Lab & pathology prices at St. Francis Hospital, Roslyn
Roslyn, NY · every code in this section with a posted price and a Medicare benchmark.
733 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | — | $281 | — |
| 17-Hydroxypregnenolone (84143) | — | $177 | — |
| 5 Nucleotidase (83915) | — | $148 | — |
| Acetylcholine receptor binding antibody (86041) | — | $100 | — |
| Acetylcholine receptor blocking antibody (86042) | — | $37 | — |
| Acetylcholinesterase Assay (82013) | — | $381 | — |
| Acetylcholn Rcptr Modlg Antb (86043) | — | $24 | — |
| Acth (82024) | — | $805 | — |
| Acute hepatitis panel (80074) | — | $625 | — |
| Acylcarnitines Quant (82017) | — | $268 | — |
| Adenovirus antibody (86603) | — | $185 | — |
| Agglutinins Febrile Each Antigen (86000) range across 2 matching MRF lines |
— | $35–$133 | — |
| Albumin Fluid (82042) | — | $135 | — |
| Albumin ischemia modified (82045) | — | $200 | — |
| Albumin serum (82040) | — | $128 | — |
| Aldolase (82085) | — | $205 | — |
| Aldosterone urine (82088) range across 2 matching MRF lines |
— | $82–$807 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $230 | — |
| Allergen specific ige (86003) range across 3 matching MRF lines |
— | $39–$49 | — |
| Allg Spec Ige Recomb Ea (86008) | — | $49 | — |
| Alpha-1-antitrypsin phenotype (82104) | — | $264 | — |
| Alpha-1-antitrypsin total (82103) | — | $265 | — |
| Alpha-Fetoprotein Amniotic Fluid (82106) | — | $249 | — |
| Alpha-Fetoprotein Serum (82105) | — | $375 | — |
| Alt (sgpt) (84460) | — | $161 | — |
| Aluminum (82108) | — | $580 | — |
| Amikacin trough (80150) | — | $334 | — |
| Amino Acids 1 Quantitative Each Specimen (82131) | — | $270 | — |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | — | $1,343 | — |
| Amino Acids Multiple Qualitative Each Specimen (82128) | — | $580 | — |
| Amino Acids Quant 2-5 (82136) | — | $161 | — |
| Amino acids; single, qualitative, each specimen Facility (82127) | — | $144 | — |
| Aminolevulinic acid (ala) (82135) | — | $138 | — |
| Ammonia (82140) | — | $151 | — |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | — | $178 | — |
| Amylase urine (82150) range across 5 matching MRF lines |
— | $132–$146 | — |
| Ana Titer (86039) | — | $14 | — |
| Androstenedione (82157) | — | $663 | — |
| Angiotensin converting enzyme csf (82164) | — | $336 | — |
| Anti-Phospholipid Antibody (86148) range across 3 matching MRF lines |
— | $87–$261 | — |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
— | $30–$185 | — |
| Antibody Bacterium Not Elsewhere Specified (86609) | — | $30 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | — | $501 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) | — | $978 | — |
| Antibody Encephalitis California La Crosse (86651) | — | $136 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | — | $266 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | — | $266 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | — | $337 | — |
| Antibody Fungus Not Elsewhere Specified (86671) | — | $437 | — |
| Antibody helicobacter pylori (86677) | — | $579 | — |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
— | $234–$721 | — |
| Antibody Herpes Smplx Type 1 (86695) | — | $113 | — |
| Antibody HIV-1&HIV-2 single result (86703) | — | $208 | — |
| Antibody htlv/HIV antibody confirmatory test (86689) | — | $392 | — |
| Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines |
— | $120–$217 | — |
| Antibody Identification Platelet Immunogl Assay (86023) | — | $575 | — |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
— | $86–$600 | — |
| Antibody Titer (86886) | — | $391 | — |
| Antibody Treponema Pallidum (86780) | — | $177 | — |
| Antibody yersinia (86793) | — | $182 | — |
| Antibody; encephalitis, st. louis (86653) | — | $136 | — |
| Antibody; influenza virus (86710) | — | $181 | — |
| Antigen typing (86905) | — | $1,036 | — |
| Antinomyces antibody (86602) | — | $223 | — |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
— | $25–$200 | — |
| Antistreptolysin o titer (86060) | — | $236 | — |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
— | $30–$705 | — |
| Antithrombin iii antigen (85301) | — | $505 | — |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
— | $28–$218 | — |
| Arsenic (82175) | — | $152 | — |
| Aspa gene analysis common variants (81200) | — | $132 | — |
| Aspergillus ag eia (87305) | — | $237 | — |
| Assay activated protein c (85307) | — | $659 | — |
| Assay Blood Carbon Dioxide (82374) | — | $194 | — |
| Assay Nephelometry Not Spec (83883) range across 5 matching MRF lines |
— | $139–$412 | — |
| Assay of 5-hiaa (83497) | — | $303 | — |
| Assay of anti-mullerian hormone (82166) | — | $77 | — |
| Assay of blood/uric acid (84550) | — | $161 | — |
| Assay of calcium in urine (82340) | — | $88 | — |
| Assay of corticosterone (82528) | — | $590 | — |
| Assay of estrone (82679) | — | $293 | — |
| Assay of feces for trypsin (84490) | — | $105 | — |
| Assay of g6pd enzyme (82955) range across 3 matching MRF lines |
— | $66–$194 | — |
| Assay of gammaglobulin igm (82784) range across 11 matching MRF lines |
— | $251–$277 | — |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
— | $287–$316 | — |
| Assay of manganese (83785) | — | $226 | — |
| Assay of metanephrines (83835) | — | $178 | — |
| Assay of phosphatase acid total (84060) | — | $223 | — |
| Assay of phosphatase alkaline heat stable (84078) | — | $294 | — |
| Assay of proinsulin (84206) | — | $491 | — |
| Assay of pyruvate (84210) | — | $304 | — |
| Assay of serotonin (84260) | — | $956 | — |
| Assay of serum potassium (84132) | — | $171 | — |
| Assay of Sialic Acid (84275) | — | $161 | — |
| Assay of sweat sodium (84302) | — | $143 | — |
| Assay of urea nitrogen (84520) | — | $171 | — |
| Assay of urine vma (84585) | — | $346 | — |
| Assay of vasoactive intestinal peptide (84586) | — | $572 | — |
| Assay of vitamin b-1 (84425) | — | $295 | — |
| Assay Ph Body Fluid Nos (83986) | — | $58 | — |
| Assay spec xcp ur&breath ia (82077) | — | $35 | — |
| Asy carbamazepin 10,11-epxid (80161) | — | $38 | — |
| Autol bld/component collj storage salvage (86891) | — | $1,969 | — |
| Automated Leukocyte Count (85048) | — | $39 | — |
| B cells total count (86355) | — | $103 | — |
| Bacterial antigens 87802 (87802) | — | $42 | — |
| Bartonella antibody (86611) | — | $17 | — |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
— | $175–$412 | — |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
— | $175–$412 | — |
| Beta 2 glycoprotein i antibody each (86146) | — | $320 | — |
| Beta hydroxybutyrate (82010) | — | $219 | — |
| Beta-2 Microglobulin (82232) | — | $302 | — |
| Beta-amyloid 1-40 (abeta 40) (82233) | — | $562 | — |
| Beta-amyloid; 1-42 (abeta 42) (82234) | — | $563 | — |
| Bile acids total (82239) | — | $418 | — |
| Bilirubin direct (82248) | — | $134 | — |
| Bilirubin total (82247) | — | $82 | — |
| Bilirubin; feces, qualitative Facility (82252) | — | $34 | — |
| Bl Smear W/O Diff Wbc Count (85008) | — | $93 | — |
| Blastomyces antibody (86612) | — | $245 | — |
| Bleeding time test (85002) | — | $140 | — |
| Blood Count Manual Cell Count Each (85032) | — | $101 | — |
| Blood Count Red Blood Cell Automated (85041) | — | $21 | — |
| Blood count reticulocyte automated (85045) | — | $66 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | — | $114 | — |
| Blood gas (82803) range across 3 matching MRF lines |
— | $215–$237 | — |
| Blood gases w/02 saturation (82805) | — | $215 | — |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | — | $49 | — |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | — | $162 | — |
| Blood typing serologic abo (86900) | — | $350 | — |
| Body fluid cell count (89050) | — | $77 | — |
| Bordetella antibody (86615) | — | $180 | — |
| Borrelia Antibody (86619) | — | $180 | — |
| Braf gene analysis (81210) | — | $1,335 | — |
| Breath Alcohol Test (82075) | — | $150 | — |
| Brucella antibody (86622) | — | $118 | — |
| C diff amplified probe (87493) | — | $225 | — |
| C-Peptide (84681) | — | $411 | — |
| C-reactive protein (86140) | — | $168 | — |
| Ca 19-9 (86301) | — | $480 | — |
| Cadmium (82300) | — | $221 | — |
| Caffeine (80155) | — | $197 | — |
| Calcitonin (82308) | — | $615 | — |
| Calcium ionized (82330) | — | $114 | — |
| Calcium total (82310) | — | $134 | — |
| Calculus assay quant (82360) | — | $136 | — |
| Calprotectin Fecal (83993) | — | $321 | — |
| Calr gene com variants (81219) range across 2 matching MRF lines |
— | $624–$1,000 | — |
| Cancer Antigen 125 (86304) | — | $480 | — |
| Cancer Antigen 27.29 (86300) | — | $435 | — |
| Candida antibody (86628) | — | $255 | — |
| Candida Dna Dir Probe (87480) | — | $76 | — |
| Carbamazepine free (80157) | — | $170 | — |
| Carbamazepine total (80156) | — | $279 | — |
| Carboxyhemoglobin (82375) | — | $186 | — |
| Carcinoembryonic antigen (82378) | — | $424 | — |
| Cardiolipin ab iga (86147) | — | $578 | — |
| Carnitine Quantitative Each Specimen (82379) | — | $352 | — |
| Carotene (82380) | — | $273 | — |
| Catecholamines fractionated (82384) | — | $602 | — |
| Cell count csf (89051) range across 2 matching MRF lines |
— | $56–$671 | — |
| Ceruloplasmin (82390) | — | $219 | — |
| Cftr Gene Analysis Known Familial Variants (81221) | — | $344 | — |
| Cftr gene com variants (81220) range across 3 matching MRF lines |
— | $135–$1,512 | — |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
— | $21–$960 | — |
| Chlamydia antibody (86631) | — | $153 | — |
| Chlamydia Igm Antibody (86632) | — | $153 | — |
| Chloramphenicol level (82415) | — | $239 | — |
| Chloride other source (82438) | — | $437 | — |
| Chloride Serum (82435) | — | $146 | — |
| Chloride urine (82436) | — | $107 | — |
| Cholesterol total (82465) | — | $219 | — |
| Cholinesterase rbc (82482) | — | $156 | — |
| Cholinesterase Serum (82480) | — | $673 | — |
| Chorionic gonadotropin test (84702) | — | $428 | — |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | — | $3,902 | — |
| Chrmsm Analysis Addl High Resolution Study (88289) | — | $258 | — |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | — | $360 | — |
| Chromium serum (82495) | — | $158 | — |
| Chromogranin a (86316) range across 2 matching MRF lines |
— | $201–$406 | — |
| Chromosome Analysis 15-20 (88262) range across 4 matching MRF lines |
— | $256–$2,253 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 5 matching MRF lines |
— | $37.50–$310 | — |
| Citric acid urine (82507) | — | $563 | — |
| Ckmb (82553) | — | $146 | — |
| Clostridium Difficile (87324) | — | $301 | — |
| Clot Factor VIII Multimetric (85247) | — | $489 | — |
| Clot factor xiii fibrin stab (85290) | — | $317 | — |
| Clotting factor viii related antigen (85244) | — | $214 | — |
| Clotting factor xii hageman (85280) | — | $556 | — |
| Clotting Funct Activity (85397) | — | $383 | — |
| Coagulation time activated (85347) | — | $64 | — |
| Coccidioides antibody (86635) | — | $265 | — |
| Cold agglutinin titer (86157) | — | $429 | — |
| Collagen crosslinks (82523) | — | $721 | — |
| Column Chromotography Quant (82542) range across 11 matching MRF lines |
— | $85–$1,500 | — |
| Compatibility test antiglob (86922) | — | $517 | — |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
— | $13–$416 | — |
| Complement Total (Ch50) (86162) | — | $472 | — |
| Complement/Function Activity (86161) | — | $347 | — |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | — | $377 | — |
| Coombs direct (86880) range across 2 matching MRF lines |
— | $205–$250 | — |
| Copper urine (82525) | — | $245 | — |
| Cortisol free (82530) | — | $291 | — |
| Cortisol saliva (82533) | — | $204 | — |
| Creatine kinase total (82550) | — | $106 | — |
| Creatinine blood (82565) | — | $134 | — |
| Creatinine clearance (82575) | — | $328 | — |
| Creatinine Urine (82570) range across 5 matching MRF lines |
— | $15–$360 | — |
| Crossmatch electronic (86923) | — | $491 | — |
| Crossmatch immediate spin (86920) | — | $391 | — |
| Crp High Sensitivity (86141) | — | $239 | — |
| Cryofibrinogen (82585) | — | $88 | — |
| Cryoglobulin (82595) | — | $117 | — |
| Cryptococcus ab (86641) range across 3 matching MRF lines |
— | $40–$140 | — |
| Cryptococcus ag titer (87899) | — | $232 | — |
| Cryptosporidium ag eia (87328) | — | $178 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | — | $134 | — |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 2 matching MRF lines |
— | $30–$97 | — |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) range across 2 matching MRF lines |
— | $417–$680 | — |
| Culture afb (87116) | — | $33 | — |
| Culture Anaerobic (87075) | — | $293 | — |
| Culture blood (87040) | — | $288 | — |
| Culture chlamydia (87110) | — | $447 | — |
| Culture csf (87070) | — | $306 | — |
| Culture fungus (87102) range across 2 matching MRF lines |
— | $33–$259 | — |
| Culture fungus blood (87103) | — | $30 | — |
| Culture screen only (87081) | — | $79 | — |
| Culture stool (87045) | — | $307 | — |
| Culture Typing Gas/High Pres Liq Chromatography (87143) range across 2 matching MRF lines |
— | $8–$30 | — |
| Culture typing if ea antiserum (87140) range across 5 matching MRF lines |
— | $14–$228 | — |
| Cyanide (82600) | — | $163 | — |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | — | $193 | — |
| Cyclic amp (82030) | — | $677 | — |
| Cyclosporine (80158) | — | $688 | — |
| Cyp2c19 gene analysis common variants (81225) range across 2 matching MRF lines |
— | $132–$625 | — |
| Cystatin C (82610) | — | $773 | — |
| Cytogenetics 10-30 (88273) | — | $151 | — |
| Cytogenetics 100-300 (88275) | — | $347 | — |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | — | $2,400 | — |
| Cytomegalovirus igg (86644) | — | $336 | — |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | — | $256 | — |
| Cytopath Cell Enhance Tech (88112) | — | $328 | — |
| Cytopath Fl Nongyn Filter (88106) | — | $103 | — |
| Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) | — | $86 | — |
| Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) | — | $61 | — |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | — | $133 | — |
| Cytp Concentration Smears & Interpretation (88108) | — | $158 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | — | $574 | — |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | — | $517 | — |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | — | $222 | — |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | — | $856 | — |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | — | $219 | — |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | — | $111 | — |
| Deoxycortisol (82634) | — | $271 | — |
| Deoxyribonuclease antibody (86215) | — | $444 | — |
| Detect Agent Nos Dna Amp (87798) range across 14 matching MRF lines |
— | $330–$881 | — |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
— | $300–$876 | — |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
— | $135–$174 | — |
| Dhea (82626) | — | $876 | — |
| Dhea-S (82627) | — | $545 | — |
| Dibucaine number (82638) | — | $280 | — |
| Digoxin (80162) | — | $169 | — |
| Diphtheria antitoxoid (86648) | — | $242 | — |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
— | $25–$326 | — |
| Dna Antibody Single Stranded (86226) | — | $259 | — |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
— | $8–$30 | — |
| Drug assay acetaminophen (80143) | — | $37 | — |
| Drug Assay Amiodarone (80151) | — | $42 | — |
| Drug assay felbamate (80167) | — | $57 | — |
| Drug Assay Itraconazole (80189) | — | $174 | — |
| Drug Assay Leflunomide (80193) | — | $86 | — |
| Drug assay voriconazole (80285) | — | $42 | — |
| Drug Screen Quant Zonisamide (80203) | — | $389 | — |
| Drug Screen Quantitative Gabapentin (80171) | — | $243 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $198 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $696 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) | — | $674 | — |
| Drug Screen Quantitative Procainamide Metabolite (80192) | — | $149 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 15 matching MRF lines |
— | $14–$452 | — |
| Drug Test Prsmv Dir Opt Obs (80305) range across 15 matching MRF lines |
— | $58.75–$124 | — |
| Egfr Gene Analysis Common Variants (81235) | — | $2,850 | — |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
— | $86–$225 | — |
| Electrolyte panel (80051) | — | $118 | — |
| Electron Microscopy (88348) | — | $1,969 | — |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | — | $290 | — |
| Encephaltis East Eqne Anbdy (86652) | — | $136 | — |
| Encephaltis West Eqne Antbdy (86654) | — | $201 | — |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
— | $27–$195 | — |
| Enterovirus PCR (87498) | — | $1,539 | — |
| Enzyme cell activity (82657) range across 3 matching MRF lines |
— | $265–$448 | — |
| Enzyme histochemistry (88319) | — | $1,969 | — |
| Eosinophil Smear (89190) | — | $97 | — |
| Erythropoietin (82668) | — | $412 | — |
| Estradiol serum (82670) | — | $641 | — |
| Estriol (82677) | — | $574 | — |
| Estrogen total (82672) | — | $658 | — |
| Estrogens fractionated (82671) | — | $391 | — |
| Ethosuximide (80168) | — | $281 | — |
| Ethylene Glycol (82693) | — | $249 | — |
| Euglobulin lysis (85360) | — | $136 | — |
| Exam Synovial Fluid Crystals (89060) | — | $80 | — |
| F2 Gene (81240) | — | $139 | — |
| Factor ii activity (85210) | — | $384 | — |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
— | $368–$698 | — |
| Factor ix activity (85250) | — | $620 | — |
| Factor v activity (85220) | — | $624 | — |
| Factor v leiden mutation (81241) | — | $136 | — |
| Factor vii assay (85230) | — | $560 | — |
| Factor viii assay (85240) | — | $560 | — |
| Factor X (85260) | — | $522 | — |
| Factor xi activity (85270) | — | $560 | — |
| Factor xiii screen (85291) | — | $227 | — |
| Fatty acids free (82725) | — | $331 | — |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | — | $1,148 | — |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | — | $480 | — |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | — | $223 | — |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | — | $280 | — |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
— | $31–$107 | — |
| Ferritin (82728) | — | $275 | — |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | — | $167 | — |
| Fetal Fibronectin (82731) | — | $840 | — |
| Fetal hemoglobin assay qual (83033) range across 2 matching MRF lines |
— | $67–$122 | — |
| Fetal screen rosette (85461) | — | $85 | — |
| Fibrin degradation products (85362) | — | $362 | — |
| Fibrin Degradation Quant (85379) | — | $218 | — |
| Fibrinogen activity (85384) | — | $219 | — |
| Flecainide level (80181) | — | $40 | — |
| Flow cytometry first marker (88184) | — | $823 | — |
| Flt3 Gene (81245) | — | $600 | — |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
— | $314–$1,887 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 23 matching MRF lines |
— | $64–$667 | — |
| Fluoride serum (82735) | — | $190 | — |
| Fmr1 Gene Charac Alleles (81244) | — | $130 | — |
| Fmr1 gene detection (81243) | — | $803 | — |
| Folic acid rbc (82747) | — | $356 | — |
| Folic Acid Serum (82746) | — | $255 | — |
| Follicle Stimulating Hormone (83001) | — | $384 | — |
| Francisella tularensis (86668) | — | $437 | — |
| Fresh Frozen Plasma Thawing Each Unit (86927) | — | $391 | — |
| Frozen Section (88331) | — | $569 | — |
| Fungi Identification Mold (87107) range across 3 matching MRF lines |
— | $8–$35 | — |
| Fungi Identification Yeast (87106) range across 3 matching MRF lines |
— | $8–$120 | — |
| Gammaglobulin ige (82785) | — | $350 | — |
| Gardner vag DNA dir probe (87510) range across 2 matching MRF lines |
— | $76–$885 | — |
| Gases Blood O2 Saturation Only Direct Meas (82810) | — | $121 | — |
| Gastrin (82941) | — | $318 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
— | $1,110–$1,869 | — |
| Genet Virus Isolate Hsv (87255) | — | $80 | — |
| Genetic Tstg Severe Inh Cond (81443) | — | $7,345 | — |
| Gentamicin (80170) | — | $164 | — |
| Ggt (82977) | — | $142 | — |
| Giardia antigen (87329) range across 4 matching MRF lines |
— | $30–$149 | — |
| Glucagon (82943) | — | $214 | — |
| Glucose 2 hr pp (82950) | — | $158 | — |
| Glucose Blood Test (82962) | — | $39 | — |
| Glucose body fluid (82945) | — | $124 | — |
| Glucose Serum (82947) range across 6 matching MRF lines |
— | $88–$156 | — |
| Glucose tolerance test (gtt) (82951) | — | $325 | — |
| Glycated Protein (82985) | — | $316 | — |
| Gonadotropin Chorionic Qualitative (84703) | — | $357 | — |
| Growth hormone (83003) | — | $332 | — |
| Growth Stimulation Gene 2 (83006) | — | $233 | — |
| Gtt-added samples (82952) | — | $325 | — |
| Haloperidol (80173) | — | $218 | — |
| Haptoglobin (83010) | — | $280 | — |
| Hba1/Hba2 Gene (81257) | — | $540 | — |
| Hdl Cholesterol (83718) | — | $104 | — |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
— | $100–$404 | — |
| Helminth Antibody (86682) range across 5 matching MRF lines |
— | $288–$560 | — |
| Hemagglutination Inhibition (86280) | — | $111 | — |
| Hematocrit (85014) | — | $98 | — |
| Hemoglobin (85018) range across 4 matching MRF lines |
— | $3–$98 | — |
| Hemoglobin a1c (83036) | — | $416 | — |
| Hemoglobin Chromotography (83021) | — | $102 | — |
| Hemoglobin Methemoglobin Quantitative (83050) | — | $184 | — |
| Hemoglobin plasma (83051) | — | $245 | — |
| Hemolysin Acid (85475) | — | $275 | — |
| Hemosiderin urine (83070) | — | $93 | — |
| Hep a ab igm (86709) | — | $199 | — |
| Heparin assay (85520) | — | $1,317 | — |
| Hepatitis a antibody total (86708) | — | $205 | — |
| Hepatitis b core ab igm (86705) | — | $192 | — |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
— | $13–$33 | — |
| Hepatitis B Surface Antibody (86706) | — | $211 | — |
| Hepatitis B Surface Antigen (87340) | — | $163 | — |
| Hepatitis Be Antibody (86707) | — | $155 | — |
| Hepatitis Be Antigen (87350) | — | $168 | — |
| Hepatitis C Antibody (86803) | — | $369 | — |
| Hepatitis c antibody confirmatory test (86804) | — | $393 | — |
| Hepatitis C Genotype (87902) | — | $2,694 | — |
| Hepatitis C Probe&Rvrs Trnsc (87521) | — | $478 | — |
| Hepatitis C Revrs Trnscrpj (87522) | — | $607 | — |
| Hepatitis delta ag (87380) | — | $314 | — |
| Hepatitis Delta Agent Antibody (86692) | — | $181 | — |
| Herpes simplex type 2 (86696) | — | $113 | — |
| Heterophile antibodies titer (86309) | — | $100 | — |
| Heterophile Antibody Screen (86308) | — | $255 | — |
| Hfe Gene (81256) | — | $171 | — |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | — | $194 | — |
| Histamine urine (83088) range across 2 matching MRF lines |
— | $93–$412 | — |
| Histoplasma antibody (86698) | — | $220 | — |
| Histoplasma antigen urine (87385) | — | $216 | — |
| Hiv Genotype (87901) | — | $1,954 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | — | $72 | — |
| Hiv-1 Antibody (86701) | — | $264 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | — | $891 | — |
| HIV-2 probe&revrse trnscripj (87538) | — | $495 | — |
| Hla class ii typing high resolution one locus ea (81382) | — | $348 | — |
| Hla Typing a/B/C Multiple Antigens (86813) | — | $781 | — |
| Hla-b27 (86812) | — | $413 | — |
| Homocysteine (83090) | — | $362 | — |
| Homogenization Tissue (87176) | — | $60 | — |
| Homovanillic acid urine (83150) | — | $195 | — |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
— | $100–$582 | — |
| Hpv Types 16 & 18 Only (87625) | — | $100 | — |
| Hsv Dna Amp Probe (87529) | — | $736 | — |
| Human Epididymis Protein 4 (86305) | — | $393 | — |
| Hydroxycorticosteroids 17 (83491) | — | $370 | — |
| Hydroxyprogesterone 17-d (83498) | — | $561 | — |
| Hydroxyproline free (83500) | — | $428 | — |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | — | $111 | — |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | — | $200 | — |
| Iaad ia shiga-like toxin (87427) | — | $64 | — |
| Iaad Ia Streptococcus Group A (87430) | — | $110 | — |
| Iaadi inffluenza a virus (87276) | — | $163 | — |
| Iaadi parainfluenza virus each type (87279) | — | $40 | — |
| Iadna Bartonella Amplified Probe Technique (87471) | — | $482 | — |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | — | $1,091 | — |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
— | $270–$348 | — |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | — | $150 | — |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) range across 2 matching MRF lines |
— | $121–$158 | — |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
— | $250–$1,425 | — |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
— | $140–$899 | — |
| Iadna Hepatitis B Virus Quantification (87517) | — | $455 | — |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
— | $330–$495 | — |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | — | $879 | — |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
— | $150–$533 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 5 matching MRF lines |
— | $37.50–$310 | — |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | — | $115 | — |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | — | $480 | — |
| Igg subclasses (82787) range across 2 matching MRF lines |
— | $111–$1,579 | — |
| Igh gene rearrange amp meth (81261) | — | $1,200 | — |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | — | $3,000 | — |
| Ikbkap Gene Analysis Common Variants (81260) | — | $132 | — |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | — | $823 | — |
| Immune Complex Assay (86332) | — | $988 | — |
| Immunfix e-phorsis/urine/csf (86335) | — | $241 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 3 matching MRF lines |
— | $75–$216 | — |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
— | $25–$268 | — |
| Immunodiffusion not elsewhere specified (86329) | — | $179 | — |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
— | $30–$211 | — |
| Immunofixation electrophoresis (86334) | — | $264 | — |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 4 matching MRF lines |
— | $391–$667 | — |
| Immunohistochemistry (88342) | — | $762 | — |
| In situ hybridization 1st probe stain (88365) | — | $862 | — |
| In situ hybridization ea multiplex probe stain (88366) | — | $1,280 | — |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | — | $150 | — |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | — | $163 | — |
| Influenza DNA amp probe (87502) | — | $287 | — |
| Inhibin A (86336) | — | $582 | — |
| Inhibin b (83520) range across 23 matching MRF lines |
— | $207–$920 | — |
| Insitu hybridization manual (88368) | — | $823 | — |
| Insulin antibodies (86337) | — | $225 | — |
| Insulin total (83525) | — | $229 | — |
| Intrinsic factor antibody (86340) | — | $387 | — |
| Iron (83540) | — | $171 | — |
| Iron Binding Capacity (83550) | — | $171 | — |
| Irradiation Blood Product Each Unit (86945) | — | $157 | — |
| Islet cell antibody (86341) | — | $277 | — |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
— | $432–$624 | — |
| Jak2 Gene Trgt Sequence Alys (81279) | — | $624 | — |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | — | $1,867 | — |
| Koh Prep (87220) range across 3 matching MRF lines |
— | $10–$88 | — |
| Kras Gene Variants Exon 2 (81275) | — | $1,360 | — |
| L/s ratio (83661) | — | $575 | — |
| Lactate (ld) (ldh) enzyme (83615) | — | $106 | — |
| Lactoferrin fecal qualitative (83630) | — | $507 | — |
| Ldh Isoenzymes (83625) | — | $223 | — |
| LDL direct (83721) | — | $306 | — |
| Lead (83655) | — | $213 | — |
| Legionella antibody (86713) | — | $372 | — |
| Legionella antigen urine (87449) | — | $102 | — |
| Leptospira antibody (86720) | — | $181 | — |
| Leucine Aminopeptidase Lap (83670) | — | $97 | — |
| Leukocyte Assessment Fecal (89055) | — | $31 | — |
| Leukocyte transfusion (86950) | — | $5,109 | — |
| Level I Surg Pathology Gross Examination Only (88300) | — | $123 | — |
| Level ii surg pathology grossµscopic exam (88302) | — | $352 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $1,427 | — |
| Lidocaine (80176) | — | $190 | — |
| Lipase (83690) | — | $214 | — |
| Lipoprotein A (83695) range across 2 matching MRF lines |
— | $28–$181 | — |
| Lipoprotein Bld Quan Part (83704) | — | $104 | — |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | — | $142 | — |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | — | $583 | — |
| Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) | — | $169 | — |
| Lipoprotein-Associated Phospholipase A2 (83698) | — | $465 | — |
| Lithium (80178) | — | $190 | — |
| Luteinizing Hormone (Lh) (83002) | — | $424 | — |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
— | $86–$185 | — |
| Lymphocyte transformation (86353) | — | $1,643.20 | — |
| Lysozyme serum (85549) | — | $215 | — |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | — | $391 | — |
| Magnesium Urine (83735) range across 2 matching MRF lines |
— | $146–$161 | — |
| Mass Spectrometry Quant (83789) | — | $86 | — |
| Mercury urine (83825) | — | $506 | — |
| Methylmalonic acid serum (83921) | — | $324 | — |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
— | $15–$294 | — |
| Microsatellite instability (81301) | — | $1,455 | — |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
— | $25–$317 | — |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
— | $150–$318 | — |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
— | $320–$438 | — |
| Molecular Pathology Procedure Level 3 (81402) | — | $750 | — |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
— | $423–$869 | — |
| Mopath procedure level 7 (81406) | — | $4,000 | — |
| Mpl gene analysis sequence analysis exon 10 (81339) | — | $624 | — |
| Mrsa Pcr (87641) | — | $150 | — |
| Mthfr Gene Analysis Common Variants (81291) | — | $161 | — |
| Mumps antibody (86735) | — | $235 | — |
| Muscle-Specific Kinase Antb (86366) | — | $37 | — |
| Mycobacteric Identification (87118) | — | $30 | — |
| Mycophenolic Acid (80180) | — | $251 | — |
| Mycoplasma antibody (86738) | — | $211 | — |
| Mycoplasma culture (87109) | — | $197 | — |
| Myelin basic protein csf (83873) | — | $197 | — |
| Myoglobin urine (83874) | — | $295 | — |
| Natriuretic peptide (83880) | — | $602 | — |
| Neisseria Dir Na Probe (87590) | — | $158 | — |
| Nerve teasing preparations (88362) | — | $1,969 | — |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) range across 2 matching MRF lines |
— | $135–$174 | — |
| Nk cells total count (86357) | — | $387 | — |
| Nuclear antigen antibody (86235) range across 15 matching MRF lines |
— | $25–$262 | — |
| Occult blood feces (82272) range across 2 matching MRF lines |
— | $43–$63 | — |
| Occult Blood Other Sources (82271) | — | $63 | — |
| Oligoclonal bands (83916) | — | $461 | — |
| Organic acids urine (83918) range across 2 matching MRF lines |
— | $105–$207 | — |
| Osmolality serum (83930) | — | $89 | — |
| Osmolality Urine (83935) | — | $89 | — |
| Osmotic fragility rbc incubated (85557) | — | $140 | — |
| Osteocalcin (83937) | — | $241 | — |
| Ova and parasites smears (87177) range across 3 matching MRF lines |
— | $33–$336 | — |
| Oxalate urine (83945) | — | $154 | — |
| Pancreatic Elastase Fecal (82656) | — | $350 | — |
| Particle Agglut Antbdy Titr (86406) | — | $198 | — |
| Particle Agglutination Screen Each Antibody (86403) range across 4 matching MRF lines |
— | $35–$227 | — |
| Parvovirus antibody (86747) | — | $206 | — |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | — | $3,177 | — |
| Ph urine (81003) range across 2 matching MRF lines |
— | $48–$77 | — |
| Phenobarbital Level (80184) | — | $164 | — |
| Phenylalanine (84030) | — | $186 | — |
| Phenytoin (Dilantin) (80185) | — | $164 | — |
| Phenytoin free (80186) | — | $147 | — |
| Phosphatase alkaline (84075) | — | $186 | — |
| Phosphatidylglycerol (84081) | — | $179 | — |
| Phospholipid Neutralization Hexagonal (85598) | — | $24 | — |
| Phosphorus Serum (84100) | — | $98 | — |
| Phosphorus urine (84105) | — | $88 | — |
| Platelet Aggregation (85576) range across 4 matching MRF lines |
— | $255–$448 | — |
| Platelet Antibodies (86022) range across 7 matching MRF lines |
— | $323–$837 | — |
| Platelet count automated (85049) | — | $161 | — |
| Porphobilinogen, urine; quantitative (84110) | — | $103 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) | — | $293 | — |
| Potassium Urine (84133) | — | $98 | — |
| Prealbumin (84134) | — | $209 | — |
| Pregnanetriol (84138) | — | $524 | — |
| Pregnenolone (84140) | — | $323 | — |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | — | $460 | — |
| Primidone (80188) | — | $227 | — |
| Procalcitonin (Pct) (84145) | — | $165 | — |
| Progesterone (84144) | — | $346 | — |
| Prolactin (84146) | — | $447 | — |
| Protein body fluid (84157) | — | $134 | — |
| Protein C Activity (85303) | — | $620 | — |
| Protein c antigen (85302) | — | $705 | — |
| Protein Electrophoresis Urine (84166) | — | $168 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | — | $326 | — |
| Protein S Free (85306) | — | $533 | — |
| Protein s total (85305) | — | $705 | — |
| Protein total serum (84155) | — | $106 | — |
| Protein Total Urine (84156) | — | $106 | — |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | — | $255 | — |
| Protoporphyrin rbc quantitative (84202) range across 3 matching MRF lines |
— | $45–$337 | — |
| PSA free (84154) | — | $231 | — |
| Pth Intact (83970) range across 3 matching MRF lines |
— | $506–$752 | — |
| Pyruvate kinase (84220) | — | $413 | — |
| Q Fever Antibody (86638) range across 5 matching MRF lines |
— | $68–$306 | — |
| Quantiferon tb gold plus (86480) | — | $484 | — |
| Quantitative assay drug (80299) range across 21 matching MRF lines |
— | $121–$578 | — |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
— | $184–$281 | — |
| Quinidine (80194) | — | $230 | — |
| Rbc antibody elution (86860) | — | $391 | — |
| Rbc antibody identification (86870) | — | $1,046 | — |
| Rbc antibody screen (86850) | — | $351 | — |
| Reagent Strip/Blood Glucose (82948) | — | $58 | — |
| Renin activity plasma (84244) range across 2 matching MRF lines |
— | $33–$367 | — |
| Reptilase test (85635) | — | $264 | — |
| Resp virus 12-25 targets (87633) | — | $1,500 | — |
| Resp Virus 6-11 Targets (87632) | — | $803 | — |
| Reticulated Platelet Assay (85055) | — | $75 | — |
| Reticulocyte Count (85046) | — | $102 | — |
| Reticulocyte Count Manual (85044) | — | $74 | — |
| Rh (86901) range across 2 matching MRF lines |
— | $159–$215 | — |
| Rheumatoid Factor Qualitative (86430) | — | $86 | — |
| Rheumatoid factor quant (86431) range across 4 matching MRF lines |
— | $13–$161 | — |
| Rickettsia antibody (86757) range across 5 matching MRF lines |
— | $25–$865 | — |
| Ristocetin cofactor (85245) | — | $338 | — |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
— | $120–$256 | — |
| Rpr qualitative (86592) | — | $108 | — |
| Rsv Assay W/Optic (87807) | — | $226 | — |
| Rubella Antibody (86762) | — | $218 | — |
| Rubeola antibody (86765) | — | $357 | — |
| Rufinamide (80210) | — | $168 | — |
| Russell Viper Venom Time Diluted (85613) | — | $222 | — |
| Salicylate Level (80179) | — | $37 | — |
| Salmonella antibody (86768) | — | $155 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 5 matching MRF lines |
— | $150–$405 | — |
| Sars-cov-2 COVID-19 antibody (86769) | — | $200 | — |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
— | $285–$525 | — |
| Sedimentation rate (85651) | — | $161 | — |
| Selenium (84255) | — | $281 | — |
| Sensitivity mic (87186) range across 5 matching MRF lines |
— | $109–$1,050 | — |
| Serpina 1 gene (81332) | — | $261 | — |
| Sex Hormone Binding Globulin (84270) | — | $316 | — |
| Sickling of rbc reduction (85660) | — | $162 | — |
| Sirolimus (80195) | — | $383 | — |
| Skin test tuberculosis intradermal (86580) | — | $68 | — |
| Smear acid fast (87206) range across 4 matching MRF lines |
— | $10–$236 | — |
| Smear complex stain (87209) range across 2 matching MRF lines |
— | $30–$75 | — |
| Smear gram stain (87205) range across 3 matching MRF lines |
— | $89–$148 | — |
| Smear Special Stain (87207) range across 6 matching MRF lines |
— | $29–$200 | — |
| Smn1 Gene Dos/Deletion Alys (81329) | — | $884 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) | — | $54 | — |
| Snrpn/Ube3a Methylation Analysis (81331) | — | $888 | — |
| Sodium Serum (84295) | — | $107 | — |
| Sodium Urine (84300) | — | $98 | — |
| Somatomedin (84305) | — | $843 | — |
| Special Stains Group 1 (88312) range across 4 matching MRF lines |
— | $158–$226 | — |
| Special Stains Group 2 (88313) | — | $352 | — |
| Specific gravity body fluid (84315) | — | $50 | — |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
— | $33–$369 | — |
| Spectrophotometry (84311) | — | $305 | — |
| Staph a DNA amp probe (87640) | — | $205 | — |
| Stool cultr aerobic bact ea (87046) | — | $52 | — |
| Strep a assay w/optic (87880) | — | $150 | — |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | — | $119 | — |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | — | $229 | — |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | — | $49 | — |
| Surg path level iii (88304) | — | $476 | — |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
— | $520–$775 | — |
| Surgical pathology level vi (88309) | — | $3,177 | — |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
— | $38–$200 | — |
| Susceptibility Study Antimicrobial Disk Method (87184) | — | $120 | — |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | — | $159 | — |
| Sweat Collection Iontophoresis (89230) | — | $337 | — |
| T cells absolute cd4 count (86361) | — | $362 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | — | $452 | — |
| T cells total count (86359) | — | $387 | — |
| T3 Free (84481) range across 2 matching MRF lines |
— | $736–$854 | — |
| T3 reverse (84482) | — | $345 | — |
| T3 Total (84480) | — | $130 | — |
| T3 Uptake (84479) | — | $326 | — |
| T4 Free (84439) range across 4 matching MRF lines |
— | $327–$653 | — |
| T4 total (84436) | — | $326 | — |
| T4-neonatal (84437) | — | $83 | — |
| Tacrolimus (80197) | — | $419 | — |
| Tau phosphorylated each (84393) | — | $900 | — |
| Test for acetone/ketones (82009) | — | $228 | — |
| Testosterone Bioavailable (84410) | — | $200 | — |
| Testosterone total (84403) | — | $538 | — |
| Testosterone, Free (84402) | — | $966 | — |
| Tetanus antibody (86774) | — | $228 | — |
| Theophylline (80198) | — | $164 | — |
| Thiocyanate (84430) | — | $143 | — |
| Thrombin Time (85670) | — | $299 | — |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 7 matching MRF lines |
— | $98–$154 | — |
| Thyroglobulin (84432) range across 2 matching MRF lines |
— | $21–$505 | — |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
— | $21–$327 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $1,334 | — |
| Thyroxine binding globulin (84442) | — | $186 | — |
| Tissue Culture (88233) | — | $773 | — |
| Tissue culture bone marrow (88237) | — | $1,748 | — |
| Tissue Culture Lymphocyte (88230) | — | $256 | — |
| Tobramycin peak (80200) | — | $165 | — |
| Topiramate (80201) | — | $346 | — |
| Toxoplasma ab igm (86778) | — | $246 | — |
| Toxoplasma antibody (86777) | — | $186 | — |
| Tpmt gene com variants (81335) | — | $360 | — |
| Transferase Aspartate Amino Ast Sgot (84450) | — | $134 | — |
| Transferrin (84466) | — | $229 | — |
| Trb@ Rearrangement Anal Amplification Method (81340) | — | $1,700 | — |
| Trichinella Antibody (86784) | — | $324 | — |
| Trichomonas vagin dir probe (87660) | — | $76 | — |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
— | $135–$174 | — |
| Triglycerides (84478) | — | $204 | — |
| Troponin Quant (84484) | — | $292 | — |
| Tumor Immunohistochem/Manual (88360) | — | $588 | — |
| Urea Nitrogen Clearance (84545) | — | $95 | — |
| Urea nitrogen urine (84540) | — | $65 | — |
| Uric acid other source (84560) | — | $159 | — |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
— | $49–$116 | — |
| Urine Bacteria Culture (87088) | — | $307 | — |
| Urine Pregnancy Test (81025) | — | $98 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $194 | — |
| Urobilinogen urine qual (84578) | — | $30 | — |
| Valproic acid (80164) | — | $320 | — |
| Vancomycin (80202) | — | $186 | — |
| Varicella-zoster antibody (86787) | — | $467 | — |
| Vasopressin (84588) | — | $328 | — |
| Very Long Chain Fatty Acids (82726) | — | $489 | — |
| Viral Culture (87252) range across 3 matching MRF lines |
— | $89–$160 | — |
| Virus antibody nos (86790) range across 10 matching MRF lines |
— | $27–$217 | — |
| Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) | — | $452 | — |
| Viscosity serum (85810) | — | $201 | — |
| Vit D 1 25-Dihydroxy (82652) | — | $1,036 | — |
| Vitamin A (84590) | — | $382 | — |
| Vitamin b-12 (82607) | — | $193 | — |
| Vitamin B2 (Riboflavin) (84252) | — | $150 | — |
| Vitamin B6 (84207) | — | $763 | — |
| Vitamin c (82180) | — | $146 | — |
| Vitamin D 25-Hydroxy (82306) | — | $982 | — |
| Vitamin E (84446) | — | $319 | — |
| Vitamin K (84597) | — | $934 | — |
| Volatiles (84600) | — | $238 | — |
| Von willebrand factor ag (85246) | — | $367 | — |
| Wbc Alkaline Phosphatase Count (85540) | — | $250 | — |
| West nile virus ab igm (86788) | — | $216 | — |
| West Nile Virus Antibody (86789) | — | $216 | — |
| Western Blot Test (84181) range across 6 matching MRF lines |
— | $167–$178 | — |
| Xm Archive Tissue Molec Anal (88363) | — | $68 | — |
| Xylose Absorption Test (84620) | — | $324 | — |
| Zika Virus Dna/Rna Amp Probe (87662) | — | $780 | — |
| Zika Virus Igm Antibody (86794) range across 2 matching MRF lines |
— | $300–$780 | — |
| Zinc (84630) | — | $205 | — |
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.