Lab & pathology prices at St. Dominic Hospital
Jackson, MS · every code in this section with a posted price and a Medicare benchmark.
738 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $62.50 | $125 | 5.6× |
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$28.50–$276 | $57–$552 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 2 matching MRF lines |
$86–$478 | $172–$956 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) range across 2 matching MRF lines |
$168.50–$589 | $337–$1,178 | varies |
| Acth (82024) | $48.50 | $97 | 1.3× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $111 | $222 | 3.4× |
| Actin smooth muscle antibody each (86015) | $96.50 | $193 | 8.0× |
| Acute hepatitis panel (80074) | $152 | $304 | 3.2× |
| Acylcarnitines Quant (82017) | $360 | $720 | 21.3× |
| Adenovirus antibody (86603) | $75.50 | $151 | 5.9× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $89.50 | $179 | 1.4× |
| Agglutinins Febrile Each Antigen (86000) | $111.50 | $223 | 16.0× |
| Albumin Fluid (82042) | $51 | $102 | 6.6× |
| Albumin serum (82040) | $41 | $82 | 8.3× |
| Aldolase (82085) | $21.50 | $43 | 2.2× |
| Aldosterone urine (82088) | $51 | $102 | 1.3× |
| Alkaline phosphatase isoenzymes (84080) | $26.50 | $53 | 1.8× |
| Allergen spec ige qual multiallergen screen (86005) | $11 | $22 | 1.4× |
| Allergen specific ige (86003) | $47 | $94 | 9.0× |
| Allergen specific igg (86001) | $14 | $28 | 1.8× |
| Allg Spec Ige Recomb Ea (86008) | $64.50 | $129 | 3.6× |
| Alpha-1-antitrypsin phenotype (82104) | $25.50 | $51 | 1.8× |
| Alpha-1-antitrypsin total (82103) | $24.50 | $49 | 1.8× |
| Alpha-Fetoprotein Serum (82105) | $23.50 | $47 | 1.4× |
| Alt (sgpt) (84460) | $13 | $26 | 2.5× |
| Aluminum (82108) | $31.50 | $63 | 1.2× |
| Amikacin trough (80150) | $39 | $78 | 2.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $353 | $706 | 20.9× |
| Amino Acids Quant 2-5 (82136) | $93.50 | $187 | 4.8× |
| Aminolevulinic acid (ala) (82135) | $62.50 | $125 | 3.8× |
| Ammonia (82140) | $65 | $130 | 4.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $87 | $174 | 0.9× |
| Amylase urine (82150) | $56.50 | $113 | 8.7× |
| Ana Titer (86039) | $21.50 | $43 | 1.9× |
| Anca Titer Each Antibody (86037) | $31 | $62 | 2.6× |
| Androstenedione (82157) | $42.50 | $85 | 1.5× |
| Angiotensin converting enzyme csf (82164) | $54 | $108 | 3.7× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$91–$472.50 | $182–$945 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$34–$43 | $68–$86 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $75 | $150 | 5.8× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $17 | $34 | 1.1× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $20.50 | $41 | 1.2× |
| Antibody Encephalitis California La Crosse (86651) | $26.50 | $53 | 2.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $30.55 | $61.10 | 2.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $20.50 | $41 | 1.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $21.50 | $43 | 1.2× |
| Antibody Fungus Not Elsewhere Specified (86671) | $53 | $106 | 4.3× |
| Antibody haemophilus influenza (86684) | $45.50 | $91 | 2.9× |
| Antibody helicobacter pylori (86677) | $141 | $282 | 8.4× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $25.50 | $51 | 1.8× |
| Antibody Herpes Smplx Type 1 (86695) | $16.50 | $33 | 1.3× |
| Antibody HIV-2 (86702) | $103.50 | $207 | 7.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $148.50 | $297 | 7.7× |
| Antibody Identification Platelet Immunogl Assay (86023) | $69.50 | $139 | 5.6× |
| Antibody leishmania (86717) | $50.50 | $101 | 4.1× |
| Antibody Lymphocytic Choriomeningitis (86727) | $47 | $94 | 3.7× |
| Antibody Protozoa Nes (86753) | $55 | $110 | 4.4× |
| Antibody Titer (86886) | $131.50 | $263 | 25.4× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$12.23–$23.50 | $24.45–$47 | varies |
| Antibody; campylobacter (86625) | $83 | $166 | 6.3× |
| Antibody; encephalitis, st. louis (86653) | $26.50 | $53 | 2.0× |
| Antibody; influenza virus (86710) | $23 | $46 | 1.7× |
| Antigen typing (86905) | $275.50 | $551 | 71.9× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $155 | $310 | 27.1× |
| Antinuclear antibodies (86038) | $27 | $54 | 2.2× |
| Antistreptolysin O Screen (86063) | $46 | $92 | 8.0× |
| Antistreptolysin o titer (86060) | $61 | $122 | 8.4× |
| Antithrombin iii activity (85300) | $116 | $232 | 9.8× |
| Antithrombin iii antigen (85301) | $33.50 | $67 | 3.1× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $2,122.50 | $4,245 | 4.2× |
| Apolipoprotein a1 (82172) | $75.50 | $151 | 3.6× |
| Aquaporin-4 Antb Cba Each (86052) | $877.80 | $1,755.60 | 72.8× |
| Aquaporin-4 Antb Elisa (86051) range across 2 matching MRF lines |
$54.50–$117.50 | $109–$235 | varies |
| Arsenic (82175) | $14 | $28 | 0.7× |
| Aspergillus ag eia (87305) | $82.50 | $165 | 6.9× |
| Assay activated protein c (85307) | $47.50 | $95 | 3.1× |
| Assay Blood Carbon Dioxide (82374) | $68 | $136 | 13.9× |
| Assay Nephelometry Not Spec (83883) | $66.50 | $133 | 4.9× |
| Assay of 5-hiaa (83497) | $58 | $116 | 4.5× |
| Assay of anti-mullerian hormone (82166) range across 2 matching MRF lines |
$121–$377 | $242–$754 | varies |
| Assay of blood/uric acid (84550) | $41.50 | $83 | 9.2× |
| Assay of calcium in urine (82340) | $63 | $126 | 10.4× |
| Assay of cpk in blood (82552) | $19.50 | $39 | 1.5× |
| Assay of estrone (82679) | $34 | $68 | 1.4× |
| Assay of g6pd enzyme (82955) | $54 | $108 | 5.6× |
| Assay of gammaglobulin igm (82784) | $77 | $154 | 8.3× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$18.33–$79.50 | $36.65–$159 | varies |
| Assay of manganese (83785) | $56 | $112 | 2.1× |
| Assay of metanephrines (83835) | $29 | $58 | 1.7× |
| Assay of procainamide (80190) | $22 | $44 | 0.4× |
| Assay of proinsulin (84206) | $65 | $130 | 2.4× |
| Assay of pyruvate (84210) | $35 | $70 | 2.4× |
| Assay of serotonin (84260) | $38 | $76 | 1.2× |
| Assay of serum potassium (84132) | $23 | $46 | 4.8× |
| Assay of sweat sodium (84302) | $23.50 | $47 | 4.8× |
| Assay of Tyrosine (84510) | $47.50 | $95 | 4.5× |
| Assay of urea nitrogen (84520) | $41.50 | $83 | 10.5× |
| Assay of urine vma (84585) | $30.50 | $61 | 2.0× |
| Assay of vasoactive intestinal peptide (84586) | $48.50 | $97 | 1.4× |
| Assay of vitamin b-1 (84425) | $33.50 | $67 | 1.6× |
| Assay Ph Body Fluid Nos (83986) | $35 | $70 | 9.8× |
| Assay spec xcp ur&breath ia (82077) | $86 | $172 | 5.0× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $294 | $588 | 1.9× |
| Automated Leukocyte Count (85048) | $44 | $88 | 17.3× |
| B cells total count (86355) | $162.50 | $325 | 4.3× |
| Bartonella antibody (86611) | $32 | $64 | 3.1× |
| Bcr/abl1 gene major bp (81206) | $394.50 | $789 | 2.4× |
| Bcr/abl1 gene minor bp (81207) | $394.50 | $789 | 2.7× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$30.50–$401.63 | $61–$803.25 | varies |
| Beta hydroxybutyrate (82010) | $46 | $92 | 5.6× |
| Beta Lactamase (87185) | $14.50 | $29 | 3.1× |
| Beta-2 Microglobulin (82232) | $19.50 | $39 | 1.2× |
| Bile acids total (82239) | $48.50 | $97 | 2.8× |
| Bilirubin direct (82248) | $45.50 | $91 | 9.1× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$13–$33.50 | $26–$67 | varies |
| Bilirubin total transcutaneous (88720) | $7.50 | $15 | 1.5× |
| Biotinidase (82261) | $30.50 | $61 | 1.8× |
| Bl Smear W/O Diff Wbc Count (85008) | $18.50 | $37 | 5.4× |
| Blastomyces antibody (86612) | $17 | $34 | 1.3× |
| Bld Typing Serologic Rh Phnt (86906) | $27.50 | $55 | 3.5× |
| Blood count reticulocyte automated (85045) | $51.50 | $103 | 12.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$15–$83.50 | $30–$167 | varies |
| Blood gas (82803) | $149.50 | $299 | 5.7× |
| Blood gases w/02 saturation (82805) | $149.50 | $299 | 1.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $49 | $98 | 11.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $275.50 | $551 | 43.4× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $61.50 | $123 | 3.8× |
| Blood typing serologic abo (86900) | $81.50 | $163 | 27.3× |
| Body fluid cell count (89050) | $104 | $208 | 22.0× |
| Bone marrow smear interpretation (85097) | $588 | $1,176 | 0.8× |
| Bordetella antibody (86615) | $102.50 | $205 | 7.8× |
| Braf gene analysis (81210) | $148.50 | $297 | 0.8× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$26.50–$69.23 | $53–$138.45 | varies |
| C diff amplified probe (87493) | $107 | $214 | 2.9× |
| C-Peptide (84681) | $27 | $54 | 1.3× |
| C-reactive protein (86140) | $41.50 | $83 | 8.0× |
| Ca 19-9 (86301) | $27.50 | $55 | 1.3× |
| Cadmium (82300) | $16 | $32 | 0.7× |
| Calcitonin (82308) | $34 | $68 | 1.3× |
| Calcium ionized (82330) | $110.50 | $221 | 8.1× |
| Calcium total (82310) | $41.50 | $83 | 8.0× |
| Calculus Spectroscopy (82365) | $31.50 | $63 | 2.4× |
| Calprotectin Fecal (83993) | $179 | $358 | 9.1× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$262.50–$363 | $525–$726 | varies |
| Cancer Antigen 125 (86304) | $156.50 | $313 | 7.5× |
| Cancer Antigen 27.29 (86300) | $23 | $46 | 1.1× |
| Carbamazepine total (80156) | $100.50 | $201 | 6.9× |
| Carbohydrate Deficient Transferrin (82373) | $217 | $434 | 12.0× |
| Carboxyhemoglobin (82375) | $41 | $82 | 3.3× |
| Carcinoembryonic antigen (82378) | $170 | $340 | 9.0× |
| Cardiolipin ab iga (86147) | $31.50 | $63 | 1.2× |
| Carnitine Quantitative Each Specimen (82379) | $68.50 | $137 | 4.1× |
| Carotene (82380) | $27 | $54 | 2.9× |
| Catecholamines fractionated (82384) | $34 | $68 | 1.3× |
| Ccp antibody (86200) | $27 | $54 | 2.1× |
| Cell count csf (89051) range across 2 matching MRF lines |
$54–$61.83 | $108–$123.65 | varies |
| Ceruloplasmin (82390) | $31.50 | $63 | 2.9× |
| Cftr gene com variants (81220) | $118 | $236 | 0.2× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$61–$79 | $122–$158 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$36–$43 | $72–$86 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$35.50–$42.50 | $71–$85 | varies |
| Chloride other source (82438) | $45 | $90 | 9.0× |
| Chloride Serum (82435) | $42 | $84 | 9.1× |
| Chloride urine (82436) | $19.50 | $39 | 3.4× |
| Chlorinated Hydrocarbons Screen (82441) | $104.50 | $209 | 17.4× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$31–$42.50 | $62–$85 | varies |
| Cholinesterase rbc (82482) | $25.50 | $51 | 2.6× |
| Cholinesterase Serum (82480) | $30 | $60 | 3.8× |
| Chorionic gonadotropin test (84702) | $26.50 | $53 | 1.8× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $188.53 | $377.05 | 7.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $33.50 | $67 | 1.0× |
| Chromium serum (82495) | $35.50 | $71 | 1.8× |
| Chromogenic Substrate Assay (85130) | $181.50 | $363 | 15.3× |
| Chromogranin a (86316) | $51 | $102 | 2.5× |
| Chromosome Analysis 20-25 (88264) | $160 | $320 | 1.1× |
| Chromosome analysis, 5 (88261) | $202 | $404 | 0.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $42.50 | $85 | 1.2× |
| Citric acid urine (82507) | $34 | $68 | 1.2× |
| Ckmb (82553) | $51 | $102 | 4.4× |
| Clostridium Difficile (87324) | $90 | $180 | 7.5× |
| Clot Factor VIII Multimetric (85247) | $49.50 | $99 | 2.2× |
| Clot factor xiii fibrin stab (85290) | $107 | $214 | 6.5× |
| Clotting factor xii hageman (85280) | $70 | $140 | 3.6× |
| Clotting Funct Activity (85397) | $100 | $200 | 3.2× |
| Cns DNA amp probe type 12-25 (87483) | $366 | $732 | 0.9× |
| Coagulation time activated (85347) | $23.50 | $47 | 5.5× |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$10.50–$28 | $21–$56 | varies |
| Cold agglutinin titer (86157) | $84 | $168 | 10.4× |
| Collagen crosslinks (82523) | $31.50 | $63 | 1.7× |
| Column Chromotography Quant (82542) | $69 | $138 | 2.9× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $338.50 | $677 | 1.5× |
| Compatibility test antiglob (86922) | $155 | $310 | 1.0× |
| Complement Antigen Each Component (86160) | $99 | $198 | 8.3× |
| Complement Total (Ch50) (86162) | $10 | $20 | 0.5× |
| Complement/Function Activity (86161) | $20.50 | $41 | 1.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 2 matching MRF lines |
$175.50–$229.50 | $351–$459 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $180.50 | $361 | 3.8× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $135.50 | $271 | 4.0× |
| Coombs direct (86880) | $28 | $56 | 5.2× |
| Copper urine (82525) range across 2 matching MRF lines |
$14.50–$23.50 | $29–$47 | varies |
| Cortisol free (82530) | $111.50 | $223 | 6.7× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$5.70–$30 | $11.40–$60 | varies |
| Creatine kinase total (82550) | $49.50 | $99 | 7.6× |
| Creatinine blood (82565) | $25.50 | $51 | 5.0× |
| Creatinine clearance (82575) | $89 | $178 | 9.4× |
| Creatinine Urine (82570) | $52.50 | $105 | 10.1× |
| Crossmatch electronic (86923) | $155 | $310 | 1.0× |
| Crossmatch immediate spin (86920) | $155 | $310 | 1.0× |
| Crp High Sensitivity (86141) | $38 | $76 | 2.9× |
| Cryoglobulin (82595) | $59 | $118 | 9.1× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $24.50 | $49 | 1.9× |
| Cryptococcus ab (86641) | $49 | $98 | 3.4× |
| Cryptococcus ag titer (87899) | $82.50 | $165 | 5.1× |
| Cryptosporidium (87272) | $36 | $72 | 3.0× |
| Cryptosporidium ag eia (87328) | $88.50 | $177 | 6.4× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $62 | $124 | 7.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $66.50 | $133 | 8.2× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $56 | $112 | 7.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $282 | $564 | 1.3× |
| Culture afb (87116) | $115.50 | $231 | 10.7× |
| Culture Anaerobic (87075) | $117 | $234 | 12.4× |
| Culture blood (87040) | $124.50 | $249 | 12.1× |
| Culture chlamydia (87110) | $72.50 | $145 | 3.7× |
| Culture csf (87070) range across 2 matching MRF lines |
$64.50–$71 | $129–$142 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$84.50–$94 | $169–$188 | varies |
| Culture fungus blood (87103) | $71 | $142 | 3.5× |
| Culture screen only (87081) | $44.50 | $89 | 6.7× |
| Culture stool (87045) | $116 | $232 | 12.3× |
| Culture typing if ea antiserum (87140) | $23.50 | $47 | 4.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $14.50 | $29 | 2.8× |
| Culture urine (87086) | $66 | $132 | 8.2× |
| Cyanide (82600) | $82 | $164 | 4.2× |
| Cyclosporine (80158) | $26.50 | $53 | 1.5× |
| Cystatin C (82610) | $88.50 | $177 | 4.8× |
| Cytogenetics 100-300 (88275) | $55 | $110 | 1.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,472.50 | $2,945 | 1.3× |
| Cytogenomic neo microra alys (81277) | $1,731.43 | $3,462.85 | 1.5× |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
$18–$289.80 | $36–$579.60 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $52 | $104 | 2.6× |
| Cytopath Cell Enhance Tech (88112) | $200 | $400 | 4.3× |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) | $61.50 | $123 | 2.4× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $66 | $132 | 2.5× |
| Cytp Concentration Smears & Interpretation (88108) | $107 | $214 | 3.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $245 | $490 | 5.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $91 | $182 | 3.5× |
| Deoxyribonuclease antibody (86215) | $110.50 | $221 | 8.3× |
| Detect Agent Nos Dna Amp (87798) range across 2 matching MRF lines |
$131–$283.29 | $262–$566.58 | varies |
| Detect Agent Nos Dna Quant (87799) | $140 | $280 | 3.3× |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$185–$270 | $370–$540 | varies |
| Dgp Antibody Each Ig Class (86258) | $14 | $28 | 1.2× |
| Dhea (82626) | $31.50 | $63 | 1.2× |
| Dhea-S (82627) | $28 | $56 | 1.3× |
| Digoxin (80162) | $86 | $172 | 6.5× |
| Dipropylacetic Acid Free (80165) | $27.50 | $55 | 2.0× |
| Dna Antibody Native/Double Stranded (86225) | $24 | $48 | 1.7× |
| Dna/Rna Amplified Probe (87150) | $107.50 | $215 | 3.1× |
| Dna/Rna Sequencing (87153) | $137.50 | $275 | 1.2× |
| Drug assay acetaminophen (80143) | $106.50 | $213 | 5.7× |
| Drug Assay Everolimus (80169) | $233.50 | $467 | 17.0× |
| Drug Assay Infliximab (80230) | $179 | $358 | 4.6× |
| Drug Assay Lacosamide (80235) | $112.50 | $225 | 4.1× |
| Drug Assay Vedolizumab (80280) | $188 | $376 | 4.9× |
| Drug assay voriconazole (80285) | $165.50 | $331 | 6.1× |
| Drug Screen Quant Clozapine (80159) | $137.50 | $275 | 6.8× |
| Drug Screen Quant Zonisamide (80203) | $63 | $126 | 4.8× |
| Drug Screen Quantitative Gabapentin (80171) | $39 | $78 | 1.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $31.50 | $63 | 2.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $38 | $76 | 2.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $33.50 | $67 | 2.5× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $22 | $44 | 1.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$101–$185 | $202–$370 | varies |
| Egfr Gene Analysis Common Variants (81235) | $1,073 | $2,146 | 3.3× |
| Ehrlichia antibody (86666) | $26.50 | $53 | 2.6× |
| El-1 Fecal Quantitative (82653) | $138 | $276 | 6.0× |
| Electrolyte panel (80051) | $80.50 | $161 | 11.5× |
| Electron Microscopy (88348) | $475.50 | $951 | 0.7× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $373 | $746 | 6.1× |
| Encephaltis East Eqne Anbdy (86652) | $26.50 | $53 | 2.0× |
| Encephaltis West Eqne Antbdy (86654) | $26.50 | $53 | 2.0× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $38 | $76 | 3.1× |
| Enterovirus Antibody (86658) | $45.50 | $91 | 3.5× |
| Enterovirus PCR (87498) | $99 | $198 | 2.8× |
| Enzyme cell activity (82657) | $251.50 | $503 | 11.3× |
| Enzyme histochemistry (88319) | $58.50 | $117 | 0.1× |
| Eosinophil Smear (89190) | $39 | $78 | 6.7× |
| Erythropoietin (82668) | $24.50 | $49 | 1.3× |
| Estradiol serum (82670) | $34.50 | $69 | 1.2× |
| Estriol (82677) | $40 | $80 | 1.7× |
| Estrogens fractionated (82671) | $34 | $68 | 1.1× |
| Exam Synovial Fluid Crystals (89060) | $86 | $172 | 11.7× |
| F2 Gene (81240) range across 2 matching MRF lines |
$165–$190 | $330–$380 | varies |
| Factor ii activity (85210) | $55 | $110 | 4.2× |
| Factor Inhibitor Test (85335) | $198 | $396 | 15.4× |
| Factor ix activity (85250) | $62 | $124 | 3.3× |
| Factor v activity (85220) | $55.50 | $111 | 3.1× |
| Factor v leiden mutation (81241) | $66.50 | $133 | 0.9× |
| Factor vii assay (85230) | $51.50 | $103 | 2.9× |
| Factor viii assay (85240) | $52.50 | $105 | 2.9× |
| Factor X (85260) | $66 | $132 | 3.7× |
| Factor xi activity (85270) | $39 | $78 | 2.2× |
| Fat/Lipids Feces Quantitative (82710) | $49 | $98 | 2.9× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $67.50 | $135 | 8.8× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $97 | $194 | 5.6× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $37 | $74 | 5.7× |
| Fecal Fat Qualitative (82705) | $35.50 | $71 | 7.0× |
| Ferritin (82728) range across 2 matching MRF lines |
$66–$78 | $132–$156 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $140.50 | $281 | 0.9× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $145 | $290 | 2.7× |
| Fetal Fibronectin (82731) | $176 | $352 | 2.7× |
| Fetal screen rosette (85461) | $40 | $80 | 4.3× |
| Fibrin degradation products (85362) | $82 | $164 | 11.9× |
| Fibrin Degradation Quant (85379) | $72.50 | $145 | 7.1× |
| Fibrinogen activity (85384) | $45.50 | $91 | 4.7× |
| Fibrinogen antigen (85385) | $84.50 | $169 | 5.8× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $18.50 | $37 | 1.2× |
| Flow cytometry first marker (88184) | $282 | $564 | 0.9× |
| Flt3 Gene (81245) | $157.50 | $315 | 1.0× |
| Flt3 gene analysis (81246) | $117.50 | $235 | 1.4× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$52.50–$206 | $105–$412 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $173 | $346 | 14.4× |
| Folic acid rbc (82747) | $32 | $64 | 1.8× |
| Folic Acid Serum (82746) | $92 | $184 | 6.3× |
| Follicle Stimulating Hormone (83001) | $27.50 | $55 | 1.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $37.50 | $75 | 0.2× |
| Frozen Section (88331) | $158.50 | $317 | 1.0× |
| Fungi Identification Mold (87107) | $49.50 | $99 | 4.8× |
| Fungi Identification Yeast (87106) | $77.50 | $155 | 7.5× |
| G6pd gene alys cmn variant (81247) | $2,103.50 | $4,207 | 12.0× |
| Galactose (82760) | $23.50 | $47 | 2.1× |
| Galactose transferase test (82776) | $12.50 | $25 | 1.1× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $144 | $288 | 6.8× |
| Gammaglobulin ige (82785) | $10.50 | $21 | 0.6× |
| Gardner vag DNA dir probe (87510) | $27 | $54 | 1.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $75 | $150 | 7.7× |
| Gases blood ph only (82800) | $37.50 | $75 | 3.4× |
| Gastrin (82941) | $23.50 | $47 | 1.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $563.50 | $1,127 | 1.4× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,449 | $2,898 | 1.9× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,960 | $3,920 | 0.7× |
| Genet Virus Isolate Hsv (87255) | $35 | $70 | 1.0× |
| Gentamicin (80170) | $103.50 | $207 | 6.3× |
| Ggt (82977) | $47 | $94 | 6.5× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $16 | $32 | 2.6× |
| Glucagon (82943) | $34.50 | $69 | 2.4× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$28–$32 | $56–$64 | varies |
| Glucose body fluid (82945) | $48.50 | $97 | 12.3× |
| Glucose Serum (82947) | $51 | $102 | 13.0× |
| Glucose tolerance test (gtt) (82951) | $114.50 | $229 | 8.9× |
| Glycated Protein (82985) | $24 | $48 | 1.4× |
| Gonadotropin Chorionic Qualitative (84703) | $58.50 | $117 | 7.8× |
| Growth hormone (83003) | $26.50 | $53 | 1.6× |
| H Pylori (C-13) Breath (83013) | $84 | $168 | 1.2× |
| H pylri clrthmcn rst amp prb (87513) | $118 | $236 | 3.4× |
| Haloperidol (80173) | $37.50 | $75 | 2.4× |
| Haptoglobin (83010) | $61.50 | $123 | 4.9× |
| Hba1/Hba2 Gene (81257) | $427.62 | $855.24 | 4.2× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $328.50 | $657 | 1.6× |
| Hdl Cholesterol (83718) | $65.50 | $131 | 8.0× |
| Helicobacter Pylori Stool (87338) | $50 | $100 | 3.5× |
| Helminth Antibody (86682) | $110.50 | $221 | 8.5× |
| Hematocrit (85014) | $72.50 | $145 | 30.6× |
| Hemoglobin (85018) | $42 | $84 | 17.7× |
| Hemoglobin a1c (83036) | $23 | $46 | 2.4× |
| Hemoglobin Chromotography (83021) | $76 | $152 | 4.2× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$17–$22.90 | $34–$45.80 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $57.50 | $115 | 7.0× |
| Hemoglobin plasma (83051) | $25.50 | $51 | 3.5× |
| Hemoglobin quan tc per day carboxyhemoglobin (88740) | $83 | $166 | 8.9× |
| Hemoglobin stability screen (83068) | $56.50 | $113 | 6.0× |
| Hemoglobin-Oxygen Affinity (82820) | $26.50 | $53 | 2.0× |
| Hemolysins&Agglutinins Incubated (86941) | $73 | $146 | 6.0× |
| Hemosiderin urine (83070) | $24.50 | $49 | 5.2× |
| Hep a ab igm (86709) | $66.50 | $133 | 5.9× |
| Heparin assay (85520) range across 2 matching MRF lines |
$39–$101.83 | $78–$203.65 | varies |
| Hepatitis a antibody total (86708) | $17 | $34 | 1.4× |
| Hepatitis b core ab igm (86705) | $80 | $160 | 6.8× |
| Hepatitis b core ab total (86704) | $26.50 | $53 | 2.2× |
| Hepatitis B Surface Antibody (86706) | $21.50 | $43 | 2.0× |
| Hepatitis B Surface Antigen (87340) | $95.50 | $191 | 9.2× |
| Hepatitis Be Antibody (86707) | $24 | $48 | 2.1× |
| Hepatitis Be Antigen (87350) | $23 | $46 | 2.0× |
| Hepatitis C Antibody (86803) | $96.50 | $193 | 6.8× |
| Hepatitis C Genotype (87902) | $66 | $132 | 0.3× |
| Hepatitis C Revrs Trnscrpj (87522) | $112.50 | $225 | 2.6× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $1,916 | $3,832 | 3.3× |
| Herpes simplex type 2 (86696) | $27.50 | $55 | 1.4× |
| Heterophile Antibody Screen (86308) | $50.50 | $101 | 9.7× |
| Hfe Gene (81256) | $125.50 | $251 | 1.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $69.50 | $139 | 9.0× |
| Histamine urine (83088) | $107 | $214 | 3.6× |
| Histoplasma antibody (86698) | $27 | $54 | 2.0× |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$95.50–$208 | $191–$416 | varies |
| Hiv Genotype (87901) | $366 | $732 | 1.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $95.50 | $191 | 4.0× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$31–$68.75 | $62–$137.50 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $106 | $212 | 1.2× |
| HIV-2 probe&revrse trnscripj (87538) range across 2 matching MRF lines |
$68.75–$199.50 | $137.50–$399 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $27.50 | $55 | 0.4× |
| Hla I Typing 1 Allele Hr (81381) | $148 | $296 | 0.9× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $235.80 | $471.60 | 1.1× |
| Hla ii type 1 ag equiv lr (81377) | $141.50 | $283 | 1.5× |
| Hla ii typing 1 allele hr (81383) | $141.50 | $283 | 1.3× |
| Hla ii typing 1 locus lr (81376) | $152 | $304 | 1.2× |
| Hla-b27 (86812) | $35.50 | $71 | 1.4× |
| Homocysteine (83090) | $31 | $62 | 1.7× |
| Homogenization Tissue (87176) | $13 | $26 | 2.2× |
| Hpv High-Risk Types (87624) | $54.50 | $109 | 1.6× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $49 | $98 | 0.7× |
| Hpv Types 16 & 18 Only (87625) | $44.50 | $89 | 1.1× |
| Hsv Dna Amp Probe (87529) | $71 | $142 | 2.0× |
| Htt Gene Detc Abnor Alleles (81271) | $183.50 | $367 | 1.3× |
| Human Epididymis Protein 4 (86305) | $156.50 | $313 | 7.5× |
| Hydroxyprogesterone 17-d (83498) | $15 | $30 | 0.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $57.50 | $115 | 5.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $174.50 | $349 | 12.5× |
| Iaad ia shiga-like toxin (87427) | $22.50 | $45 | 1.9× |
| Iaad Ia Streptococcus Group A (87430) | $50 | $100 | 3.0× |
| Iaadi giardia (87269) | $45.50 | $91 | 3.3× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $140.63 | $281.25 | 4.0× |
| Iadna Bartonella Amplified Probe Technique (87471) | $188.50 | $377 | 5.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $46 | $92 | 1.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $492 | $984 | 14.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $90 | $180 | 2.6× |
| Iadna Cytomegalovirus Quantification (87497) | $63.50 | $127 | 1.5× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $140.63 | $281.25 | 4.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $121 | $242 | 2.8× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $87.50 | $175 | 2.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $146 | $292 | 4.2× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) range across 2 matching MRF lines |
$185–$492 | $370–$984 | varies |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $288.50 | $577 | 3.8× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $189.50 | $379 | 4.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $492 | $984 | 14.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $42.50 | $85 | 1.2× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $86.50 | $173 | 1.7× |
| Idh1 common variants (81120) | $318 | $636 | 1.6× |
| Idh2 common variants (81121) | $362 | $724 | 1.2× |
| Ig Light Chains Free Each (83521) | $62 | $124 | 3.6× |
| Igg subclasses (82787) | $10.50 | $21 | 1.3× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $429 | $858 | 1.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $232.80 | $465.60 | 0.7× |
| Immune Complex Assay (86332) | $69 | $138 | 2.8× |
| Immunfix e-phorsis/urine/csf (86335) | $32 | $64 | 1.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $130 | $260 | 7.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$18.33–$34 | $36.65–$68 | varies |
| Immunoassay nonantibody (83516) range across 2 matching MRF lines |
$57.50–$69 | $115–$138 | varies |
| Immunodiffusion Ouchterlony (86331) | $15 | $30 | 1.3× |
| Immunoelectrophoresis Serum (86320) | $110.50 | $221 | 3.7× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$42.50–$232.50 | $85–$465 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $65.50 | $131 | 0.4× |
| Immunohistochemistry (88342) | $138.50 | $277 | 0.9× |
| In situ hybridization 1st probe stain (88365) | $213.75 | $427.50 | 1.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $133 | $266 | 1.9× |
| Influenza a/b ag eia (87400) | $29.50 | $59 | 2.1× |
| Influenza assay w/optic (87804) | $35.50 | $71 | 2.1× |
| Influenza DNA amp probe (87502) | $206 | $412 | 2.2× |
| Inhibin A (86336) | $45 | $90 | 2.9× |
| Inhibin b (83520) range across 4 matching MRF lines |
$99.50–$807 | $199–$1,614 | varies |
| Insitu hybridization manual (88368) | $130.50 | $261 | 0.4× |
| Insulin antibodies (86337) | $52.50 | $105 | 2.5× |
| Insulin free (83527) | $24 | $48 | 1.9× |
| Insulin total (83525) | $22 | $44 | 1.9× |
| Interleukin-6 (83529) | $139.50 | $279 | 8.1× |
| Intrinsic factor antibody (86340) | $24 | $48 | 1.6× |
| Iron (83540) range across 2 matching MRF lines |
$56–$232.50 | $112–$465 | varies |
| Iron Binding Capacity (83550) | $95.50 | $191 | 10.9× |
| Irradiation Blood Product Each Unit (86945) | $61.50 | $123 | 1.8× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$52.50–$101 | $105–$202 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $324.50 | $649 | 3.5× |
| Jak2 Gene Trgt Sequence Alys (81279) | $215.84 | $431.68 | 1.2× |
| Koh Prep (87220) | $30 | $60 | 7.0× |
| Kras Gene Analysis Additional Variant(S) (81276) | $195.50 | $391 | 1.0× |
| Kras Gene Variants Exon 2 (81275) | $195.50 | $391 | 1.0× |
| Lactate (ld) (ldh) enzyme (83615) | $50.50 | $101 | 8.4× |
| Lactoferrin fecal qualitative (83630) | $47 | $94 | 2.4× |
| Ldh Isoenzymes (83625) | $56.50 | $113 | 4.4× |
| LDL direct (83721) | $24.50 | $49 | 2.3× |
| Lead (83655) range across 2 matching MRF lines |
$15–$40 | $30–$80 | varies |
| Legionella antibody (86713) | $11 | $22 | 0.7× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$80–$254 | $160–$508 | varies |
| Leptospira antibody (86720) | $93 | $186 | 5.7× |
| Leukocyte Assessment Fecal (89055) | $54.50 | $109 | 12.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $24.50 | $49 | 0.9× |
| Level ii surg pathology grossµscopic exam (88302) | $47 | $94 | 1.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $282 | $564 | 0.9× |
| Lidocaine (80176) | $31 | $62 | 2.1× |
| Lipase (83690) | $55 | $110 | 8.0× |
| Lipoprotein A (83695) | $26.50 | $53 | 1.9× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $25.50 | $51 | 2.3× |
| Lithium (80178) | $107 | $214 | 16.2× |
| Luteinizing Hormone (Lh) (83002) | $27.50 | $55 | 1.5× |
| Lyme disease antibody (86618) | $135.50 | $271 | 8.0× |
| Lysozyme serum (85549) | $21 | $42 | 1.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $239 | $478 | 1.6× |
| M/phmtrc alys ishquant/semiq (88374) | $300.50 | $601 | 2.0× |
| Magnesium Urine (83735) | $30 | $60 | 4.5× |
| Mass Spectrometry Quant (83789) | $130.50 | $261 | 5.4× |
| Mercury urine (83825) | $21.50 | $43 | 1.3× |
| Methylmalonic acid serum (83921) | $38 | $76 | 1.8× |
| Mgmt methylation analysis (81287) | $394.50 | $789 | 3.2× |
| Microalbumin, quantitative (82043) | $21.50 | $43 | 3.7× |
| Microsatellite instability (81301) | $318.50 | $637 | 0.9× |
| Microsomal Antibodies Each (86376) | $30.50 | $61 | 2.1× |
| Mitochondrial Antibody Each (86381) | $100 | $200 | 3.9× |
| Mog-Igg1 Antb Cba Each (86362) | $882 | $1,764 | 73.2× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$53–$97 | $106–$194 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $47.50 | $95 | 1.1× |
| Molecular Pathology Procedure Level 3 (81402) | $181.50 | $363 | 1.2× |
| Molecular Pathology Procedure Level 6 (81405) | $119.50 | $239 | 0.4× |
| Mononuclear cell antigen (86356) range across 2 matching MRF lines |
$117.50–$210 | $235–$420 | varies |
| Mopath procedure level 2 (81401) | $484 | $968 | 3.5× |
| Mopath procedure level 4 (81403) | $119.50 | $239 | 0.6× |
| Mopath procedure level 5 (81404) | $119.50 | $239 | 0.4× |
| Mopath procedure level 7 (81406) | $2,074 | $4,148 | 7.3× |
| Mpl gene common variants (81338) range across 2 matching MRF lines |
$230–$450 | $460–$900 | varies |
| Mrsa Pcr (87641) | $137.50 | $275 | 3.9× |
| Mthfr Gene Analysis Common Variants (81291) | $62 | $124 | 0.9× |
| Mumps antibody (86735) | $40 | $80 | 3.1× |
| Muscle-Specific Kinase Antb (86366) range across 2 matching MRF lines |
$920–$1,035 | $1,840–$2,070 | varies |
| Mycophenolic Acid (80180) | $42 | $84 | 2.3× |
| Mycoplasma antibody (86738) | $16.50 | $33 | 1.2× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $359 | $718 | 2.0× |
| Myelin basic protein csf (83873) | $296.96 | $593.92 | 17.3× |
| Myoglobin urine (83874) | $78 | $156 | 6.0× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$112.50–$121 | $225–$242 | varies |
| Neutralization Test Viral (86382) | $157.50 | $315 | 9.3× |
| Nfct ds chrnc hcv 6 assays (81596) | $100 | $200 | 1.4× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $314 | $628 | 2.4× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $70 | $140 | 2.7× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $325.50 | $651 | 0.7× |
| Niacin (84591) range across 2 matching MRF lines |
$70–$114.03 | $140–$228.05 | varies |
| Nk cells total count (86357) | $21.50 | $43 | 0.6× |
| Nras gene variants exon 2&3 (81311) | $484 | $968 | 1.6× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$37.50–$89 | $75–$178 | varies |
| Occult blood feces (82272) | $53 | $106 | 12.5× |
| Occult Blood Other Sources (82271) | $53 | $106 | 10.0× |
| Oligoclonal bands (83916) | $26.50 | $53 | 1.0× |
| Oncology breast mrna gene expression 21 genes (81519) | $2,227 | $4,454 | 0.6× |
| Oncoprotein dcp (83951) | $130.50 | $261 | 2.0× |
| Organic Acids Qualitative Each Specimen (83919) | $103 | $206 | 6.3× |
| Osmolality serum (83930) | $58.50 | $117 | 8.9× |
| Osmolality Urine (83935) | $58.50 | $117 | 8.6× |
| Osteocalcin (83937) | $42.50 | $85 | 1.4× |
| Ova and parasites smears (87177) | $12 | $24 | 1.3× |
| Oxalate urine (83945) | $24.50 | $49 | 1.7× |
| Pancreatic Elastase Fecal (82656) | $68 | $136 | 5.9× |
| Particle Agglutination Screen Each Antibody (86403) | $85.50 | $171 | 7.4× |
| Parvovirus antibody (86747) | $20.50 | $41 | 1.4× |
| Pathology Consultation During Surgery (88329) | $32 | $64 | 0.6× |
| Ph urine (81003) | $42 | $84 | 18.7× |
| Phenobarbital Level (80184) | $101 | $202 | 6.6× |
| Phenotype Infect Agent Drug (87900) | $98 | $196 | 0.8× |
| Phenylalanine (84030) | $28 | $56 | 5.1× |
| Phenytoin (Dilantin) (80185) | $107 | $214 | 8.1× |
| Phenytoin free (80186) | $137.50 | $275 | 10.0× |
| Phosphatase acid prostatic (84066) | $20.50 | $41 | 2.1× |
| Phosphatase alkaline (84075) | $38 | $76 | 7.3× |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$10.50–$58.50 | $21–$117 | varies |
| Phosphorus Serum (84100) | $42 | $84 | 8.9× |
| Phosphorus urine (84105) | $63 | $126 | 10.9× |
| Pinworm exam (87172) | $28 | $56 | 6.6× |
| Platelet Aggregation (85576) | $71.50 | $143 | 2.9× |
| Platelet Antibodies (86022) | $118.50 | $237 | 6.5× |
| Platelet count automated (85049) | $42.50 | $85 | 9.5× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$57.50–$252 | $115–$504 | varies |
| Pooling blood platelets (86965) | $46 | $92 | 0.3× |
| Porphobilinogen, urine; quantitative (84110) | $39 | $78 | 4.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $24.50 | $49 | 1.7× |
| Potassium Urine (84133) | $53 | $106 | 11.2× |
| Prealbumin (84134) | $30.50 | $61 | 2.1× |
| Pregnancy-Associated Plasma Protein-A (84163) | $79.50 | $159 | 5.3× |
| Pregnenolone (84140) | $62 | $124 | 3.0× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $156 | $312 | 1.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $161.50 | $323 | 3.0× |
| Pretx serum rbc antibody identification dilution (86976) | $31 | $62 | 1.2× |
| Primidone (80188) | $21.50 | $43 | 1.3× |
| Procalcitonin (Pct) (84145) | $96.50 | $193 | 3.5× |
| Progesterone (84144) | $27 | $54 | 1.3× |
| Prolactin (84146) | $34.50 | $69 | 1.8× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$46–$56.50 | $92–$113 | varies |
| Protein C Activity (85303) | $42.50 | $85 | 3.1× |
| Protein c antigen (85302) | $30 | $60 | 2.5× |
| Protein Electrophoresis Urine (84166) | $23 | $46 | 1.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $7.50 | $15 | 0.7× |
| Protein S Free (85306) | $47.50 | $95 | 3.1× |
| Protein s total (85305) | $11.50 | $23 | 1.0× |
| Protein total serum (84155) | $3.50 | $7 | 1.0× |
| Protein Total Urine (84156) | $34.50 | $69 | 9.4× |
| Protein Western Blot Test (84182) | $214 | $428 | 7.3× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $49 | $98 | 12.4× |
| Protoporphyrin rbc quantitative (84202) | $68.50 | $137 | 4.8× |
| PSA free (84154) | $20.50 | $41 | 1.1× |
| Pth Intact (83970) | $58.50 | $117 | 1.4× |
| Pyruvate kinase (84220) | $69 | $138 | 7.3× |
| Q Fever Antibody (86638) | $63 | $126 | 5.2× |
| Quantiferon tb gold plus (86480) | $118 | $236 | 1.9× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$59–$161 | $118–$322 | varies |
| Quantitative Screen Metals (83018) | $211.50 | $423 | 9.6× |
| Quinidine (80194) | $27 | $54 | 1.8× |
| Rbc antibody elution (86860) | $53 | $106 | 0.3× |
| Rbc antibody identification (86870) | $104 | $208 | 0.3× |
| Rbc antibody screen (86850) | $155 | $310 | 15.9× |
| Rbc pretreatment serum (86978) | $50.50 | $101 | 0.9× |
| Rbc pretx incubatj w/enzymes (86971) | $260 | $520 | 1.7× |
| Rbc serum pretx incubj drugs (86975) | $46 | $92 | 0.1× |
| Reagent Strip/Blood Glucose (82948) | $6.50 | $13 | 1.3× |
| Renin activity plasma (84244) | $24.50 | $49 | 1.1× |
| Reptilase test (85635) | $36.50 | $73 | 3.7× |
| Resp virus 12-25 targets (87633) | $277.50 | $555 | 0.7× |
| Reticulocyte Count (85046) | $57.50 | $115 | 10.3× |
| Reticulocyte separation (86972) | $73 | $146 | 0.5× |
| Rh (86901) | $43 | $86 | 14.4× |
| Rheumatoid factor quant (86431) | $52 | $104 | 9.2× |
| Rickettsia antibody (86757) | $176.50 | $353 | 9.1× |
| Ristocetin cofactor (85245) | $112.50 | $225 | 4.9× |
| Rotavirus ag eia (87425) | $19 | $38 | 1.6× |
| Rpr qualitative (86592) | $61 | $122 | 14.3× |
| Rsv Assay W/Optic (87807) | $79.50 | $159 | 6.1× |
| Rubella Antibody (86762) | $24 | $48 | 1.7× |
| Rubeola antibody (86765) | $39 | $78 | 3.0× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$21–$44.50 | $42–$89 | varies |
| Salicylate Level (80179) | $106.50 | $213 | 5.7× |
| Salmonella antibody (86768) | $26.50 | $53 | 2.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$18–$173 | $36–$346 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $45.50 | $91 | 1.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$166.50–$230 | $333–$460 | varies |
| Sedimentation rate (85651) | $48 | $96 | 11.2× |
| Sedimentation Rate, Automated (85652) | $48 | $96 | 17.8× |
| Selenium (84255) | $43.50 | $87 | 1.7× |
| Sensitivity mic (87186) | $142.50 | $285 | 16.5× |
| Sex Hormone Binding Globulin (84270) | $24.50 | $49 | 1.1× |
| Sickling of rbc reduction (85660) | $28 | $56 | 5.1× |
| Sirolimus (80195) | $49.50 | $99 | 3.6× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$7–$17.50 | $14–$34.99 | varies |
| Smear acid fast (87206) | $32.50 | $65 | 6.0× |
| Smear complex stain (87209) | $19 | $38 | 1.1× |
| Smear gram stain (87205) | $49.50 | $99 | 11.6× |
| Smear Special Stain (87207) | $83.50 | $167 | 13.9× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $59.50 | $119 | 10.2× |
| Sodium Serum (84295) | $42.50 | $85 | 8.8× |
| Sodium Urine (84300) | $52.50 | $105 | 10.4× |
| Soluble fibrin monomer (85366) | $29.50 | $59 | 0.4× |
| Soluble Transferrin Receptor (84238) | $54 | $108 | 1.5× |
| Somatomedin (84305) | $24.50 | $49 | 1.2× |
| Special Stains Group 1 (88312) | $137.50 | $275 | 2.9× |
| Special Stains Group 2 (88313) | $162.50 | $325 | 1.4× |
| Specific gravity body fluid (84315) | $52 | $104 | 15.9× |
| Specimen infect agnt concntj (87015) | $24 | $48 | 3.6× |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$96–$180 | $192–$360 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $155 | $310 | 1.0× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $123.50 | $247 | 0.8× |
| Staph a DNA amp probe (87640) | $113 | $226 | 3.2× |
| Stool cultr aerobic bact ea (87046) | $31 | $62 | 3.3× |
| Strep a assay w/optic (87880) | $39.50 | $79 | 2.4× |
| Strep a DNA amp probe (87651) | $91 | $182 | 2.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $678.50 | $1,357 | 7.4× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $107 | $214 | 9.3× |
| Sugars Single Qual (84376) | $42.50 | $85 | 7.7× |
| Sulfate urine (84392) | $28 | $56 | 5.1× |
| Surg path level iii (88304) | $69 | $138 | 1.5× |
| Surgical pathology level IV (88305) | $88.50 | $177 | 1.9× |
| Surgical pathology level vi (88309) | $693.50 | $1,387 | 1.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $20 | $40 | 4.2× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $31 | $62 | 4.1× |
| Syphilis Test Non-Trep Quant (86593) | $14 | $28 | 3.2× |
| T cells absolute cd4 count (86361) | $108 | $216 | 4.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $20.50 | $41 | 0.4× |
| T cells total count (86359) | $18 | $36 | 0.5× |
| T3 Free (84481) | $140.50 | $281 | 8.3× |
| T3 reverse (84482) | $223 | $446 | 14.1× |
| T3 Total (84480) | $79.50 | $159 | 5.6× |
| T3 Uptake (84479) | $5 | $10 | 0.8× |
| T4 Free (84439) | $145 | $290 | 16.1× |
| T4 total (84436) | $14.50 | $29 | 2.1× |
| T4-neonatal (84437) | $14.50 | $29 | 2.2× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$90–$164.50 | $180–$329 | varies |
| Test for acetone/ketones (82009) | $84 | $168 | 18.6× |
| Testosterone Bioavailable (84410) | $61 | $122 | 1.2× |
| Testosterone total (84403) range across 2 matching MRF lines |
$32–$480.30 | $64–$960.60 | varies |
| Testosterone, Free (84402) | $31.50 | $63 | 1.2× |
| Tgsap so/hl 51/< RNA alys (81456) | $1,804.50 | $3,609 | 0.6× |
| Theophylline (80198) | $111 | $222 | 7.9× |
| Thiocyanate (84430) | $59 | $118 | 5.1× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$19.50–$34.50 | $39–$69 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $59 | $118 | 9.1× |
| Thyroglobulin (84432) | $16.50 | $33 | 1.0× |
| Thyroglobulin Antibody (86800) | $23 | $46 | 1.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $62 | $124 | 1.2× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $296.50 | $593 | 5.9× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) | $589 | $1,178 | 8.8× |
| Thyroxine binding globulin (84442) | $25.50 | $51 | 1.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $14 | $28 | 1.2× |
| Tissue Culture Amniotic Fluid (88235) | $309.50 | $619 | 2.1× |
| Tissue culture bone marrow (88237) | $171.50 | $343 | 1.2× |
| Tissue Culture Lymphocyte (88230) | $249.50 | $499 | 2.1× |
| Tobramycin peak (80200) | $81.50 | $163 | 5.1× |
| Topiramate (80201) | $40 | $80 | 3.4× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$18.33–$37.50 | $36.65–$75 | varies |
| Toxoplasma antibody (86777) | $18 | $36 | 1.3× |
| Tp53 gene analysis full gene sequence (81351) | $513 | $1,026 | 0.8× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$34–$35.50 | $68–$71 | varies |
| Transferrin (84466) | $96 | $192 | 7.5× |
| Trg gene rearrangement anal (81342) | $397.50 | $795 | 2.0× |
| Trichomonas Vaginalis Amplif (87661) | $51 | $102 | 1.5× |
| Triglycerides (84478) range across 2 matching MRF lines |
$41.50–$69 | $83–$138 | varies |
| Troponin Quant (84484) | $52 | $104 | 4.2× |
| Tumor immunohistochem/comput (88361) | $286.50 | $573 | 0.9× |
| Tumor Immunohistochem/Manual (88360) | $319.50 | $639 | 2.1× |
| Urea nitrogen urine (84540) | $52.50 | $105 | 9.4× |
| Uric acid other source (84560) | $53 | $106 | 10.4× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $21.50 | $43 | 9.9× |
| Urinalysis Volume Measure (81050) | $65 | $130 | 17.9× |
| Urine Pregnancy Test (81025) | $51 | $102 | 5.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $15 | $30 | 4.7× |
| Valproic acid (80164) | $106.50 | $213 | 7.9× |
| Vancomycin (80202) | $101 | $202 | 7.5× |
| Varicella-zoster antibody (86787) | $30 | $60 | 2.3× |
| Vasopressin (84588) range across 2 matching MRF lines |
$47–$61.11 | $94–$122.22 | varies |
| Very Long Chain Fatty Acids (82726) | $15.50 | $31 | 0.8× |
| Viral Culture (87252) | $59 | $118 | 2.3× |
| Virus antibody nos (86790) range across 5 matching MRF lines |
$91–$366.09 | $182–$732.18 | varies |
| Virus inoculation, shell via (87254) | $83.50 | $167 | 4.3× |
| Viscosity serum (85810) | $23.50 | $47 | 2.0× |
| Vit D 1 25-Dihydroxy (82652) | $48.50 | $97 | 1.3× |
| Vitamin A (84590) | $29 | $58 | 2.5× |
| Vitamin b-12 (82607) | $99.50 | $199 | 6.6× |
| Vitamin B2 (Riboflavin) (84252) | $100.50 | $201 | 5.0× |
| Vitamin B6 (84207) | $35 | $70 | 1.2× |
| Vitamin c (82180) | $38 | $76 | 3.8× |
| Vitamin D 25-Hydroxy (82306) | $42 | $84 | 1.4× |
| Vitamin E (84446) | $29 | $58 | 2.0× |
| Vitamin K (84597) | $100.50 | $201 | 7.3× |
| Volatiles (84600) | $53 | $106 | 3.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 2 matching MRF lines |
$57.50–$202.50 | $115–$405 | varies |
| Von willebrand factor ag (85246) | $27.50 | $55 | 1.2× |
| West nile virus ab igm (86788) | $18 | $36 | 1.1× |
| West Nile Virus Antibody (86789) | $25.50 | $51 | 1.8× |
| Western Blot Test (84181) | $116 | $232 | 6.8× |
| Zinc (84630) range across 2 matching MRF lines |
$19.50–$36.65 | $39–$73.30 | 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.