Lab & pathology prices at St. David's South Austin Medical Center

Austin, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $155 $155 6.8×
5 Nucleotidase (83915) $391 $391 35.1×
Abl1 gene analysis kinase domain variants (81170) $902 $902 3.0×
Acetylcholine receptor binding antibody (86041) $882 $882 47.9×
Acetylcholine receptor blocking antibody (86042) $468 $468 25.4×
Acetylcholn Rcptr Modlg Antb (86043) $468 $468 38.8×
Acth (82024) $944 $944 24.4×
Actin smooth muscle antibody each (86015) $223 $223 18.5×
Acute hepatitis panel (80074) $846 $846 17.8×
Acylcarnitines Quant (82017) $577 $577 34.2×
Adenovirus antibody (86603) $130 $130 10.1×
Agglutinins Febrile Each Antigen (86000)
range across 2 matching MRF lines
$203–$297 $203–$297 varies
Albumin Fluid (82042) $277 $277 35.6×
Albumin serum (82040)
range across 2 matching MRF lines
$363–$399 $363–$399 varies
Aldolase (82085) $358 $358 36.9×
Aldosterone urine (82088) $795 $795 19.5×
Alkaline phosphatase isoenzymes (84080) $749 $749 50.7×
Allergen specific ige (86003)
range across 2 matching MRF lines
$46–$153 $46–$153 varies
Allergen specific igg (86001) $98 $98 12.5×
Alpha-1-antitrypsin phenotype (82104) $255 $255 17.6×
Alpha-1-antitrypsin total (82103) $397 $397 29.5×
Alpha-Fetoprotein Serum (82105) $939 $939 56.0×
Alt (sgpt) (84460)
range across 2 matching MRF lines
$567–$628 $567–$628 varies
Aluminum (82108) $155 $155 6.1×
Amikacin trough (80150) $569 $569 37.7×
Amino Acids 1 Quantitative Each Specimen (82131) $179 $179 7.8×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $499 $499 29.6×
Amino Acids Quant 2-5 (82136) $201 $201 10.2×
Aminolevulinic acid (ala) (82135) $474 $474 28.8×
Ammonia (82140)
range across 2 matching MRF lines
$602–$660 $602–$660 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $391 $391 4.0×
Amylase urine (82150)
range across 2 matching MRF lines
$683–$749 $683–$749 varies
Ana Titer (86039) $220 $220 19.7×
Analysis skeletal muscle (88355) $177 $177 1.0×
Anca screen each antibody (86036)
range across 3 matching MRF lines
$56–$362 $56–$362 varies
Androstenedione (82157)
range across 2 matching MRF lines
$77–$188 $77–$188 varies
Angiotensin converting enzyme csf (82164) $343 $343 23.5×
Anti-Phospholipid Antibody (86148) $144 $144 9.0×
Antibody aspergillus (86606)
range across 4 matching MRF lines
$53–$173 $53–$173 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 5 matching MRF lines
$81–$1,009 $81–$1,009 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $160 $160 10.3×
Antibody Cytomegalovirus Cmv Igm (86645) $487 $487 28.9×
Antibody Encephalitis California La Crosse (86651)
range across 2 matching MRF lines
$76–$177 $76–$177 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $288 $288 22.0×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $288 $288 18.8×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $288 $288 15.9×
Antibody Fungus Not Elsewhere Specified (86671)
range across 4 matching MRF lines
$104–$269 $104–$269 varies
Antibody haemophilus influenza (86684) $177 $177 11.2×
Antibody helicobacter pylori (86677) $397 $397 23.6×
Antibody Herpes Smplx Non-Specific Type Test (86694) $288 $288 20.0×
Antibody Herpes Smplx Type 1 (86695) $160 $160 12.1×
Antibody HIV-1&HIV-2 single result (86703) $173 $173 12.6×
Antibody HIV-2 (86702) $112 $112 8.3×
Antibody Hla Class I High Definition Panel Qual (86832) $927 $927 2.9×
Antibody htlv/HIV antibody confirmatory test (86689) $647 $647 33.4×
Antibody identification leukocyte antibodies (86021)
range across 2 matching MRF lines
$56–$297 $56–$297 varies
Antibody Lymphocytic Choriomeningitis (86727) $155 $155 12.0×
Antibody Protozoa Nes (86753)
range across 5 matching MRF lines
$160–$1,204 $160–$1,204 varies
Antibody Titer (86886)
range across 3 matching MRF lines
$96–$545 $96–$545 varies
Antibody Treponema Pallidum (86780) $204 $204 15.4×
Antibody yersinia (86793)
range across 2 matching MRF lines
$176–$203 $176–$203 varies
Antibody; campylobacter (86625) $846 $846 64.5×
Antibody; encephalitis, st. louis (86653) $177 $177 13.4×
Antibody; influenza virus (86710) $297 $297 21.9×
Antigen typing (86905) $112 $112 29.2×
Antinuclear antibodies (86038) $153 $153 12.7×
Antistreptolysin o titer (86060) $218 $218 29.9×
Antithrombin iii activity (85300) $1,284 $1,284 108.4×
Apolipoprotein a1 (82172) $74 $74 3.5×
Aquaporin-4 Antb Cba Each (86052) $520 $520 43.2×
Arsenic (82175) $210 $210 11.1×
Aspergillus ag eia (87305) $320 $320 26.7×
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines
$383–$423 $383–$423 varies
Assay Blood Catecholamines (82383) $924 $924 31.8×
Assay myeloperoxidase (83876) $152 $152 3.0×
Assay Nephelometry Not Spec (83883) $356 $356 26.2×
Assay of 5-hiaa (83497) $647 $647 50.2×
Assay of anti-mullerian hormone (82166) $103 $103 2.7×
Assay of b-hexosaminidase each assay (83080)
range across 2 matching MRF lines
$314–$663 $314–$663 varies
Assay of blood/uric acid (84550)
range across 2 matching MRF lines
$528–$582 $528–$582 varies
Assay of calcium in urine (82340) $612 $612 101.5×
Assay of cpk in blood (82552) $612 $612 45.7×
Assay of estrone (82679) $52 $52 2.1×
Assay of g6pd enzyme (82955) $269 $269 27.7×
Assay of gammaglobulin igm (82784)
range across 6 matching MRF lines
$74–$255 $74–$255 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines
$647–$712 $647–$712 varies
Assay of manganese (83785) $398 $398 14.9×
Assay of metanephrines (83835) $786 $786 46.4×
Assay of proinsulin (84206) $535 $535 20.0×
Assay of pyruvate (84210) $119 $119 8.2×
Assay of serotonin (84260) $1,247 $1,247 40.3×
Assay of serum potassium (84132)
range across 3 matching MRF lines
$202–$358 $202–$358 varies
Assay of sweat sodium (84302) $366 $366 75.3×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$481–$532 $481–$532 varies
Assay of urine vma (84585) $612 $612 39.5×
Assay of vasoactive intestinal peptide (84586) $539 $539 15.3×
Assay of vitamin b-1 (84425) $173 $173 8.1×
Assay Ph Body Fluid Nos (83986)
range across 3 matching MRF lines
$342–$1,247 $342–$1,247 varies
Assay spec xcp ur&breath ia (82077) $1,057 $1,057 61.2×
Asxl1 gene analysis full gene sequence (81175) $710 $710 1.0×
Autol Bld/Component Collj Storage Predeposited (86890) $573 $573 3.3×
Automated Leukocyte Count (85048)
range across 4 matching MRF lines
$210–$315 $210–$315 varies
Babesia microti amp prb (87469) $241 $241 6.9×
Bacterial antigens 87802 (87802) $220 $220 17.3×
Bartonella antibody (86611) $80 $80 7.9×
Bcr/abl1 gene major bp (81206)
range across 2 matching MRF lines
$259–$314 $259–$314 varies
Bcr/abl1 gene minor bp (81207)
range across 2 matching MRF lines
$259–$314 $259–$314 varies
Bcr/Abl1 Gene Other Bp (81208) $313 $313 1.5×
Beta 2 glycoprotein i antibody each (86146) $144 $144 5.7×
Beta hydroxybutyrate (82010)
range across 3 matching MRF lines
$298–$387 $298–$387 varies
Beta Lactamase (87185) $44 $44 9.3×
Beta-2 Microglobulin (82232) $188 $188 11.6×
Bile acids total (82239) $130 $130 7.6×
Bilirubin direct (82248)
range across 2 matching MRF lines
$528–$582 $528–$582 varies
Bilirubin total (82247)
range across 2 matching MRF lines
$528–$582 $528–$582 varies
Bilirubin total transcutaneous (88720) $62 $62 12.4×
Biotinidase (82261) $173 $173 10.3×
Blastomyces antibody (86612) $160 $160 12.4×
Bleeding time test (85002) $502 $502 104.1×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $179 $179 35.3×
Blood count reticulocyte automated (85045)
range across 2 matching MRF lines
$298–$331 $298–$331 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 3 matching MRF lines
$263–$365 $263–$365 varies
Blood count spun microhematocrit (85013) $248 $248 35.4×
Blood gas (82803)
range across 5 matching MRF lines
$860–$1,684 $860–$1,684 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 2 matching MRF lines
$560–$614 $560–$614 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $200 $200 12.2×
Blood typing serologic abo (86900)
range across 3 matching MRF lines
$298–$376 $298–$376 varies
Body fluid cell count (89050)
range across 2 matching MRF lines
$390–$428 $390–$428 varies
Bordetella antibody (86615) $129 $129 9.8×
Braf gene analysis (81210) $438 $438 2.5×
Brca1&2 gen full seq dup/del (81162) $1,405 $1,405 0.8×
Brucella antibody (86622)
range across 3 matching MRF lines
$204–$628 $204–$628 varies
C diff amplified probe (87493) $156 $156 4.2×
C-Peptide (84681) $204 $204 9.8×
C-reactive protein (86140)
range across 2 matching MRF lines
$88–$131 $88–$131 varies
Ca 19-9 (86301) $466 $466 22.4×
Caffeine (80155) $466 $466 12.1×
Calcitonin (82308) $231 $231 8.6×
Calcium ionized (82330)
range across 2 matching MRF lines
$202–$411 $202–$411 varies
Calcium total (82310)
range across 2 matching MRF lines
$558–$612 $558–$612 varies
Calculus Xray Diffraction (82370) $556 $556 44.4×
Calprotectin Fecal (83993) $372 $372 19.0×
Calr gene com variants (81219) $1,875 $1,875 15.4×
Cancer Antigen 125 (86304) $288 $288 13.8×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines
$358–$514 $358–$514 varies
Candida antibody (86628)
range across 2 matching MRF lines
$113–$296 $113–$296 varies
Carbamazepine total (80156)
range across 2 matching MRF lines
$875–$964 $875–$964 varies
Carboxyhemoglobin (82375) $474 $474 38.5×
Carcinoembryonic antigen (82378) $220 $220 11.6×
Cardiolipin ab iga (86147)
range across 6 matching MRF lines
$144–$331 $144–$331 varies
Carnitine Quantitative Each Specimen (82379) $630 $630 37.3×
Catecholamines fractionated (82384) $972 $972 38.5×
Catecholamines total urine (82382) $661 $661 24.2×
Ccp antibody (86200) $356 $356 27.5×
Cell count csf (89051)
range across 4 matching MRF lines
$491–$614 $491–$614 varies
Cell marker study (88182) $1,176 $1,176 22.5×
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 5 matching MRF lines
$461–$4,265 $461–$4,265 varies
Ceruloplasmin (82390) $153 $153 14.2×
Cftr gene com variants (81220) $774 $774 1.4×
Cftr gene full sequence (81223) $3,019 $3,019 6.1×
Chemiluminescent assay (82397)
range across 5 matching MRF lines
$58–$187 $58–$187 varies
Chimerism w/comp to baseline w/cell selection ea (81268)
range across 2 matching MRF lines
$195–$269 $195–$269 varies
Chimerism w/comp to baseline w/o cell selection (81267) $669 $669 3.2×
Chlamydia antibody (86631)
range across 7 matching MRF lines
$25–$434 $25–$434 varies
Chlamydia Igm Antibody (86632)
range across 3 matching MRF lines
$25–$63 $25–$63 varies
Chloride other source (82438) $130 $130 26.0×
Chloride Serum (82435)
range across 2 matching MRF lines
$334–$366 $334–$366 varies
Chloride urine (82436)
range across 2 matching MRF lines
$334–$366 $334–$366 varies
Cholesterol total (82465) $538 $538 123.7×
Cholinesterase Serum (82480) $129 $129 16.4×
Chorionic gonadotropin test (84702)
range across 2 matching MRF lines
$1,028–$1,130 $1,028–$1,130 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $4,849 $4,849 25.7×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $108 $108 4.0×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $109 $109 3.3×
Chrmsm Breakage Synds Score 100 Cll (88249) $618 $618 3.6×
Chromium serum (82495) $152 $152 7.5×
Chromogenic Substrate Assay (85130) $795 $795 66.9×
Chromogranin a (86316)
range across 2 matching MRF lines
$538–$588 $538–$588 varies
Chromosome Analysis 15-20 (88262) $391 $391 3.1×
Chromosome Analysis 20-25 (88264) $455 $455 3.1×
Chromosome analysis, 5 (88261)
range across 4 matching MRF lines
$267–$1,568 $267–$1,568 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $667 $667 19.0×
Citric acid urine (82507) $106 $106 3.8×
Ckmb (82553)
range across 3 matching MRF lines
$687–$788 $687–$788 varies
Clostridium Difficile (87324)
range across 2 matching MRF lines
$62–$927 $62–$927 varies
Clot Factor VIII Multimetric (85247) $1,315 $1,315 57.3×
Clot factor xiii fibrin stab (85290) $444 $444 27.2×
Clot lysis time, whole blood dilution Facility (85175) $358 $358 17.6×
Clotting factor xii hageman (85280) $177 $177 9.1×
Clotting Funct Activity (85397) $514 $514 16.7×
Clotting hi molec weight kininogen assay (85293) $258 $258 13.6×
Cns DNA amp probe type 12-25 (87483) $1,337 $1,337 3.2×
Coagulation time activated (85347)
range across 4 matching MRF lines
$602–$667 $602–$667 varies
Coccidioides antibody (86635)
range across 3 matching MRF lines
$165–$290 $165–$290 varies
Cold agglutinin titer (86157) $397 $397 49.3×
Collagen crosslinks (82523) $75 $75 4.0×
Column Chromotography Quant (82542)
range across 4 matching MRF lines
$152–$519 $152–$519 varies
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 2 matching MRF lines
$669–$804 $669–$804 varies
Complement Antigen Each Component (86160)
range across 7 matching MRF lines
$74–$468 $74–$468 varies
Complement Total (Ch50) (86162) $616 $616 30.3×
Complement/Function Activity (86161)
range across 2 matching MRF lines
$88–$255 $88–$255 varies
Coombs direct (86880)
range across 5 matching MRF lines
$160–$438 $160–$438 varies
Copper urine (82525)
range across 2 matching MRF lines
$160–$580 $160–$580 varies
Cortisol free (82530) $313 $313 18.7×
Cortisol saliva (82533)
range across 3 matching MRF lines
$82–$1,006 $82–$1,006 varies
Creatine kinase total (82550)
range across 2 matching MRF lines
$560–$614 $560–$614 varies
Creatinine blood (82565)
range across 2 matching MRF lines
$488–$538 $488–$538 varies
Creatinine clearance (82575) $747 $747 79.0×
Creatinine Urine (82570)
range across 3 matching MRF lines
$488–$538 $488–$538 varies
Crossmatch immediate spin (86920)
range across 2 matching MRF lines
$629–$690 $629–$690 varies
Crp High Sensitivity (86141) $302 $302 23.3×
Cryofibrinogen (82585) $131 $131 9.3×
Cryoglobulin (82595) $713 $713 110.2×
Cryptococcus ag titer (87899)
range across 5 matching MRF lines
$80–$220 $80–$220 varies
Cryptosporidium (87272)
range across 2 matching MRF lines
$193–$195 $193–$195 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$288–$442 $288–$442 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $472 $472 58.4×
Culture afb (87116) $387 $387 35.8×
Culture Anaerobic (87075) $1,006 $1,006 106.2×
Culture blood (87040) $964 $964 93.4×
Culture chlamydia (87110) $442 $442 22.6×
Culture csf (87070)
range across 16 matching MRF lines
$503–$1,057 $503–$1,057 varies
Culture fungus (87102) $455 $455 54.1×
Culture fungus blood (87103) $455 $455 22.2×
Culture screen only (87081)
range across 6 matching MRF lines
$301–$997 $301–$997 varies
Culture stool (87045) $1,057 $1,057 112.0×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $29 $29 5.6×
Culture urine (87086) $1,057 $1,057 131.0×
Cyanide (82600) $204 $204 10.5×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $108 $108 7.5×
Cyclic amp (82030) $444 $444 17.2×
Cyclosporine (80158) $807 $807 44.7×
Cyp2c19 gene analysis common variants (81225) $529 $529 1.8×
Cyp2c9 gene com variants (81227) $435 $435 2.5×
Cyp2d6 gene com variants (81226) $529 $529 1.2×
Cystatin C (82610) $239 $239 12.9×
Cytogenetics 10-30 (88273) $193 $193 5.5×
Cytogenetics 100-300 (88275) $328 $328 6.4×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $5,690 $5,690 4.9×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$69–$487 $69–$487 varies
Cytp Concentration Smears & Interpretation (88108) $144 $144 3.8×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $472 $472 9.0×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 2 matching MRF lines
$69–$372 $69–$372 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $568 $568 15.1×
Cytp smrs any oth src extnd std > 5 slides (88162) $585 $585 11.2×
Deoxyribonuclease antibody (86215)
range across 2 matching MRF lines
$165–$344 $165–$344 varies
Detect Agent Nos Dna Amp (87798)
range across 24 matching MRF lines
$98–$1,543 $98–$1,543 varies
Detect Agent Nos Dna Quant (87799)
range across 8 matching MRF lines
$225–$1,352 $225–$1,352 varies
Detect agnt mult DNA ampli (87801)
range across 5 matching MRF lines
$420–$2,266 $420–$2,266 varies
Dgp Antibody Each Ig Class (86258)
range across 2 matching MRF lines
$204–$267 $204–$267 varies
Dhea (82626) $104 $104 4.1×
Dhea-S (82627) $737 $737 33.2×
Dibucaine number (82638) $129 $129 10.5×
Digoxin (80162) $560 $560 42.2×
Dihydrotestosterone (82642) $77 $77 2.6×
Diphtheria antitoxoid (86648) $68 $68 4.5×
Dipropylacetic Acid Free (80165) $53 $53 3.9×
Dna Antibody Native/Double Stranded (86225) $411 $411 29.9×
Dna Antibody Single Stranded (86226) $210 $210 17.3×
Dna/Rna Amplified Probe (87150) $25 $25 0.7×
Dna/Rna Sequencing (87153) $195 $195 1.7×
Dpyd gene common variants (81232) $423 $423 2.4×
Drug assay acetaminophen (80143) $660 $660 35.4×
Drug Assay Amiodarone (80151) $680 $680 36.5×
Drug Assay Everolimus (80169) $287 $287 20.9×
Drug Assay Infliximab (80230) $356 $356 9.2×
Drug Assay Itraconazole (80189) $108 $108 4.0×
Drug Assay Lacosamide (80235) $145 $145 5.3×
Drug Assay Posaconazole (80187) $586 $586 21.6×
Drug Assay Vedolizumab (80280) $125 $125 3.2×
Drug assay voriconazole (80285) $623 $623 23.0×
Drug Screen Quant Zonisamide (80203) $366 $366 27.6×
Drug Screen Quantitative Gabapentin (80171) $582 $582 26.9×
Drug Screen Quantitative Lamotrigine (80175) $638 $638 48.2×
Drug Screen Quantitative Levetiracetam (80177) $425 $425 32.1×
Drug Screen Quantitative Oxcarbazepine (80183) $399 $399 30.1×
Drug Screen Quantitative Procainamide Metabolite (80192) $630 $630 37.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 2 matching MRF lines
$170–$616 $170–$616 varies
Drug Test Prsmv Dir Opt Obs (80305) $616 $616 48.9×
Drug Test Prsmv Instrmnt (80306)
range across 2 matching MRF lines
$611–$616 $611–$616 varies
Egfr Gene Analysis Common Variants (81235) $2,660 $2,660 8.2×
Ehrlichia antibody (86666)
range across 4 matching MRF lines
$112–$497 $112–$497 varies
Electrolyte panel (80051) $986 $986 140.7×
Electron Microscopy (88348) $4,165 $4,165 5.1×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $272 $272 4.4×
Encephaltis East Eqne Anbdy (86652)
range across 2 matching MRF lines
$76–$177 $76–$177 varies
Encephaltis West Eqne Antbdy (86654)
range across 2 matching MRF lines
$76–$177 $76–$177 varies
Endomysial Antibody Each Immunoglobulin Class (86231) $187 $187 15.5×
Enterovirus Antibody (86658)
range across 3 matching MRF lines
$248–$273 $248–$273 varies
Enzyme cell activity (82657)
range across 5 matching MRF lines
$228–$986 $228–$986 varies
Enzyme histochemistry (88319) $310 $310 0.4×
Erythropoietin (82668) $971 $971 51.7×
Estradiol serum (82670) $358 $358 12.8×
Estriol (82677)
range across 2 matching MRF lines
$165–$220 $165–$220 varies
Estrogen total (82672) $203 $203 9.4×
Estrogens fractionated (82671) $170 $170 5.3×
Ethylene Glycol (82693) $198 $198 13.3×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$342–$376 $342–$376 varies
F2 Gene (81240) $269 $269 4.1×
Factor ii activity (85210) $363 $363 28.0×
Factor Inhibitor Test (85335)
range across 3 matching MRF lines
$252–$860 $252–$860 varies
Factor ix activity (85250) $210 $210 11.0×
Factor v activity (85220) $737 $737 41.8×
Factor v leiden mutation (81241) $223 $223 3.0×
Factor vii assay (85230) $314 $314 17.5×
Factor viii assay (85240) $945 $945 52.8×
Factor X (85260) $678 $678 37.9×
Factor xi activity (85270) $177 $177 9.9×
Fat/Lipids Feces Quantitative (82710) $901 $901 53.6×
Fatty acids free (82725) $313 $313 16.7×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $461 $461 26.8×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $241 $241 36.9×
Fecal Fat Qualitative (82705) $206 $206 40.4×
Ferritin (82728) $640 $640 47.0×
Fetal Fibronectin (82731) $1,009 $1,009 15.7×
Fetal lung maturity assessment; foam stability test Facility (83662) $428 $428 22.6×
Fetal Lung Maturity Fluorescence Polarization (83663) $638 $638 33.7×
Fetal screen rosette (85461) $195 $195 20.8×
Fibrin degradation products (85362) $109 $109 15.8×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$855–$944 $855–$944 varies
Fibrinogen activity (85384) $739 $739 76.0×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $288 $288 18.6×
Flecainide level (80181) $46 $46 2.5×
Flow cytometry first marker (88184)
range across 2 matching MRF lines
$112–$331 $112–$331 varies
Flt3 Gene (81245) $443 $443 2.7×
Flt3 gene analysis (81246) $2,302 $2,302 27.7×
Fluorescent antibody screen (86255)
range across 17 matching MRF lines
$165–$1,247 $165–$1,247 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 10 matching MRF lines
$204–$718 $204–$718 varies
Fluoride serum (82735) $171 $171 9.2×
Fmr1 gene detection (81243) $270 $270 4.7×
Folic acid rbc (82747) $647 $647 36.7×
Folic Acid Serum (82746) $431 $431 29.3×
Follicle Stimulating Hormone (83001) $556 $556 29.9×
Francisella tularensis (86668) $198 $198 14.0×
Frozen Section (88331) $1,237 $1,237 7.2×
Fungi Identification Mold (87107) $108 $108 10.5×
Fungi Identification Yeast (87106) $177 $177 17.2×
Galactose (82760) $46 $46 4.1×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $506 $506 24.0×
Gammaglobulin ige (82785) $401 $401 24.4×
Gases blood ph only (82800)
range across 3 matching MRF lines
$342–$1,247 $342–$1,247 varies
Gastrin (82941) $428 $428 24.3×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,228 $1,228 2.9×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 2 matching MRF lines
$4,432–$8,181 $4,432–$8,181 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $1,875 $1,875 0.6×
Gentamicin (80170)
range across 3 matching MRF lines
$718–$776 $718–$776 varies
Ggt (82977) $628 $628 87.2×
Giardia antigen (87329) $188 $188 15.7×
Giardia lamblia antibody (86674) $195 $195 13.2×
Glucagon (82943) $340 $340 23.8×
Glucose 2 hr pp (82950) $580 $580 122.1×
Glucose Blood Test (82962) $203 $203 61.9×
Glucose body fluid (82945)
range across 2 matching MRF lines
$481–$532 $481–$532 varies
Glucose Serum (82947)
range across 3 matching MRF lines
$226–$532 $226–$532 varies
Glucose tolerance test (gtt) (82951) $1,079 $1,079 83.8×
Glutathione (82978) $92 $92 6.0×
Glycated Protein (82985) $106 $106 6.3×
Gonadotropin Chorionic Qualitative (84703)
range across 2 matching MRF lines
$631–$695 $631–$695 varies
Gonadotropin releasing hormone (83727) $875 $875 50.9×
Growth hormone (83003) $336 $336 20.2×
Gtt-added samples (82952) $218 $218 55.6×
H Pylori (C-13) Breath (83013) $165 $165 2.4×
Haloperidol (80173) $131 $131 8.3×
Haptoglobin (83010) $428 $428 34.0×
Hdl Cholesterol (83718) $788 $788 96.2×
Heinz Bodies Direct (85441) $113 $113 26.9×
Helicobacter Pylori Stool (87338) $336 $336 23.4×
Helminth Antibody (86682)
range across 5 matching MRF lines
$233–$494 $233–$494 varies
Hematocrit (85014)
range across 3 matching MRF lines
$202–$248 $202–$248 varies
Hemoglobin (85018)
range across 2 matching MRF lines
$226–$248 $226–$248 varies
Hemoglobin a1c (83036) $538 $538 55.4×
Hemoglobin Chromotography (83021) $171 $171 9.5×
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines
$46–$461 $46–$461 varies
Hemoglobin F Fetal Chemical (83030) $129 $129 12.0×
Hemoglobin Methemoglobin Quantitative (83050) $372 $372 45.4×
Hemoglobin plasma (83051) $773 $773 105.7×
Hemoglobin urine (83069) $156 $156 39.5×
Hemolysins&Agglutinins Auto Screen Each (86940) $160 $160 18.2×
Hemolysins&Agglutinins Incubated (86941) $113 $113 9.3×
Hemosiderin urine (83070) $165 $165 34.7×
Hep a ab igm (86709) $297 $297 26.4×
Heparin assay (85520) $198 $198 15.1×
Hepatitis a antibody total (86708) $297 $297 24.0×
Hepatitis b core ab igm (86705) $343 $343 29.1×
Hepatitis b core ab total (86704) $126 $126 10.5×
Hepatitis B Surface Antibody (86706) $323 $323 30.1×
Hepatitis B Surface Antigen (87340) $343 $343 33.2×
Hepatitis Be Antibody (86707) $129 $129 11.1×
Hepatitis Be Antigen (87350) $129 $129 11.2×
Hepatitis C Antibody (86803) $742 $742 52.0×
Hepatitis c antibody confirmatory test (86804) $520 $520 33.6×
Hepatitis C Genotype (87902) $1,666 $1,666 6.5×
Hepatitis C Probe&Rvrs Trnsc (87521) $984 $984 28.0×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$375–$1,542 $375–$1,542 varies
Hepatitis Delta Agent Antibody (86692) $53 $53 3.1×
Herpes simplex type 2 (86696) $160 $160 8.3×
Heterophile Antibody Screen (86308)
range across 2 matching MRF lines
$545–$603 $545–$603 varies
Hfe Gene (81256) $401 $401 6.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $695 $695 89.9×
Histamine urine (83088) $707 $707 23.9×
Histoplasma antibody (86698)
range across 3 matching MRF lines
$98–$204 $98–$204 varies
Histoplasma antigen urine (87385) $474 $474 35.8×
Hiv Antigen W/Hiv Antibodies (87806) $513 $513 15.7×
Hiv Genotype (87901) $1,614 $1,614 6.3×
Hiv-1 Antibody (86701) $472 $472 53.1×
HIV-1 p24 antigen (87390) $339 $339 14.1×
Hiv-1 Quant&Revrse Trnscrpj (87536) $1,397 $1,397 16.4×
Hla Class I Typing High Resolution One Locus Ea (81380)
range across 3 matching MRF lines
$469–$538 $469–$538 varies
Hla Class I Typing Low Resolution Complete (81372) $538 $538 1.3×
Hla Class I Typing Low Resolution One Locus Each (81373)
range across 3 matching MRF lines
$336–$401 $336–$401 varies
Hla class i&ii antibody qual (86828) $1,595 $1,595 24.8×
Hla class ii high defin qual (86833) $927 $927 2.8×
Hla class ii typing high resolution one locus ea (81382)
range across 5 matching MRF lines
$451–$1,123 $451–$1,123 varies
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $975 $975 8.9×
Hla I Typing 1 Allele Hr (81381) $545 $545 3.2×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $603 $603 2.7×
Hla ii typing 1 locus lr (81376) $469 $469 3.8×
Hla Typing Dr/Dq Single Antigen (86816) $362 $362 12.0×
Hla-b27 (86812) $231 $231 9.0×
Homocysteine (83090) $331 $331 18.5×
Homogenization Tissue (87176) $27 $27 4.6×
Hpa-1 genotyping gene analysis common variant (81105) $503 $503 4.1×
Hsv Dna Amp Probe (87529) $966 $966 27.5×
Hsv Dna Quant (87530) $859 $859 20.1×
Hydroxycorticosteroids 17 (83491) $165 $165 9.2×
Hydroxyprogesterone 17-d (83498) $171 $171 6.3×
Hydroxyproline total (83505) $297 $297 12.2×
Iaad Ia Cytomegalovirus (87332) $401 $401 33.5×
Iaad Ia Entamoeba Histolytica Grp (87337) $96 $96 8.0×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $139 $139 13.5×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420)
range across 2 matching MRF lines
$1,242–$1,363 $1,242–$1,363 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426)
range across 2 matching MRF lines
$31–$38 $31–$38 varies
Iaad ia shiga-like toxin (87427) $263 $263 22.0×
Iaad Ia Streptococcus Group A (87430)
range across 2 matching MRF lines
$588–$651 $588–$651 varies
Iaadi Bordetella Prtussis/Paraprtussis (87265) $372 $372 31.1×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $233 $233 19.4×
Iaadi respiratory synctial virus (87280) $157 $157 11.7×
Iaadi Varicella Zoster Virus (87290) $442 $442 32.9×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $124 $124 3.5×
Iadna Bartonella Amplified Probe Technique (87471)
range across 2 matching MRF lines
$650–$894 $650–$894 varies
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $740 $740 21.1×
Iadna chlamydia pneumoniae amplified probe tq (87486) $358 $358 10.2×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $747 $747 32.8×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $930 $930 26.5×
Iadna Cytomegalovirus Quantification (87497) $812 $812 19.0×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $328 $328 4.7×
Iadna ehrlichia chaffeensis amplified probe tq (87484)
range across 2 matching MRF lines
$149–$647 $149–$647 varies
Iadna hepatitis b virus amplified probe tq (87516) $1,006 $1,006 28.7×
Iadna Hepatitis B Virus Quantification (87517) $673 $673 15.7×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $661 $661 18.8×
Iadna Herpes Virus-6 Quantification (87533) $742 $742 17.8×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $712 $712 20.3×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $638 $638 18.2×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines
$277–$804 $277–$804 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581) $358 $358 10.2×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $747 $747 21.3×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $110 $110 2.1×
Idh1 common variants (81120) $344 $344 1.8×
Idh2 common variants (81121) $344 $344 1.2×
Ig Light Chains Free Each (83521) $269 $269 15.6×
Igg subclasses (82787) $223 $223 27.8×
Igh gene rearrange amp meth (81261)
range across 3 matching MRF lines
$351–$623 $351–$623 varies
Igh@ Variable Region Somatic Mutation Analysis (81263) $705 $705 2.4×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $451 $451 1.3×
Immunfix e-phorsis/urine/csf (86335) $710 $710 24.2×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 16 matching MRF lines
$158–$2,544 $158–$2,544 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 14 matching MRF lines
$51–$397 $51–$397 varies
Immunoassay nonantibody (83516)
range across 12 matching MRF lines
$171–$712 $171–$712 varies
Immunodiffusion not elsewhere specified (86329) $123 $123 8.8×
Immunodiffusion Ouchterlony (86331)
range across 5 matching MRF lines
$81–$144 $81–$144 varies
Immunofixation electrophoresis (86334) $710 $710 31.8×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines
$313–$545 $313–$545 varies
Immunohistochemistry (88342)
range across 3 matching MRF lines
$210–$339 $210–$339 varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines
$365–$846 $365–$846 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $36 $36 0.5×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $263 $263 18.2×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $248 $248 18.5×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $290 $290 9.3×
Influenza a/b ag eia (87400)
range across 4 matching MRF lines
$295–$320 $295–$320 varies
Influenza DNA amp probe (87502) $690 $690 7.2×
Inhibin A (86336) $749 $749 48.0×
Inhibin b (83520)
range across 67 matching MRF lines
$58–$1,315 $58–$1,315 varies
Insitu hybridization auto (88367) $2,253 $2,253 6.3×
Insitu hybridization manual (88368) $351 $351 1.0×
Insulin antibodies (86337) $535 $535 25.0×
Insulin free (83527) $171 $171 13.2×
Insulin total (83525) $173 $173 15.1×
Interleukin-6 (83529) $650 $650 37.6×
Intrinsic factor antibody (86340) $165 $165 10.9×
Iron (83540)
range across 2 matching MRF lines
$503–$894 $503–$894 varies
Iron Binding Capacity (83550) $895 $895 102.4×
Islet cell antibody (86341)
range across 4 matching MRF lines
$117–$410 $117–$410 varies
Jak2 gene analysis p.val617phe variant (81270) $358 $358 3.9×
Ketosteroids 17 total (83586) $155 $155 12.1×
Kras Gene Analysis Additional Variant(S) (81276) $380 $380 2.0×
Kras Gene Variants Exon 2 (81275) $590 $590 3.1×
L/s ratio (83661) $1,639 $1,639 74.5×
Lactate (ld) (ldh) enzyme (83615)
range across 4 matching MRF lines
$588–$651 $588–$651 varies
Lactoferrin fecal qualitative (83630) $188 $188 9.5×
Ldh Isoenzymes (83625) $630 $630 49.3×
Lead (83655) $160 $160 13.2×
Legionella antibody (86713) $297 $297 19.4×
Legionella antigen urine (87449)
range across 5 matching MRF lines
$240–$630 $240–$630 varies
Legionella pneumophila dfa (87278) $871 $871 55.8×
Leptospira antibody (86720)
range across 2 matching MRF lines
$171–$346 $171–$346 varies
Leucine Aminopeptidase Lap (83670) $560 $560 57.1×
Leukocyte Assessment Fecal (89055) $399 $399 93.4×
Level I Surg Pathology Gross Examination Only (88300) $474 $474 16.3×
Level ii surg pathology gross&microscopic exam (88302) $760 $760 20.3×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$510–$1,510 $510–$1,510 varies
Lidocaine (80176) $569 $569 38.7×
Lipase (83690)
range across 2 matching MRF lines
$631–$695 $631–$695 varies
Lipoprotein A (83695) $171 $171 11.9×
Lipoprotein Bld Quan Part (83704) $104 $104 3.0×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $538 $538 15.9×
Lipoprotein-Associated Phospholipase A2 (83698) $611 $611 13.2×
Lithium (80178)
range across 2 matching MRF lines
$219–$241 $219–$241 varies
Luteinizing Hormone (Lh) (83002) $503 $503 27.2×
Lyme disease antibody (86618)
range across 3 matching MRF lines
$129–$582 $129–$582 varies
Lymphocyte transformation (86353) $797 $797 16.3×
Lysozyme serum (85549) $173 $173 9.2×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $669 $669 3.9×
M/phmtrc alys ishquant/semiq (88374) $669 $669 3.9×
Macroscopic Exam Parasite (87169) $171 $171 39.7×
Magnesium Urine (83735)
range across 4 matching MRF lines
$58–$651 $58–$651 varies
Mass Spectrometry Quant (83789)
range across 4 matching MRF lines
$200–$514 $200–$514 varies
Meat fibers, feces (89160) $123 $123 25.4×
Mercury urine (83825) $556 $556 34.2×
Metabolic panel ionized ca (80047)
range across 4 matching MRF lines
$1,055–$2,029 $1,055–$2,029 varies
Methotrexate (80204) $188 $188 4.9×
Methylmalonic acid serum (83921) $406 $406 19.1×
Mgmt methylation analysis (81287) $424 $424 3.4×
Microalbumin, quantitative (82043) $288 $288 49.8×
Microsatellite instability (81301) $277 $277 0.8×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines
$241–$540 $241–$540 varies
Mitochondrial Antibody Each (86381) $223 $223 8.8×
Mlh1 Gene (81288) $686 $686 3.6×
Mog-Igg1 Antb Cba Each (86362) $601 $601 49.9×
Molecular Cytogenetics Dna Probe Each (88271) $175 $175 8.2×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)
range across 2 matching MRF lines
$328–$846 $328–$846 varies
Molecular Pathology Procedure Level 3 (81402) $1,049 $1,049 7.0×
Molecular Pathology Procedure Level 6 (81405)
range across 3 matching MRF lines
$139–$1,177 $139–$1,177 varies
Mononuclear cell antigen (86356) $372 $372 13.9×
Mopath procedure level 1 (81400) $804 $804 12.6×
Mopath procedure level 2 (81401)
range across 2 matching MRF lines
$830–$2,764 $830–$2,764 varies
Mopath procedure level 4 (81403) $1,116 $1,116 6.0×
Mopath procedure level 5 (81404) $1,964 $1,964 7.1×
Mopath procedure level 7 (81406)
range across 3 matching MRF lines
$3,322–$22,542 $3,322–$22,542 varies
Mopath procedure level 8 (81407) $419 $419 0.5×
Mopath procedure level 9 (81408) $2,659 $2,659 1.3×
Morphometric Analysis Tumor (88358) $984 $984 5.7×
Mpl gene analysis sequence analysis exon 10 (81339) $312 $312 1.7×
Mrsa Pcr (87641) $175 $175 5.0×
Mthfr Gene Analysis Common Variants (81291) $375 $375 5.7×
Mucin Clot Body Fluid (83872) $106 $106 18.1×
Mumps antibody (86735) $328 $328 25.1×
Mycobacteric Identification (87118) $220 $220 15.1×
Mycophenolic Acid (80180) $376 $376 20.8×
Mycoplasma antibody (86738) $428 $428 32.3×
Mycoplasma culture (87109)
range across 2 matching MRF lines
$109–$129 $109–$129 varies
Myd88 Gene P.Leu265pro Vrnt (81305) $568 $568 3.2×
Myelin basic protein csf (83873) $949 $949 55.2×
Myoglobin urine (83874)
range across 2 matching MRF lines
$339–$560 $339–$560 varies
Natriuretic peptide (83880)
range across 3 matching MRF lines
$383–$423 $383–$423 varies
Neisseria Dir Na Probe (87590) $747 $747 27.8×
Neutralization Test Viral (86382) $152 $152 9.0×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $930 $930 3.6×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $901 $901 7.0×
Niacin (84591) $113 $113 6.6×
Nk cells total count (86357) $177 $177 4.7×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $948 $948 3.8×
Nras gene variants exon 2&3 (81311) $533 $533 1.8×
Ntrk translocation analysis (81194) $934 $934 1.8×
Nuclear antigen antibody (86235)
range across 16 matching MRF lines
$108–$472 $108–$472 varies
Occult blood feces (82272)
range across 3 matching MRF lines
$144–$323 $144–$323 varies
Occult Blood Other Sources (82271) $614 $614 115.4×
Oligoclonal bands (83916) $614 $614 22.4×
Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) $6,583 $6,583 1.8×
Oncology breast mrna gene expression 21 genes (81519) $12,801 $12,801 3.3×
Organic acids urine (83918) $603 $603 25.6×
Osmolality serum (83930) $628 $628 95.0×
Osmolality Urine (83935) $628 $628 92.1×
Ova and parasites smears (87177) $535 $535 60.1×
Oxalate urine (83945) $539 $539 37.3×
Pancreatic Elastase Fecal (82656) $827 $827 71.7×
Particle Agglut Antbdy Titr (86406) $119 $119 11.2×
Particle Agglutination Screen Each Antibody (86403)
range across 2 matching MRF lines
$86–$387 $86–$387 varies
Parvovirus antibody (86747)
range across 2 matching MRF lines
$233–$255 $233–$255 varies
Path Consltj Surg Cytologic Exam Initial Site (88333) $640 $640 0.8×
Ph urine (81003)
range across 11 matching MRF lines
$226–$302 $226–$302 varies
Phenobarbital Level (80184) $1,049 $1,049 68.6×
Phenylalanine (84030) $162 $162 29.5×
Phenytoin (Dilantin) (80185)
range across 3 matching MRF lines
$406–$1,006 $406–$1,006 varies
Phenytoin free (80186) $220 $220 16.0×
Phosphatase acid prostatic (84066) $455 $455 47.1×
Phosphatase alkaline (84075)
range across 2 matching MRF lines
$458–$503 $458–$503 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines
$363–$399 $363–$399 varies
Phosphorus urine (84105) $425 $425 73.5×
Platelet Aggregation (85576)
range across 3 matching MRF lines
$297–$739 $297–$739 varies
Platelet Antibodies (86022)
range across 4 matching MRF lines
$499–$1,529 $499–$1,529 varies
Platelet count automated (85049)
range across 2 matching MRF lines
$398–$438 $398–$438 varies
Platelet neutralization (85597) $198 $198 11.0×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $669 $669 3.2×
Porphobilinogen Urine Qualitative (84106) $297 $297 51.0×
Porphyrins Urine Quantitation & Fractionation (84120) $202 $202 13.7×
Porphyrins, urine; qualitative (84119) $152 $152 11.4×
Potassium Urine (84133) $372 $372 78.6×
Prealbumin (84134) $302 $302 20.7×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $372 $372 2.2×
Primidone (80188) $297 $297 17.9×
Procalcitonin (Pct) (84145) $700 $700 25.7×
Progesterone (84144) $296 $296 14.2×
Prolactin (84146) $852 $852 44.0×
Prostaglandin (84150) $909 $909 21.8×
Protein body fluid (84157)
range across 4 matching MRF lines
$442–$522 $442–$522 varies
Protein C Activity (85303)
range across 2 matching MRF lines
$113–$1,509 $113–$1,509 varies
Protein c antigen (85302)
range across 2 matching MRF lines
$52–$113 $52–$113 varies
Protein Electrophoresis Urine (84166) $663 $663 37.2×
Protein Electrophoretic Fractj&Quantj Serum (84165) $710 $710 66.1×
Protein S Free (85306)
range across 2 matching MRF lines
$113–$1,315 $113–$1,315 varies
Protein s total (85305)
range across 2 matching MRF lines
$52–$113 $52–$113 varies
Protein total serum (84155)
range across 2 matching MRF lines
$442–$487 $442–$487 varies
Protein Total Urine (84156)
range across 2 matching MRF lines
$442–$487 $442–$487 varies
Protein Western Blot Test (84182)
range across 7 matching MRF lines
$339–$1,247 $339–$1,247 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $340 $340 86.3×
Protoporphyrin rbc quantitative (84202) $131 $131 9.1×
PSA free (84154) $614 $614 33.4×
Pth Intact (83970) $1,884 $1,884 45.6×
Pyruvate kinase (84220) $318 $318 33.7×
Q Fever Antibody (86638) $297 $297 24.5×
Quantiferon tb gold plus (86480) $494 $494 8.0×
Quantitative assay drug (80299)
range across 18 matching MRF lines
$119–$772 $119–$772 varies
Quantitative Screen Metals (83018) $231 $231 10.5×
Quinidine (80194) $477 $477 32.7×
Rbc antibody elution (86860) $690 $690 4.0×
Rbc antibody identification (86870) $927 $927 2.6×
Rbc antibody screen (86850) $660 $660 67.6×
Rbc pretreatment serum (86978) $606 $606 10.2×
Receptor assay estrogen (84233) $220 $220 2.5×
Renin activity plasma (84244) $545 $545 24.8×
Reptilase test (85635) $376 $376 38.2×
Resp virus 12-25 targets (87633) $339 $339 0.8×
Resp Virus 6-11 Targets (87632) $2,975 $2,975 13.6×
Reticulocyte Count Manual (85044) $331 $331 76.8×
Rh (86901)
range across 2 matching MRF lines
$339–$372 $339–$372 varies
Rheumatoid Factor Qualitative (86430)
range across 2 matching MRF lines
$519–$568 $519–$568 varies
Rheumatoid factor quant (86431) $106 $106 18.7×
Rickettsia antibody (86757)
range across 4 matching MRF lines
$129–$198 $129–$198 varies
Ristocetin cofactor (85245) $760 $760 33.1×
Rotavirus ag eia (87425) $358 $358 29.9×
Rpr qualitative (86592)
range across 3 matching MRF lines
$53–$423 $53–$423 varies
Rsv ab (86756) $179 $179 11.3×
Rsv Assay W/Optic (87807)
range across 2 matching MRF lines
$144–$157 $144–$157 varies
Rubella Antibody (86762) $520 $520 36.1×
Rubeola antibody (86765)
range across 2 matching MRF lines
$944–$2,567 $944–$2,567 varies
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$177–$202 $177–$202 varies
Salicylate Level (80179) $616 $616 33.0×
Salmonella antibody (86768) $425 $425 32.2×
Sars-Cov-2 Covid-19 Amp Prb (87635) $54 $54 1.1×
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines
$398–$438 $398–$438 varies
Selenium (84255) $145 $145 5.7×
Sensitivity mic (87186) $424 $424 49.0×
Sex Hormone Binding Globulin (84270) $129 $129 5.9×
SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common… (81347) $377 $377 2.0×
Sickling of rbc reduction (85660) $299 $299 54.3×
Sirolimus (80195) $401 $401 29.2×
Skin test tuberculosis intradermal (86580) $76 $76 2.6×
Smear acid fast (87206) $358 $358 66.4×
Smear complex stain (87209) $96 $96 5.3×
Smear gram stain (87205)
range across 5 matching MRF lines
$218–$431 $218–$431 varies
Smear Special Stain (87207)
range across 3 matching MRF lines
$171–$431 $171–$431 varies
Smn1 Gene Dos/Deletion Alys (81329) $782 $782 5.7×
Sodium Serum (84295)
range across 3 matching MRF lines
$202–$376 $202–$376 varies
Sodium Urine (84300)
range across 2 matching MRF lines
$375–$411 $375–$411 varies
Soluble Transferrin Receptor (84238) $804 $804 22.0×
Somatomedin (84305) $202 $202 9.5×
Somatostatin (84307) $532 $532 29.1×
Special Stains Group 1 (88312) $297 $297 5.7×
Special Stains Group 2 (88313)
range across 4 matching MRF lines
$248–$695 $248–$695 varies
Specific gravity body fluid (84315)
range across 2 matching MRF lines
$160–$177 $160–$177 varies
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines
$30–$193 $30–$193 varies
Spectrophotometry (84311)
range across 2 matching MRF lines
$96–$580 $96–$580 varies
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $306 $306 1.8×
Srsf2 gene common variants (81348) $432 $432 2.5×
Stem cells total count (86367)
range across 2 matching MRF lines
$248–$387 $248–$387 varies
Stool cultr aerobic bact ea (87046) $52 $52 5.5×
Strep b DNA amp probe (87653) $188 $188 5.4×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $69 $69 12.5×
Sugars Single Qual (84376) $588 $588 106.9×
Surg path level iii (88304)
range across 2 matching MRF lines
$177–$834 $177–$834 varies
Surgical pathology level IV (88305)
range across 2 matching MRF lines
$269–$1,131 $269–$1,131 varies
Surgical pathology level vi (88309) $1,652 $1,652 2.0×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $313 $313 65.9×
Susceptibility Study Antimicrobial Disk Method (87184) $331 $331 44.3×
Syphilis Test Non-Trep Quant (86593) $126 $126 28.6×
T cells absolute cd4 count (86361) $313 $313 11.7×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $852 $852 18.1×
T cells total count (86359) $177 $177 4.7×
T3 Free (84481) $198 $198 11.7×
T3 reverse (84482) $226 $226 14.3×
T3 Total (84480) $661 $661 46.6×
T3 Uptake (84479) $611 $611 94.4×
T4 Free (84439)
range across 2 matching MRF lines
$843–$927 $843–$927 varies
T4 total (84436) $616 $616 89.7×
T4-neonatal (84437) $46 $46 7.1×
Tacrolimus (80197) $783 $783 57.0×
Testosterone total (84403) $924 $924 35.8×
Testosterone, Free (84402) $423 $423 16.6×
Tetanus antibody (86774) $68 $68 4.6×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $2,063 $2,063 3.5×
Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) $901 $901 1.5×
Theophylline (80198) $964 $964 68.2×
Thiocyanate (84430) $173 $173 14.9×
Thiopurine methyltransferase (84433) $1,491 $1,491 67.3×
Thrombin Time (85670) $123 $123 21.3×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $340 $340 52.6×
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $320 $320 9.1×
Thyroglobulin (84432) $248 $248 15.4×
Thyroglobulin Antibody (86800) $131 $131 8.2×
Thyroid Stimulating Immunoglobulin (84445) $108 $108 2.1×
Thyroxine binding globulin (84442) $131 $131 8.9×
Tiss cul neo disorders solid tumor (88239) $616 $616 4.2×
Tiss Trnsgltmnase Ea Ig Clas (86364) $187 $187 16.2×
Tissue Culture (88233) $640 $640 4.5×
Tissue culture bone marrow (88237) $391 $391 2.7×
Tissue Culture Lymphocyte (88230) $618 $618 5.3×
Tobramycin peak (80200)
range across 3 matching MRF lines
$477–$514 $477–$514 varies
Topiramate (80201) $399 $399 33.5×
Touch prep (88161) $129 $129 4.4×
Toxin/Antitoxin Assay Tissue Culture (87230) $193 $193 9.8×
Toxoplasma ab igm (86778) $502 $502 34.8×
Toxoplasma antibody (86777) $1,311 $1,311 91.1×
Tp53 gene analysis targeted sequence analysis (81352) $975 $975 3.0×
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines
$616–$680 $616–$680 varies
Transferrin (84466) $362 $362 28.4×
Trb@ Rearrangement Anal Amplification Method (81340)
range across 2 matching MRF lines
$328–$655 $328–$655 varies
Trg gene rearrangement anal (81342)
range across 2 matching MRF lines
$328–$655 $328–$655 varies
Trichinella Antibody (86784) $372 $372 29.6×
Triglycerides (84478) $651 $651 113.4×
Troponin Quant (84484)
range across 5 matching MRF lines
$687–$1,324 $687–$1,324 varies
Tumor immunohistochem/comput (88361)
range across 5 matching MRF lines
$397–$920 $397–$920 varies
Tumor Immunohistochem/Manual (88360)
range across 4 matching MRF lines
$342–$1,258 $342–$1,258 varies
Urea nitrogen urine (84540)
range across 2 matching MRF lines
$522–$577 $522–$577 varies
Uric acid other source (84560)
range across 2 matching MRF lines
$558–$612 $558–$612 varies
Urinalysis Microscopic Only (81015)
range across 2 matching MRF lines
$173–$188 $173–$188 varies
Urinalysis Qual/Semiquant Except Immunoassays (81005) $198 $198 91.2×
Urine Albumin Semiquantitative (82044) $188 $188 30.2×
Urine Pregnancy Test (81025)
range across 2 matching MRF lines
$302–$336 $302–$336 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$406–$444 $406–$444 varies
Valproic acid (80164)
range across 2 matching MRF lines
$875–$964 $875–$964 varies
Vancomycin (80202)
range across 2 matching MRF lines
$749–$812 $749–$812 varies
Varicella-zoster antibody (86787)
range across 4 matching MRF lines
$68–$602 $68–$602 varies
Vasopressin (84588) $494 $494 14.6×
Very Long Chain Fatty Acids (82726) $899 $899 45.5×
Viral Culture (87252) $584 $584 22.4×
Virus antibody nos (86790)
range across 22 matching MRF lines
$74–$231 $74–$231 varies
Virus inoculate tissue addl (87253) $608 $608 30.1×
Virus inoculation, shell via (87254) $241 $241 12.3×
Viscosity serum (85810) $397 $397 34.0×
Vit D 1 25-Dihydroxy (82652) $387 $387 10.1×
Vitamin A (84590) $177 $177 15.2×
Vitamin b-12 (82607) $288 $288 19.1×
Vitamin B2 (Riboflavin) (84252) $66 $66 3.3×
Vitamin B6 (84207) $160 $160 5.7×
Vitamin D 25-Hydroxy (82306) $223 $223 7.5×
Vitamin E (84446) $173 $173 12.2×
Vitamin K (84597) $267 $267 19.5×
Volatiles (84600) $189 $189 11.0×
Voltage-Gated Calcium Channel Antibody Each (86596) $513 $513 42.6×
Von willebrand factor ag (85246) $667 $667 29.1×
Wbc Alkaline Phosphatase Count (85540) $358 $358 41.6×
West nile virus ab igm (86788) $173 $173 10.3×
West Nile Virus Antibody (86789) $173 $173 12.0×
Western Blot Test (84181)
range across 2 matching MRF lines
$151–$171 $151–$171 varies
Zika Virus Dna/Rna Amp Probe (87662) $819 $819 16.0×
Zika Virus Igm Antibody (86794) $476 $476 28.2×
Zinc (84630) $173 $173 15.2×

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.