Lab & pathology prices at SSM Health Monroe Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
5 Nucleotidase (83915) $23.10 $42 2.1×
Abl1 gene analysis kinase domain variants (81170) $917.40 $1,668 3.1×
Acetylcholine receptor binding antibody (86041)
range across 2 matching MRF lines
$20.90–$47.30 $38–$86 varies
Acetylcholine receptor blocking antibody (86042)
range across 2 matching MRF lines
$26.40–$47.30 $48–$86 varies
Acetylcholn Rcptr Modlg Antb (86043) $41.80 $76 3.5×
Acth (82024) $203.50 $370 5.3×
Actin smooth muscle antibody each (86015) $17.05 $31 1.4×
Acute hepatitis panel (80074) $299.75 $545 6.3×
Acylcarnitines Quant (82017) $132 $240 7.8×
Adenovirus antibody (86603) $86.90 $158 6.8×
Albumin Fluid (82042) $39.05 $71 5.0×
Albumin serum (82040) $25.85 $47 5.2×
Aldolase (82085) $66.55 $121 6.9×
Aldosterone urine (82088) $187.55 $341 4.6×
Alkaline phosphatase isoenzymes (84080) $116.60 $212 7.9×
Allergen spec ige qual multiallergen screen (86005) $154.55 $281 19.4×
Allergen specific ige (86003)
range across 2 matching MRF lines
$19.25–$47.30 $35–$86 varies
Allg Spec Ige Recomb Ea (86008)
range across 3 matching MRF lines
$35.20–$402.60 $64–$732 varies
Alpha-1-antitrypsin phenotype (82104) $143 $260 9.9×
Alpha-1-antitrypsin total (82103) $22.55 $41 1.7×
Alpha-Fetoprotein Amniotic Fluid (82106) $105.05 $191 6.2×
Alpha-Fetoprotein Serum (82105) $106.70 $194 6.4×
Alt (sgpt) (84460)
range across 2 matching MRF lines
$29.15–$99 $53–$180 varies
Aluminum (82108) $124.30 $226 4.9×
Amino Acids 1 Quantitative Each Specimen (82131) $284.90 $518 12.4×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $240.62 $437.50 14.3×
Ammonia (82140) $63.80 $116 4.4×
Amniotic fluid protein test on cervicovaginal fluid (84112) $77.55 $141 0.8×
Amylase urine (82150)
range across 3 matching MRF lines
$26.40–$39.60 $48–$72 varies
Ana Titer (86039)
range across 2 matching MRF lines
$55–$150.15 $100–$273 varies
Anca screen each antibody (86036)
range across 2 matching MRF lines
$16.50–$59.95 $30–$109 varies
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$8.25–$25.30 $15–$46 varies
Anti-Phospholipid Antibody (86148) $125.95 $229 7.8×
Antibody aspergillus (86606) $93.50 $170 6.2×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 5 matching MRF lines
$14.30–$76.45 $26–$139 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$15.40–$122.10 $28–$222 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $111.65 $203 8.5×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $45.65 $83 3.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $117.15 $213 6.5×
Antibody helicobacter pylori (86677) $115.50 $210 6.9×
Antibody Herpes Smplx Type 1 (86695) $22 $40 1.7×
Antibody HIV-1&HIV-2 single result (86703) $103.40 $188 7.5×
Antibody HIV-2 (86702) $124.85 $227 9.2×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 2 matching MRF lines
$82.50–$140.80 $150–$256 varies
Antibody identification leukocyte antibodies (86021) $245.30 $446 16.3×
Antibody Identification Platelet Immunogl Assay (86023) $101.20 $184 8.1×
Antibody plasmodium malaria (86750) $114.40 $208 8.7×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$18.48–$37.95 $33.60–$69 varies
Antibody Titer (86886) $66.55 $121 12.8×
Antibody Treponema Pallidum (86780)
range across 4 matching MRF lines
$14.30–$144.10 $26–$262 varies
Antibody yersinia (86793) $95.15 $173 7.2×
Antibody; encephalitis, st. louis (86653) $86.35 $157 6.5×
Antigen typing (86905)
range across 4 matching MRF lines
$7.15–$393.80 $13–$716 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $44.55 $81 7.8×
Antinuclear antibodies (86038)
range across 4 matching MRF lines
$7.70–$150.70 $14–$274 varies
Antistreptolysin o titer (86060) $97.90 $178 13.4×
Antithrombin iii activity (85300) $113.85 $207 9.6×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $542.30 $986 14.4×
Aquaporin-4 Antb Cba Each (86052) $75.96 $138.10 6.3×
Aquaporin-4 Antb Elisa (86051) $117.15 $213 10.2×
Arsenic (82175) $114.95 $209 6.1×
Aspergillus ag eia (87305) $76.45 $139 6.4×
Assay activated protein c (85307) $139.15 $253 9.1×
Assay Blood Carbon Dioxide (82374) $28.05 $51 5.7×
Assay Nephelometry Not Spec (83883) $89.10 $162 6.6×
Assay of 5-hiaa (83497) $100.65 $183 7.8×
Assay of anti-mullerian hormone (82166) $57.20 $104 1.5×
Assay of blood/uric acid (84550) $29.15 $53 6.4×
Assay of calcium in urine (82340)
range across 3 matching MRF lines
$13.20–$46.38 $24–$84.33 varies
Assay of cpk in blood (82552) $111.10 $202 8.3×
Assay of g6pd enzyme (82955) $75.90 $138 7.8×
Assay of gammaglobulin igm (82784)
range across 8 matching MRF lines
$10.45–$68.75 $19–$125 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$99–$129.80 $180–$236 varies
Assay of manganese (83785) $101.20 $184 3.8×
Assay of metanephrines (83835)
range across 3 matching MRF lines
$27.19–$143.55 $49.44–$261 varies
Assay of proinsulin (84206) $207.35 $377 7.8×
Assay of pyruvate (84210) $7.70 $14 0.5×
Assay of serotonin (84260) $233.75 $425 7.5×
Assay of serum potassium (84132) $26.40 $48 5.5×
Assay of Sialic Acid (84275) $70.40 $128 5.2×
Assay of sweat sodium (84302) $38.50 $70 7.9×
Assay of transcortin (84449) $66.55 $121 3.7×
Assay of Tyrosine (84510) $53.35 $97 5.0×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$29.15–$35.75 $53–$65 varies
Assay of urine vma (84585) $111.10 $202 7.2×
Assay of vasoactive intestinal peptide (84586) $196.90 $358 5.6×
Assay of vitamin b-1 (84425) $135.30 $246 6.4×
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$8.80–$13.20 $16–$24 varies
Assay spec xcp ur&breath ia (82077)
range across 3 matching MRF lines
$62.15–$80.30 $113–$146 varies
Asy carbamazepin 10,11-epxid (80161) $85.80 $156 4.6×
Autol Bld/Component Collj Storage Predeposited (86890) $239.80 $436 1.4×
Automated Leukocyte Count (85048) $33 $60 13.0×
B cells total count (86355)
range across 2 matching MRF lines
$79.20–$104.50 $144–$190 varies
Babesia microti amp prb (87469)
range across 2 matching MRF lines
$100.65–$123.20 $183–$224 varies
Bartonella antibody (86611) $18.15 $33 1.8×
Bcr/abl1 gene major bp (81206) $543.95 $989 3.3×
Beta 2 glycoprotein i antibody each (86146) $174.35 $317 6.9×
Beta hydroxybutyrate (82010) $54.45 $99 6.7×
Beta Lactamase (87185) $22 $40 4.6×
Beta-2 Microglobulin (82232) $135.30 $246 8.4×
Beta-amyloid; 1-42 (abeta 42) (82234) $275 $500 2.1×
Bile acids total (82239) $78.10 $142 4.6×
Bilirubin direct (82248) $30.25 $55 6.0×
Bilirubin total (82247) $30.25 $55 6.0×
Biotinidase (82261) $55.55 $101 3.3×
Blastomyces antibody (86612)
range across 2 matching MRF lines
$13.55–$110 $24.64–$200 varies
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $204.60 $372 1.2×
Bld Typing Serologic Rh Phnt (86906)
range across 2 matching MRF lines
$42.90–$48.40 $78–$88 varies
Bleeding time test (85002) $51.70 $94 10.7×
Blood Count Manual Cell Count Each (85032) $37.40 $68 8.7×
Blood count reticulocyte automated (85045) $39.60 $72 9.9×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines
$9.35–$33.55 $17–$61 varies
Blood count spun microhematocrit (85013) $15.40 $28 2.2×
Blood gas (82803) $96.25 $175 3.7×
Blood gases w/02 saturation (82805)
range across 4 matching MRF lines
$189.20–$267.30 $344–$486 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274)
range across 2 matching MRF lines
$91.30–$91.85 $166–$167 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $24.75 $45 5.7×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 5 matching MRF lines
$117.70–$188.65 $214–$343 varies
Blood typing serologic abo (86900)
range across 3 matching MRF lines
$33.55–$187 $61–$340 varies
Bone marrow smear interpretation (85097) $101.20 $184 0.1×
Braf gene analysis (81210) $116.60 $212 0.7×
Brca1&2 gen full seq dup/del (81162) $4,446.20 $8,084 2.4×
Brca2 Gene Analysis Known Familial Variant (81217) $917.40 $1,668 2.4×
Brucella antibody (86622) $81.40 $148 9.1×
C diff amplified probe (87493)
range across 2 matching MRF lines
$127.60–$156.20 $232–$284 varies
C-Peptide (84681) $146.85 $267 7.1×
C-reactive protein (86140) $57.20 $104 11.0×
Ca 19-9 (86301) $118.80 $216 5.7×
Cadmium (82300) $47.85 $87 2.0×
Calcium ionized (82330) $166.10 $302 12.1×
Calcium total (82310) $33 $60 6.4×
Calculus Spectroscopy (82365) $97.35 $177 7.5×
Calprotectin Fecal (83993) $149.05 $271 7.6×
Calr gene com variants (81219) $460.90 $838 3.8×
Cancer Antigen 125 (86304) $150.70 $274 7.2×
Cancer Antigen 27.29 (86300) $150.70 $274 7.2×
Candida antibody (86628) $110 $200 9.2×
Carbamazepine total (80156) $300.30 $546 20.6×
Carboxyhemoglobin (82375) $80.85 $147 6.6×
Carcinoembryonic antigen (82378) $140.25 $255 7.4×
Cardiolipin ab iga (86147)
range across 2 matching MRF lines
$138.60–$174.35 $252–$317 varies
Catecholamines fractionated (82384)
range across 2 matching MRF lines
$33–$190.85 $60–$347 varies
Ccp antibody (86200) $182.60 $332 14.1×
Cebpa Gene Analysis Full Gene Sequence (81218) $917.40 $1,668 3.8×
Cell count csf (89051)
range across 2 matching MRF lines
$69.30–$204.60 $126–$372 varies
Cell marker study (88182) $148.50 $270 2.9×
Ceruloplasmin (82390) $88.55 $161 8.2×
Cftr gene com variants (81220) $245.85 $447 0.4×
Chemiluminescent assay (82397)
range across 5 matching MRF lines
$33.55–$288.75 $61–$525 varies
Chlamydia Igm Antibody (86632) $100.10 $182 7.9×
Chloride other source (82438)
range across 2 matching MRF lines
$49.50–$54.45 $90–$99 varies
Chloride Serum (82435) $27.50 $50 6.0×
Chloride urine (82436)
range across 3 matching MRF lines
$13.20–$33.55 $24–$61 varies
Cholesterol total (82465)
range across 2 matching MRF lines
$4.95–$27.50 $9–$50 varies
Chorionic gonadotropin test (84702) $99.55 $181 6.6×
Chromogranin a (86316)
range across 2 matching MRF lines
$73.70–$164.45 $134–$299 varies
Chromosome Analysis 15-20 (88262) $2,496.45 $4,539 19.9×
Chromosome Analysis 20-25 (88264)
range across 2 matching MRF lines
$459.25–$2,397.45 $835–$4,359 varies
Chromosome analysis 45 cells (88263) $2,744.50 $4,990 18.3×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 4 matching MRF lines
$29.70–$185.35 $54–$337 varies
Citric acid urine (82507)
range across 2 matching MRF lines
$13.20–$221.10 $24–$402 varies
Ckmb (82553) $72.60 $132 6.3×
Clostridium Difficile (87324) $76.45 $139 6.4×
Clot factor xiii fibrin stab (85290) $125.40 $228 7.7×
Clotting Funct Activity (85397)
range across 2 matching MRF lines
$211.75–$271.15 $385–$493 varies
Cns DNA amp probe type 12-25 (87483) $572 $1,040 1.4×
Coagulation time activated (85347) $32.45 $59 7.6×
Coccidioides antibody (86635)
range across 3 matching MRF lines
$11–$111.65 $20–$203 varies
Cold agglutinin screen (86156) $51.70 $94 6.4×
Cold agglutinin titer (86157) $61.60 $112 7.6×
Column Chromotography Quant (82542)
range across 3 matching MRF lines
$60.50–$337.70 $110–$614 varies
Compatibility test antiglob (86922) $70.95 $129 0.4×
Complement Antigen Each Component (86160)
range across 6 matching MRF lines
$40.70–$110 $74–$200 varies
Complement Total (Ch50) (86162) $164.45 $299 8.1×
Complement/Function Activity (86161)
range across 2 matching MRF lines
$40.70–$125.40 $74–$228 varies
Consltj Compre Review Reprt Referred Matrl (88325) $1,045 $1,900 6.3×
Consltj&Reprt Material Requiring Prepj Slides (88323) $235.95 $429 4.7×
Consltj&Reprt Slides Prepared Elsewhere (88321) $414.70 $754 11.4×
Coombs direct (86880) $47.30 $86 8.8×
Copper urine (82525) $91.30 $166 7.4×
Cortisol free (82530) $143 $260 8.6×
Cortisol saliva (82533) $146.85 $267 9.0×
Creatine (82540)
range across 2 matching MRF lines
$71.50–$240.62 $130–$437.50 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$28.05–$40.15 $51–$73 varies
Creatinine blood (82565)
range across 2 matching MRF lines
$6.05–$30.25 $11–$55 varies
Creatinine clearance (82575) $183.15 $333 19.4×
Creatinine Urine (82570)
range across 5 matching MRF lines
$20.35–$240.62 $37–$437.50 varies
Crossmatch electronic (86923) $103.95 $189 0.6×
Crossmatch immediate spin (86920) $100.65 $183 0.6×
Crp High Sensitivity (86141) $76.45 $139 5.9×
Cryofibrinogen (82585) $129.80 $236 9.2×
Cryoglobulin (82595) $12.10 $22 1.9×
Cryptococcal Antigen (87327) $76.45 $139 5.7×
Cryptococcus ag titer (87899)
range across 4 matching MRF lines
$54.45–$134.75 $99–$245 varies
Cryptosporidium (87272) $88.55 $161 7.4×
Cryptosporidium ag eia (87328) $76.45 $139 5.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines
$14.85–$167.20 $27–$304 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $70.40 $128 8.7×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $57.20 $104 7.4×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $388.85 $707 1.8×
Culture afb (87116)
range across 3 matching MRF lines
$68.20–$92.40 $124–$168 varies
Culture Anaerobic (87075) $70.40 $128 7.4×
Culture blood (87040) $64.35 $117 6.2×
Culture chlamydia (87110) $97.35 $177 5.0×
Culture csf (87070)
range across 14 matching MRF lines
$6.60–$62.70 $12–$114 varies
Culture fungus (87102)
range across 2 matching MRF lines
$57.20–$61.05 $104–$111 varies
Culture fungus blood (87103)
range across 2 matching MRF lines
$43.45–$74.25 $79–$135 varies
Culture screen only (87081)
range across 9 matching MRF lines
$17.05–$57.20 $31–$104 varies
Culture stool (87045) $65.45 $119 6.9×
Culture typing if ea antiserum (87140) $47.30 $86 8.5×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 3 matching MRF lines
$75.90–$96.80 $138–$176 varies
Culture typing other methods (87158)
range across 2 matching MRF lines
$50.05–$103.40 $91–$188 varies
Culture urine (87086) $139.15 $253 17.2×
Cyanide (82600) $93.50 $170 4.8×
Cyclosporine (80158) $103.95 $189 5.8×
Cyp2c19 gene analysis common variants (81225) $822.25 $1,495 2.8×
Cystatin C (82610) $49.50 $90 2.7×
Cytogenetics 10-30 (88273) $339.90 $618 9.8×
Cytogenetics 100-300 (88275) $160.53 $291.87 3.1×
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 2 matching MRF lines
$1,423.08–$5,593.50 $2,587.42–$10,170 varies
Cytomegalovirus igg (86644)
range across 3 matching MRF lines
$15.40–$117.15 $28–$213 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$42.35–$72.05 $77–$131 varies
Cytopath Cell Enhance Tech (88112)
range across 2 matching MRF lines
$167.93–$381.70 $305.33–$694 varies
Cytp Concentration Smears & Interpretation (88108) $152.90 $278 4.2×
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 2 matching MRF lines
$383.90–$402.60 $698–$732 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $114.95 $209 0.7×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $70.40 $128 3.8×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $226.05 $411 8.0×
Deoxyribonuclease antibody (86215) $106.70 $194 8.1×
Desoxycorticosterone (82633) $96.80 $176 3.1×
Detect Agent Nos Dna Amp (87798)
range across 23 matching MRF lines
$4.12–$487.85 $7.50–$887 varies
Detect Agent Nos Dna Quant (87799)
range across 5 matching MRF lines
$186.45–$553.30 $339–$1,006 varies
Detect agnt mult DNA ampli (87801) $233.75 $425 3.3×
Dgp Antibody Each Ig Class (86258)
range across 2 matching MRF lines
$7.70–$18.70 $14–$34 varies
Dhea (82626) $148.50 $270 5.9×
Dhea-S (82627) $8.52 $15.50 0.4×
Digoxin (80162) $143.55 $261 10.8×
Digoxin free (80163) $215.05 $391 16.2×
Dipropylacetic Acid Free (80165) $215.05 $391 15.9×
Dna Antibody Native/Double Stranded (86225)
range across 5 matching MRF lines
$28.60–$264 $52–$480 varies
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines
$68.20–$92.40 $124–$168 varies
Dna/Rna Sequencing (87153)
range across 3 matching MRF lines
$108.35–$564.85 $197–$1,027 varies
Dpyd gene common variants (81232) $673.75 $1,225 3.9×
Drug assay acetaminophen (80143) $102.85 $187 5.5×
Drug assay adalimumab (80145) $301.95 $549 7.8×
Drug Assay Amiodarone (80151) $46.20 $84 2.5×
Drug Assay Everolimus (80169) $72.05 $131 5.2×
Drug Assay Infliximab (80230) $251.35 $457 6.5×
Drug Assay Lacosamide (80235) $160.05 $291 5.9×
Drug Assay Leflunomide (80193) $100.65 $183 2.6×
Drug Assay Vedolizumab (80280) $312.95 $569 8.1×
Drug Screen Quant Clozapine (80159) $108.90 $198 5.4×
Drug Screen Quant Zonisamide (80203) $123.75 $225 9.3×
Drug Screen Quantitative Gabapentin (80171) $102.85 $187 4.7×
Drug Screen Quantitative Lamotrigine (80175) $109.45 $199 8.3×
Drug Screen Quantitative Levetiracetam (80177) $66.55 $121 5.0×
Drug Screen Quantitative Oxcarbazepine (80183) $72.60 $132 5.5×
Drug Screen Quantitative Tiagabine (80199) $95.70 $174 3.5×
Drug Test Prsmv Chem Anlyzr (80307)
range across 10 matching MRF lines
$15.40–$286.55 $28–$521 varies
Drug Test Prsmv Dir Opt Obs (80305) $143 $260 11.3×
Drug Test Prsmv Instrmnt (80306) $143 $260 8.3×
Egfr Gene Analysis Common Variants (81235) $1,138.50 $2,070 3.5×
Ehrlichia antibody (86666)
range across 3 matching MRF lines
$26.95–$122.10 $49–$222 varies
El-1 Fecal Quantitative (82653) $123.75 $225 5.4×
Electrolyte panel (80051) $57.20 $104 8.2×
Electron Microscopy (88348) $1,423.95 $2,589 1.8×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $240.62 $437.50 3.9×
Encephaltis East Eqne Anbdy (86652) $86.35 $157 6.5×
Encephaltis West Eqne Antbdy (86654) $86.35 $157 6.5×
Endomysial Antibody Each Immunoglobulin Class (86231) $36.30 $66 3.0×
Enterovirus Antibody (86658)
range across 2 matching MRF lines
$85.25–$88.55 $155–$161 varies
Enterovirus PCR (87498)
range across 2 matching MRF lines
$137.50–$221.65 $250–$403 varies
Enzyme cell activity (82657)
range across 2 matching MRF lines
$123.75–$453.20 $225–$824 varies
Eosinophil Smear (89190) $61.05 $111 10.5×
Erythropoietin (82668) $157.30 $286 8.4×
Estradiol serum (82670)
range across 2 matching MRF lines
$94.05–$151.80 $171–$276 varies
Estriol (82677)
range across 2 matching MRF lines
$23.10–$111.10 $42–$202 varies
Ethosuximide (80168) $169.40 $308 10.4×
Ethylene Glycol (82693)
range across 2 matching MRF lines
$50.05–$123.75 $91–$225 varies
Exam Synovial Fluid Crystals (89060) $130.90 $238 17.9×
F2 Gene (81240) $206.25 $375 3.1×
Factor ii activity (85210) $57.75 $105 4.4×
Factor Inhibitor Test (85335) $574.75 $1,045 44.7×
Factor ix activity (85250) $139.15 $253 7.3×
Factor v activity (85220) $119.90 $218 6.8×
Factor v leiden mutation (81241) $226.60 $412 3.1×
Factor vii assay (85230) $231.55 $421 12.9×
Factor viii assay (85240)
range across 2 matching MRF lines
$96.80–$138.60 $176–$252 varies
Factor X (85260) $133.10 $242 7.4×
Factor xi activity (85270) $130.90 $238 7.3×
Factor xiii screen (85291) $75.35 $137 8.3×
Fatty acids free (82725) $530.75 $965 28.3×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $109.45 $199 6.4×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $124.85 $227 19.1×
Fecal Fat Qualitative (82705) $12.65 $23 2.5×
Ferritin (82728) $14.85 $27 1.1×
Fetal Aneuploidy Trisom Risk (81507) $899.80 $1,636 1.1×
Fetal Chrmoml Aneuploidy (81420) $978.45 $1,779 1.3×
Fetal Congenital Abnor Assay Four Anal (81511) $46.20 $84 0.3×
Fetal Fibronectin (82731) $155.65 $283 2.4×
Fetal screen rosette (85461) $33.55 $61 3.6×
Fibrin degradation products (85362)
range across 2 matching MRF lines
$23.65–$58.85 $43–$107 varies
Fibrin Degradation Quant (85379) $73.70 $134 7.2×
Fibrin dgradj products d-dimer qual/semiquan (85378) $68.75 $125 7.1×
Fibrinogen activity (85384) $56.10 $102 5.8×
Fibrinogen antigen (85385) $63.25 $115 4.4×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$125.40–$330 $228–$600 varies
Fluorescent antibody screen (86255)
range across 16 matching MRF lines
$23.65–$965.25 $43–$1,755 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 31 matching MRF lines
$36.30–$639.65 $66–$1,163 varies
Fmr1 gene detection (81243) $240.62 $437.50 4.2×
Folic Acid Serum (82746) $96.25 $175 6.5×
Follicle Stimulating Hormone (83001) $105.60 $192 5.7×
Francisella tularensis (86668) $110 $200 7.8×
Frozen Blood Each Unit Thawing (86931) $212.30 $386 1.3×
Frozen Section (88331) $436.15 $793 2.6×
Fungi Identification Mold (87107)
range across 2 matching MRF lines
$41.80–$139.15 $76–$253 varies
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$62.70–$129.25 $114–$235 varies
G6pd gene analysis full gene sequence (81249) $1,320 $2,400 2.2×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $82.50 $150 3.9×
Gammaglobulin ige (82785) $88 $160 5.3×
Gases blood ph only (82800) $68.20 $124 6.2×
Gastrin (82941) $96.25 $175 5.5×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507)
range across 3 matching MRF lines
$1,075.25–$1,506.18 $1,955–$2,738.50 varies
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $4,565.55 $8,301 6.0×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $4,131.05 $7,511 1.4×
Genet Virus Isolate Hsv (87255) $127.05 $231 3.8×
Gentamicin (80170) $159.50 $290 9.7×
Ggt (82977) $27.50 $50 3.8×
Giardia antigen (87329) $76.45 $139 6.4×
Glucagon (82943) $121 $220 8.5×
Glucose Blood Test (82962) $24.75 $45 7.5×
Glucose body fluid (82945) $70.95 $129 18.1×
Glucose Serum (82947)
range across 2 matching MRF lines
$28.05–$35.75 $51–$65 varies
Glycated Protein (82985) $11.70 $21.28 0.7×
Gonadotropin Chorionic Qualitative (84703) $58.85 $107 7.8×
Growth hormone (83003) $102.30 $186 6.1×
H Pylori (C-13) Breath (83013) $127.05 $231 1.9×
Haptoglobin (83010) $80.85 $147 6.4×
Hba1/Hba2 Gene (81257) $880 $1,600 8.6×
Hba1/Hba2 Gene Dup/Del Vrnts (81269)
range across 2 matching MRF lines
$412.50–$2,519.55 $750–$4,581 varies
Hdl Cholesterol (83718) $63.25 $115 7.7×
Helicobacter Pylori Stool (87338) $40.15 $73 2.8×
Helminth Antibody (86682)
range across 2 matching MRF lines
$40.70–$191.95 $74–$349 varies
Hematocrit (85014)
range across 3 matching MRF lines
$11.55–$25.30 $21–$46 varies
Hemoglobin (85018) $26.40 $48 11.1×
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$41.80–$61.05 $76–$111 varies
Hemoglobin Chromotography (83021) $74.25 $135 4.1×
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$35.75–$90.75 $65–$165 varies
Hemoglobin Methemoglobin Quantitative (83050) $36.30 $66 4.4×
Hemoglobin plasma (83051) $39.60 $72 5.4×
Hemoglobin stability screen (83068) $115.50 $210 12.2×
Hemoglobin urine (83069) $25.30 $46 6.4×
Hemolysins&Agglutinins Incubated (86941) $75.90 $138 6.3×
Hemosiderin urine (83070) $28.60 $52 6.0×
Hep a ab igm (86709) $89.10 $162 7.9×
Heparin assay (85520) $96.80 $176 7.4×
Heparin Neutralization (85525) $82.50 $150 7.0×
Hepatitis a antibody total (86708) $94.05 $171 7.6×
Hepatitis b core ab igm (86705) $96.80 $176 8.2×
Hepatitis b core ab total (86704) $90.75 $165 7.5×
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$80.85–$290.40 $147–$528 varies
Hepatitis B Surface Antigen (87340) $76.45 $139 7.4×
Hepatitis Be Antibody (86707) $88 $160 7.6×
Hepatitis Be Antigen (87350) $77 $140 6.7×
Hepatitis C Antibody (86803) $128.70 $234 9.0×
Hepatitis c antibody confirmatory test (86804) $200.20 $364 12.9×
Hepatitis C Genotype (87902) $862.95 $1,569 3.4×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$130.90–$167.20 $238–$304 varies
Hepatitis Delta Agent Antibody (86692) $139.70 $254 8.1×
Herpes simplex type 2 (86696) $22 $40 1.1×
Heterophile Antibody Screen (86308) $57.75 $105 11.1×
Hfe Gene (81256) $514.25 $935 7.9×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $62.70 $114 8.1×
Histamine urine (83088) $34.10 $62 1.2×
Histoplasma antibody (86698)
range across 2 matching MRF lines
$20.35–$101.20 $37–$184 varies
Histoplasma antigen urine (87385)
range across 2 matching MRF lines
$72.60–$99 $132–$180 varies
Hiv Genotype (87901) $866.25 $1,575 3.4×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $81.95 $149 3.4×
Hiv-1 Antibody (86701) $74.25 $135 8.4×
Hiv-1 Quant&Revrse Trnscrpj (87536) $475.75 $865 5.6×
Hla Class I Typing Low Resolution Complete (81372) $277.75 $505 0.7×
Hla class i&ii antibody qual (86828) $378.40 $688 5.9×
Hla class ii typing high resolution one locus ea (81382) $796.40 $1,448 6.4×
Hla I Typing 1 Allele Hr (81381) $356.95 $649 2.1×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $65.45 $119 0.3×
Hla ii typing 1 locus lr (81376)
range across 2 matching MRF lines
$84.70–$328.90 $154–$598 varies
Hla Typing Dr/Dq Single Antigen (86816) $231.55 $421 7.7×
Hla-b27 (86812) $163.90 $298 6.4×
Homocysteine (83090) $87.45 $159 4.9×
Homogenization Tissue (87176) $32.45 $59 5.5×
Homovanillic acid urine (83150) $393.25 $715 17.5×
Hpv High-Risk Types (87624)
range across 4 matching MRF lines
$44–$276.10 $80–$502 varies
Hpv Types 16 & 18 Only (87625) $127.05 $231 3.1×
Hsv Dna Amp Probe (87529)
range across 6 matching MRF lines
$47.85–$261.80 $87–$476 varies
Htlv-I Antibody (86687) $103.40 $188 11.4×
Human Epididymis Protein 4 (86305) $239.25 $435 11.5×
Hydroxyprogesterone 17-d (83498) $143 $260 5.3×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $118.80 $216 11.5×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $72.60 $132 5.2×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $124.85 $227 3.5×
Iaadi herpes smplx virus type 1 (87274) $85.25 $155 7.1×
Iaadi herpes smplx virus type 2 (87273) $85.25 $155 7.1×
Iaadi pneumocustis carinii (87281) $84.15 $153 7.0×
Iaadi Varicella Zoster Virus (87290) $83.60 $152 6.2×
Iadna anaplasma phagocytophilum amplifed prb tq (87468)
range across 2 matching MRF lines
$41.25–$100.65 $75–$183 varies
Iadna Bartonella Amplified Probe Technique (87471) $195.25 $355 5.6×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)
range across 2 matching MRF lines
$118.25–$220 $215–$400 varies
Iadna Candida Species Amplified Probe Tq (87481) $182.60 $332 5.2×
Iadna chlamydia pneumoniae amplified probe tq (87486) $141.90 $258 4.0×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines
$62.70–$191.95 $114–$349 varies
Iadna Cytomegalovirus Quantification (87497) $301.40 $548 7.0×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $132.55 $241 1.9×
Iadna ehrlichia chaffeensis amplified probe tq (87484)
range across 2 matching MRF lines
$41.25–$100.65 $75–$183 varies
Iadna Hepatitis B Virus Quantification (87517) $237.05 $431 5.5×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $202.40 $368 5.8×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $200.20 $364 2.6×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $107.80 $196 2.2×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines
$171.60–$185.35 $312–$337 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581) $140.80 $256 4.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 3 matching MRF lines
$73.70–$179.85 $134–$327 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $160.60 $292 3.1×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $354.20 $644 2.5×
Iadna-Dna/Rna Probe Tq 6-11 (87506)
range across 2 matching MRF lines
$155.10–$459.80 $282–$836 varies
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines
$41.25–$112.20 $75–$204 varies
Igg subclasses (82787) $207.90 $378 25.9×
Igh gene rearrange amp meth (81261) $437.80 $796 2.2×
Igk rearrangeabn clonal pop (81264) $489.50 $890 2.8×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $63.80 $116 0.2×
Immune Complex Assay (86332) $204.60 $372 8.4×
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$171.05–$258.50 $311–$470 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 2 matching MRF lines
$79.75–$115.97 $145–$210.86 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $704.55 $1,281 47.0×
Immunoassay nonantibody (83516)
range across 14 matching MRF lines
$15.12–$315.15 $27.50–$573 varies
Immunodiffusion Ouchterlony (86331)
range across 2 matching MRF lines
$132.55–$138.60 $241–$252 varies
Immunofixation electrophoresis (86334)
range across 3 matching MRF lines
$44–$215.60 $80–$392 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 3 matching MRF lines
$181.50–$248.60 $330–$452 varies
Immunohistochemistry (88342)
range across 5 matching MRF lines
$77.44–$382.25 $140.80–$695 varies
In situ hybridization 1st probe stain (88365) $603.35 $1,097 3.6×
In situ hybridization ea multiplex probe stain (88366)
range across 2 matching MRF lines
$418–$695.75 $760–$1,265 varies
Influenza a/b ag eia (87400) $72.60 $132 5.1×
Influenza DNA amp probe (87502) $156.20 $284 1.6×
Inhibin A (86336) $148.50 $270 9.5×
Inhibin b (83520)
range across 10 matching MRF lines
$42.90–$408.10 $78–$742 varies
Insulin antibodies (86337)
range across 2 matching MRF lines
$27.50–$187.55 $50–$341 varies
Insulin total (83525) $130.90 $238 11.5×
Intrinsic factor antibody (86340) $122.10 $222 8.1×
Iron (83540) $40.70 $74 6.3×
Iron Binding Capacity (83550) $60.50 $110 6.9×
Islet cell antibody (86341)
range across 6 matching MRF lines
$30.28–$163.35 $55.05–$297 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines
$325.60–$404.80 $592–$736 varies
Kit Gene Analysis D816 Variant(S) (81273) $641.30 $1,166 5.1×
Kit Gene Analysis Targeted Sequence Analysis (81272) $917.40 $1,668 2.8×
Koh Prep (87220) $36.30 $66 8.5×
Kras Gene Analysis Additional Variant(S) (81276) $548.90 $998 2.8×
Kras Gene Variants Exon 2 (81275) $112.75 $205 0.6×
Lactate (ld) (ldh) enzyme (83615) $40.15 $73 6.6×
Lactoferrin fecal qualitative (83630) $105.05 $191 5.3×
Lamellar Body Count (83664) $88 $160 4.6×
Ldh Isoenzymes (83625) $128.70 $234 10.1×
LDL direct (83721) $70.95 $129 6.8×
Lead (83655)
range across 2 matching MRF lines
$8.25–$85.25 $15–$155 varies
Legionella antibody (86713) $103.40 $188 6.8×
Legionella antigen urine (87449)
range across 6 matching MRF lines
$72.60–$156.20 $132–$284 varies
Legionella pneumophila dfa (87278) $69.30 $126 4.4×
Leptospira antibody (86720) $84.70 $154 5.2×
Leukocyte Assessment Fecal (89055) $52.80 $96 12.4×
Level I Surg Pathology Gross Examination Only (88300) $75.35 $137 2.7×
Level ii surg pathology gross&microscopic exam (88302) $99.55 $181 2.7×
Level V Surg Pathology Gross&Microscopic Exam (88307) $1,045 $1,900 3.0×
Lipase (83690) $116.05 $211 16.8×
Lipoprotein A (83695) $78.10 $142 5.5×
Lipoprotein Bld Quan Part (83704)
range across 2 matching MRF lines
$52.80–$157.30 $96–$286 varies
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $58.30 $106 5.2×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $170.50 $310 5.0×
Lithium (80178) $99.55 $181 15.1×
Luteinizing Hormone (Lh) (83002) $105.60 $192 5.7×
Lyme disease antibody (86618)
range across 7 matching MRF lines
$15.40–$130.90 $28–$238 varies
Lymphocyte transformation (86353) $373.45 $679 7.6×
Lysozyme serum (85549) $63.25 $115 3.4×
M. Genitalium Amp Probe (87563) $88.55 $161 2.5×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 4 matching MRF lines
$97.90–$881.65 $178–$1,603 varies
Macroscopic exam arthropod (87168)
range across 2 matching MRF lines
$84.70–$117.15 $154–$213 varies
Macroscopic Exam Parasite (87169)
range across 2 matching MRF lines
$14.85–$36.30 $27–$66 varies
Magnesium Urine (83735)
range across 4 matching MRF lines
$13.20–$39.05 $24–$71 varies
Mass Spectrometry Quant (83789) $103.95 $189 4.3×
Mercury urine (83825) $97.90 $178 6.0×
Metabolic panel ionized ca (80047) $72.05 $131 5.2×
Methotrexate (80204) $138.60 $252 3.6×
Methylmalonic acid serum (83921)
range across 3 matching MRF lines
$24.75–$106.70 $45–$194 varies
Microalbumin, quantitative (82043) $49.50 $90 8.6×
Microsatellite instability (81301) $112.75 $205 0.3×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$10.45–$108.35 $19–$197 varies
Mitochondrial Antibody Each (86381) $17.60 $32 0.7×
Mlh1 Gene (81288) $610.50 $1,110 3.2×
Mlh1 Gene Analysis Known Familial Variants (81293) $730.95 $1,329 2.2×
Mog-Igg1 Antb Cba Each (86362) $339.90 $618 28.2×
Molecular Cytogenetics Dna Probe Each (88271) $121.56 $221.02 5.7×
Molecular Pathology Procedure Level 6 (81405) $990 $1,800 3.3×
Mononuclear cell antigen (86356)
range across 9 matching MRF lines
$52.25–$168.85 $95–$307 varies
Mopath procedure level 4 (81403) $816.75 $1,485 4.4×
Mopath procedure level 5 (81404) $605 $1,100 2.2×
Mopath procedure level 9 (81408) $643.50 $1,170 0.3×
Mpl gene common variants (81338) $475.20 $864 3.2×
Mrsa Pcr (87641) $185.35 $337 5.3×
Mthfr Gene Analysis Common Variants (81291) $928.40 $1,688 14.2×
Mucopolysaccharides acid quantitative (83864) $68.20 $124 2.4×
Muscle-Specific Kinase Antb (86366) $370.70 $674 20.1×
Mycoplasma antibody (86738) $22 $40 1.7×
Mycoplasma culture (87109)
range across 2 matching MRF lines
$37.95–$128.15 $69–$233 varies
Myd88 Gene P.Leu265pro Vrnt (81305) $1,522.40 $2,768 8.7×
Myelin basic protein csf (83873) $125.40 $228 7.3×
Myoglobin urine (83874) $89.10 $162 6.9×
Natriuretic peptide (83880)
range across 2 matching MRF lines
$52.25–$156.75 $95–$285 varies
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $392.70 $714 3.1×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $62.15 $113 2.1×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $806.85 $1,467 3.1×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $673.75 $1,225 4.7×
Nfct ds bv&vaginitis DNA alg (81515) $165 $300 0.6×
Nfct ds chrnc hcv 6 assays (81596) $397.10 $722 5.5×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $78.10 $142 3.0×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $1,405.80 $2,556 2.9×
Niacin (84591)
range across 2 matching MRF lines
$110–$114.95 $200–$209 varies
Nk cells total count (86357)
range across 2 matching MRF lines
$104.50–$266.75 $190–$485 varies
Nras gene variants exon 2&3 (81311) $823.90 $1,498 2.8×
Nuclear antigen antibody (86235)
range across 6 matching MRF lines
$13.86–$55 $25.20–$100 varies
Nudt15 Gene Common Variants (81306) $217.25 $395 0.7×
Obstetric panel (80081) $228.80 $416 3.1×
Occult blood feces (82272)
range across 2 matching MRF lines
$11–$122.10 $20–$222 varies
Occult Blood Other Sources (82271)
range across 2 matching MRF lines
$4.40–$37.40 $8–$68 varies
Oligoclonal bands (83916) $141.35 $257 5.2×
Oncology Prostate Prob Score (81539) $1,119.25 $2,035 1.5×
Organic acids urine (83918) $240.62 $437.50 10.2×
Osmolality serum (83930)
range across 2 matching MRF lines
$50.60–$59.40 $92–$108 varies
Osmolality Urine (83935) $67.10 $122 9.8×
Osmotic fragility rbc incubated (85557) $101.20 $184 7.6×
Osmotic Fragility RBC Unincubated (85555) $110 $200 14.7×
Osteocalcin (83937) $241.45 $439 8.1×
Ova and parasites smears (87177) $62.70 $114 7.0×
Oxalate urine (83945)
range across 3 matching MRF lines
$13.20–$88.55 $24–$161 varies
Particle Agglutination Screen Each Antibody (86403) $84.70 $154 7.3×
Parvovirus antibody (86747) $119.35 $217 7.9×
Path Consltj Surg Cytologic Exam Initial Site (88333) $228.80 $416 0.3×
Pathology Consultation During Surgery (88329) $177.10 $322 3.1×
Pca3/Klk3 Prostate Specific Antigen Ratio (81313) $916.30 $1,666 3.6×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $917.40 $1,668 2.8×
Ph urine (81003)
range across 4 matching MRF lines
$21.45–$51.70 $39–$94 varies
Phenobarbital Level (80184) $122.10 $222 8.0×
Phenotype Infect Agent Drug (87900) $404.25 $735 3.1×
Phenylalanine (84030) $42.35 $77 7.7×
Phenytoin (Dilantin) (80185) $143 $260 10.8×
Phenytoin free (80186) $147.95 $269 10.8×
Phosphatase acid prostatic (84066) $79.20 $144 8.2×
Phosphatase alkaline (84075) $28.05 $51 5.4×
Phospholipid Neutralization Hexagonal (85598) $100.65 $183 5.6×
Phosphorus Serum (84100) $23.65 $43 5.0×
Phosphorus urine (84105)
range across 3 matching MRF lines
$13.20–$49.50 $24–$90 varies
Pinworm exam (87172) $58.85 $107 13.8×
Platelet Aggregation (85576)
range across 4 matching MRF lines
$85.80–$106.70 $156–$194 varies
Platelet Antibodies (86022)
range across 3 matching MRF lines
$104.50–$361.90 $190–$658 varies
Platelet count automated (85049) $22 $40 4.9×
Pmp22 Gene Analysis Full Sequence Analysis (81325) $112.75 $205 0.1×
Pneumcysts jirovecii amp prb (87594) $242 $440 6.9×
Porphobilinogen, urine; quantitative (84110) $80.30 $146 9.5×
Porphyrins Urine Quantitation & Fractionation (84120) $124.30 $226 8.5×
Potassium Urine (84133)
range across 3 matching MRF lines
$13.20–$39.60 $24–$72 varies
Prealbumin (84134) $81.40 $148 5.6×
Pregnenolone (84140) $146.85 $267 7.1×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $119.35 $217 0.7×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $132.55 $241 2.3×
Pretx serum rbc antibody identification dilution (86976)
range across 2 matching MRF lines
$26.40–$130.90 $48–$238 varies
Procalcitonin (Pct) (84145) $85.25 $155 3.1×
Progesterone (84144) $132.55 $241 6.4×
Prolactin (84146) $135.85 $247 7.0×
Prostaglandin (84150)
range across 2 matching MRF lines
$143–$253 $260–$460 varies
Protein body fluid (84157) $35.20 $64 8.8×
Protein C Activity (85303) $132.55 $241 9.6×
Protein c antigen (85302) $116.05 $211 9.7×
Protein Electrophoresis Urine (84166) $94.60 $172 5.3×
Protein Electrophoretic Fractj&Quantj Serum (84165) $101.20 $184 9.4×
Protein S Free (85306)
range across 2 matching MRF lines
$42.90–$138.60 $78–$252 varies
Protein s total (85305) $134.20 $244 11.6×
Protein Total Refractometry Any Src (84160) $24.75 $45 4.4×
Protein total serum (84155) $31.90 $58 8.7×
Protein Total Urine (84156) $38.50 $70 10.5×
Protein Western Blot Test (84182)
range across 8 matching MRF lines
$41.25–$968 $75–$1,760 varies
Protoporphyrin rbc quantitative (84202) $94.60 $172 6.6×
PSA free (84154) $12.65 $23 0.7×
Pth Intact (83970)
range across 2 matching MRF lines
$241.45–$333.85 $439–$607 varies
Q Fever Antibody (86638)
range across 2 matching MRF lines
$28.60–$45.65 $52–$83 varies
Quantiferon tb gold plus (86480) $73.70 $134 1.2×
Quantitative assay drug (80299)
range across 4 matching MRF lines
$79.20–$1,517.45 $144–$2,759 varies
Quantitative Screen Metals (83018) $74.25 $135 3.4×
Rbc antibody elution (86860) $188.10 $342 1.1×
Rbc antibody identification (86870) $105.60 $192 0.3×
Rbc antibody screen (86850) $67.10 $122 6.9×
Rbc pretreatment serum (86978) $119.35 $217 2.1×
Rbc pretx incubatj w/enzymes (86971) $73.70 $134 0.4×
Rbc serum pretx incubj drugs (86975) $198.55 $361 0.5×
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines
$6.60–$24.20 $12–$44 varies
Renin activity plasma (84244) $183.15 $333 8.3×
Reptilase test (85635) $67.65 $123 6.9×
Resp virus 12-25 targets (87633) $773.30 $1,406 1.9×
Resp Virus 6-11 Targets (87632) $496.10 $902 2.3×
Reticulated Platelet Assay (85055) $92.40 $168 2.6×
Reticulocyte Count (85046) $18.70 $34 3.4×
Reticulocyte separation (86972) $168.85 $307 1.0×
Rh (86901)
range across 2 matching MRF lines
$20.35–$34.65 $37–$63 varies
Rheumatoid Factor Qualitative (86430) $52.25 $95 8.5×
Rheumatoid factor quant (86431) $55 $100 9.7×
Rickettsia antibody (86757)
range across 3 matching MRF lines
$37.95–$103.95 $69–$189 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$119.35–$147.40 $217–$268 varies
Rotavirus ag eia (87425) $72.60 $132 6.1×
Rpr qualitative (86592)
range across 5 matching MRF lines
$15.40–$36.30 $28–$66 varies
Rubella Antibody (86762)
range across 2 matching MRF lines
$15.40–$77 $28–$140 varies
Rubeola antibody (86765)
range across 2 matching MRF lines
$15.95–$122.10 $29–$222 varies
Russell Viper Venom Time Diluted (85613) $64.90 $118 6.8×
Salicylate Level (80179) $102.85 $187 5.5×
Sars-Cov-2 Covid-19 Amp Prb (87635) $130.35 $237 2.5×
Sars-cov-2 COVID-19 antibody (86769)
range across 3 matching MRF lines
$41.25–$101.20 $75–$184 varies
Sarscov2 & inf a&b amp prb (87636) $229.35 $417 1.6×
Sarscov2&inf a&b&rsv amp prb (87637) $264 $480 1.9×
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines
$25.85–$30.80 $47–$56 varies
Selenium (84255) $121.55 $221 4.8×
Semen Anal Sperm Detection (89321) $9.90 $18 0.8×
Sensitivity mic (87186)
range across 5 matching MRF lines
$101.20–$166.10 $184–$302 varies
Serpina 1 gene (81332) $166.10 $302 3.8×
Sex Hormone Binding Globulin (84270) $157.30 $286 7.2×
Sickling of rbc reduction (85660)
range across 3 matching MRF lines
$40.15–$118.80 $73–$216 varies
Sirolimus (80195) $22 $40 1.6×
Skin Test Candida (86485) $80.30 $146 2.9×
Skin test tuberculosis intradermal (86580) $36.30 $66 1.3×
Skin test; histoplasmosis (86510) $66.55 $121 1.8×
Smear acid fast (87206)
range across 4 matching MRF lines
$18.15–$55.55 $33–$101 varies
Smear complex stain (87209)
range across 2 matching MRF lines
$45.65–$55 $83–$100 varies
Smear gram stain (87205)
range across 3 matching MRF lines
$9.90–$62.70 $18–$114 varies
Smear Special Stain (87207)
range across 3 matching MRF lines
$20.90–$68.20 $38–$124 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 3 matching MRF lines
$29.15–$31.90 $53–$58 varies
So neo gsap DNA mcrstl ins (81457) $1,564.20 $2,844 1.7×
Sodium Serum (84295)
range across 2 matching MRF lines
$27.50–$42.90 $50–$78 varies
Sodium Urine (84300)
range across 2 matching MRF lines
$13.20–$38.50 $24–$70 varies
Soluble Transferrin Receptor (84238) $297 $540 8.1×
Somatomedin (84305) $215.05 $391 10.1×
Somatostatin (84307) $187.55 $341 10.3×
Special Stains Group 1 (88312)
range across 2 matching MRF lines
$224.95–$334.95 $409–$609 varies
Special Stains Group 2 (88313)
range across 3 matching MRF lines
$142.45–$254.10 $259–$462 varies
Specific gravity body fluid (84315) $25.85 $47 7.9×
Specimen infect agnt concntj (87015)
range across 4 matching MRF lines
$15.40–$47.30 $28–$86 varies
Spectrophotometry (84311)
range across 2 matching MRF lines
$23.65–$62.70 $43–$114 varies
Staph a DNA amp probe (87640) $185.35 $337 5.3×
Stool cultr aerobic bact ea (87046) $65.45 $119 6.9×
Strep a assay w/optic (87880) $74.25 $135 4.5×
Strep b DNA amp probe (87653) $118.80 $216 3.4×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581)
range across 2 matching MRF lines
$69.30–$103.95 $126–$189 varies
Sugars Single Qual (84376)
range across 2 matching MRF lines
$25.85–$85.80 $47–$156 varies
Sulfate urine (84392)
range across 2 matching MRF lines
$13.20–$44 $24–$80 varies
Surg path level iii (88304)
range across 2 matching MRF lines
$80.30–$256.85 $146–$467 varies
Surgical pathology level IV (88305)
range across 5 matching MRF lines
$80.30–$282.70 $146–$514 varies
Surgical pathology level vi (88309) $908.60 $1,652 1.2×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines
$120.45–$138.05 $219–$251 varies
Susceptibility Study Antimicrobial Disk Method (87184) $66.55 $121 8.9×
Syphilis Test Non-Trep Quant (86593)
range across 2 matching MRF lines
$15.40–$36.30 $28–$66 varies
T cells absolute cd4 count (86361) $181.50 $330 6.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $52.25 $95 1.1×
T cells total count (86359) $52.25 $95 1.4×
T3 Free (84481) $136.95 $249 8.1×
T3 reverse (84482) $143 $260 9.1×
T3 Total (84480) $107.80 $196 7.6×
T3 Uptake (84479)
range across 2 matching MRF lines
$9.90–$47.30 $18–$86 varies
T4 Free (84439)
range across 2 matching MRF lines
$44.55–$76.45 $81–$139 varies
T4 total (84436)
range across 2 matching MRF lines
$9.90–$42.90 $18–$78 varies
Tacrolimus (80197) $185.90 $338 13.5×
Tau phosphorylated each (84393) $275 $500 2.1×
Test for acetone/ketones (82009) $34.65 $63 7.7×
Testosterone Bioavailable (84410) $39.05 $71 0.8×
Testosterone total (84403)
range across 4 matching MRF lines
$33–$122.65 $60–$223 varies
Testosterone, Free (84402)
range across 2 matching MRF lines
$15.40–$46.75 $28–$85 varies
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445)
range across 2 matching MRF lines
$2,739.55–$4,378 $4,981–$7,960 varies
Theophylline (80198) $149.60 $272 10.6×
Thiocyanate (84430) $122.10 $222 10.5×
Thiopurine methyltransferase (84433) $107.80 $196 4.9×
Thrombin Time (85670) $44.55 $81 7.7×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $46.75 $85 7.2×
Thyroglobulin (84432)
range across 2 matching MRF lines
$52.25–$121.55 $95–$221 varies
Thyroglobulin Antibody (86800) $10.45 $19 0.7×
Thyroid Stimulating Immunoglobulin (84445) $300.85 $547 5.9×
Thyroxine binding globulin (84442) $99 $180 6.7×
Tiss cul neo disorders solid tumor (88239) $836 $1,520 5.7×
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 6 matching MRF lines
$11–$83.60 $20–$152 varies
Tissue Culture (88233) $752.40 $1,368 5.3×
Tissue culture bone marrow (88237)
range across 2 matching MRF lines
$336.60–$459.25 $612–$835 varies
Tissue Culture Lymphocyte (88230) $990.55 $1,801 8.5×
Tobramycin peak (80200)
range across 2 matching MRF lines
$19.80–$156.20 $36–$284 varies
Topiramate (80201) $149.60 $272 12.6×
Total Tau (84394) $275 $500 2.1×
Touch prep (88161) $226.05 $411 8.0×
Toxin/Antitoxin Assay Tissue Culture (87230) $59.40 $108 3.0×
Toxoplasma ab igm (86778) $110 $200 7.6×
Toxoplasma antibody (86777) $95.15 $173 6.6×
Tp53 gene analysis full gene sequence (81351) $2,650.45 $4,819 4.1×
Tp53 gene analysis targeted sequence analysis (81352) $1,082.40 $1,968 3.3×
Tpmt gene com variants (81335) $217.25 $395 1.2×
Transferase Aspartate Amino Ast Sgot (84450) $29.15 $53 5.6×
Transferrin (84466) $100.65 $183 7.9×
Trg gene rearrangement anal (81342) $966.90 $1,758 4.8×
Trichinella Antibody (86784) $82.50 $150 6.6×
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$31.35–$78.10 $57–$142 varies
Triglycerides (84478)
range across 2 matching MRF lines
$29.15–$102.85 $53–$187 varies
Troponin Quant (84484)
range across 2 matching MRF lines
$34.10–$75.90 $62–$138 varies
Tumor Immunohistochem/Manual (88360)
range across 4 matching MRF lines
$384.45–$552.75 $699–$1,005 varies
Ugt1a1 gene analysis common variants (81350) $911.90 $1,658 3.9×
Unlisted Transfusion Medicine Procedure (86999)
range across 2 matching MRF lines
$119.35–$212.30 $217–$386 varies
Urea nitrogen urine (84540) $20.35 $37 3.7×
Uric acid other source (84560)
range across 3 matching MRF lines
$9.90–$40.70 $18–$74 varies
Urinalysis Microscopic Only (81015) $21.45 $39 7.0×
Urinalysis Volume Measure (81050) $23.65 $43 6.5×
Urine Albumin Semiquantitative (82044) $40.70 $74 6.5×
Urine Bacteria Culture (87088) $9.90 $18 1.2×
Urine Pregnancy Test (81025) $39.05 $71 4.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$26.40–$26.95 $48–$49 varies
Valproic acid (80164) $149.60 $272 11.0×
Vancomycin (80202)
range across 3 matching MRF lines
$34.65–$143.55 $63–$261 varies
Varicella-zoster antibody (86787) $14.30 $26 1.1×
Vasopressin (84588) $206.80 $376 6.1×
Very Long Chain Fatty Acids (82726) $212.30 $386 10.7×
Viral Culture (87252)
range across 2 matching MRF lines
$94.60–$143 $172–$260 varies
Virus antibody nos (86790) $111.65 $203 8.7×
Virus inoculate tissue addl (87253) $124.30 $226 6.2×
Virus inoculation, shell via (87254) $168.30 $306 8.6×
Viscosity serum (85810) $52.80 $96 4.5×
Vit D 1 25-Dihydroxy (82652) $200.20 $364 5.2×
Vitamin A (84590) $114.95 $209 9.9×
Vitamin b-12 (82607) $11.55 $21 0.8×
Vitamin B2 (Riboflavin) (84252) $72.05 $131 3.6×
Vitamin B6 (84207) $201.85 $367 7.2×
Vitamin c (82180) $71.50 $130 7.2×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$62.70–$99.55 $114–$181 varies
Vitamin E (84446) $87.45 $159 6.2×
Vitamin K (84597) $147.40 $268 10.7×
Volatiles (84600)
range across 2 matching MRF lines
$87.45–$101.20 $159–$184 varies
Voltage-Gated Calcium Channel Antibody Each (86596)
range across 2 matching MRF lines
$58.85–$91.85 $107–$167 varies
Von willebrand factor ag (85246)
range across 3 matching MRF lines
$34.65–$112.20 $63–$204 varies
Wbc Alkaline Phosphatase Count (85540) $92.40 $168 10.7×
West nile virus ab igm (86788)
range across 2 matching MRF lines
$28.60–$114.40 $52–$208 varies
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$34.10–$111.65 $62–$203 varies
Xylose Absorption Test (84620) $108.90 $198 8.4×
Zinc (84630) $97.35 $177 8.5×

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.