Lab & pathology prices at SSM Health Saint Louis University Hospital
St. Louis, MO · every code in this section with a posted price and a Medicare benchmark.
814 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $195.80 | $356 | 8.6× |
| 5 Nucleotidase (83915) | $59.95 | $109 | 5.4× |
| Abl1 gene analysis kinase domain variants (81170) | $2,339.70 | $4,254 | 7.8× |
| Acetylcholine receptor binding antibody (86041) | $10.45 | $19 | 0.6× |
| Acetylcholine receptor blocking antibody (86042) | $28.05 | $51 | 1.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $7.15 | $13 | 0.6× |
| Acth (82024) | $334.40 | $608 | 8.7× |
| Actin smooth muscle antibody each (86015) | $20.90 | $38 | 1.7× |
| Acute hepatitis panel (80074) | $225.50 | $410 | 4.7× |
| Acylcarnitines Quant (82017) | $119.35 | $217 | 7.1× |
| Adenovirus antibody (86603) range across 2 matching MRF lines |
$86.90–$128.70 | $158–$234 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $338.80 | $616 | 5.3× |
| Agglutinins Febrile Each Antigen (86000) | $33 | $60 | 4.7× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$13.75–$55 | $25–$100 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$13.75–$38.50 | $25–$70 | varies |
| Aldolase (82085) | $80.85 | $147 | 8.3× |
| Aldosterone urine (82088) range across 5 matching MRF lines |
$62.70–$305.25 | $114–$555 | varies |
| Alkaline phosphatase isoenzymes (84080) | $63.25 | $115 | 4.3× |
| Allergen spec ige qual multiallergen screen (86005) | $19.80 | $36 | 2.5× |
| Allergen specific ige (86003) range across 5 matching MRF lines |
$20.35–$130.90 | $37–$238 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$26.40–$81.40 | $48–$148 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $164.45 | $299 | 11.4× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$114.95–$115.50 | $209–$210 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$52.80–$82.50 | $96–$150 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$38.50–$47.30 | $70–$86 | varies |
| Aluminum (82108) | $201.85 | $367 | 7.9× |
| Amikacin trough (80150) range across 3 matching MRF lines |
$215.60–$219.45 | $392–$399 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $59.95 | $109 | 2.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$18.70–$382.80 | $34–$696 | varies |
| Aminolevulinic acid (ala) (82135) | $193.05 | $351 | 11.7× |
| Ammonia (82140) range across 2 matching MRF lines |
$25.30–$77 | $46–$140 | varies |
| Amylase urine (82150) range across 5 matching MRF lines |
$44–$124.30 | $80–$226 | varies |
| Ana Titer (86039) range across 3 matching MRF lines |
$17.60–$682 | $32–$1,240 | varies |
| Anca screen each antibody (86036) | $23.65 | $43 | 2.0× |
| Anca Titer Each Antibody (86037) | $7.15 | $13 | 0.6× |
| Androstanediol Glucuronide (82154) | $213.95 | $389 | 7.4× |
| Androstenedione (82157) | $389.95 | $709 | 13.3× |
| Angiotensin converting enzyme csf (82164) | $191.40 | $348 | 13.1× |
| Antibody aspergillus (86606) | $94.60 | $172 | 6.3× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $128.15 | $233 | 9.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 5 matching MRF lines |
$18.15–$149.60 | $33–$272 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $40.70 | $74 | 2.4× |
| Antibody Encephalitis California La Crosse (86651) | $60.50 | $110 | 4.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $68.75 | $125 | 5.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $68.75 | $125 | 4.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 4 matching MRF lines |
$10.45–$68.75 | $19–$125 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $54.45 | $99 | 4.4× |
| Antibody helicobacter pylori (86677) | $81.95 | $149 | 4.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$68.75–$107.25 | $125–$195 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$22–$50.05 | $40–$91 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 2 matching MRF lines |
$33.55–$55 | $61–$100 | varies |
| Antibody HIV-2 (86702) | $82.50 | $150 | 6.1× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $201.30 | $366 | 0.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 3 matching MRF lines |
$35.75–$173.25 | $65–$315 | varies |
| Antibody identification leukocyte antibodies (86021) | $141.90 | $258 | 9.4× |
| Antibody Identification Platelet Immunogl Assay (86023) | $34.10 | $62 | 2.7× |
| Antibody neisseria meningitidis (86741) | $108.35 | $197 | 8.2× |
| Antibody Protozoa Nes (86753) range across 8 matching MRF lines |
$30.25–$1,116.50 | $55–$2,030 | varies |
| Antibody Titer (86886) | $287.65 | $523 | 55.5× |
| Antibody Treponema Pallidum (86780) range across 6 matching MRF lines |
$22–$82.50 | $40–$150 | varies |
| Antibody; campylobacter (86625) | $194.70 | $354 | 14.8× |
| Antibody; encephalitis, st. louis (86653) | $60.50 | $110 | 4.6× |
| Antigen typing (86905) range across 3 matching MRF lines |
$4.95–$252.45 | $9–$459 | varies |
| Antinomyces antibody (86602) | $29.70 | $54 | 2.9× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$122.10–$128.15 | $222–$233 | varies |
| Antistreptolysin o titer (86060) | $77.55 | $141 | 10.6× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$78.65–$326.70 | $143–$594 | varies |
| Antithrombin iii antigen (85301) | $34.10 | $62 | 3.2× |
| Apc Gene Analysis Known Familial Variants (81202) | $894.30 | $1,626 | 3.2× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$41.80–$85.80 | $76–$156 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 2 matching MRF lines |
$42.90–$330 | $78–$600 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $770 | $1,400 | 63.9× |
| Aquaporin-4 Antb Elisa (86051) | $330 | $600 | 28.6× |
| Arsenic (82175) range across 2 matching MRF lines |
$136.95–$143.55 | $249–$261 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$286–$326.15 | $520–$593 | varies |
| Assay activated protein c (85307) range across 2 matching MRF lines |
$319.55–$335.50 | $581–$610 | varies |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$27.50–$40.15 | $50–$73 | varies |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
$31.35–$174.35 | $57–$317 | varies |
| Assay of 5-hiaa (83497) | $89.65 | $163 | 6.9× |
| Assay of anti-mullerian hormone (82166) | $21.45 | $39 | 0.6× |
| Assay of b-hexosaminidase each assay (83080) | $260.70 | $474 | 15.5× |
| Assay of blood/uric acid (84550) | $41.25 | $75 | 9.1× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$25.30–$33 | $46–$60 | varies |
| Assay of cpk in blood (82552) | $109.45 | $199 | 8.2× |
| Assay of estrone (82679) | $156.75 | $285 | 6.3× |
| Assay of g6pd enzyme (82955) | $11.55 | $21 | 1.2× |
| Assay of gammaglobulin igm (82784) range across 11 matching MRF lines |
$16.50–$50.60 | $30–$92 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$77–$88 | $140–$160 | varies |
| Assay of manganese (83785) range across 2 matching MRF lines |
$32.45–$96.25 | $59–$175 | varies |
| Assay of metanephrines (83835) | $147.95 | $269 | 8.7× |
| Assay of phosphatase acid total (84060) | $127.05 | $231 | 16.6× |
| Assay of proinsulin (84206) | $160.60 | $292 | 6.0× |
| Assay of pyruvate (84210) | $134.75 | $245 | 9.3× |
| Assay of serotonin (84260) | $255.20 | $464 | 8.2× |
| Assay of serum potassium (84132) range across 4 matching MRF lines |
$25.30–$39.05 | $46–$71 | varies |
| Assay of sweat sodium (84302) | $49.50 | $90 | 10.2× |
| Assay of transcortin (84449) | $66.55 | $121 | 3.7× |
| Assay of Tyrosine (84510) | $242.55 | $441 | 22.8× |
| Assay of urea nitrogen (84520) | $33 | $60 | 8.4× |
| Assay of urine vma (84585) | $171.05 | $311 | 11.0× |
| Assay of vasoactive intestinal peptide (84586) | $364.10 | $662 | 10.3× |
| Assay of vitamin b-1 (84425) | $234.85 | $427 | 11.1× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$17.60–$44.55 | $32–$81 | varies |
| Automated Leukocyte Count (85048) | $28.60 | $52 | 11.3× |
| B cells total count (86355) | $93.50 | $170 | 2.5× |
| Babesia microti amp prb (87469) range across 2 matching MRF lines |
$25.30–$89.10 | $46–$162 | varies |
| Bartonella antibody (86611) | $70.40 | $128 | 6.9× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$745.25–$918.50 | $1,355–$1,670 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$864.05–$918.50 | $1,571–$1,670 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $864.05 | $1,571 | 4.0× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$39.05–$151.25 | $71–$275 | varies |
| Beta hydroxybutyrate (82010) | $60.50 | $110 | 7.4× |
| Beta Lactamase (87185) | $16.50 | $30 | 3.5× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$82.50–$201.85 | $150–$367 | varies |
| Bile acids total (82239) | $27.50 | $50 | 1.6× |
| Bilirubin direct (82248) | $44 | $80 | 8.8× |
| Bilirubin total (82247) range across 5 matching MRF lines |
$34.10–$93.50 | $62–$170 | varies |
| Biotinidase (82261) | $26.40 | $48 | 1.6× |
| Blastomyces antibody (86612) | $513.70 | $934 | 39.8× |
| Bld Typing Serologic Rh Phnt (86906) | $196.35 | $357 | 25.3× |
| Bleeding time test (85002) | $105.60 | $192 | 21.9× |
| Blood Count Red Blood Cell Automated (85041) | $29.15 | $53 | 9.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $9.35 | $17 | 2.5× |
| Blood count spun microhematocrit (85013) | $85.80 | $156 | 12.3× |
| Blood gas (82803) | $90.75 | $165 | 3.5× |
| Blood gases w/02 saturation (82805) range across 5 matching MRF lines |
$181.50–$236.50 | $330–$430 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $25.85 | $47 | 5.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 7 matching MRF lines |
$179.30–$371.80 | $326–$676 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $84.15 | $153 | 5.1× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$76.45–$89.10 | $139–$162 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$29.15–$73.15 | $53–$133 | varies |
| Bordetella antibody (86615) | $48.95 | $89 | 3.7× |
| Braf gene analysis (81210) range across 2 matching MRF lines |
$909.15–$1,570.80 | $1,653–$2,856 | varies |
| Brca1 Gene Analysis Known Familial Variant (81215) | $894.30 | $1,626 | 2.4× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $894.30 | $1,626 | 2.4× |
| Brucella antibody (86622) | $59.95 | $109 | 6.7× |
| C diff amplified probe (87493) | $198 | $360 | 5.3× |
| C-Peptide (84681) | $166.65 | $303 | 8.0× |
| C-reactive protein (86140) | $41.80 | $76 | 8.1× |
| Ca 19-9 (86301) | $128.15 | $233 | 6.2× |
| Cadmium (82300) range across 3 matching MRF lines |
$30.80–$93.50 | $56–$170 | varies |
| Calcitonin (82308) | $253.55 | $461 | 9.5× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$77–$88 | $140–$160 | varies |
| Calcium total (82310) | $27.50 | $50 | 5.3× |
| Calculus assay quant (82360) | $127.60 | $232 | 9.9× |
| Calculus Spectroscopy (82365) range across 2 matching MRF lines |
$33–$44 | $60–$80 | varies |
| Calprotectin Fecal (83993) | $144.65 | $263 | 7.4× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$150.15–$864.05 | $273–$1,571 | varies |
| Cancer Antigen 125 (86304) | $143 | $260 | 6.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$169.40–$198 | $308–$360 | varies |
| Candida antibody (86628) | $139.70 | $254 | 11.6× |
| Carbamazepine total (80156) | $73.70 | $134 | 5.1× |
| Carboxyhemoglobin (82375) | $60.50 | $110 | 4.9× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$29.15–$115.50 | $53–$210 | varies |
| Cardiolipin ab iga (86147) range across 4 matching MRF lines |
$39.05–$168.30 | $71–$306 | varies |
| Carotene (82380) | $63.80 | $116 | 6.9× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$218.35–$273.90 | $397–$498 | varies |
| Ccp antibody (86200) range across 2 matching MRF lines |
$14.30–$55 | $26–$100 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $1,177 | $2,140 | 4.9× |
| Cell count csf (89051) | $73.70 | $134 | 13.2× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 7 matching MRF lines |
$209–$1,815 | $380–$3,300 | varies |
| Ceruloplasmin (82390) | $82.50 | $150 | 7.7× |
| Cftr Gene Analysis Known Familial Variants (81221) | $894.30 | $1,626 | 9.2× |
| Chemiluminescent assay (82397) range across 7 matching MRF lines |
$15.95–$440 | $29–$800 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) range across 2 matching MRF lines |
$820.05–$1,191.85 | $1,491–$2,167 | varies |
| Chimerism w/comp to baseline w/o cell selection (81267) | $678.15 | $1,233 | 3.3× |
| Chlamydia antibody (86631) | $62.15 | $113 | 5.3× |
| Chlamydia Igm Antibody (86632) | $66.55 | $121 | 5.2× |
| Chloramphenicol level (82415) | $114.95 | $209 | 9.1× |
| Chloride other source (82438) range across 2 matching MRF lines |
$49.50–$110 | $90–$200 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$38.50–$39.05 | $70–$71 | varies |
| Chloride urine (82436) range across 2 matching MRF lines |
$25.30–$33 | $46–$60 | varies |
| Cholesterol total (82465) range across 3 matching MRF lines |
$25.85–$30.80 | $47–$56 | varies |
| Cholinesterase rbc (82482) | $59.95 | $109 | 6.1× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$26.40–$81.95 | $48–$149 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $1,877.15 | $3,413 | 10.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $111.65 | $203 | 3.3× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $552.75 | $1,005 | 3.2× |
| Chromium serum (82495) range across 2 matching MRF lines |
$30.80–$74.80 | $56–$136 | varies |
| Chromogranin a (86316) range across 2 matching MRF lines |
$36.85–$93.50 | $67–$170 | varies |
| Chromosome analys amniotic (88269) | $171.75 | $312.27 | 1.0× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$462–$762.85 | $840–$1,387 | varies |
| Chromosome Analysis 20-25 (88264) range across 7 matching MRF lines |
$389.95–$947.65 | $709–$1,723 | varies |
| Chromosome analysis, 5 (88261) | $462.55 | $841 | 1.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$60.50–$143 | $110–$260 | varies |
| Citric acid urine (82507) | $40.70 | $74 | 1.5× |
| Ckmb (82553) | $49.50 | $90 | 4.3× |
| Clostridium Difficile (87324) | $99 | $180 | 8.3× |
| Clot Factor VIII Multimetric (85247) | $851.40 | $1,548 | 37.1× |
| Clot factor xiii fibrin stab (85290) | $487.30 | $886 | 29.8× |
| Clotting factor xii hageman (85280) | $401.50 | $730 | 20.7× |
| Clotting Funct Activity (85397) | $163.90 | $298 | 5.3× |
| Clotting hi molec weight kininogen assay (85293) | $352.55 | $641 | 18.6× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $508.20 | $924 | 26.8× |
| Cns DNA amp probe type 12-25 (87483) | $945.45 | $1,719 | 2.3× |
| Coagulation time activated (85347) range across 5 matching MRF lines |
$11–$52.25 | $20–$95 | varies |
| Coccidioides antibody (86635) range across 6 matching MRF lines |
$21.45–$72.60 | $39–$132 | varies |
| Cold agglutinin titer (86157) | $49.50 | $90 | 6.1× |
| Collagen crosslinks (82523) range across 4 matching MRF lines |
$103.95–$157.85 | $189–$287 | varies |
| Column Chromotography Quant (82542) range across 8 matching MRF lines |
$28.05–$392.15 | $51–$713 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 3 matching MRF lines |
$1,042.80–$1,266.65 | $1,896–$2,303 | varies |
| Compatibility Each Unit Incubation (86921) | $112.75 | $205 | 0.7× |
| Compatibility test antiglob (86922) | $182.60 | $332 | 1.1× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$88–$526.35 | $160–$957 | varies |
| Complement Total (Ch50) (86162) | $289.30 | $526 | 14.2× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$66–$305.80 | $120–$556 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $597.30 | $1,086 | 11.4× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $69.85 | $127 | 1.9× |
| Coombs direct (86880) | $62.70 | $114 | 11.6× |
| Copper urine (82525) range across 3 matching MRF lines |
$133.65–$143 | $243–$260 | varies |
| Cortisol free (82530) | $58.85 | $107 | 3.5× |
| Cortisol saliva (82533) range across 8 matching MRF lines |
$25.30–$93.50 | $46–$170 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$99–$189.20 | $180–$344 | varies |
| Creatine kinase total (82550) | $27.50 | $50 | 4.2× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$33–$57.75 | $60–$105 | varies |
| Creatinine clearance (82575) | $88 | $160 | 9.3× |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$4.95–$50.60 | $9–$92 | varies |
| Crossmatch electronic (86923) | $175.45 | $319 | 1.0× |
| Crossmatch immediate spin (86920) | $154.55 | $281 | 0.9× |
| Crp High Sensitivity (86141) | $18.70 | $34 | 1.4× |
| Cryofibrinogen (82585) | $39.05 | $71 | 2.8× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$44–$66 | $80–$120 | varies |
| Cryptococcus ag titer (87899) range across 6 matching MRF lines |
$33–$176.55 | $60–$321 | varies |
| Cryptosporidium (87272) | $82.50 | $150 | 6.9× |
| Cryptosporidium ag eia (87328) | $47.85 | $87 | 3.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $44 | $80 | 5.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $12.65 | $23 | 1.6× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $88 | $160 | 11.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $462 | $840 | 2.1× |
| Culture aerobic quant other (87071) | $247.50 | $450 | 25.0× |
| Culture afb (87116) range across 2 matching MRF lines |
$93.50–$110 | $170–$200 | varies |
| Culture Anaerobic (87075) | $71.50 | $130 | 7.6× |
| Culture blood (87040) range across 2 matching MRF lines |
$99–$121.55 | $180–$221 | varies |
| Culture chlamydia (87110) | $41.80 | $76 | 2.1× |
| Culture csf (87070) range across 18 matching MRF lines |
$11–$66 | $20–$120 | varies |
| Culture fungus (87102) | $82.50 | $150 | 9.8× |
| Culture fungus blood (87103) | $88 | $160 | 4.3× |
| Culture screen only (87081) range across 11 matching MRF lines |
$7.70–$61.60 | $14–$112 | varies |
| Culture stool (87045) | $66 | $120 | 7.0× |
| Culture typing if ea antiserum (87140) | $19.25 | $35 | 3.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$2.75–$33 | $5–$60 | varies |
| Culture urine (87086) | $52.25 | $95 | 6.5× |
| Cyanide (82600) | $93.50 | $170 | 4.8× |
| Cyclosporine (80158) | $110 | $200 | 6.1× |
| Cystatin C (82610) | $66 | $120 | 3.6× |
| Cytogenetics 10-30 (88273) range across 2 matching MRF lines |
$87.45–$334.95 | $159–$609 | varies |
| Cytogenetics 100-300 (88275) range across 13 matching MRF lines |
$107.25–$389.95 | $195–$709 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) range across 2 matching MRF lines |
$1,787.50–$3,630 | $3,250–$6,600 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$1,631.85–$3,543.10 | $2,967–$6,442 | varies |
| Cytogenomic neo microra alys (81277) | $2,086.15 | $3,793 | 1.8× |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$22–$242.55 | $40–$441 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $92.40 | $168 | 4.6× |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$104.50–$111.65 | $190–$203 | varies |
| Cytotoxic Antibody Screen Std (86807) | $67.10 | $122 | 0.9× |
| Cytotoxic pra quick (86808) | $1,006.50 | $1,830 | 33.9× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $31.90 | $58 | 1.2× |
| Cytp Concentration Smears & Interpretation (88108) range across 2 matching MRF lines |
$111.10–$124.85 | $202–$227 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $57.20 | $104 | 1.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $227.70 | $414 | 1.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $190.85 | $347 | 5.1× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $35.75 | $65 | 1.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $74.80 | $136 | 2.6× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $1,133.55 | $2,061 | 6.6× |
| Deoxycortisol (82634) | $138.05 | $251 | 4.7× |
| Deoxyribonuclease antibody (86215) | $114.95 | $209 | 8.7× |
| Detect Agent Nos Dna Amp (87798) range across 28 matching MRF lines |
$39.05–$660 | $71–$1,200 | varies |
| Detect Agent Nos Dna Quant (87799) range across 14 matching MRF lines |
$206.25–$232.10 | $375–$422 | varies |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
$84.70–$176 | $154–$320 | varies |
| Dgp Antibody Each Ig Class (86258) | $12.10 | $22 | 1.0× |
| Dhea-S (82627) | $371.80 | $676 | 16.7× |
| Digoxin (80162) | $67.65 | $123 | 5.1× |
| Dihydrotestosterone (82642) | $77 | $140 | 2.6× |
| Dipropylacetic Acid Free (80165) | $158.40 | $288 | 11.7× |
| Dna Antibody Native/Double Stranded (86225) | $88 | $160 | 6.4× |
| Dna/Rna Amplified Probe (87150) | $93.50 | $170 | 2.7× |
| Drug assay adalimumab (80145) | $965.80 | $1,756 | 25.0× |
| Drug Assay Amiodarone (80151) | $50.60 | $92 | 2.7× |
| Drug Assay Everolimus (80169) | $262.90 | $478 | 19.1× |
| Drug assay felbamate (80167) | $105.60 | $192 | 5.7× |
| Drug Assay Infliximab (80230) | $897.05 | $1,631 | 23.3× |
| Drug Assay Itraconazole (80189) | $442.75 | $805 | 16.3× |
| Drug Assay Lacosamide (80235) | $234.85 | $427 | 8.7× |
| Drug Assay Leflunomide (80193) | $193.60 | $352 | 5.0× |
| Drug Assay Posaconazole (80187) | $166.10 | $302 | 6.1× |
| Drug Assay Vedolizumab (80280) | $312.95 | $569 | 8.1× |
| Drug assay voriconazole (80285) | $166.10 | $302 | 6.1× |
| Drug Screen Quant Clozapine (80159) | $56.10 | $102 | 2.8× |
| Drug Screen Quant Zonisamide (80203) | $162.25 | $295 | 12.2× |
| Drug Screen Quantitative Gabapentin (80171) | $268.95 | $489 | 12.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $97.90 | $178 | 7.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $62.70 | $114 | 4.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $14.85 | $27 | 1.1× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $167.75 | $305 | 10.0× |
| Drug Screen Quantitative Tiagabine (80199) | $95.70 | $174 | 3.5× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 24 matching MRF lines |
$45.10–$729.30 | $82–$1,326 | varies |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
$341–$1,177.55 | $620–$2,141 | varies |
| Ehrlichia antibody (86666) range across 4 matching MRF lines |
$66–$135.30 | $120–$246 | varies |
| El-1 Fecal Quantitative (82653) | $165 | $300 | 7.2× |
| Electrolyte panel (80051) | $77 | $140 | 11.0× |
| Electron Microscopy (88348) | $1,047.20 | $1,904 | 1.3× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $49.50 | $90 | 0.8× |
| Encephaltis East Eqne Anbdy (86652) | $57.75 | $105 | 4.4× |
| Encephaltis West Eqne Antbdy (86654) | $60.50 | $110 | 4.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $12.10 | $22 | 1.0× |
| Enterovirus Antibody (86658) range across 4 matching MRF lines |
$24.75–$92.95 | $45–$169 | varies |
| Enterovirus PCR (87498) | $346.50 | $630 | 9.9× |
| Enzyme cell activity (82657) range across 6 matching MRF lines |
$28.05–$539 | $51–$980 | varies |
| Enzyme histochemistry (88319) range across 2 matching MRF lines |
$314.05–$417.45 | $571–$759 | varies |
| Erythropoietin (82668) | $135.85 | $247 | 7.2× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$160.60–$267.30 | $292–$486 | varies |
| Estriol (82677) | $110.55 | $201 | 4.6× |
| Estrogens fractionated (82671) | $111.65 | $203 | 3.5× |
| Ethosuximide (80168) | $86.35 | $157 | 5.3× |
| Ethylene Glycol (82693) | $206.80 | $376 | 13.9× |
| Euglobulin lysis (85360) | $143.55 | $261 | 17.1× |
| Exam Synovial Fluid Crystals (89060) | $55.55 | $101 | 7.6× |
| F2 Gene (81240) | $253 | $460 | 3.9× |
| Factor ii activity (85210) | $421.30 | $766 | 32.5× |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
$169.40–$230.45 | $308–$419 | varies |
| Factor ix activity (85250) range across 2 matching MRF lines |
$210.65–$335.50 | $383–$610 | varies |
| Factor v activity (85220) | $368.50 | $670 | 20.9× |
| Factor v leiden mutation (81241) | $314.60 | $572 | 4.3× |
| Factor vii assay (85230) | $348.70 | $634 | 19.5× |
| Factor viii assay (85240) range across 3 matching MRF lines |
$105.60–$199.65 | $192–$363 | varies |
| Factor X (85260) range across 2 matching MRF lines |
$156.20–$421.30 | $284–$766 | varies |
| Factor xi activity (85270) range across 2 matching MRF lines |
$198–$368.50 | $360–$670 | varies |
| Factor xiii screen (85291) | $160.60 | $292 | 17.6× |
| Fat stain feces urine/respir secretions (89125) | $37.40 | $68 | 6.4× |
| Fat/Lipids Feces Quantitative (82710) | $203.50 | $370 | 12.1× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $176.55 | $321 | 22.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $360.25 | $655 | 21.0× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $89.10 | $162 | 13.6× |
| Fecal Fat Qualitative (82705) | $46.75 | $85 | 9.2× |
| Ferritin (82728) | $71.50 | $130 | 5.2× |
| Fetal Chrmoml Aneuploidy (81420) | $822.80 | $1,496 | 1.1× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $103.40 | $188 | 0.7× |
| Fibrin Degradation Quant (85379) | $112.20 | $204 | 11.0× |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$24.75–$72.60 | $45–$132 | varies |
| Fibrinogen antigen (85385) | $347.60 | $632 | 24.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 4 matching MRF lines |
$19.25–$66 | $35–$120 | varies |
| Flecainide level (80181) | $45.10 | $82 | 2.4× |
| Flow cytometry first marker (88184) range across 8 matching MRF lines |
$185.35–$1,170.40 | $337–$2,128 | varies |
| Flt3 Gene (81245) | $483.45 | $879 | 2.9× |
| Flt3 gene analysis (81246) | $439.45 | $799 | 5.3× |
| Fluorescent antibody screen (86255) range across 20 matching MRF lines |
$22.55–$710.05 | $41–$1,291 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 21 matching MRF lines |
$30.80–$683.65 | $56–$1,243 | varies |
| Folic acid rbc (82747) | $98.45 | $179 | 5.6× |
| Folic Acid Serum (82746) | $66 | $120 | 4.5× |
| Follicle Stimulating Hormone (83001) | $204.60 | $372 | 11.0× |
| Francisella tularensis (86668) | $94.60 | $172 | 6.7× |
| Frozen Section (88331) range across 2 matching MRF lines |
$295.90–$301.95 | $538–$549 | varies |
| Fungi Identification Mold (87107) | $44 | $80 | 4.3× |
| Fungi Identification Yeast (87106) | $49.50 | $90 | 4.8× |
| G6pd gene analysis full gene sequence (81249) | $1,320 | $2,400 | 2.2× |
| Galactose transferase test (82776) | $25.30 | $46 | 2.2× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$19.80–$211.75 | $36–$385 | varies |
| Gastrin (82941) | $95.15 | $173 | 5.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,595 | $2,900 | 3.8× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $936.10 | $1,702 | 1.2× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $6,065.95 | $11,029 | 2.1× |
| Genet Virus Isolate Hsv (87255) | $52.25 | $95 | 1.5× |
| Gentamicin (80170) | $92.40 | $168 | 5.6× |
| Ggt (82977) range across 2 matching MRF lines |
$60.50–$63.80 | $110–$116 | varies |
| Giardia antigen (87329) | $80.85 | $147 | 6.7× |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) | $894.30 | $1,626 | 14.5× |
| Glucagon (82943) | $132 | $240 | 9.2× |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
$39.60–$41.80 | $72–$76 | varies |
| Glucose Blood Test (82962) range across 4 matching MRF lines |
$9.35–$22 | $17–$40 | varies |
| Glucose body fluid (82945) | $44 | $80 | 11.2× |
| Glucose Serum (82947) range across 5 matching MRF lines |
$30.25–$49.50 | $55–$90 | varies |
| Glucose tolerance test (gtt) (82951) | $88 | $160 | 6.8× |
| Glycated Protein (82985) range across 2 matching MRF lines |
$45.10–$66.55 | $82–$121 | varies |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $26.40 | $48 | 1.7× |
| Gonadotropin Chorionic Qualitative (84703) | $44 | $80 | 5.9× |
| Growth hormone (83003) | $134.75 | $245 | 8.1× |
| Gtt-added samples (82952) | $21.45 | $39 | 5.5× |
| Haloperidol (80173) | $149.05 | $271 | 9.4× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$99–$127.60 | $180–$232 | varies |
| HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) | $894.30 | $1,626 | 2.4× |
| Hba1/hba2 full gene sequence (81259) | $872.30 | $1,586 | 1.5× |
| Hba1/Hba2 Gene (81257) | $660 | $1,200 | 6.5× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $503.80 | $916 | 2.5× |
| Hbb duplication/deletion variants (81363) | $598.40 | $1,088 | 3.0× |
| Hbb Full Gene Sequence (81364) range across 2 matching MRF lines |
$586.85–$1,340.90 | $1,067–$2,438 | varies |
| Hdl Cholesterol (83718) | $44 | $80 | 5.4× |
| Helicobacter Pylori Stool (87338) | $83.60 | $152 | 5.8× |
| Helminth Antibody (86682) range across 5 matching MRF lines |
$37.95–$385 | $69–$700 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$25.30–$27.50 | $46–$50 | varies |
| Hemoglobin (85018) | $17.60 | $32 | 7.4× |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$28.38–$51.70 | $51.60–$94 | varies |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$28.05–$104.50 | $51–$190 | varies |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$24.75–$71.50 | $45–$130 | varies |
| Hemoglobin plasma (83051) | $33.55 | $61 | 4.6× |
| Hemoglobin-Oxygen Affinity (82820) range across 2 matching MRF lines |
$37.95–$49.50 | $69–$90 | varies |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $30.80 | $56 | 3.5× |
| Hemosiderin urine (83070) | $128.15 | $233 | 27.0× |
| Hep a ab igm (86709) | $82.50 | $150 | 7.3× |
| Heparin assay (85520) range across 4 matching MRF lines |
$17.60–$144.65 | $32–$263 | varies |
| Heparin Neutralization (85525) range across 2 matching MRF lines |
$15.95–$29.70 | $29–$54 | varies |
| Hepatitis a antibody total (86708) | $127.60 | $232 | 10.3× |
| Hepatitis b core ab igm (86705) | $126.50 | $230 | 10.7× |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$29.70–$104.50 | $54–$190 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$11–$49.50 | $20–$90 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$26.95–$58.30 | $49–$106 | varies |
| Hepatitis Be Antibody (86707) | $188.10 | $342 | 16.3× |
| Hepatitis Be Antigen (87350) | $188.10 | $342 | 16.3× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$34.65–$132 | $63–$240 | varies |
| Hepatitis c antibody confirmatory test (86804) | $249.70 | $454 | 16.1× |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$352–$1,116.50 | $640–$2,030 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $297.55 | $541 | 8.5× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$66–$220 | $120–$400 | varies |
| Hepatitis delta ag (87380) | $234.30 | $426 | 12.8× |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$109.45–$317.90 | $199–$578 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$42.90–$55.55 | $78–$101 | varies |
| Heterophile Antibody Screen (86308) | $121 | $220 | 23.4× |
| Hfe Gene (81256) | $414.15 | $753 | 6.3× |
| Histamine urine (83088) | $243.10 | $442 | 8.2× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$64.90–$191.40 | $118–$348 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$49.50–$182.60 | $90–$332 | varies |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$584.10–$622.60 | $1,062–$1,132 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $126.50 | $230 | 5.3× |
| Hiv-1 Antibody (86701) | $82.50 | $150 | 9.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$132–$146.85 | $240–$267 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $65.45 | $119 | 1.9× |
| Hla Class I Typing High Resolution Complete (81379) | $2,638.90 | $4,798 | 7.9× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $879.45 | $1,599 | 5.0× |
| Hla Class I Typing Low Resolution Complete (81372) | $1,053.80 | $1,916 | 2.6× |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 4 matching MRF lines |
$157.30–$576.95 | $286–$1,049 | varies |
| Hla class i&ii antibody qual (86828) | $131.45 | $239 | 2.0× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $2,108.15 | $3,833 | 5.2× |
| Hla class ii high defin qual (86833) | $1,168.20 | $2,124 | 3.6× |
| Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines |
$801.35–$878.90 | $1,457–$1,598 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $2,593.25 | $4,715 | 23.7× |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $2,593.25 | $4,715 | 71.0× |
| Hla I Typing 1 Allele Hr (81381) range across 2 matching MRF lines |
$248.05–$343.20 | $451–$624 | varies |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $1,053.80 | $1,916 | 4.8× |
| Hla ii typing 1 allele hr (81383) | $182.60 | $332 | 1.7× |
| Hla ii typing 1 locus lr (81376) | $737.55 | $1,341 | 6.0× |
| Hla Typing a/B/C Multiple Antigens (86813) | $865.70 | $1,574 | 14.9× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $1,163.25 | $2,115 | 11.0× |
| Hla-b27 (86812) | $86.35 | $157 | 3.3× |
| Homocysteine (83090) range across 2 matching MRF lines |
$89.65–$93.50 | $163–$170 | varies |
| Homogenization Tissue (87176) | $38.50 | $70 | 6.5× |
| Homovanillic acid urine (83150) | $24.75 | $45 | 1.1× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$53.90–$77 | $98–$140 | varies |
| Hpv Types 16 & 18 Only (87625) | $95.70 | $174 | 2.4× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$77–$126.50 | $140–$230 | varies |
| Hsv Dna Quant (87530) | $352 | $640 | 8.2× |
| Htlv-I Antibody (86687) | $77 | $140 | 8.5× |
| Htlv-ii antibody (86688) | $80.85 | $147 | 5.8× |
| Hydroxyprogesterone 17-d (83498) | $41.80 | $76 | 1.5× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 2 matching MRF lines |
$99–$110 | $180–$200 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $79.20 | $144 | 2.2× |
| Iaadi giardia (87269) | $82.50 | $150 | 6.1× |
| Iaadi inffluenza a virus (87276) | $162.25 | $295 | 10.1× |
| Iaadi not otherwise specified each organism (87299) | $78.10 | $142 | 4.9× |
| Iaadi pneumocustis carinii (87281) | $31.90 | $58 | 2.7× |
| Iaadiadoo trichomonas vaginalis (87808) | $71.50 | $130 | 4.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $25.30 | $46 | 0.7× |
| Iadna Bartonella Amplified Probe Technique (87471) | $107.25 | $195 | 3.1× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $99 | $180 | 2.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $132 | $240 | 3.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$160.60–$170.50 | $292–$310 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$219.45–$232.65 | $399–$423 | varies |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 3 matching MRF lines |
$25.30–$105.60 | $46–$192 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $187 | $340 | 4.4× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $539.55 | $981 | 15.4× |
| Iadna Herpes Virus-6 Quantification (87533) range across 2 matching MRF lines |
$446.60–$715 | $812–$1,300 | varies |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 3 matching MRF lines |
$65.45–$181.50 | $119–$330 | varies |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $200.20 | $364 | 2.6× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $343.20 | $624 | 7.9× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $137.50 | $250 | 3.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$60.50–$154 | $110–$280 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$110–$187 | $200–$340 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $63.80 | $116 | 1.2× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $218.90 | $398 | 1.5× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $616 | $1,120 | 2.3× |
| Idh1 common variants (81120) range across 2 matching MRF lines |
$492.25–$1,475.10 | $895–$2,682 | varies |
| Idh2 common variants (81121) range across 2 matching MRF lines |
$492.25–$1,475.10 | $895–$2,682 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$20.35–$24.75 | $37–$45 | varies |
| Igg subclasses (82787) | $39.60 | $72 | 4.9× |
| Igh gene rearrange amp meth (81261) | $492.25 | $895 | 2.5× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,529.55 | $2,781 | 5.2× |
| Igk rearrangeabn clonal pop (81264) | $495 | $900 | 2.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $225.50 | $410 | 0.6× |
| Immune Complex Assay (86332) | $63.80 | $116 | 2.6× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$126.50–$184.80 | $230–$336 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 14 matching MRF lines |
$22.55–$759 | $41–$1,380 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 8 matching MRF lines |
$8.80–$704.55 | $16–$1,281 | varies |
| Immunoassay nonantibody (83516) range across 38 matching MRF lines |
$12.10–$542.30 | $22–$986 | varies |
| Immunodiffusion Ouchterlony (86331) | $29.70 | $54 | 2.5× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$126.50–$161.15 | $230–$293 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$252.45–$363.55 | $459–$661 | varies |
| Immunohistochemistry (88342) range across 12 matching MRF lines |
$20.90–$245.85 | $38–$447 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$240.35–$289.30 | $437–$526 | varies |
| In situ hybridization ea multiplex probe stain (88366) range across 12 matching MRF lines |
$924–$1,232 | $1,680–$2,240 | varies |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$32.32–$77 | $58.76–$140 | varies |
| Influenza DNA amp probe (87502) | $187 | $340 | 2.0× |
| Inhibin A (86336) | $125.40 | $228 | 8.0× |
| Inhibin b (83520) range across 43 matching MRF lines |
$24.75–$625.35 | $45–$1,137 | varies |
| Insitu hybridization manual (88368) | $344.85 | $627 | 1.0× |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$119.35–$125.40 | $217–$228 | varies |
| Insulin free (83527) | $21.45 | $39 | 1.7× |
| Insulin total (83525) | $24.75 | $45 | 2.2× |
| Interleukin-6 (83529) | $24.75 | $45 | 1.4× |
| Intrinsic factor antibody (86340) | $59.95 | $109 | 4.0× |
| Iron (83540) range across 2 matching MRF lines |
$33–$36.30 | $60–$66 | varies |
| Iron stain peripheral blood (85536) | $213.40 | $388 | 31.0× |
| Irradiation Blood Product Each Unit (86945) | $98.45 | $179 | 2.6× |
| Islet cell antibody (86341) range across 8 matching MRF lines |
$47.85–$369.60 | $87–$672 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$113.30–$431.75 | $206–$785 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $447.15 | $813 | 2.4× |
| Ketosteroids 17 total (83586) | $78.65 | $143 | 6.1× |
| Kit Gene Analysis D816 Variant(S) (81273) | $834.90 | $1,518 | 6.7× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $1,192.40 | $2,168 | 3.6× |
| Koh Prep (87220) | $17.16 | $31.20 | 4.0× |
| Kras Gene Analysis Additional Variant(S) (81276) range across 2 matching MRF lines |
$262.35–$566.50 | $477–$1,030 | varies |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$262.35–$1,299.65 | $477–$2,363 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $44.55 | $81 | 7.4× |
| Lactoferrin fecal qualitative (83630) | $33 | $60 | 1.7× |
| Ldh Isoenzymes (83625) | $96.80 | $176 | 7.6× |
| LDL direct (83721) | $38.50 | $70 | 3.7× |
| Lead (83655) range across 3 matching MRF lines |
$62.15–$106.15 | $113–$193 | varies |
| Legionella antibody (86713) | $153.45 | $279 | 10.0× |
| Legionella antigen urine (87449) range across 6 matching MRF lines |
$130.90–$412.50 | $238–$750 | varies |
| Leptospira antibody (86720) | $86.35 | $157 | 5.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $111.10 | $202 | 3.8× |
| Level ii surg pathology grossµscopic exam (88302) | $203.50 | $370 | 5.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $603.90 | $1,098 | 1.7× |
| Lidocaine (80176) | $159.50 | $290 | 10.9× |
| Lipase (83690) | $60.50 | $110 | 8.8× |
| Lipoprotein A (83695) | $139.70 | $254 | 9.8× |
| Lipoprotein Bld Quan Part (83704) | $51.15 | $93 | 1.5× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $29.15 | $53 | 2.6× |
| Lithium (80178) | $49.50 | $90 | 7.5× |
| Luteinizing Hormone (Lh) (83002) | $253.55 | $461 | 13.7× |
| Lyme disease antibody (86618) range across 5 matching MRF lines |
$27.50–$159.50 | $50–$290 | varies |
| Lymphocyte transformation (86353) range across 4 matching MRF lines |
$202.95–$378.95 | $369–$689 | varies |
| Lymphocytotoxicity Assay (86805) | $992.20 | $1,804 | 5.2× |
| Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) | $1,041.70 | $1,894 | 21.9× |
| Lysozyme serum (85549) | $185.90 | $338 | 9.9× |
| M. Genitalium Amp Probe (87563) | $473 | $860 | 13.5× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 5 matching MRF lines |
$498.85–$2,143.90 | $907–$3,898 | varies |
| Macroscopic exam arthropod (87168) | $84.70 | $154 | 19.8× |
| Macroscopic Exam Parasite (87169) | $123.75 | $225 | 28.7× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$25.30–$66 | $46–$120 | varies |
| Mass Spectrometry Quant (83789) range across 4 matching MRF lines |
$28.05–$660 | $51–$1,200 | varies |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) | $894.30 | $1,626 | 7.5× |
| Mercury urine (83825) range across 2 matching MRF lines |
$75.90–$128.15 | $138–$233 | varies |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$143.55–$273.35 | $261–$497 | varies |
| Mgmt methylation analysis (81287) | $692.45 | $1,259 | 5.6× |
| Microalbumin, quantitative (82043) | $33 | $60 | 5.7× |
| Microsatellite instability (81301) | $1,339.25 | $2,435 | 3.8× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$92.95–$221.10 | $169–$402 | varies |
| Mitochondrial Antibody Each (86381) | $21.45 | $39 | 0.8× |
| Mlh1 Gene (81288) | $878.90 | $1,598 | 4.6× |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $894.30 | $1,626 | 2.7× |
| Mog-Igg1 Antb Cba Each (86362) | $453.75 | $825 | 37.7× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $330 | $600 | 8.7× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $100.65 | $183 | 2.5× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 18 matching MRF lines |
$107.25–$504.90 | $195–$918 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
$108.35–$462 | $197–$840 | varies |
| Molecular Pathology Procedure Level 3 (81402) range across 3 matching MRF lines |
$185.35–$1,177 | $337–$2,140 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 3 matching MRF lines |
$990–$3,633.30 | $1,800–$6,606 | varies |
| Mononuclear cell antigen (86356) range across 14 matching MRF lines |
$37.40–$315.70 | $68–$574 | varies |
| Mopath procedure level 1 (81400) | $878.90 | $1,598 | 13.7× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$894.30–$1,042.80 | $1,626–$1,896 | varies |
| Mopath procedure level 4 (81403) range across 5 matching MRF lines |
$228.80–$1,177.55 | $416–$2,141 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$605–$2,741.75 | $1,100–$4,985 | varies |
| Mopath procedure level 7 (81406) range across 2 matching MRF lines |
$671–$860.20 | $1,220–$1,564 | varies |
| Mpl gene common variants (81338) | $1,177 | $2,140 | 7.8× |
| Mrsa Pcr (87641) | $74.25 | $135 | 2.1× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $894.30 | $1,626 | 2.6× |
| Msh6 Gene Known Variants (81299) | $894.30 | $1,626 | 2.9× |
| Mthfr Gene Analysis Common Variants (81291) | $421.30 | $766 | 6.4× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$96.80–$206.25 | $176–$375 | varies |
| Muscle-Specific Kinase Antb (86366) | $22 | $40 | 1.2× |
| Mycobacteric Identification (87118) | $60.50 | $110 | 4.1× |
| Mycophenolic Acid (80180) | $239.80 | $436 | 13.3× |
| Mycoplasma antibody (86738) | $130.90 | $238 | 9.9× |
| Mycoplasma culture (87109) | $82.50 | $150 | 5.4× |
| Myelin basic protein csf (83873) | $212.85 | $387 | 12.4× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$96.80–$109.45 | $176–$199 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$132–$140.25 | $240–$255 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $407.55 | $741 | 1.6× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) range across 2 matching MRF lines |
$1,635.15–$3,135 | $2,973–$5,700 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $283.25 | $515 | 3.9× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) range across 3 matching MRF lines |
$266.75–$622.60 | $485–$1,132 | varies |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $59.40 | $108 | 2.3× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $1,108.25 | $2,015 | 2.3× |
| Niacin (84591) | $167.75 | $305 | 9.8× |
| Nk cells total count (86357) range across 3 matching MRF lines |
$93.50–$266.75 | $170–$485 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) range across 3 matching MRF lines |
$178.75–$1,020.25 | $325–$1,855 | varies |
| Nras gene variants exon 2&3 (81311) | $1,133 | $2,060 | 3.8× |
| Nuclear antigen antibody (86235) range across 13 matching MRF lines |
$28.05–$151.25 | $51–$275 | varies |
| Occult blood feces (82272) | $36.85 | $67 | 8.7× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$17.05–$17.60 | $31–$32 | varies |
| Oligoclonal bands (83916) | $120.45 | $219 | 4.4× |
| Oncology Prostate Prob Score (81539) | $836 | $1,520 | 1.1× |
| Organic Acids Qualitative Each Specimen (83919) | $292.60 | $532 | 17.8× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$246.40–$292.60 | $448–$532 | varies |
| Osmolality serum (83930) | $27.50 | $50 | 4.2× |
| Osmolality Urine (83935) | $33 | $60 | 4.8× |
| Osmotic Fragility RBC Unincubated (85555) | $255.20 | $464 | 34.2× |
| Osteocalcin (83937) | $109.45 | $199 | 3.7× |
| Ova and parasites smears (87177) | $36.85 | $67 | 4.1× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$25.30–$181.50 | $46–$330 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$27.50–$55 | $50–$100 | varies |
| Parvovirus antibody (86747) | $150.15 | $273 | 10.0× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 2 matching MRF lines |
$190.85–$246.40 | $347–$448 | varies |
| Pathology Consultation During Surgery (88329) | $123.75 | $225 | 2.1× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $909.15 | $1,653 | 3.6× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $1,192.40 | $2,168 | 3.6× |
| Ph urine (81003) range across 7 matching MRF lines |
$8.25–$21.45 | $15–$39 | varies |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$41.80–$73.70 | $76–$134 | varies |
| Phenotype Infect Agent Drug (87900) range across 4 matching MRF lines |
$295.90–$785.40 | $538–$1,428 | varies |
| Phenylalanine (84030) | $6.05 | $11 | 1.1× |
| Phenytoin (Dilantin) (80185) | $73.70 | $134 | 5.6× |
| Phenytoin free (80186) | $96.25 | $175 | 7.0× |
| Phosphatase acid prostatic (84066) | $139.15 | $253 | 14.4× |
| Phosphatase alkaline (84075) | $33 | $60 | 6.4× |
| Phospholipid Neutralization Hexagonal (85598) | $34.10 | $62 | 1.9× |
| Phosphorus Serum (84100) | $33 | $60 | 7.0× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$25.30–$33 | $46–$60 | varies |
| Pinworm exam (87172) | $60.50 | $110 | 14.2× |
| Platelet Aggregation (85576) range across 11 matching MRF lines |
$33–$153.45 | $60–$279 | varies |
| Platelet Antibodies (86022) range across 6 matching MRF lines |
$29.15–$532.40 | $53–$968 | varies |
| Platelet count automated (85049) | $22 | $40 | 4.9× |
| Platelet neutralization (85597) | $34.10 | $62 | 1.9× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $1,042.80 | $1,896 | 5.0× |
| Pms2 gene analysis known familial variants (81318) | $894.30 | $1,626 | 2.7× |
| Pneumcysts jirovecii amp prb (87594) | $242 | $440 | 6.9× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$24.75–$56.10 | $45–$102 | varies |
| Porphyrins Feces Quantitative (84126) | $259.05 | $471 | 6.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
$24.75–$145.75 | $45–$265 | varies |
| Potassium Urine (84133) range across 3 matching MRF lines |
$25.30–$55 | $46–$100 | varies |
| Prealbumin (84134) | $60.50 | $110 | 4.1× |
| Pregnancy-Associated Plasma Protein-A (84163) | $80.30 | $146 | 5.3× |
| Pregnenolone (84140) | $235.95 | $429 | 11.4× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $126.50 | $230 | 0.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $112.20 | $204 | 1.9× |
| Pretx serum rbc antibody identification dilution (86976) | $47.85 | $87 | 1.7× |
| Primidone (80188) | $108.35 | $197 | 6.5× |
| Procalcitonin (Pct) (84145) | $148.50 | $270 | 5.5× |
| Progesterone (84144) | $267.85 | $487 | 12.8× |
| Prolactin (84146) | $151.25 | $275 | 7.8× |
| Prostaglandin (84150) | $253 | $460 | 6.1× |
| Protein body fluid (84157) | $44 | $80 | 11.0× |
| Protein C Activity (85303) | $472.45 | $859 | 34.1× |
| Protein c antigen (85302) | $399.30 | $726 | 33.2× |
| Protein Electrophoresis Urine (84166) range across 3 matching MRF lines |
$46.20–$99 | $84–$180 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$55–$161.15 | $100–$293 | varies |
| Protein S Free (85306) | $340.45 | $619 | 22.2× |
| Protein s total (85305) | $472.45 | $859 | 40.7× |
| Protein total serum (84155) range across 2 matching MRF lines |
$27.50–$161.15 | $50–$293 | varies |
| Protein Total Urine (84156) | $28.05 | $51 | 7.6× |
| Protein Western Blot Test (84182) range across 12 matching MRF lines |
$51.70–$595.10 | $94–$1,082 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $204.05 | $371 | 51.8× |
| Protoporphyrin rbc quantitative (84202) | $140.80 | $256 | 9.8× |
| PSA free (84154) | $77 | $140 | 4.2× |
| Pten gene analysis known familial variant (81322) | $894.30 | $1,626 | 19.2× |
| Pth Intact (83970) | $181.50 | $330 | 4.4× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$39.60–$158.40 | $72–$288 | varies |
| Quantiferon tb gold plus (86480) | $242 | $440 | 3.9× |
| Quantitative assay drug (80299) range across 16 matching MRF lines |
$46.75–$589.60 | $85–$1,072 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$42.90–$86.90 | $78–$158 | varies |
| Quinidine (80194) | $159.50 | $290 | 10.9× |
| Rbc antibody elution (86860) | $203.50 | $370 | 1.2× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$252.45–$491.15 | $459–$893 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$154.55–$181.50 | $281–$330 | varies |
| Rbc pretreatment serum (86978) | $196.35 | $357 | 3.3× |
| Rbc pretx incubatj w/enzymes (86971) | $204.60 | $372 | 1.2× |
| Rbc serum pretx incubj drugs (86975) | $294.25 | $535 | 0.7× |
| Renin activity plasma (84244) | $198 | $360 | 9.0× |
| Reptilase test (85635) | $29.70 | $54 | 3.0× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$463.10–$770 | $842–$1,400 | varies |
| Resp Virus 6-11 Targets (87632) | $463.10 | $842 | 2.1× |
| Reticulated Platelet Assay (85055) | $37.95 | $69 | 1.1× |
| Reticulocyte Count (85046) | $29.70 | $54 | 5.3× |
| Reticulocyte separation (86972) | $322.85 | $587 | 1.9× |
| Rh (86901) range across 2 matching MRF lines |
$50.05–$62.70 | $91–$114 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$18.70–$71.50 | $34–$130 | varies |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$97.90–$128.70 | $178–$234 | varies |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$368.50–$525.25 | $670–$955 | varies |
| Rotavirus ag eia (87425) | $66 | $120 | 5.5× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$25.30–$58.85 | $46–$107 | varies |
| Rsv Assay W/Optic (87807) | $133.10 | $242 | 10.2× |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$19.80–$147.95 | $36–$269 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$22–$133.65 | $40–$243 | varies |
| Rufinamide (80210) | $432.85 | $787 | 16.0× |
| Russell Viper Venom Time Diluted (85613) range across 6 matching MRF lines |
$17.05–$168.30 | $31–$306 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$40.15–$104.50 | $73–$190 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $45.65 | $83 | 1.1× |
| Sarscov2 & inf a&b amp prb (87636) | $212.85 | $387 | 1.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $212.85 | $387 | 1.5× |
| Sedimentation Rate, Automated (85652) | $17.05 | $31 | 6.3× |
| Selenium (84255) | $141.35 | $257 | 5.5× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$49.50–$62.70 | $90–$114 | varies |
| Serpina 1 gene (81332) | $595.65 | $1,083 | 13.6× |
| Sex Hormone Binding Globulin (84270) | $55.55 | $101 | 2.6× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$29.70–$39.60 | $54–$72 | varies |
| Sirolimus (80195) | $160.05 | $291 | 11.7× |
| Skin test tuberculosis intradermal (86580) | $20 | $36.36 | 0.7× |
| Smear acid fast (87206) range across 4 matching MRF lines |
$5.50–$44 | $10–$80 | varies |
| Smear complex stain (87209) | $36.85 | $67 | 2.0× |
| Smear gram stain (87205) range across 6 matching MRF lines |
$4.95–$26.40 | $9–$48 | varies |
| Smear Special Stain (87207) | $379.50 | $690 | 63.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $17.16 | $31.20 | 2.9× |
| Sodium Serum (84295) range across 4 matching MRF lines |
$35.20–$66 | $64–$120 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$25.30–$33 | $46–$60 | varies |
| Soluble Transferrin Receptor (84238) | $107.25 | $195 | 2.9× |
| Somatomedin (84305) | $231.55 | $421 | 10.9× |
| Somatostatin (84307) | $187.55 | $341 | 10.3× |
| Special Stains Group 1 (88312) | $129.25 | $235 | 2.5× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$203.50–$209.55 | $370–$381 | varies |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
$25.85–$40.15 | $47–$73 | varies |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$9.35–$736.45 | $17–$1,339 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $161.15 | $293 | 0.9× |
| Stem cells total count (86367) | $203.50 | $370 | 2.6× |
| Stool cultr aerobic bact ea (87046) | $38.50 | $70 | 4.1× |
| Strep a assay w/optic (87880) | $66 | $120 | 4.0× |
| Strep a DNA amp probe (87651) | $49.50 | $90 | 1.4× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 2 matching MRF lines |
$39.05–$69.30 | $71–$126 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $77 | $140 | 6.7× |
| Sulfate urine (84392) | $25.30 | $46 | 4.6× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$277.20–$289.30 | $504–$526 | varies |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$28.60–$283.25 | $52–$515 | varies |
| Surgical pathology level vi (88309) | $862.40 | $1,568 | 1.1× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $27.50 | $50 | 5.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $77 | $140 | 10.3× |
| Sweat Collection Iontophoresis (89230) | $147.95 | $269 | 2.8× |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
$38.50–$51.70 | $70–$94 | varies |
| T cells absolute cd4 count (86361) | $89.10 | $162 | 3.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $93.50 | $170 | 2.0× |
| T cells total count (86359) range across 2 matching MRF lines |
$93.50–$261.80 | $170–$476 | varies |
| T3 Free (84481) | $82.50 | $150 | 4.9× |
| T3 reverse (84482) | $205.70 | $374 | 13.1× |
| T3 Total (84480) | $77 | $140 | 5.4× |
| T3 Uptake (84479) | $51.70 | $94 | 8.0× |
| T4 Free (84439) range across 2 matching MRF lines |
$60.50–$64.35 | $110–$117 | varies |
| T4 total (84436) | $27.50 | $50 | 4.0× |
| Tacrolimus (80197) | $110 | $200 | 8.0× |
| Test for urine cystines (82615) | $25.30 | $46 | 2.6× |
| Testosterone Bioavailable (84410) | $57.20 | $104 | 1.1× |
| Testosterone total (84403) range across 4 matching MRF lines |
$44–$221.65 | $80–$403 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$17.60–$147.95 | $32–$269 | varies |
| Theophylline (80198) | $92.40 | $168 | 6.5× |
| Thiocyanate (84430) | $270.05 | $491 | 23.2× |
| Thiopurine methyltransferase (84433) | $62.15 | $113 | 2.8× |
| Thrombin Time (85670) | $29.70 | $54 | 5.1× |
| Thromboplastin Inhibition Tissue (85705) | $112.20 | $204 | 11.7× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$27.50–$98.45 | $50–$179 | varies |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$11–$152.35 | $20–$277 | varies |
| Thyroglobulin Antibody (86800) | $8.80 | $16 | 0.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $246.40 | $448 | 4.8× |
| Thyroxine binding globulin (84442) | $111.65 | $203 | 7.6× |
| Tiss cul neo disorders solid tumor (88239) range across 2 matching MRF lines |
$622.60–$947.65 | $1,132–$1,723 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $22 | $40 | 1.9× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$460.90–$762.85 | $838–$1,387 | varies |
| Tissue Culture Amniotic Fluid (88235) | $522.50 | $950 | 3.5× |
| Tissue culture bone marrow (88237) range across 6 matching MRF lines |
$127.05–$624.25 | $231–$1,135 | varies |
| Tissue Culture Lymphocyte (88230) range across 4 matching MRF lines |
$75.35–$462 | $137–$840 | varies |
| Tobramycin peak (80200) | $129.25 | $235 | 8.0× |
| Topiramate (80201) | $68.20 | $124 | 5.7× |
| Touch prep (88161) | $30.25 | $55 | 1.0× |
| Toxoplasma ab igm (86778) | $162.80 | $296 | 11.3× |
| Toxoplasma antibody (86777) | $120.45 | $219 | 8.4× |
| Tp53 gene analysis full gene sequence (81351) | $3,633.30 | $6,606 | 5.7× |
| Tp53 gene analysis targeted sequence analysis (81352) | $1,082.40 | $1,968 | 3.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$13.20–$49.50 | $24–$90 | varies |
| Transferrin (84466) | $67.10 | $122 | 5.3× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $798.60 | $1,452 | 3.8× |
| Trg gene rearrangement anal (81342) | $587.40 | $1,068 | 2.9× |
| Trichinella Antibody (86784) | $82.50 | $150 | 6.6× |
| Trichomonas Vaginalis Amplif (87661) | $132 | $240 | 3.8× |
| Triglycerides (84478) range across 4 matching MRF lines |
$25.30–$38.50 | $46–$70 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$82.50–$92.40 | $150–$168 | varies |
| Tumor Immunohistochem/Manual (88360) range across 10 matching MRF lines |
$111.10–$985.60 | $202–$1,792 | varies |
| Ugt1a1 gene analysis common variants (81350) | $887.70 | $1,614 | 3.8× |
| Unlisted Surgical Pathology Procedure (88399) | $113.30 | $206 | 2.2× |
| Unlisted Transfusion Medicine Procedure (86999) | $393.25 | $715 | 13.6× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$25.30–$33 | $46–$60 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$25.30–$77 | $46–$140 | varies |
| Urinalysis Volume Measure (81050) range across 3 matching MRF lines |
$19.25–$26.40 | $35–$48 | varies |
| Urine Bacteria Culture (87088) | $44 | $80 | 5.4× |
| Urine Pregnancy Test (81025) | $78.65 | $143 | 9.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $33 | $60 | 10.4× |
| Valproic acid (80164) | $67.65 | $123 | 5.0× |
| Vancomycin (80202) | $92.40 | $168 | 6.8× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$112.20–$154.55 | $204–$281 | varies |
| Vasopressin (84588) | $69.30 | $126 | 2.0× |
| Very Long Chain Fatty Acids (82726) | $282.15 | $513 | 14.3× |
| Viral Culture (87252) range across 4 matching MRF lines |
$70.95–$105.60 | $129–$192 | varies |
| Virus antibody nos (86790) range across 6 matching MRF lines |
$17.05–$281.05 | $31–$511 | varies |
| Virus inoculate tissue addl (87253) | $105.60 | $192 | 5.2× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$70.95–$119.35 | $129–$217 | varies |
| Viscosity serum (85810) | $57.20 | $104 | 4.9× |
| Vit D 1 25-Dihydroxy (82652) | $382.80 | $696 | 9.9× |
| Vitamin A (84590) | $99.55 | $181 | 8.6× |
| Vitamin b-12 (82607) | $66 | $120 | 4.4× |
| Vitamin B2 (Riboflavin) (84252) | $83.60 | $152 | 4.1× |
| Vitamin B6 (84207) | $193.05 | $351 | 6.9× |
| Vitamin c (82180) | $47.85 | $87 | 4.8× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$121–$138.05 | $220–$251 | varies |
| Vitamin E (84446) | $109.45 | $199 | 7.7× |
| Vitamin K (84597) | $433.40 | $788 | 31.6× |
| Volatiles (84600) range across 2 matching MRF lines |
$59.95–$101.20 | $109–$184 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 2 matching MRF lines |
$45.10–$55 | $82–$100 | varies |
| Von willebrand factor ag (85246) | $270.05 | $491 | 11.8× |
| Wbc Alkaline Phosphatase Count (85540) | $203.50 | $370 | 23.7× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$32.45–$73.15 | $59–$133 | varies |
| West Nile Virus Antibody (86789) range across 3 matching MRF lines |
$24.75–$95.15 | $45–$173 | varies |
| Zika Virus Dna/Rna Amp Probe (87662) | $165 | $300 | 3.2× |
| Zinc (84630) range across 3 matching MRF lines |
$21.45–$106.15 | $39–$193 | varies |
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.