Lab & pathology prices at Southwest Medical Center

Liberal, KS · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $146.40 $183 6.4×
5 Nucleotidase (83915) $128.80 $161 11.6×
Acetylcholine receptor binding antibody (86041) $62.80 $78.50 3.4×
Acetylcholine receptor blocking antibody (86042) $62.80 $78.50 3.4×
Acetylcholn Rcptr Modlg Antb (86043) $42 $52.50 3.5×
Acth (82024) $169.60 $212 4.4×
Actin smooth muscle antibody each (86015) $38 $47.50 3.2×
Acute hepatitis panel (80074) $202.80 $253.50 4.3×
Acylcarnitines Quant (82017) $502.40 $628 29.8×
Agglutinins Febrile Each Antigen (86000)
range across 3 matching MRF lines
$30–$259.60 $37.50–$324.50 varies
Albumin Fluid (82042)
range across 4 matching MRF lines
$40–$55.60 $50–$69.50 varies
Albumin serum (82040)
range across 5 matching MRF lines
$22.40–$73.20 $28–$91.50 varies
Aldolase (82085) $52 $65 5.4×
Aldosterone urine (82088)
range across 2 matching MRF lines
$204.80–$206 $256–$257.50 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines
$84.80–$87.20 $106–$109 varies
Allergen specific ige (86003)
range across 17 matching MRF lines
$21.20–$330.40 $26.50–$413 varies
Allergen specific igg (86001)
range across 3 matching MRF lines
$54.40–$132 $68–$165 varies
Allg Spec Ige Recomb Ea (86008) $26 $32.50 1.5×
Alpha-1-antitrypsin phenotype (82104) $366.80 $458.50 25.4×
Alpha-1-antitrypsin total (82103)
range across 4 matching MRF lines
$81.60–$366.80 $102–$458.50 varies
Alpha-Fetoprotein Amniotic Fluid (82106) $98.80 $123.50 5.8×
Alpha-Fetoprotein Serum (82105) $90.80 $113.50 5.4×
Alt (sgpt) (84460)
range across 2 matching MRF lines
$20.40–$81.60 $25.50–$102 varies
Aluminum (82108) $59.20 $74 2.3×
Amikacin trough (80150) $59.20 $74 3.9×
Amino Acids 1 Quantitative Each Specimen (82131) $450 $562.50 19.6×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 3 matching MRF lines
$543.20–$1,629.60 $679–$2,037 varies
Amino Acids Multiple Qualitative Each Specimen (82128)
range across 2 matching MRF lines
$121.60–$267.60 $152–$334.50 varies
Amino Acids Quant 2-5 (82136) $428 $535 21.8×
Aminolevulinic acid (ala) (82135) $245.60 $307 14.9×
Ammonia (82140)
range across 3 matching MRF lines
$73.20–$202.80 $91.50–$253.50 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $122 $152.50 1.2×
Amylase urine (82150)
range across 3 matching MRF lines
$41.60–$101.20 $52–$126.50 varies
Ana Titer (86039)
range across 2 matching MRF lines
$76.80–$113.20 $96–$141.50 varies
Anca screen each antibody (86036) $54.40 $68 4.5×
Androstenedione (82157) $191.60 $239.50 6.5×
Angiotensin converting enzyme csf (82164) $81.60 $102 5.6×
Anti-Phospholipid Antibody (86148)
range across 5 matching MRF lines
$92.40–$268 $115.50–$335 varies
Antibody aspergillus (86606) $104 $130 6.9×
Antibody Bacterium Not Elsewhere Specified (86609)
range across 2 matching MRF lines
$134.80–$159.60 $168.50–$199.50 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $168 $210 10.8×
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$136–$164.40 $170–$205.50 varies
Antibody Encephalitis California La Crosse (86651)
range across 2 matching MRF lines
$109.60–$159.60 $137–$199.50 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 3 matching MRF lines
$112.40–$185.20 $140.50–$231.50 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $116.80 $146 7.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $123.20 $154 6.8×
Antibody Fungus Not Elsewhere Specified (86671)
range across 4 matching MRF lines
$42–$699.20 $52.50–$874 varies
Antibody haemophilus influenza (86684) $911.20 $1,139 57.5×
Antibody helicobacter pylori (86677)
range across 5 matching MRF lines
$76–$144.80 $95–$181 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 3 matching MRF lines
$108–$162.40 $135–$203 varies
Antibody Herpes Smplx Type 1 (86695) $116.80 $146 8.9×
Antibody HIV-1&HIV-2 single result (86703)
range across 2 matching MRF lines
$82–$97.20 $102.50–$121.50 varies
Antibody Hla Class I Phenotype Panel Qualitative (86830) $236 $295 2.5×
Antibody htlv/HIV antibody confirmatory test (86689) $276.40 $345.50 14.3×
Antibody identification leukocyte antibodies (86021)
range across 9 matching MRF lines
$60–$582.40 $75–$728 varies
Antibody Identification Platelet Immunogl Assay (86023)
range across 2 matching MRF lines
$191.20–$218.40 $239–$273 varies
Antibody john cunningham virus (86711) $3,463.20 $4,329 205.0×
Antibody Lymphocytic Choriomeningitis (86727) $300.80 $376 23.4×
Antibody neisseria meningitidis (86741) $255.60 $319.50 19.4×
Antibody plasmodium malaria (86750)
range across 2 matching MRF lines
$43.60–$59.20 $54.50–$74 varies
Antibody Protozoa Nes (86753)
range across 3 matching MRF lines
$65.60–$307.60 $82–$384.50 varies
Antibody Titer (86886)
range across 2 matching MRF lines
$147.20–$180 $184–$225 varies
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$90–$272 $112.50–$340 varies
Antibody; encephalitis, st. louis (86653)
range across 2 matching MRF lines
$109.60–$159.60 $137–$199.50 varies
Antibody; influenza virus (86710)
range across 3 matching MRF lines
$116.80–$445.20 $146–$556.50 varies
Antigen typing (86905)
range across 2 matching MRF lines
$147.20–$378.40 $184–$473 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $33.20 $41.50 5.8×
Antinuclear antibodies (86038)
range across 8 matching MRF lines
$86–$425.20 $107.50–$531.50 varies
Antistreptolysin o titer (86060) $62.80 $78.50 8.6×
Antithrombin iii activity (85300)
range across 4 matching MRF lines
$98.80–$382.80 $123.50–$478.50 varies
Antithrombin iii antigen (85301) $46.40 $58 4.3×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$54.40–$83.60 $68–$104.50 varies
Aquaporin-4 Antb Cba Each (86052) $486 $607.50 40.3×
Arsenic (82175)
range across 3 matching MRF lines
$49.60–$135.20 $62–$169 varies
Aspergillus ag eia (87305) $71.20 $89 5.9×
Assay activated protein c (85307)
range across 2 matching MRF lines
$235.60–$393.60 $294.50–$492 varies
Assay Blood Carbon Dioxide (82374) $73.20 $91.50 15.0×
Assay Nephelometry Not Spec (83883)
range across 5 matching MRF lines
$84.80–$420 $106–$525 varies
Assay of 5-hiaa (83497)
range across 2 matching MRF lines
$73.60–$78.40 $92–$98 varies
Assay of b-hexosaminidase each assay (83080) $786.40 $983 46.6×
Assay of blood/uric acid (84550) $68.40 $85.50 15.1×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$38.80–$63.60 $48.50–$79.50 varies
Assay of cpk in blood (82552) $78.40 $98 5.9×
Assay of estrone (82679) $102 $127.50 4.1×
Assay of g6pd enzyme (82955)
range across 2 matching MRF lines
$124–$341.20 $155–$426.50 varies
Assay of gammaglobulin igm (82784)
range across 4 matching MRF lines
$51.60–$106.40 $64.50–$133 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$107.60–$158.80 $134.50–$198.50 varies
Assay of metanephrines (83835)
range across 3 matching MRF lines
$110.40–$198.80 $138–$248.50 varies
Assay of phosphatase acid total (84060)
range across 2 matching MRF lines
$59.60–$114.40 $74.50–$143 varies
Assay of proinsulin (84206) $615.20 $769 23.0×
Assay of pyruvate (84210)
range across 2 matching MRF lines
$45.20–$173.20 $56.50–$216.50 varies
Assay of semen fructose (82757) $270.80 $338.50 15.6×
Assay of serotonin (84260) $197.20 $246.50 6.4×
Assay of serum potassium (84132) $69.60 $87 14.6×
Assay of sweat sodium (84302)
range across 2 matching MRF lines
$86–$135.20 $107.50–$169 varies
Assay of urea nitrogen (84520) $69.60 $87 17.6×
Assay of urine vma (84585) $102 $127.50 6.6×
Assay of vasoactive intestinal peptide (84586) $166.40 $208 4.7×
Assay of vitamin b-1 (84425)
range across 2 matching MRF lines
$118.80–$159.60 $148.50–$199.50 varies
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$26.40–$121.60 $33–$152 varies
Assay Phosphohexose Enzymes (84087) $341.20 $426.50 31.8×
Automated Leukocyte Count (85048)
range across 2 matching MRF lines
$16–$38 $20–$47.50 varies
B cells total count (86355)
range across 2 matching MRF lines
$101.20–$168 $126.50–$210 varies
Babesia microti amp prb (87469) $138 $172.50 3.9×
Bacterial antigens 87802 (87802) $112 $140 8.8×
Bartonella antibody (86611)
range across 2 matching MRF lines
$103.60–$152 $129.50–$190 varies
Bcr/abl1 gene major bp (81206) $382.40 $478 2.3×
Bcr/abl1 gene minor bp (81207) $352.40 $440.50 2.4×
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines
$106.80–$157.20 $133.50–$196.50 varies
Beta hydroxybutyrate (82010) $53.60 $67 6.6×
Beta-2 Microglobulin (82232) $68 $85 4.2×
Bile acids total (82239) $180 $225 10.5×
Bilirubin direct (82248)
range across 2 matching MRF lines
$34.40–$77.60 $43–$97 varies
Bilirubin total (82247)
range across 2 matching MRF lines
$36–$77.60 $45–$97 varies
Bilirubin total transcutaneous (88720) $113.20 $141.50 22.5×
Biotinidase (82261) $88 $110 5.2×
Blastomyces antibody (86612)
range across 3 matching MRF lines
$39.20–$76 $49–$95 varies
Bld Typing Serologic Rh Phnt (86906)
range across 2 matching MRF lines
$82.80–$166.40 $103.50–$208 varies
Bleeding time test (85002) $76 $95 15.8×
Blood Count Red Blood Cell Automated (85041) $16.80 $21 5.6×
Blood count reticulocyte automated (85045) $129.60 $162 32.5×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $41.20 $51.50 10.8×
Blood gas (82803) $466 $582.50 17.9×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $8.80 $11 0.6×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$8–$21.60 $10–$27 varies
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 4 matching MRF lines
$39.20–$122 $49–$152.50 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $104 $130 6.4×
Blood typing serologic abo (86900) $184 $230 61.5×
Body fluid cell count (89050) $82.40 $103 17.5×
Bordetella antibody (86615)
range across 3 matching MRF lines
$120.40–$228 $150.50–$285 varies
Braf gene analysis (81210)
range across 2 matching MRF lines
$450–$938 $562.50–$1,172.50 varies
Brca1&2 gen full seq dup/del (81162)
range across 2 matching MRF lines
$1,912.40–$2,630 $2,390.50–$3,287.50 varies
Breath Alcohol Test (82075) $57.60 $72 1.9×
Brucella antibody (86622)
range across 3 matching MRF lines
$99.60–$277.60 $124.50–$347 varies
C diff amplified probe (87493)
range across 2 matching MRF lines
$137.60–$301.20 $172–$376.50 varies
C-Peptide (84681) $109.20 $136.50 5.2×
C-reactive protein (86140)
range across 2 matching MRF lines
$50.40–$89.20 $63–$111.50 varies
Ca 19-9 (86301)
range across 2 matching MRF lines
$67.60–$78.40 $84.50–$98 varies
Caffeine (80155) $154 $192.50 4.0×
Calcitonin (82308) $169.60 $212 6.3×
Calcium ionized (82330)
range across 3 matching MRF lines
$77.20–$269.20 $96.50–$336.50 varies
Calcium total (82310)
range across 3 matching MRF lines
$32.40–$77.60 $40.50–$97 varies
Calculus Spectroscopy (82365)
range across 2 matching MRF lines
$81.60–$97.60 $102–$122 varies
Calprotectin Fecal (83993) $305.60 $382 15.6×
Calr gene com variants (81219) $1,266.40 $1,583 10.4×
Cancer Antigen 125 (86304) $103.20 $129 5.0×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$103.20–$112.80 $129–$141 varies
Candida antibody (86628) $118 $147.50 9.8×
Candida Dna Dir Probe (87480) $97.20 $121.50 4.8×
Carbamazepine free (80157) $128.80 $161 9.7×
Carbamazepine total (80156) $266 $332.50 18.3×
Carboxyhemoglobin (82375)
range across 2 matching MRF lines
$76–$97.60 $95–$122 varies
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$118.80–$282 $148.50–$352.50 varies
Cardiolipin ab iga (86147) $149.60 $187 5.9×
Carnitine Quantitative Each Specimen (82379) $304 $380 18.0×
Carotene (82380) $64.40 $80.50 7.0×
Catecholamines fractionated (82384) $185.60 $232 7.4×
Catecholamines total urine (82382) $129.60 $162 4.7×
Ccp antibody (86200)
range across 4 matching MRF lines
$58–$310 $72.50–$387.50 varies
Cell count csf (89051) $98.80 $123.50 17.6×
Cell marker study (88182)
range across 2 matching MRF lines
$148.40–$256.40 $185.50–$320.50 varies
Cellular Function Assay Stimul&Detect Biomarke (86352) $355.60 $444.50 2.6×
Ceruloplasmin (82390) $61.20 $76.50 5.7×
Cftr gene com variants (81220) $702.40 $878 1.3×
Chemiluminescent assay (82397)
range across 2 matching MRF lines
$59.60–$108 $74.50–$135 varies
Chlamydia antibody (86631)
range across 4 matching MRF lines
$137.60–$335.60 $172–$419.50 varies
Chlamydia Igm Antibody (86632)
range across 3 matching MRF lines
$123.20–$335.60 $154–$419.50 varies
Chloride other source (82438)
range across 2 matching MRF lines
$69.20–$135.20 $86.50–$169 varies
Chloride Serum (82435) $69.20 $86.50 15.0×
Chloride urine (82436)
range across 3 matching MRF lines
$44.80–$86.40 $56–$108 varies
Cholesterol total (82465) $68.40 $85.50 15.7×
Cholinesterase rbc (82482) $103.20 $129 10.5×
Cholinesterase Serum (82480) $83.60 $104.50 10.6×
Chondroitin B sulfate, quantitative Facility (82485) $95.60 $119.50 4.6×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$90.80–$115.20 $113.50–$144 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $940.40 $1,175.50 5.0×
Chrmsm Analysis Addl High Resolution Study (88289) $704.80 $881 20.5×
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 2 matching MRF lines
$365.60–$762.80 $457–$953.50 varies
Chromium serum (82495) $133.20 $166.50 6.6×
Chromogranin a (86316) $211.20 $264 10.1×
Chromosome Analysis 15-20 (88262) $823.20 $1,029 6.6×
Chromosome Analysis 20-25 (88264) $1,116.80 $1,396 7.7×
Chromosome analysis 45 cells (88263) $313.60 $392 2.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $136 $170 3.9×
Citric acid urine (82507)
range across 2 matching MRF lines
$64.40–$120.40 $80.50–$150.50 varies
Ckmb (82553) $195.60 $244.50 16.9×
Clostridium Difficile (87324)
range across 2 matching MRF lines
$109.60–$282.80 $137–$353.50 varies
Clot Factor VIII Multimetric (85247)
range across 3 matching MRF lines
$119.60–$278.40 $149.50–$348 varies
Clot factor xiii fibrin stab (85290) $95.20 $119 5.8×
Clot retraction (85170) $46 $57.50 2.8×
Clotting factor viii related antigen (85244) $169.20 $211.50 8.3×
Clotting factor xii hageman (85280) $122.40 $153 6.3×
Clotting Funct Activity (85397)
range across 2 matching MRF lines
$204–$259.60 $255–$324.50 varies
Clotting prekallikrein assay fletcher fact assay (85292)
range across 2 matching MRF lines
$350.40–$385.60 $438–$482 varies
Coccidioides antibody (86635)
range across 2 matching MRF lines
$97.20–$131.20 $121.50–$164 varies
Cold agglutinin titer (86157) $80 $100 9.9×
Collagen crosslinks (82523)
range across 3 matching MRF lines
$67.60–$297.20 $84.50–$371.50 varies
Column Chromotography Quant (82542)
range across 17 matching MRF lines
$141.20–$664 $176.50–$830 varies
Compatibility Each Unit Incubation (86921) $153.20 $191.50 1.0×
Compatibility test antiglob (86922)
range across 2 matching MRF lines
$177.20–$220.80 $221.50–$276 varies
Complement Antigen Each Component (86160)
range across 9 matching MRF lines
$110–$448 $137.50–$560 varies
Complement Total (Ch50) (86162) $149.60 $187 7.4×
Complement/Function Activity (86161) $105.20 $131.50 8.8×
Consltj&Reprt Material Requiring Prepj Slides (88323) $220 $275 4.6×
Consltj&Reprt Slides Prepared Elsewhere (88321) $102 $127.50 3.0×
Coombs direct (86880)
range across 3 matching MRF lines
$92.40–$140.80 $115.50–$176 varies
Copper urine (82525)
range across 3 matching MRF lines
$64–$224 $80–$280 varies
Cortisol free (82530)
range across 4 matching MRF lines
$107.20–$160.40 $134–$200.50 varies
Cortisol saliva (82533)
range across 3 matching MRF lines
$98–$138.40 $122.50–$173 varies
Creatine (82540) $75.20 $94 16.2×
Creatine kinase total (82550)
range across 2 matching MRF lines
$42.40–$101.20 $53–$126.50 varies
Creatinine blood (82565) $18.40 $23 3.6×
Creatinine clearance (82575) $142.80 $178.50 15.1×
Creatinine Urine (82570)
range across 12 matching MRF lines
$34.40–$166.40 $43–$208 varies
Crossmatch immediate spin (86920) $153.20 $191.50 1.0×
Crp High Sensitivity (86141) $150.80 $188.50 11.6×
Cryofibrinogen (82585) $130 $162.50 9.2×
Cryoglobulin (82595) $31.20 $39 4.8×
Cryptococcal Antigen (87327) $101.20 $126.50 7.5×
Cryptococcus ab (86641) $248 $310 17.2×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$110–$142.40 $137.50–$178 varies
Cryptosporidium (87272)
range across 2 matching MRF lines
$101.20–$111.20 $126.50–$139 varies
Cryptosporidium ag eia (87328)
range across 2 matching MRF lines
$170–$205.20 $212.50–$256.50 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$95.20–$157.20 $119–$196.50 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines
$80.80–$104.80 $101–$131 varies
Culture aerobic quant other (87071) $157.20 $196.50 15.9×
Culture afb (87116) $62.40 $78 5.8×
Culture Anaerobic (87075) $104 $130 11.0×
Culture blood (87040) $222 $277.50 21.5×
Culture chlamydia (87110) $140.40 $175.50 7.2×
Culture csf (87070)
range across 5 matching MRF lines
$62.80–$189.20 $78.50–$236.50 varies
Culture fungus (87102)
range across 3 matching MRF lines
$74–$124.80 $92.50–$156 varies
Culture screen only (87081)
range across 8 matching MRF lines
$52–$152 $65–$190 varies
Culture stool (87045)
range across 3 matching MRF lines
$87.60–$166.40 $109.50–$208 varies
Culture typing if ea antiserum (87140) $68.40 $85.50 12.3×
Culture typing other methods (87158) $359.60 $449.50 46.5×
Culture urine (87086)
range across 2 matching MRF lines
$112.40–$167.20 $140.50–$209 varies
Cyanide (82600) $144.80 $181 7.5×
Cyclic amp (82030) $509.20 $636.50 19.7×
Cyclosporine (80158)
range across 2 matching MRF lines
$108–$134.80 $135–$168.50 varies
Cyp2c19 gene analysis common variants (81225) $470.80 $588.50 1.6×
Cystatin C (82610) $254 $317.50 13.7×
Cytogenetics 10-30 (88273)
range across 3 matching MRF lines
$241.20–$316.80 $301.50–$396 varies
Cytogenetics 100-300 (88275)
range across 3 matching MRF lines
$247.60–$1,769.20 $309.50–$2,211.50 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 2 matching MRF lines
$3,182.40–$3,557.20 $3,978–$4,446.50 varies
Cytomegalovirus igg (86644)
range across 4 matching MRF lines
$41.60–$249.20 $52–$311.50 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $96.80 $121 4.8×
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines
$93.60–$328 $117–$410 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 6 matching MRF lines
$49.60–$210.40 $62–$263 varies
Cytp Concentration Smears & Interpretation (88108) $227.20 $284 6.6×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $255.20 $319 5.3×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $94.80 $118.50 2.8×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $250.80 $313.50 1.6×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $79.20 $99 4.3×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $122.80 $153.50 4.6×
Deoxycortisol (82634) $148 $185 5.1×
Deoxyribonuclease antibody (86215) $118 $147.50 8.9×
Desoxycorticosterone (82633) $288.80 $361 9.3×
Detect Agent Nos Dna Amp (87798)
range across 14 matching MRF lines
$168.80–$1,167.20 $211–$1,459 varies
Detect Agent Nos Dna Quant (87799)
range across 5 matching MRF lines
$360.80–$1,592 $451–$1,990 varies
Detect agnt mult DNA ampli (87801)
range across 4 matching MRF lines
$222.40–$622.80 $278–$778.50 varies
Dhea (82626) $146.40 $183 5.8×
Dhea-S (82627) $129.60 $162 5.8×
Dibucaine number (82638) $73.20 $91.50 6.0×
Digoxin (80162) $202 $252.50 15.2×
Diphtheria antitoxoid (86648) $94 $117.50 6.2×
Dipropylacetic Acid Free (80165) $39.60 $49.50 2.9×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$112.80–$260.80 $141–$326 varies
Dna Antibody Single Stranded (86226) $133.60 $167 11.0×
Dna/Rna Amplified Probe (87150) $136 $170 3.9×
DNA/RNA direct probe (87149) $79.60 $99.50 4.0×
Drug assay adalimumab (80145) $96.40 $120.50 2.5×
Drug Assay Amiodarone (80151) $46 $57.50 2.5×
Drug Assay Everolimus (80169) $276.40 $345.50 20.1×
Drug Assay Infliximab (80230) $167.20 $209 4.3×
Drug Assay Itraconazole (80189) $77.20 $96.50 2.8×
Drug Screen Quant Clozapine (80159) $35.20 $44 1.7×
Drug Screen Quant Zonisamide (80203) $94.80 $118.50 7.2×
Drug Screen Quantitative Gabapentin (80171) $75.20 $94 3.5×
Drug Screen Quantitative Levetiracetam (80177) $454.80 $568.50 34.3×
Drug Screen Quantitative Oxcarbazepine (80183) $89.20 $111.50 6.7×
Drug Screen Quantitative Procainamide Metabolite (80192) $100 $125 6.0×
Drug Test Prsmv Chem Anlyzr (80307)
range across 14 matching MRF lines
$26.40–$530.40 $33–$663 varies
Drug Test Prsmv Instrmnt (80306) $261.20 $326.50 15.2×
Egfr Gene Analysis Common Variants (81235) $546.80 $683.50 1.7×
Ehrlichia antibody (86666) $208 $260 20.4×
El-1 Fecal Quantitative (82653) $55.20 $69 2.4×
Electrolyte panel (80051) $38.40 $48 5.5×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $136.40 $170.50 2.2×
Encephaltis East Eqne Anbdy (86652)
range across 2 matching MRF lines
$109.60–$159.60 $137–$199.50 varies
Encephaltis West Eqne Antbdy (86654)
range across 2 matching MRF lines
$109.60–$159.60 $137–$199.50 varies
Enterovirus Antibody (86658)
range across 2 matching MRF lines
$129.20–$215.20 $161.50–$269 varies
Enterovirus PCR (87498) $1,079.20 $1,349 30.8×
Enzyme cell activity (82657)
range across 4 matching MRF lines
$164.40–$341.20 $205.50–$426.50 varies
Eosinophil Smear (89190) $82 $102.50 14.2×
Erythropoietin (82668) $115.60 $144.50 6.2×
Estradiol serum (82670) $202.80 $253.50 7.3×
Estriol (82677) $112.40 $140.50 4.6×
Estrogen total (82672) $134.80 $168.50 6.2×
Estrogens fractionated (82671) $197.20 $246.50 6.1×
Ethosuximide (80168) $173.20 $216.50 10.6×
Ethylene Glycol (82693) $255.20 $319 17.1×
Euglobulin lysis (85360)
range across 2 matching MRF lines
$104–$187.60 $130–$234.50 varies
Exam Synovial Fluid Crystals (89060) $124.40 $155.50 17.0×
F2 Gene (81240)
range across 3 matching MRF lines
$196.80–$498 $246–$622.50 varies
Factor ii activity (85210) $122.40 $153 9.4×
Factor Inhibitor Test (85335)
range across 3 matching MRF lines
$101.60–$515.20 $127–$644 varies
Factor ix activity (85250) $122.40 $153 6.4×
Factor v activity (85220) $122.40 $153 6.9×
Factor v leiden mutation (81241)
range across 2 matching MRF lines
$204.80–$448.40 $256–$560.50 varies
Factor vii assay (85230)
range across 2 matching MRF lines
$122.40–$531.60 $153–$664.50 varies
Factor viii assay (85240)
range across 3 matching MRF lines
$146–$515.20 $182.50–$644 varies
Factor X (85260) $122.40 $153 6.8×
Factor xi activity (85270) $122.40 $153 6.8×
Factor xiii screen (85291) $122.40 $153 13.4×
Fat/Lipids Feces Quantitative (82710) $153.20 $191.50 9.1×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $228 $285 29.6×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $239.60 $299.50 13.9×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $283.60 $354.50 43.4×
Fecal Fat Qualitative (82705) $58.40 $73 11.5×
Ferritin (82728) $86.80 $108.50 6.4×
Fetal Chrmoml Aneuploidy (81420) $1,294.40 $1,618 1.7×
Fetal Congenital Abnor Assay Four Anal (81511) $278.40 $348 1.8×
Fetal screen rosette (85461) $60.80 $76 6.5×
Fibrin degradation products (85362)
range across 3 matching MRF lines
$133.20–$291.20 $166.50–$364 varies
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$122.80–$291.20 $153.50–$364 varies
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) $122.80 $153.50 12.1×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$44.40–$58.80 $55.50–$73.50 varies
Flow cytometry first marker (88184)
range across 4 matching MRF lines
$145.60–$222 $182–$277.50 varies
Fluorescent antibody screen (86255)
range across 14 matching MRF lines
$97.20–$341.60 $121.50–$427 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 4 matching MRF lines
$110–$218.40 $137.50–$273 varies
Fluoride serum (82735) $255.20 $319 13.8×
Fmr1 Gene Charac Alleles (81244)
range across 2 matching MRF lines
$96.80–$284 $121–$355 varies
Fmr1 gene detection (81243)
range across 3 matching MRF lines
$96.80–$385.20 $121–$481.50 varies
Folic acid rbc (82747) $104.40 $130.50 5.9×
Folic Acid Serum (82746) $100.40 $125.50 6.8×
Follicle Stimulating Hormone (83001) $118.80 $148.50 6.4×
Fresh Frozen Plasma Thawing Each Unit (86927)
range across 2 matching MRF lines
$25.20–$227.20 $31.50–$284 varies
Frozen Blood Each Unit Thawing (86931)
range across 2 matching MRF lines
$24.40–$443.20 $30.50–$554 varies
Frozen Section (88331) $212.80 $266 1.4×
Fungi Identification Mold (87107) $71.20 $89 6.9×
Fungi Identification Yeast (87106) $74 $92.50 7.2×
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$81.60–$104.40 $102–$130.50 varies
Gardner vag DNA dir probe (87510) $97.20 $121.50 4.8×
Gases blood ph only (82800) $170.40 $213 15.5×
Gastric Analy W/Ph Ea Spec (82930) $88.80 $111 13.2×
Gastrin (82941) $110.40 $138 6.3×
Genet Virus Isolate Hsv (87255)
range across 2 matching MRF lines
$149.60–$226.40 $187–$283 varies
Genetic Tstg Severe Inh Cond (81443) $1,265.60 $1,582 0.5×
Gentamicin (80170)
range across 3 matching MRF lines
$100–$147.20 $125–$184 varies
Ggt (82977)
range across 2 matching MRF lines
$26.40–$106.80 $33–$133.50 varies
Giardia antigen (87329) $104 $130 8.7×
Glucagon (82943) $124 $155 8.7×
Glucose 2 hr pp (82950) $8.40 $10.50 1.8×
Glucose body fluid (82945) $73.20 $91.50 18.6×
Glucose Serum (82947)
range across 2 matching MRF lines
$22–$62.80 $27.50–$78.50 varies
Glucose tolerance test (gtt) (82951)
range across 3 matching MRF lines
$23.60–$212 $29.50–$265 varies
Glutathione (82978) $341.20 $426.50 22.1×
Glycated Protein (82985)
range across 2 matching MRF lines
$69.20–$442.40 $86.50–$553 varies
Gonadotropin Chorionic Qualitative (84703) $90.80 $113.50 12.1×
Gonadotropin releasing hormone (83727) $609.20 $761.50 35.4×
Growth hormone (83003) $96 $120 5.8×
Gtt-added samples (82952)
range across 2 matching MRF lines
$8.40–$41.60 $10.50–$52 varies
Haloperidol (80173) $124.40 $155.50 7.9×
Haptoglobin (83010) $86.80 $108.50 6.9×
Hdl Cholesterol (83718) $124.40 $155.50 15.2×
Helicobacter Pylori Stool (87338) $150.80 $188.50 10.5×
Helminth Antibody (86682)
range across 4 matching MRF lines
$99.20–$203.20 $124–$254 varies
Hematocrit (85014)
range across 2 matching MRF lines
$28.40–$38 $35.50–$47.50 varies
Hemoglobin (85018)
range across 2 matching MRF lines
$6.40–$16 $8–$20 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$41.20–$59.20 $51.50–$74 varies
Hemoglobin Chromotography (83021)
range across 3 matching MRF lines
$83.20–$119.60 $104–$149.50 varies
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$86–$94 $107.50–$117.50 varies
Hemoglobin Methemoglobin Quantitative (83050) $41.20 $51.50 5.0×
Hemoglobin plasma (83051) $152.40 $190.50 20.8×
Hemoglobin urine (83069) $124 $155 31.4×
Hemoglobin-Oxygen Affinity (82820) $1,194.40 $1,493 89.5×
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) $23.60 $29.50 2.4×
Hemolysins&Agglutinins Incubated (86941) $364.80 $456 30.1×
Hemosiderin urine (83070) $132.80 $166 28.0×
Hep a ab igm (86709)
range across 3 matching MRF lines
$93.60–$224.80 $117–$281 varies
Heparin assay (85520) $143.20 $179 10.9×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$84.40–$160 $105.50–$200 varies
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines
$62.80–$185.20 $78.50–$231.50 varies
Hepatitis b core ab total (86704)
range across 3 matching MRF lines
$82–$174.40 $102.50–$218 varies
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$88.80–$174.40 $111–$218 varies
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines
$45.20–$158.40 $56.50–$198 varies
Hepatitis Be Antibody (86707)
range across 3 matching MRF lines
$80.40–$144.80 $100.50–$181 varies
Hepatitis Be Antigen (87350)
range across 2 matching MRF lines
$80.40–$112.40 $100.50–$140.50 varies
Hepatitis C Antibody (86803) $84.40 $105.50 5.9×
Hepatitis c antibody confirmatory test (86804) $289.60 $362 18.7×
Hepatitis C Genotype (87902)
range across 4 matching MRF lines
$704.80–$1,074.40 $881–$1,343 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $229.60 $287 6.5×
Hepatitis C Revrs Trnscrpj (87522)
range across 7 matching MRF lines
$179.20–$1,335.60 $224–$1,669.50 varies
Hepatitis Delta Agent Antibody (86692) $140.40 $175.50 8.2×
Herpes simplex type 2 (86696) $125.60 $157 6.5×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$13.60–$134.80 $17–$168.50 varies
Hexa gene analysis common variants (81255) $528 $660 10.3×
Hfe Gene (81256) $1,000.40 $1,250.50 15.3×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 2 matching MRF lines
$90.80–$194.80 $113.50–$243.50 varies
Histamine urine (83088)
range across 2 matching MRF lines
$164–$192 $205–$240 varies
Histoplasma antibody (86698)
range across 3 matching MRF lines
$71.20–$140.40 $89–$175.50 varies
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$67.20–$273.60 $84–$342 varies
Hiv Genotype (87901)
range across 2 matching MRF lines
$679.20–$1,350 $849–$1,687.50 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $64.80 $81 2.7×
HIV-1 p24 antigen (87390)
range across 2 matching MRF lines
$116.80–$205.20 $146–$256.50 varies
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 3 matching MRF lines
$422.40–$897.60 $528–$1,122 varies
HIV-2 probe&revrse trnscripj (87538) $651.60 $814.50 18.6×
Hla ii typing 1 allele hr (81383) $423.20 $529 3.9×
Hla ii typing 1 locus lr (81376) $354.80 $443.50 2.9×
Hla Typing a/B/C Multiple Antigens (86813)
range across 2 matching MRF lines
$778.40–$1,298.40 $973–$1,623 varies
Hla Typing Dr/Dq Multiple Antigens (86817) $478.40 $598 4.5×
Hla-b27 (86812)
range across 2 matching MRF lines
$110–$354.80 $137.50–$443.50 varies
Homocysteine (83090) $253.60 $317 14.2×
Homovanillic acid urine (83150)
range across 2 matching MRF lines
$98–$168.80 $122.50–$211 varies
Hpv High-Risk Types (87624)
range across 4 matching MRF lines
$116.80–$251.60 $146–$314.50 varies
Hpv low-risk types (87623)
range across 2 matching MRF lines
$116.80–$150.40 $146–$188 varies
Hpv Types 16 & 18 Only (87625) $310.40 $388 7.7×
Hsv Dna Amp Probe (87529)
range across 4 matching MRF lines
$168.80–$698.80 $211–$873.50 varies
Hsv Dna Quant (87530)
range across 2 matching MRF lines
$297.20–$354 $371.50–$442.50 varies
Hydroxyprogesterone 17-d (83498) $141.20 $176.50 5.2×
Hydroxyproline free (83500)
range across 2 matching MRF lines
$398.40–$426 $498–$532.50 varies
Iaad Ia Entamoeba Histolytica Grp (87337) $112.80 $141 9.4×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $104 $130 10.1×
Iaad ia shiga-like toxin (87427)
range across 2 matching MRF lines
$122.40–$208.40 $153–$260.50 varies
Iaad Ia Streptococcus Group A (87430) $74 $92.50 4.4×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $103.20 $129 8.6×
Iaadi giardia (87269) $113.60 $142 8.3×
Iaadi inffluenza a virus (87276) $101.20 $126.50 6.3×
Iaadi not otherwise specified each organism (87299) $132.40 $165.50 8.2×
Iaadi parainfluenza virus each type (87279) $101.20 $126.50 6.2×
Iaadi pneumocustis carinii (87281) $103.60 $129.50 8.6×
Iadna Candida Species Amplified Probe Tq (87481) $112 $140 3.2×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490)
range across 2 matching MRF lines
$110–$201.20 $137.50–$251.50 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$234.80–$377.20 $293.50–$471.50 varies
Iadna Cytomegalovirus Quantification (87497) $174.40 $218 4.1×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634)
range across 2 matching MRF lines
$60–$168.80 $75–$211 varies
Iadna hepatitis b virus amplified probe tq (87516) $226.80 $283.50 6.5×
Iadna Hepatitis B Virus Quantification (87517)
range across 2 matching MRF lines
$469.20–$834.40 $586.50–$1,043 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 2 matching MRF lines
$432.80–$791.60 $541–$989.50 varies
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $551.20 $689 13.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $1,022.80 $1,278.50 29.1×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$136–$159.60 $170–$199.50 varies
Iadna-Dna/Rna Probe Tq 6-11 (87506) $461.60 $577 1.8×
Ig Light Chains Free Each (83521) $62.80 $78.50 3.6×
Igg subclasses (82787)
range across 2 matching MRF lines
$55.20–$64.40 $69–$80.50 varies
Immune Complex Assay (86332)
range across 2 matching MRF lines
$168–$174.40 $210–$218 varies
Immunfix e-phorsis/urine/csf (86335)
range across 4 matching MRF lines
$135.60–$326 $169.50–$407.50 varies
Immunoassay analyte qual/semiqual single step (83518) $92.40 $115.50 9.6×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 21 matching MRF lines
$51.60–$1,401.60 $64.50–$1,752 varies
Immunoassay infectious agent (86318) $33.60 $42 1.9×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 4 matching MRF lines
$113.60–$1,416.80 $142–$1,771 varies
Immunoassay nonantibody (83516)
range across 18 matching MRF lines
$58.80–$992.40 $73.50–$1,240.50 varies
Immunodiffusion not elsewhere specified (86329)
range across 2 matching MRF lines
$125.60–$380.80 $157–$476 varies
Immunodiffusion Ouchterlony (86331) $162.40 $203 13.6×
Immunoelectrophoresis Serum (86320) $408.40 $510.50 13.6×
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$179.20–$199.60 $224–$249.50 varies
Immunohistochemistry (88342) $531.60 $664.50 3.4×
In situ hybridization 1st probe stain (88365) $220 $275 1.4×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $157.20 $196.50 10.5×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $112.80 $141 7.8×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $101.20 $126.50 8.3×
Influenza a/b ag eia (87400) $109.20 $136.50 7.7×
Influenza assay w/optic (87804) $35.20 $44 2.1×
Influenza DNA amp probe (87502)
range across 4 matching MRF lines
$79.60–$691.20 $99.50–$864 varies
Inhibin A (86336)
range across 2 matching MRF lines
$162.40–$188 $203–$235 varies
Inhibin b (83520)
range across 35 matching MRF lines
$53.60–$942.40 $67–$1,178 varies
Insitu hybridization manual (88368)
range across 6 matching MRF lines
$350.40–$534.40 $438–$668 varies
Insulin antibodies (86337)
range across 2 matching MRF lines
$154.80–$238.40 $193.50–$298 varies
Insulin free (83527) $169.60 $212 13.1×
Insulin total (83525) $84.80 $106 7.4×
Intrinsic factor antibody (86340) $147.20 $184 9.8×
Iron (83540) $96 $120 14.8×
Iron Binding Capacity (83550) $134 $167.50 15.3×
Islet cell antibody (86341)
range across 7 matching MRF lines
$142.40–$1,679.20 $178–$2,099 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines
$891.20–$1,143.60 $1,114–$1,429.50 varies
Ketosteroids 17 total (83586)
range across 3 matching MRF lines
$95.60–$115.20 $119.50–$144 varies
Koh Prep (87220) $17.60 $22 4.1×
Kras Gene Analysis Additional Variant(S) (81276) $500 $625 2.6×
Kras Gene Variants Exon 2 (81275)
range across 2 matching MRF lines
$433.20–$1,089.20 $541.50–$1,361.50 varies
L/s ratio (83661)
range across 2 matching MRF lines
$166.40–$318.40 $208–$398 varies
Lactate (ld) (ldh) enzyme (83615) $92.80 $116 15.4×
Lactoferrin fecal qualitative (83630) $161.20 $201.50 8.2×
Lactoferrin Fecal Quantitative (83631) $104.80 $131 5.3×
Ldh Isoenzymes (83625) $77.20 $96.50 6.0×
LDL direct (83721) $73.20 $91.50 7.0×
Lead (83655)
range across 3 matching MRF lines
$40.80–$79.60 $51–$99.50 varies
Legionella antibody (86713) $116.80 $146 7.6×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$104–$298.40 $130–$373 varies
Legionella pneumophila dfa (87278) $110 $137.50 7.1×
Leptospira antibody (86720)
range across 2 matching MRF lines
$239.60–$406 $299.50–$507.50 varies
Leukocyte Assessment Fecal (89055) $26 $32.50 6.1×
Leukocyte Histamine Release (86343) $108.40 $135.50 8.7×
Level I Surg Pathology Gross Examination Only (88300) $36.40 $45.50 1.4×
Level ii surg pathology gross&microscopic exam (88302) $91.20 $114 2.7×
Level V Surg Pathology Gross&Microscopic Exam (88307) $307.60 $384.50 0.9×
Lipase (83690)
range across 3 matching MRF lines
$46.40–$66.80 $58–$83.50 varies
Lipoprotein A (83695) $68 $85 4.7×
Lipoprotein Bld Quan Part (83704) $50.40 $63 1.5×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $62 $77.50 1.8×
Lithium (80178) $145.60 $182 22.0×
Liver ds alys 3 bmrk srm alg (81517) $368 $460 2.1×
Luteinizing Hormone (Lh) (83002) $115.60 $144.50 6.2×
Lyme disease antibody (86618)
range across 3 matching MRF lines
$136–$198 $170–$247.50 varies
Lymphocyte transformation (86353) $709.20 $886.50 14.5×
Lysozyme serum (85549) $47.20 $59 2.5×
M. Genitalium Amp Probe (87563) $62.80 $78.50 1.8×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $196 $245 1.3×
M/phmtrc alys ishquant/semiq (88374) $196 $245 1.3×
Macroscopic Exam Parasite (87169) $122.80 $153.50 28.5×
Magnesium Urine (83735)
range across 3 matching MRF lines
$42.80–$432.40 $53.50–$540.50 varies
Mass Spectrometry Quant (83789)
range across 5 matching MRF lines
$309.60–$695.20 $387–$869 varies
Mecp2 gene full seq (81302) $1,364.80 $1,706 2.6×
Mercury urine (83825)
range across 2 matching MRF lines
$40–$79.60 $50–$99.50 varies
Methylmalonic acid serum (83921)
range across 3 matching MRF lines
$72.40–$134.40 $90.50–$168 varies
Microalbumin, quantitative (82043) $40 $50 6.9×
Microsatellite instability (81301) $323.60 $404.50 0.9×
Microsomal Antibodies Each (86376)
range across 4 matching MRF lines
$93.60–$260.80 $117–$326 varies
Mog-Igg1 Antb Cba Each (86362) $543.60 $679.50 45.1×
Molecular Cytogenetics Dna Probe Each (88271)
range across 6 matching MRF lines
$188.40–$2,276.80 $235.50–$2,846 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $449.60 $562 10.6×
Molecular Pathology Procedure Level 3 (81402)
range across 2 matching MRF lines
$522.80–$1,176.80 $653.50–$1,471 varies
Molecular Pathology Procedure Level 6 (81405) $773.20 $966.50 2.6×
Mononuclear cell antigen (86356)
range across 3 matching MRF lines
$101.20–$523.60 $126.50–$654.50 varies
Mopath procedure level 1 (81400)
range across 3 matching MRF lines
$448.40–$891.20 $560.50–$1,114 varies
Mopath procedure level 2 (81401)
range across 3 matching MRF lines
$526.80–$4,406.80 $658.50–$5,508.50 varies
Mopath procedure level 4 (81403)
range across 2 matching MRF lines
$83.20–$1,776.80 $104–$2,221 varies
Mopath procedure level 5 (81404)
range across 3 matching MRF lines
$972.40–$1,776.80 $1,215.50–$2,221 varies
Mopath procedure level 9 (81408) $432.80 $541 0.2×
Mrsa Pcr (87641) $136 $170 3.9×
Mthfr Gene Analysis Common Variants (81291)
range across 2 matching MRF lines
$110–$346 $137.50–$432.50 varies
Mucin Clot Body Fluid (83872) $72.40 $90.50 12.4×
Mucopolysaccharides acid quantitative (83864) $197.20 $246.50 6.9×
Mumps antibody (86735) $122.40 $153 9.4×
Mycoplasma antibody (86738)
range across 2 matching MRF lines
$134.40–$162.40 $168–$203 varies
Mycoplasma culture (87109)
range across 2 matching MRF lines
$113.60–$136 $142–$170 varies
Myelin basic protein csf (83873)
range across 3 matching MRF lines
$39.20–$119.60 $49–$149.50 varies
Myoglobin urine (83874) $79.20 $99 6.1×
Natriuretic peptide (83880) $224.80 $281 5.7×
Neisseria Dir Na Probe (87590) $110 $137.50 4.1×
Neurofilament light chain (83884) $376.40 $470.50 3.2×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505)
range across 3 matching MRF lines
$402.80–$1,608.80 $503.50–$2,011 varies
Nfct ds chrnc hcv 6 assays (81596) $299.20 $374 4.1×
Niacin (84591)
range across 2 matching MRF lines
$172–$336.80 $215–$421 varies
Nickel level (83885) $47.20 $59 1.9×
Nk cells total count (86357) $101.20 $126.50 2.7×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $356 $445 1.4×
Nras gene variants exon 2&3 (81311) $735.20 $919 2.5×
Nuclear antigen antibody (86235)
range across 12 matching MRF lines
$55.60–$302.40 $69.50–$378 varies
Occult blood feces (82272)
range across 2 matching MRF lines
$8.80–$55.20 $11–$69 varies
Occult Blood Other Sources (82271) $55.20 $69 10.4×
Oligoclonal bands (83916)
range across 2 matching MRF lines
$121.60–$199.60 $152–$249.50 varies
Organic Acids Qualitative Each Specimen (83919) $253.60 $317 15.4×
Organic acids urine (83918)
range across 3 matching MRF lines
$253.60–$593.60 $317–$742 varies
Osmolality serum (83930) $38 $47.50 5.7×
Osmolality Urine (83935)
range across 2 matching MRF lines
$41.20–$52 $51.50–$65 varies
Osmotic fragility rbc incubated (85557) $59.20 $74 4.4×
Ova and parasites smears (87177) $57.20 $71.50 6.4×
Oxalate urine (83945)
range across 2 matching MRF lines
$72.80–$80 $91–$100 varies
Particle Agglutination Screen Each Antibody (86403)
range across 4 matching MRF lines
$140.80–$400.80 $176–$501 varies
Parvovirus antibody (86747) $142.40 $178 9.5×
Path Consltj Surg Cytologic Exam Initial Site (88333) $42.80 $53.50 0.1×
Ph urine (81003)
range across 4 matching MRF lines
$12.80–$66.80 $16–$83.50 varies
Phenobarbital Level (80184) $196 $245 12.8×
Phenotype Infect Agent Drug (87900) $323.60 $404.50 2.5×
Phenylalanine (84030)
range across 3 matching MRF lines
$26–$72.40 $32.50–$90.50 varies
Phenytoin (Dilantin) (80185) $93.60 $117 7.1×
Phenytoin free (80186) $95.20 $119 6.9×
Phosphatase acid prostatic (84066) $59.20 $74 6.1×
Phosphatase alkaline (84075)
range across 3 matching MRF lines
$17.20–$144 $21.50–$180 varies
Phosphatidylglycerol (84081)
range across 3 matching MRF lines
$81.60–$209.60 $102–$262 varies
Phospholipid Neutralization Hexagonal (85598) $225.20 $281.50 12.5×
Phosphorus Serum (84100) $82.80 $103.50 17.5×
Phosphorus urine (84105)
range across 2 matching MRF lines
$30.80–$41.20 $38.50–$51.50 varies
Pinworm exam (87172) $136 $170 31.9×
Platelet Antibodies (86022)
range across 10 matching MRF lines
$99.20–$573.20 $124–$716.50 varies
Platelet count automated (85049) $25.60 $32 5.7×
Platelet neutralization (85597) $225.20 $281.50 12.5×
Pooling blood platelets (86965) $153.20 $191.50 1.0×
Porphobilinogen, urine; quantitative (84110) $62 $77.50 7.3×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$102.80–$156.40 $128.50–$195.50 varies
Potassium Urine (84133)
range across 5 matching MRF lines
$33.60–$135.20 $42–$169 varies
Prealbumin (84134) $79.20 $99 5.4×
Pregnenolone (84140) $153.60 $192 7.4×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $153.20 $191.50 1.0×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970)
range across 3 matching MRF lines
$68–$188 $85–$235 varies
Primidone (80188) $90.40 $113 5.4×
Procalcitonin (Pct) (84145) $141.20 $176.50 5.2×
Progesterone (84144) $117.20 $146.50 5.6×
Prolactin (84146) $129.60 $162 6.7×
Prostaglandin (84150)
range across 2 matching MRF lines
$702.40–$857.20 $878–$1,071.50 varies
Protein body fluid (84157)
range across 6 matching MRF lines
$32–$72.40 $40–$90.50 varies
Protein C Activity (85303)
range across 3 matching MRF lines
$141.20–$382.80 $176.50–$478.50 varies
Protein c antigen (85302)
range across 2 matching MRF lines
$101.60–$293.60 $127–$367 varies
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$42.40–$56.80 $53–$71 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$68–$70.80 $85–$88.50 varies
Protein S Free (85306)
range across 4 matching MRF lines
$58.40–$382.80 $73–$478.50 varies
Protein s total (85305)
range across 4 matching MRF lines
$74–$220 $92.50–$275 varies
Protein Total Refractometry Any Src (84160) $1,591.60 $1,989.50 283.7×
Protein total serum (84155)
range across 6 matching MRF lines
$14.80–$81.60 $18.50–$102 varies
Protein Total Urine (84156)
range across 5 matching MRF lines
$32–$96 $40–$120 varies
Protein Western Blot Test (84182)
range across 3 matching MRF lines
$81.20–$654 $101.50–$817.50 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $48 $60 12.2×
Protoporphyrin rbc quantitative (84202)
range across 2 matching MRF lines
$60–$146 $75–$182.50 varies
PSA free (84154) $84.80 $106 4.6×
Pth Intact (83970)
range across 3 matching MRF lines
$210–$606.80 $262.50–$758.50 varies
Pyruvate kinase (84220)
range across 2 matching MRF lines
$341.20–$386 $426.50–$482.50 varies
Q Fever Antibody (86638)
range across 2 matching MRF lines
$38–$224.40 $47.50–$280.50 varies
Quantiferon tb gold plus (86480) $162.40 $203 2.6×
Quantitative assay drug (80299)
range across 27 matching MRF lines
$60.40–$572.80 $75.50–$716 varies
Quantitative Screen Metals (83018)
range across 2 matching MRF lines
$145.60–$190 $182–$237.50 varies
Quinidine (80194) $105.20 $131.50 7.2×
Rbc antibody elution (86860)
range across 3 matching MRF lines
$122–$152.80 $152.50–$191 varies
Rbc antibody identification (86870) $294.80 $368.50 0.9×
Rbc antibody screen (86850) $79.60 $99.50 8.1×
Rbc pretreatment serum (86978) $224.40 $280.50 4.1×
Rbc pretx incubatj w/enzymes (86971) $153.20 $191.50 1.0×
Reagent Strip/Blood Glucose (82948)
range across 3 matching MRF lines
$13.60–$62.80 $17–$78.50 varies
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $253.20 $316.50 3.6×
Renin activity plasma (84244)
range across 2 matching MRF lines
$134–$326 $167.50–$407.50 varies
Resp virus 12-25 targets (87633) $1,498 $1,872.50 3.6×
Reticulocyte separation (86972) $475.20 $594 3.0×
Rh (86901) $58.80 $73.50 19.7×
Rheumatoid Factor Qualitative (86430)
range across 2 matching MRF lines
$137.60–$216.80 $172–$271 varies
Rheumatoid factor quant (86431)
range across 9 matching MRF lines
$50.40–$260.80 $63–$326 varies
Rickettsia antibody (86757) $234 $292.50 12.1×
Ristocetin cofactor (85245)
range across 5 matching MRF lines
$111.20–$444.80 $139–$556 varies
Rotavirus ag eia (87425) $104 $130 8.7×
Rpr qualitative (86592)
range across 4 matching MRF lines
$23.20–$76 $29–$95 varies
Rsv Assay W/Optic (87807) $22 $27.50 1.7×
Rubella Antibody (86762)
range across 3 matching MRF lines
$59.20–$96.80 $74–$121 varies
Rubeola antibody (86765) $127.20 $159 9.9×
Russell Viper Venom Time Diluted (85613)
range across 4 matching MRF lines
$45.20–$102 $56.50–$127.50 varies
Russell Viper Venon Time Undiluted (85612) $339.20 $424 19.4×
Salmonella antibody (86768) $95.20 $119 7.2×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 2 matching MRF lines
$104.80–$135.20 $131–$169 varies
Sars-cov-2 COVID-19 antibody (86769) $97.20 $121.50 2.3×
Sedimentation rate (85651) $63.60 $79.50 14.9×
Sedimentation Rate, Automated (85652) $52.40 $65.50 19.4×
Selenium (84255) $129.60 $162 5.1×
Semen Anal Sperm Detection (89321) $99.20 $124 8.2×
Semen analysis complete (89320) $199.60 $249.50 16.2×
Sensitivity mic (87186)
range across 5 matching MRF lines
$67.60–$189.20 $84.50–$236.50 varies
Serpina 1 gene (81332) $363.20 $454 8.3×
Sex Hormone Binding Globulin (84270) $197.20 $246.50 9.1×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines
$82.40–$117.20 $103–$146.50 varies
Skin test tuberculosis intradermal (86580) $13.60 $17 0.5×
Smear acid fast (87206)
range across 2 matching MRF lines
$12.80–$59.20 $16–$74 varies
Smear complex stain (87209) $45.20 $56.50 2.5×
Smear gram stain (87205) $38.80 $48.50 9.1×
Smear Special Stain (87207)
range across 3 matching MRF lines
$75.20–$88.80 $94–$111 varies
Smr Prim Src Wet Mount Nfct Agt (87210) $97.20 $121.50 16.7×
Snrpn/Ube3a Methylation Analysis (81331) $768.40 $960.50 15.0×
Sodium Serum (84295) $73.20 $91.50 15.2×
Sodium Urine (84300)
range across 3 matching MRF lines
$49.60–$77.20 $62–$96.50 varies
Soluble Transferrin Receptor (84238)
range across 2 matching MRF lines
$81.60–$218.40 $102–$273 varies
Somatomedin (84305) $191.60 $239.50 9.0×
Somatostatin (84307) $208.80 $261 11.4×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$87.60–$100.40 $109.50–$125.50 varies
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$69.20–$88 $86.50–$110 varies
Specimen infect agnt concntj (87015)
range across 5 matching MRF lines
$39.60–$79.60 $49.50–$99.50 varies
Spectrophotometry (84311)
range across 5 matching MRF lines
$110.40–$673.60 $138–$842 varies
Splitting Blood/Blood Products Each Unit (86985) $42 $52.50 0.3×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $71.20 $89 0.5×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$122.40–$166.40 $153–$208 varies
Strep a assay w/optic (87880) $44.80 $56 2.7×
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$62.80–$101.20 $78.50–$126.50 varies
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $277.20 $346.50 24.0×
Sugars Single Qual (84376) $110.40 $138 20.1×
Sulfate urine (84392)
range across 2 matching MRF lines
$180–$273.20 $225–$341.50 varies
Surg path level iii (88304) $127.20 $159 2.7×
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$221.20–$230 $276.50–$287.50 varies
Surgical pathology level vi (88309) $414.40 $518 0.6×
Susceptibility Study Antimicrobial Disk Method (87184) $196 $245 26.2×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $208.40 $260.50 28.5×
Syphilis Test Non-Trep Quant (86593) $41.60 $52 9.5×
T cells absolute cd4 count (86361)
range across 2 matching MRF lines
$137.60–$166.80 $172–$208.50 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines
$246.80–$284.40 $308.50–$355.50 varies
T cells total count (86359)
range across 3 matching MRF lines
$101.20–$168 $126.50–$210 varies
T3 Free (84481) $318.80 $398.50 18.8×
T3 reverse (84482) $134.80 $168.50 8.6×
T3 Total (84480) $77.20 $96.50 5.4×
T3 Uptake (84479) $31.20 $39 4.8×
T4 Free (84439)
range across 3 matching MRF lines
$52.40–$103.60 $65.50–$129.50 varies
T4 total (84436) $64.40 $80.50 9.4×
Tacrolimus (80197) $124.80 $156 9.1×
Test for acetone/ketones (82009)
range across 2 matching MRF lines
$53.60–$59.60 $67–$74.50 varies
Testosterone total (84403) $169.60 $212 6.6×
Testosterone, Free (84402) $169.60 $212 6.7×
Tetanus antibody (86774) $129.20 $161.50 8.7×
Theophylline (80198) $258.40 $323 18.3×
Thrombin Time (85670)
range across 2 matching MRF lines
$51.60–$82 $64.50–$102.50 varies
Thromboplastin Inhibition Tissue (85705) $92 $115 9.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines
$61.20–$82.40 $76.50–$103 varies
Thyroglobulin (84432) $134.80 $168.50 8.4×
Thyroglobulin Antibody (86800) $129.20 $161.50 8.1×
Thyroid Stimulating Immunoglobulin (84445) $674.40 $843 13.3×
Thyroxine binding globulin (84442) $132.40 $165.50 9.0×
Tiss Trnsgltmnase Ea Ig Clas (86364) $166.40 $208 14.4×
Tissue Culture (88233) $700.80 $876 5.0×
Tissue Culture Amniotic Fluid (88235) $940.40 $1,175.50 6.3×
Tissue culture bone marrow (88237)
range across 2 matching MRF lines
$318–$359.60 $397.50–$449.50 varies
Tissue Culture Lymphocyte (88230)
range across 3 matching MRF lines
$733.60–$940.40 $917–$1,175.50 varies
Tobramycin peak (80200)
range across 2 matching MRF lines
$73.20–$291.20 $91.50–$364 varies
Topiramate (80201) $114.40 $143 9.6×
Toxoplasma ab igm (86778)
range across 3 matching MRF lines
$101.20–$227.20 $126.50–$284 varies
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$127.20–$227.20 $159–$284 varies
Tpmt gene com variants (81335) $167.20 $209 1.0×
Transferase Aspartate Amino Ast Sgot (84450) $81.60 $102 15.8×
Transferrin (84466) $95.20 $119 7.5×
Trb@ Rearrangement Anal Amplification Method (81340) $263.60 $329.50 1.3×
Trg gene rearrangement anal (81342) $250.80 $313.50 1.2×
Trichinella Antibody (86784) $310 $387.50 24.7×
Trichomonas vagin dir probe (87660) $97.20 $121.50 4.8×
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$136–$340.80 $170–$426 varies
Triglycerides (84478)
range across 3 matching MRF lines
$59.60–$110.40 $74.50–$138 varies
Troponin Quant (84484) $118 $147.50 9.5×
Troponin, qualitative (84512) $246.80 $308.50 24.5×
Tumor immunohistochem/comput (88361) $298 $372.50 0.9×
Tumor Immunohistochem/Manual (88360) $256.40 $320.50 1.6×
Ugt1a1 gene analysis common variants (81350) $1,667.60 $2,084.50 7.1×
Unlisted Transfusion Medicine Procedure (86999)
range across 3 matching MRF lines
$24.40–$185.20 $30.50–$231.50 varies
Urea nitrogen urine (84540) $83.60 $104.50 15.0×
Uric acid other source (84560)
range across 3 matching MRF lines
$35.60–$73.20 $44.50–$91.50 varies
Urinalysis Microscopic Only (81015) $22.40 $28 7.3×
Urinalysis Volume Measure (81050) $37.60 $47 10.3×
Urine Albumin Semiquantitative (82044) $52 $65 8.3×
Urine Bacteria Culture (87088) $157.20 $196.50 19.4×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$22–$158.40 $27.50–$198 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 3 matching MRF lines
$30.80–$101.60 $38.50–$127 varies
Valproic acid (80164) $244.80 $306 18.1×
Vancomycin (80202)
range across 2 matching MRF lines
$173.20–$207.60 $216.50–$259.50 varies
Varicella-zoster antibody (86787)
range across 3 matching MRF lines
$123.20–$270 $154–$337.50 varies
Vasopressin (84588) $197.20 $246.50 5.8×
Very Long Chain Fatty Acids (82726) $242.40 $303 12.3×
Viral Culture (87252)
range across 3 matching MRF lines
$60–$356 $75–$445 varies
Virus antibody nos (86790)
range across 14 matching MRF lines
$62–$650.80 $77.50–$813.50 varies
Virus inoculate tissue addl (87253) $468.40 $585.50 23.2×
Virus inoculation, shell via (87254)
range across 4 matching MRF lines
$136–$356 $170–$445 varies
Viscosity serum (85810) $88 $110 7.5×
Vit D 1 25-Dihydroxy (82652) $144.40 $180.50 3.8×
Vitamin A (84590) $77.20 $96.50 6.6×
Vitamin b-12 (82607) $142.80 $178.50 9.5×
Vitamin B2 (Riboflavin) (84252)
range across 3 matching MRF lines
$181.20–$574 $226.50–$717.50 varies
Vitamin B6 (84207) $202.80 $253.50 7.2×
Vitamin c (82180) $73.20 $91.50 7.4×
Vitamin D 25-Hydroxy (82306) $309.60 $387 10.5×
Vitamin E (84446)
range across 2 matching MRF lines
$91.60–$179.20 $114.50–$224 varies
Vitamin K (84597) $88.40 $110.50 6.4×
Volatiles (84600)
range across 3 matching MRF lines
$98.80–$1,760 $123.50–$2,200 varies
Von willebrand factor ag (85246)
range across 3 matching MRF lines
$110.80–$220 $138.50–$275 varies
Wbc Alkaline Phosphatase Count (85540) $48.40 $60.50 5.6×
Western Blot Test (84181)
range across 3 matching MRF lines
$124–$266.80 $155–$333.50 varies
Xylose Absorption Test (84620) $244.80 $306 19.0×
Zika Virus Dna/Rna Amp Probe (87662) $410 $512.50 8.0×
Zika Virus Igm Antibody (86794) $62.80 $78.50 3.7×
Zinc (84630) $64 $80 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.