Lab & pathology prices at Southwest Health Center

Platteville, WI · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acth (82024) $181.50 $242 4.7×
Actin smooth muscle antibody each (86015) $52.50 $70 4.4×
Acute hepatitis panel (80074) $339.75 $453 7.1×
Acylcarnitines Quant (82017) $329.25 $439 19.5×
Afp-l3 fraction isoform & total afp w/ratio (82107) $208.50 $278 3.2×
Albumin Fluid (82042)
range across 2 matching MRF lines
$27–$54 $36–$72 varies
Albumin serum (82040)
range across 3 matching MRF lines
$26.25–$52.50 $35–$70 varies
Aldolase (82085) $62.25 $83 6.4×
Aldosterone urine (82088)
range across 2 matching MRF lines
$63.75–$354.75 $85–$473 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$74.25–$156 $99–$208 varies
Allergen spec ige qual multiallergen screen (86005) $49.50 $66 6.2×
Allergen specific ige (86003)
range across 8 matching MRF lines
$10.50–$22.50 $14–$30 varies
Allergen specific igg (86001) $57.75 $77 7.4×
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$56.25–$114 $75–$152 varies
Alpha-1-antitrypsin phenotype (82104) $70.50 $94 4.9×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$29.25–$158.25 $39–$211 varies
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$84–$178.50 $112–$238 varies
Alt (sgpt) (84460)
range across 2 matching MRF lines
$46.50–$60 $62–$80 varies
Aluminum (82108) $43.50 $58 1.7×
Amikacin trough (80150) $191.25 $255 12.7×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 2 matching MRF lines
$621.75–$652.50 $829–$870 varies
Amino Acids Quant 2-5 (82136) $238.50 $318 12.2×
Ammonia (82140) $135 $180 9.3×
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 2 matching MRF lines
$263.25–$312.75 $351–$417 varies
Amylase urine (82150) $79.50 $106 12.3×
Ana Titer (86039)
range across 3 matching MRF lines
$25.50–$122.25 $34–$163 varies
Anca screen each antibody (86036)
range across 2 matching MRF lines
$33.75–$57 $45–$76 varies
Androstenedione (82157) $123 $164 4.2×
Angiotensin converting enzyme csf (82164) $56.25 $75 3.9×
Antibody aspergillus (86606)
range across 3 matching MRF lines
$34.50–$84.75 $46–$113 varies
Antibody Bacterium Not Elsewhere Specified (86609) $186.75 $249 14.5×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 3 matching MRF lines
$76.50–$111 $102–$148 varies
Antibody Cytomegalovirus Cmv Igm (86645) $33 $44 2.0×
Antibody Encephalitis California La Crosse (86651) $78.75 $105 6.0×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $21 $28 1.6×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $124.50 $166 8.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 3 matching MRF lines
$145.50–$150 $194–$200 varies
Antibody Fungus Not Elsewhere Specified (86671) $81 $108 6.6×
Antibody helicobacter pylori (86677) $114.75 $153 6.8×
Antibody Herpes Smplx Non-Specific Type Test (86694) $51.75 $69 3.6×
Antibody Herpes Smplx Type 1 (86695) $48 $64 3.6×
Antibody HIV-1&HIV-2 single result (86703) $157.50 $210 11.5×
Antibody HIV-2 (86702) $260.25 $347 19.2×
Antibody htlv/HIV antibody confirmatory test (86689) $161.25 $215 8.3×
Antibody identification leukocyte antibodies (86021) $65.25 $87 4.3×
Antibody Protozoa Nes (86753) $53.25 $71 4.3×
Antibody Titer (86886)
range across 2 matching MRF lines
$174–$182.25 $232–$243 varies
Antibody Treponema Pallidum (86780)
range across 4 matching MRF lines
$35.25–$81 $47–$108 varies
Antibody; encephalitis, st. louis (86653) $78.75 $105 6.0×
Antigen typing (86905)
range across 6 matching MRF lines
$56.25–$330.75 $75–$441 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $102.75 $137 18.0×
Antinuclear antibodies (86038)
range across 4 matching MRF lines
$22.50–$123.75 $30–$165 varies
Antistreptolysin o titer (86060)
range across 2 matching MRF lines
$24–$35.25 $32–$47 varies
Antithrombin iii activity (85300) $249.75 $333 21.1×
Antithrombin iii antigen (85301)
range across 2 matching MRF lines
$94.50–$215.25 $126–$287 varies
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$221.25–$228 $295–$304 varies
Arsenic (82175)
range across 3 matching MRF lines
$41.25–$141 $55–$188 varies
Aspergillus ag eia (87305) $237.75 $317 19.8×
Assay activated protein c (85307)
range across 2 matching MRF lines
$60.75–$186.75 $81–$249 varies
Assay Blood Carbon Dioxide (82374) $51 $68 10.5×
Assay Nephelometry Not Spec (83883)
range across 5 matching MRF lines
$36.75–$222 $49–$296 varies
Assay of 5-hiaa (83497) $181.50 $242 14.1×
Assay of anti-mullerian hormone (82166) $132 $176 3.4×
Assay of blood/uric acid (84550) $57 $76 12.6×
Assay of calcium in urine (82340)
range across 4 matching MRF lines
$60.75–$197.25 $81–$263 varies
Assay of cpk in blood (82552) $33.75 $45 2.5×
Assay of estrone (82679) $99 $132 4.0×
Assay of g6pd enzyme (82955) $47.25 $63 4.9×
Assay of gammaglobulin igm (82784)
range across 9 matching MRF lines
$21.75–$983.25 $29–$1,311 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$27.75–$110.25 $37–$147 varies
Assay of metanephrines (83835)
range across 3 matching MRF lines
$60–$255.75 $80–$341 varies
Assay of proinsulin (84206) $69.75 $93 2.6×
Assay of pyruvate (84210) $135.75 $181 9.4×
Assay of serotonin (84260) $94.50 $126 3.1×
Assay of serum potassium (84132) $51 $68 10.7×
Assay of sweat sodium (84302) $29.25 $39 6.0×
Assay of Tyrosine (84510) $56.25 $75 5.3×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$48–$51 $64–$68 varies
Assay of urine vma (84585)
range across 2 matching MRF lines
$54–$59.25 $72–$79 varies
Assay of vasoactive intestinal peptide (84586) $144.75 $193 4.1×
Assay of vitamin b-1 (84425) $45 $60 2.1×
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$30.75–$231 $41–$308 varies
Assay spec xcp ur&breath ia (82077) $18 $24 1.0×
Automated Leukocyte Count (85048) $37.50 $50 14.8×
Bartonella antibody (86611) $24 $32 2.4×
Bcr/abl1 gene major bp (81206)
range across 3 matching MRF lines
$688.50–$865.50 $918–$1,154 varies
Bcr/abl1 gene minor bp (81207) $288.75 $385 2.0×
Bcr/Abl1 Gene Other Bp (81208) $165.75 $221 0.8×
Beta 2 glycoprotein i antibody each (86146) $147.75 $197 5.8×
Beta hydroxybutyrate (82010) $32.25 $43 3.9×
Beta Lactamase (87185) $42 $56 8.8×
Beta-2 Microglobulin (82232) $43.50 $58 2.7×
Bile acids total (82239) $144 $192 8.4×
Bilirubin direct (82248) $56.25 $75 11.2×
Bilirubin total (82247)
range across 3 matching MRF lines
$45.75–$57 $61–$76 varies
Biotinidase (82261) $213 $284 12.6×
Blastomyces antibody (86612)
range across 2 matching MRF lines
$37.50–$39 $50–$52 varies
Bld Typing Serologic Rh Phnt (86906) $139.50 $186 18.0×
Blood Count Automated Differential Wbc Count (85004) $60 $80 9.3×
Blood Count Manual Cell Count Each (85032) $72 $96 16.7×
Blood count reticulocyte automated (85045) $76.50 $102 19.2×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $39 $52 10.3×
Blood count spun microhematocrit (85013) $12 $16 1.7×
Blood gas (82803)
range across 2 matching MRF lines
$104.25–$183 $139–$244 varies
Blood gases w/02 saturation (82805) $280.50 $374 3.6×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $80.25 $107 5.0×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $55.50 $74 12.7×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 9 matching MRF lines
$87–$206.25 $116–$275 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $30.75 $41 1.9×
Blood typing serologic abo (86900)
range across 2 matching MRF lines
$66.75–$89.25 $89–$119 varies
Body fluid cell count (89050)
range across 2 matching MRF lines
$69.75–$114.75 $93–$153 varies
Bordetella antibody (86615) $52.50 $70 4.0×
Braf gene analysis (81210) $639 $852 3.6×
Breath Alcohol Test (82075) $84 $112 2.8×
Brucella antibody (86622) $56.25 $75 6.3×
C diff amplified probe (87493) $221.25 $295 5.9×
C-Peptide (84681) $59.25 $79 2.8×
C-reactive protein (86140)
range across 2 matching MRF lines
$29.25–$111.75 $39–$149 varies
Ca 19-9 (86301) $186.75 $249 9.0×
Cadmium (82300) $149.25 $199 6.3×
Calcitonin (82308) $306 $408 11.4×
Calcium ionized (82330) $132 $176 9.6×
Calcium total (82310) $54.75 $73 10.6×
Calculus assay quant (82360) $142.50 $190 11.1×
Calculus Spectroscopy (82365) $136.50 $182 10.6×
Calprotectin Fecal (83993) $363 $484 18.5×
Calr gene com variants (81219) $788.25 $1,051 6.5×
Cancer Antigen 125 (86304) $132.75 $177 6.4×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$39–$45 $52–$60 varies
Candida antibody (86628) $186.75 $249 15.5×
Carbamazepine total (80156) $165.75 $221 11.4×
Carbohydrate Deficient Transferrin (82373) $132 $176 7.3×
Carboxyhemoglobin (82375) $144 $192 11.7×
Carcinoembryonic antigen (82378) $216 $288 11.4×
Cardiolipin ab iga (86147)
range across 4 matching MRF lines
$34.50–$84 $46–$112 varies
Carnitine Quantitative Each Specimen (82379)
range across 2 matching MRF lines
$241.50–$667.50 $322–$890 varies
Catecholamines fractionated (82384)
range across 3 matching MRF lines
$69–$111 $92–$148 varies
Ccp antibody (86200)
range across 2 matching MRF lines
$140.25–$182.25 $187–$243 varies
Cell count csf (89051)
range across 2 matching MRF lines
$74.25–$91.50 $99–$122 varies
Cell marker study (88182) $135 $180 2.7×
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 2 matching MRF lines
$543.75–$580.50 $725–$774 varies
Ceruloplasmin (82390) $62.25 $83 5.8×
Cftr gene com variants (81220) $419.25 $559 0.8×
Chemiluminescent assay (82397)
range across 5 matching MRF lines
$60–$707.25 $80–$943 varies
Chlamydia antibody (86631) $78.75 $105 6.7×
Chlamydia Igm Antibody (86632) $78.75 $105 6.2×
Chloride Serum (82435) $67.50 $90 14.7×
Chloride urine (82436)
range across 3 matching MRF lines
$44.25–$63.75 $59–$85 varies
Cholesterol total (82465)
range across 2 matching MRF lines
$52.50–$63 $70–$84 varies
Cholinesterase Serum (82480) $28.50 $38 3.6×
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines
$112.50–$168.75 $150–$225 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $722.25 $963 3.8×
Chrmsm Analysis Addl High Resolution Study (88289) $258.75 $345 7.5×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $594.75 $793 17.8×
Chromium serum (82495) $182.25 $243 9.0×
Chromogranin a (86316)
range across 2 matching MRF lines
$102.75–$105.75 $137–$141 varies
Chromosome Analysis 15-20 (88262) $927.75 $1,237 7.4×
Chromosome Analysis 20-25 (88264) $871.50 $1,162 6.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$63.75–$179.25 $85–$239 varies
Citric acid urine (82507)
range across 3 matching MRF lines
$41.25–$172.50 $55–$230 varies
Ckmb (82553) $91.50 $122 7.9×
Clostridium Difficile (87324) $69.75 $93 5.8×
Clot Factor VIII Multimetric (85247) $168.75 $225 7.4×
Clotting factor xii hageman (85280)
range across 2 matching MRF lines
$72.75–$179.25 $97–$239 varies
Cns DNA amp probe type 12-25 (87483) $451.50 $602 1.1×
Coagulation time activated (85347) $147 $196 34.3×
Coccidioides antibody (86635)
range across 2 matching MRF lines
$30–$30.75 $40–$41 varies
Cold agglutinin titer (86157) $168.75 $225 20.9×
Collagen crosslinks (82523)
range across 3 matching MRF lines
$76.50–$84 $102–$112 varies
Column Chromotography Quant (82542)
range across 8 matching MRF lines
$97.50–$803.25 $130–$1,071 varies
Compatibility Each Unit Incubation (86921) $67.50 $90 0.4×
Compatibility test antiglob (86922) $67.50 $90 0.4×
Complement Antigen Each Component (86160)
range across 6 matching MRF lines
$31.50–$150.75 $42–$201 varies
Complement Total (Ch50) (86162) $214.50 $286 10.6×
Complement/Function Activity (86161) $179.25 $239 14.9×
Consltj&Reprt Slides Prepared Elsewhere (88321) $30.75 $41 0.8×
Coombs direct (86880) $93.75 $125 17.4×
Copper urine (82525)
range across 2 matching MRF lines
$39.75–$60 $53–$80 varies
Cortisol free (82530)
range across 2 matching MRF lines
$114.75–$197.25 $153–$263 varies
Cortisol saliva (82533) $185.25 $247 11.4×
Creatine (82540) $207.75 $277 44.8×
Creatine kinase total (82550)
range across 2 matching MRF lines
$33.75–$67.50 $45–$90 varies
Creatinine blood (82565) $54 $72 10.5×
Creatinine clearance (82575) $111.75 $149 11.8×
Creatinine Urine (82570)
range across 6 matching MRF lines
$27–$74.25 $36–$99 varies
Crossmatch immediate spin (86920) $25.50 $34 0.2×
Crp High Sensitivity (86141) $109.50 $146 8.5×
Cryofibrinogen (82585) $51 $68 3.6×
Cryoglobulin (82595) $66 $88 10.2×
Cryptococcus ag titer (87899)
range across 4 matching MRF lines
$57.75–$151.50 $77–$202 varies
Cryptosporidium ag eia (87328) $99.75 $133 7.2×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $24.75 $33 3.1×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $103.50 $138 12.8×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $61.50 $82 8.0×
Culture afb (87116)
range across 2 matching MRF lines
$89.25–$92.25 $119–$123 varies
Culture Anaerobic (87075) $111.75 $149 11.8×
Culture blood (87040) $145.50 $194 14.1×
Culture chlamydia (87110) $80.25 $107 4.1×
Culture csf (87070)
range across 5 matching MRF lines
$12–$103.50 $16–$138 varies
Culture fungus (87102)
range across 2 matching MRF lines
$78–$99 $104–$132 varies
Culture fungus blood (87103) $201.75 $269 9.9×
Culture screen only (87081)
range across 5 matching MRF lines
$42.75–$145.50 $57–$194 varies
Culture stool (87045) $87 $116 9.2×
Culture Typing Gas/High Pres Liq Chromatography (87143) $25.50 $34 2.0×
Culture typing if ea antiserum (87140) $58.50 $78 10.5×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $41.25 $55 8.0×
Culture urine (87086) $81 $108 10.0×
Cyclosporine (80158) $279.75 $373 15.5×
Cystatin C (82610) $80.25 $107 4.3×
Cytogenetics 10-30 (88273) $406.50 $542 11.7×
Cytogenetics 100-300 (88275)
range across 2 matching MRF lines
$176.25–$552 $235–$736 varies
Cytogenom Const Microarray Copy Number Variants (81228) $5,282.25 $7,043 5.9×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $5,282.25 $7,043 4.6×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$79.50–$83.25 $106–$111 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$75–$105.75 $100–$141 varies
Cytopath Cell Enhance Tech (88112)
range across 3 matching MRF lines
$63.75–$201.75 $85–$269 varies
Cytp Concentration Smears & Interpretation (88108) $107.25 $143 3.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 3 matching MRF lines
$168.75–$301.50 $225–$402 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $356.25 $475 2.2×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $75 $100 4.0×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $176.25 $235 6.3×
Deoxycortisol (82634) $93 $124 3.2×
Deoxyribonuclease antibody (86215)
range across 2 matching MRF lines
$37.50–$52.50 $50–$70 varies
Detect Agent Nos Dna Amp (87798)
range across 24 matching MRF lines
$57–$816.75 $76–$1,089 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines
$402–$432.75 $536–$577 varies
Detect agnt mult DNA ampli (87801)
range across 2 matching MRF lines
$340.50–$749.25 $454–$999 varies
Dgp Antibody Each Ig Class (86258)
range across 2 matching MRF lines
$33.75–$60.75 $45–$81 varies
Dhea (82626) $96.75 $129 3.8×
Dhea-S (82627) $141 $188 6.3×
Digoxin (80162) $147.75 $197 11.1×
Dihydrotestosterone (82642) $1,012.50 $1,350 34.6×
Dna Antibody Native/Double Stranded (86225)
range across 3 matching MRF lines
$40.50–$350.25 $54–$467 varies
Dna/Rna Amplified Probe (87150) $47.25 $63 1.3×
Dpyd gene common variants (81232) $1,221.75 $1,629 7.0×
Drug assay acetaminophen (80143) $211.50 $282 11.3×
Drug assay adalimumab (80145) $451.50 $602 11.7×
Drug Assay Everolimus (80169) $266.25 $355 19.4×
Drug Assay Infliximab (80230) $511.50 $682 13.3×
Drug Assay Itraconazole (80189) $157.50 $210 5.8×
Drug Assay Lacosamide (80235) $219.75 $293 8.1×
Drug Assay Vedolizumab (80280) $704.25 $939 18.3×
Drug assay voriconazole (80285) $311.25 $415 11.5×
Drug Screen Quant Clozapine (80159) $66.75 $89 3.3×
Drug Screen Quant Zonisamide (80203) $153.75 $205 11.6×
Drug Screen Quantitative Gabapentin (80171) $185.25 $247 8.5×
Drug Screen Quantitative Lamotrigine (80175) $105 $140 7.9×
Drug Screen Quantitative Levetiracetam (80177) $87 $116 6.6×
Drug Screen Quantitative Oxcarbazepine (80183) $70.50 $94 5.3×
Drug Test Prsmv Chem Anlyzr (80307)
range across 15 matching MRF lines
$27.75–$284.25 $37–$379 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines
$34.50–$74.25 $46–$99 varies
Drug Test Prsmv Instrmnt (80306) $73.50 $98 4.3×
Ehrlichia antibody (86666)
range across 5 matching MRF lines
$36–$241.50 $48–$322 varies
El-1 Fecal Quantitative (82653) $1,012.50 $1,350 44.1×
Electrolyte panel (80051) $111.75 $149 15.9×
Encephaltis East Eqne Anbdy (86652) $78.75 $105 6.0×
Encephaltis West Eqne Antbdy (86654) $78.75 $105 6.0×
Endomysial Antibody Each Immunoglobulin Class (86231) $51 $68 4.2×
Enterovirus Antibody (86658)
range across 3 matching MRF lines
$228.75–$631.50 $305–$842 varies
Enterovirus PCR (87498) $348 $464 9.9×
Enzyme cell activity (82657) $330 $440 14.9×
Erythropoietin (82668) $132 $176 7.0×
Estradiol serum (82670)
range across 3 matching MRF lines
$202.50–$240 $270–$320 varies
Estriol (82677) $97.50 $130 4.0×
Estrogen total (82672) $138.75 $185 6.4×
Estrogens fractionated (82671) $50.25 $67 1.6×
Ethosuximide (80168) $153.75 $205 9.4×
Ethylene Glycol (82693) $93.75 $125 6.3×
Exam Synovial Fluid Crystals (89060) $87 $116 11.9×
F2 Gene (81240)
range across 2 matching MRF lines
$185.25–$590.25 $247–$787 varies
Factor ii activity (85210) $138.75 $185 10.7×
Factor ix activity (85250)
range across 2 matching MRF lines
$81.75–$157.50 $109–$210 varies
Factor v activity (85220) $68.25 $91 3.9×
Factor v leiden mutation (81241)
range across 2 matching MRF lines
$201.75–$247.50 $269–$330 varies
Factor vii assay (85230) $138.75 $185 7.8×
Factor viii assay (85240)
range across 3 matching MRF lines
$58.50–$124.50 $78–$166 varies
Factor X (85260) $58.50 $78 3.3×
Factor xi activity (85270)
range across 2 matching MRF lines
$66–$174 $88–$232 varies
Fat/Lipids Feces Quantitative (82710) $75.75 $101 4.5×
Fecal Fat Qualitative (82705) $24.75 $33 4.9×
Ferritin (82728) $121.50 $162 8.9×
Fetal Aneuploidy Trisom Risk (81507) $2,737.50 $3,650 3.4×
Fetal Chrmoml Aneuploidy (81420) $2,256 $3,008 3.0×
Fetal Congenital Abnor Assay Four Anal (81511) $253.50 $338 1.7×
Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) $120.75 $161 2.2×
Fetal Fibronectin (82731) $312.75 $417 4.9×
Fetal screen rosette (85461) $137.25 $183 14.7×
Fibrin degradation products (85362) $23.25 $31 3.4×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$94.50–$104.25 $126–$139 varies
Fibrinogen activity (85384)
range across 2 matching MRF lines
$83.25–$114 $111–$152 varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $63 $84 4.1×
Flecainide level (80181) $60.75 $81 3.3×
Flow cytometry first marker (88184)
range across 4 matching MRF lines
$98.25–$490.50 $131–$654 varies
Fluorescent antibody screen (86255)
range across 11 matching MRF lines
$65.25–$567 $87–$756 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 7 matching MRF lines
$58.50–$666 $78–$888 varies
Fmr1 Gene Charac Alleles (81244) $740.25 $987 16.5×
Fmr1 gene detection (81243) $740.25 $987 13.0×
Folic Acid Serum (82746) $120.75 $161 8.2×
Follicle Stimulating Hormone (83001) $206.25 $275 11.1×
Francisella tularensis (86668) $153 $204 10.8×
Fresh Frozen Plasma Thawing Each Unit (86927) $93 $124 0.6×
Frozen Section (88331) $177 $236 1.1×
Fungi Identification Mold (87107) $40.50 $54 3.9×
Fungi Identification Yeast (87106) $56.25 $75 5.5×
Galactose (82760) $58.50 $78 5.2×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $74.25 $99 3.5×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$22.50–$162 $30–$216 varies
Gases blood ph only (82800) $42 $56 3.8×
Gastrin (82941) $28.50 $38 1.6×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $617.25 $823 1.5×
Gentamicin (80170) $186.75 $249 11.4×
Ggt (82977)
range across 2 matching MRF lines
$46.50–$79.50 $62–$106 varies
Giardia antigen (87329) $132 $176 11.0×
Glucagon (82943) $55.50 $74 3.9×
Glucose 2 hr pp (82950)
range across 2 matching MRF lines
$82.50–$147 $110–$196 varies
Glucose Blood Test (82962)
range across 2 matching MRF lines
$9–$10.50 $12–$14 varies
Glucose body fluid (82945)
range across 2 matching MRF lines
$50.25–$66 $67–$88 varies
Glucose Serum (82947)
range across 3 matching MRF lines
$47.25–$54.75 $63–$73 varies
Glucose tolerance test (gtt) (82951) $61.50 $82 4.8×
Glycated Protein (82985) $27 $36 1.6×
Gonadotropin Chorionic Hcg Free Beta Chain (84704) $34.50 $46 2.3×
Gonadotropin Chorionic Qualitative (84703) $91.50 $122 12.2×
Growth hormone (83003) $180 $240 10.8×
Gtt-added samples (82952) $60 $80 15.3×
H Pylori (C-13) Breath (83013) $275.25 $367 4.1×
Haptoglobin (83010)
range across 2 matching MRF lines
$105–$151.50 $140–$202 varies
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $1,258.50 $1,678 6.2×
Hdl Cholesterol (83718) $96.75 $129 11.8×
Helicobacter Pylori Stool (87338) $69.75 $93 4.9×
Helminth Antibody (86682)
range across 2 matching MRF lines
$51–$57.75 $68–$77 varies
Hematocrit (85014)
range across 2 matching MRF lines
$36–$36.75 $48–$49 varies
Hemoglobin (85018) $40.50 $54 17.1×
Hemoglobin a1c (83036) $102.75 $137 10.6×
Hemoglobin Chromotography (83021) $87.75 $117 4.9×
Hemoglobin electrophoresis (83020) $60.75 $81 4.7×
Hemoglobin Methemoglobin Quantitative (83050) $19.50 $26 2.4×
Hep a ab igm (86709) $148.50 $198 13.2×
Heparin assay (85520)
range across 2 matching MRF lines
$219.75–$246 $293–$328 varies
Hepatitis a antibody total (86708) $141 $188 11.4×
Hepatitis b core ab igm (86705) $72.75 $97 6.2×
Hepatitis b core ab total (86704) $108.75 $145 9.0×
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$50.25–$53.25 $67–$71 varies
Hepatitis B Surface Antigen (87340)
range across 3 matching MRF lines
$94.50–$105 $126–$140 varies
Hepatitis Be Antibody (86707) $56.25 $75 4.9×
Hepatitis Be Antigen (87350) $35.25 $47 3.1×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines
$137.25–$150 $183–$200 varies
Hepatitis C Genotype (87902)
range across 2 matching MRF lines
$264–$1,624.50 $352–$2,166 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$255.75–$313.50 $341–$418 varies
Hepatitis Delta Agent Antibody (86692) $28.50 $38 1.7×
Herpes simplex type 2 (86696) $60 $80 3.1×
Heterophile Antibody Screen (86308) $72.75 $97 14.0×
Hfe Gene (81256) $375.75 $501 5.7×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $243 $324 31.4×
Histoplasma antibody (86698)
range across 2 matching MRF lines
$33.75–$60 $45–$80 varies
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$226.50–$251.25 $302–$335 varies
Hiv Antigen W/Hiv Antibodies (87806) $52.50 $70 1.6×
Hiv Genotype (87901) $1,577.25 $2,103 6.1×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $171.75 $229 7.1×
Hiv-1 Antibody (86701) $267.75 $357 30.1×
Hiv-1 Quant&Revrse Trnscrpj (87536) $567 $756 6.7×
HIV-2 probe&revrse trnscripj (87538) $777 $1,036 22.1×
Hla Class I Typing Low Resolution Complete (81372) $784.50 $1,046 1.9×
Hla Class I Typing Low Resolution One Locus Each (81373) $573.75 $765 4.5×
Hla class ii typing high resolution one locus ea (81382) $1,229.25 $1,639 9.9×
Hla I Low Resolution One Antigen Equivalent Each (81374) $251.25 $335 3.4×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $329.25 $439 1.5×
Hla ii typing 1 allele hr (81383) $352.50 $470 3.2×
Hla ii typing 1 locus lr (81376) $352.50 $470 2.9×
Hla-b27 (86812) $249.75 $333 9.7×
Homocysteine (83090) $474.75 $633 26.5×
Homogenization Tissue (87176) $54.75 $73 9.3×
Homovanillic acid urine (83150) $54 $72 2.4×
Hpv High-Risk Types (87624)
range across 2 matching MRF lines
$98.25–$171 $131–$228 varies
Hsv Dna Amp Probe (87529)
range across 6 matching MRF lines
$129.75–$627.75 $173–$837 varies
Hydroxyprogesterone 17-d (83498) $202.50 $270 7.5×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $70.50 $94 6.8×
Iaad ia shiga-like toxin (87427) $124.50 $166 10.4×
Iaad Ia Streptococcus Group A (87430) $27 $36 1.6×
Iaadiadoo trichomonas vaginalis (87808) $37.50 $50 2.5×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $79.50 $106 2.3×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)
range across 3 matching MRF lines
$162.75–$892.50 $217–$1,190 varies
Iadna chlamydia pneumoniae amplified probe tq (87486) $72 $96 2.1×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$210–$246 $280–$328 varies
Iadna Cytomegalovirus Quantification (87497) $497.25 $663 11.6×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $79.50 $106 2.3×
Iadna hepatitis b virus amplified probe tq (87516) $253.50 $338 7.2×
Iadna Hepatitis B Virus Quantification (87517) $273.75 $365 6.4×
Iadna Herpes Virus-6 Quantification (87533) $445.50 $594 10.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines
$468–$723 $624–$964 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581) $57 $76 1.6×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$63–$66 $84–$88 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $216 $288 1.5×
Iadna-Dna/Rna Probe Tq 6-11 (87506)
range across 2 matching MRF lines
$552–$599.25 $736–$799 varies
Ig Light Chains Free Each (83521) $74.25 $99 4.3×
Igg subclasses (82787) $387.75 $517 48.3×
Igh@ Variable Region Somatic Mutation Analysis (81263) $1,432.50 $1,910 4.9×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines
$132.75–$157.50 $177–$210 varies
Immune Complex Assay (86332)
range across 2 matching MRF lines
$45–$364.50 $60–$486 varies
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$180.75–$186 $241–$248 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 16 matching MRF lines
$137.25–$1,040.25 $183–$1,387 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 4 matching MRF lines
$30–$153.75 $40–$205 varies
Immunoassay nonantibody (83516)
range across 23 matching MRF lines
$27–$738 $36–$984 varies
Immunodiffusion Ouchterlony (86331) $123.75 $165 10.3×
Immunofixation electrophoresis (86334) $186 $248 8.3×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines
$157.50–$433.50 $210–$578 varies
Immunohistochemistry (88342)
range across 5 matching MRF lines
$156.75–$185.25 $209–$247 varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$525.75–$992.25 $701–$1,323 varies
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $33.75 $45 2.8×
Influenza DNA amp probe (87502) $232.50 $310 2.4×
Inhibin A (86336)
range across 2 matching MRF lines
$60.75–$157.50 $81–$210 varies
Inhibin b (83520)
range across 21 matching MRF lines
$81–$580.50 $108–$774 varies
Insitu hybridization auto (88367) $1,236 $1,648 3.5×
Insitu hybridization manual (88368) $627 $836 1.8×
Insulin antibodies (86337)
range across 2 matching MRF lines
$76.50–$111 $102–$148 varies
Insulin total (83525) $21.75 $29 1.9×
Interleukin-6 (83529) $246.75 $329 14.3×
Intrinsic factor antibody (86340) $50.25 $67 3.3×
Iron (83540) $53.25 $71 8.2×
Iron Binding Capacity (83550) $72.75 $97 8.3×
Islet cell antibody (86341)
range across 7 matching MRF lines
$70.50–$485.25 $94–$647 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines
$443.25–$1,083 $591–$1,444 varies
Jak2 Gene Trgt Sequence Alys (81279) $486 $648 2.6×
Koh Prep (87220)
range across 3 matching MRF lines
$55.50–$60 $74–$80 varies
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines
$33.75–$61.50 $45–$82 varies
Lactoferrin fecal qualitative (83630) $145.50 $194 7.4×
Lactoferrin Fecal Quantitative (83631) $186.75 $249 9.5×
Ldh Isoenzymes (83625) $88.50 $118 6.9×
LDL direct (83721) $87.75 $117 8.4×
Lead (83655)
range across 3 matching MRF lines
$23.25–$78.75 $31–$105 varies
Legionella antibody (86713) $56.25 $75 3.7×
Legionella antigen urine (87449)
range across 8 matching MRF lines
$105.75–$336 $141–$448 varies
Legionella pneumophila dfa (87278) $70.50 $94 4.5×
Leukocyte Assessment Fecal (89055) $61.50 $82 14.4×
Level I Surg Pathology Gross Examination Only (88300) $94.50 $126 3.4×
Level ii surg pathology gross&microscopic exam (88302) $141 $188 3.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $339.75 $453 1.0×
Lipase (83690)
range across 2 matching MRF lines
$88.50–$108 $118–$144 varies
Lipoprotein A (83695) $30.75 $41 2.1×
Lithium (80178) $75.75 $101 11.5×
Luteinizing Hormone (Lh) (83002) $36 $48 1.9×
Lyme disease antibody (86618)
range across 5 matching MRF lines
$27–$220.50 $36–$294 varies
Lysozyme serum (85549) $154.50 $206 8.2×
M. Genitalium Amp Probe (87563)
range across 2 matching MRF lines
$136.50–$231.75 $182–$309 varies
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines
$848.25–$1,350 $1,131–$1,800 varies
Macroscopic exam arthropod (87168)
range across 2 matching MRF lines
$121.50–$534.75 $162–$713 varies
Macroscopic Exam Parasite (87169) $125.25 $167 29.1×
Magnesium Urine (83735)
range across 5 matching MRF lines
$51.75–$111 $69–$148 varies
Mass Spectrometry Quant (83789)
range across 5 matching MRF lines
$249.75–$803.25 $333–$1,071 varies
Mercury urine (83825)
range across 2 matching MRF lines
$32.25–$179.25 $43–$239 varies
Metabolic panel ionized ca (80047) $161.25 $215 11.7×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines
$104.25–$114 $139–$152 varies
Microalbumin, quantitative (82043)
range across 2 matching MRF lines
$33.75–$72 $45–$96 varies
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$42–$43.50 $56–$58 varies
Mitochondrial Antibody Each (86381) $66 $88 2.6×
Mog-Igg1 Antb Cba Each (86362) $19.50 $26 1.6×
Molecular Cytogenetics Dna Probe Each (88271)
range across 4 matching MRF lines
$47.25–$312 $63–$416 varies
Molecular Pathology Procedure Level 6 (81405)
range across 2 matching MRF lines
$903.75–$1,780.50 $1,205–$2,374 varies
Mononuclear cell antigen (86356) $207 $276 7.7×
Mopath procedure level 2 (81401) $1,263 $1,684 9.2×
Mopath procedure level 4 (81403) $1,011 $1,348 5.5×
Mpl gene common variants (81338) $1,012.50 $1,350 6.7×
Mrsa Pcr (87641) $183.75 $245 5.2×
Mthfr Gene Analysis Common Variants (81291) $253.50 $338 3.9×
Mumps antibody (86735)
range across 3 matching MRF lines
$27–$76.50 $36–$102 varies
Mycobacteric Identification (87118) $306.75 $409 21.0×
Mycophenolic Acid (80180) $189 $252 10.5×
Mycoplasma antibody (86738) $30 $40 2.3×
Mycoplasma culture (87109) $87 $116 5.7×
Myelin basic protein csf (83873) $99.75 $133 5.8×
Myoglobin urine (83874)
range across 2 matching MRF lines
$138–$142.50 $184–$190 varies
Natriuretic peptide (83880)
range across 2 matching MRF lines
$111.75–$114.75 $149–$153 varies
Neutralization Test Viral (86382) $60 $80 3.5×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $210 $280 1.6×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $101.25 $135 3.5×
Nfct Agent Genotype Hepatitis B Virus (87912) $1,252.50 $1,670 4.9×
Nfct ds chrnc hcv 6 assays (81596) $41.25 $55 0.6×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $981 $1,308 7.6×
Niacin (84591)
range across 2 matching MRF lines
$235.50–$279 $314–$372 varies
Nuclear antigen antibody (86235)
range across 7 matching MRF lines
$23.25–$123.75 $31–$165 varies
Occult blood feces (82272)
range across 3 matching MRF lines
$41.25–$54 $55–$72 varies
Occult Blood Other Sources (82271)
range across 2 matching MRF lines
$18–$55.50 $24–$74 varies
Oligoclonal bands (83916)
range across 2 matching MRF lines
$81.75–$116.25 $109–$155 varies
Organic Acids Qualitative Each Specimen (83919) $428.25 $571 26.0×
Osmolality serum (83930)
range across 2 matching MRF lines
$86.25–$96 $115–$128 varies
Osmolality Urine (83935) $96 $128 14.1×
Osteocalcin (83937) $102 $136 3.4×
Ova and parasites smears (87177) $162 $216 18.2×
Oxalate urine (83945)
range across 4 matching MRF lines
$39–$96.75 $52–$129 varies
Particle Agglutination Screen Each Antibody (86403) $26.25 $35 2.3×
Parvovirus antibody (86747) $136.50 $182 9.1×
Path Consltj Surg Cytologic Exam Initial Site (88333) $107.25 $143 0.1×
Ph urine (81003) $27.75 $37 12.3×
Phenobarbital Level (80184) $92.25 $123 6.0×
Phenotype Infect Agent Drug (87900) $500.25 $667 3.8×
Phenylalanine (84030) $59.25 $79 10.8×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines
$46.50–$149.25 $62–$199 varies
Phenytoin free (80186) $46.50 $62 3.4×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$51–$59.25 $68–$79 varies
Phospholipid Neutralization Hexagonal (85598)
range across 2 matching MRF lines
$87–$771 $116–$1,028 varies
Phosphorus Serum (84100) $51 $68 10.8×
Phosphorus urine (84105)
range across 4 matching MRF lines
$23.25–$54.75 $31–$73 varies
Pinworm exam (87172) $75 $100 17.6×
Platelet Aggregation (85576) $199.50 $266 8.0×
Platelet Antibodies (86022) $403.50 $538 22.0×
Platelet count automated (85049) $48 $64 10.7×
Platelet neutralization (85597) $165.75 $221 9.2×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$161.25–$171 $215–$228 varies
Potassium Urine (84133)
range across 4 matching MRF lines
$42.75–$197.25 $57–$263 varies
Prealbumin (84134) $81.75 $109 5.6×
Pregnenolone (84140) $79.50 $106 3.8×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $131.25 $175 0.8×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $118.50 $158 2.1×
Primidone (80188) $29.25 $39 1.8×
Procalcitonin (Pct) (84145) $190.50 $254 7.0×
Progesterone (84144) $67.50 $90 3.2×
Prolactin (84146)
range across 3 matching MRF lines
$37.50–$213.75 $50–$285 varies
Prostaglandin (84150) $565.50 $754 13.5×
Protein body fluid (84157) $74.25 $99 18.6×
Protein C Activity (85303)
range across 2 matching MRF lines
$123.75–$163.50 $165–$218 varies
Protein c antigen (85302) $279.75 $373 23.3×
Protein Electrophoresis Urine (84166)
range across 3 matching MRF lines
$75.75–$165.75 $101–$221 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $108 $144 10.1×
Protein S Free (85306)
range across 3 matching MRF lines
$181.50–$289.50 $242–$386 varies
Protein s total (85305) $294 $392 25.3×
Protein total serum (84155) $51 $68 13.9×
Protein Total Urine (84156)
range across 4 matching MRF lines
$35.25–$71.25 $47–$95 varies
Protein Western Blot Test (84182) $198.75 $265 6.8×
Prothrombin Time Substitution Plasma Frctj Each (85611) $165.75 $221 42.1×
Protoporphyrin rbc quantitative (84202) $45 $60 3.1×
PSA free (84154) $83.25 $111 4.5×
Pth Intact (83970)
range across 2 matching MRF lines
$48.75–$57 $65–$76 varies
Q Fever Antibody (86638) $157.50 $210 13.0×
Quantiferon tb gold plus (86480) $145.50 $194 2.3×
Quantitative assay drug (80299)
range across 16 matching MRF lines
$66.75–$634.50 $89–$846 varies
Quantitative Screen Metals (83018)
range across 3 matching MRF lines
$108–$495 $144–$660 varies
Rbc antibody elution (86860) $225 $300 1.4×
Rbc antibody identification (86870) $240 $320 0.7×
Rbc antibody screen (86850)
range across 2 matching MRF lines
$123.75–$127.50 $165–$170 varies
Rbc pretreatment serum (86978) $118.50 $158 2.1×
Rbc pretx incubatj w/enzymes (86971) $136.50 $182 0.8×
Reagent Strip/Blood Glucose (82948) $6 $8 1.2×
Renin activity plasma (84244) $210 $280 9.5×
Reptilase test (85635) $111 $148 11.3×
Resp virus 12-25 targets (87633) $527.25 $703 1.3×
Reticulocyte separation (86972) $118.50 $158 0.7×
Rh (86901)
range across 2 matching MRF lines
$53.25–$58.50 $71–$78 varies
Rheumatoid Factor Qualitative (86430) $78.75 $105 12.8×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$24.75–$78.75 $33–$105 varies
Rickettsia antibody (86757)
range across 2 matching MRF lines
$48–$60 $64–$80 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$75–$91.50 $100–$122 varies
Rotavirus ag eia (87425) $106.50 $142 8.9×
Rpr qualitative (86592)
range across 5 matching MRF lines
$19.50–$97.50 $26–$130 varies
Rsv Assay W/Optic (87807) $65.25 $87 5.0×
Rubella Antibody (86762) $87.75 $117 6.1×
Rubeola antibody (86765)
range across 2 matching MRF lines
$29.25–$142.50 $39–$190 varies
Rufinamide (80210) $404.25 $539 14.9×
Russell Viper Venom Time Diluted (85613)
range across 5 matching MRF lines
$101.25–$255 $135–$340 varies
Salicylate Level (80179) $104.25 $139 5.6×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 6 matching MRF lines
$30–$222.75 $40–$297 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines
$69.75–$87 $93–$116 varies
Sarscov2&inf a&b&rsv amp prb (87637) $216 $288 1.5×
Sedimentation rate (85651) $53.25 $71 12.5×
Selenium (84255) $147.75 $197 5.8×
Semen Anal Sperm Detection (89321) $116.25 $155 9.6×
Semen analysis motility and count (89310) $91.50 $122 10.6×
Sensitivity mic (87186)
range across 4 matching MRF lines
$80.25–$452.25 $107–$603 varies
Serpina 1 gene (81332) $584.25 $779 13.4×
Sex Hormone Binding Globulin (84270) $128.25 $171 5.9×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$22.50–$72.75 $30–$97 varies
Sirolimus (80195) $123.75 $165 9.0×
Skin test tuberculosis intradermal (86580) $24.75 $33 0.9×
Smear acid fast (87206)
range across 4 matching MRF lines
$54.75–$59.25 $73–$79 varies
Smear complex stain (87209) $120.75 $161 6.7×
Smear gram stain (87205)
range across 4 matching MRF lines
$10.50–$96 $14–$128 varies
Smear Special Stain (87207) $29.25 $39 4.9×
Smn1 Gene Dos/Deletion Alys (81329) $498.75 $665 3.6×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$45.75–$79.50 $61–$106 varies
Sodium Serum (84295)
range across 2 matching MRF lines
$50.25–$59.25 $67–$79 varies
Sodium Urine (84300)
range across 4 matching MRF lines
$48–$197.25 $64–$263 varies
Soluble fibrin monomer (85366) $130.50 $174 1.6×
Soluble Transferrin Receptor (84238) $155.25 $207 4.2×
Somatomedin (84305) $135 $180 6.3×
Somatostatin (84307) $452.25 $603 24.7×
Special Stains Group 1 (88312)
range across 4 matching MRF lines
$138.75–$157.50 $185–$210 varies
Special Stains Group 2 (88313)
range across 3 matching MRF lines
$126–$157.50 $168–$210 varies
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$51–$56.25 $68–$75 varies
Spectrophotometry (84311)
range across 3 matching MRF lines
$55.50–$161.25 $74–$215 varies
Stool cultr aerobic bact ea (87046) $48 $64 5.1×
Strep a DNA amp probe (87651) $147.75 $197 4.2×
Strep b DNA amp probe (87653) $93.75 $125 2.7×
Sugars Single Qual (84376) $23.25 $31 4.2×
Sulfate urine (84392)
range across 2 matching MRF lines
$27–$41.25 $36–$55 varies
Surg path level iii (88304)
range across 3 matching MRF lines
$150–$157.50 $200–$210 varies
Surgical pathology level IV (88305)
range across 6 matching MRF lines
$122.25–$204.75 $163–$273 varies
Surgical pathology level vi (88309) $459.75 $613 0.6×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $62.25 $83 13.1×
Susceptibility Study Antimicrobial Disk Method (87184) $75 $100 10.0×
Syphilis Test Non-Trep Quant (86593)
range across 3 matching MRF lines
$52.50–$75 $70–$100 varies
T3 Free (84481) $76.50 $102 4.5×
T3 reverse (84482) $61.50 $82 3.9×
T3 Total (84480) $108.75 $145 7.7×
T3 Uptake (84479)
range across 2 matching MRF lines
$17.25–$26.25 $23–$35 varies
T4 Free (84439)
range across 2 matching MRF lines
$84.75–$103.50 $113–$138 varies
T4 total (84436)
range across 2 matching MRF lines
$21.75–$25.50 $29–$34 varies
Tacrolimus (80197) $126.75 $169 9.2×
Testosterone Bioavailable (84410) $63.75 $85 1.2×
Testosterone total (84403)
range across 3 matching MRF lines
$30.75–$176.25 $41–$235 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$72.75–$147 $97–$196 varies
Theophylline (80198) $154.50 $206 10.9×
Thiopurine methyltransferase (84433) $189 $252 8.5×
Thrombin Time (85670)
range across 3 matching MRF lines
$72.75–$195.75 $97–$261 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines
$128.25–$179.25 $171–$239 varies
Thyroglobulin (84432)
range across 4 matching MRF lines
$63.75–$186 $85–$248 varies
Thyroglobulin Antibody (86800) $27.75 $37 1.7×
Thyroid Stimulating Immunoglobulin (84445) $89.25 $119 1.8×
Thyroxine binding globulin (84442) $45 $60 3.0×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 5 matching MRF lines
$19.50–$66 $26–$88 varies
Tissue Culture (88233) $645.75 $861 4.6×
Tissue Culture Amniotic Fluid (88235) $594.75 $793 4.0×
Tissue culture bone marrow (88237)
range across 2 matching MRF lines
$653.25–$703.50 $871–$938 varies
Tissue Culture Lymphocyte (88230) $511.50 $682 4.4×
Tobramycin peak (80200)
range across 2 matching MRF lines
$54–$178.50 $72–$238 varies
Topiramate (80201) $70.50 $94 5.9×
Touch prep (88161) $89.25 $119 3.2×
Toxoplasma ab igm (86778) $30 $40 2.1×
Toxoplasma antibody (86777) $106.50 $142 7.4×
Transferase Aspartate Amino Ast Sgot (84450) $54.75 $73 10.6×
Transferrin (84466) $122.25 $163 9.6×
Trg gene rearrangement anal (81342) $176.25 $235 0.9×
Trichomonas Vaginalis Amplif (87661) $285.75 $381 8.1×
Triglycerides (84478)
range across 2 matching MRF lines
$22.50–$81 $30–$108 varies
Troponin Quant (84484)
range across 2 matching MRF lines
$174–$210 $232–$280 varies
Tumor Immunohistochem/Manual (88360)
range across 3 matching MRF lines
$240–$995.25 $320–$1,327 varies
Unlisted Transfusion Medicine Procedure (86999) $79.50 $106 2.8×
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$15.75–$22.50 $21–$30 varies
Uric acid other source (84560)
range across 5 matching MRF lines
$42–$84.75 $56–$113 varies
Urinalysis Microscopic Only (81015) $39.75 $53 13.0×
Urinalysis Volume Measure (81050) $45 $60 12.4×
Urine Bacteria Culture (87088) $45 $60 5.6×
Urine Pregnancy Test (81025) $69 $92 8.0×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $54.75 $73 17.3×
Valproic acid (80164) $153.75 $205 11.4×
Vancomycin (80202)
range across 3 matching MRF lines
$42.75–$150 $57–$200 varies
Varicella-zoster antibody (86787)
range across 2 matching MRF lines
$30–$55.50 $40–$74 varies
Vasopressin (84588) $68.25 $91 2.0×
Very Long Chain Fatty Acids (82726) $168.75 $225 8.5×
Viral Culture (87252)
range across 4 matching MRF lines
$76.50–$117.75 $102–$157 varies
Virus antibody nos (86790)
range across 5 matching MRF lines
$54–$165.75 $72–$221 varies
Virus inoculate tissue addl (87253) $42 $56 2.1×
Virus inoculation, shell via (87254) $76.50 $102 3.9×
Viscosity serum (85810) $26.25 $35 2.2×
Vit D 1 25-Dihydroxy (82652) $99 $132 2.6×
Vitamin A (84590) $28.50 $38 2.5×
Vitamin b-12 (82607) $114 $152 7.6×
Vitamin B2 (Riboflavin) (84252) $451.50 $602 22.3×
Vitamin B6 (84207) $30.75 $41 1.1×
Vitamin c (82180) $77.25 $103 7.8×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$74.25–$76.50 $99–$102 varies
Vitamin E (84446) $30.75 $41 2.2×
Vitamin K (84597) $153 $204 11.2×
Voltage-Gated Calcium Channel Antibody Each (86596) $131.25 $175 10.9×
Von willebrand factor ag (85246)
range across 2 matching MRF lines
$75–$329.25 $100–$439 varies
West nile virus ab igm (86788)
range across 2 matching MRF lines
$33.75–$50.25 $45–$67 varies
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$33.75–$50.25 $45–$67 varies
Zinc (84630) $114 $152 10.0×

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.