$1,339–$1,468.35 | $2,060–$2,259 | varies |
| Msh6 Gene Known Variants (81299) | $820.30 | $1,262 | 2.7× |
| Mthfr Gene Analysis Common Variants (81291) | $144.30 | $222 | 2.2× |
| Mucopolysaccharides acid quantitative (83864) | $891.80 | $1,372 | 31.3× |
| Mumps antibody (86735) | $102.05 | $157 | 7.8× |
| Muscle-Specific Kinase Antb (86366) | $1,072.50 | $1,650 | 58.3× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$117.65–$154.05 | $181–$237 | varies |
| Mycophenolic Acid (80180) | $54.60 | $84 | 3.0× |
| Mycoplasma antibody (86738) | $131.30 | $202 | 9.9× |
| Mycoplasma culture (87109) | $111.15 | $171 | 7.2× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $789.75 | $1,215 | 4.5× |
| Myoglobin urine (83874) | $82.55 | $127 | 6.4× |
| Natriuretic peptide (83880) | $164.45 | $253 | 4.2× |
| Neisseria Dir Na Probe (87590) | $122.20 | $188 | 4.5× |
| Neutralization Test Viral (86382) | $76.05 | $117 | 4.5× |
| Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) | $369.85 | $569 | 4.6× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $96.20 | $148 | 0.7× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $41.60 | $64 | 1.4× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $618.15 | $951 | 2.4× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $1,326 | $2,040 | 5.2× |
| Nfct ds chrnc hcv 6 assays (81596) | $239.85 | $369 | 3.3× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $564.85 | $869 | 4.4× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $63.70 | $98 | 2.4× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $1,205.75 | $1,855 | 2.5× |
| Niacin (84591) | $105.30 | $162 | 6.2× |
| Nickel level (83885) | $76.70 | $118 | 3.1× |
| Nk cells total count (86357) range across 2 matching MRF lines |
$25.35–$83.85 | $39–$129 | varies |
| Noonan Spectrum Disorders (81442) | $3,035.50 | $4,670 | 1.4× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $796.25 | $1,225 | 3.2× |
| Nras gene variants exon 2&3 (81311) | $701.35 | $1,079 | 2.4× |
| Ntrk translocation analysis (81194) | $2,557.75 | $3,935 | 4.9× |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$35.75–$772.20 | $55–$1,188 | varies |
| Nuclear Mitochondrial 100 Gene Genomic Seq (81440) | $5,412.55 | $8,327 | 1.6× |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $259.35 | $399 | 5.9× |
| Occult blood feces (82272) | $22.10 | $34 | 5.2× |
| Occult Blood Other Sources (82271) | $28.60 | $44 | 5.4× |
| Oligoclonal bands (83916) | $74.10 | $114 | 2.7× |
| Oncoprotein dcp (83951) | $390 | $600 | 6.1× |
| Organic Acids Qualitative Each Specimen (83919) | $71.50 | $110 | 4.3× |
| Organic acids urine (83918) | $74.10 | $114 | 3.1× |
| Osmolality serum (83930) | $53.95 | $83 | 8.2× |
| Osmolality Urine (83935) | $46.80 | $72 | 6.9× |
| Osmotic fragility rbc incubated (85557) | $78 | $120 | 5.8× |
| Osteocalcin (83937) | $94.90 | $146 | 3.2× |
| Ova and parasites smears (87177) | $63.05 | $97 | 7.1× |
| Oxalate urine (83945) | $88.40 | $136 | 6.1× |
| Palb2 gene analysis known familial variant (81308) | $1,136.20 | $1,748 | 3.8× |
| Pancreatic Elastase Fecal (82656) | $107.25 | $165 | 9.3× |
| Particle Agglut Antbdy Titr (86406) | $94.90 | $146 | 8.9× |
| Particle Agglutination Screen Each Antibody (86403) | $157.95 | $243 | 13.7× |
| Parvovirus antibody (86747) | $35.10 | $54 | 2.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $170.95 | $263 | 0.2× |
| Pathology Consultation During Surgery (88329) | $112.45 | $173 | 2.0× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $1,121.90 | $1,726 | 3.4× |
| Ph urine (81003) | $29.90 | $46 | 13.3× |
| Phenobarbital Level (80184) | $59.15 | $91 | 3.9× |
| Phenotype Infect Agent Drug (87900) | $311.35 | $479 | 2.4× |
| Phenylalanine (84030) | $49.40 | $76 | 9.0× |
| Phenytoin (Dilantin) (80185) | $90.35 | $139 | 6.8× |
| Phenytoin free (80186) | $67.60 | $104 | 4.9× |
| Phosphatase acid prostatic (84066) | $69.55 | $107 | 7.2× |
| Phosphatase alkaline (84075) | $26.65 | $41 | 5.1× |
| Phosphatidylglycerol (84081) | $114.40 | $176 | 6.9× |
| Phospholipid Neutralization Hexagonal (85598) | $93.60 | $144 | 5.2× |
| Phosphorus Serum (84100) | $32.50 | $50 | 6.9× |
| Phosphorus urine (84105) | $35.10 | $54 | 6.1× |
| Pinworm exam (87172) | $26 | $40 | 6.1× |
| Platelet Aggregation (85576) | $103.35 | $159 | 4.1× |
| Platelet Antibodies (86022) | $208.65 | $321 | 11.4× |
| Platelet count automated (85049) | $51.35 | $79 | 11.5× |
| Platelet neutralization (85597) | $88.40 | $136 | 4.9× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $684.45 | $1,053 | 3.3× |
| PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) | $820.30 | $1,262 | 17.6× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $1,230.45 | $1,893 | 1.6× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) range across 2 matching MRF lines |
$437.45–$1,114.75 | $673–$1,715 | varies |
| Pms2 gene analysis known familial variants (81318) | $774.80 | $1,192 | 2.3× |
| Pms2 gene full seq analysis (81317) | $1,543.75 | $2,375 | 2.3× |
| Pneumcysts jirovecii amp prb (87594) | $218.40 | $336 | 6.2× |
| Pooling blood platelets (86965) | $120.90 | $186 | 0.8× |
| Porphobilinogen Urine Qualitative (84106) | $54.60 | $84 | 9.4× |
| Porphobilinogen, urine; quantitative (84110) | $39.65 | $61 | 4.7× |
| Porphyrins Feces Quantitative (84126) | $246.35 | $379 | 6.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $55.25 | $85 | 3.8× |
| Potassium Urine (84133) | $37.05 | $57 | 7.8× |
| Prealbumin (84134) | $99.45 | $153 | 6.8× |
| Pregnenolone (84140) | $102.70 | $158 | 5.0× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $39 | $60 | 0.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $28.60 | $44 | 0.5× |
| Pretx serum rbc antibody identification dilution (86976) | $84.50 | $130 | 3.1× |
| Primidone (80188) | $79.30 | $122 | 4.8× |
| Procalcitonin (Pct) (84145) | $144.95 | $223 | 5.3× |
| Progesterone (84144) | $76.05 | $117 | 3.6× |
| Prolactin (84146) | $123.50 | $190 | 6.4× |
| Prostaglandin (84150) range across 3 matching MRF lines |
$119.60–$469.95 | $184–$723 | varies |
| Protein body fluid (84157) | $42.25 | $65 | 10.6× |
| Protein C Activity (85303) | $135.20 | $208 | 9.8× |
| Protein c antigen (85302) | $133.25 | $205 | 11.1× |
| Protein Electrophoresis Urine (84166) | $76.70 | $118 | 4.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $75.40 | $116 | 7.0× |
| Protein S Free (85306) | $127.40 | $196 | 8.3× |
| Protein s total (85305) | $123.50 | $190 | 10.6× |
| Protein total serum (84155) | $29.90 | $46 | 8.1× |
| Protein Total Urine (84156) | $29.90 | $46 | 8.1× |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$259.35–$271.05 | $399–$417 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $83.85 | $129 | 21.3× |
| Protoporphyrin rbc quantitative (84202) | $65.65 | $101 | 4.6× |
| Protoporphyrin, RBC; screen Facility (84203) | $190.45 | $293 | 19.6× |
| PSA free (84154) | $69.55 | $107 | 3.8× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $3,489.20 | $5,368 | 5.8× |
| Pten gene analysis known familial variant (81322) | $820.30 | $1,262 | 17.6× |
| Pth Intact (83970) | $144.30 | $222 | 3.5× |
| Pyruvate kinase (84220) range across 2 matching MRF lines |
$97.50–$381.55 | $150–$587 | varies |
| Q Fever Antibody (86638) | $44.20 | $68 | 3.6× |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$137.80–$241.15 | $212–$371 | varies |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$109.85–$393.90 | $169–$606 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$98.15–$521.30 | $151–$802 | varies |
| Quinidine (80194) | $68.25 | $105 | 4.7× |
| Rbc antibody elution (86860) | $96.20 | $148 | 0.6× |
| Rbc antibody identification (86870) | $179.40 | $276 | 0.5× |
| Rbc antibody screen (86850) | $60.45 | $93 | 6.2× |
| Rbc pretreatment serum (86978) | $99.45 | $153 | 1.8× |
| Rbc pretx incubatj w/enzymes (86971) | $53.95 | $83 | 0.3× |
| Rbc serum pretx incubj drugs (86975) | $484.90 | $746 | 1.1× |
| Renin activity plasma (84244) | $97.50 | $150 | 4.4× |
| Reptilase test (85635) | $72.15 | $111 | 7.3× |
| Resp virus 12-25 targets (87633) | $648.70 | $998 | 1.6× |
| Resp Virus 6-11 Targets (87632) | $200.20 | $308 | 0.9× |
| Reticulocyte Count (85046) | $206.70 | $318 | 37.1× |
| Reticulocyte separation (86972) | $66.95 | $103 | 0.4× |
| Rh (86901) | $30.55 | $47 | 10.2× |
| Rheumatoid Factor Qualitative (86430) | $23.40 | $36 | 3.8× |
| Rheumatoid factor quant (86431) | $46.80 | $72 | 8.3× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$59.80–$70.20 | $92–$108 | varies |
| Ristocetin cofactor (85245) | $65.65 | $101 | 2.9× |
| Rotavirus ag eia (87425) | $63.05 | $97 | 5.3× |
| Rpr qualitative (86592) | $44.20 | $68 | 10.4× |
| Rsv Assay W/Optic (87807) | $102.70 | $158 | 7.8× |
| Rubella Antibody (86762) | $80.60 | $124 | 5.6× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$35.10–$93.60 | $54–$144 | varies |
| Rufinamide (80210) | $85.80 | $132 | 3.2× |
| Russell Viper Venom Time Diluted (85613) | $60.45 | $93 | 6.3× |
| Rx metab gen seq alys pnl 6 (81418) | $3,530.80 | $5,432 | 3.9× |
| Salicylate Level (80179) | $118.95 | $183 | 6.4× |
| Salmonella antibody (86768) | $33.80 | $52 | 2.6× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $111.80 | $172 | 2.2× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$45.50–$47.45 | $70–$73 | varies |
| Sarscov2 & inf a&b amp prb (87636) range across 3 matching MRF lines |
$193.70–$278.85 | $298–$429 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $230.75 | $355 | 1.6× |
| Sedimentation rate (85651) | $52.65 | $81 | 12.3× |
| Sedimentation Rate, Automated (85652) | $33.15 | $51 | 12.3× |
| Selenium (84255) | $91 | $140 | 3.6× |
| Semen analysis complete (89322) | $169.65 | $261 | 10.9× |
| Semen analysis complete (89320) | $66.95 | $103 | 5.4× |
| Semen analysis motility and count (89310) | $66.95 | $103 | 7.8× |
| Sensitivity mic (87186) | $61.10 | $94 | 7.1× |
| Serpina 1 gene (81332) | $142.35 | $219 | 3.3× |
| Sex Hormone Binding Globulin (84270) | $83.85 | $129 | 3.9× |
| SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common… (81347) | $447.20 | $688 | 2.3× |
| Sickling of rbc reduction (85660) | $38.35 | $59 | 7.0× |
| Silica (84285) | $234.65 | $361 | 9.3× |
| Sirolimus (80195) | $107.25 | $165 | 7.8× |
| Skin test tuberculosis intradermal (86580) | $45.50 | $70 | 1.7× |
| SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) | $887.90 | $1,366 | 5.1× |
| Smear acid fast (87206) | $42.90 | $66 | 8.0× |
| Smear complex stain (87209) | $33.80 | $52 | 1.9× |
| Smear gram stain (87205) | $30.55 | $47 | 7.2× |
| Smear Special Stain (87207) | $30.55 | $47 | 5.1× |
| Smn1 Gen Nown Famil Seq Vrnt (81337) | $774.80 | $1,192 | 4.2× |
| Smn1 Gene Analysis Full Gene Sequence (81336) | $1,095.25 | $1,685 | 3.6× |
| Smn1 Gene Dos/Deletion Alys (81329) | $702 | $1,080 | 5.1× |
| Smpd1 Gene Analysis Common Variants (81330) | $640.90 | $986 | 13.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $35.10 | $54 | 6.0× |
| Snrpn/Ube3a Methylation Analysis (81331) | $678.60 | $1,044 | 13.3× |
| So neo gsap cll fr DNA alys cpy nmbr&mcrstl ins (81463) | $7,020 | $10,800 | 5.2× |
| So neo gsap DNA mcrstl ins (81457) range across 2 matching MRF lines |
$3,900–$7,410 | $6,000–$11,400 | varies |
| So neo gsap DNA/DNA&RNA (81459) | $9,360 | $14,400 | 3.1× |
| Sodium Serum (84295) | $33.15 | $51 | 6.9× |
| Sodium Urine (84300) | $41.60 | $64 | 8.2× |
| Soluble fibrin monomer (85366) | $256.75 | $395 | 3.2× |
| Soluble Transferrin Receptor (84238) | $140.40 | $216 | 3.8× |
| Somatomedin (84305) range across 2 matching MRF lines |
$30.55–$111.80 | $47–$172 | varies |
| Somatostatin (84307) | $213.85 | $329 | 11.7× |
| Special Stains Group 1 (88312) | $109.20 | $168 | 2.2× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$123.50–$189.80 | $190–$292 | varies |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$44.20–$105.95 | $68–$163 | varies |
| Spectrophotometry (84311) | $120.25 | $185 | 14.8× |
| Sperm Antibodies (89325) | $144.95 | $223 | 13.6× |
| Splitting Blood/Blood Products Each Unit (86985) | $186.55 | $287 | 1.2× |
| Staph a DNA amp probe (87640) | $81.25 | $125 | 2.3× |
| Stool cultr aerobic bact ea (87046) | $72.15 | $111 | 7.6× |
| Strep a assay w/optic (87880) | $49.40 | $76 | 3.0× |
| Strep a DNA amp probe (87651) | $113.75 | $175 | 3.2× |
| Strep b DNA amp probe (87653) | $187.85 | $289 | 5.4× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $113.10 | $174 | 9.8× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $94.25 | $145 | 17.1× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$37.70–$43.55 | $58–$67 | varies |
| Sulfate urine (84392) | $35.10 | $54 | 6.4× |
| Surg path level iii (88304) | $178.10 | $274 | 3.6× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$229.45–$531.05 | $353–$817 | varies |
| Surgical pathology level vi (88309) | $524.55 | $807 | 0.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$61.75–$65 | $95–$100 | varies |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$31.85–$43.55 | $49–$67 | varies |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$119.60–$329.55 | $184–$507 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$32.50–$205.40 | $50–$316 | varies |
| T cells total count (86359) range across 3 matching MRF lines |
$25.35–$464.10 | $39–$714 | varies |
| T3 Free (84481) | $70.85 | $109 | 4.2× |
| T3 reverse (84482) | $70.85 | $109 | 4.5× |
| T3 Total (84480) | $55.90 | $86 | 3.9× |
| T3 Uptake (84479) | $51.35 | $79 | 7.9× |
| T4 Free (84439) | $24.70 | $38 | 2.7× |
| T4 total (84436) | $51.35 | $79 | 7.5× |
| Tacrolimus (80197) | $161.85 | $249 | 11.8× |
| Tau phosphorylated each (84393) | $975 | $1,500 | 7.6× |
| Tb ag response t-cell susp (86481) | $98.15 | $151 | 1.0× |
| Tert gene targeted seq alys (81345) | $1,459.90 | $2,246 | 7.9× |
| Test for acetone/ketones (82009) | $52.65 | $81 | 11.6× |
| Testosterone Bioavailable (84410) | $198.90 | $306 | 3.9× |
| Testosterone total (84403) | $92.30 | $142 | 3.6× |
| Testosterone, Free (84402) | $109.85 | $169 | 4.3× |
| Tetanus antibody (86774) | $66.30 | $102 | 4.5× |
| Tgsap so/hl 51/< RNA alys (81456) | $6,119.75 | $9,415 | 2.1× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $3,953.95 | $6,083 | 6.6× |
| Theophylline (80198) | $96.85 | $149 | 6.8× |
| Thiocyanate (84430) | $91 | $140 | 7.8× |
| Thiopurine methyltransferase (84433) | $291.20 | $448 | 13.1× |
| Thrombin Time (85670) | $52.65 | $81 | 9.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $52 | $80 | 8.0× |
| Thyroglobulin (84432) | $83.85 | $129 | 5.2× |
| Thyroglobulin Antibody (86800) | $91 | $140 | 5.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $252.20 | $388 | 5.0× |
| Thyroxine binding globulin (84442) | $63.05 | $97 | 4.3× |
| Tiss cul neo disorders solid tumor (88239) | $867.75 | $1,335 | 5.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $79.95 | $123 | 6.9× |
| Tissue Culture (88233) | $1,115.40 | $1,716 | 7.9× |
| Tissue Culture Amniotic Fluid (88235) | $1,119.95 | $1,723 | 7.5× |
| Tissue culture bone marrow (88237) | $320.45 | $493 | 2.2× |
| Tissue Culture Lymphocyte (88230) | $1,064.05 | $1,637 | 9.1× |
| Tobramycin peak (80200) | $110.50 | $170 | 6.9× |
| Topiramate (80201) | $113.75 | $175 | 9.5× |
| Total Tau (84394) | $975 | $1,500 | 7.6× |
| Touch prep (88161) | $840.45 | $1,293 | 30.7× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $113.75 | $175 | 5.8× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$25.35–$122.20 | $39–$188 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$25.35–$72.15 | $39–$111 | varies |
| TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Facility (81353) | $722.80 | $1,112 | 2.3× |
| Tp53 gene analysis full gene sequence (81351) | $1,175.20 | $1,808 | 1.8× |
| Tp53 gene analysis targeted sequence analysis (81352) | $1,134.90 | $1,746 | 3.4× |
| Tpmt gene com variants (81335) | $798.20 | $1,228 | 4.6× |
| Transferase Aspartate Amino Ast Sgot (84450) | $11.05 | $17 | 2.1× |
| Transferrin (84466) | $48.10 | $74 | 3.8× |
| Trb@ Rearrangement Anal Amplification Method (81340) range across 2 matching MRF lines |
$217.10–$871 | $334–$1,340 | varies |
| Trg gene rearrangement anal (81342) | $217.10 | $334 | 1.1× |
| Trichinella Antibody (86784) | $169 | $260 | 13.5× |
| Trichomonas vagin dir probe (87660) | $80.60 | $124 | 4.0× |
| Trichomonas Vaginalis Amplif (87661) | $92.95 | $143 | 2.6× |
| Triglycerides (84478) | $39 | $60 | 6.8× |
| Troponin Quant (84484) | $93.60 | $144 | 7.5× |
| Tumor immunohistochem/comput (88361) | $286 | $440 | 0.8× |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$375.70–$397.80 | $578–$612 | varies |
| Ugt1a1 gene analysis common variants (81350) | $1,498.90 | $2,306 | 6.4× |
| Unlisted reproductive medicine lab procedure (89398) | $85.15 | $131 | 1.7× |
| Urea Nitrogen Clearance (84545) | $20.15 | $31 | 2.8× |
| Urea nitrogen urine (84540) | $37.70 | $58 | 6.8× |
| Uric acid other source (84560) | $41.60 | $64 | 8.2× |
| Urinalysis Microscopic Only (81015) | $38.35 | $59 | 12.6× |
| Urinalysis Volume Measure (81050) | $14.30 | $22 | 3.9× |
| Urine Bacteria Culture (87088) | $53.95 | $83 | 6.7× |
| Urine Pregnancy Test (81025) | $56.55 | $87 | 6.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $43.55 | $67 | 13.7× |
| Valproic acid (80164) | $87.75 | $135 | 6.5× |
| Vancomycin (80202) | $87.75 | $135 | 6.5× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$35.10–$107.90 | $54–$166 | varies |
| Vasopressin (84588) | $180.05 | $277 | 5.3× |
| Very Long Chain Fatty Acids (82726) | $117.65 | $181 | 6.0× |
| Viral Culture (87252) | $33.80 | $52 | 1.3× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$59.80–$335.40 | $92–$516 | varies |
| Virus inoculate tissue addl (87253) | $81.90 | $126 | 4.1× |
| Virus inoculation, shell via (87254) | $33.80 | $52 | 1.7× |
| Viscosity serum (85810) | $57.20 | $88 | 4.9× |
| Vit D 1 25-Dihydroxy (82652) | $164.45 | $253 | 4.3× |
| Vitamin A (84590) | $66.95 | $103 | 5.8× |
| Vitamin b-12 (82607) | $72.80 | $112 | 4.8× |
| Vitamin B2 (Riboflavin) (84252) | $57.20 | $88 | 2.8× |
| Vitamin B6 (84207) | $94.90 | $146 | 3.4× |
| Vitamin c (82180) | $49.40 | $76 | 5.0× |
| Vitamin D 25-Hydroxy (82306) | $63.70 | $98 | 2.2× |
| Vitamin E (84446) | $68.90 | $106 | 4.9× |
| Vitamin K (84597) | $222.95 | $343 | 16.3× |
| Volatiles (84600) | $126.75 | $195 | 7.4× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $364.65 | $561 | 30.3× |
| Von willebrand factor ag (85246) | $65.65 | $101 | 2.9× |
| West nile virus ab igm (86788) | $76.05 | $117 | 4.5× |
| West Nile Virus Antibody (86789) | $65.65 | $101 | 4.6× |
| Western Blot Test (84181) | $162.50 | $250 | 9.5× |
| Whole Mitochondrial Genome (81460) | $3,528.85 | $5,429 | 2.7× |
| Whole mitochondrial genome analysis panel (81465) | $1,524.90 | $2,346 | 1.6× |
| Zika Virus Dna/Rna Amp Probe (87662) | $343.85 | $529 | 6.7× |
| Zika Virus Igm Antibody (86794) | $137.15 | $211 | 8.1× |
| Zinc (84630) | $49.40 | $76 | 4.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.