Lab & pathology prices at SSM Health St. Agnes Hospital-fond Du Lac
Fond Du Lac, WI · every code in this section with a posted price and a Medicare benchmark.
694 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $46.75 | $85 | 2.0× |
| 5 Nucleotidase (83915) | $19.80 | $36 | 1.8× |
| Acetylcholine receptor binding antibody (86041) | $22 | $40 | 1.2× |
| Acetylcholine receptor blocking antibody (86042) range across 2 matching MRF lines |
$22–$49.50 | $40–$90 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) | $49.50 | $90 | 4.1× |
| Acth (82024) | $325.60 | $592 | 8.4× |
| Actin smooth muscle antibody each (86015) | $19.25 | $35 | 1.6× |
| Acute hepatitis panel (80074) | $314.05 | $571 | 6.6× |
| Acylcarnitines Quant (82017) | $129.25 | $235 | 7.7× |
| Adenovirus antibody (86603) | $22 | $40 | 1.7× |
| Agglutinins Febrile Each Antigen (86000) | $23.65 | $43 | 3.4× |
| Albumin Fluid (82042) | $33 | $60 | 4.2× |
| Albumin serum (82040) range across 3 matching MRF lines |
$33–$47.85 | $60–$87 | varies |
| Aldolase (82085) | $84.70 | $154 | 8.7× |
| Aldosterone urine (82088) | $367.40 | $668 | 9.0× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$53.35–$77 | $97–$140 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $64.35 | $117 | 8.1× |
| Allergen specific ige (86003) | $26.40 | $48 | 5.1× |
| Allg Spec Ige Recomb Ea (86008) | $29.70 | $54 | 1.7× |
| Alpha-1-antitrypsin phenotype (82104) | $117.70 | $214 | 8.1× |
| Alpha-1-antitrypsin total (82103) | $119.90 | $218 | 8.9× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$145.75–$147.95 | $265–$269 | varies |
| Alt (sgpt) (84460) | $50.05 | $91 | 9.4× |
| Aluminum (82108) | $386.65 | $703 | 15.2× |
| Amikacin trough (80150) | $138.05 | $251 | 9.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $127.05 | $231 | 7.5× |
| Aminolevulinic acid (ala) (82135) | $145.20 | $264 | 8.8× |
| Ammonia (82140) | $126.50 | $230 | 8.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $222.75 | $405 | 2.3× |
| Amylase urine (82150) | $62.70 | $114 | 9.7× |
| Ana Titer (86039) | $94.05 | $171 | 8.4× |
| Anca screen each antibody (86036) | $19.80 | $36 | 1.6× |
| Androstenedione (82157) | $262.35 | $477 | 9.0× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$127.05–$130.90 | $231–$238 | varies |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$46.20–$47.85 | $84–$87 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $21.45 | $39 | 1.7× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $60.50 | $110 | 3.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $695.75 | $1,265 | 41.3× |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$34.10–$48.95 | $62–$89 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $111.10 | $202 | 8.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $128.70 | $234 | 8.4× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $100.65 | $183 | 5.5× |
| Antibody Fungus Not Elsewhere Specified (86671) | $41.80 | $76 | 3.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$117.15–$119.90 | $213–$218 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $111.65 | $203 | 8.5× |
| Antibody HIV-2 (86702) | $23.10 | $42 | 1.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $98.45 | $179 | 5.1× |
| Antibody identification leukocyte antibodies (86021) | $24.75 | $45 | 1.6× |
| Antibody Identification Platelet Immunogl Assay (86023) range across 2 matching MRF lines |
$39.05–$156.20 | $71–$284 | varies |
| Antibody Protozoa Nes (86753) range across 4 matching MRF lines |
$20.35–$39.05 | $37–$71 | varies |
| Antibody Titer (86886) | $226.05 | $411 | 43.6× |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$15.40–$211.75 | $28–$385 | varies |
| Antibody; encephalitis, st. louis (86653) | $34.10 | $62 | 2.6× |
| Antigen typing (86905) range across 12 matching MRF lines |
$11.55–$457.60 | $21–$832 | varies |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$84.15–$89.10 | $153–$162 | varies |
| Antistreptolysin o titer (86060) | $62.70 | $114 | 8.6× |
| Antithrombin iii activity (85300) | $102.85 | $187 | 8.7× |
| Antithrombin iii antigen (85301) | $97.35 | $177 | 9.0× |
| Apolipoprotein a1 (82172) | $64.35 | $117 | 3.1× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $62.15 | $113 | 1.6× |
| Aquaporin-4 Antb Cba Each (86052) | $593.45 | $1,079 | 49.2× |
| Arsenic (82175) range across 3 matching MRF lines |
$64.90–$169.95 | $118–$309 | varies |
| Aspergillus ag eia (87305) range across 3 matching MRF lines |
$78.10–$80.85 | $142–$147 | varies |
| Assay activated protein c (85307) | $94.05 | $171 | 6.1× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$24.75–$45.65 | $45–$83 | varies |
| Assay Nephelometry Not Spec (83883) | $116.60 | $212 | 8.6× |
| Assay of 5-hiaa (83497) | $112.75 | $205 | 8.7× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$21.45–$40.15 | $39–$73 | varies |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$53.35–$57.75 | $97–$105 | varies |
| Assay of cpk in blood (82552) | $100.10 | $182 | 7.5× |
| Assay of estrone (82679) | $46.20 | $84 | 1.9× |
| Assay of g6pd enzyme (82955) | $84.15 | $153 | 8.7× |
| Assay of gammaglobulin igm (82784) range across 14 matching MRF lines |
$58.30–$130.90 | $106–$238 | varies |
| Assay of lactic acid (83605) range across 4 matching MRF lines |
$52.25–$107.80 | $95–$196 | varies |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$139.15–$149.05 | $253–$271 | varies |
| Assay of proinsulin (84206) | $156.75 | $285 | 5.9× |
| Assay of pyruvate (84210) range across 3 matching MRF lines |
$28.05–$95.15 | $51–$173 | varies |
| Assay of serotonin (84260) | $247.50 | $450 | 8.0× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$22–$47.85 | $40–$87 | varies |
| Assay of urea nitrogen (84520) range across 7 matching MRF lines |
$23.65–$47.85 | $43–$87 | varies |
| Assay of vasoactive intestinal peptide (84586) | $105.05 | $191 | 3.0× |
| Assay of vitamin b-1 (84425) | $182.60 | $332 | 8.6× |
| Assay Ph Body Fluid Nos (83986) range across 5 matching MRF lines |
$6.60–$50.05 | $12–$91 | varies |
| Assay spec xcp ur&breath ia (82077) | $31.35 | $57 | 1.8× |
| Asy carbamazepin 10,11-epxid (80161) | $30.80 | $56 | 1.7× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$33.55–$48.40 | $61–$88 | varies |
| Babesia microti amp prb (87469) range across 2 matching MRF lines |
$47.30–$64.90 | $86–$118 | varies |
| Bartonella antibody (86611) | $19.25 | $35 | 1.9× |
| Bcr/abl1 gene major bp (81206) range across 3 matching MRF lines |
$449.90–$541.20 | $818–$984 | varies |
| Bcr/abl1 gene minor bp (81207) | $4.40 | $8 | 0.0× |
| Bcr/Abl1 Gene Other Bp (81208) | $541.20 | $984 | 2.5× |
| Beta 2 glycoprotein i antibody each (86146) | $33.55 | $61 | 1.3× |
| Beta hydroxybutyrate (82010) | $44 | $80 | 5.4× |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$32.18–$51.70 | $58.50–$94 | varies |
| Beta-2 Microglobulin (82232) | $139.70 | $254 | 8.6× |
| Bile acids total (82239) | $73.15 | $133 | 4.3× |
| Bilirubin direct (82248) | $18.15 | $33 | 3.6× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$9.35–$18.15 | $17–$33 | varies |
| Bilirubin total transcutaneous (88720) | $11.55 | $21 | 2.3× |
| Bl Smear W/O Diff Wbc Count (85008) | $11 | $20 | 3.2× |
| Blastomyces antibody (86612) | $19.80 | $36 | 1.5× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $121 | $220 | 0.7× |
| Bld Typing Serologic Rh Phnt (86906) | $43.45 | $79 | 5.6× |
| Blood Count Red Blood Cell Automated (85041) | $25.30 | $46 | 8.4× |
| Blood count reticulocyte automated (85045) | $34.65 | $63 | 8.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$7.15–$12.10 | $13–$22 | varies |
| Blood gas (82803) range across 2 matching MRF lines |
$128.70–$196.90 | $234–$358 | varies |
| Blood gases w/02 saturation (82805) range across 6 matching MRF lines |
$28.60–$156.75 | $52–$285 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $89.10 | $162 | 5.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 9 matching MRF lines |
$44.55–$457.60 | $81–$832 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 2 matching MRF lines |
$52.80–$89.65 | $96–$163 | varies |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$26.95–$166.65 | $49–$303 | varies |
| Braf gene analysis (81210) range across 5 matching MRF lines |
$348.70–$466.40 | $634–$848 | varies |
| Brucella antibody (86622) | $14.85 | $27 | 1.7× |
| C diff amplified probe (87493) | $80.85 | $147 | 2.2× |
| C-Peptide (84681) | $44 | $80 | 2.1× |
| C-reactive protein (86140) | $44.55 | $81 | 8.6× |
| Ca 19-9 (86301) | $168.30 | $306 | 8.1× |
| Cadmium (82300) | $207.35 | $377 | 8.8× |
| Caffeine (80155) | $63.80 | $116 | 1.7× |
| Calcitonin (82308) | $230.45 | $419 | 8.6× |
| Calcium ionized (82330) | $95.15 | $173 | 7.0× |
| Calcium total (82310) | $43.45 | $79 | 8.4× |
| Calculus Spectroscopy (82365) | $24.20 | $44 | 1.9× |
| Calprotectin Fecal (83993) | $36.85 | $67 | 1.9× |
| Calr gene com variants (81219) | $333.85 | $607 | 2.7× |
| Cancer Antigen 125 (86304) | $166.65 | $303 | 8.0× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$157.85–$163.90 | $287–$298 | varies |
| Candida antibody (86628) | $40.70 | $74 | 3.4× |
| Carbamazepine total (80156) | $135.85 | $247 | 9.3× |
| Carboxyhemoglobin (82375) | $116.05 | $211 | 9.4× |
| Carcinoembryonic antigen (82378) | $158.40 | $288 | 8.4× |
| Cardiolipin ab iga (86147) | $35.75 | $65 | 1.4× |
| Carnitine Quantitative Each Specimen (82379) | $127.05 | $231 | 7.5× |
| Carotene (82380) | $17.05 | $31 | 1.8× |
| Catecholamines fractionated (82384) range across 3 matching MRF lines |
$144.10–$188.65 | $262–$343 | varies |
| Ccp antibody (86200) | $108.35 | $197 | 8.4× |
| Cell count csf (89051) | $70.95 | $129 | 12.7× |
| Cell marker study (88182) range across 2 matching MRF lines |
$113.85–$124.85 | $207–$227 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $224.40 | $408 | 1.7× |
| Ceruloplasmin (82390) | $90.75 | $165 | 8.4× |
| Cftr gene com variants (81220) | $1,322.75 | $2,405 | 2.4× |
| Cftr gene full sequence (81223) | $1,327.70 | $2,414 | 2.7× |
| Chemiluminescent assay (82397) | $124.30 | $226 | 8.8× |
| Chlamydia antibody (86631) | $59.40 | $108 | 5.0× |
| Chlamydia Igm Antibody (86632) | $35.20 | $64 | 2.8× |
| Chloride Serum (82435) | $38.50 | $70 | 8.4× |
| Chloride urine (82436) range across 2 matching MRF lines |
$41.25–$46.75 | $75–$85 | varies |
| Cholesterol total (82465) | $44.55 | $81 | 10.2× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$91.30–$130.90 | $166–$238 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $55 | $100 | 1.6× |
| Chromogranin a (86316) range across 4 matching MRF lines |
$172.70–$174.90 | $314–$318 | varies |
| Chromosome Analysis 15-20 (88262) range across 6 matching MRF lines |
$235.95–$770 | $429–$1,400 | varies |
| Chromosome Analysis 20-25 (88264) | $170.64 | $310.25 | 1.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 5 matching MRF lines |
$71.50–$265.10 | $130–$482 | varies |
| Citric acid urine (82507) | $50.05 | $91 | 1.8× |
| Ckmb (82553) | $21.45 | $39 | 1.9× |
| Clostridium Difficile (87324) | $81.40 | $148 | 6.8× |
| Clot Factor VIII Multimetric (85247) | $200.20 | $364 | 8.7× |
| Clotting factor xii hageman (85280) | $169.40 | $308 | 8.8× |
| Clotting Funct Activity (85397) | $108.35 | $197 | 3.5× |
| Cns DNA amp probe type 12-25 (87483) | $930.05 | $1,691 | 2.2× |
| Coagulation time activated (85347) range across 3 matching MRF lines |
$15.95–$36.85 | $29–$67 | varies |
| Coccidioides antibody (86635) | $20.90 | $38 | 1.8× |
| Cold agglutinin titer (86157) | $46.20 | $84 | 5.7× |
| Collagen crosslinks (82523) | $90.75 | $165 | 4.9× |
| Column Chromotography Quant (82542) range across 6 matching MRF lines |
$111.65–$158.40 | $203–$288 | varies |
| Compatibility Each Unit Incubation (86921) | $219.45 | $399 | 1.3× |
| Compatibility test antiglob (86922) range across 4 matching MRF lines |
$103.40–$158.95 | $188–$289 | varies |
| Complement Antigen Each Component (86160) range across 6 matching MRF lines |
$87.45–$99.55 | $159–$181 | varies |
| Complement Total (Ch50) (86162) | $142.45 | $259 | 7.0× |
| Complement/Function Activity (86161) | $87.45 | $159 | 7.3× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $260.15 | $473 | 1.5× |
| Coombs direct (86880) range across 5 matching MRF lines |
$22–$66 | $40–$120 | varies |
| Copper urine (82525) range across 2 matching MRF lines |
$87.45–$89.65 | $159–$163 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$144.10–$148.50 | $262–$270 | varies |
| Cortisol saliva (82533) range across 6 matching MRF lines |
$132–$143 | $240–$260 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$56.65–$58.30 | $103–$106 | varies |
| Creatinine blood (82565) range across 3 matching MRF lines |
$6.05–$45.10 | $11–$82 | varies |
| Creatinine clearance (82575) | $85.80 | $156 | 9.1× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$41.25–$45.65 | $75–$83 | varies |
| Crossmatch electronic (86923) | $88.55 | $161 | 0.5× |
| Crossmatch immediate spin (86920) | $99 | $180 | 0.6× |
| Crp High Sensitivity (86141) | $77.55 | $141 | 6.0× |
| Cryofibrinogen (82585) | $25.30 | $46 | 1.8× |
| Cryoglobulin (82595) | $50.05 | $91 | 7.7× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$75.90–$135.30 | $138–$246 | varies |
| Cryptosporidium ag eia (87328) | $135.30 | $246 | 9.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$18.70–$27.50 | $34–$50 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines |
$84.15–$107.25 | $153–$195 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $125.95 | $229 | 16.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $486.75 | $885 | 2.2× |
| Culture aerobic quant other (87071) | $100.65 | $183 | 10.2× |
| Culture afb (87116) range across 2 matching MRF lines |
$120.45–$123.75 | $219–$225 | varies |
| Culture Anaerobic (87075) | $123.20 | $224 | 13.0× |
| Culture blood (87040) | $126.50 | $230 | 12.3× |
| Culture csf (87070) range across 15 matching MRF lines |
$81.40–$103.40 | $148–$188 | varies |
| Culture fungus (87102) | $111.10 | $202 | 13.2× |
| Culture fungus blood (87103) | $93.50 | $170 | 4.6× |
| Culture screen only (87081) range across 8 matching MRF lines |
$82.50–$106.70 | $150–$194 | varies |
| Culture stool (87045) | $117.70 | $214 | 12.5× |
| Culture typing if ea antiserum (87140) | $36.30 | $66 | 6.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 4 matching MRF lines |
$11.55–$36.30 | $21–$66 | varies |
| Culture typing other methods (87158) range across 3 matching MRF lines |
$17.60–$89.10 | $32–$162 | varies |
| Culture urine (87086) | $88 | $160 | 10.9× |
| Cyanide (82600) | $34.65 | $63 | 1.8× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $26.40 | $48 | 1.8× |
| Cyclosporine (80158) | $135.85 | $247 | 7.5× |
| Cystatin C (82610) | $60.50 | $110 | 3.3× |
| Cytogenetics 100-300 (88275) range across 19 matching MRF lines |
$213.95–$271.70 | $389–$494 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$3,085.50–$3,087.70 | $5,610–$5,614 | varies |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$68.20–$83.60 | $124–$152 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $172.15 | $313 | 8.5× |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
$144.65–$248.60 | $263–$452 | varies |
| Cytotoxic Antibody Screen Std (86807) | $129.80 | $236 | 1.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $212.30 | $386 | 8.0× |
| Cytp Concentration Smears & Interpretation (88108) | $177.10 | $322 | 4.8× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $262.90 | $478 | 5.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $262.90 | $478 | 1.6× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $239.80 | $436 | 6.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $377.85 | $687 | 2.2× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $736.45 | $1,339 | 4.4× |
| Deoxyribonuclease antibody (86215) | $115.50 | $210 | 8.7× |
| Detect Agent Nos Dna Amp (87798) range across 28 matching MRF lines |
$93.50–$386.10 | $170–$702 | varies |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
$263.45–$279.40 | $479–$508 | varies |
| Detect agnt mult DNA ampli (87801) range across 4 matching MRF lines |
$156.75–$162.25 | $285–$295 | varies |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$18.70–$70.40 | $34–$128 | varies |
| Dhea (82626) | $45.65 | $83 | 1.8× |
| Dhea-S (82627) | $173.80 | $316 | 7.8× |
| Digoxin (80162) | $98.45 | $179 | 7.4× |
| Digoxin free (80163) | $20.90 | $38 | 1.6× |
| Dihydrotestosterone (82642) | $38.50 | $70 | 1.3× |
| Dipropylacetic Acid Free (80165) | $26.40 | $48 | 1.9× |
| Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines |
$72.60–$115.50 | $132–$210 | varies |
| DNA/RNA direct probe (87149) | $96.80 | $176 | 4.8× |
| Dna/Rna Sequencing (87153) range across 3 matching MRF lines |
$509.30–$564.85 | $926–$1,027 | varies |
| Dpyd gene common variants (81232) | $464.75 | $845 | 2.7× |
| Drug assay acetaminophen (80143) | $30.80 | $56 | 1.7× |
| Drug assay adalimumab (80145) | $63.80 | $116 | 1.7× |
| Drug Assay Amiodarone (80151) | $30.80 | $56 | 1.7× |
| Drug assay felbamate (80167) | $30.80 | $56 | 1.7× |
| Drug Assay Infliximab (80230) | $65.45 | $119 | 1.7× |
| Drug Assay Itraconazole (80189) | $45.65 | $83 | 1.7× |
| Drug Assay Lacosamide (80235) | $44.55 | $81 | 1.6× |
| Drug Assay Vedolizumab (80280) | $466.40 | $848 | 12.1× |
| Drug assay voriconazole (80285) | $44.55 | $81 | 1.6× |
| Drug Screen Quant Clozapine (80159) | $81.40 | $148 | 4.0× |
| Drug Screen Quant Zonisamide (80203) | $150.70 | $274 | 11.4× |
| Drug Screen Quantitative Gabapentin (80171) | $146.85 | $267 | 6.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $151.80 | $276 | 11.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $151.80 | $276 | 11.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $144.65 | $263 | 10.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 23 matching MRF lines |
$64.35–$301.95 | $117–$549 | varies |
| Drug Test Prsmv Instrmnt (80306) | $167.75 | $305 | 9.8× |
| Egfr Gene Analysis Common Variants (81235) | $1,037.30 | $1,886 | 3.2× |
| Ehrlichia antibody (86666) range across 5 matching MRF lines |
$107.80–$111.10 | $196–$202 | varies |
| El-1 Fecal Quantitative (82653) | $41.25 | $75 | 1.8× |
| Electrolyte panel (80051) | $50.60 | $92 | 7.2× |
| Electron Microscopy (88348) | $699.05 | $1,271 | 0.9× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $111.10 | $202 | 1.8× |
| Encephaltis East Eqne Anbdy (86652) | $34.10 | $62 | 2.6× |
| Encephaltis West Eqne Antbdy (86654) | $35.20 | $64 | 2.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $19.80 | $36 | 1.6× |
| Enterovirus Antibody (86658) range across 3 matching MRF lines |
$18.15–$22 | $33–$40 | varies |
| Enterovirus PCR (87498) | $80.85 | $147 | 2.3× |
| Enzyme cell activity (82657) range across 4 matching MRF lines |
$34.65–$165.55 | $63–$301 | varies |
| Enzyme histochemistry (88319) range across 6 matching MRF lines |
$138.60–$211.20 | $252–$384 | varies |
| Erythropoietin (82668) | $158.40 | $288 | 8.4× |
| Estradiol serum (82670) | $249.15 | $453 | 8.9× |
| Estrogens fractionated (82671) | $58.30 | $106 | 1.8× |
| Ethosuximide (80168) | $135.30 | $246 | 8.3× |
| Ethylene Glycol (82693) range across 2 matching MRF lines |
$126.50–$132.55 | $230–$241 | varies |
| Exam Synovial Fluid Crystals (89060) | $66.55 | $121 | 9.1× |
| F2 Gene (81240) | $315.70 | $574 | 4.8× |
| Factor ii activity (85210) | $52.80 | $96 | 4.1× |
| Factor Inhibitor Test (85335) | $132 | $240 | 10.3× |
| Factor ix activity (85250) | $167.20 | $304 | 8.8× |
| Factor v activity (85220) range across 3 matching MRF lines |
$147.95–$151.80 | $269–$276 | varies |
| Factor v leiden mutation (81241) | $434.50 | $790 | 5.9× |
| Factor vii assay (85230) | $156.75 | $285 | 8.8× |
| Factor viii assay (85240) range across 5 matching MRF lines |
$19.80–$62.15 | $36–$113 | varies |
| Factor X (85260) | $32.45 | $59 | 1.8× |
| Factor xi activity (85270) | $156.75 | $285 | 8.8× |
| Factor xiii screen (85291) | $15.95 | $29 | 1.8× |
| Fatty acids free (82725) | $33.55 | $61 | 1.8× |
| Fecal Fat Qualitative (82705) | $41.80 | $76 | 8.2× |
| Ferritin (82728) | $118.80 | $216 | 8.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $154 | $280 | 1.0× |
| Fetal Fibronectin (82731) | $506 | $920 | 7.9× |
| Fetal hemoglobin assay qual (83033) | $14.30 | $26 | 1.8× |
| Fetal screen rosette (85461) | $73.15 | $133 | 7.8× |
| Fibrin degradation products (85362) | $12.65 | $23 | 1.8× |
| Fibrin Degradation Quant (85379) range across 2 matching MRF lines |
$50.60–$69.30 | $92–$126 | varies |
| Fibrinogen activity (85384) | $55 | $100 | 5.7× |
| Fibrinogen antigen (85385) | $25.85 | $47 | 1.8× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 2 matching MRF lines |
$25.85–$64.35 | $47–$117 | varies |
| Flow cytometry first marker (88184) range across 6 matching MRF lines |
$90.75–$101.75 | $165–$185 | varies |
| Flt3 Gene (81245) | $441.10 | $802 | 2.7× |
| Flt3 gene analysis (81246) | $221.10 | $402 | 2.7× |
| Fluorescent antibody screen (86255) range across 16 matching MRF lines |
$20.90–$129.80 | $38–$236 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 17 matching MRF lines |
$60.50–$101.20 | $110–$184 | varies |
| Folic acid rbc (82747) | $97.35 | $177 | 5.5× |
| Folic Acid Serum (82746) | $128.70 | $234 | 8.8× |
| Follicle Stimulating Hormone (83001) | $107.25 | $195 | 5.8× |
| Francisella tularensis (86668) | $23.65 | $43 | 1.7× |
| Frozen Section (88331) | $258.50 | $470 | 1.5× |
| Fungi Identification Mold (87107) | $110.55 | $201 | 10.7× |
| Fungi Identification Yeast (87106) range across 3 matching MRF lines |
$72.05–$112.20 | $131–$204 | varies |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$141.35–$705.65 | $257–$1,283 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 3 matching MRF lines |
$33.55–$54.45 | $61–$99 | varies |
| Gases blood ph only (82800) | $62.70 | $114 | 5.7× |
| Gastrin (82941) | $151.80 | $276 | 8.6× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,020.70 | $3,674 | 2.7× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $6,937.15 | $12,613 | 2.4× |
| Genet Virus Isolate Hsv (87255) | $75.90 | $138 | 2.2× |
| Gentamicin (80170) range across 3 matching MRF lines |
$144.65–$154.55 | $263–$281 | varies |
| Ggt (82977) | $64.35 | $117 | 8.9× |
| Giardia antigen (87329) | $133.65 | $243 | 11.2× |
| Glucagon (82943) | $26.95 | $49 | 1.9× |
| Glucose Blood Test (82962) | $25.30 | $46 | 7.7× |
| Glucose body fluid (82945) range across 5 matching MRF lines |
$22.55–$44 | $41–$80 | varies |
| Glucose Serum (82947) | $29.15 | $53 | 7.4× |
| Glucose tolerance test (gtt) (82951) | $37.40 | $68 | 2.9× |
| Glycated Protein (82985) | $100.65 | $183 | 6.0× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $28.05 | $51 | 1.8× |
| Gonadotropin Chorionic Qualitative (84703) | $75.90 | $138 | 10.1× |
| Growth hormone (83003) | $123.75 | $225 | 7.4× |
| Gtt-added samples (82952) | $37.40 | $68 | 9.5× |
| H Pylori (C-13) Breath (83013) | $128.15 | $233 | 1.9× |
| Haloperidol (80173) | $77.55 | $141 | 4.9× |
| Haptoglobin (83010) | $98.45 | $179 | 7.8× |
| Hdl Cholesterol (83718) | $67.10 | $122 | 8.2× |
| Helicobacter Pylori Stool (87338) | $120.45 | $219 | 8.4× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$21.45–$64.35 | $39–$117 | varies |
| Hematocrit (85014) | $20.35 | $37 | 8.6× |
| Hemoglobin (85018) range across 3 matching MRF lines |
$17.60–$20.90 | $32–$38 | varies |
| Hemoglobin a1c (83036) | $86.35 | $157 | 8.9× |
| Hemoglobin Chromotography (83021) | $156.75 | $285 | 8.7× |
| Hemoglobin electrophoresis (83020) | $27.50 | $50 | 2.1× |
| Hemoglobin Methemoglobin Quantitative (83050) | $25.85 | $47 | 3.2× |
| Hemoglobin plasma (83051) | $13.20 | $24 | 1.8× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $23.65 | $43 | 2.7× |
| Hemolysins&Agglutinins Incubated (86941) | $242.55 | $441 | 20.0× |
| Hemosiderin urine (83070) | $8.25 | $15 | 1.7× |
| Hep a ab igm (86709) | $98.45 | $179 | 8.7× |
| Heparin assay (85520) range across 3 matching MRF lines |
$57.75–$75.35 | $105–$137 | varies |
| Hepatitis a antibody total (86708) | $20.90 | $38 | 1.7× |
| Hepatitis b core ab igm (86705) | $99.55 | $181 | 8.5× |
| Hepatitis b core ab total (86704) | $67.65 | $123 | 5.6× |
| Hepatitis B Surface Antibody (86706) | $96.80 | $176 | 9.0× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$23.65–$118.80 | $43–$216 | varies |
| Hepatitis Be Antibody (86707) range across 2 matching MRF lines |
$19.80–$94.05 | $36–$171 | varies |
| Hepatitis Be Antigen (87350) | $26.40 | $48 | 2.3× |
| Hepatitis C Antibody (86803) | $124.85 | $227 | 8.7× |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$516.45–$2,859.45 | $939–$5,199 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$467.50–$473 | $850–$860 | varies |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$64.35–$252.45 | $117–$459 | varies |
| Heterophile antibodies titer (86309) | $11 | $20 | 1.7× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$8.80–$47.85 | $16–$87 | varies |
| Hfe Gene (81256) | $530.20 | $964 | 8.1× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $70.40 | $128 | 9.1× |
| Histoplasma antibody (86698) | $42.90 | $78 | 3.1× |
| Histoplasma antigen urine (87385) | $147.95 | $269 | 11.2× |
| Hiv Genotype (87901) | $1,072.50 | $1,950 | 4.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $103.40 | $188 | 4.3× |
| Hiv-1 Antibody (86701) | $15.40 | $28 | 1.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$157.85–$189.75 | $287–$345 | varies |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $339.35 | $617 | 2.7× |
| Hla class i&ii antibody qual (86828) | $181.50 | $330 | 2.8× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $815.10 | $1,482 | 11.0× |
| Hla ii typing 1 allele hr (81383) | $289.85 | $527 | 2.7× |
| Hla ii typing 1 locus lr (81376) | $325.60 | $592 | 2.7× |
| Hla-b27 (86812) | $42.35 | $77 | 1.6× |
| Homocysteine (83090) | $144.10 | $262 | 8.0× |
| Homogenization Tissue (87176) | $13.75 | $25 | 2.3× |
| Hpv High-Risk Types (87624) | $246.95 | $449 | 7.0× |
| Hsv Dna Amp Probe (87529) | $376.75 | $685 | 10.7× |
| Hydroxyprogesterone 17-d (83498) | $243.65 | $443 | 9.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $17.60 | $32 | 1.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $55.55 | $101 | 1.6× |
| Iaad ia shiga-like toxin (87427) | $89.65 | $163 | 7.5× |
| Iaad Ia Streptococcus Group A (87430) | $123.75 | $225 | 7.4× |
| Iaadi inffluenza a virus (87276) | $35.75 | $65 | 2.2× |
| Iaadi not otherwise specified each organism (87299) | $35.75 | $65 | 2.2× |
| Iaadi parainfluenza virus each type (87279) | $36.30 | $66 | 2.2× |
| Iaadi pneumocustis carinii (87281) | $26.40 | $48 | 2.2× |
| Iaadi respiratory synctial virus (87280) | $29.70 | $54 | 2.2× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $64.90 | $118 | 1.8× |
| Iadna Bartonella Amplified Probe Technique (87471) | $80.85 | $147 | 2.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $379.50 | $690 | 10.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $378.40 | $688 | 10.8× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 3 matching MRF lines |
$78.10–$112.75 | $142–$205 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $99 | $180 | 2.3× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $156.75 | $285 | 2.2× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $64.90 | $118 | 1.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $467.50 | $850 | 10.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$78.10–$169.40 | $142–$308 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $205.70 | $374 | 5.9× |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $316.25 | $575 | 7.2× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $107.80 | $196 | 2.2× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 4 matching MRF lines |
$63.25–$92.95 | $115–$169 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $187 | $340 | 5.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 5 matching MRF lines |
$78.10–$383.35 | $142–$697 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $86.35 | $157 | 1.7× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $584.65 | $1,063 | 4.1× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,144.55 | $2,081 | 4.4× |
| Idh1 common variants (81120) | $496.10 | $902 | 2.6× |
| Idh2 common variants (81121) | $786.50 | $1,430 | 2.7× |
| Ig Light Chains Free Each (83521) | $31.35 | $57 | 1.8× |
| Igg subclasses (82787) range across 2 matching MRF lines |
$36.85–$81.40 | $67–$148 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 3 matching MRF lines |
$259.60–$410.85 | $472–$747 | varies |
| Immunfix e-phorsis/urine/csf (86335) | $186.45 | $339 | 6.4× |
| Immunoassay analyte qual/semiqual single step (83518) | $29.15 | $53 | 3.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 8 matching MRF lines |
$74.25–$117.15 | $135–$213 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
$6.54–$119.90 | $11.89–$218 | varies |
| Immunoassay nonantibody (83516) range across 29 matching MRF lines |
$19.25–$161.70 | $35–$294 | varies |
| Immunodiffusion Ouchterlony (86331) | $12.87 | $23.40 | 1.1× |
| Immunofixation electrophoresis (86334) | $134.20 | $244 | 6.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $76.45 | $139 | 0.5× |
| Immunohistochemistry (88342) range across 14 matching MRF lines |
$172.70–$343.20 | $314–$624 | varies |
| In situ hybridization ea multiplex probe stain (88366) range across 2 matching MRF lines |
$670.45–$1,121.45 | $1,219–$2,039 | varies |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $32.45 | $59 | 2.2× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $27.50 | $50 | 2.2× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$240.90–$364.65 | $438–$663 | varies |
| Inhibin A (86336) | $90.75 | $165 | 5.8× |
| Inhibin b (83520) range across 23 matching MRF lines |
$19.62–$112.20 | $35.67–$204 | varies |
| Insulin antibodies (86337) | $36.30 | $66 | 1.7× |
| Insulin total (83525) | $100.10 | $182 | 8.8× |
| Interleukin-6 (83529) | $124.30 | $226 | 7.2× |
| Intrinsic factor antibody (86340) | $83.60 | $152 | 5.5× |
| Iron (83540) range across 2 matching MRF lines |
$53.90–$55 | $98–$100 | varies |
| Iron Binding Capacity (83550) | $15.40 | $28 | 1.8× |
| Irradiation Blood Product Each Unit (86945) | $102.85 | $187 | 2.8× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$40.70–$105.05 | $74–$191 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$493.90–$508.20 | $898–$924 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $493.90 | $898 | 2.7× |
| Kit Gene Analysis D816 Variant(S) (81273) | $687.50 | $1,250 | 5.5× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $783.20 | $1,424 | 2.4× |
| Koh Prep (87220) | $41.80 | $76 | 9.8× |
| Kras Gene Analysis Additional Variant(S) (81276) | $855.25 | $1,555 | 4.4× |
| Kras Gene Variants Exon 2 (81275) | $855.25 | $1,555 | 4.4× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$51.15–$53.35 | $93–$97 | varies |
| Lactoferrin fecal qualitative (83630) | $117.70 | $214 | 6.0× |
| Ldh Isoenzymes (83625) | $51.15 | $93 | 4.0× |
| LDL direct (83721) | $77.55 | $141 | 7.4× |
| Lead (83655) range across 3 matching MRF lines |
$68.20–$70.40 | $124–$128 | varies |
| Legionella antibody (86713) | $25.30 | $46 | 1.7× |
| Legionella antigen urine (87449) range across 6 matching MRF lines |
$26.40–$138.05 | $48–$251 | varies |
| Legionella pneumophila dfa (87278) | $59.40 | $108 | 3.8× |
| Leptospira antibody (86720) | $47.85 | $87 | 3.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $125.40 | $228 | 4.4× |
| Level ii surg pathology grossµscopic exam (88302) | $131.45 | $239 | 3.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $384.45 | $699 | 1.1× |
| Lidocaine (80176) | $24.20 | $44 | 1.6× |
| Lipase (83690) | $66 | $120 | 9.6× |
| Lipoprotein A (83695) | $113.85 | $207 | 8.0× |
| Lipoprotein Bld Quan Part (83704) | $267.85 | $487 | 7.8× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $115.50 | $210 | 10.3× |
| Lithium (80178) | $70.95 | $129 | 10.7× |
| Luteinizing Hormone (Lh) (83002) | $152.90 | $278 | 8.3× |
| Lyme disease antibody (86618) range across 7 matching MRF lines |
$70.40–$135.85 | $128–$247 | varies |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$64.90–$93.50 | $118–$170 | varies |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $80.85 | $147 | 2.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 6 matching MRF lines |
$375.10–$630.30 | $682–$1,146 | varies |
| Macroscopic exam arthropod (87168) range across 2 matching MRF lines |
$9.90–$10.45 | $18–$19 | varies |
| Macroscopic Exam Parasite (87169) | $58.85 | $107 | 13.7× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$56.65–$116.05 | $103–$211 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$145.20–$146.30 | $264–$266 | varies |
| Methotrexate (80204) | $63.80 | $116 | 1.7× |
| Methylmalonic acid serum (83921) | $123.75 | $225 | 5.8× |
| Mgmt methylation analysis (81287) | $332.20 | $604 | 2.7× |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$44–$46.20 | $80–$84 | varies |
| Microbe Suscept Macrobroth (87188) | $210.65 | $383 | 31.7× |
| Microsatellite instability (81301) | $435.60 | $792 | 1.2× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$77–$97.90 | $140–$178 | varies |
| Mitochondrial Antibody Each (86381) | $41.80 | $76 | 1.6× |
| Mlh1 Gene (81288) | $526.90 | $958 | 2.7× |
| Mog-Igg1 Antb Cba Each (86362) | $69.85 | $127 | 5.8× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 24 matching MRF lines |
$75.90–$129.25 | $138–$235 | varies |
| Molecular Pathology Procedure Level 3 (81402) | $412.50 | $750 | 2.7× |
| Molecular Pathology Procedure Level 6 (81405) | $801.35 | $1,457 | 2.7× |
| Mononuclear cell antigen (86356) | $44 | $80 | 1.6× |
| Mopath procedure level 1 (81400) | $170.50 | $310 | 2.7× |
| Mopath procedure level 2 (81401) | $756.80 | $1,376 | 5.5× |
| Mopath procedure level 4 (81403) range across 3 matching MRF lines |
$492.25–$493.90 | $895–$898 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$732.05–$958.10 | $1,331–$1,742 | varies |
| Mpl gene common variants (81338) | $399.85 | $727 | 2.7× |
| Mrsa Pcr (87641) | $151.25 | $275 | 4.3× |
| Mthfr Gene Analysis Common Variants (81291) | $509.30 | $926 | 7.8× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$79.20–$114.95 | $144–$209 | varies |
| Muscle-Specific Kinase Antb (86366) | $22 | $40 | 1.2× |
| Mycobacteric Identification (87118) | $159.50 | $290 | 10.9× |
| Mycophenolic Acid (80180) | $134.20 | $244 | 7.4× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$78.65–$79.20 | $143–$144 | varies |
| Mycoplasma culture (87109) | $107.80 | $196 | 7.0× |
| Myd88 Gene P.Leu265pro Vrnt (81305) range across 2 matching MRF lines |
$416.35–$770 | $757–$1,400 | varies |
| Myelin basic protein csf (83873) | $139.70 | $254 | 8.1× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$100.10–$112.75 | $182–$205 | varies |
| Natriuretic peptide (83880) | $195.25 | $355 | 5.0× |
| Nfct ds chrnc hcv 6 assays (81596) | $140.80 | $256 | 2.0× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $498.30 | $906 | 3.9× |
| Niacin (84591) | $30.80 | $56 | 1.8× |
| Nk cells total count (86357) | $312.95 | $569 | 8.3× |
| Nras gene variants exon 2&3 (81311) | $786.50 | $1,430 | 2.7× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$145.75–$147.95 | $265–$269 | varies |
| Nudt15 Gene Common Variants (81306) | $775.50 | $1,410 | 2.7× |
| Occult blood feces (82272) | $18.70 | $34 | 4.4× |
| Occult Blood Other Sources (82271) | $28.60 | $52 | 5.4× |
| Oligoclonal bands (83916) | $124.85 | $227 | 4.6× |
| Oncology breast mrna gene expression 21 genes (81519) | $7,285.30 | $13,246 | 1.9× |
| Oncoprotein dcp (83951) | $102.30 | $186 | 1.6× |
| Organic Acids Qualitative Each Specimen (83919) | $147.95 | $269 | 9.0× |
| Osmolality serum (83930) | $58.30 | $106 | 8.8× |
| Osmolality Urine (83935) | $55 | $100 | 8.1× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$20.90–$90.75 | $38–$165 | varies |
| Oxalate urine (83945) | $25.85 | $47 | 1.8× |
| Parvovirus antibody (86747) | $111.10 | $202 | 7.4× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $154 | $280 | 0.2× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $783.20 | $1,424 | 2.4× |
| Ph urine (81003) | $24.75 | $45 | 11.0× |
| Phenobarbital Level (80184) | $104.50 | $190 | 6.8× |
| Phenotype Infect Agent Drug (87900) | $537.90 | $978 | 4.1× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$116.60–$119.90 | $212–$218 | varies |
| Phenytoin free (80186) | $94.60 | $172 | 6.9× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$44–$45.65 | $80–$83 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $92.95 | $169 | 5.2× |
| Phosphorus Serum (84100) | $38.50 | $70 | 8.1× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$46.75–$48.40 | $85–$88 | varies |
| Pinworm exam (87172) | $45.10 | $82 | 10.6× |
| Platelet Antibodies (86022) range across 13 matching MRF lines |
$83.05–$271.15 | $151–$493 | varies |
| Platelet count automated (85049) | $36.30 | $66 | 8.1× |
| Platelet neutralization (85597) | $32.45 | $59 | 1.8× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | $2,048.20 | $3,724 | 2.7× |
| Pneumcysts jirovecii amp prb (87594) | $242 | $440 | 6.9× |
| Porphobilinogen, urine; quantitative (84110) | $15.40 | $28 | 1.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $129.25 | $235 | 8.8× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$37.95–$40.70 | $69–$74 | varies |
| Prealbumin (84134) | $69.30 | $126 | 4.7× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $226.05 | $411 | 1.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $446.60 | $812 | 7.7× |
| Primidone (80188) | $106.15 | $193 | 6.4× |
| Procalcitonin (Pct) (84145) | $112.75 | $205 | 4.1× |
| Progesterone (84144) | $165 | $300 | 7.9× |
| Prolactin (84146) | $174.90 | $318 | 9.0× |
| Protein body fluid (84157) range across 3 matching MRF lines |
$7.15–$52.80 | $13–$96 | varies |
| Protein C Activity (85303) range across 3 matching MRF lines |
$25.85–$118.80 | $47–$216 | varies |
| Protein c antigen (85302) | $103.95 | $189 | 8.7× |
| Protein Electrophoresis Urine (84166) | $112.20 | $204 | 6.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $108.35 | $197 | 10.1× |
| Protein S Free (85306) range across 5 matching MRF lines |
$93.50–$124.30 | $170–$226 | varies |
| Protein s total (85305) | $101.20 | $184 | 8.7× |
| Protein Total Refractometry Any Src (84160) | $24.75 | $45 | 4.4× |
| Protein total serum (84155) | $52.80 | $96 | 14.4× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$46.75–$47.85 | $85–$87 | varies |
| Protein Western Blot Test (84182) range across 3 matching MRF lines |
$52.80–$54.45 | $96–$99 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $22.55 | $41 | 5.7× |
| Protoporphyrin rbc quantitative (84202) | $70.95 | $129 | 4.9× |
| PSA free (84154) | $100.10 | $182 | 5.4× |
| Pten gene analysis known familial variant (81322) | $124.30 | $226 | 2.7× |
| Pth Intact (83970) range across 3 matching MRF lines |
$74.25–$828.85 | $135–$1,507 | varies |
| Q Fever Antibody (86638) range across 5 matching MRF lines |
$20.35–$30.25 | $37–$55 | varies |
| Quantiferon tb gold plus (86480) | $202.40 | $368 | 3.3× |
| Quantitative assay drug (80299) range across 9 matching MRF lines |
$149.60–$166.65 | $272–$303 | varies |
| Rbc antibody elution (86860) | $99.55 | $181 | 0.6× |
| Rbc antibody identification (86870) range across 9 matching MRF lines |
$61.60–$446.60 | $112–$812 | varies |
| Rbc antibody screen (86850) range across 6 matching MRF lines |
$58.30–$76.45 | $106–$139 | varies |
| Rbc pretreatment serum (86978) range across 3 matching MRF lines |
$92.40–$136.40 | $168–$248 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $446.60 | $812 | 2.7× |
| Rbc serum pretx incubj drugs (86975) | $286.55 | $521 | 0.6× |
| Renin activity plasma (84244) | $189.75 | $345 | 8.6× |
| Reptilase test (85635) range across 2 matching MRF lines |
$18.15–$42.35 | $33–$77 | varies |
| Resp Virus 6-11 Targets (87632) | $1,030.70 | $1,874 | 4.7× |
| Reticulocyte separation (86972) | $226.05 | $411 | 1.3× |
| Rh (86901) range across 5 matching MRF lines |
$7.70–$159.50 | $14–$290 | varies |
| Rheumatoid factor quant (86431) | $50.05 | $91 | 8.8× |
| Rickettsia antibody (86757) range across 4 matching MRF lines |
$31.90–$95.70 | $58–$174 | varies |
| Ristocetin cofactor (85245) range across 3 matching MRF lines |
$96.80–$217.80 | $176–$396 | varies |
| Rotavirus ag eia (87425) | $89.10 | $162 | 7.4× |
| Rpr qualitative (86592) range across 5 matching MRF lines |
$7.70–$35.20 | $14–$64 | varies |
| Rubella Antibody (86762) range across 3 matching MRF lines |
$119.90–$330 | $218–$600 | varies |
| Rubeola antibody (86765) | $105.60 | $192 | 8.2× |
| Rufinamide (80210) | $64.35 | $117 | 2.4× |
| Russell Viper Venom Time Diluted (85613) range across 7 matching MRF lines |
$50.05–$139.15 | $91–$253 | varies |
| Salicylate Level (80179) | $30.80 | $56 | 1.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $115.50 | $210 | 2.3× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$22–$30.25 | $40–$55 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $320.65 | $583 | 2.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $318.45 | $579 | 2.2× |
| Sedimentation Rate, Automated (85652) | $29.15 | $53 | 10.8× |
| Selenium (84255) | $47.30 | $86 | 1.9× |
| Semen Anal Sperm Detection (89321) | $94.60 | $172 | 7.9× |
| Sensitivity mic (87186) range across 12 matching MRF lines |
$19.25–$118.80 | $35–$216 | varies |
| Serpina 1 gene (81332) | $116.05 | $211 | 2.7× |
| Sex Hormone Binding Globulin (84270) | $209.55 | $381 | 9.6× |
| Sickling of rbc reduction (85660) | $156.20 | $284 | 28.3× |
| Sirolimus (80195) | $25.85 | $47 | 1.9× |
| Skin test tuberculosis intradermal (86580) | $34.10 | $62 | 1.2× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$50.60–$64.35 | $92–$117 | varies |
| Smear complex stain (87209) | $160.60 | $292 | 8.9× |
| Smear gram stain (87205) | $47.30 | $86 | 11.1× |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$25.30–$73.15 | $46–$133 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$48.40–$51.70 | $88–$94 | varies |
| So neo gsap DNA mcrstl ins (81457) | $192.50 | $350 | 0.2× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$22.55–$39.05 | $41–$71 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$43.45–$44.55 | $79–$81 | varies |
| Somatomedin (84305) | $153.45 | $279 | 7.2× |
| Special Stains Group 1 (88312) | $127.60 | $232 | 2.5× |
| Special Stains Group 2 (88313) range across 7 matching MRF lines |
$112.20–$417.45 | $204–$759 | varies |
| Specimen infect agnt concntj (87015) | $34.10 | $62 | 5.1× |
| Spectrophotometry (84311) range across 6 matching MRF lines |
$13.75–$63.80 | $25–$116 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $246.95 | $449 | 1.5× |
| Staph a DNA amp probe (87640) | $151.25 | $275 | 4.3× |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$73.15–$85.80 | $133–$156 | varies |
| Strep a assay w/optic (87880) | $123.75 | $225 | 7.5× |
| Strep b DNA amp probe (87653) | $201.85 | $367 | 5.8× |
| Surg path level iii (88304) | $274.45 | $499 | 5.3× |
| Surgical pathology level IV (88305) range across 7 matching MRF lines |
$263.45–$271.70 | $479–$494 | varies |
| Surgical pathology level vi (88309) | $372.35 | $677 | 0.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $30.80 | $56 | 6.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $77.55 | $141 | 10.4× |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
$7.70–$35.20 | $14–$64 | varies |
| T cells absolute cd4 count (86361) range across 2 matching MRF lines |
$198.55–$226.05 | $361–$411 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $389.40 | $708 | 8.3× |
| T cells total count (86359) range across 2 matching MRF lines |
$64.35–$312.95 | $117–$569 | varies |
| T3 Free (84481) | $106.70 | $194 | 6.3× |
| T3 reverse (84482) | $28.05 | $51 | 1.8× |
| T3 Total (84480) | $122.10 | $222 | 8.6× |
| T3 Uptake (84479) | $56.10 | $102 | 8.7× |
| T4 Free (84439) | $81.40 | $148 | 9.0× |
| T4 total (84436) range across 2 matching MRF lines |
$61.05–$67.10 | $111–$122 | varies |
| Tacrolimus (80197) | $122.65 | $223 | 8.9× |
| Tau phosphorylated each (84393) | $235.58 | $428.33 | 1.8× |
| Testosterone Bioavailable (84410) | $92.40 | $168 | 1.8× |
| Testosterone total (84403) range across 4 matching MRF lines |
$218.35–$223.30 | $397–$406 | varies |
| Testosterone, Free (84402) | $198.55 | $361 | 7.8× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,037.30 | $1,886 | 1.7× |
| Theophylline (80198) | $121 | $220 | 8.6× |
| Thiopurine methyltransferase (84433) | $93.50 | $170 | 4.2× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$36.85–$49.50 | $67–$90 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$52.25–$53.90 | $95–$98 | varies |
| Thyroglobulin (84432) | $77.55 | $141 | 4.8× |
| Thyroglobulin Antibody (86800) | $138.60 | $252 | 8.7× |
| Thyroid Stimulating Immunoglobulin (84445) | $192.50 | $350 | 3.8× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 5 matching MRF lines |
$19.25–$64.35 | $35–$117 | varies |
| Tissue Culture (88233) | $40.70 | $74 | 0.3× |
| Tissue culture bone marrow (88237) | $201.46 | $366.29 | 1.4× |
| Tissue Culture Lymphocyte (88230) range across 4 matching MRF lines |
$219.45–$457.05 | $399–$831 | varies |
| Tobramycin peak (80200) range across 3 matching MRF lines |
$131.45–$139.15 | $239–$253 | varies |
| Topiramate (80201) | $116.60 | $212 | 9.8× |
| Touch prep (88161) | $56.65 | $103 | 2.0× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $44 | $80 | 2.2× |
| Toxoplasma ab igm (86778) | $94.60 | $172 | 6.6× |
| Toxoplasma antibody (86777) | $107.25 | $195 | 7.5× |
| Tp53 gene analysis targeted sequence analysis (81352) | $1,082.12 | $1,967.50 | 3.3× |
| Tpmt gene com variants (81335) | $464.75 | $845 | 2.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $21.45 | $39 | 4.1× |
| Transferrin (84466) | $102.30 | $186 | 8.0× |
| Trg gene rearrangement anal (81342) | $537.35 | $977 | 2.7× |
| Trichomonas Vaginalis Amplif (87661) | $80.85 | $147 | 2.3× |
| Triglycerides (84478) range across 2 matching MRF lines |
$19.25–$50.05 | $35–$91 | varies |
| Troponin Quant (84484) | $87.45 | $159 | 7.0× |
| Tumor Immunohistochem/Manual (88360) range across 7 matching MRF lines |
$209.55–$377.85 | $381–$687 | varies |
| Unlisted Transfusion Medicine Procedure (86999) range across 3 matching MRF lines |
$61.60–$73.70 | $112–$134 | varies |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$37.40–$46.75 | $68–$85 | varies |
| Uric acid other source (84560) range across 4 matching MRF lines |
$45.65–$46.75 | $83–$85 | varies |
| Urinalysis Microscopic Only (81015) | $25.85 | $47 | 8.5× |
| Urinalysis Volume Measure (81050) | $25.85 | $47 | 7.1× |
| Urine Bacteria Culture (87088) | $60.50 | $110 | 7.5× |
| Urine Pregnancy Test (81025) | $58.30 | $106 | 6.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $57.75 | $105 | 18.2× |
| Valproic acid (80164) | $119.90 | $218 | 8.9× |
| Vancomycin (80202) range across 4 matching MRF lines |
$23.10–$123.20 | $42–$224 | varies |
| Varicella-zoster antibody (86787) range across 6 matching MRF lines |
$47.85–$185.35 | $87–$337 | varies |
| Vasopressin (84588) | $162.80 | $296 | 4.8× |
| Viral Culture (87252) range across 5 matching MRF lines |
$243.10–$291.50 | $442–$530 | varies |
| Virus antibody nos (86790) range across 9 matching MRF lines |
$12.10–$53.90 | $22–$98 | varies |
| Virus inoculate tissue addl (87253) | $95.70 | $174 | 4.7× |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$59.40–$122.10 | $108–$222 | varies |
| Viscosity serum (85810) | $103.95 | $189 | 8.9× |
| Vit D 1 25-Dihydroxy (82652) | $307.45 | $559 | 8.0× |
| Vitamin A (84590) | $102.85 | $187 | 8.9× |
| Vitamin b-12 (82607) | $91.30 | $166 | 6.1× |
| Vitamin B2 (Riboflavin) (84252) | $36.85 | $67 | 1.8× |
| Vitamin B6 (84207) | $241.45 | $439 | 8.6× |
| Vitamin c (82180) | $18.15 | $33 | 1.8× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$211.20–$252.45 | $384–$459 | varies |
| Vitamin E (84446) | $121.55 | $221 | 8.6× |
| Vitamin K (84597) | $121.55 | $221 | 8.9× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $30.25 | $55 | 2.5× |
| Von willebrand factor ag (85246) range across 3 matching MRF lines |
$99.55–$217.80 | $181–$396 | varies |
| West nile virus ab igm (86788) | $47.85 | $87 | 2.8× |
| West Nile Virus Antibody (86789) | $74.80 | $136 | 5.2× |
| Xm Archive Tissue Molec Anal (88363) | $56.65 | $103 | 2.0× |
| Zinc (84630) range across 2 matching MRF lines |
$79.75–$90.20 | $145–$164 | 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.