Lab & pathology prices at Southern Ohio Medical Center

Portsmouth, OH · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $123.50 $247 5.4×
5 Nucleotidase (83915) $60.50 $121 5.4×
Abl1 gene analysis kinase domain variants (81170) $296.50 $593 1.0×
Acetylcholine receptor binding antibody (86041) $125.50 $251 6.8×
Acetylcholine receptor blocking antibody (86042) $53 $106 2.9×
Acetylcholinesterase Assay (82013) $99 $198 8.1×
Acetylcholn Rcptr Modlg Antb (86043) $125.50 $251 10.4×
Acth (82024) $247.50 $495 6.4×
Acth Stimulation Panel Adrenal Insufficiency (80400) $137.50 $275 4.2×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$81.50–$88 $163–$176 varies
Acute hepatitis panel (80074) $156 $312 3.3×
Acylcarnitines Quant (82017) $139 $278 8.2×
Albumin Fluid (82042)
range across 2 matching MRF lines
$24.50–$107 $49–$214 varies
Albumin serum (82040)
range across 2 matching MRF lines
$30.50–$107.50 $61–$215 varies
Aldolase (82085) $54 $108 5.6×
Aldosterone urine (82088) $185.50 $371 4.6×
Alkaline phosphatase isoenzymes (84080) $72 $144 4.9×
Allergen specific ige (86003)
range across 234 matching MRF lines
$33–$34.50 $66–$69 varies
Allergen specific igg (86001) $19.50 $39 2.5×
Allg Spec Ige Recomb Ea (86008)
range across 3 matching MRF lines
$34.50–$125 $69–$250 varies
Alpha-1-antitrypsin phenotype (82104) $80 $160 5.5×
Alpha-1-antitrypsin total (82103) $128 $256 9.5×
Alpha-Fetoprotein Serum (82105) $99.50 $199 5.9×
Alt (sgpt) (84460) $36.50 $73 6.9×
Aluminum (82108) $48 $96 1.9×
Amikacin trough (80150)
range across 3 matching MRF lines
$74.50–$77 $149–$154 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $181 $362 10.7×
Amino Acids Quant 2-5 (82136) $71 $142 3.6×
Aminolevulinic acid (ala) (82135) $175 $350 10.6×
Ammonia (82140) $92.50 $185 6.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $264 $528 2.7×
Amylase urine (82150) $61.50 $123 9.5×
Ana Titer (86039) $57 $114 5.1×
Anca screen each antibody (86036) $88 $176 7.3×
Androstenedione (82157) $144.50 $289 4.9×
Angiotensin converting enzyme csf (82164) $74 $148 5.1×
Anti-Phospholipid Antibody (86148) $148.12 $296.25 9.2×
Antibody aspergillus (86606) $72.50 $145 4.8×
Antibody Bacterium Not Elsewhere Specified (86609)
range across 2 matching MRF lines
$94–$103.50 $188–$207 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 3 matching MRF lines
$27.50–$86.50 $55–$173 varies
Antibody Cytomegalovirus Cmv Igm (86645) $77.50 $155 4.6×
Antibody Encephalitis California La Crosse (86651) $59 $118 4.5×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $23 $46 1.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $45 $90 2.9×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 5 matching MRF lines
$9.50–$45 $19–$90 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 4 matching MRF lines
$12.50–$88 $25–$176 varies
Antibody haemophilus influenza (86684) $72.50 $145 4.6×
Antibody helicobacter pylori (86677) $67.50 $135 4.0×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 3 matching MRF lines
$57–$94 $114–$188 varies
Antibody Herpes Smplx Type 1 (86695) $49 $98 3.7×
Antibody HIV-1&HIV-2 single result (86703) $73 $146 5.3×
Antibody HIV-2 (86702) $203.50 $407 15.1×
Antibody Hla Class I High Definition Panel Qual (86832) $234 $468 0.7×
Antibody htlv/HIV antibody confirmatory test (86689) $135 $270 7.0×
Antibody identification leukocyte antibodies (86021) $153.50 $307 10.2×
Antibody Identification Platelet Immunogl Assay (86023) $201.50 $403 16.2×
Antibody john cunningham virus (86711) $1,009 $2,018 59.7×
Antibody leishmania (86717) $71.50 $143 5.8×
Antibody Protozoa Nes (86753)
range across 3 matching MRF lines
$32–$76 $64–$152 varies
Antibody Titer (86886) $87.50 $175 16.9×
Antibody Treponema Pallidum (86780) $52.50 $105 4.0×
Antibody; encephalitis, st. louis (86653) $59 $118 4.5×
Antibody; influenza virus (86710) $58.50 $117 4.3×
Antigen typing (86905) $121 $242 31.6×
Antinomyces antibody (86602) $12.50 $25 1.2×
Antinuclear antibodies (86038) $86 $172 7.1×
Antistreptolysin o titer (86060) $128 $256 17.5×
Antithrombin iii activity (85300) $98.50 $197 8.3×
Antithrombin iii antigen (85301) $141 $282 13.0×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $1,645 $3,290 3.3×
Apolipoprotein a1 (82172) $61 $122 2.9×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $262.54 $525.09 7.0×
Arsenic (82175) $73.50 $147 3.9×
Aspa gene analysis common variants (81200) $24 $48 0.5×
Aspergillus ag eia (87305) $116 $232 9.7×
Assay activated protein c (85307) $220.50 $441 14.4×
Assay Blood Carbon Dioxide (82374) $30 $60 6.1×
Assay Nephelometry Not Spec (83883) $26.50 $53 1.9×
Assay of 5-hiaa (83497) $82.50 $165 6.4×
Assay of anti-mullerian hormone (82166) $92.50 $185 2.4×
Assay of blood/uric acid (84550) $30.50 $61 6.7×
Assay of calcium in urine (82340) $41.50 $83 6.9×
Assay of cpk in blood (82552)
range across 2 matching MRF lines
$74.50–$81.50 $149–$163 varies
Assay of estrone (82679) $112.50 $225 4.5×
Assay of g6pd enzyme (82955) $54.50 $109 5.6×
Assay of gammaglobulin igm (82784) $115.50 $231 12.4×
Assay of lactic acid (83605) $53.50 $107 4.6×
Assay of manganese (83785) $40.50 $81 1.5×
Assay of metanephrines (83835) $123.50 $247 7.3×
Assay of proinsulin (84206) $146 $292 5.5×
Assay of pyruvate (84210) $124 $248 8.6×
Assay of serotonin (84260) $91.50 $183 3.0×
Assay of serum potassium (84132) $30.50 $61 6.4×
Assay of sweat sodium (84302) $32.50 $65 6.7×
Assay of Tyrosine (84510) $71 $142 6.7×
Assay of urea nitrogen (84520) $30.50 $61 7.7×
Assay of urine vma (84585) $89 $178 5.7×
Assay of vasoactive intestinal peptide (84586) $45.50 $91 1.3×
Assay of vitamin b-1 (84425) $100 $200 4.7×
Assay Ph Body Fluid Nos (83986) $23.50 $47 6.6×
Assay Phosphohexose Enzymes (84087) $91 $182 8.5×
Assay spec xcp ur&breath ia (82077)
range across 2 matching MRF lines
$88.50–$99.50 $177–$199 varies
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $487.50 $975 0.6×
Automated Leukocyte Count (85048) $13.50 $27 5.3×
B cells total count (86355) $80 $160 2.1×
Babesia microti amp prb (87469) $87 $174 2.5×
Bartonella antibody (86611) $109 $218 10.7×
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$370.50–$384 $741–$768 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines
$99.50–$217.50 $199–$435 varies
Bcr/Abl1 Gene Other Bp (81208) $115 $230 0.5×
Beta 2 glycoprotein i antibody each (86146)
range across 3 matching MRF lines
$59.50–$66 $119–$132 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$31–$43 $62–$86 varies
Beta Lactamase (87185) $24.50 $49 5.2×
Beta-2 Microglobulin (82232) $95.50 $191 5.9×
Bile acids total (82239) $49.50 $99 2.9×
Bilirubin direct (82248) $42.50 $85 8.5×
Bilirubin total (82247)
range across 3 matching MRF lines
$2.50–$43 $5–$86 varies
Bilirubin total transcutaneous (88720) $16.50 $33 3.3×
Biotinidase (82261) $57 $114 3.4×
Bl Smear W/O Diff Wbc Count (85008) $18.50 $37 5.4×
Blastomyces antibody (86612)
range across 2 matching MRF lines
$53.50–$57.50 $107–$115 varies
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $135 $270 4.9×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $130.50 $261 0.8×
Blm Gene (81209) $24 $48 0.6×
Blood Count Manual Cell Count Each (85032) $17.50 $35 4.1×
Blood count reticulocyte automated (85045) $19.50 $39 4.9×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $33 $66 8.7×
Blood gas (82803) $69 $138 2.6×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $53 $106 3.3×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $26.50 $53 6.1×
Blood Type Antigen Donor Reagent Serum Each (86902) $121 $242 19.1×
Blood typing serologic abo (86900) $50.50 $101 16.9×
Bone marrow smear interpretation (85097) $94 $188 0.1×
Bordetella antibody (86615) $53.50 $107 4.1×
Brca1&2 gen full seq dup/del (81162) $1,507.50 $3,015 0.8×
Brucella antibody (86622)
range across 3 matching MRF lines
$54.50–$56.50 $109–$113 varies
C diff amplified probe (87493) $72 $144 1.9×
C-Peptide (84681) $74.50 $149 3.6×
C-reactive protein (86140)
range across 2 matching MRF lines
$19.50–$43 $39–$86 varies
Ca 19-9 (86301) $86.50 $173 4.2×
Cadmium (82300) $52 $104 2.2×
Caffeine (80155) $77 $154 2.0×
Calcitonin (82308) $151.50 $303 5.7×
Calcium ionized (82330) $71.50 $143 5.2×
Calcium total (82310) $36 $72 7.0×
Calculus Spectroscopy (82365) $74 $148 5.7×
Calprotectin Fecal (83993) $150.50 $301 7.7×
Calr gene com variants (81219) $607.50 $1,215 5.0×
Cancer Antigen 125 (86304) $86.50 $173 4.2×
Cancer Antigen 27.29 (86300) $79.50 $159 3.8×
Carbamazepine free (80157) $45 $90 3.4×
Carbamazepine total (80156) $45 $90 3.1×
Carboxyhemoglobin (82375) $50 $100 4.1×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$64.50–$113 $129–$226 varies
Cardiolipin ab iga (86147) $80 $160 3.1×
Carnitine Quantitative Each Specimen (82379) $161 $322 9.5×
Carotene (82380) $60 $120 6.5×
Catecholamines fractionated (82384) $135.50 $271 5.4×
Ccp antibody (86200)
range across 2 matching MRF lines
$94–$95.50 $188–$191 varies
Cell count csf (89051)
range across 9 matching MRF lines
$47–$48.50 $94–$97 varies
Cell marker study (88182) $217 $434 4.4×
Cellular Function Assay Stimul&Detect Biomarke (86352) $241.50 $483 1.8×
Ceruloplasmin (82390) $65.50 $131 6.1×
Cftr gene com variants (81220)
range across 2 matching MRF lines
$318–$335.50 $636–$671 varies
Chemiluminescent assay (82397)
range across 6 matching MRF lines
$22–$177.50 $44–$355 varies
Chlamydia antibody (86631) $23 $46 1.9×
Chlamydia Igm Antibody (86632) $23 $46 1.8×
Chloride other source (82438) $27 $54 5.4×
Chloride Serum (82435) $30 $60 6.5×
Chloride urine (82436) $34.50 $69 6.0×
Cholesterol total (82465) $27.50 $55 6.3×
Cholinesterase rbc (82482) $70 $140 7.1×
Cholinesterase Serum (82480) $34.50 $69 4.4×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$67–$139 $134–$278 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285) $22.50 $45 0.8×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $61.50 $123 1.8×
Chromium serum (82495) $247.50 $495 12.2×
Chromogenic Substrate Assay (85130) $219.50 $439 18.5×
Chromogranin a (86316) $111 $222 5.3×
Chromosome analys amniotic (88269) $348 $696 2.0×
Chromosome Analysis 15-20 (88262) $348 $696 2.8×
Chromosome Analysis 20-25 (88264) $390.50 $781 2.7×
Chromosome analysis, 5 (88261) $178.88 $357.75 0.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $80 $160 2.3×
Citric acid urine (82507) $169.50 $339 6.1×
Ckmb (82553) $81 $162 7.0×
Clostridium Difficile (87324) $6 $12 0.5×
Clot Factor VIII Multimetric (85247) $151.50 $303 6.6×
Clotting factor xii hageman (85280) $140 $280 7.2×
Clotting Funct Activity (85397) $139 $278 4.5×
Cns DNA amp probe type 12-25 (87483) $457 $914 1.1×
Coagulation time activated (85347) $30 $60 7.0×
Coccidioides antibody (86635) $35 $70 3.1×
Cold agglutinin screen (86156) $37.50 $75 4.6×
Collagen crosslinks (82523) $127 $254 6.8×
Column Chromotography Quant (82542)
range across 7 matching MRF lines
$12.50–$450 $25–$900 varies
Compatibility Each Unit Incubation (86921) $113.50 $227 0.7×
Compatibility test antiglob (86922) $124 $248 0.8×
Complement Antigen Each Component (86160)
range across 6 matching MRF lines
$6.50–$71 $13–$142 varies
Complement Total (Ch50) (86162) $121 $242 6.0×
Complement/Function Activity (86161) $93 $186 7.8×
Consltj Compre Review Reprt Referred Matrl (88325) $280.50 $561 1.7×
Consltj&Reprt Material Requiring Prepj Slides (88323)
range across 4 matching MRF lines
$228.50–$283.50 $457–$567 varies
Consltj&Reprt Slides Prepared Elsewhere (88321)
range across 2 matching MRF lines
$148.50–$276.50 $297–$553 varies
Coombs direct (86880) $42 $84 7.8×
Copper urine (82525) $84.50 $169 6.8×
Cortisol free (82530) $123.50 $247 7.4×
Cortisol saliva (82533) $72.50 $145 4.4×
Creatine kinase total (82550) $40.50 $81 6.2×
Creatinine blood (82565) $31 $62 6.1×
Creatinine clearance (82575) $64 $128 6.8×
Creatinine Urine (82570)
range across 3 matching MRF lines
$22.50–$35.50 $45–$71 varies
Crossmatch electronic (86923) $125 $250 0.8×
Crossmatch immediate spin (86920) $113.50 $227 0.7×
Crp High Sensitivity (86141) $56.50 $113 4.4×
Cryofibrinogen (82585) $48 $96 3.4×
Cryoglobulin (82595) $70 $140 10.8×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $30.50 $61 2.3×
Cryptococcal Antigen (87327) $53.50 $107 4.0×
Cryptococcus ab (86641) $47.25 $94.50 3.3×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$36–$66.50 $72–$133 varies
Cryptosporidium (87272) $41 $82 3.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $42.50 $85 5.3×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $46 $92 5.7×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $54 $108 7.0×
Culture aerobic quant other (87071) $58 $116 5.9×
Culture afb (87116) $103.50 $207 9.6×
Culture Anaerobic (87075)
range across 2 matching MRF lines
$5–$107.50 $10–$215 varies
Culture blood (87040) $88 $176 8.5×
Culture csf (87070)
range across 3 matching MRF lines
$61.50–$62 $123–$124 varies
Culture fungus (87102) $66 $132 7.8×
Culture fungus blood (87103) $72 $144 3.5×
Culture screen only (87081)
range across 10 matching MRF lines
$3.50–$53.50 $7–$107 varies
Culture stool (87045) $78 $156 8.3×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $21 $42 4.1×
Culture urine (87086) $53.50 $107 6.6×
Cyanide (82600) $66.75 $133.50 3.4×
Cyclosporine (80158) $115.50 $231 6.4×
Cyp2c19 gene analysis common variants (81225) $134 $268 0.5×
Cyp2c9 gene com variants (81227) $93 $186 0.5×
Cyp2d6 gene com variants (81226) $207 $414 0.5×
Cyp3a4 gene common variants (81230) $93 $186 0.5×
Cyp3a5 gene common variants (81231) $93 $186 0.5×
Cystatin C (82610) $40.50 $81 2.2×
Cytogenetics 10-30 (88273) $141.50 $283 4.1×
Cytogenetics 100-300 (88275)
range across 8 matching MRF lines
$55.50–$87.50 $111–$175 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,329.50 $2,659 1.1×
Cytogenomic neo microra alys (81277) $1,939 $3,878 1.7×
Cytomegalovirus igg (86644) $80 $160 5.6×
Cytopath Cell Enhance Tech (88112)
range across 4 matching MRF lines
$85.50–$150.50 $171–$301 varies
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $120 $240 4.7×
Cytotoxic pra quick (86808) $77.50 $155 2.6×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 2 matching MRF lines
$135–$135.50 $270–$271 varies
Cytp Concentration Smears & Interpretation (88108)
range across 3 matching MRF lines
$120–$148 $240–$296 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $144 $288 2.9×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $125.50 $251 0.8×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 3 matching MRF lines
$122.50–$153 $245–$306 varies
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164)
range across 2 matching MRF lines
$25.50–$26.50 $51–$53 varies
Cytp Smrs Any Oth Src Scr&Interpj (88160) $117.50 $235 4.3×
Deoxycortisol (82634) $33 $66 1.1×
Deoxyribonuclease antibody (86215) $144 $288 10.9×
Detect Agent Nos Dna Amp (87798)
range across 16 matching MRF lines
$19–$268 $38–$536 varies
Detect Agent Nos Dna Quant (87799) $226.50 $453 5.3×
Detect agnt mult DNA ampli (87801)
range across 4 matching MRF lines
$37.50–$247 $75–$494 varies
Dgp Antibody Each Ig Class (86258)
range across 4 matching MRF lines
$22–$88.50 $44–$177 varies
Dhea (82626) $144 $288 5.7×
Dhea-S (82627) $134 $268 6.0×
Digoxin (80162) $39.50 $79 3.0×
Dihydrotestosterone (82642) $41 $82 1.4×
Diphtheria antitoxoid (86648) $54.50 $109 3.6×
Dipropylacetic Acid Free (80165) $68 $136 5.0×
Dmd Duplication/Deletion Analysis (81161) $777 $1,554 2.8×
Dna Antibody Native/Double Stranded (86225) $76 $152 5.5×
Dna/Rna Amplified Probe (87150) $40 $80 1.1×
DNA/RNA direct probe (87149) $36 $72 1.8×
Dna/Rna Sequencing (87153) $99 $198 0.9×
Dpyd gene common variants (81232) $598 $1,196 3.4×
Drug assay acetaminophen (80143) $36.50 $73 2.0×
Drug assay adalimumab (80145) $898.50 $1,797 23.3×
Drug Assay Amiodarone (80151) $100.50 $201 5.4×
Drug Assay Everolimus (80169) $128 $256 9.3×
Drug Assay Infliximab (80230) $170 $340 4.4×
Drug Assay Itraconazole (80189) $284 $568 10.5×
Drug Assay Leflunomide (80193) $134.50 $269 3.5×
Drug Assay Posaconazole (80187) $51.50 $103 1.9×
Drug assay voriconazole (80285) $276 $552 10.2×
Drug Screen Quant Clozapine (80159) $101.50 $203 5.0×
Drug Screen Quant Zonisamide (80203) $115 $230 8.7×
Drug Screen Quantitative Gabapentin (80171)
range across 2 matching MRF lines
$46.50–$115 $93–$230 varies
Drug Screen Quantitative Lamotrigine (80175) $115 $230 8.7×
Drug Screen Quantitative Levetiracetam (80177) $114 $228 8.6×
Drug Screen Quantitative Oxcarbazepine (80183) $110.50 $221 8.3×
Drug Test Prsmv Chem Anlyzr (80307)
range across 10 matching MRF lines
$13–$288 $26–$576 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines
$29.50–$289.50 $59–$579 varies
Egfr Gene Analysis Common Variants (81235) $977 $1,954 3.0×
Ehrlichia antibody (86666)
range across 2 matching MRF lines
$99–$197 $198–$394 varies
El-1 Fecal Quantitative (82653) $73 $146 3.2×
Electrolyte panel (80051) $36.50 $73 5.2×
Electron Microscopy (88348) $227.50 $455 0.3×
Electrophoretic Test - Immunofixation Electrophoresis (82664)
range across 5 matching MRF lines
$45.50–$105 $91–$210 varies
Encephaltis East Eqne Anbdy (86652) $59 $118 4.5×
Encephaltis West Eqne Antbdy (86654) $59 $118 4.5×
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 2 matching MRF lines
$87–$118 $174–$236 varies
Enterovirus PCR (87498) $214.50 $429 6.1×
Enzyme cell activity (82657) $108.50 $217 4.9×
Erythropoietin (82668) $91 $182 4.8×
Estradiol serum (82670) $121.50 $243 4.3×
Estriol (82677) $58 $116 2.4×
Estrogens fractionated (82671) $22.16 $44.31 0.7×
Ethosuximide (80168) $33 $66 2.0×
Ethylene Glycol (82693) $81.50 $163 5.5×
Exam Synovial Fluid Crystals (89060) $127.50 $255 17.4×
F2 Gene (81240)
range across 2 matching MRF lines
$101.50–$110 $203–$220 varies
Factor ii activity (85210) $161.50 $323 12.4×
Factor Inhibitor Test (85335)
range across 2 matching MRF lines
$163–$170.50 $326–$341 varies
Factor ix activity (85250) $233.50 $467 12.3×
Factor v activity (85220) $163.50 $327 9.3×
Factor v leiden mutation (81241) $110 $220 1.5×
Factor vii assay (85230) $231 $462 12.9×
Factor viii assay (85240) $159.50 $319 8.9×
Factor X (85260) $148 $296 8.3×
Factor xi activity (85270) $152 $304 8.5×
Fancc Gene (81242) $24 $48 0.7×
Fat stain feces urine/respir secretions (89125) $30 $60 5.1×
Fat/Lipids Feces Quantitative (82710) $97 $194 5.8×
Fatty acids free (82725) $59 $118 3.1×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $54 $108 3.1×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $109 $218 16.7×
Fecal Fat Qualitative (82705) $15 $30 2.9×
Ferritin (82728) $64.50 $129 4.7×
Fetal Chrmoml Aneuploidy (81420)
range across 3 matching MRF lines
$420–$447.50 $840–$895 varies
Fetal Chrmoml Microdeltj (81422) $32 $64 0.0×
Fetal Fibronectin (82731)
range across 2 matching MRF lines
$127.50–$271 $255–$542 varies
Fetal Lung Maturity Fluorescence Polarization (83663) $45 $90 2.4×
Fetal screen rosette (85461) $39 $78 4.2×
Fibrin degradation products (85362) $68 $136 9.9×
Fibrin Degradation Quant (85379) $87.50 $175 8.6×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$60.50–$144.50 $121–$289 varies
Fibrinogen antigen (85385) $98.50 $197 6.8×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $106 $212 6.8×
Flecainide level (80181) $36 $72 1.9×
Flow cytometry first marker (88184)
range across 4 matching MRF lines
$40.50–$105 $81–$210 varies
Fluorescent antibody screen (86255)
range across 17 matching MRF lines
$47–$222 $94–$444 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 4 matching MRF lines
$25.50–$83.50 $51–$167 varies
Fluoride serum (82735) $76 $152 4.1×
Fmr1 gene detection (81243) $245 $490 4.3×
Folic Acid Serum (82746) $66 $132 4.5×
Follicle Stimulating Hormone (83001) $88 $176 4.7×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $121.50 $243 4.3×
Francisella tularensis (86668) $108.50 $217 7.7×
Fresh Frozen Plasma Thawing Each Unit (86927) $200.50 $401 1.2×
Frozen Section (88331)
range across 3 matching MRF lines
$144.50–$192.50 $289–$385 varies
Fungi Identification Mold (87107)
range across 3 matching MRF lines
$46.50–$50.50 $93–$101 varies
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$34.50–$73 $69–$146 varies
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$8.50–$46 $17–$92 varies
Gases Blood O2 Saturation Only Direct Meas (82810) $25.50 $51 2.6×
Gases blood ph only (82800) $33.50 $67 3.0×
Gastrin (82941) $107 $214 6.1×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $545.50 $1,091 1.3×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $24 $48 0.5×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $2,361 $4,722 3.1×
Genet Virus Isolate Hsv (87255) $30 $60 0.9×
Genetic Tstg Severe Inh Cond (81443) $1,406 $2,812 0.6×
Gentamicin (80170) $57 $114 3.5×
Ggt (82977) $29 $58 4.0×
Glucagon (82943) $112 $224 7.8×
Glucose 2 hr pp (82950) $28 $56 5.9×
Glucose Blood Test (82962) $11 $22 3.4×
Glucose body fluid (82945) $24.50 $49 6.2×
Glucose Serum (82947) $24.50 $49 6.2×
Glucose tolerance test (gtt) (82951) $64.50 $129 5.0×
Glucosidase beta (82963) $311 $622 14.5×
Glycated Protein (82985) $53 $106 3.2×
Gonadotropin Chorionic Qualitative (84703) $35 $70 4.7×
Growth hormone (83003) $91.50 $183 5.5×
Growth Stimulation Gene 2 (83006) $130 $260 1.7×
Gtt-added samples (82952)
range across 2 matching MRF lines
$22.50–$23 $45–$46 varies
H Pylori (C-13) Breath (83013) $42.50 $85 0.6×
H pylri clrthmcn rst amp prb (87513) $379.28 $758.55 10.8×
Haloperidol (80173) $115 $230 7.3×
Haptoglobin (83010) $99.50 $199 7.9×
Hba1/Hba2 Gene (81257) $24 $48 0.2×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $320.38 $640.76 1.6×
Hbb Gene Com Variants (81361) $24 $48 0.1×
Hdl Cholesterol (83718) $13 $26 1.6×
Heavy metal qualitative any analytes (83015) $231.50 $463 11.1×
Helicobacter Pylori Stool (87338) $96.50 $193 6.7×
Helminth Antibody (86682)
range across 2 matching MRF lines
$88.50–$149 $177–$298 varies
Hematocrit (85014) $13 $26 5.5×
Hemoglobin (85018)
range across 2 matching MRF lines
$12.50–$13 $25–$26 varies
Hemoglobin a1c (83036)
range across 3 matching MRF lines
$34–$39 $68–$78 varies
Hemoglobin Chromotography (83021) $83 $166 4.6×
Hemoglobin electrophoresis (83020) $70 $140 5.4×
Hemoglobin Methemoglobin Quantitative (83050) $36.50 $73 4.5×
Hemoglobin plasma (83051) $33.50 $67 4.6×
Hemoglobin stability screen (83068) $48 $96 5.1×
Hemoglobin-Oxygen Affinity (82820) $298 $596 22.3×
Hemolysins&Agglutinins Auto Screen Each (86940) $22.50 $45 2.6×
Hemosiderin urine (83070) $43.50 $87 9.2×
Hep a ab igm (86709) $65 $130 5.8×
Heparin assay (85520) $108 $216 8.3×
Hepatitis a antibody total (86708) $65 $130 5.2×
Hepatitis b core ab igm (86705) $88 $176 7.5×
Hepatitis b core ab total (86704) $65 $130 5.4×
Hepatitis B Surface Antibody (86706) $65 $130 6.1×
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$54–$60 $108–$120 varies
Hepatitis Be Antibody (86707) $65 $130 5.6×
Hepatitis Be Antigen (87350) $71 $142 6.2×
Hepatitis C Antibody (86803) $73.50 $147 5.2×
Hepatitis C Genotype (87902) $163.50 $327 0.6×
Hepatitis C Probe&Rvrs Trnsc (87521) $114.50 $229 3.3×
Hepatitis C Revrs Trnscrpj (87522) $258 $516 6.0×
Hepatitis Delta Agent Antibody (86692) $87.50 $175 5.1×
Herpes simplex type 2 (86696) $51.50 $103 2.7×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$24–$25 $48–$50 varies
Hexa gene analysis common variants (81255) $24 $48 0.5×
Hfe Gene (81256) $177 $354 2.7×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $88 $176 11.4×
Histamine urine (83088) $91.50 $183 3.1×
Histoplasma antibody (86698)
range across 4 matching MRF lines
$35–$52.50 $70–$105 varies
Histoplasma antigen urine (87385) $95.50 $191 7.2×
Hiv Antigen W/Hiv Antibodies (87806) $76 $152 2.3×
Hiv Genotype (87901) $301 $602 1.2×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $86 $172 3.6×
Hiv-1 Antibody (86701)
range across 2 matching MRF lines
$57–$189 $114–$378 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $333 $666 3.9×
HIV-2 probe&revrse trnscripj (87538) $165 $330 4.7×
Hla Class I Typing Low Resolution Complete (81372) $258 $516 0.6×
Hla class ii typing high resolution one locus ea (81382) $188 $376 1.5×
Hla I Typing 1 Allele Hr (81381) $93 $186 0.5×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $258 $516 1.2×
Hla ii typing 1 locus lr (81376) $108.50 $217 0.9×
Hla Typing a/B/C Multiple Antigens (86813) $167 $334 2.9×
Hla-b27 (86812) $131.50 $263 5.1×
Homocysteine (83090)
range across 2 matching MRF lines
$102–$108.50 $204–$217 varies
Homogenization Tissue (87176) $17 $34 2.9×
Homovanillic acid urine (83150) $118.50 $237 5.3×
Hpv High-Risk Types (87624) $53.50 $107 1.5×
Hpv Types 16 & 18 Only (87625)
range across 2 matching MRF lines
$59.50–$70.50 $119–$141 varies
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$138–$201.50 $276–$403 varies
Htlv-I Antibody (86687) $76 $152 8.4×
Htt Gene Detc Abnor Alleles (81271) $209.50 $419 1.5×
Human Epididymis Protein 4 (86305) $40 $80 1.9×
Hydroxyprogesterone 17-d (83498) $139.50 $279 5.1×
Iaad Ia Entamoeba Histolytica Grp (87337) $40 $80 3.3×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $47.50 $95 4.6×
Iaadi giardia (87269) $29 $58 2.1×
Iaadi pneumocustis carinii (87281) $38.26 $76.52 3.2×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $19.50 $39 0.6×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)
range across 2 matching MRF lines
$264–$265.50 $528–$531 varies
Iadna Candida Species Amplified Probe Tq (87481) $82 $164 2.3×
Iadna chlamydia pneumoniae amplified probe tq (87486) $82.50 $165 2.4×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$152.50–$155.50 $305–$311 varies
Iadna Cytomegalovirus Quantification (87497) $303 $606 7.1×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634)
range across 2 matching MRF lines
$61–$64.50 $122–$129 varies
Iadna ehrlichia chaffeensis amplified probe tq (87484) $19.50 $39 0.6×
Iadna Hepatitis B Virus Quantification (87517) $203 $406 4.7×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $106.50 $213 3.0×
Iadna Herpes Virus-6 Quantification (87533) $466 $932 11.2×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $151 $302 4.3×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $124 $248 3.5×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $250.50 $501 5.2×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $146.50 $293 3.5×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $113.50 $227 3.2×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $79 $158 2.3×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $60 $120 1.2×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $234.50 $469 1.6×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $414 $828 1.6×
Ig Light Chains Free Each (83521) $110 $220 6.4×
Igg subclasses (82787) $46 $92 5.7×
Igh gene rearrange amp meth (81261) $212.50 $425 1.1×
Igh@ Variable Region Somatic Mutation Analysis (81263) $518.50 $1,037 1.8×
Igk rearrangeabn clonal pop (81264) $212.50 $425 1.2×
Ikbkap Gene Analysis Common Variants (81260) $24 $48 0.6×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $201.50 $403 0.6×
Immune Complex Assay (86332) $39.50 $79 1.6×
Immunfix e-phorsis/urine/csf (86335) $121 $242 4.1×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 4 matching MRF lines
$113.50–$127.50 $227–$255 varies
Immunoassay nonantibody (83516)
range across 8 matching MRF lines
$25.50–$125.50 $51–$251 varies
Immunodiffusion Ouchterlony (86331) $12.50 $25 1.0×
Immunoelectrophoresis Other Fluids Concentration (86325) $68 $136 2.9×
Immunoelectrophoresis Serum (86320) $70 $140 2.3×
Immunofixation electrophoresis (86334) $182.50 $365 8.2×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines
$60–$87 $120–$174 varies
Immunohistochemistry (88342)
range across 2 matching MRF lines
$221–$223 $442–$446 varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$265–$431 $530–$862 varies
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $36.50 $73 3.0×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $75.50 $151 2.2×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $61.50 $123 1.2×
Influenza assay w/optic (87804) $16.50 $33 1.0×
Influenza DNA amp probe (87502)
range across 2 matching MRF lines
$129–$134.50 $258–$269 varies
Inhibin A (86336) $132 $264 8.5×
Inhibin b (83520)
range across 30 matching MRF lines
$15–$241 $30–$482 varies
Insulin antibodies (86337) $97.50 $195 4.6×
Insulin free (83527) $18.50 $37 1.4×
Insulin total (83525) $62 $124 5.4×
Interleukin-6 (83529) $83 $166 4.8×
Intrinsic factor antibody (86340) $91.50 $183 6.1×
Iron (83540) $41 $82 6.3×
Iron Binding Capacity (83550) $39 $78 4.5×
Islet cell antibody (86341)
range across 3 matching MRF lines
$74–$152.50 $148–$305 varies
Jak2 gene analysis p.val617phe variant (81270) $314.50 $629 3.4×
Kit Gene Analysis D816 Variant(S) (81273) $462.50 $925 3.7×
Kit Gene Analysis Targeted Sequence Analysis (81272) $587.50 $1,175 1.8×
Koh Prep (87220) $18.50 $37 4.3×
L/s ratio (83661) $92 $184 4.2×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$40.50–$42.50 $81–$85 varies
Lactoferrin fecal qualitative (83630) $109 $218 5.5×
Lactoferrin Fecal Quantitative (83631) $112.50 $225 5.7×
Ldh Isoenzymes (83625) $83.50 $167 6.5×
LDL direct (83721) $13 $26 1.2×
Lead (83655)
range across 3 matching MRF lines
$47–$51.50 $94–$103 varies
Legionella antibody (86713) $89.50 $179 5.8×
Legionella antigen urine (87449) $104.50 $209 8.7×
Leptospira antibody (86720) $105.75 $211.51 6.5×
Leukocyte Assessment Fecal (89055) $25 $50 5.9×
Leukocyte Histamine Release (86343) $131.50 $263 10.6×
Level I Surg Pathology Gross Examination Only (88300) $109.50 $219 4.0×
Level ii surg pathology gross&microscopic exam (88302) $115 $230 3.3×
Level V Surg Pathology Gross&Microscopic Exam (88307) $210 $420 0.6×
Lidocaine (80176) $50.50 $101 3.4×
Lipase (83690) $38 $76 5.5×
Lipoprotein A (83695) $90.50 $181 6.3×
Lipoprotein Bld Quan Part (83704) $107.50 $215 3.1×
Lipoprotein-Associated Phospholipase A2 (83698) $28.50 $57 0.6×
Lithium (80178) $50.50 $101 7.6×
Luteinizing Hormone (Lh) (83002) $106.50 $213 5.8×
Lyme disease antibody (86618)
range across 2 matching MRF lines
$84.50–$94 $169–$188 varies
Lymphocyte transformation (86353) $60 $120 1.2×
Lysozyme serum (85549) $73 $146 3.9×
M. Genitalium Amp Probe (87563) $99.50 $199 2.8×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $488.50 $977 3.0×
Macroscopic exam arthropod (87168) $45 $90 10.5×
Macroscopic Exam Parasite (87169) $41.50 $83 9.6×
Magnesium Urine (83735)
range across 2 matching MRF lines
$33.50–$45.50 $67–$91 varies
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$137.50–$163.50 $275–$327 varies
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $24 $48 0.6×
Mercury urine (83825) $52 $104 3.2×
Methotrexate (80204) $82.50 $165 2.1×
Methylmalonic acid serum (83921) $173 $346 8.2×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$66.50–$69 $133–$138 varies
Microsatellite instability (81301) $639 $1,278 1.8×
Microsomal Antibodies Each (86376)
range across 6 matching MRF lines
$21–$63.50 $42–$127 varies
Mitochondrial Antibody Each (86381) $84.50 $169 3.3×
Mog-Igg1 Antb Cba Each (86362) $531.50 $1,063 44.1×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $393.75 $787.50 10.4×
Molecular Cytogenetics Dna Probe Each (88271) $97.50 $195 4.6×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 2 matching MRF lines
$151–$414.50 $302–$829 varies
Molecular Pathology Procedure Level 6 (81405)
range across 2 matching MRF lines
$126.50–$425 $253–$850 varies
Mononuclear cell antigen (86356) $110 $220 4.1×
Mopath procedure level 1 (81400)
range across 2 matching MRF lines
$171–$274.35 $342–$548.70 varies
Mopath procedure level 2 (81401)
range across 2 matching MRF lines
$188–$193.50 $376–$387 varies
Mopath procedure level 4 (81403) $126.50 $253 0.7×
Mopath procedure level 5 (81404) $126.50 $253 0.5×
Mopath procedure level 7 (81406) $59.50 $119 0.2×
Mopath procedure level 8 (81407) $179 $358 0.2×
Mopath procedure level 9 (81408) $819 $1,638 0.4×
Mpl gene analysis sequence analysis exon 10 (81339) $557 $1,114 3.0×
Mrsa Pcr (87641) $109 $218 3.1×
Mthfr Gene Analysis Common Variants (81291)
range across 2 matching MRF lines
$95–$559 $190–$1,118 varies
Mumps antibody (86735)
range across 2 matching MRF lines
$79–$182 $158–$364 varies
Muscle-Specific Kinase Antb (86366) $578 $1,156 31.4×
Mycobacteric Identification (87118) $102.50 $205 7.0×
Mycophenolic Acid (80180) $101.50 $203 5.6×
Mycoplasma antibody (86738) $85 $170 6.4×
Mycoplasma culture (87109) $82 $164 5.3×
Myoglobin urine (83874) $79.50 $159 6.2×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$76.50–$81.50 $153–$163 varies
Neutralization Test Viral (86382)
range across 3 matching MRF lines
$137.50–$173 $275–$346 varies
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $69.81 $139.62 0.5×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $185 $370 1.3×
Nfct ds chrnc hcv 6 assays (81596) $138.50 $277 1.9×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $317.50 $635 2.5×
Niacin (84591)
range across 2 matching MRF lines
$68–$94.50 $136–$189 varies
Nickel level (83885) $43.50 $87 1.8×
Nk cells total count (86357) $80 $160 2.1×
Nuclear antigen antibody (86235)
range across 7 matching MRF lines
$93–$103 $186–$206 varies
Obstetric panel (80081) $211.50 $423 2.8×
Occult blood feces (82272)
range across 2 matching MRF lines
$9–$36 $18–$72 varies
Occult Blood Other Sources (82271) $24.50 $49 4.6×
Oligoclonal bands (83916) $110 $220 4.0×
Organic Acids Qualitative Each Specimen (83919) $162 $324 9.8×
Osmolality serum (83930) $49 $98 7.4×
Osmolality Urine (83935) $38 $76 5.6×
Osmotic fragility rbc incubated (85557) $123 $246 9.2×
Osteocalcin (83937) $60.50 $121 2.0×
Ova and parasites smears (87177) $72 $144 8.1×
Oxalate urine (83945) $89.50 $179 6.2×
Parvovirus antibody (86747) $138 $276 9.2×
Path Consltj Surg Cytologic Exam Initial Site (88333) $138 $276 0.2×
Pathology Consultation During Surgery (88329) $122.50 $245 2.2×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $574.34 $1,148.69 1.7×
Ph urine (81003)
range across 2 matching MRF lines
$17.50–$18.50 $35–$37 varies
Phenobarbital Level (80184) $40.50 $81 2.6×
Phenotype Infect Agent Drug (87900) $302.50 $605 2.3×
Phenylalanine (84030) $67.50 $135 12.3×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$65–$76 $130–$152 varies
Phenytoin free (80186) $83 $166 6.0×
Phosphatase acid prostatic (84066) $31 $62 3.2×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$28–$48.50 $56–$97 varies
Phosphatidylglycerol (84081) $77 $154 4.7×
Phospholipid Neutralization Hexagonal (85598) $165.50 $331 9.2×
Phosphorus Serum (84100) $28.50 $57 6.0×
Phosphorus urine (84105) $37 $74 6.4×
Pinworm exam (87172) $24.50 $49 5.7×
Platelet Aggregation (85576)
range across 3 matching MRF lines
$64–$70 $128–$140 varies
Platelet Antibodies (86022)
range across 3 matching MRF lines
$214–$244.50 $428–$489 varies
Platelet count automated (85049) $22 $44 4.9×
Platelet neutralization (85597) $67 $134 3.7×
Pooling blood platelets (86965) $113.50 $227 0.7×
Porphobilinogen, urine; quantitative (84110) $72.50 $145 8.6×
Porphyrins Urine Quantitation & Fractionation (84120) $81.50 $163 5.5×
Potassium Urine (84133) $34.50 $69 7.3×
Prealbumin (84134) $65.50 $131 4.5×
Pregnenolone (84140) $61.50 $123 3.0×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $55.50 $111 1.0×
Primidone (80188) $40 $80 2.4×
Procalcitonin (Pct) (84145) $128.50 $257 4.7×
Progesterone (84144) $93 $186 4.5×
Prolactin (84146) $126.50 $253 6.5×
Prostaglandin (84150) $43 $86 1.0×
Protein body fluid (84157) $41 $82 10.3×
Protein C Activity (85303) $165.50 $331 12.0×
Protein c antigen (85302) $197 $394 16.4×
Protein Electrophoresis Urine (84166) $71 $142 4.0×
Protein Electrophoretic Fractj&Quantj Serum (84165) $67.50 $135 6.3×
Protein S Free (85306) $178 $356 11.6×
Protein s total (85305) $290 $580 25.0×
Protein Total Refractometry Any Src (84160) $18 $36 3.2×
Protein total serum (84155) $35 $70 9.5×
Protein Total Urine (84156) $36.50 $73 9.9×
Protein Western Blot Test (84182)
range across 2 matching MRF lines
$124–$163.50 $248–$327 varies
Prothrombin Time Substitution Plasma Frctj Each (85611)
range across 2 matching MRF lines
$88.50–$127.50 $177–$255 varies
Protoporphyrin rbc quantitative (84202) $65 $130 4.5×
PSA free (84154) $80.50 $161 4.4×
Pth Intact (83970) $124 $248 3.0×
Pyruvate kinase (84220) $105 $210 11.1×
Q Fever Antibody (86638)
range across 4 matching MRF lines
$65.50–$67.50 $131–$135 varies
Quantitative assay drug (80299)
range across 8 matching MRF lines
$93.50–$99.50 $187–$199 varies
Quantitative Screen Metals (83018)
range across 2 matching MRF lines
$87.50–$247.50 $175–$495 varies
Quinidine (80194) $33.50 $67 2.3×
Rbc antibody identification (86870) $206.50 $413 0.6×
Rbc antibody screen (86850) $100 $200 10.2×
Rbc pretreatment serum (86978) $46.50 $93 0.8×
Rbc pretx incubatj w/enzymes (86971) $108 $216 0.7×
Renin activity plasma (84244) $109 $218 5.0×
Reptilase test (85635) $125.50 $251 12.7×
Resp virus 12-25 targets (87633) $487.50 $975 1.2×
Rh (86901) $35 $70 11.7×
Rheumatoid Factor Qualitative (86430) $53.50 $107 8.7×
Rheumatoid factor quant (86431)
range across 5 matching MRF lines
$3–$74.50 $6–$149 varies
Rickettsia antibody (86757)
range across 4 matching MRF lines
$36–$41 $72–$82 varies
Ristocetin cofactor (85245) $115.50 $231 5.0×
Rotavirus ag eia (87425) $39.50 $79 3.3×
Rpr qualitative (86592)
range across 4 matching MRF lines
$2–$46.50 $4–$93 varies
Rsv ab (86756) $54 $108 3.4×
Rsv Assay W/Optic (87807) $110 $220 8.4×
Rubella Antibody (86762)
range across 2 matching MRF lines
$75–$77 $150–$154 varies
Rubeola antibody (86765) $89.50 $179 6.9×
Russell Viper Venom Time Diluted (85613) $63 $126 6.6×
Salicylate Level (80179)
range across 2 matching MRF lines
$21–$22 $42–$44 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$67.50–$72.50 $135–$145 varies
Sars-cov-2 COVID-19 antibody (86769) $56 $112 1.3×
Sars-Cov-2 Covid19 W/Optic (87811) $42.50 $85 1.0×
Sarscov2 & inf a&b amp prb (87636) $197 $394 1.4×
Sedimentation Rate, Automated (85652) $40 $80 14.8×
Selenium (84255) $121 $242 4.7×
Semen Anal Sperm Detection (89321) $52 $104 4.3×
Semen analysis complete (89322) $64.50 $129 4.2×
Sensitivity mic (87186) $55.50 $111 6.4×
Serpina 1 gene (81332) $177 $354 4.1×
Sex Hormone Binding Globulin (84270) $70 $140 3.2×
Sickling of rbc reduction (85660) $41.50 $83 7.5×
Sirolimus (80195) $97 $194 7.1×
Skin Test Candida (86485) $13 $26 0.5×
Skin test tuberculosis intradermal (86580) $12.50 $25 0.5×
Smear acid fast (87206) $48.50 $97 9.0×
Smear complex stain (87209) $59.50 $119 3.3×
Smear gram stain (87205)
range across 4 matching MRF lines
$27.50–$30 $55–$60 varies
Smear Special Stain (87207)
range across 5 matching MRF lines
$42–$64.50 $84–$129 varies
Smn1 Gene Dos/Deletion Alys (81329) $164.50 $329 1.2×
Smpd1 Gene Analysis Common Variants (81330) $24 $48 0.5×
Smr Prim Src Wet Mount Nfct Agt (87210) $36 $72 6.2×
So neo gsap DNA mcrstl ins (81457) $2,500 $5,000 2.8×
Sodium Serum (84295) $29 $58 6.0×
Sodium Urine (84300) $36 $72 7.1×
Soluble fibrin monomer (85366) $197 $394 2.4×
Soluble Transferrin Receptor (84238) $32.50 $65 0.9×
Somatomedin (84305) $190.50 $381 9.0×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$108–$127 $216–$254 varies
Special Stains Group 2 (88313)
range across 4 matching MRF lines
$115–$334.50 $230–$669 varies
Specific gravity body fluid (84315) $16 $32 4.9×
Specimen infect agnt concntj (87015) $41 $82 6.1×
Spectrophotometry (84311)
range across 3 matching MRF lines
$73.50–$78 $147–$156 varies
Sperm Antibodies (89325) $47.50 $95 4.5×
Splitting Blood/Blood Products Each Unit (86985) $111 $222 0.7×
Stone Analysis (82355) $28.50 $57 2.5×
Stool cultr aerobic bact ea (87046) $93 $186 9.9×
Strep a assay w/optic (87880) $32 $64 1.9×
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$82–$85 $164–$170 varies
Strep b DNA amp probe (87653) $128 $256 3.6×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $7 $14 0.1×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $37.50 $75 3.3×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $44 $88 8.0×
Sugars Single Qual (84376) $42.50 $85 7.7×
Surg path level iii (88304) $126 $252 2.6×
Surgical pathology level IV (88305)
range across 3 matching MRF lines
$124.50–$133.50 $249–$267 varies
Surgical pathology level vi (88309) $280.50 $561 0.4×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $17.50 $35 3.7×
Susceptibility Study Antimicrobial Disk Method (87184)
range across 2 matching MRF lines
$4–$41.50 $8–$83 varies
Syphilis Test Non-Trep Quant (86593) $23.50 $47 5.3×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $80 $160 1.7×
T cells total count (86359) $80 $160 2.1×
T3 Free (84481) $73.50 $147 4.3×
T3 reverse (84482) $47 $94 3.0×
T3 Total (84480) $102.50 $205 7.2×
T3 Uptake (84479) $85 $170 13.1×
T4 Free (84439)
range across 2 matching MRF lines
$45.50–$167.50 $91–$335 varies
T4 total (84436) $61.50 $123 9.0×
Tacrolimus (80197) $118.50 $237 8.6×
Tau phosphorylated each (84393) $375 $750 2.9×
Tb ag response t-cell susp (86481) $100 $200 1.0×
Testosterone Bioavailable (84410) $22 $44 0.4×
Testosterone total (84403)
range across 2 matching MRF lines
$130.50–$139 $261–$278 varies
Testosterone, Free (84402) $137.50 $275 5.4×
Tetanus antibody (86774) $88.50 $177 6.0×
Theophylline (80198) $59.50 $119 4.2×
Thrombin Time (85670)
range across 2 matching MRF lines
$35–$57 $70–$114 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines
$57–$124 $114–$248 varies
Thyroglobulin (84432) $91.50 $183 5.7×
Thyroglobulin Antibody (86800) $73 $146 4.6×
Thyroid Stimulating Immunoglobulin (84445) $307.50 $615 6.0×
Thyroxine binding globulin (84442) $33.50 $67 2.3×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 3 matching MRF lines
$26.50–$83 $53–$166 varies
Tissue Culture (88233) $492.50 $985 3.5×
Tissue Culture Amniotic Fluid (88235) $213.50 $427 1.4×
Tissue culture bone marrow (88237)
range across 2 matching MRF lines
$146–$392 $292–$784 varies
Tissue Culture Lymphocyte (88230) $290.50 $581 2.5×
Tobramycin peak (80200) $52 $104 3.2×
Topiramate (80201) $103 $206 8.6×
Total Tau (84394) $374.65 $749.30 2.9×
Touch prep (88161)
range across 3 matching MRF lines
$43.50–$68.50 $87–$137 varies
Toxoplasma ab igm (86778) $109 $218 7.6×
Toxoplasma antibody (86777) $73.50 $147 5.1×
Tp53 gene analysis targeted sequence analysis (81352) $459 $918 1.4×
Transferase Aspartate Amino Ast Sgot (84450) $33 $66 6.4×
Transferrin (84466) $70 $140 5.5×
Trb@ Rearrangement Anal Amplification Method (81340) $405.50 $811 1.9×
Trg gene rearrangement anal (81342) $397.50 $795 2.0×
Trichomonas Vaginalis Amplif (87661) $147.50 $295 4.2×
Triglycerides (84478)
range across 3 matching MRF lines
$32–$39.50 $64–$79 varies
Troponin Quant (84484) $68 $136 5.5×
Tumor immunohistochem/comput (88361) $296.50 $593 0.9×
Tumor Immunohistochem/Manual (88360) $204 $408 1.3×
Unlisted Cytogenetic Study (88299) $30.50 $61 0.6×
Urea Nitrogen Clearance (84545) $51.50 $103 7.2×
Urea nitrogen urine (84540) $29 $58 5.2×
Uric acid other source (84560) $28 $56 5.5×
Urinalysis Microscopic Only (81015) $8 $16 2.6×
Urine Albumin Semiquantitative (82044)
range across 2 matching MRF lines
$31.50–$32 $63–$64 varies
Urine Pregnancy Test (81025) $22.50 $45 2.6×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $21.50 $43 6.8×
Urobilinogen urine qual (84578) $14.50 $29 3.2×
Valproic acid (80164)
range across 2 matching MRF lines
$49.50–$68 $99–$136 varies
Vancomycin (80202) $103.50 $207 7.6×
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$89–$89.50 $178–$179 varies
Vasopressin (84588) $81.50 $163 2.4×
Very Long Chain Fatty Acids (82726) $183 $366 9.3×
Virus antibody nos (86790) $18 $36 1.4×
Viscosity serum (85810) $46 $92 3.9×
Vit D 1 25-Dihydroxy (82652) $179 $358 4.6×
Vitamin A (84590) $98.50 $197 8.5×
Vitamin b-12 (82607) $52 $104 3.4×
Vitamin B2 (Riboflavin) (84252) $143 $286 7.1×
Vitamin B6 (84207) $194 $388 6.9×
Vitamin c (82180) $127.50 $255 12.9×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$58–$77 $116–$154 varies
Vitamin E (84446) $92.50 $185 6.5×
Vitamin K (84597) $73.50 $147 5.4×
Voltage-Gated Calcium Channel Antibody Each (86596)
range across 2 matching MRF lines
$118–$127.50 $236–$255 varies
Von willebrand factor ag (85246) $157 $314 6.8×
West nile virus ab igm (86788) $62 $124 3.7×
West Nile Virus Antibody (86789) $62 $124 4.3×
Western Blot Test (84181)
range across 2 matching MRF lines
$48.50–$120 $97–$240 varies
Zinc (84630) $63.50 $127 5.6×

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.