Lab & pathology prices at SSM Health St. Joseph Hospital - Lake Saint Louis

Lake Saint Louis, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $76.45 $139 3.4×
5 Nucleotidase (83915) $29.15 $53 2.6×
Abl1 gene analysis kinase domain variants (81170) $777.70 $1,414 2.6×
Acetylcholine receptor binding antibody (86041) $149.60 $272 8.1×
Acetylcholine receptor blocking antibody (86042) $149.60 $272 8.1×
Acetylcholinesterase Assay (82013) $94.05 $171 7.7×
Acetylcholn Rcptr Modlg Antb (86043) $47.30 $86 3.9×
Acth (82024) $116.05 $211 3.0×
Actin smooth muscle antibody each (86015) $29.70 $54 2.5×
Acute hepatitis panel (80074) $144.10 $262 3.0×
Acylcarnitines Quant (82017)
range across 2 matching MRF lines
$92.95–$105.60 $169–$192 varies
Adenovirus antibody (86603) $86.90 $158 6.8×
Afp-l3 fraction isoform & total afp w/ratio (82107) $138.60 $252 2.2×
Albumin Fluid (82042)
range across 3 matching MRF lines
$17.05–$70.40 $31–$128 varies
Albumin serum (82040)
range across 3 matching MRF lines
$17.05–$28.05 $31–$51 varies
Aldolase (82085) $42.90 $78 4.4×
Aldosterone urine (82088)
range across 5 matching MRF lines
$88.55–$140.25 $161–$255 varies
Alkaline phosphatase isoenzymes (84080) $45.65 $83 3.1×
Allergen spec ige qual multiallergen screen (86005) $26.95 $49 3.4×
Allergen specific ige (86003)
range across 4 matching MRF lines
$20.35–$31.35 $37–$57 varies
Allergen specific igg (86001) $22 $40 2.8×
Allg Spec Ige Recomb Ea (86008) $10.45 $19 0.6×
Alpha-1-antitrypsin phenotype (82104) $150.70 $274 10.4×
Alpha-1-antitrypsin total (82103)
range across 2 matching MRF lines
$58.85–$66 $107–$120 varies
Alpha-Fetoprotein Amniotic Fluid (82106) $126.50 $230 7.4×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines
$42.35–$76.45 $77–$139 varies
Alt (sgpt) (84460)
range across 4 matching MRF lines
$13.75–$33 $25–$60 varies
Aluminum (82108) $64.35 $117 2.5×
Amikacin trough (80150)
range across 3 matching MRF lines
$36.30–$59.40 $66–$108 varies
Amino Acids 1 Quantitative Each Specimen (82131)
range across 4 matching MRF lines
$72.05–$120.45 $131–$219 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 5 matching MRF lines
$110–$428.45 $200–$779 varies
Amino Acids Quant 2-5 (82136) $39.05 $71 2.0×
Aminolevulinic acid (ala) (82135) $122.10 $222 7.4×
Ammonia (82140)
range across 2 matching MRF lines
$31.35–$62.70 $57–$114 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $162.25 $295 1.7×
Amniotic fluid scan (82143) $29.70 $54 3.2×
Amylase urine (82150)
range across 6 matching MRF lines
$31.35–$77.55 $57–$141 varies
Ana Titer (86039)
range across 3 matching MRF lines
$31.35–$682 $57–$1,240 varies
Anca screen each antibody (86036) $23.65 $43 2.0×
Anca Titer Each Antibody (86037)
range across 2 matching MRF lines
$41.25–$74.80 $75–$136 varies
Androstanediol Glucuronide (82154) $256.85 $467 8.9×
Androstenedione (82157) $77 $140 2.6×
Angiotensin converting enzyme csf (82164) $62.15 $113 4.3×
Anti-Phospholipid Antibody (86148) $147.95 $269 9.2×
Antibody aspergillus (86606) $54.45 $99 3.6×
Antibody Bacterium Not Elsewhere Specified (86609)
range across 2 matching MRF lines
$35.20–$116.05 $64–$211 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $152.90 $278 9.9×
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$110–$155.65 $200–$283 varies
Antibody Encephalitis California La Crosse (86651) $45.10 $82 3.4×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $33 $60 2.5×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $39.05 $71 2.6×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 2 matching MRF lines
$61.60–$98.45 $112–$179 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 4 matching MRF lines
$27.50–$121.55 $50–$221 varies
Antibody haemophilus influenza (86684) $62.70 $114 4.0×
Antibody helicobacter pylori (86677)
range across 4 matching MRF lines
$33.55–$101.75 $61–$185 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 4 matching MRF lines
$31.35–$114.40 $57–$208 varies
Antibody Herpes Smplx Type 1 (86695)
range across 2 matching MRF lines
$25.85–$50.60 $47–$92 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 3 matching MRF lines
$31.90–$134.75 $58–$245 varies
Antibody HIV-2 (86702) $35.20 $64 2.6×
Antibody Hla Class I High Definition Panel Qual (86832) $565.40 $1,028 1.7×
Antibody htlv/HIV antibody confirmatory test (86689)
range across 2 matching MRF lines
$41.80–$167.75 $76–$305 varies
Antibody identification leukocyte antibodies (86021)
range across 2 matching MRF lines
$191.40–$211.75 $348–$385 varies
Antibody Identification Platelet Immunogl Assay (86023)
range across 3 matching MRF lines
$29.70–$156.75 $54–$285 varies
Antibody john cunningham virus (86711) $409.20 $744 24.2×
Antibody Lymphocytic Choriomeningitis (86727) $25.85 $47 2.0×
Antibody Protozoa Nes (86753)
range across 7 matching MRF lines
$24.20–$744.70 $44–$1,354 varies
Antibody Titer (86886) $129.25 $235 25.0×
Antibody Treponema Pallidum (86780)
range across 6 matching MRF lines
$23.65–$72.05 $43–$131 varies
Antibody; campylobacter (86625) $177.65 $323 13.5×
Antibody; encephalitis, st. louis (86653) $23.10 $42 1.8×
Antibody; influenza virus (86710)
range across 2 matching MRF lines
$25.30–$35.75 $46–$65 varies
Antigen typing (86905) $157.30 $286 41.1×
Antinomyces antibody (86602) $18.15 $33 1.8×
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$30.80–$60.50 $56–$110 varies
Antistreptolysin o titer (86060) $85.80 $156 11.8×
Antithrombin iii activity (85300)
range across 2 matching MRF lines
$74.80–$285.45 $136–$519 varies
Antithrombin iii antigen (85301) $37.95 $69 3.5×
Apc Gene Analysis Known Familial Variants (81202) $554.40 $1,008 2.0×
Apolipoprotein a1 (82172)
range across 3 matching MRF lines
$40.70–$67.10 $74–$122 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053)
range across 3 matching MRF lines
$42.90–$367.95 $78–$669 varies
Aquaporin-4 Antb Cba Each (86052) $274.45 $499 22.8×
Aquaporin-4 Antb Elisa (86051) $473 $860 41.0×
Arsenic (82175)
range across 5 matching MRF lines
$36.85–$149.05 $67–$271 varies
Aspa gene analysis common variants (81200) $232.10 $422 4.9×
Aspergillus ag eia (87305)
range across 2 matching MRF lines
$112.75–$144.10 $205–$262 varies
Assay activated protein c (85307) $159.50 $290 10.4×
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines
$39.60–$46.20 $72–$84 varies
Assay myeloperoxidase (83876) $104.50 $190 2.1×
Assay Nephelometry Not Spec (83883)
range across 6 matching MRF lines
$29.70–$168.30 $54–$306 varies
Assay of 5-hiaa (83497) $99.55 $181 7.7×
Assay of anti-mullerian hormone (82166) $20.90 $38 0.5×
Assay of blood/uric acid (84550) $32.45 $59 7.2×
Assay of calcium in urine (82340)
range across 2 matching MRF lines
$29.15–$31.35 $53–$57 varies
Assay of cpk in blood (82552) $27.50 $50 2.1×
Assay of estrone (82679) $68.75 $125 2.8×
Assay of g6pd enzyme (82955) $26.95 $49 2.8×
Assay of gammaglobulin igm (82784)
range across 11 matching MRF lines
$18.70–$117.15 $34–$213 varies
Assay of lactic acid (83605)
range across 7 matching MRF lines
$31.35–$183.15 $57–$333 varies
Assay of manganese (83785) $118.25 $215 4.4×
Assay of metanephrines (83835) $104.50 $190 6.2×
Assay of phosphatase acid total (84060) $75.35 $137 9.9×
Assay of proinsulin (84206) $89.10 $162 3.3×
Assay of pyruvate (84210) $33 $60 2.3×
Assay of serotonin (84260) $187.55 $341 6.1×
Assay of serum potassium (84132)
range across 5 matching MRF lines
$24.20–$31.90 $44–$58 varies
Assay of Sialic Acid (84275) $44.55 $81 3.3×
Assay of sweat sodium (84302)
range across 2 matching MRF lines
$28.05–$29.15 $51–$53 varies
Assay of transcortin (84449) $66.55 $121 3.7×
Assay of Tyrosine (84510)
range across 2 matching MRF lines
$39.60–$56.10 $72–$102 varies
Assay of urea nitrogen (84520)
range across 4 matching MRF lines
$34.65–$45.10 $63–$82 varies
Assay of urine vma (84585)
range across 2 matching MRF lines
$33.55–$167.20 $61–$304 varies
Assay of vasoactive intestinal peptide (84586) $203.50 $370 5.8×
Assay of vitamin b-1 (84425) $78.65 $143 3.7×
Assay Ph Body Fluid Nos (83986)
range across 4 matching MRF lines
$22–$31.35 $40–$57 varies
Asy carbamazepin 10,11-epxid (80161) $39.60 $72 2.1×
Autol Bld/Component Collj Storage Predeposited (86890) $240.35 $437 1.4×
Automated Leukocyte Count (85048) $24.20 $44 9.5×
B cells total count (86355) $42.35 $77 1.1×
Babesia microti amp prb (87469)
range across 2 matching MRF lines
$42.35–$103.40 $77–$188 varies
Bacterial antigens 87802 (87802) $108.90 $198 8.6×
Bartonella antibody (86611) $20.90 $38 2.1×
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$312.40–$343.20 $568–$624 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines
$297–$312.40 $540–$568 varies
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines
$55–$57.20 $100–$104 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$36.30–$41.80 $66–$76 varies
Beta Lactamase (87185) $25.30 $46 5.3×
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines
$83.60–$135.30 $152–$246 varies
Bile acids total (82239) $52.25 $95 3.1×
Bilirubin direct (82248) $37.40 $68 7.5×
Bilirubin total (82247)
range across 7 matching MRF lines
$31.35–$89.10 $57–$162 varies
Biotinidase (82261) $47.30 $86 2.8×
Blastomyces antibody (86612) $45.65 $83 3.5×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $91.85 $167 0.5×
Bld Typing Serologic Rh Phnt (86906) $28.60 $52 3.7×
Blm Gene (81209) $193.05 $351 4.9×
Blood Count Automated Differential Wbc Count (85004) $36.30 $66 5.6×
Blood Count Red Blood Cell Automated (85041) $9.35 $17 3.1×
Blood count reticulocyte automated (85045)
range across 2 matching MRF lines
$15.18–$32.45 $27.60–$59 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines
$9.35–$25.30 $17–$46 varies
Blood count spun microhematocrit (85013) $22 $40 3.1×
Blood gas (82803)
range across 3 matching MRF lines
$86.35–$95.15 $157–$173 varies
Blood gases w/02 saturation (82805)
range across 8 matching MRF lines
$155.65–$172.70 $283–$314 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $39.60 $72 2.5×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $13.75 $25 3.1×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 7 matching MRF lines
$156.75–$179.30 $285–$326 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $31.90 $58 2.0×
Blood typing serologic abo (86900) $61.60 $112 20.6×
Body fluid cell count (89050) $24.75 $45 5.2×
Bordetella antibody (86615)
range across 3 matching MRF lines
$31.90–$36.30 $58–$66 varies
Borrelia Antibody (86619) $160.60 $292 12.0×
Breath Alcohol Test (82075) $47.30 $86 1.6×
Brucella antibody (86622) $37.40 $68 4.2×
C diff amplified probe (87493) $112.75 $205 3.0×
C-Peptide (84681) $62.70 $114 3.0×
C-reactive protein (86140) $41.80 $76 8.1×
Ca 19-9 (86301) $78.65 $143 3.8×
Cadmium (82300)
range across 3 matching MRF lines
$58.85–$81.40 $107–$148 varies
Caffeine (80155) $65.45 $119 1.7×
Calcitonin (82308) $117.15 $213 4.4×
Calcium ionized (82330)
range across 3 matching MRF lines
$31.90–$57.75 $58–$105 varies
Calcium total (82310)
range across 2 matching MRF lines
$25.85–$37.95 $47–$69 varies
Calculus assay quant (82360) $43.45 $79 3.4×
Calculus Spectroscopy (82365)
range across 2 matching MRF lines
$58.85–$84.15 $107–$153 varies
Calprotectin Fecal (83993) $226.05 $411 11.5×
Calr gene com variants (81219) $903.10 $1,642 7.4×
Cancer Antigen 125 (86304) $94.05 $171 4.5×
Cancer Antigen 27.29 (86300) $55.55 $101 2.7×
Candida antibody (86628) $52.25 $95 4.4×
Carbamazepine free (80157) $41.80 $76 3.2×
Carbamazepine total (80156)
range across 3 matching MRF lines
$31.35–$86.35 $57–$157 varies
Carbohydrate Deficient Transferrin (82373) $198.55 $361 11.0×
Carboxyhemoglobin (82375) $57.75 $105 4.7×
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines
$20.90–$73.15 $38–$133 varies
Cardiolipin ab iga (86147)
range across 5 matching MRF lines
$55–$107.25 $100–$195 varies
Carnitine Quantitative Each Specimen (82379) $73.15 $133 4.3×
Carotene (82380)
range across 2 matching MRF lines
$51.70–$53.35 $94–$97 varies
Catecholamines fractionated (82384) $177.65 $323 7.0×
Ccp antibody (86200)
range across 2 matching MRF lines
$13.75–$39.05 $25–$71 varies
Cell count csf (89051) $56.65 $103 10.1×
Cell marker study (88182) $116.05 $211 2.2×
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 7 matching MRF lines
$137.50–$331.65 $250–$603 varies
Ceruloplasmin (82390) $43.45 $79 4.0×
Cftr Gene Analysis Known Familial Variants (81221) $400.40 $728 4.1×
Cftr gene com variants (81220) $549.45 $999 1.0×
Cftr gene full sequence (81223) $1,200.10 $2,182 2.4×
Chemiluminescent assay (82397)
range across 10 matching MRF lines
$15.95–$215.60 $29–$392 varies
Chimerism w/comp to baseline w/cell selection ea (81268) $710.60 $1,292 2.7×
Chlamydia antibody (86631) $44.55 $81 3.8×
Chlamydia Igm Antibody (86632) $47.85 $87 3.8×
Chloramphenicol level (82415) $24.75 $45 2.0×
Chloride other source (82438)
range across 2 matching MRF lines
$37.40–$38.50 $68–$70 varies
Chloride Serum (82435)
range across 3 matching MRF lines
$31.90–$38.50 $58–$70 varies
Chloride urine (82436)
range across 2 matching MRF lines
$22–$31.35 $40–$57 varies
Chlorinated Hydrocarbons Screen (82441) $101.75 $185 16.9×
Cholesterol total (82465)
range across 3 matching MRF lines
$13.75–$28.60 $25–$52 varies
Cholinesterase rbc (82482) $39.60 $72 4.0×
Cholinesterase Serum (82480) $69.30 $126 8.8×
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines
$33–$125.40 $60–$228 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267)
range across 2 matching MRF lines
$699.60–$1,877.15 $1,272–$3,413 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285) $45.65 $83 1.7×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $57.75 $105 1.7×
Chrmsm Breakage Synds Score 100 Cll (88249) $528 $960 3.0×
Chromium serum (82495)
range across 2 matching MRF lines
$62.70–$63.25 $114–$115 varies
Chromogranin a (86316)
range across 3 matching MRF lines
$103.40–$130.90 $188–$238 varies
Chromosome analys amniotic (88269) $171.75 $312.27 1.0×
Chromosome Analysis 15-20 (88262) $290.40 $528 2.3×
Chromosome Analysis 20-25 (88264)
range across 6 matching MRF lines
$290.40–$298.65 $528–$543 varies
Chromosome analysis, 5 (88261) $447.70 $814 1.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines
$42.35–$158.40 $77–$288 varies
Citric acid urine (82507)
range across 2 matching MRF lines
$59.95–$133.65 $109–$243 varies
Ckmb (82553) $78.65 $143 6.8×
Clostridium Difficile (87324) $92.40 $168 7.7×
Clot Factor VIII Multimetric (85247) $737 $1,340 32.1×
Clot factor xiii fibrin stab (85290) $145.75 $265 8.9×
Clotting factor xii hageman (85280) $204.05 $371 10.5×
Clotting Funct Activity (85397) $146.85 $267 4.8×
Cns DNA amp probe type 12-25 (87483) $1,214.40 $2,208 2.9×
Coagulation time activated (85347)
range across 9 matching MRF lines
$9.35–$47.30 $17–$86 varies
Coccidioides antibody (86635)
range across 3 matching MRF lines
$30.25–$132.55 $55–$241 varies
Cold agglutinin titer (86157) $38.50 $70 4.8×
Collagen crosslinks (82523)
range across 3 matching MRF lines
$41.25–$132.55 $75–$241 varies
Column Chromotography Quant (82542)
range across 18 matching MRF lines
$35.75–$315.70 $65–$574 varies
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 3 matching MRF lines
$161.70–$1,176.45 $294–$2,139 varies
Compatibility Each Unit Incubation (86921)
range across 2 matching MRF lines
$80.85–$94.05 $147–$171 varies
Compatibility test antiglob (86922)
range across 2 matching MRF lines
$98.45–$104.50 $179–$190 varies
Complement Antigen Each Component (86160)
range across 12 matching MRF lines
$23.10–$113.30 $42–$206 varies
Complement Total (Ch50) (86162) $107.80 $196 5.3×
Complement/Function Activity (86161)
range across 5 matching MRF lines
$47.30–$167.75 $86–$305 varies
Consltj&Reprt Material Requiring Prepj Slides (88323) $390.50 $710 7.5×
Consltj&Reprt Slides Prepared Elsewhere (88321)
range across 2 matching MRF lines
$127.60–$154 $232–$280 varies
Coombs direct (86880)
range across 3 matching MRF lines
$37.95–$45.10 $69–$82 varies
Copper urine (82525)
range across 3 matching MRF lines
$31.35–$120.45 $57–$219 varies
Cortisol free (82530) $137.50 $250 8.2×
Cortisol saliva (82533)
range across 7 matching MRF lines
$35.75–$73.15 $65–$133 varies
Creatine (82540)
range across 2 matching MRF lines
$83.05–$93.50 $151–$170 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$35.20–$85.25 $64–$155 varies
Creatinine blood (82565)
range across 6 matching MRF lines
$20.90–$57.75 $38–$105 varies
Creatinine clearance (82575) $42.35 $77 4.5×
Creatinine Urine (82570)
range across 5 matching MRF lines
$28.05–$74.80 $51–$136 varies
Crossmatch electronic (86923) $89.10 $162 0.5×
Crossmatch immediate spin (86920)
range across 3 matching MRF lines
$101.75–$105.60 $185–$192 varies
Crp High Sensitivity (86141) $44 $80 3.4×
Cryofibrinogen (82585) $52.25 $95 3.7×
Cryoglobulin (82595) $43.45 $79 6.7×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $298.65 $543 22.9×
Cryptococcus ab (86641) $80.85 $147 5.6×
Cryptococcus ag titer (87899)
range across 7 matching MRF lines
$33.55–$42.90 $61–$78 varies
Cryptosporidium (87272) $127.05 $231 10.6×
Cryptosporidium ag eia (87328) $83.60 $152 6.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $40.70 $74 5.0×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $45.65 $83 5.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $28.05 $51 3.6×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $594 $1,080 2.7×
Culture aerobic quant other (87071) $92.40 $168 9.3×
Culture afb (87116)
range across 3 matching MRF lines
$108.90–$140.25 $198–$255 varies
Culture Anaerobic (87075) $70.95 $129 7.5×
Culture blood (87040)
range across 2 matching MRF lines
$127.05–$144.65 $231–$263 varies
Culture chlamydia (87110) $212.30 $386 10.8×
Culture csf (87070)
range across 21 matching MRF lines
$58.85–$179.85 $107–$327 varies
Culture fungus (87102) $78.10 $142 9.3×
Culture fungus blood (87103) $79.20 $144 3.9×
Culture screen only (87081)
range across 13 matching MRF lines
$27.72–$53.35 $50.40–$97 varies
Culture stool (87045) $56.10 $102 5.9×
Culture typing if ea antiserum (87140) $24.75 $45 4.4×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 4 matching MRF lines
$37.95–$39.05 $69–$71 varies
Culture urine (87086) $60.50 $110 7.5×
Cyanide (82600) $93.50 $170 4.8×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $31.35 $57 2.2×
Cyclosporine (80158) $94.05 $171 5.2×
Cystatin C (82610) $62.15 $113 3.4×
Cytogenetics 10-30 (88273)
range across 2 matching MRF lines
$80.30–$127.60 $146–$232 varies
Cytogenetics 100-300 (88275)
range across 15 matching MRF lines
$50.60–$408.10 $92–$742 varies
Cytogenom Const Microarray Copy Number Variants (81228)
range across 2 matching MRF lines
$623.70–$4,225.10 $1,134–$7,682 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 9 matching MRF lines
$804.10–$4,158 $1,462–$7,560 varies
Cytogenomic neo microra alys (81277)
range across 3 matching MRF lines
$1,188–$1,742.40 $2,160–$3,168 varies
Cytomegalovirus igg (86644)
range across 5 matching MRF lines
$33.55–$194.15 $61–$353 varies
Cytopath C/V Index Add-On (88155) $15.40 $28 1.1×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$48.40–$55 $88–$100 varies
Cytopath Cell Enhance Tech (88112)
range across 4 matching MRF lines
$54.45–$80.85 $99–$147 varies
Cytopath Fl Nongyn Filter (88106) $82.50 $150 2.8×
Cytotoxic Antibody Screen Std (86807) $137.50 $250 1.7×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175)
range across 2 matching MRF lines
$62.15–$62.70 $113–$114 varies
Cytp Concentration Smears & Interpretation (88108)
range across 3 matching MRF lines
$68.75–$99.55 $125–$181 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 2 matching MRF lines
$54.45–$132.55 $99–$241 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 3 matching MRF lines
$108.35–$198.55 $197–$361 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 2 matching MRF lines
$62.70–$67.65 $114–$123 varies
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $62.70 $114 3.4×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $56.65 $103 2.0×
Deoxycortisol (82634) $134.75 $245 4.6×
Deoxyribonuclease antibody (86215) $52.25 $95 3.9×
Desoxycorticosterone (82633) $134.75 $245 4.3×
Detect Agent Nos Dna Amp (87798)
range across 27 matching MRF lines
$39.05–$825.55 $71–$1,501 varies
Detect Agent Nos Dna Quant (87799)
range across 6 matching MRF lines
$221.65–$386.65 $403–$703 varies
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines
$84.70–$217.80 $154–$396 varies
Dgp Antibody Each Ig Class (86258) $94.05 $171 7.8×
Dhea (82626) $108.90 $198 4.3×
Dhea-S (82627) $146.85 $267 6.6×
Dibucaine number (82638) $24.75 $45 2.0×
Digoxin (80162) $56.65 $103 4.3×
Dihydrotestosterone (82642) $117.70 $214 4.0×
Dipropylacetic Acid Free (80165) $61.60 $112 4.5×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines
$31.90–$94.60 $58–$172 varies
Dna Antibody Single Stranded (86226) $139.70 $254 11.5×
Dna/Rna Amplified Probe (87150) $74.25 $135 2.1×
DNA/RNA direct probe (87149) $161.70 $294 8.1×
Drug assay adalimumab (80145) $275 $500 7.1×
Drug Assay Amiodarone (80151) $39.60 $72 2.1×
Drug Assay Everolimus (80169) $78.65 $143 5.7×
Drug assay felbamate (80167) $39.60 $72 2.1×
Drug Assay Infliximab (80230) $121.55 $221 3.2×
Drug Assay Itraconazole (80189) $462 $840 17.0×
Drug Assay Lacosamide (80235) $88 $160 3.2×
Drug Assay Leflunomide (80193) $39.60 $72 1.0×
Drug Assay Posaconazole (80187) $84.70 $154 3.1×
Drug Assay Vedolizumab (80280) $312.95 $569 8.1×
Drug assay voriconazole (80285) $64.35 $117 2.4×
Drug Screen Quant Clozapine (80159) $85.80 $156 4.3×
Drug Screen Quant Zonisamide (80203) $202.95 $369 15.3×
Drug Screen Quantitative Gabapentin (80171) $201.30 $366 9.3×
Drug Screen Quantitative Lamotrigine (80175) $65.45 $119 4.9×
Drug Screen Quantitative Levetiracetam (80177) $67.65 $123 5.1×
Drug Screen Quantitative Oxcarbazepine (80183) $95.70 $174 7.2×
Drug Screen Quantitative Procainamide Metabolite (80192) $53.90 $98 3.2×
Drug Screen Quantitative Tiagabine (80199) $95.70 $174 3.5×
Drug Test Prsmv Chem Anlyzr (80307)
range across 29 matching MRF lines
$34.18–$453.75 $62.14–$825 varies
Drug Test Prsmv Dir Opt Obs (80305) $26.40 $48 2.1×
Drug Test Prsmv Instrmnt (80306) $90.75 $165 5.3×
Ehrlichia antibody (86666)
range across 5 matching MRF lines
$37.40–$80.85 $68–$147 varies
El-1 Fecal Quantitative (82653) $187.55 $341 8.2×
Electrolyte panel (80051) $99.55 $181 14.2×
Electron Microscopy (88348) $789.25 $1,435 1.0×
Electrophoretic Test - Immunofixation Electrophoresis (82664)
range across 3 matching MRF lines
$96.80–$258.50 $176–$470 varies
Encephaltis East Eqne Anbdy (86652) $31.90 $58 2.4×
Encephaltis West Eqne Antbdy (86654) $45.10 $82 3.4×
Endomysial Antibody Each Immunoglobulin Class (86231) $34.10 $62 2.8×
Enterovirus Antibody (86658)
range across 4 matching MRF lines
$31.35–$85.25 $57–$155 varies
Enterovirus PCR (87498) $190.85 $347 5.4×
Enzyme cell activity (82657)
range across 9 matching MRF lines
$41.80–$283.25 $76–$515 varies
Enzyme histochemistry (88319) $386.65 $703 0.5×
Eosinophil Smear (89190) $45.10 $82 7.8×
Erythropoietin (82668) $92.40 $168 4.9×
Estradiol serum (82670)
range across 4 matching MRF lines
$61.05–$254.10 $111–$462 varies
Estriol (82677) $61.60 $112 2.5×
Estrogen total (82672) $47.30 $86 2.2×
Estrogens fractionated (82671) $116.05 $211 3.6×
Ethosuximide (80168) $38.50 $70 2.4×
Ethylene Glycol (82693) $108.35 $197 7.3×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$40.15–$48.95 $73–$89 varies
Exome Sequence Analysis (81415) $9,464.40 $17,208 2.0×
F2 Gene (81240) $140.25 $255 2.1×
Factor ii activity (85210) $100.10 $182 7.7×
Factor Inhibitor Test (85335)
range across 4 matching MRF lines
$29.15–$172.15 $53–$313 varies
Factor ix activity (85250)
range across 2 matching MRF lines
$44.55–$185.90 $81–$338 varies
Factor v activity (85220) $200.75 $365 11.4×
Factor v leiden mutation (81241) $167.75 $305 2.3×
Factor vii assay (85230) $200.75 $365 11.2×
Factor viii assay (85240)
range across 4 matching MRF lines
$61.60–$152.90 $112–$278 varies
Factor X (85260)
range across 2 matching MRF lines
$156.20–$176 $284–$320 varies
Factor xi activity (85270)
range across 2 matching MRF lines
$39.05–$174.35 $71–$317 varies
Factor xiii screen (85291) $166.10 $302 18.2×
Fancc Gene (81242) $179.85 $327 4.9×
Fat/Lipids Feces Quantitative (82710) $109.45 $199 6.5×
Fatty acids free (82725) $29.70 $54 1.6×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $31.35 $57 4.1×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $138.60 $252 8.1×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $20.90 $38 3.2×
Fecal Fat Qualitative (82705) $83.60 $152 16.4×
Ferritin (82728)
range across 2 matching MRF lines
$41.80–$63.80 $76–$116 varies
Fetal Chrmoml Aneuploidy (81420) $1,674.20 $3,044 2.2×
Fetal Chrmoml Microdeltj (81422) $1,674.20 $3,044 2.2×
Fetal Congenital Abnor Assay Four Anal (81511) $118.25 $215 0.8×
Fetal Congenital Abnor Assay Two Proteins (81508) $101.20 $184 1.9×
Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) $155.10 $282 2.2×
Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) $92.95 $169 1.7×
Fetal Fibronectin (82731) $282.15 $513 4.4×
Fetal hemoglobin assay qual (83033)
range across 2 matching MRF lines
$30.25–$30.80 $55–$56 varies
Fetal screen rosette (85461) $89.10 $162 9.5×
Fibrin degradation products (85362) $12.10 $22 1.8×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$73.15–$91.30 $133–$166 varies
Fibrinogen activity (85384)
range across 3 matching MRF lines
$19.80–$52.25 $36–$95 varies
Fibrinogen antigen (85385) $53.90 $98 3.7×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390)
range across 2 matching MRF lines
$19.25–$32.45 $35–$59 varies
Flecainide level (80181) $39.60 $72 2.1×
Flow cytometry first marker (88184)
range across 9 matching MRF lines
$166.65–$239.25 $303–$435 varies
Flt3 Gene (81245) $268.40 $488 1.6×
Flt3 gene analysis (81246) $164.45 $299 2.0×
Fluorescent antibody screen (86255)
range across 44 matching MRF lines
$22–$450.45 $40–$819 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 59 matching MRF lines
$13.20–$196.35 $24–$357 varies
Fmr1 Gene Charac Alleles (81244)
range across 6 matching MRF lines
$138.60–$433.95 $252–$789 varies
Fmr1 gene detection (81243)
range across 5 matching MRF lines
$127.60–$322.85 $232–$587 varies
Folic acid rbc (82747) $89.10 $162 5.0×
Folic Acid Serum (82746) $50.05 $91 3.4×
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines
$36.30–$63.80 $66–$116 varies
Francisella tularensis (86668) $107.25 $195 7.6×
Frozen Blood Each Unit Thawing (86931) $157.30 $286 0.9×
Frozen Section (88331) $174.90 $318 1.0×
Fungi Identification Mold (87107)
range across 2 matching MRF lines
$45.65–$50.60 $83–$92 varies
Fungi Identification Yeast (87106) $48.95 $89 4.7×
G6pd gene analysis full gene sequence (81249) $1,320 $2,400 2.2×
Galactokinase rbc (82759) $393.80 $716 18.3×
Galactose transferase test (82776) $31.35 $57 2.7×
Galactose-1-Phosphate Uridyl Transferase Quan (82775)
range across 2 matching MRF lines
$36.85–$38.50 $67–$70 varies
Gammaglobulin ige (82785)
range across 3 matching MRF lines
$41.80–$55.55 $76–$101 varies
Gases Blood O2 Saturation Only Direct Meas (82810)
range across 2 matching MRF lines
$22.55–$76.45 $41–$139 varies
Gastrin (82941) $128.70 $234 7.3×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,290.30 $2,346 3.1×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $232.10 $422 4.9×
Genet Virus Isolate Hsv (87255) $99.55 $181 2.9×
Genetic Tstg Severe Inh Cond (81443) $3,685 $6,700 1.5×
Gentamicin (80170) $79.20 $144 4.8×
Ggt (82977)
range across 3 matching MRF lines
$26.95–$40.15 $49–$73 varies
Giardia antigen (87329) $65.45 $119 5.5×
Giardia lamblia antibody (86674) $85.25 $155 5.8×
Glucagon (82943) $111.65 $203 7.8×
Glucose 2 hr pp (82950)
range across 4 matching MRF lines
$44–$62.70 $80–$114 varies
Glucose Blood Test (82962)
range across 3 matching MRF lines
$16.50–$58.74 $30–$106.80 varies
Glucose body fluid (82945) $35.20 $64 9.0×
Glucose Serum (82947)
range across 6 matching MRF lines
$29.70–$37.95 $54–$69 varies
Glucose tolerance test (gtt) (82951) $62.70 $114 4.9×
Glycated Protein (82985)
range across 2 matching MRF lines
$34.65–$40.70 $63–$74 varies
Gonadotropin Chorionic Hcg Free Beta Chain (84704) $250.25 $455 16.4×
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines
$35.20–$51.15 $64–$93 varies
Growth hormone (83003) $188.65 $343 11.3×
Growth hormone antibody (86277) $141.35 $257 9.0×
Gtt-added samples (82952) $68.20 $124 17.4×
Haloperidol (80173) $183.70 $334 11.6×
Haptoglobin (83010)
range across 2 matching MRF lines
$31.90–$68.20 $58–$124 varies
Hba1/hba2 full gene sequence (81259) $1,188 $2,160 2.0×
Hba1/Hba2 Gene (81257) $542.85 $987 5.3×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $435.60 $792 2.2×
Hbb duplication/deletion variants (81363) $530.20 $964 2.6×
Hbb Full Gene Sequence (81364)
range across 2 matching MRF lines
$642.95–$1,188 $1,169–$2,160 varies
Hbb Gene Com Variants (81361) $345.95 $629 2.0×
Hdl Cholesterol (83718) $24.20 $44 3.0×
Helicobacter Pylori Stool (87338) $77.55 $141 5.4×
Helminth Antibody (86682)
range across 5 matching MRF lines
$31.35–$99 $57–$180 varies
Hematocrit (85014)
range across 5 matching MRF lines
$9.90–$27.50 $18–$50 varies
Hemoglobin (85018) $20.90 $38 8.8×
Hemoglobin a1c (83036)
range across 5 matching MRF lines
$28.38–$39.60 $51.60–$72 varies
Hemoglobin Chromotography (83021)
range across 4 matching MRF lines
$31.35–$132.55 $57–$241 varies
Hemoglobin electrophoresis (83020)
range across 6 matching MRF lines
$29.15–$140.25 $53–$255 varies
Hemoglobin Methemoglobin Quantitative (83050) $9.90 $18 1.2×
Hemoglobin plasma (83051) $69.85 $127 9.6×
Hemoglobin-Oxygen Affinity (82820)
range across 2 matching MRF lines
$36.30–$110 $66–$200 varies
Hemolysins&Agglutinins Auto Screen Each (86940) $31.35 $57 3.6×
Hemolysins&Agglutinins Incubated (86941) $81.40 $148 6.7×
Hemosiderin urine (83070) $30.25 $55 6.4×
Hep a ab igm (86709) $44 $80 3.9×
Heparin assay (85520)
range across 4 matching MRF lines
$35.75–$129.80 $65–$236 varies
Heparin Neutralization (85525)
range across 2 matching MRF lines
$31.35–$35.75 $57–$65 varies
Heparin-Protamine Tolerance Tst (85530) $120.45 $219 9.2×
Hepatitis a antibody total (86708) $87.45 $159 7.1×
Hepatitis b core ab igm (86705) $41.80 $76 3.6×
Hepatitis b core ab total (86704)
range across 3 matching MRF lines
$29.15–$73.15 $53–$133 varies
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$42.35–$50.05 $77–$91 varies
Hepatitis B Surface Antigen (87340)
range across 3 matching MRF lines
$39.05–$61.05 $71–$111 varies
Hepatitis Be Antibody (86707) $123.20 $224 10.6×
Hepatitis Be Antigen (87350) $198 $360 17.2×
Hepatitis C Antibody (86803)
range across 3 matching MRF lines
$33–$69.30 $60–$126 varies
Hepatitis c antibody confirmatory test (86804)
range across 2 matching MRF lines
$131.45–$222.75 $239–$405 varies
Hepatitis C Genotype (87902)
range across 3 matching MRF lines
$737–$798.05 $1,340–$1,451 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $419.65 $763 12.0×
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines
$161.70–$204.60 $294–$372 varies
Hepatitis delta ag (87380) $150.15 $273 8.2×
Hepatitis Delta Agent Antibody (86692)
range across 2 matching MRF lines
$108.90–$113.30 $198–$206 varies
Herpes simplex type 2 (86696)
range across 2 matching MRF lines
$25.85–$64.90 $47–$118 varies
Heterophile antibodies titer (86309) $14.30 $26 2.2×
Heterophile Antibody Screen (86308)
range across 5 matching MRF lines
$12.65–$58.30 $23–$106 varies
Hfe Gene (81256) $425.70 $774 6.5×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $114.95 $209 14.9×
Histamine urine (83088)
range across 2 matching MRF lines
$116.60–$125.40 $212–$228 varies
Histoplasma antibody (86698)
range across 2 matching MRF lines
$29.15–$33 $53–$60 varies
Histoplasma antigen urine (87385)
range across 3 matching MRF lines
$79.75–$157.30 $145–$286 varies
Hiv Genotype (87901)
range across 3 matching MRF lines
$516.45–$750.75 $939–$1,365 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $70.40 $128 2.9×
Hiv-1 Antibody (86701) $35.20 $64 4.0×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 2 matching MRF lines
$326.70–$409.75 $594–$745 varies
HIV-2 probe&revrse trnscripj (87538) $102.85 $187 2.9×
Hla Class I Typing High Resolution Complete (81379) $1,233.65 $2,243 3.7×
Hla Class I Typing Low Resolution Complete (81372) $889.90 $1,618 2.2×
Hla Class I Typing Low Resolution One Locus Each (81373)
range across 4 matching MRF lines
$210.10–$303.60 $382–$552 varies
Hla class i&ii antibody qual (86828)
range across 2 matching MRF lines
$144.65–$238.70 $263–$434 varies
Hla class ii high defin qual (86833) $569.25 $1,035 1.7×
Hla class ii typing high resolution one locus ea (81382) $290.40 $528 2.3×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $967.45 $1,759 8.8×
Hla I Low Resolution One Antigen Equivalent Each (81374)
range across 2 matching MRF lines
$212.85–$232.10 $387–$422 varies
Hla I Typing 1 Allele Hr (81381)
range across 2 matching MRF lines
$242.55–$256.85 $441–$467 varies
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $601.70 $1,094 2.7×
Hla ii type 1 ag equiv lr (81377) $364.65 $663 3.8×
Hla ii typing 1 allele hr (81383)
range across 2 matching MRF lines
$320.10–$364.65 $582–$663 varies
Hla ii typing 1 locus lr (81376)
range across 2 matching MRF lines
$216.70–$332.75 $394–$605 varies
Hla Typing a/B/C Multiple Antigens (86813) $464.75 $845 8.0×
Hla Typing Dr/Dq Multiple Antigens (86817) $546.70 $994 5.2×
Hla Typing Dr/Dq Single Antigen (86816) $226.05 $411 7.5×
Hla-b27 (86812) $85.80 $156 3.3×
Homocysteine (83090)
range across 2 matching MRF lines
$33–$58.85 $60–$107 varies
Homogenization Tissue (87176) $37.95 $69 6.5×
Homovanillic acid urine (83150)
range across 2 matching MRF lines
$35.75–$59.95 $65–$109 varies
Hpa-1 genotyping gene analysis common variant (81105) $279.95 $509 2.3×
Hpv High-Risk Types (87624)
range across 3 matching MRF lines
$50.60–$102.85 $92–$187 varies
Hpv Types 16 & 18 Only (87625) $93.50 $170 2.3×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines
$126.50–$128.15 $230–$233 varies
Hsv Dna Quant (87530)
range across 2 matching MRF lines
$186.45–$421.30 $339–$766 varies
Htlv-I Antibody (86687) $22 $40 2.4×
Htlv-ii antibody (86688) $28.05 $51 2.0×
Htt Gene Detc Abnor Alleles (81271) $271.70 $494 2.0×
Human Epididymis Protein 4 (86305) $204.05 $371 9.8×
Hydroxycorticosteroids 17 (83491) $69.30 $126 3.9×
Hydroxyprogesterone 17-d (83498) $62.70 $114 2.3×
Hydroxyproline total (83505) $85.80 $156 3.5×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $112.20 $204 9.4×
Iaad Ia Cytomegalovirus (87332) $141.35 $257 11.8×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $70.95 $129 6.9×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420)
range across 2 matching MRF lines
$20.35–$122.65 $37–$223 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426)
range across 3 matching MRF lines
$53.90–$79.20 $98–$144 varies
Iaad ia shiga-like toxin (87427) $64.90 $118 5.4×
Iaad Ia Streptococcus Group A (87430)
range across 2 matching MRF lines
$20.35–$24.20 $37–$44 varies
Iaadi giardia (87269) $78.10 $142 5.7×
Iaadi inffluenza a virus (87276) $34.10 $62 2.1×
Iaadi not otherwise specified each organism (87299) $173.25 $315 10.8×
Iaadi parainfluenza virus each type (87279) $34.65 $63 2.1×
Iaadi pneumocustis carinii (87281) $86.35 $157 7.2×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300)
range across 2 matching MRF lines
$202.40–$227.15 $368–$413 varies
Iaadi respiratory synctial virus (87280) $31.35 $57 2.3×
Iaadiadoo trichomonas vaginalis (87808) $81.40 $148 5.3×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $42.35 $77 1.2×
Iadna Bartonella Amplified Probe Technique (87471)
range across 2 matching MRF lines
$138.05–$213.40 $251–$388 varies
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $178.20 $324 5.1×
Iadna chlamydia pneumoniae amplified probe tq (87486) $79.20 $144 2.3×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 4 matching MRF lines
$108.90–$508.75 $198–$925 varies
Iadna Cytomegalovirus Quantification (87497) $233.75 $425 5.5×
Iadna ehrlichia chaffeensis amplified probe tq (87484)
range across 3 matching MRF lines
$42.35–$135.85 $77–$247 varies
Iadna Hepatitis B Virus Quantification (87517) $311.30 $566 7.3×
Iadna Herpes Virus-6 Quantification (87533)
range across 2 matching MRF lines
$275–$315.70 $500–$574 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 3 matching MRF lines
$92.40–$165.55 $168–$301 varies
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $188.10 $342 5.4×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $200.20 $364 2.6×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines
$180.40–$198.55 $328–$361 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581) $119.35 $217 3.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$110.55–$112.75 $201–$205 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $81.95 $149 1.6×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631)
range across 3 matching MRF lines
$196.35–$336.05 $357–$611 varies
Iadna-Dna/Rna Probe Tq 6-11 (87506) $195.25 $355 0.7×
Idh1 common variants (81120) $291.50 $530 1.5×
Idh2 common variants (81121) $445.50 $810 1.5×
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines
$29.70–$83.05 $54–$151 varies
Igg subclasses (82787) $12.10 $22 1.5×
Igh@ Variable Region Somatic Mutation Analysis (81263) $365.20 $664 1.2×
Igk rearrangeabn clonal pop (81264) $495 $900 2.9×
Ikbkap Gene Analysis Common Variants (81260) $156.20 $284 4.0×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 3 matching MRF lines
$173.80–$200.20 $316–$364 varies
Immune Complex Assay (86332) $61.05 $111 2.5×
Immunfix e-phorsis/urine/csf (86335)
range across 4 matching MRF lines
$66.55–$110.55 $121–$201 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 18 matching MRF lines
$30.25–$196.90 $55–$358 varies
Immunoassay infectious agent (86318) $50.60 $92 2.8×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 10 matching MRF lines
$37.95–$704.55 $69–$1,281 varies
Immunoassay nonantibody (83516)
range across 61 matching MRF lines
$20.90–$606.65 $38–$1,103 varies
Immunodiffusion not elsewhere specified (86329) $134.20 $244 9.6×
Immunodiffusion Ouchterlony (86331)
range across 2 matching MRF lines
$29.15–$41.25 $53–$75 varies
Immunofixation electrophoresis (86334)
range across 3 matching MRF lines
$33.55–$119.90 $61–$218 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 3 matching MRF lines
$170.50–$171.60 $310–$312 varies
Immunohistochemistry (88342)
range across 15 matching MRF lines
$88–$215.05 $160–$391 varies
In situ hybridization 1st probe stain (88365) $194.15 $353 1.1×
In situ hybridization ea multiplex probe stain (88366)
range across 7 matching MRF lines
$324.50–$462 $590–$840 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428)
range across 3 matching MRF lines
$128.70–$138.05 $234–$251 varies
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $31.35 $57 2.2×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $31.35 $57 2.6×
Influenza a/b ag eia (87400) $92.40 $168 6.5×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$32.34–$92.40 $58.80–$168 varies
Influenza DNA amp probe (87502)
range across 2 matching MRF lines
$172.15–$282.15 $313–$513 varies
Inhibin A (86336) $81.95 $149 5.3×
Inhibin b (83520)
range across 44 matching MRF lines
$27.50–$594.55 $50–$1,081 varies
Insitu hybridization auto (88367) $171.60 $312 0.5×
Insulin antibodies (86337)
range across 2 matching MRF lines
$102.85–$136.95 $187–$249 varies
Insulin free (83527) $21.45 $39 1.7×
Insulin total (83525) $31.35 $57 2.7×
Interleukin-6 (83529) $168.30 $306 9.7×
Intrinsic factor antibody (86340) $59.95 $109 4.0×
Iron (83540)
range across 2 matching MRF lines
$31.35–$35.75 $57–$65 varies
Iron Binding Capacity (83550) $36.30 $66 4.2×
Irradiation Blood Product Each Unit (86945)
range across 2 matching MRF lines
$36.85–$75.90 $67–$138 varies
Islet cell antibody (86341)
range across 9 matching MRF lines
$13.20–$369.60 $24–$672 varies
Jak2 gene analysis p.val617phe variant (81270)
range across 3 matching MRF lines
$251.90–$636.35 $458–$1,157 varies
Jak2 Gene Trgt Sequence Alys (81279) $223.30 $406 1.2×
Ketosteroids 17 total (83586) $41.25 $75 3.2×
Kit Gene Analysis Targeted Sequence Analysis (81272) $725.45 $1,319 2.2×
Koh Prep (87220) $55.55 $101 13.0×
L/s ratio (83661) $227.70 $414 10.4×
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines
$16.50–$40.15 $30–$73 varies
Lactoferrin fecal qualitative (83630) $43.45 $79 2.2×
Lactoferrin Fecal Quantitative (83631) $104.50 $190 5.3×
Lamellar Body Count (83664) $56.65 $103 2.9×
Ldh Isoenzymes (83625) $44 $80 3.4×
LDL direct (83721) $33 $60 3.1×
Lead (83655)
range across 5 matching MRF lines
$31.35–$92.40 $57–$168 varies
Legionella antibody (86713) $31.35 $57 2.0×
Legionella antigen urine (87449)
range across 5 matching MRF lines
$72.60–$186.45 $132–$339 varies
Legionella pneumophila dfa (87278) $53.90 $98 3.5×
Leptospira antibody (86720) $68.75 $125 4.2×
Leukocyte Assessment Fecal (89055) $25.85 $47 6.1×
Leukocyte Histamine Release (86343) $62.70 $114 5.0×
Level I Surg Pathology Gross Examination Only (88300) $74.25 $135 2.6×
Level ii surg pathology gross&microscopic exam (88302)
range across 2 matching MRF lines
$123.20–$146.30 $224–$266 varies
Level V Surg Pathology Gross&Microscopic Exam (88307) $372.90 $678 1.0×
Lidocaine (80176) $87.45 $159 6.0×
Lipase (83690) $68.20 $124 9.9×
Lipoprotein A (83695) $51.15 $93 3.6×
Lipoprotein Bld Quan Part (83704) $157.85 $287 4.6×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $29.15 $53 2.6×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $64.35 $117 1.9×
Lipoprotein-Associated Phospholipase A2 (83698) $72.05 $131 1.6×
Lithium (80178)
range across 2 matching MRF lines
$44–$146.30 $80–$266 varies
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$59.40–$86.35 $108–$157 varies
Lyme disease antibody (86618)
range across 5 matching MRF lines
$26.40–$89.10 $48–$162 varies
Lymphocyte transformation (86353)
range across 5 matching MRF lines
$97.90–$266.20 $178–$484 varies
Lysozyme serum (85549) $62.70 $114 3.3×
M. Genitalium Amp Probe (87563) $64.90 $118 1.8×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $640.20 $1,164 3.8×
Macroscopic exam arthropod (87168)
range across 2 matching MRF lines
$28.60–$84.70 $52–$154 varies
Macroscopic Exam Parasite (87169)
range across 2 matching MRF lines
$30.25–$74.25 $55–$135 varies
Magnesium Urine (83735)
range across 8 matching MRF lines
$18.48–$51.70 $33.60–$94 varies
Mass Spectrometry Quant (83789)
range across 5 matching MRF lines
$42.35–$283.25 $77–$515 varies
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $193.05 $351 4.9×
MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) $400.40 $728 3.3×
Mecp2 gene dup/delet variant (81304) $910.25 $1,655 6.1×
Mecp2 gene full seq (81302) $1,045.55 $1,901 2.0×
Mercury urine (83825) $44 $80 2.7×
Metabolic panel ionized ca (80047) $89.10 $162 6.5×
Methylmalonic acid serum (83921)
range across 5 matching MRF lines
$38.50–$132.55 $70–$241 varies
Mgmt methylation analysis (81287) $292.60 $532 2.3×
Microalbumin, quantitative (82043) $24.20 $44 4.2×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$63.25–$64.35 $115–$117 varies
Mitochondrial Antibody Each (86381) $94.05 $171 3.7×
Mlh1 Gene Analysis Known Familial Variants (81293) $655.60 $1,192 2.0×
Mog-Igg1 Antb Cba Each (86362) $431.20 $784 35.8×
Mog-Igg1 Antb Flo Cytmtry Ea (86363)
range across 2 matching MRF lines
$36.85–$313.50 $67–$570 varies
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $123.20 $224 3.0×
Molecular Cytogenetics Dna Probe Each (88271)
range across 19 matching MRF lines
$50.60–$404.80 $92–$736 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $364.10 $662 8.6×
Molecular Pathology Procedure Level 3 (81402)
range across 2 matching MRF lines
$255.20–$374 $464–$680 varies
Molecular Pathology Procedure Level 6 (81405)
range across 5 matching MRF lines
$243.10–$990 $442–$1,800 varies
Mononuclear cell antigen (86356)
range across 14 matching MRF lines
$27.50–$187.55 $50–$341 varies
Mopath procedure level 1 (81400)
range across 2 matching MRF lines
$282.70–$393.80 $514–$716 varies
Mopath procedure level 2 (81401)
range across 6 matching MRF lines
$123.20–$590.15 $224–$1,073 varies
Mopath procedure level 4 (81403)
range across 8 matching MRF lines
$268.40–$478.50 $488–$870 varies
Mopath procedure level 5 (81404)
range across 5 matching MRF lines
$243.10–$1,073.60 $442–$1,952 varies
Mopath procedure level 7 (81406)
range across 11 matching MRF lines
$196.35–$1,742.40 $357–$3,168 varies
Mrsa Pcr (87641) $95.70 $174 2.7×
Msh2 Gene Analysis Known Familial Variants (81296) $668.80 $1,216 2.0×
Msh6 Gene Known Variants (81299) $609.95 $1,109 2.0×
Mthfr Gene Analysis Common Variants (81291) $204.05 $371 3.1×
Mucopolysaccharides acid quantitative (83864) $211.20 $384 7.4×
Mumps antibody (86735)
range across 2 matching MRF lines
$51.70–$54.45 $94–$99 varies
Muscle-Specific Kinase Antb (86366) $10.45 $19 0.6×
Mycobacteric Identification (87118) $155.65 $283 10.7×
Mycophenolic Acid (80180) $231 $420 12.8×
Mycoplasma antibody (86738) $52.80 $96 4.0×
Mycoplasma culture (87109) $156.20 $284 10.1×
Myelin basic protein csf (83873) $182.60 $332 10.6×
Myoglobin urine (83874)
range across 2 matching MRF lines
$31.35–$83.05 $57–$151 varies
Natriuretic peptide (83880) $83.60 $152 2.1×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $4,025.45 $7,319 15.6×
Nfct ds chrnc hcv 6 assays (81596) $97.90 $178 1.4×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906)
range across 3 matching MRF lines
$361.35–$528 $657–$960 varies
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $77 $140 3.0×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $1,422.85 $2,587 2.9×
Niacin (84591)
range across 2 matching MRF lines
$30.25–$86.90 $55–$158 varies
Nickel level (83885) $84.70 $154 3.5×
Nk cells total count (86357)
range across 3 matching MRF lines
$107.25–$179.30 $195–$326 varies
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $543.95 $989 2.2×
Nuclear antigen antibody (86235)
range across 18 matching MRF lines
$35.20–$102.30 $64–$186 varies
Nudt15 Gene Common Variants (81306) $438.90 $798 1.5×
Occult blood feces (82272)
range across 3 matching MRF lines
$24.20–$25.30 $44–$46 varies
Occult Blood Other Sources (82271) $34.65 $63 6.5×
Oligoclonal bands (83916) $53.90 $98 2.0×
Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed… (81504) $3,508.45 $6,379 6.7×
Oncology Prostate Prob Score (81539) $836 $1,520 1.1×
Organic Acids Qualitative Each Specimen (83919)
range across 2 matching MRF lines
$39.60–$137.50 $72–$250 varies
Organic acids urine (83918)
range across 2 matching MRF lines
$37.40–$150.70 $68–$274 varies
Osmolality serum (83930) $29.15 $53 4.4×
Osmolality Urine (83935) $28.05 $51 4.1×
Osmotic Fragility RBC Unincubated (85555) $101.20 $184 13.5×
Osteocalcin (83937) $52.25 $95 1.8×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$39.05–$56.65 $71–$103 varies
Oxalate urine (83945)
range across 3 matching MRF lines
$31.35–$96.25 $57–$175 varies
Pancreatic Elastase Fecal (82656) $163.35 $297 14.2×
Particle Agglut Antbdy Titr (86406) $8.80 $16 0.8×
Particle Agglutination Screen Each Antibody (86403)
range across 9 matching MRF lines
$54.45–$80.85 $99–$147 varies
Parvovirus antibody (86747) $57.20 $104 3.8×
Path Consltj Surg Cytologic Exam Initial Site (88333) $381.15 $693 0.5×
Ph urine (81003) $23.10 $42 10.3×
Phenobarbital Level (80184)
range across 2 matching MRF lines
$29.15–$47.30 $53–$86 varies
Phenotype Infect Agent Drug (87900)
range across 5 matching MRF lines
$361.35–$528 $657–$960 varies
Phenylalanine (84030) $43.45 $79 7.9×
Phenytoin (Dilantin) (80185) $68.20 $124 5.1×
Phenytoin free (80186) $70.95 $129 5.2×
Phosphatase acid prostatic (84066) $73.15 $133 7.6×
Phosphatase alkaline (84075)
range across 3 matching MRF lines
$20.90–$68.75 $38–$125 varies
Phosphatidylglycerol (84081) $218.35 $397 13.2×
Phospholipid Neutralization Hexagonal (85598) $47.30 $86 2.6×
Phosphorus Serum (84100)
range across 2 matching MRF lines
$31.35–$32.45 $57–$59 varies
Phosphorus urine (84105)
range across 2 matching MRF lines
$31.35–$42.35 $57–$77 varies
Pinworm exam (87172) $70.40 $128 16.5×
Platelet Aggregation (85576)
range across 12 matching MRF lines
$33–$108.35 $60–$197 varies
Platelet Antibodies (86022)
range across 6 matching MRF lines
$40.15–$263.45 $73–$479 varies
Platelet count automated (85049) $33.55 $61 7.5×
Platelet neutralization (85597) $31.35 $57 1.7×
Pms2 gene analysis known familial variants (81318) $655.60 $1,192 2.0×
Pneumcysts jirovecii amp prb (87594) $242 $440 6.9×
Pooling blood platelets (86965) $94.60 $172 0.6×
Porphobilinogen, urine; quantitative (84110) $31.35 $57 3.7×
Porphyrins Feces Quantitative (84126) $111.10 $202 2.8×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines
$31.90–$86.90 $58–$158 varies
Potassium Urine (84133)
range across 3 matching MRF lines
$20.35–$31.35 $37–$57 varies
Prealbumin (84134) $39.05 $71 2.7×
Pregnancy-Associated Plasma Protein-A (84163) $96.80 $176 6.4×
Pregnenolone (84140) $73.15 $133 3.5×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $80.85 $147 0.5×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $106.15 $193 1.8×
Pretx serum rbc antibody identification dilution (86976) $64.90 $118 2.2×
Primidone (80188) $100.10 $182 6.0×
Procalcitonin (Pct) (84145) $154.55 $281 5.7×
Progesterone (84144) $55 $100 2.6×
Prolactin (84146) $78.65 $143 4.1×
Prostaglandin (84150) $253 $460 6.1×
Protein body fluid (84157) $37.40 $68 9.4×
Protein C Activity (85303) $131.45 $239 9.5×
Protein c antigen (85302) $53.35 $97 4.4×
Protein Electrophoresis Urine (84166) $66 $120 3.7×
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$37.95–$53.90 $69–$98 varies
Protein S Free (85306)
range across 2 matching MRF lines
$122.10–$137.50 $222–$250 varies
Protein s total (85305) $125.40 $228 10.8×
Protein Total Refractometry Any Src (84160) $77 $140 13.7×
Protein total serum (84155)
range across 3 matching MRF lines
$14.85–$29.15 $27–$53 varies
Protein Total Urine (84156) $32.45 $59 8.8×
Protein Western Blot Test (84182)
range across 27 matching MRF lines
$25.85–$595.10 $47–$1,082 varies
Prothrombin Time Substitution Plasma Frctj Each (85611)
range across 2 matching MRF lines
$29.15–$68.20 $53–$124 varies
Protoporphyrin rbc quantitative (84202)
range across 2 matching MRF lines
$31.35–$82.50 $57–$150 varies
PSA free (84154) $71.50 $130 3.9×
Pten Gene Analysis Duplication/Deletion Variant (81323) $1,333.20 $2,424 4.4×
Pten Gene Analysis Full Sequence Analysis (81321)
range across 2 matching MRF lines
$1,188–$1,333.20 $2,160–$2,424 varies
Pten gene analysis known familial variant (81322) $400.40 $728 8.6×
Pth Intact (83970) $104.50 $190 2.5×
Pyruvate kinase (84220) $40.70 $74 4.3×
Q Fever Antibody (86638)
range across 2 matching MRF lines
$14.30–$114.95 $26–$209 varies
Quantiferon tb gold plus (86480) $99.55 $181 1.6×
Quantitative assay drug (80299)
range across 32 matching MRF lines
$33–$170.50 $60–$310 varies
Quantitative Screen Metals (83018)
range across 5 matching MRF lines
$31.35–$174.35 $57–$317 varies
Quinidine (80194) $133.65 $243 9.2×
Rbc antibody elution (86860)
range across 2 matching MRF lines
$108.90–$110 $198–$200 varies
Rbc antibody identification (86870) $224.40 $408 0.6×
Rbc antibody screen (86850) $84.70 $154 8.7×
Rbc pretreatment serum (86978) $109.45 $199 1.9×
Rbc pretx incubatj w/enzymes (86971) $157.30 $286 0.9×
Rbc serum pretx incubj drugs (86975) $252.45 $459 0.6×
Renin activity plasma (84244) $90.75 $165 4.1×
Reptilase test (85635) $39.60 $72 4.0×
Resp virus 12-25 targets (87633)
range across 2 matching MRF lines
$918.50–$1,050.50 $1,670–$1,910 varies
Reticulated Platelet Assay (85055) $62.70 $114 1.8×
Reticulocyte Count (85046) $29.15 $53 5.2×
Reticulocyte separation (86972) $80.85 $147 0.5×
Rh (86901) $50.05 $91 16.7×
Rheumatoid Factor Qualitative (86430)
range across 2 matching MRF lines
$12.10–$39.60 $22–$72 varies
Rheumatoid factor quant (86431)
range across 2 matching MRF lines
$36.30–$51.15 $66–$93 varies
Rickettsia antibody (86757)
range across 5 matching MRF lines
$45.65–$108.35 $83–$197 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines
$39.05–$194.70 $71–$354 varies
Rotavirus ag eia (87425) $106.70 $194 8.9×
Rpr qualitative (86592)
range across 4 matching MRF lines
$24.20–$41.25 $44–$75 varies
Rsv ab (86756) $45.10 $82 2.8×
Rsv Assay W/Optic (87807)
range across 3 matching MRF lines
$119.90–$127.05 $218–$231 varies
Rubella Antibody (86762)
range across 3 matching MRF lines
$43.45–$122.65 $79–$223 varies
Rubeola antibody (86765)
range across 3 matching MRF lines
$174.35–$184.25 $317–$335 varies
Rufinamide (80210) $51.15 $93 1.9×
Russell Viper Venom Time Diluted (85613)
range across 7 matching MRF lines
$15.40–$61.60 $28–$112 varies
Salmonella antibody (86768) $68.75 $125 5.2×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$70.95–$99.55 $129–$181 varies
Sars-cov-2 COVID-19 antibody (86769) $53.35 $97 1.3×
Sars-Cov-2 Covid19 W/Optic (87811)
range across 2 matching MRF lines
$58.85–$161.70 $107–$294 varies
Sarscov2 & inf a&b amp prb (87636) $273.90 $498 1.9×
Sarscov2&inf a&b&rsv amp prb (87637) $339.35 $617 2.4×
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines
$13.75–$18.15 $25–$33 varies
Selenium (84255) $64.35 $117 2.5×
Semen Anal Sperm Detection (89321) $82.50 $150 6.8×
Sensitivity mic (87186)
range across 5 matching MRF lines
$73.70–$147.95 $134–$269 varies
Sept9 Methylation Analysis (81327) $133.65 $243 0.7×
Sex Hormone Binding Globulin (84270) $70.40 $128 3.2×
Sickling of rbc reduction (85660) $27.50 $50 5.0×
Sirolimus (80195) $107.25 $195 7.8×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$22–$43.45 $40–$79 varies
Smear acid fast (87206)
range across 6 matching MRF lines
$46.20–$108.90 $84–$198 varies
Smear complex stain (87209) $54.45 $99 3.0×
Smear gram stain (87205) $40.70 $74 9.5×
Smear Special Stain (87207)
range across 4 matching MRF lines
$41.80–$86.35 $76–$157 varies
Smn1 Gene Dos/Deletion Alys (81329) $322.30 $586 2.4×
Smpd1 Gene Analysis Common Variants (81330) $230.45 $419 4.9×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 4 matching MRF lines
$17.16–$154 $31.20–$280 varies
Snrpn/Ube3a Methylation Analysis (81331) $339.90 $618 6.7×
Sodium Serum (84295)
range across 5 matching MRF lines
$31.35–$33.55 $57–$61 varies
Sodium Urine (84300)
range across 3 matching MRF lines
$26.95–$31.35 $49–$57 varies
Soluble Transferrin Receptor (84238) $104.50 $190 2.9×
Somatomedin (84305) $151.80 $276 7.1×
Somatostatin (84307) $187.55 $341 10.3×
Special Stains Group 1 (88312)
range across 4 matching MRF lines
$56.65–$114.95 $103–$209 varies
Special Stains Group 2 (88313)
range across 4 matching MRF lines
$81.95–$143.55 $149–$261 varies
Specific gravity body fluid (84315) $24.75 $45 7.5×
Specimen infect agnt concntj (87015)
range across 3 matching MRF lines
$39.05–$53.35 $71–$97 varies
Spectrophotometry (84311)
range across 6 matching MRF lines
$19.25–$185.90 $35–$338 varies
Splitting Blood/Blood Products Each Unit (86985)
range across 2 matching MRF lines
$83.05–$83.60 $151–$152 varies
Stem cells total count (86367) $125.40 $228 1.6×
Stool cultr aerobic bact ea (87046) $41.25 $75 4.4×
Strep a assay w/optic (87880)
range across 4 matching MRF lines
$45.65–$52.25 $83–$95 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines
$64.35–$128.15 $117–$233 varies
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)
range across 2 matching MRF lines
$26.95–$168.85 $49–$307 varies
Sugars Multiple Quant (84379) $26.95 $49 2.3×
Sugars Single Qual (84376) $35.75 $65 6.5×
Sulfate urine (84392) $31.35 $57 5.7×
Surg path level iii (88304)
range across 3 matching MRF lines
$30.80–$154 $56–$280 varies
Surgical pathology level IV (88305)
range across 5 matching MRF lines
$29.70–$201.85 $54–$367 varies
Surgical pathology level vi (88309) $558.25 $1,015 0.7×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines
$31.35–$63.80 $57–$116 varies
Susceptibility Study Antimicrobial Disk Method (87184) $78.10 $142 10.4×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $126.50 $230 17.3×
Syphilis Test Non-Trep Quant (86593)
range across 3 matching MRF lines
$40.70–$55 $74–$100 varies
T cells absolute cd4 count (86361) $135.85 $247 5.1×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $79.75 $145 1.7×
T cells total count (86359) $79.75 $145 2.1×
T3 Free (84481)
range across 2 matching MRF lines
$35.75–$57.75 $65–$105 varies
T3 reverse (84482) $42.90 $78 2.7×
T3 Total (84480) $52.25 $95 3.7×
T3 Uptake (84479) $61.60 $112 9.5×
T4 Free (84439)
range across 3 matching MRF lines
$52.25–$59.40 $95–$108 varies
T4 total (84436) $33 $60 4.8×
Tacrolimus (80197) $118.80 $216 8.7×
Test for acetone/ketones (82009) $45.65 $83 10.1×
Test for urine cystines (82615) $31.35 $57 3.3×
Testosterone total (84403)
range across 3 matching MRF lines
$73.15–$86.35 $133–$157 varies
Testosterone, Free (84402) $85.25 $155 3.3×
Thawing and expansion of frozen cells, each aliquot Facility (88241) $301.95 $549 25.0×
Theophylline (80198) $107.25 $195 7.6×
Thiocyanate (84430) $41.80 $76 3.6×
Thiopurine methyltransferase (84433) $59.40 $108 2.7×
Thrombin Time (85670)
range across 2 matching MRF lines
$14.30–$31.35 $26–$57 varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 5 matching MRF lines
$15.40–$61.05 $28–$111 varies
Thyroglobulin (84432)
range across 3 matching MRF lines
$75.90–$109.45 $138–$199 varies
Thyroglobulin Antibody (86800) $52.25 $95 3.3×
Thyroid Stimulating Immunoglobulin (84445) $342.10 $622 6.7×
Thyroxine binding globulin (84442) $158.40 $288 10.7×
Tiss cul neo disorders solid tumor (88239)
range across 2 matching MRF lines
$249.70–$353.10 $454–$642 varies
Tiss Trnsgltmnase Ea Ig Clas (86364) $94.05 $171 8.2×
Tissue Culture (88233)
range across 2 matching MRF lines
$327.80–$355.30 $596–$646 varies
Tissue Culture Amniotic Fluid (88235)
range across 2 matching MRF lines
$344.30–$522.50 $626–$950 varies
Tissue culture bone marrow (88237)
range across 5 matching MRF lines
$290.40–$344.30 $528–$626 varies
Tissue Culture Lymphocyte (88230)
range across 3 matching MRF lines
$271.70–$396 $494–$720 varies
Tobramycin peak (80200)
range across 3 matching MRF lines
$146.30–$209 $266–$380 varies
Topiramate (80201) $51.70 $94 4.3×
Touch prep (88161) $116.05 $211 4.0×
Toxin/Antitoxin Assay Tissue Culture (87230) $194.70 $354 9.9×
Toxoplasma ab igm (86778)
range across 2 matching MRF lines
$39.60–$187 $72–$340 varies
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$39.60–$139.70 $72–$254 varies
Tp53 gene analysis targeted sequence analysis (81352) $1,082.40 $1,968 3.3×
Tpmt gene com variants (81335) $371.80 $676 2.1×
Transferase Aspartate Amino Ast Sgot (84450)
range across 4 matching MRF lines
$19.80–$58.85 $36–$107 varies
Transferrin (84466) $32.45 $59 2.5×
Trg gene rearrangement anal (81342) $669.35 $1,217 3.3×
Trichinella Antibody (86784) $82.50 $150 6.6×
Trichomonas Vaginalis Amplif (87661) $89.10 $162 2.5×
Triglycerides (84478)
range across 4 matching MRF lines
$23.10–$31.35 $42–$57 varies
Troponin Quant (84484) $83.60 $152 6.7×
Tumor immunohistochem/comput (88361) $209 $380 0.6×
Tumor Immunohistochem/Manual (88360) $159.50 $290 0.9×
Ugt1a1 gene analysis common variants (81350) $463.65 $843 2.0×
Unlisted Surgical Pathology Procedure (88399) $29.70 $54 0.6×
Unlisted Transfusion Medicine Procedure (86999)
range across 3 matching MRF lines
$22.55–$141.35 $41–$257 varies
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$29.70–$31.35 $54–$57 varies
Uric acid other source (84560)
range across 3 matching MRF lines
$31.35–$75.90 $57–$138 varies
Urinalysis Microscopic Only (81015) $40.70 $74 13.3×
Urinalysis Volume Measure (81050)
range across 3 matching MRF lines
$14.85–$37.95 $27–$69 varies
Urine Albumin Semiquantitative (82044) $13.20 $24 2.1×
Urine Bacteria Culture (87088) $42.90 $78 5.3×
Urine Pregnancy Test (81025) $72.05 $131 8.4×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$36.85–$39.05 $67–$71 varies
Valproic acid (80164) $51.70 $94 3.8×
Vancomycin (80202)
range across 6 matching MRF lines
$66–$99.55 $120–$181 varies
Varicella-zoster antibody (86787) $121.55 $221 9.4×
Vasopressin (84588) $66.55 $121 2.0×
Very Long Chain Fatty Acids (82726) $31.35 $57 1.6×
Viral Culture (87252)
range across 3 matching MRF lines
$68.75–$119.90 $125–$218 varies
Virus antibody nos (86790)
range across 11 matching MRF lines
$41.80–$68.75 $76–$125 varies
Virus inoculate tissue addl (87253) $62.70 $114 3.1×
Virus inoculation, shell via (87254)
range across 3 matching MRF lines
$112.20–$202.40 $204–$368 varies
Viscosity serum (85810) $70.95 $129 6.1×
Vit D 1 25-Dihydroxy (82652) $121.55 $221 3.2×
Vitamin A (84590) $93.50 $170 8.1×
Vitamin b-12 (82607) $47.85 $87 3.2×
Vitamin B2 (Riboflavin) (84252) $113.30 $206 5.6×
Vitamin B6 (84207) $73.15 $133 2.6×
Vitamin c (82180) $99.55 $181 10.1×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines
$81.95–$83.60 $149–$152 varies
Vitamin E (84446) $119.90 $218 8.5×
Vitamin K (84597) $94.60 $172 6.9×
Volatiles (84600)
range across 3 matching MRF lines
$57.20–$139.70 $104–$254 varies
Voltage-Gated Calcium Channel Antibody Each (86596)
range across 2 matching MRF lines
$31.35–$52.25 $57–$95 varies
Volume Reduction Blood/Blood Product Each Unit (86960) $90.75 $165 0.5×
Von willebrand factor ag (85246) $90.20 $164 3.9×
Wbc Alkaline Phosphatase Count (85540) $59.40 $108 6.9×
West nile virus ab igm (86788) $43.45 $79 2.6×
West Nile Virus Antibody (86789)
range across 3 matching MRF lines
$31.35–$94.60 $57–$172 varies
Xm Archive Tissue Molec Anal (88363) $29.15 $53 1.0×
Zika Virus Dna/Rna Amp Probe (87662) $45.65 $83 0.9×
Zinc (84630)
range across 3 matching MRF lines
$22–$75.90 $40–$138 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.