Lab & pathology prices at Bon Secours Southern Virginia Medical Center
Emporia, VA · every code in this section with a posted price and a Medicare benchmark.
569 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abl1 gene analysis kinase domain variants (81170) | $496.20 | $1,654 | 1.7× |
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$4.80–$109.20 | $16–$364 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 3 matching MRF lines |
$8.10–$109.20 | $27–$364 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) range across 2 matching MRF lines |
$19.20–$109.20 | $64–$364 | varies |
| Acth (82024) | $1,051.80 | $3,506 | 27.2× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $56.70 | $189 | 1.7× |
| Actin smooth muscle antibody each (86015) | $20.10 | $67 | 1.7× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$163.80–$508.50 | $546–$1,695 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $199.50 | $665 | 3.1× |
| Albumin Fluid (82042) | $10.20 | $34 | 1.3× |
| Albumin serum (82040) | $159.60 | $532 | 32.2× |
| Aldolase (82085) | $153.60 | $512 | 15.8× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$64.20–$1,275 | $214–$4,250 | varies |
| Alkaline phosphatase isoenzymes (84080) | $40.20 | $134 | 2.7× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$13.20–$22.50 | $44–$75 | varies |
| Allg Spec Ige Recomb Ea (86008) | $33 | $110 | 1.8× |
| Alpha-1-antitrypsin phenotype (82104) | $26.70 | $89 | 1.8× |
| Alpha-1-antitrypsin total (82103) | $25.20 | $84 | 1.9× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$90.90–$213.90 | $303–$713 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$10.20–$159.60 | $34–$532 | varies |
| Amikacin trough (80150) | $101.40 | $338 | 6.7× |
| Ammonia (82140) | $320.10 | $1,067 | 22.0× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $106.80 | $356 | 1.1× |
| Amylase urine (82150) | $306 | $1,020 | 47.2× |
| Anca Titer Each Antibody (86037) | $21 | $70 | 1.7× |
| Angiotensin converting enzyme csf (82164) | $860.70 | $2,869 | 59.0× |
| Anti-Phospholipid Antibody (86148) | $25.20 | $84 | 1.6× |
| Antibody aspergillus (86606) | $27.60 | $92 | 1.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 2 matching MRF lines |
$78.30–$83.70 | $261–$279 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $201.90 | $673 | 12.0× |
| Antibody Encephalitis California La Crosse (86651) | $68.40 | $228 | 5.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $219.60 | $732 | 16.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $219.60 | $732 | 14.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $76.50 | $255 | 4.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $22.80 | $76 | 1.9× |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$25.50–$126 | $85–$420 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $59.40 | $198 | 4.5× |
| Antibody HIV-2 (86702) | $129.60 | $432 | 9.6× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $535.50 | $1,785 | 1.7× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $135 | $450 | 1.6× |
| Antibody Protozoa Nes (86753) | $28.50 | $95 | 2.3× |
| Antibody Titer (86886) range across 2 matching MRF lines |
$76.20–$164.10 | $254–$547 | varies |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$30.30–$153 | $101–$510 | varies |
| Antibody; encephalitis, st. louis (86653) | $68.40 | $228 | 5.2× |
| Antigen typing (86905) range across 6 matching MRF lines |
$38.40–$337.80 | $128–$1,126 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$81.30–$164.10 | $271–$547 | varies |
| Antinomyces antibody (86602) | $18.90 | $63 | 1.9× |
| Antinuclear antibodies (86038) | $72.60 | $242 | 6.0× |
| Antistreptolysin o titer (86060) | $89.70 | $299 | 12.3× |
| Antithrombin iii activity (85300) | $315.30 | $1,051 | 26.6× |
| Antithrombin iii antigen (85301) | $70.80 | $236 | 6.5× |
| Apolipoprotein a1 (82172) | $39 | $130 | 1.8× |
| Aquaporin-4 Antb Cba Each (86052) range across 2 matching MRF lines |
$276.60–$359.70 | $922–$1,199 | varies |
| Aquaporin-4 Antb Elisa (86051) | $106.50 | $355 | 9.2× |
| Arsenic (82175) | $272.70 | $909 | 14.4× |
| Aspergillus ag eia (87305) | $108 | $360 | 9.0× |
| Assay Blood Carbon Dioxide (82374) | $22.20 | $74 | 4.5× |
| Assay Duodenal Fluid Trypsin (84485) | $16.80 | $56 | 2.3× |
| Assay myeloperoxidase (83876) | $80.10 | $267 | 1.6× |
| Assay Nephelometry Not Spec (83883) | $25.20 | $84 | 1.9× |
| Assay of 5-hiaa (83497) | $49.20 | $164 | 3.8× |
| Assay of blood/uric acid (84550) | $159.60 | $532 | 35.3× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$22.80–$31.20 | $76–$104 | varies |
| Assay of g6pd enzyme (82955) | $15.90 | $53 | 1.6× |
| Assay of gammaglobulin igm (82784) range across 3 matching MRF lines |
$14.70–$246.90 | $49–$823 | varies |
| Assay of lactic acid (83605) | $408.30 | $1,361 | 35.3× |
| Assay of metanephrines (83835) | $609.60 | $2,032 | 36.0× |
| Assay of proinsulin (84206) | $48.90 | $163 | 1.8× |
| Assay of pyruvate (84210) | $22.80 | $76 | 1.6× |
| Assay of serum potassium (84132) | $159.90 | $533 | 33.6× |
| Assay of sweat sodium (84302) | $17.10 | $57 | 3.5× |
| Assay of transcortin (84449) | $28.50 | $95 | 1.6× |
| Assay of urea nitrogen (84520) | $159.60 | $532 | 40.4× |
| Assay of vitamin b-1 (84425) | $553.20 | $1,844 | 26.1× |
| Assay Ph Body Fluid Nos (83986) | $19.80 | $66 | 5.5× |
| Assay spec xcp ur&breath ia (82077) | $33.60 | $112 | 1.9× |
| Automated Leukocyte Count (85048) | $36.90 | $123 | 14.5× |
| B cells total count (86355) | $93.90 | $313 | 2.5× |
| Bartonella antibody (86611) | $22.50 | $75 | 2.2× |
| Bcr/abl1 gene major bp (81206) | $198 | $660 | 1.2× |
| Bcr/abl1 gene minor bp (81207) | $344.40 | $1,148 | 2.4× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$39.90–$205.80 | $133–$686 | varies |
| Beta hydroxybutyrate (82010) | $26.10 | $87 | 3.2× |
| Beta Lactamase (87185) | $11.40 | $38 | 2.4× |
| Beta-2 Microglobulin (82232) | $114.60 | $382 | 7.1× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $381 | $1,270 | 3.0× |
| Bilirubin direct (82248) | $159.60 | $532 | 31.8× |
| Bilirubin total (82247) | $159.60 | $532 | 31.8× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $123.60 | $412 | 0.7× |
| Bld Typing Serologic Rh Phnt (86906) | $35.10 | $117 | 4.5× |
| Blood Count Red Blood Cell Automated (85041) | $42.30 | $141 | 14.0× |
| Blood count reticulocyte automated (85045) | $90.30 | $301 | 22.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $124.20 | $414 | 32.7× |
| Blood gas (82803) | $104.70 | $349 | 4.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $67.20 | $224 | 4.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $14.10 | $47 | 3.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 4 matching MRF lines |
$246–$321.60 | $820–$1,072 | varies |
| Blood typing serologic abo (86900) | $114.90 | $383 | 38.4× |
| Body fluid cell count (89050) | $68.10 | $227 | 14.4× |
| Bordetella antibody (86615) | $11.10 | $37 | 0.8× |
| Braf gene analysis (81210) | $164.40 | $548 | 0.9× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$85.20–$109.50 | $284–$365 | varies |
| C-Peptide (84681) | $291.30 | $971 | 14.0× |
| C-reactive protein (86140) | $143.10 | $477 | 27.6× |
| Ca 19-9 (86301) | $96.90 | $323 | 4.7× |
| Cadmium (82300) | $37.20 | $124 | 1.6× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$24–$98.10 | $80–$327 | varies |
| Calcium total (82310) | $87.30 | $291 | 16.9× |
| Calculus assay quant (82360) | $20.10 | $67 | 1.6× |
| Calprotectin Fecal (83993) | $54.30 | $181 | 2.8× |
| Calr gene com variants (81219) | $222.30 | $741 | 1.8× |
| Cancer Antigen 125 (86304) | $41.40 | $138 | 2.0× |
| Cancer Antigen 27.29 (86300) | $81.30 | $271 | 3.9× |
| Carbamazepine free (80157) | $48.30 | $161 | 3.6× |
| Carbamazepine total (80156) | $384.60 | $1,282 | 26.4× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$19.50–$111.90 | $65–$373 | varies |
| Carcinoembryonic antigen (82378) | $655.20 | $2,184 | 34.6× |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$150–$238.50 | $500–$795 | varies |
| Catecholamines fractionated (82384) | $57.60 | $192 | 2.3× |
| Ccp antibody (86200) | $46.80 | $156 | 3.6× |
| Cell count csf (89051) | $280.80 | $936 | 50.1× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $213.90 | $713 | 1.6× |
| Ceruloplasmin (82390) | $303.60 | $1,012 | 28.3× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$76.20–$321.90 | $254–$1,073 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $410.70 | $1,369 | 1.6× |
| Chlamydia antibody (86631) | $51 | $170 | 4.3× |
| Chlamydia Igm Antibody (86632) | $49.80 | $166 | 3.9× |
| Chloride urine (82436) | $159.60 | $532 | 27.8× |
| Cholesterol total (82465) range across 4 matching MRF lines |
$8.10–$159.60 | $27–$532 | varies |
| Cholinesterase Serum (82480) | $12.30 | $41 | 1.6× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$158.70–$338.10 | $529–$1,127 | varies |
| Chrmsm Analysis Addl High Resolution Study (88289) | $74.40 | $248 | 2.2× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $513.90 | $1,713 | 15.4× |
| Chromogranin a (86316) | $80.10 | $267 | 3.8× |
| Chromosome Analysis 15-20 (88262) | $229.20 | $764 | 1.8× |
| Chromosome Analysis 20-25 (88264) | $264 | $880 | 1.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $232.80 | $776 | 6.6× |
| Clostridium Difficile (87324) | $234.30 | $781 | 19.6× |
| Clot Factor VIII Multimetric (85247) | $233.10 | $777 | 10.2× |
| Cns DNA amp probe type 12-25 (87483) | $687.90 | $2,293 | 1.7× |
| Coagulation time activated (85347) | $57.60 | $192 | 13.5× |
| Cold agglutinin screen (86156) | $36 | $120 | 4.5× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$54.90–$141.90 | $183–$473 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $366.90 | $1,223 | 1.6× |
| Compatibility Each Unit Incubation (86921) range across 4 matching MRF lines |
$136.20–$289.80 | $454–$966 | varies |
| Compatibility test antiglob (86922) range across 4 matching MRF lines |
$101.40–$196.20 | $338–$654 | varies |
| Complement Antigen Each Component (86160) | $369.90 | $1,233 | 30.8× |
| Complement Total (Ch50) (86162) | $602.10 | $2,007 | 29.6× |
| Complement/Function Activity (86161) | $22.50 | $75 | 1.9× |
| Coombs direct (86880) range across 2 matching MRF lines |
$45.90–$109.20 | $153–$364 | varies |
| Copper urine (82525) | $42.30 | $141 | 3.4× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$30.30–$282.60 | $101–$942 | varies |
| Creatine kinase total (82550) | $124.20 | $414 | 19.1× |
| Creatinine blood (82565) | $105 | $350 | 20.5× |
| Creatinine clearance (82575) | $132.60 | $442 | 14.0× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$16.80–$159.60 | $56–$532 | varies |
| Crossmatch electronic (86923) | $105.30 | $351 | 0.6× |
| Crossmatch immediate spin (86920) range across 6 matching MRF lines |
$46.80–$275.40 | $156–$918 | varies |
| Crp High Sensitivity (86141) | $143.10 | $477 | 11.1× |
| Cryoglobulin (82595) | $47.40 | $158 | 7.3× |
| Cryptococcal Antigen (87327) | $67.20 | $224 | 5.0× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$18.90–$30.90 | $63–$103 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$42.30–$81.90 | $141–$273 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$140.10–$319.80 | $467–$1,066 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $378.60 | $1,262 | 1.7× |
| Culture afb (87116) range across 2 matching MRF lines |
$35.40–$98.70 | $118–$329 | varies |
| Culture Anaerobic (87075) | $213 | $710 | 22.5× |
| Culture blood (87040) | $213 | $710 | 20.6× |
| Culture chlamydia (87110) | $30.90 | $103 | 1.6× |
| Culture csf (87070) | $114.90 | $383 | 13.3× |
| Culture fungus (87102) | $108.30 | $361 | 12.9× |
| Culture typing if ea antiserum (87140) | $8.70 | $29 | 1.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $36.60 | $122 | 7.1× |
| Culture typing other methods (87158) | $137.10 | $457 | 17.7× |
| Culture urine (87086) | $78 | $260 | 9.7× |
| Cyp2c9 gene com variants (81227) | $275.40 | $918 | 1.6× |
| Cyp3a4 gene common variants (81230) | $262.20 | $874 | 1.5× |
| Cyp3a5 gene common variants (81231) | $262.20 | $874 | 1.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,827 | $6,090 | 1.6× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$29.10–$75.30 | $97–$251 | varies |
| Cytopath Cell Enhance Tech (88112) | $203.40 | $678 | 4.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $211.50 | $705 | 4.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $93.90 | $313 | 0.6× |
| Deoxyribonuclease antibody (86215) | $60.60 | $202 | 4.6× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$64.20–$158.40 | $214–$528 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$104.10–$160.20 | $347–$534 | varies |
| Dgp Antibody Each Ig Class (86258) | $20.10 | $67 | 1.7× |
| Dhea-S (82627) | $83.70 | $279 | 3.8× |
| Dibucaine number (82638) | $27.60 | $92 | 2.3× |
| Digoxin (80162) | $249.30 | $831 | 18.8× |
| Dipropylacetic Acid Free (80165) | $21.30 | $71 | 1.6× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $215.70 | $719 | 1.6× |
| Dna Antibody Native/Double Stranded (86225) | $181.50 | $605 | 13.2× |
| Dna Antibody Single Stranded (86226) | $60.90 | $203 | 5.0× |
| Dna/Rna Amplified Probe (87150) | $64.20 | $214 | 1.8× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$65.10–$87.60 | $217–$292 | varies |
| Dna/Rna Sequencing (87153) | $315 | $1,050 | 2.7× |
| Drug assay acetaminophen (80143) range across 2 matching MRF lines |
$34.20–$36 | $114–$120 | varies |
| Drug assay adalimumab (80145) | $159.30 | $531 | 4.1× |
| Drug Assay Itraconazole (80189) | $196.20 | $654 | 7.2× |
| Drug Assay Lacosamide (80235) | $13.80 | $46 | 0.5× |
| Drug Assay Posaconazole (80187) | $52.50 | $175 | 1.9× |
| Drug assay voriconazole (80285) | $45.30 | $151 | 1.7× |
| Drug Asy Hydroxychloroquine (80220) | $63.90 | $213 | 3.4× |
| Drug Screen Quant Clozapine (80159) | $8.40 | $28 | 0.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $477.90 | $1,593 | 36.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $477.90 | $1,593 | 36.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $43.20 | $144 | 3.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 8 matching MRF lines |
$52.20–$126.60 | $174–$422 | varies |
| Egfr Gene Analysis Common Variants (81235) | $592.20 | $1,974 | 1.8× |
| Ehrlichia antibody (86666) | $81.30 | $271 | 8.0× |
| El-1 Fecal Quantitative (82653) | $39.90 | $133 | 1.7× |
| Electrolyte panel (80051) | $27 | $90 | 3.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $106.20 | $354 | 1.7× |
| Encephaltis East Eqne Anbdy (86652) | $65.10 | $217 | 4.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $21 | $70 | 1.7× |
| Enterovirus Antibody (86658) | $22.80 | $76 | 1.7× |
| Enterovirus PCR (87498) | $143.40 | $478 | 4.1× |
| Epilepsy Genomic Sequence Analysis Panel (81419) | $3,856.50 | $12,855 | 1.6× |
| Erythropoietin (82668) | $89.40 | $298 | 4.8× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$201.90–$429.60 | $673–$1,432 | varies |
| Estriol (82677) | $571.20 | $1,904 | 23.6× |
| Estrogen total (82672) | $46.20 | $154 | 2.1× |
| Exam Synovial Fluid Crystals (89060) | $109.50 | $365 | 14.9× |
| F2 Gene (81240) | $74.40 | $248 | 1.1× |
| Factor ix activity (85250) | $74.40 | $248 | 3.9× |
| Factor v leiden mutation (81241) | $74.40 | $248 | 1.0× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$150.60–$158.10 | $502–$527 | varies |
| Factor X (85260) range across 2 matching MRF lines |
$111.60–$209.70 | $372–$699 | varies |
| Fatty acids free (82725) range across 2 matching MRF lines |
$67.50–$300 | $225–$1,000 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) range across 2 matching MRF lines |
$27–$241.50 | $90–$805 | varies |
| Fecal Fat Qualitative (82705) | $16.80 | $56 | 3.3× |
| Ferritin (82728) | $454.50 | $1,515 | 33.3× |
| Fetal Chrmoml Aneuploidy (81420) | $1,195.80 | $3,986 | 1.6× |
| Fetal Chrmoml Microdeltj (81422) | $347.40 | $1,158 | 0.5× |
| Fetal Fibronectin (82731) | $279.60 | $932 | 4.3× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$30–$292.50 | $100–$975 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$19.20–$277.20 | $64–$924 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $25.50 | $85 | 1.6× |
| Flow cytometry first marker (88184) | $107.10 | $357 | 0.3× |
| Flt3 Gene (81245) | $302.40 | $1,008 | 1.8× |
| Flt3 gene analysis (81246) | $151.50 | $505 | 1.8× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$96.90–$520.80 | $323–$1,736 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$36–$50.10 | $120–$167 | varies |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$23.40–$286.20 | $78–$954 | varies |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$29.40–$795.60 | $98–$2,652 | varies |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$54.60–$137.10 | $182–$457 | varies |
| Fungi Identification Yeast (87106) range across 3 matching MRF lines |
$54–$140.10 | $180–$467 | varies |
| G6pd gene analysis full gene sequence (81249) | $945 | $3,150 | 1.6× |
| Gammaglobulin ige (82785) | $338.70 | $1,129 | 20.6× |
| Gases blood ph only (82800) | $57.90 | $193 | 5.3× |
| Gastrin (82941) | $59.10 | $197 | 3.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $338.70 | $1,129 | 0.8× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,312.70 | $7,709 | 3.0× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$1,422.30–$4,598.40 | $4,741–$15,328 | varies |
| Genet Virus Isolate Hsv (87255) range across 2 matching MRF lines |
$88.80–$116.10 | $296–$387 | varies |
| Genetic Tstg Severe Inh Cond (81443) | $4,049.40 | $13,498 | 1.7× |
| Genome Sequence Analysis (81425) unusually low: confirm this is the full procedure |
$1,541.40 | $5,138 | 0.3× |
| Genome sequence analysis each comparator genome (81426) | $1,541.40 | $5,138 | 0.6× |
| Ggt (82977) range across 2 matching MRF lines |
$98.10–$208.80 | $327–$696 | varies |
| Giardia antigen (87329) | $37.20 | $124 | 3.1× |
| Glucose Blood Test (82962) | $22.50 | $75 | 6.9× |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$9–$121.20 | $30–$404 | varies |
| Glucose Serum (82947) | $82.80 | $276 | 21.1× |
| Glucose tolerance test (gtt) (82951) | $191.10 | $637 | 14.8× |
| Glucosidase beta (82963) range across 2 matching MRF lines |
$68.10–$223.50 | $227–$745 | varies |
| Glycated Protein (82985) | $37.20 | $124 | 2.2× |
| Gonadotropin Chorionic Qualitative (84703) | $388.50 | $1,295 | 51.7× |
| Growth hormone (83003) | $38.70 | $129 | 2.3× |
| Gtt-added samples (82952) | $14.70 | $49 | 3.8× |
| Haloperidol (80173) | $51.60 | $172 | 3.3× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$222.30–$473.40 | $741–$1,578 | varies |
| Hbb Full Gene Sequence (81364) | $537 | $1,790 | 1.7× |
| Helicobacter Pylori Stool (87338) | $85.20 | $284 | 5.9× |
| Hematocrit (85014) | $82.80 | $276 | 34.9× |
| Hemoglobin (85018) | $82.80 | $276 | 34.9× |
| Hemoglobin a1c (83036) | $211.50 | $705 | 21.8× |
| Hemoglobin Chromotography (83021) | $207.90 | $693 | 11.5× |
| Hemoglobin electrophoresis (83020) | $102.90 | $343 | 8.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $46.50 | $155 | 5.7× |
| Hep a ab igm (86709) | $33 | $110 | 2.9× |
| Heparin assay (85520) | $24 | $80 | 1.8× |
| Hepatitis a antibody total (86708) | $27.60 | $92 | 2.2× |
| Hepatitis b core ab total (86704) | $71.10 | $237 | 5.9× |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$18–$50.70 | $60–$169 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$32.10–$212.10 | $107–$707 | varies |
| Hepatitis Be Antibody (86707) | $43.20 | $144 | 3.7× |
| Hepatitis Be Antigen (87350) | $12 | $40 | 1.0× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$164.40–$349.20 | $548–$1,164 | varies |
| Hepatitis c antibody confirmatory test (86804) | $68.40 | $228 | 4.4× |
| Hepatitis C Genotype (87902) | $348 | $1,160 | 1.4× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $483 | $1,610 | 13.8× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$276–$366 | $920–$1,220 | varies |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,956 | $6,520 | 1.5× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$38.40–$91.50 | $128–$305 | varies |
| Heterophile Antibody Screen (86308) | $176.10 | $587 | 34.0× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $66.90 | $223 | 8.7× |
| Hiv Genotype (87901) | $493.50 | $1,645 | 1.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $54 | $180 | 2.2× |
| Hiv-1 Antibody (86701) | $81 | $270 | 9.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $163.80 | $546 | 1.9× |
| HIV-2 probe&revrse trnscripj (87538) | $14.70 | $49 | 0.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $16.80 | $56 | 0.2× |
| Hla I Typing 1 Allele Hr (81381) | $382.80 | $1,276 | 2.3× |
| Hla ii type 1 ag equiv lr (81377) | $239.70 | $799 | 2.5× |
| Homocysteine (83090) | $685.50 | $2,285 | 38.3× |
| Homogenization Tissue (87176) | $32.40 | $108 | 5.5× |
| Hpv High-Risk Types (87624) | $60.90 | $203 | 1.7× |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 2 matching MRF lines |
$105.30–$110.70 | $351–$369 | varies |
| Hsv Dna Amp Probe (87529) | $207.90 | $693 | 5.9× |
| Hydroxyprogesterone 17-d (83498) | $37.50 | $125 | 1.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $22.20 | $74 | 1.6× |
| Iaad Ia Streptococcus Group A (87430) | $27.60 | $92 | 1.6× |
| Iaadi pneumocustis carinii (87281) | $88.80 | $296 | 7.4× |
| Iaadiadoo trichomonas vaginalis (87808) | $26.40 | $88 | 1.7× |
| Iadna Bartonella Amplified Probe Technique (87471) | $90.90 | $303 | 2.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $199.50 | $665 | 5.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $174.60 | $582 | 5.0× |
| Iadna Cytomegalovirus Quantification (87497) | $216.60 | $722 | 5.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $121.80 | $406 | 1.7× |
| Iadna Hepatitis B Virus Quantification (87517) | $234.30 | $781 | 5.5× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $64.20 | $214 | 1.8× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $14.70 | $49 | 0.4× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $115.20 | $384 | 1.5× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$63.90–$94.50 | $213–$315 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $40.20 | $134 | 0.8× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $529.20 | $1,764 | 2.0× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$28.50–$30.30 | $95–$101 | varies |
| Igg subclasses (82787) | $26.40 | $88 | 3.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 2 matching MRF lines |
$138.60–$437.10 | $462–$1,457 | varies |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$54–$72.60 | $180–$242 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $114.60 | $382 | 6.2× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$21–$75.60 | $70–$252 | varies |
| Immunofixation electrophoresis (86334) | $46.80 | $156 | 2.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $543 | $1,810 | 3.3× |
| Immunohistochemistry (88342) | $88.20 | $294 | 0.5× |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$272.10–$285.60 | $907–$952 | varies |
| Influenza assay w/optic (87804) | $92.70 | $309 | 5.6× |
| Influenza DNA amp probe (87502) | $210.60 | $702 | 2.2× |
| Inhibin A (86336) | $133.20 | $444 | 8.5× |
| Inhibin b (83520) range across 2 matching MRF lines |
$60–$87.30 | $200–$291 | varies |
| Insulin free (83527) | $56.70 | $189 | 4.4× |
| Insulin total (83525) | $356.10 | $1,187 | 31.2× |
| Interleukin-6 (83529) | $30.30 | $101 | 1.8× |
| Intrinsic factor antibody (86340) | $272.10 | $907 | 18.0× |
| Iron (83540) | $296.10 | $987 | 45.8× |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$139.50–$272.40 | $465–$908 | varies |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$56.40–$304.50 | $188–$1,015 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$144.30–$500.40 | $481–$1,668 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $234.30 | $781 | 1.3× |
| Koh Prep (87220) | $35.10 | $117 | 8.2× |
| Kras Gene Analysis Additional Variant(S) (81276) | $373.20 | $1,244 | 1.9× |
| Kras Gene Variants Exon 2 (81275) | $1,636.50 | $5,455 | 8.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$43.80–$208.80 | $146–$696 | varies |
| Lactoferrin Fecal Quantitative (83631) | $100.20 | $334 | 5.1× |
| Ldh Isoenzymes (83625) | $39.60 | $132 | 3.1× |
| LDL direct (83721) | $32.10 | $107 | 3.1× |
| Lead (83655) | $388.80 | $1,296 | 32.1× |
| Legionella antibody (86713) | $273.60 | $912 | 17.9× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$57.30–$180.30 | $191–$601 | varies |
| Legionella pneumophila dfa (87278) | $228.60 | $762 | 14.7× |
| Leukocyte Assessment Fecal (89055) | $7.20 | $24 | 1.7× |
| Leukocyte Histamine Release (86343) | $212.40 | $708 | 17.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $68.40 | $228 | 2.4× |
| Level ii surg pathology grossµscopic exam (88302) | $159.60 | $532 | 4.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $382.50 | $1,275 | 1.1× |
| Lipase (83690) | $306 | $1,020 | 44.4× |
| Lipoprotein Bld Quan Part (83704) | $51.60 | $172 | 1.5× |
| Listeria Monocytogenes (86723) | $71.70 | $239 | 5.4× |
| Lithium (80178) | $252 | $840 | 38.1× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$29.40–$526.80 | $98–$1,756 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$86.10–$402.30 | $287–$1,341 | varies |
| Lysozyme serum (85549) | $258.30 | $861 | 13.8× |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$64.20–$147.30 | $214–$491 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$262.20–$275.40 | $874–$918 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 2 matching MRF lines |
$262.20–$275.40 | $874–$918 | varies |
| Magnesium Urine (83735) range across 6 matching MRF lines |
$10.80–$108.30 | $36–$361 | varies |
| Mercury urine (83825) | $267.30 | $891 | 16.4× |
| Methylmalonic acid serum (83921) | $757.80 | $2,526 | 35.7× |
| Microalbumin, quantitative (82043) | $208.80 | $696 | 36.1× |
| Microbe Suscept Macrobroth (87188) | $180.30 | $601 | 27.2× |
| Microsatellite instability (81301) | $636 | $2,120 | 1.8× |
| Microsomal Antibodies Each (86376) | $181.50 | $605 | 12.5× |
| Mitochondrial Antibody Each (86381) | $21.30 | $71 | 0.8× |
| Mlh1 Gene (81288) | $318.30 | $1,061 | 1.7× |
| Mog-Igg1 Antb Cba Each (86362) | $247.50 | $825 | 20.5× |
| Mopath procedure level 4 (81403) | $262.50 | $875 | 1.4× |
| Mopath procedure level 5 (81404) | $432.90 | $1,443 | 1.6× |
| Mopath procedure level 7 (81406) | $467.70 | $1,559 | 1.7× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $306.30 | $1,021 | 1.7× |
| Mpl gene common variants (81338) | $274.80 | $916 | 1.8× |
| Mrsa Pcr (87641) | $67.50 | $225 | 1.9× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$32.10–$69 | $107–$230 | varies |
| Muscle-Specific Kinase Antb (86366) | $446.70 | $1,489 | 24.3× |
| Mycobacteric Identification (87118) | $140.10 | $467 | 9.6× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$72–$74.40 | $240–$248 | varies |
| Myelin basic protein csf (83873) | $93 | $310 | 5.4× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$48.30–$191.10 | $161–$637 | varies |
| Natriuretic peptide (83880) | $93.90 | $313 | 2.4× |
| Neutralization Test Viral (86382) | $26.70 | $89 | 1.6× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $201.90 | $673 | 1.6× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $405.30 | $1,351 | 1.6× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $405.30 | $1,351 | 1.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $132 | $440 | 1.8× |
| Niacin (84591) range across 2 matching MRF lines |
$50.70–$94.80 | $169–$316 | varies |
| Nk cells total count (86357) | $69 | $230 | 1.8× |
| Ntrk translocation analysis (81194) | $857.10 | $2,857 | 1.7× |
| Nuclear antigen antibody (86235) range across 3 matching MRF lines |
$46.50–$206.70 | $155–$689 | varies |
| Occult blood feces (82272) | $15 | $50 | 3.5× |
| Occult Blood Other Sources (82271) | $90.30 | $301 | 17.0× |
| Oligoclonal bands (83916) | $75.30 | $251 | 2.7× |
| Oncoprotein dcp (83951) | $96.60 | $322 | 1.5× |
| Osmolality serum (83930) | $205.50 | $685 | 31.1× |
| Osmolality Urine (83935) | $205.50 | $685 | 30.1× |
| Ova and parasites smears (87177) | $83.10 | $277 | 9.3× |
| Parvovirus antibody (86747) | $65.70 | $219 | 4.4× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $674.10 | $2,247 | 0.9× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $545.10 | $1,817 | 1.7× |
| Ph urine (81003) | $35.70 | $119 | 15.9× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$35.10–$390.30 | $117–$1,301 | varies |
| Phenotype Infect Agent Drug (87900) | $237.90 | $793 | 1.8× |
| Phenytoin (Dilantin) (80185) | $37.80 | $126 | 2.9× |
| Phenytoin free (80186) range across 2 matching MRF lines |
$28.80–$571.80 | $96–$1,906 | varies |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$75.30–$159.60 | $251–$532 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $60.60 | $202 | 3.4× |
| Phosphorus Serum (84100) | $159.60 | $532 | 33.7× |
| Phosphorus urine (84105) | $37.80 | $126 | 6.5× |
| Platelet Aggregation (85576) | $66.90 | $223 | 2.7× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$49.80–$205.80 | $166–$686 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$8.70–$90.30 | $29–$301 | varies |
| Platelet neutralization (85597) | $59.40 | $198 | 3.3× |
| Pneumcysts jirovecii amp prb (87594) | $52.50 | $175 | 1.5× |
| Potassium Urine (84133) | $159.60 | $532 | 33.7× |
| Prealbumin (84134) | $272.10 | $907 | 18.6× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) range across 2 matching MRF lines |
$166.50–$289.20 | $555–$964 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $142.80 | $476 | 2.5× |
| Pretx serum rbc antibody identification dilution (86976) | $20.70 | $69 | 0.7× |
| Primidone (80188) | $50.40 | $168 | 3.0× |
| Procalcitonin (Pct) (84145) | $131.10 | $437 | 4.8× |
| Progesterone (84144) | $253.50 | $845 | 12.2× |
| Prolactin (84146) | $486.30 | $1,621 | 25.1× |
| Protein body fluid (84157) | $78.90 | $263 | 19.7× |
| Protein C Activity (85303) | $281.70 | $939 | 20.4× |
| Protein c antigen (85302) | $83.10 | $277 | 6.9× |
| Protein Electrophoresis Urine (84166) | $21.60 | $72 | 1.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $118.20 | $394 | 11.0× |
| Protein S Free (85306) | $83.10 | $277 | 5.4× |
| Protein s total (85305) | $89.70 | $299 | 7.7× |
| Protein total serum (84155) range across 2 matching MRF lines |
$45.30–$159.90 | $151–$533 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$48.60–$210 | $162–$700 | varies |
| Protein Western Blot Test (84182) | $120 | $400 | 4.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $15 | $50 | 3.8× |
| PSA free (84154) | $51.60 | $172 | 2.8× |
| Pth Intact (83970) | $964.50 | $3,215 | 23.4× |
| Quantiferon tb gold plus (86480) | $64.80 | $216 | 1.0× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$83.10–$198.60 | $277–$662 | varies |
| Quinidine (80194) | $23.10 | $77 | 1.6× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$75–$159.90 | $250–$533 | varies |
| Rbc antibody identification (86870) | $321.60 | $1,072 | 0.9× |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$83.10–$176.10 | $277–$587 | varies |
| Rbc pretreatment serum (86978) | $62.10 | $207 | 1.1× |
| Rbc pretx incubatj w/enzymes (86971) | $326.10 | $1,087 | 2.0× |
| Renin activity plasma (84244) | $1,037.70 | $3,459 | 47.2× |
| Reticulocyte separation (86972) | $142.80 | $476 | 0.9× |
| Rh (86901) | $40.50 | $135 | 13.5× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$11.10–$176.10 | $37–$587 | varies |
| Rickettsia antibody (86757) range across 3 matching MRF lines |
$68.40–$109.20 | $228–$364 | varies |
| Ristocetin cofactor (85245) | $141.30 | $471 | 6.2× |
| Rotavirus ag eia (87425) | $95.40 | $318 | 8.0× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$12.90–$176.10 | $43–$587 | varies |
| Rsv Assay W/Optic (87807) | $85.20 | $284 | 6.5× |
| Rubella Antibody (86762) | $65.40 | $218 | 4.5× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$78–$91.50 | $260–$305 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$27.60–$134.10 | $92–$447 | varies |
| Salicylate Level (80179) range across 2 matching MRF lines |
$34.20–$36 | $114–$120 | varies |
| Salmonella antibody (86768) | $19.80 | $66 | 1.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$57.60–$60.60 | $192–$202 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$19.50–$20.40 | $65–$68 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $136.80 | $456 | 1.0× |
| Sedimentation rate (85651) | $20.40 | $68 | 4.8× |
| Sedimentation Rate, Automated (85652) | $96 | $320 | 35.6× |
| Selenium (84255) | $38.40 | $128 | 1.5× |
| Sensitivity mic (87186) range across 5 matching MRF lines |
$16.20–$131.70 | $54–$439 | varies |
| Sex Hormone Binding Globulin (84270) | $36 | $120 | 1.7× |
| SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common… (81347) | $319.50 | $1,065 | 1.7× |
| Sickling of rbc reduction (85660) | $85.50 | $285 | 15.5× |
| Sirolimus (80195) | $54 | $180 | 3.9× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$9–$39 | $30–$130 | varies |
| Smear complex stain (87209) | $11.70 | $39 | 0.7× |
| Smear gram stain (87205) | $84.60 | $282 | 19.8× |
| Smn1 Gene Dos/Deletion Alys (81329) | $415.50 | $1,385 | 3.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $93.30 | $311 | 16.0× |
| So neo gsap DNA/DNA&RNA (81459) | $1,977 | $6,590 | 0.7× |
| Sodium Serum (84295) | $159.60 | $532 | 33.2× |
| Sodium Urine (84300) | $139.50 | $465 | 27.6× |
| Somatomedin (84305) | $414.60 | $1,382 | 19.5× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$38.40–$81.30 | $128–$271 | varies |
| Special Stains Group 2 (88313) range across 4 matching MRF lines |
$32.70–$63.90 | $109–$213 | varies |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$18.60–$249.30 | $62–$831 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$15–$462.30 | $50–$1,541 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $76.80 | $256 | 0.5× |
| Strep a assay w/optic (87880) | $58.20 | $194 | 3.5× |
| Strep a DNA amp probe (87651) | $61.20 | $204 | 1.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $28.20 | $94 | 0.3× |
| Surg path level iii (88304) | $196.20 | $654 | 3.9× |
| Surgical pathology level IV (88305) | $205.50 | $685 | 4.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$17.70–$21.60 | $59–$72 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$54.30–$62.10 | $181–$207 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $18.30 | $61 | 2.5× |
| Syphilis Test Non-Trep Quant (86593) | $5.10 | $17 | 1.2× |
| T cells absolute cd4 count (86361) | $200.10 | $667 | 7.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $451.80 | $1,506 | 9.6× |
| T cells total count (86359) | $79.20 | $264 | 2.1× |
| T3 Free (84481) range across 2 matching MRF lines |
$50.10–$255.30 | $167–$851 | varies |
| T3 Uptake (84479) | $13.80 | $46 | 2.1× |
| T4 Free (84439) range across 2 matching MRF lines |
$125.10–$266.10 | $417–$887 | varies |
| T4 total (84436) | $266.10 | $887 | 38.7× |
| Tacrolimus (80197) | $22.80 | $76 | 1.7× |
| Test for acetone/ketones (82009) | $88.80 | $296 | 19.6× |
| Testosterone total (84403) | $608.10 | $2,027 | 23.6× |
| Testosterone, Free (84402) | $352.50 | $1,175 | 13.8× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) range across 2 matching MRF lines |
$942–$1,464.90 | $3,140–$4,883 | varies |
| Theophylline (80198) | $37.20 | $124 | 2.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $22.80 | $76 | 3.5× |
| Thyroglobulin (84432) | $55.20 | $184 | 3.4× |
| Thyroglobulin Antibody (86800) | $222 | $740 | 14.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $20.10 | $67 | 1.7× |
| Tissue Culture (88233) | $945.30 | $3,151 | 6.7× |
| Tissue culture bone marrow (88237) | $262.50 | $875 | 1.8× |
| Tissue Culture Lymphocyte (88230) | $779.40 | $2,598 | 6.7× |
| Topiramate (80201) | $71.70 | $239 | 6.0× |
| Toxoplasma ab igm (86778) | $74.10 | $247 | 5.1× |
| Toxoplasma antibody (86777) | $76.20 | $254 | 5.3× |
| Tp53 gene analysis targeted sequence analysis (81352) | $416.70 | $1,389 | 1.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$9.60–$159.60 | $32–$532 | varies |
| Transferrin (84466) | $148.20 | $494 | 11.6× |
| Trb@ gene rearrange dirprobe (81341) | $74.40 | $248 | 1.5× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$55.20–$91.50 | $184–$305 | varies |
| Triglycerides (84478) | $11.10 | $37 | 1.9× |
| Troponin Quant (84484) | $92.10 | $307 | 7.4× |
| Tumor immunohistochem/comput (88361) | $337.80 | $1,126 | 1.0× |
| Tumor Immunohistochem/Manual (88360) range across 4 matching MRF lines |
$107.70–$272.70 | $359–$909 | varies |
| Urea nitrogen urine (84540) | $29.10 | $97 | 5.2× |
| Uric acid other source (84560) | $90.30 | $301 | 17.8× |
| Urinalysis Microscopic Only (81015) | $6.30 | $21 | 2.1× |
| Urinalysis Volume Measure (81050) | $19.20 | $64 | 5.3× |
| Urine Bacteria Culture (87088) | $47.40 | $158 | 5.9× |
| Urine Pregnancy Test (81025) | $208.80 | $696 | 24.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $172.80 | $576 | 54.5× |
| Valproic acid (80164) range across 2 matching MRF lines |
$21.30–$217.80 | $71–$726 | varies |
| Vancomycin (80202) | $371.10 | $1,237 | 27.4× |
| Varicella-zoster antibody (86787) | $115.80 | $386 | 9.0× |
| Viral Culture (87252) | $132.30 | $441 | 5.1× |
| Viscosity serum (85810) | $50.10 | $167 | 4.3× |
| Vit D 1 25-Dihydroxy (82652) | $288 | $960 | 7.5× |
| Vitamin A (84590) | $152.10 | $507 | 13.1× |
| Vitamin b-12 (82607) | $734.70 | $2,449 | 48.7× |
| Vitamin B2 (Riboflavin) (84252) | $154.80 | $516 | 7.6× |
| Vitamin B6 (84207) | $45.30 | $151 | 1.6× |
| Vitamin c (82180) | $50.70 | $169 | 5.1× |
| Vitamin E (84446) | $72.60 | $242 | 5.1× |
| Vitamin K (84597) | $236.40 | $788 | 17.2× |
| Volatiles (84600) | $27 | $90 | 1.6× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $32.10 | $107 | 2.7× |
| Von willebrand factor ag (85246) | $135.90 | $453 | 5.9× |
| West nile virus ab igm (86788) | $43.80 | $146 | 2.6× |
| West Nile Virus Antibody (86789) | $43.80 | $146 | 3.0× |
| Zika Virus Dna/Rna Amp Probe (87662) | $143.40 | $478 | 2.8× |
| Zinc (84630) | $304.80 | $1,016 | 26.8× |
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.