Lab & pathology prices at St. Anthonys Memorial Hospital

Effingham, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $190.80 $265 8.4×
5 Nucleotidase (83915) $67.68 $94 6.1×
Acetylcholine receptor binding antibody (86041) $98.64 $137 5.4×
Acetylcholine receptor blocking antibody (86042) $98.64 $137 5.4×
Acetylcholn Rcptr Modlg Antb (86043) $99.36 $138 8.2×
Acth (82024) $295.20 $410 7.6×
Actin smooth muscle antibody each (86015) $12.96 $18 1.1×
Acute hepatitis panel (80074) $460.80 $640 9.7×
Acylcarnitines Quant (82017) $322.56 $448 19.1×
Adenovirus antibody (86603) $74.16 $103 5.8×
Agglutinins Febrile Each Antigen (86000) $82.08 $114 11.8×
Albumin Fluid (82042) $59.04 $82 7.6×
Albumin serum (82040)
range across 2 matching MRF lines
$61.20–$68.40 $85–$95 varies
Aldolase (82085) $79.20 $110 8.2×
Aldosterone urine (82088) $280.80 $390 6.9×
Alkaline phosphatase isoenzymes (84080) $101.52 $141 6.9×
Allergen specific ige (86003) $23.04 $32 4.4×
Allergen specific igg (86001) $37.44 $52 4.8×
Allg Spec Ige Recomb Ea (86008) $58.32 $81 3.3×
Alpha-1-antitrypsin phenotype (82104) $97.92 $136 6.8×
Alpha-1-antitrypsin total (82103) $160.56 $223 11.9×
Alpha-Fetoprotein Serum (82105) $197.28 $274 11.8×
Alt (sgpt) (84460) $105.84 $147 20.0×
Aluminum (82108) $174.24 $242 6.8×
Amikacin trough (80150) $102.96 $143 6.8×
Amino Acids 1 Quantitative Each Specimen (82131) $127.44 $177 5.5×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $254.16 $353 15.1×
Aminolevulinic acid (ala) (82135) $124.56 $173 7.6×
Ammonia (82140) $176.40 $245 12.1×
Amniotic fluid protein test on cervicovaginal fluid (84112) $267.12 $371 2.7×
Amylase urine (82150) $93.60 $130 14.4×
Ana Titer (86039) $84.96 $118 7.6×
Anca screen each antibody (86036) $23.76 $33 2.0×
Anca Titer Each Antibody (86037) $86.40 $120 7.2×
Androstenedione (82157) $200.16 $278 6.8×
Angiotensin converting enzyme csf (82164) $146.88 $204 10.1×
Anti-Phospholipid Antibody (86148) $56.88 $79 3.5×
Antibody aspergillus (86606) $101.52 $141 6.7×
Antibody Bacterium Not Elsewhere Specified (86609) $31.68 $44 2.5×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $154.08 $214 9.9×
Antibody Cytomegalovirus Cmv Igm (86645) $117.36 $163 7.0×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $90.72 $126 6.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $125.28 $174 8.2×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $143.28 $199 7.9×
Antibody Fungus Not Elsewhere Specified (86671) $30.96 $43 2.5×
Antibody haemophilus influenza (86684) $178.56 $248 11.3×
Antibody helicobacter pylori (86677) $84.96 $118 5.0×
Antibody Herpes Smplx Non-Specific Type Test (86694) $91.44 $127 6.4×
Antibody Herpes Smplx Type 1 (86695) $97.20 $135 7.4×
Antibody HIV-1&HIV-2 single result (86703) $231.12 $321 16.9×
Antibody HIV-2 (86702) $155.52 $216 11.5×
Antibody identification leukocyte antibodies (86021) $87.12 $121 5.8×
Antibody john cunningham virus (86711) $2,156.40 $2,995 127.7×
Antibody Protozoa Nes (86753) $96.48 $134 7.8×
Antibody Treponema Pallidum (86780) $79.20 $110 6.0×
Antibody; influenza virus (86710) $79.92 $111 5.9×
Antigen typing (86905) $393.84 $547 102.8×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $187.92 $261 32.9×
Antinuclear antibodies (86038) $102.96 $143 8.5×
Antistreptolysin o titer (86060) $79.20 $110 10.8×
Antithrombin iii activity (85300) $137.52 $191 11.6×
Antithrombin iii antigen (85301) $48.96 $68 4.5×
Apolipoprotein a1 (82172) $95.04 $132 4.5×
Aquaporin-4 Antb Cba Each (86052) $425.52 $591 35.3×
Arsenic (82175) $129.60 $180 6.8×
Aspergillus ag eia (87305) $140.40 $195 11.7×
Assay activated protein c (85307) $69.12 $96 4.5×
Assay Blood Carbon Dioxide (82374) $43.20 $60 8.9×
Assay Dir Meas Fr Estradiol (82681) $136.08 $189 4.9×
Assay myeloperoxidase (83876) $64.08 $89 1.3×
Assay Nephelometry Not Spec (83883) $155.52 $216 11.4×
Assay of 5-hiaa (83497) $110.88 $154 8.6×
Assay of anti-mullerian hormone (82166) $158.40 $220 4.1×
Assay of blood/uric acid (84550) $54 $75 11.9×
Assay of calcium in urine (82340) $66.96 $93 11.1×
Assay of cpk in blood (82552) $92.16 $128 6.9×
Assay of estrone (82679) $108 $150 4.3×
Assay of g6pd enzyme (82955) $12.96 $18 1.3×
Assay of gammaglobulin igm (82784) $138.24 $192 14.9×
Assay of lactic acid (83605) $164.16 $228 14.2×
Assay of manganese (83785) $168.48 $234 6.3×
Assay of metanephrines (83835) $179.28 $249 10.6×
Assay of phosphatase acid total (84060) $185.76 $258 24.3×
Assay of proinsulin (84206) $123.84 $172 4.6×
Assay of pyruvate (84210) $18 $25 1.2×
Assay of serotonin (84260) $201.60 $280 6.5×
Assay of serum potassium (84132) $64.08 $89 13.5×
Assay of sweat sodium (84302) $43.20 $60 8.9×
Assay of Tyrosine (84510) $156.24 $217 14.7×
Assay of urea nitrogen (84520) $77.76 $108 19.7×
Assay of urine vma (84585) $213.12 $296 13.7×
Assay of vasoactive intestinal peptide (84586) $191.52 $266 5.4×
Assay of vitamin b-1 (84425) $144 $200 6.8×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$48.96–$64.08 $68–$89 varies
Automated Leukocyte Count (85048) $36 $50 14.2×
B cells total count (86355) $136.08 $189 3.6×
Babesia microti amp prb (87469) $215.28 $299 6.1×
Bartonella antibody (86611) $68.40 $95 6.7×
Bcr/abl1 gene major bp (81206) $753.12 $1,046 4.6×
Bcr/abl1 gene minor bp (81207) $433.44 $602 3.0×
Bcr/Abl1 Gene Other Bp (81208) $531.36 $738 2.5×
Beta 2 glycoprotein i antibody each (86146) $147.60 $205 5.8×
Beta hydroxybutyrate (82010) $92.88 $129 11.4×
Beta Lactamase (87185) $25.92 $36 5.5×
Beta-2 Microglobulin (82232) $111.60 $155 6.9×
Beta-amyloid 1-40 (abeta 40) (82233) $468 $650 3.6×
Beta-amyloid; 1-42 (abeta 42) (82234) $468 $650 3.6×
Bile acids total (82239) $33.12 $46 1.9×
Bilirubin direct (82248) $88.56 $123 17.6×
Bilirubin total (82247) $102.96 $143 20.5×
Bilirubin total transcutaneous (88720) $90.72 $126 18.1×
Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) $216 $300 1.2×
Bl Smear W/O Diff Wbc Count (85008) $61.20 $85 17.8×
Blastomyces antibody (86612) $70.56 $98 5.5×
Bld Typing Serologic Rh Phnt (86906) $131.04 $182 16.9×
Blm Gene (81209) $119.52 $166 3.0×
Blood Count Red Blood Cell Automated (85041) $24.48 $34 8.1×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $23.04 $32 6.1×
Blood gas (82803) $287.28 $399 11.0×
Blood gases w/02 saturation (82805) $390.96 $543 5.0×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $111.60 $155 7.0×
Blood Type Antigen Donor Reagent Serum Each (86902) $453.60 $630 71.4×
Blood typing serologic abo (86900) $141.12 $196 47.2×
Bordetella antibody (86615) $113.76 $158 8.6×
Borrelia miyamotoi amp prb (87478) $200.88 $279 5.7×
Brca1&2 gen full seq dup/del (81162) $3,827.52 $5,316 2.1×
Breath Alcohol Test (82075) $79.20 $110 2.6×
Brucella antibody (86622) $74.88 $104 8.4×
C diff amplified probe (87493) $182.16 $253 4.9×
C-Peptide (84681) $195.12 $271 9.4×
C-reactive protein (86140) $145.44 $202 28.1×
Ca 19-9 (86301) $140.40 $195 6.7×
Cadmium (82300) $64.80 $90 2.7×
Calcitonin (82308) $147.60 $205 5.5×
Calcium ionized (82330) $116.64 $162 8.5×
Calcium total (82310) $66.24 $92 12.8×
Calculus Spectroscopy (82365) $156.24 $217 12.1×
Calprotectin Fecal (83993) $291.60 $405 14.9×
Calr gene com variants (81219) $574.56 $798 4.7×
Cancer Antigen 125 (86304) $172.80 $240 8.3×
Cancer Antigen 27.29 (86300) $164.16 $228 7.9×
Candida antibody (86628) $48.24 $67 4.0×
Carbamazepine free (80157) $112.32 $156 8.5×
Carbamazepine total (80156) $161.28 $224 11.1×
Carboxyhemoglobin (82375)
range across 2 matching MRF lines
$20.88–$113.76 $29–$158 varies
Carcinoembryonic antigen (82378) $201.60 $280 10.6×
Cardiolipin ab iga (86147) $185.04 $257 7.3×
Carnitine Quantitative Each Specimen (82379) $331.92 $461 19.7×
Carotene (82380) $64.08 $89 7.0×
Catecholamines fractionated (82384) $257.76 $358 10.2×
Ccp antibody (86200) $239.04 $332 18.5×
Cebpa Gene Analysis Full Gene Sequence (81218) $650.16 $903 2.7×
Cell count csf (89051)
range across 2 matching MRF lines
$162.72–$182.88 $226–$254 varies
Cell marker study (88182) $545.76 $758 9.8×
Ceruloplasmin (82390) $133.20 $185 12.4×
Cftr Gene Analysis Known Familial Variants (81221) $122.40 $170 1.3×
Cftr gene com variants (81220)
range across 2 matching MRF lines
$770.40–$1,100.88 $1,070–$1,529 varies
Cftr gene dup/delet variants (81222) $813.60 $1,130 1.9×
Cftr gene full sequence (81223) $3,049.92 $4,236 6.1×
Chemiluminescent assay (82397) $156.24 $217 11.1×
Chlamydia antibody (86631) $62.64 $87 5.3×
Chlamydia Igm Antibody (86632) $58.32 $81 4.6×
Chloride other source (82438) $37.44 $52 7.5×
Chloride Serum (82435) $61.20 $85 13.3×
Chloride urine (82436) $61.92 $86 10.8×
Cholesterol total (82465) $61.20 $85 14.1×
Chorionic gonadotropin test (84702) $306 $425 20.3×
Chrmsm Analysis Addl High Resolution Study (88289) $133.20 $185 3.9×
Chromium serum (82495) $139.68 $194 6.9×
Chromogranin a (86316) $129.60 $180 6.2×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$689.04–$835.20 $957–$1,160 varies
Chromosome Analysis 20-25 (88264) $673.20 $935 4.7×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $123.12 $171 3.5×
Citric acid urine (82507) $35.28 $49 1.3×
Ckmb (82553) $218.88 $304 19.0×
Clostridium Difficile (87324) $107.28 $149 9.0×
Clot Factor VIII Multimetric (85247) $102.24 $142 4.5×
Clotting factor xii hageman (85280) $87.12 $121 4.5×
Clotting Funct Activity (85397) $310.32 $431 10.1×
Cns DNA amp probe type 12-25 (87483) $690.48 $959 1.7×
Coagulation time activated (85347) $95.04 $132 22.2×
Coccidioides antibody (86635) $123.12 $171 10.7×
Cold agglutinin titer (86157) $133.20 $185 16.5×
Collagen crosslinks (82523) $127.44 $177 6.8×
Column Chromotography Quant (82542)
range across 2 matching MRF lines
$149.04–$211.68 $207–$294 varies
Comparative Anal Str Markers Patient&Comp Spec (81265) $526.32 $731 2.3×
Compatibility Each Unit Incubation (86921) $216 $300 1.2×
Compatibility test antiglob (86922) $187.92 $261 1.0×
Complement Antigen Each Component (86160) $118.08 $164 9.8×
Complement Total (Ch50) (86162) $143.28 $199 7.1×
Complement/Function Activity (86161) $120.96 $168 10.1×
Consltj&Reprt Material Requiring Prepj Slides (88323) $315.36 $438 5.6×
Consltj&Reprt Slides Prepared Elsewhere (88321) $134.64 $187 3.4×
Coombs direct (86880) $64.80 $90 12.0×
Copper urine (82525) $119.52 $166 9.6×
Cortisol free (82530) $113.76 $158 6.8×
Cortisol saliva (82533) $201.60 $280 12.4×
Creatine kinase total (82550) $94.32 $131 14.5×
Creatinine blood (82565) $61.20 $85 12.0×
Creatinine clearance (82575) $182.16 $253 19.3×
Creatinine Urine (82570) $125.28 $174 24.2×
Crossmatch immediate spin (86920) $195.84 $272 1.1×
Crp High Sensitivity (86141) $122.40 $170 9.5×
Cryofibrinogen (82585) $44.64 $62 3.2×
Cryoglobulin (82595) $44.64 $62 6.9×
Cryptococcus ab (86641) $90.72 $126 6.3×
Cryptococcus ag titer (87899) $72 $100 4.5×
Cryptosporidium ag eia (87328) $90 $125 6.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $80.64 $112 10.0×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $89.28 $124 11.0×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $65.52 $91 8.5×
Cul Typ ID Bld Pthgn 6+ Trgt (87154)
range across 2 matching MRF lines
$612.72–$807.84 $851–$1,122 varies
Culture afb (87116) $82.80 $115 7.7×
Culture Anaerobic (87075) $202.32 $281 21.4×
Culture blood (87040) $81.36 $113 7.9×
Culture chlamydia (87110) $187.20 $260 9.6×
Culture csf (87070)
range across 3 matching MRF lines
$12.96–$104.40 $18–$145 varies
Culture fungus (87102) $118.08 $164 14.0×
Culture fungus blood (87103) $143.28 $199 7.0×
Culture screen only (87081)
range across 3 matching MRF lines
$87.12–$89.28 $121–$124 varies
Culture stool (87045) $173.52 $241 18.4×
Culture typing if ea antiserum (87140) $7.92 $11 1.4×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $15.12 $21 2.9×
Culture urine (87086) $93.60 $130 11.6×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $20.16 $28 1.4×
Cyclosporine (80158) $200.88 $279 11.1×
Cyp2c19 gene analysis common variants (81225) $526.32 $731 1.8×
Cystatin C (82610) $102.96 $143 5.6×
Cytogenetics 100-300 (88275) $243.36 $338 4.8×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $3,481.92 $4,836 3.0×
Cytomegalovirus igg (86644) $129.60 $180 9.0×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $116.64 $162 5.8×
Cytopath Cell Enhance Tech (88112) $185.76 $258 3.3×
Cytopath Fl Nongyn Filter (88106) $79.92 $111 2.6×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $180 $250 6.8×
Cytp Concentration Smears & Interpretation (88108) $160.56 $223 4.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $427.68 $594 7.7×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $187.92 $261 1.0×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $133.20 $185 3.3×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $54 $75 1.7×
Deoxycortisol (82634) $102.96 $143 3.5×
Deoxyribonuclease antibody (86215) $47.52 $66 3.6×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$61.92–$262.80 $86–$365 varies
Detect Agent Nos Dna Quant (87799) $203.04 $282 4.7×
Detect agnt mult DNA ampli (87801) $300.96 $418 4.3×
Dgp Antibody Each Ig Class (86258) $30.96 $43 2.6×
Dhea (82626) $172.80 $240 6.8×
Dhea-S (82627) $106.56 $148 4.8×
Digoxin (80162) $148.32 $206 11.2×
Dihydrotestosterone (82642) $116.64 $162 4.0×
Diphtheria antitoxoid (86648) $164.16 $228 10.8×
Dipropylacetic Acid Free (80165) $102.24 $142 7.6×
Dna Antibody Native/Double Stranded (86225) $136.80 $190 10.0×
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines
$48.24–$189.36 $67–$263 varies
DNA/RNA direct probe (87149) $123.84 $172 6.2×
Dna/Rna Sequencing (87153) $1,014.48 $1,409 8.8×
Drug assay adalimumab (80145) $279.36 $388 7.2×
Drug Assay Everolimus (80169) $106.56 $148 7.8×
Drug assay felbamate (80167) $28.80 $40 1.5×
Drug Assay Infliximab (80230) $280.08 $389 7.3×
Drug Assay Itraconazole (80189) $341.28 $474 12.6×
Drug Assay Lacosamide (80235) $102.24 $142 3.8×
Drug Assay Posaconazole (80187) $233.28 $324 8.6×
Drug Assay Vedolizumab (80280) $286.56 $398 7.4×
Drug assay voriconazole (80285) $226.80 $315 8.4×
Drug Asy Hydroxychloroquine (80220) $225.36 $313 12.1×
Drug Screen Quant Clozapine (80159) $75.60 $105 3.8×
Drug Screen Quant Zonisamide (80203) $90.72 $126 6.8×
Drug Screen Quantitative Gabapentin (80171) $72 $100 3.3×
Drug Screen Quantitative Lamotrigine (80175) $120.24 $167 9.1×
Drug Screen Quantitative Levetiracetam (80177) $120.24 $167 9.1×
Drug Screen Quantitative Oxcarbazepine (80183) $54 $75 4.1×
Drug Screen Quantitative Procainamide Metabolite (80192) $123.84 $172 7.4×
Drug Test Prsmv Chem Anlyzr (80307)
range across 3 matching MRF lines
$234–$301.68 $325–$419 varies
Drug Test Prsmv Dir Opt Obs (80305) $95.76 $133 7.6×
Drug Test Prsmv Instrmnt (80306) $87.84 $122 5.1×
Ehrlichia antibody (86666) $82.80 $115 8.1×
El-1 Fecal Quantitative (82653) $115.20 $160 5.0×
Electrolyte panel (80051) $155.52 $216 22.2×
Endomysial Antibody Each Immunoglobulin Class (86231) $23.04 $32 1.9×
Enterovirus Antibody (86658) $45.36 $63 3.5×
Enzyme cell activity (82657) $335.52 $466 15.1×
Eosinophil Smear (89190) $76.32 $106 13.2×
Erythropoietin (82668) $213.84 $297 11.4×
Estradiol serum (82670) $283.68 $394 10.2×
Estriol (82677) $112.32 $156 4.6×
Estrogen total (82672) $92.16 $128 4.2×
Estrogens fractionated (82671) $73.44 $102 2.3×
Ethosuximide (80168) $111.60 $155 6.8×
Ethylene Glycol (82693) $172.08 $239 11.5×
Exam Synovial Fluid Crystals (89060) $84.96 $118 11.6×
F2 Gene (81240) $354.96 $493 5.4×
Factor ix activity (85250) $85.68 $119 4.5×
Factor v activity (85220) $79.92 $111 4.5×
Factor v leiden mutation (81241) $410.40 $570 5.6×
Factor vii assay (85230) $80.64 $112 4.5×
Factor viii assay (85240) $127.44 $177 7.1×
Factor X (85260) $80.64 $112 4.5×
Factor xi activity (85270) $80.64 $112 4.5×
Fat/Lipids Feces Quantitative (82710) $141.12 $196 8.4×
Fatty acids free (82725) $23.76 $33 1.3×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $144 $200 18.7×
Fecal Fat Qualitative (82705) $39.60 $55 7.8×
Ferritin (82728)
range across 3 matching MRF lines
$156.24–$197.28 $217–$274 varies
Fetal Chrmoml Aneuploidy (81420) $1,159.92 $1,611 1.5×
Fetal Congenital Abnor Assay Four Anal (81511) $289.44 $402 1.9×
Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) $192.24 $267 2.8×
Fetal Fibronectin (82731) $547.20 $760 8.5×
Fetal screen rosette (85461) $50.40 $70 5.4×
Fibrin degradation products (85362) $63.36 $88 9.2×
Fibrin Degradation Quant (85379) $81.36 $113 8.0×
Fibrinogen activity (85384)
range across 2 matching MRF lines
$82.80–$120.96 $115–$168 varies
Flecainide level (80181) $98.64 $137 5.3×
Flow cytometry first marker (88184) $453.60 $630 1.2×
Flt3 Gene (81245) $468 $650 2.8×
Flt3 gene analysis (81246) $293.04 $407 3.5×
Fluorescent antibody screen (86255) $151.92 $211 12.6×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $129.60 $180 10.8×
Folic acid rbc (82747) $163.44 $227 9.3×
Folic Acid Serum (82746)
range across 2 matching MRF lines
$150.48–$151.92 $209–$211 varies
Follicle Stimulating Hormone (83001) $179.28 $249 9.6×
Fresh Frozen Plasma Thawing Each Unit (86927) $174.24 $242 1.0×
Frozen Section (88331) $889.20 $1,235 4.9×
Fungi Identification Mold (87107) $90 $125 8.7×
Fungi Identification Yeast (87106) $75.60 $105 7.3×
Galectin-3 (82777) $105.84 $147 2.4×
Gammaglobulin ige (82785) $127.44 $177 7.7×
Gases Blood O2 Saturation Only Direct Meas (82810) $398.16 $553 40.8×
Gastrin (82941) $118.80 $165 6.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $655.92 $911 1.6×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $3,061.44 $4,252 4.0×
Genet Virus Isolate Hsv (87255) $37.44 $52 1.1×
Gentamicin (80170) $208.80 $290 12.7×
Ggt (82977)
range across 3 matching MRF lines
$80.64–$92.88 $112–$129 varies
Giardia antigen (87329) $92.88 $129 7.8×
Gluc-6-phosphate dehydrogenase screen (82960) $96.48 $134 15.9×
Glucagon (82943) $85.68 $119 6.0×
Glucose 2 hr pp (82950) $101.52 $141 21.4×
Glucose Blood Test (82962) $20.16 $28 6.1×
Glucose body fluid (82945) $127.44 $177 32.4×
Glucose Serum (82947) $74.88 $104 19.1×
Glucose tolerance test (gtt) (82951) $204.48 $284 15.9×
Glucosidase beta (82963) $852.48 $1,184 39.7×
Glutathione (82978) $158.40 $220 10.3×
Glycated Protein (82985) $102.96 $143 6.1×
Gonadotropin Chorionic Qualitative (84703) $125.28 $174 16.7×
Growth hormone (83003) $113.76 $158 6.8×
Gtt-added samples (82952) $50.40 $70 12.9×
H Pylori (C-13) Breath (83013) $244.08 $339 3.6×
Haloperidol (80173) $243.36 $338 15.4×
Haptoglobin (83010)
range across 2 matching MRF lines
$133.20–$172.80 $185–$240 varies
Hba1/Hba2 Gene (81257) $605.52 $841 5.9×
Hdl Cholesterol (83718) $131.76 $183 16.1×
Helicobacter Pylori Stool (87338) $97.20 $135 6.8×
Helminth Antibody (86682) $100.80 $140 7.7×
Hematocrit (85014) $29.52 $41 12.5×
Hemoglobin (85018) $29.52 $41 12.5×
Hemoglobin a1c (83036)
range across 3 matching MRF lines
$93.60–$120.96 $130–$168 varies
Hemoglobin Chromotography (83021) $109.44 $152 6.1×
Hemoglobin electrophoresis (83020) $87.84 $122 6.8×
Hemoglobin Methemoglobin Quantitative (83050) $16.56 $23 2.0×
Hemoglobin plasma (83051) $25.20 $35 3.4×
Hemosiderin urine (83070) $44.64 $62 9.4×
Hep a ab igm (86709) $156.24 $217 13.9×
Heparin assay (85520) $194.40 $270 14.9×
Hepatitis a antibody total (86708) $71.28 $99 5.8×
Hepatitis b core ab igm (86705) $81.36 $113 6.9×
Hepatitis b core ab total (86704) $79.92 $111 6.6×
Hepatitis B Surface Antibody (86706) $123.84 $172 11.5×
Hepatitis B Surface Antigen (87340)
range across 3 matching MRF lines
$97.92–$108 $136–$150 varies
Hepatitis Be Antibody (86707) $67.68 $94 5.8×
Hepatitis Be Antigen (87350) $54.72 $76 4.7×
Hepatitis C Antibody (86803) $125.28 $174 8.8×
Hepatitis C Genotype (87902) $555.84 $772 2.2×
Hepatitis C Probe&Rvrs Trnsc (87521) $174.96 $243 5.0×
Hepatitis C Revrs Trnscrpj (87522) $176.40 $245 4.1×
Hepatitis Delta Agent Antibody (86692) $110.16 $153 6.4×
Hereditary brst ca-related gen seq analys 10 gen (81432) $1,643.04 $2,282 1.3×
Hereditary peripheral neuropathy gen seq pnl (81448) $2,268 $3,150 3.9×
Herpes simplex type 2 (86696) $130.32 $181 6.7×
Heterophile Antibody Screen (86308) $160.56 $223 31.0×
Hfe Gene (81256) $407.52 $566 6.2×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $203.04 $282 26.3×
Histamine urine (83088) $253.44 $352 8.6×
Histoplasma antibody (86698) $74.16 $103 5.4×
Histoplasma antigen urine (87385) $124.56 $173 9.4×
Hiv Genotype (87901) $677.52 $941 2.6×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $113.04 $157 4.7×
Hiv-1 Antibody (86701) $155.52 $216 17.5×
Hiv-1 Quant&Revrse Trnscrpj (87536) $113.76 $158 1.3×
Hla class ii typing high resolution one locus ea (81382) $497.52 $691 4.0×
Hla I Low Resolution One Antigen Equivalent Each (81374) $259.20 $360 3.5×
Hla I Typing 1 Allele Hr (81381) $298.08 $414 1.8×
Hla-b27 (86812) $293.04 $407 11.4×
Homocysteine (83090) $172.80 $240 9.6×
Homogenization Tissue (87176) $54.72 $76 9.3×
Homovanillic acid urine (83150) $102.96 $143 4.6×
Hpv High-Risk Types (87624) $122.40 $170 3.5×
Hpv Types 16 & 18 Only (87625) $151.20 $210 3.7×
Hsv Dna Amp Probe (87529) $254.88 $354 7.3×
Hsv Dna Quant (87530) $158.40 $220 3.7×
Htt Gene Detc Abnor Alleles (81271) $439.92 $611 3.2×
Human Epididymis Protein 4 (86305) $145.44 $202 7.0×
Hydroxyprogesterone 17-d (83498) $177.12 $246 6.5×
Hydroxyproline free (83500) $125.28 $174 5.5×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $38.16 $53 2.7×
Iaad ia shiga-like toxin (87427) $97.92 $136 8.2×
Iaad Ia Streptococcus Group A (87430) $52.56 $73 3.1×
Iaadiadoo trichomonas vaginalis (87808) $64.80 $90 4.2×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $136.80 $190 3.9×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $272.88 $379 7.8×
Iadna Candida Species Amplified Probe Tq (87481) $125.28 $174 3.6×
Iadna chlamydia pneumoniae amplified probe tq (87486)
range across 4 matching MRF lines
$55.44–$207.36 $77–$288 varies
Iadna Cytomegalovirus Amplified Probe Tq (87496) $143.28 $199 4.1×
Iadna Cytomegalovirus Quantification (87497) $209.52 $291 4.9×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $193.68 $269 5.5×
Iadna Hepatitis B Virus Quantification (87517) $141.12 $196 3.3×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $195.12 $271 5.6×
Iadna Herpes Virus-6 Quantification (87533) $482.40 $670 11.6×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $438.48 $609 12.5×
Iadna Legionella Pneumophila Amplified Probe Tq (87541)
range across 3 matching MRF lines
$94.32–$157.68 $131–$219 varies
Iadna Mycobacteria Species Amplified Probe Tq (87551) $157.68 $219 3.3×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $95.04 $132 2.3×
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 4 matching MRF lines
$61.92–$234 $86–$325 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $119.52 $166 3.4×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $86.40 $120 1.7×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $464.40 $645 3.3×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $660.96 $918 2.5×
Ig Light Chains Free Each (83521) $132.48 $184 7.7×
Igg subclasses (82787) $165.60 $230 20.6×
Igh gene rearrange amp meth (81261) $809.28 $1,124 4.1×
Igh@ Variable Region Somatic Mutation Analysis (81263) $893.52 $1,241 3.0×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $672.48 $934 1.8×
Immune Complex Assay (86332) $462.24 $642 19.0×
Immunfix e-phorsis/urine/csf (86335) $202.32 $281 6.9×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 2 matching MRF lines
$150.48–$2,211.12 $209–$3,071 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $58.32 $81 3.9×
Immunoassay nonantibody (83516)
range across 3 matching MRF lines
$141.12–$976.32 $196–$1,356 varies
Immunodiffusion not elsewhere specified (86329) $94.32 $131 6.7×
Immunoelectrophoresis Other Fluids Concentration (86325) $64.08 $89 2.8×
Immunofixation electrophoresis (86334) $202.32 $281 9.1×
Immunofluorescence per spec 1st singl antb stain (88346) $259.92 $361 1.4×
Immunohistochemistry (88342) $808.56 $1,123 4.4×
In situ hybridization 1st probe stain (88365) $565.92 $786 3.1×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) $75.60 $105 1.8×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $66.96 $93 5.5×
Influenza a/b ag eia (87400) $39.60 $55 2.8×
Influenza assay w/optic (87804) $54.72 $76 3.3×
Inherited Cardmypthy 5 Gns (81439) $2,542.32 $3,531 4.3×
Inhibin A (86336) $108.72 $151 7.0×
Inhibin b (83520)
range across 2 matching MRF lines
$103.68–$150.48 $144–$209 varies
Insulin antibodies (86337) $194.40 $270 9.1×
Insulin free (83527) $78.48 $109 6.1×
Insulin total (83525) $100.80 $140 8.8×
Interleukin-6 (83529) $129.60 $180 7.5×
Intrinsic factor antibody (86340) $87.12 $121 5.8×
Iron (83540) $84.24 $117 13.0×
Iron Binding Capacity (83550) $103.68 $144 11.9×
Islet cell antibody (86341) $113.76 $158 4.8×
Jak2 gene analysis p.val617phe variant (81270) $932.40 $1,295 10.2×
Jak2 Gene Trgt Sequence Alys (81279) $563.76 $783 3.0×
Ketosteroids 17 total (83586) $87.84 $122 6.9×
Lactate (ld) (ldh) enzyme (83615) $129.60 $180 21.5×
Lactoferrin fecal qualitative (83630) $115.92 $161 5.9×
Lactoferrin Fecal Quantitative (83631) $180.72 $251 9.2×
Ldh Isoenzymes (83625) $87.84 $122 6.9×
LDL direct (83721) $110.16 $153 10.5×
Lead (83655) $94.32 $131 7.8×
Legionella antigen urine (87449) $64.80 $90 5.4×
Leukocyte Assessment Fecal (89055)
range across 2 matching MRF lines
$66.24–$69.84 $92–$97 varies
Leukocyte Histamine Release (86343) $163.44 $227 13.1×
Level I Surg Pathology Gross Examination Only (88300) $120.24 $167 3.9×
Level ii surg pathology gross&microscopic exam (88302) $163.44 $227 4.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $889.20 $1,235 2.3×
Lipase (83690) $94.32 $131 13.7×
Lipoprotein A (83695) $124.56 $173 8.7×
Lipoprotein Bld Quan Part (83704) $61.20 $85 1.8×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $92.16 $128 8.2×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $126 $175 3.7×
Lipoprotein-Associated Phospholipase A2 (83698) $84.24 $117 1.8×
Lithium (80178) $87.12 $121 13.2×
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines
$171.36–$182.16 $238–$253 varies
Lyme disease antibody (86618) $144 $200 8.5×
Lymphocyte transformation (86353) $372.96 $518 7.6×
Lysozyme serum (85549) $122.40 $170 6.5×
M. Genitalium Amp Probe (87563) $133.20 $185 3.8×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $599.04 $832 3.3×
M/phmtrc alys ishquant/semiq (88374) $507.60 $705 2.8×
Macroscopic exam arthropod (87168) $55.44 $77 13.0×
Macroscopic Exam Parasite (87169) $19.44 $27 4.5×
Magnesium Urine (83735) $72 $100 10.7×
Mass Spectrometry Quant (83789) $195.12 $271 8.1×
Mercury urine (83825) $110.88 $154 6.8×
Metabolic panel ionized ca (80047) $196.56 $273 14.3×
Methylmalonic acid serum (83921) $156.24 $217 7.4×
Microalbumin, quantitative (82043) $141.12 $196 24.4×
Microbe Suscept Macrobroth (87188) $65.52 $91 9.9×
Microsomal Antibodies Each (86376) $103.68 $144 7.1×
Mitochondrial Antibody Each (86381) $28.08 $39 1.1×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $398.88 $554 2.0×
Mog-Igg1 Antb Cba Each (86362) $956.88 $1,329 79.4×
Molecular Cytogenetics Dna Probe Each (88271) $161.28 $224 7.5×
Molecular Pathology Procedure Level 6 (81405) $932.40 $1,295 3.1×
Mononuclear cell antigen (86356) $253.44 $352 9.5×
Mopath procedure level 1 (81400) $607.68 $844 9.5×
Mopath procedure level 2 (81401) $1,161.36 $1,613 8.5×
Mopath procedure level 4 (81403) $503.28 $699 2.7×
Mopath procedure level 5 (81404) $833.76 $1,158 3.0×
Mopath procedure level 7 (81406) $1,972.08 $2,739 7.0×
Mopath procedure level 8 (81407) $1,598.40 $2,220 1.9×
Mopath procedure level 9 (81408) $3,985.92 $5,536 2.0×
Mpl gene analysis sequence analysis exon 10 (81339) $503.28 $699 2.7×
Mrsa Pcr (87641)
range across 3 matching MRF lines
$172.08–$217.44 $239–$302 varies
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $422.64 $587 2.0×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $442.08 $614 1.9×
Msh6 Gene Known Variants (81299) $3,027.60 $4,205 9.8×
Mthfr Gene Analysis Common Variants (81291) $150.48 $209 2.3×
Mucopolysaccharides acid quantitative (83864) $275.04 $382 9.7×
Mumps antibody (86735) $87.12 $121 6.7×
Muscle-Specific Kinase Antb (86366) $857.52 $1,191 46.6×
Mycobacteric Identification (87118) $92.16 $128 6.3×
Mycophenolic Acid (80180) $122.40 $170 6.8×
Mycoplasma antibody (86738) $169.92 $236 12.8×
Mycoplasma culture (87109) $102.96 $143 6.7×
Myelin basic protein csf (83873) $169.20 $235 9.8×
Myoglobin urine (83874) $150.48 $209 11.6×
Natriuretic peptide (83880) $198.72 $276 5.1×
Neutralization Test Viral (86382) $144 $200 8.5×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $321.12 $446 2.3×
Nfct ds bv&vaginitis DNA alg (81515) $378.72 $526 1.4×
Nfct ds chrnc hcv 6 assays (81596) $513.36 $713 7.1×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $1,177.20 $1,635 9.1×
Niacin (84591) $152.64 $212 8.9×
Nk cells total count (86357) $158.40 $220 4.2×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $580.32 $806 2.4×
Nuclear antigen antibody (86235) $125.28 $174 7.0×
Occult Blood Other Sources (82271) $57.60 $80 10.8×
Oligoclonal bands (83916) $183.60 $255 6.7×
Onco (Ovarian) Biochemical Assay Two Proteins (81500) $924.48 $1,284 3.5×
Organic acids urine (83918) $59.04 $82 2.5×
Osmolality serum (83930) $97.92 $136 14.8×
Osmolality Urine (83935) $96.48 $134 14.1×
Osteocalcin (83937) $153.36 $213 5.1×
Ova and parasites smears (87177) $87.12 $121 9.8×
Oxalate urine (83945) $87.84 $122 6.1×
Pancreatic Elastase Fecal (82656) $87.12 $121 7.6×
Particle Agglut Antbdy Titr (86406) $56.16 $78 5.3×
Particle Agglutination Screen Each Antibody (86403) $100.08 $139 8.7×
Parvovirus antibody (86747) $151.20 $210 10.1×
Path Consltj Surg Cytologic Exam Initial Site (88333) $1,355.04 $1,882 1.6×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $180 $250 3.2×
Pathology Consultation During Surgery (88329) $141.84 $197 2.2×
Ph urine (81003) $46.08 $64 20.5×
Phenobarbital Level (80184) $85.68 $119 5.6×
Phenotype Infect Agent Drug (87900) $342.72 $476 2.6×
Phenylalanine (84030) $258.48 $359 47.0×
Phenytoin (Dilantin) (80185) $154.08 $214 11.6×
Phenytoin free (80186) $46.08 $64 3.3×
Phosphatase acid prostatic (84066) $74.88 $104 7.8×
Phosphatase alkaline (84075) $61.92 $86 12.0×
Phospholipid Neutralization Hexagonal (85598) $70.56 $98 3.9×
Phosphorus Serum (84100) $65.52 $91 13.8×
Phosphorus urine (84105) $90.72 $126 15.7×
Pinworm exam (87172) $47.52 $66 11.1×
Platelet Antibodies (86022) $106.56 $148 5.8×
Platelet count automated (85049) $57.60 $80 12.9×
Platelet neutralization (85597) $70.56 $98 3.9×
Pmp22 Gene Analysis Full Sequence Analysis (81325) $1,661.04 $2,307 2.2×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $523.44 $727 2.6×
Porphobilinogen, urine; quantitative (84110) $97.20 $135 11.5×
Porphyrins Urine Quantitation & Fractionation (84120) $113.76 $158 7.7×
Potassium Urine (84133) $67.68 $94 14.3×
Prealbumin (84134) $124.56 $173 8.5×
Pregnenolone (84140) $119.52 $166 5.8×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $105.12 $146 1.7×
Primidone (80188) $112.32 $156 6.8×
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines
$103.68–$210.24 $144–$292 varies
Progesterone (84144) $154.80 $215 7.4×
Prolactin (84146) $188.64 $262 9.7×
Prostaglandin (84150) $738 $1,025 17.7×
Protein body fluid (84157) $138.24 $192 34.6×
Protein C Activity (85303) $64.08 $89 4.6×
Protein c antigen (85302) $54.72 $76 4.6×
Protein Electrophoresis Urine (84166) $123.84 $172 6.9×
Protein Electrophoretic Fractj&Quantj Serum (84165) $142.56 $198 13.3×
Protein S Free (85306) $79.20 $110 5.2×
Protein s total (85305) $52.56 $73 4.5×
Protein total serum (84155) $56.16 $78 15.3×
Protein Total Urine (84156) $101.52 $141 27.7×
Protein Western Blot Test (84182) $182.16 $253 6.2×
Protoporphyrin rbc quantitative (84202) $21.60 $30 1.5×
PSA free (84154) $243.36 $338 13.2×
Pth Intact (83970) $256.32 $356 6.2×
Q Fever Antibody (86638) $94.32 $131 7.8×
Quantiferon tb gold plus (86480) $258.48 $359 4.2×
Quantitative assay drug (80299) $134.64 $187 7.2×
Quantitative Screen Metals (83018) $151.92 $211 6.9×
Quinidine (80194) $100.80 $140 6.9×
Rbc antibody elution (86860) $216 $300 1.2×
Rbc antibody identification (86870) $393.84 $547 1.0×
Rbc antibody screen (86850) $80.64 $112 8.3×
Rbc pretreatment serum (86978) $105.12 $146 1.7×
Rbc pretx incubatj w/enzymes (86971) $216 $300 1.2×
Renin activity plasma (84244) $221.76 $308 10.1×
Resp virus 12-25 targets (87633)
range across 2 matching MRF lines
$588.24–$1,321.20 $817–$1,835 varies
Resp Virus 6-11 Targets (87632) $950.40 $1,320 4.4×
Reticulocyte Count (85046) $47.52 $66 8.5×
Reticulocyte separation (86972) $216 $300 1.2×
Rh (86901) $43.20 $60 14.4×
Rheumatoid factor quant (86431) $165.60 $230 29.2×
Rickettsia antibody (86757) $64.80 $90 3.3×
Ristocetin cofactor (85245) $102.96 $143 4.5×
Rpr qualitative (86592) $96.48 $134 22.6×
Rsv Assay W/Optic (87807) $113.04 $157 8.6×
Rubella Antibody (86762) $113.76 $158 7.9×
Rubeola antibody (86765) $123.84 $172 9.6×
Rufinamide (80210) $125.28 $174 4.6×
Russell Viper Venom Time Diluted (85613) $41.76 $58 4.4×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 6 matching MRF lines
$82.80–$442.08 $115–$614 varies
Sars-cov-2 COVID-19 antibody (86769) $212.40 $295 5.0×
Sars-Cov-2 Covid19 W/Optic (87811) $114.48 $159 2.8×
Sarscov2 & inf a&b amp prb (87636) $346.32 $481 2.4×
Sarscov2&inf a&b&rsv amp prb (87637) $396 $550 2.8×
Sedimentation Rate, Automated (85652) $36.72 $51 13.6×
Selenium (84255) $174.96 $243 6.9×
Semen Anal Sperm Detection (89321) $125.28 $174 10.4×
Semen analysis complete (89320) $594 $825 48.3×
Semen analysis motility and count (89310) $226.80 $315 26.3×
Sensitivity mic (87186)
range across 3 matching MRF lines
$54.72–$138.96 $76–$193 varies
Serpina 1 gene (81332) $271.44 $377 6.2×
Sex Hormone Binding Globulin (84270) $82.08 $114 3.8×
Sickling of rbc reduction (85660) $77.76 $108 14.1×
Sirolimus (80195) $154.08 $214 11.2×
Smear acid fast (87206) $79.20 $110 14.7×
Smear gram stain (87205) $38.16 $53 8.9×
Smear Special Stain (87207) $48.24 $67 8.1×
Smn1 Gene Dos/Deletion Alys (81329) $892.08 $1,239 6.5×
Smr Prim Src Wet Mount Nfct Agt (87210) $64.80 $90 11.1×
Snrpn/Ube3a Methylation Analysis (81331) $472.32 $656 9.2×
Sodium Serum (84295) $59.04 $82 12.3×
Sodium Urine (84300) $73.44 $102 14.5×
Somatomedin (84305) $145.44 $202 6.8×
Somatostatin (84307) $389.52 $541 21.3×
Special Stains Group 1 (88312) $208.08 $289 3.7×
Special Stains Group 2 (88313) $208.08 $289 1.5×
Specific gravity body fluid (84315) $46.08 $64 14.0×
Specimen infect agnt concntj (87015) $61.20 $85 9.2×
Spectrophotometry (84311) $53.28 $74 6.6×
Staph a DNA amp probe (87640) $177.84 $247 5.1×
Stool cultr aerobic bact ea (87046) $82.80 $115 8.8×
Strep a DNA amp probe (87651) $98.64 $137 2.8×
Strep b DNA amp probe (87653) $68.40 $95 1.9×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $102.24 $142 18.6×
Sugars Single Qual (84376) $108 $150 19.6×
Sulfate urine (84392) $36 $50 6.6×
Surg path level iii (88304) $289.44 $402 5.2×
Surgical pathology level IV (88305) $289.44 $402 5.2×
Surgical pathology level vi (88309) $1,426.32 $1,981 1.7×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 2 matching MRF lines
$20.16–$77.04 $28–$107 varies
Susceptibility Study Antimicrobial Disk Method (87184) $82.08 $114 11.0×
Syphilis Test Non-Trep Quant (86593) $54 $75 12.3×
T cells absolute cd4 count (86361) $33.84 $47 1.3×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $187.92 $261 4.0×
T cells total count (86359) $136.08 $189 3.6×
T3 Free (84481) $164.16 $228 9.7×
T3 reverse (84482) $108 $150 6.9×
T3 Total (84480) $231.12 $321 16.3×
T3 Uptake (84479) $109.44 $152 16.9×
T4 Free (84439) $118.80 $165 13.2×
T4 total (84436) $97.20 $135 14.1×
Tacrolimus (80197) $147.60 $205 10.8×
Tau phosphorylated each (84393) $324 $450 2.5×
Tb ag response t-cell susp (86481) $109.44 $152 1.1×
Test for acetone/ketones (82009) $66.24 $92 14.7×
Testosterone total (84403) $185.04 $257 7.2×
Testosterone, Free (84402) $128.16 $178 5.0×
Tetanus antibody (86774) $85.68 $119 5.8×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $2,489.76 $3,458 4.2×
Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) $2,255.04 $3,132 3.8×
Theophylline (80198) $152.64 $212 10.8×
Thiopurine methyltransferase (84433) $335.52 $466 15.1×
Thrombin Time (85670) $32.40 $45 5.6×
Thrombin time titer (85675) $8.64 $12 1.3×
Thyroglobulin (84432) $82.80 $115 5.2×
Thyroglobulin Antibody (86800) $103.68 $144 6.5×
Thyroid Stimulating Immunoglobulin (84445) $348.48 $484 6.9×
Thyroxine binding globulin (84442) $103.68 $144 7.0×
Tiss cul neo disorders solid tumor (88239) $1,638 $2,275 11.1×
Tiss Trnsgltmnase Ea Ig Clas (86364) $46.80 $65 4.1×
Tissue Culture (88233) $750.96 $1,043 5.3×
Tissue culture bone marrow (88237) $612 $850 4.3×
Tissue Culture Lymphocyte (88230) $538.56 $748 4.6×
Tobramycin peak (80200) $167.76 $233 10.4×
Topiramate (80201) $82.08 $114 6.9×
Total Tau (84394) $511.20 $710 4.0×
Toxoplasma ab igm (86778) $83.52 $116 5.8×
Toxoplasma antibody (86777) $83.52 $116 5.8×
Tp53 gene analysis targeted sequence analysis (81352) $1,349.28 $1,874 4.1×
Tpmt gene com variants (81335) $519.12 $721 3.0×
Transferase Aspartate Amino Ast Sgot (84450) $105.84 $147 20.4×
Transferrin (84466) $200.16 $278 15.7×
Trichomonas Vaginalis Amplif (87661) $61.92 $86 1.8×
Triglycerides (84478) $72 $100 12.5×
Troponin Quant (84484) $154.08 $214 12.4×
Tumor immunohistochem/comput (88361) $453.60 $630 1.2×
Tumor Immunohistochem/Manual (88360) $627.84 $872 3.4×
Ugt1a1 gene analysis common variants (81350) $524.16 $728 2.2×
Unlisted Transfusion Medicine Procedure (86999) $48.24 $67 1.6×
Urea nitrogen urine (84540) $105.12 $146 18.9×
Uric acid other source (84560) $51.84 $72 10.2×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $43.20 $60 19.9×
Urine Bacteria Culture (87088) $42.48 $59 5.3×
Urine Pregnancy Test (81025) $105.12 $146 12.2×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $74.16 $103 23.4×
Valproic acid (80164) $154.08 $214 11.4×
Vancomycin (80202) $216.72 $301 16.0×
Varicella-zoster antibody (86787) $100.80 $140 7.8×
Vasopressin (84588) $139.68 $194 4.1×
Very Long Chain Fatty Acids (82726) $205.92 $286 10.4×
Viral Culture (87252) $187.20 $260 7.2×
Virus antibody nos (86790) $159.84 $222 12.4×
Virus inoculation, shell via (87254)
range across 3 matching MRF lines
$92.16–$162 $128–$225 varies
Vit D 1 25-Dihydroxy (82652) $201.60 $280 5.2×
Vitamin A (84590) $79.92 $111 6.9×
Vitamin b-12 (82607) $95.76 $133 6.4×
Vitamin B2 (Riboflavin) (84252) $52.56 $73 2.6×
Vitamin B6 (84207) $192.24 $267 6.8×
Vitamin c (82180) $67.68 $94 6.8×
Vitamin D 25-Hydroxy (82306) $123.84 $172 4.2×
Vitamin E (84446) $97.20 $135 6.9×
Vitamin K (84597) $100.80 $140 7.3×
Voltage-Gated Calcium Channel Antibody Each (86596) $113.04 $157 9.4×
Von willebrand factor ag (85246) $102.96 $143 4.5×
West nile virus ab igm (86788) $204.48 $284 12.1×
West Nile Virus Antibody (86789) $204.48 $284 14.2×
Western Blot Test (84181) $110.88 $154 6.5×
X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must… (81470) $1,296 $1,800 1.4×
Zika Virus Igm Antibody (86794) $211.68 $294 12.6×
Zinc (84630) $113.76 $158 10.0×

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.