Lab & pathology prices at St. Johns Hospital
Springfield, IL · every code in this section with a posted price and a Medicare benchmark.
925 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $133.20 | $185 | 5.8× |
| 5 Nucleotidase (83915) | $156.96 | $218 | 14.1× |
| Abl1 gene analysis kinase domain variants (81170) | $925.20 | $1,285 | 3.1× |
| Acetylcholine receptor binding antibody (86041) | $197.28 | $274 | 10.7× |
| Acetylcholine receptor blocking antibody (86042) | $197.28 | $274 | 10.7× |
| Acetylcholinesterase Assay (82013) | $93.60 | $130 | 7.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $197.28 | $274 | 16.4× |
| Acth (82024) | $169.92 | $236 | 4.4× |
| Actin smooth muscle antibody each (86015) | $92.16 | $128 | 7.6× |
| Acute hepatitis panel (80074) range across 3 matching MRF lines |
$120.96–$440.64 | $168–$612 | varies |
| Acylcarnitines Quant (82017) | $224.64 | $312 | 13.3× |
| Adenovirus antibody (86603) | $109.44 | $152 | 8.5× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $347.04 | $482 | 5.4× |
| Agglutinins Febrile Each Antigen (86000) | $143.28 | $199 | 20.5× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$20.88–$30.96 | $29–$43 | varies |
| Albumin serum (82040) | $26.64 | $37 | 5.4× |
| Aldolase (82085) | $36.72 | $51 | 3.8× |
| Aldosterone urine (82088) | $131.76 | $183 | 3.2× |
| Alkaline phosphatase isoenzymes (84080) | $48.24 | $67 | 3.3× |
| Allergen specific ige (86003) range across 4 matching MRF lines |
$8.64–$91.44 | $12–$127 | varies |
| Allergen specific igg (86001) | $55.44 | $77 | 7.1× |
| Allg Spec Ige Recomb Ea (86008) | $19.44 | $27 | 1.1× |
| Alpha-1-antitrypsin phenotype (82104) | $184.32 | $256 | 12.7× |
| Alpha-1-antitrypsin total (82103) | $123.12 | $171 | 9.2× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $94.32 | $131 | 5.5× |
| Alpha-Fetoprotein Serum (82105) | $149.76 | $208 | 8.9× |
| Alt (sgpt) (84460) | $38.88 | $54 | 7.3× |
| Aluminum (82108) | $82.80 | $115 | 3.2× |
| Amikacin trough (80150) range across 2 matching MRF lines |
$87.84–$654.48 | $122–$909 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) | $37.44 | $52 | 1.6× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $322.56 | $448 | 19.1× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $99.36 | $138 | 7.0× |
| Aminolevulinic acid (ala) (82135) | $61.20 | $85 | 3.7× |
| Ammonia (82140) | $138.24 | $192 | 9.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $230.40 | $320 | 2.3× |
| Amylase urine (82150) | $86.40 | $120 | 13.3× |
| Ana Titer (86039) | $18 | $25 | 1.6× |
| Anca screen each antibody (86036) | $129.60 | $180 | 10.8× |
| Androstenedione (82157) | $94.32 | $131 | 3.2× |
| Angiotensin converting enzyme csf (82164) | $65.52 | $91 | 4.5× |
| Anti-Phospholipid Antibody (86148) | $81.36 | $113 | 5.1× |
| Antibody aspergillus (86606) | $90.72 | $126 | 6.0× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $82.08 | $114 | 6.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $56.16 | $78 | 3.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $110.88 | $154 | 6.6× |
| Antibody Encephalitis California La Crosse (86651) | $46.80 | $65 | 3.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $104.40 | $145 | 8.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $54.72 | $76 | 3.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $65.52 | $91 | 3.6× |
| Antibody Fungus Not Elsewhere Specified (86671) | $192.24 | $267 | 15.7× |
| Antibody haemophilus influenza (86684) | $102.24 | $142 | 6.5× |
| Antibody helicobacter pylori (86677) | $151.20 | $210 | 9.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $109.44 | $152 | 7.6× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$47.52–$86.40 | $66–$120 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $121.68 | $169 | 8.9× |
| Antibody HIV-2 (86702) | $125.28 | $174 | 9.3× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $653.04 | $907 | 2.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $98.64 | $137 | 5.1× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$82.80–$207.36 | $115–$288 | varies |
| Antibody john cunningham virus (86711) | $1,243.44 | $1,727 | 73.6× |
| Antibody leishmania (86717) | $81.36 | $113 | 6.6× |
| Antibody Lymphocytic Choriomeningitis (86727) | $85.68 | $119 | 6.7× |
| Antibody plasmodium malaria (86750) | $104.40 | $145 | 7.9× |
| Antibody Protozoa Nes (86753) | $70.56 | $98 | 5.7× |
| Antibody Titer (86886) | $216 | $300 | 41.7× |
| Antibody Treponema Pallidum (86780) | $114.48 | $159 | 8.6× |
| Antibody yersinia (86793) | $175.68 | $244 | 13.3× |
| Antibody; encephalitis, st. louis (86653) | $46.80 | $65 | 3.5× |
| Antibody; influenza virus (86710) | $43.20 | $60 | 3.2× |
| Antigen typing (86905) range across 2 matching MRF lines |
$393.84–$453.60 | $547–$630 | varies |
| Antinuclear antibodies (86038) | $55.44 | $77 | 4.6× |
| Antistreptolysin o titer (86060) | $77.04 | $107 | 10.6× |
| Antithrombin iii activity (85300) | $64.80 | $90 | 5.5× |
| Antithrombin iii antigen (85301) | $39.60 | $55 | 3.7× |
| Apolipoprotein a1 (82172) | $71.28 | $99 | 3.4× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $385.20 | $535 | 10.2× |
| Aquaporin-4 Antb Cba Each (86052) | $400.32 | $556 | 33.2× |
| Arsenic (82175) | $65.52 | $91 | 3.5× |
| Ashkenazi Jewish Assoc Dis (81412) | $3,085.20 | $4,285 | 1.3× |
| Aspergillus ag eia (87305) | $249.84 | $347 | 20.9× |
| Assay activated protein c (85307) | $64.80 | $90 | 4.2× |
| Assay Blood Carbon Dioxide (82374) | $56.16 | $78 | 11.5× |
| Assay Nephelometry Not Spec (83883) | $163.44 | $227 | 12.0× |
| Assay of 5-hiaa (83497) | $64.08 | $89 | 5.0× |
| Assay of anti-mullerian hormone (82166) | $187.92 | $261 | 4.9× |
| Assay of blood/uric acid (84550) | $59.04 | $82 | 13.1× |
| Assay of calcium in urine (82340) | $112.32 | $156 | 18.6× |
| Assay of corticosterone (82528) | $217.44 | $302 | 9.7× |
| Assay of cpk in blood (82552) | $16.56 | $23 | 1.2× |
| Assay of estrone (82679) | $97.92 | $136 | 3.9× |
| Assay of g6pd enzyme (82955) | $64.08 | $89 | 6.6× |
| Assay of gammaglobulin igm (82784) | $120.96 | $168 | 13.0× |
| Assay of lactic acid (83605) | $132.48 | $184 | 11.5× |
| Assay of manganese (83785) | $102.96 | $143 | 3.9× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$77.04–$209.52 | $107–$291 | varies |
| Assay of phosphatase alkaline heat stable (84078) | $78.48 | $109 | 9.5× |
| Assay of proinsulin (84206) | $333.36 | $463 | 12.5× |
| Assay of pyruvate (84210) | $75.60 | $105 | 5.2× |
| Assay of serotonin (84260) | $82.08 | $114 | 2.6× |
| Assay of serum potassium (84132) | $29.52 | $41 | 6.2× |
| Assay of Sialic Acid (84275) | $133.20 | $185 | 9.9× |
| Assay of sweat sodium (84302) | $56.88 | $79 | 11.7× |
| Assay of Tyrosine (84510) | $102.96 | $143 | 9.7× |
| Assay of urea nitrogen (84520) | $40.32 | $56 | 10.2× |
| Assay of urine vma (84585) | $59.04 | $82 | 3.8× |
| Assay of vasoactive intestinal peptide (84586) | $149.76 | $208 | 4.2× |
| Assay of vitamin b-1 (84425) | $59.76 | $83 | 2.8× |
| Assay Ph Body Fluid Nos (83986) | $56.88 | $79 | 15.9× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $455.04 | $632 | 2.5× |
| Autol bld/component collj storage salvage (86891) | $1,413.36 | $1,963 | 1.6× |
| Automated Leukocyte Count (85048) | $30.24 | $42 | 11.9× |
| B cells total count (86355) | $194.40 | $270 | 5.2× |
| Bartonella antibody (86611) | $54.72 | $76 | 5.4× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$342–$726.48 | $475–$1,009 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$337.68–$1,033.20 | $469–$1,435 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $316.80 | $440 | 1.5× |
| Beta 2 glycoprotein i antibody each (86146) | $67.68 | $94 | 2.7× |
| Beta hydroxybutyrate (82010) | $89.28 | $124 | 10.9× |
| Beta Lactamase (87185) | $36.72 | $51 | 7.7× |
| Beta-2 Microglobulin (82232) | $56.16 | $78 | 3.5× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $468 | $650 | 3.6× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $468 | $650 | 3.6× |
| Bile acids total (82239) | $118.08 | $164 | 6.9× |
| Bilirubin direct (82248) | $65.52 | $91 | 13.1× |
| Bilirubin total (82247) | $82.80 | $115 | 16.5× |
| Bilirubin total transcutaneous (88720) | $35.28 | $49 | 7.0× |
| Biotinidase (82261) | $92.88 | $129 | 5.5× |
| Blastomyces antibody (86612) | $47.52 | $66 | 3.7× |
| Bld Typing Serologic Rh Phnt (86906) | $170.64 | $237 | 22.0× |
| Bleeding time test (85002) | $64.08 | $89 | 13.3× |
| Blood Count Red Blood Cell Automated (85041) | $17.28 | $24 | 5.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $18 | $25 | 4.7× |
| Blood gas (82803) | $191.52 | $266 | 7.3× |
| Blood gases w/02 saturation (82805) | $220.32 | $306 | 2.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $97.92 | $136 | 6.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $24.48 | $34 | 5.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$393.84–$453.60 | $547–$630 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $77.04 | $107 | 4.7× |
| Blood typing serologic abo (86900) | $141.12 | $196 | 47.2× |
| Body fluid cell count (89050) | $95.76 | $133 | 20.3× |
| Bordetella antibody (86615) | $118.08 | $164 | 9.0× |
| Braf gene analysis (81210) | $718.56 | $998 | 4.1× |
| Brca1&2 gen full seq dup/del (81162) | $3,995.28 | $5,549 | 2.2× |
| Brucella antibody (86622) | $93.60 | $130 | 10.5× |
| C diff amplified probe (87493) | $221.76 | $308 | 6.0× |
| C-Peptide (84681) | $77.04 | $107 | 3.7× |
| C-reactive protein (86140) | $106.56 | $148 | 20.6× |
| Ca 19-9 (86301) | $74.88 | $104 | 3.6× |
| Cadmium (82300) | $80.64 | $112 | 3.4× |
| Caffeine (80155) | $1,321.20 | $1,835 | 34.3× |
| Calcitonin (82308) | $86.40 | $120 | 3.2× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$119.52–$164.88 | $166–$229 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$26.64–$67.68 | $37–$94 | varies |
| Calculus Spectroscopy (82365) | $64.80 | $90 | 5.0× |
| Calprotectin Fecal (83993) | $393.84 | $547 | 20.1× |
| Calr gene com variants (81219) | $699.12 | $971 | 5.7× |
| Cancer Antigen 125 (86304) | $120.96 | $168 | 5.8× |
| Cancer Antigen 27.29 (86300) | $150.48 | $209 | 7.2× |
| Candida antibody (86628) | $87.12 | $121 | 7.3× |
| Candida Dna Dir Probe (87480) | $117.36 | $163 | 5.9× |
| Carbamazepine free (80157) | $94.32 | $131 | 7.1× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$108–$807.84 | $150–$1,122 | varies |
| Carbohydrate Deficient Transferrin (82373) | $223.92 | $311 | 12.4× |
| Carboxyhemoglobin (82375) | $103.68 | $144 | 8.4× |
| Carcinoembryonic antigen (82378) | $158.40 | $220 | 8.4× |
| Cardiolipin ab iga (86147) | $67.68 | $94 | 2.7× |
| Carnitine Quantitative Each Specimen (82379) | $340.56 | $473 | 20.2× |
| Carotene (82380) | $37.44 | $52 | 4.1× |
| Catecholamines fractionated (82384) | $198 | $275 | 7.8× |
| Ccnd1/Igh Translocation Alys (81168) | $810 | $1,125 | 3.9× |
| Ccp antibody (86200) | $138.24 | $192 | 10.7× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $739.44 | $1,027 | 3.1× |
| Cell count csf (89051) range across 2 matching MRF lines |
$48.24–$221.04 | $67–$307 | varies |
| Cell marker study (88182) | $545.76 | $758 | 9.8× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $480.24 | $667 | 3.5× |
| Ceruloplasmin (82390) | $43.20 | $60 | 4.0× |
| Cftr Gene Analysis Known Familial Variants (81221) | $241.92 | $336 | 2.5× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$609.84–$1,100.88 | $847–$1,529 | varies |
| Cftr gene dup/delet variants (81222) | $1,364.40 | $1,895 | 3.1× |
| Cftr gene full sequence (81223) | $1,768.32 | $2,456 | 3.5× |
| Chemiluminescent assay (82397) | $187.92 | $261 | 13.3× |
| Chlamydia antibody (86631) | $36.72 | $51 | 3.1× |
| Chlamydia Igm Antibody (86632) | $40.32 | $56 | 3.2× |
| Chloride other source (82438) | $74.16 | $103 | 14.8× |
| Chloride Serum (82435) | $26.64 | $37 | 5.8× |
| Chloride urine (82436) | $72 | $100 | 12.5× |
| Cholesterol total (82465) | $66.96 | $93 | 15.4× |
| Cholinesterase rbc (82482) | $24.48 | $34 | 2.5× |
| Cholinesterase Serum (82480) | $24.48 | $34 | 3.1× |
| Chorionic gonadotropin test (84702) | $93.60 | $130 | 6.2× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $521.28 | $724 | 2.8× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $304.56 | $423 | 8.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $237.60 | $330 | 7.1× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $983.52 | $1,366 | 5.7× |
| Chromium serum (82495) | $81.36 | $113 | 4.0× |
| Chromogenic Substrate Assay (85130) | $133.20 | $185 | 11.2× |
| Chromogranin a (86316) | $78.48 | $109 | 3.8× |
| Chromosome analys amniotic (88269) | $237.60 | $330 | 1.4× |
| Chromosome Analysis 15-20 (88262) | $304.56 | $423 | 2.4× |
| Chromosome Analysis 20-25 (88264) | $406.08 | $564 | 2.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$164.16–$208.08 | $228–$289 | varies |
| Citric acid urine (82507) | $77.04 | $107 | 2.8× |
| Ckmb (82553) | $148.32 | $206 | 12.8× |
| Clostridium Difficile (87324) | $174.24 | $242 | 14.5× |
| Clot Factor VIII Multimetric (85247) | $81.36 | $113 | 3.5× |
| Clot factor xiii fibrin stab (85290) | $200.88 | $279 | 12.3× |
| Clotting factor xii hageman (85280) | $119.52 | $166 | 6.2× |
| Clotting Funct Activity (85397) | $316.80 | $440 | 10.3× |
| Clotting hi molec weight kininogen assay (85293) | $246.24 | $342 | 13.0× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $272.88 | $379 | 14.4× |
| Cns DNA amp probe type 12-25 (87483) | $761.04 | $1,057 | 1.8× |
| Coagulation time activated (85347) | $59.76 | $83 | 14.0× |
| Coccidioides antibody (86635) | $41.76 | $58 | 3.6× |
| Cold agglutinin screen (86156) | $69.12 | $96 | 8.6× |
| Cold agglutinin titer (86157) | $69.84 | $97 | 8.7× |
| Collagen crosslinks (82523) | $182.88 | $254 | 9.8× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$283.68–$833.76 | $394–$1,158 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $1,461.60 | $2,030 | 6.3× |
| Compatibility test antiglob (86922) | $204.48 | $284 | 1.1× |
| Complement Antigen Each Component (86160) | $139.68 | $194 | 11.6× |
| Complement Fixation Tests Each Antigen (86171) | $36.72 | $51 | 3.7× |
| Complement Total (Ch50) (86162) | $72 | $100 | 3.5× |
| Complement/Function Activity (86161) | $171.36 | $238 | 14.3× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $645.84 | $897 | 3.5× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 3 matching MRF lines |
$67.32–$509.04 | $93.50–$707 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 2 matching MRF lines |
$365.76–$494.64 | $508–$687 | varies |
| Coombs direct (86880) | $108.72 | $151 | 20.2× |
| Copper urine (82525) | $153.36 | $213 | 12.4× |
| Cortisol free (82530) | $76.32 | $106 | 4.6× |
| Cortisol saliva (82533) | $156.24 | $217 | 9.6× |
| Creatine (82540) | $120.96 | $168 | 26.1× |
| Creatine kinase total (82550) | $73.44 | $102 | 11.3× |
| Creatinine blood (82565) | $30.24 | $42 | 5.9× |
| Creatinine clearance (82575) | $156.96 | $218 | 16.6× |
| Creatinine Urine (82570) | $73.44 | $102 | 14.2× |
| Crossmatch electronic (86923) | $187.92 | $261 | 1.0× |
| Crossmatch immediate spin (86920) | $190.80 | $265 | 1.0× |
| Crp High Sensitivity (86141) | $118.08 | $164 | 9.1× |
| Cryofibrinogen (82585) | $37.44 | $52 | 2.6× |
| Cryoglobulin (82595) | $37.44 | $52 | 5.8× |
| Cryptococcal Antigen (87327) | $120.24 | $167 | 9.0× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$154.08–$161.28 | $214–$224 | varies |
| Cryptosporidium (87272) | $96.48 | $134 | 8.1× |
| Cryptosporidium ag eia (87328) | $121.68 | $169 | 8.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$47.52–$244.08 | $66–$339 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $86.40 | $120 | 10.7× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $100.08 | $139 | 13.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) range across 2 matching MRF lines |
$108–$807.84 | $150–$1,122 | varies |
| Culture aerobic quant other (87071) | $177.84 | $247 | 18.0× |
| Culture afb (87116) | $192.24 | $267 | 17.8× |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$194.40–$203.76 | $270–$283 | varies |
| Culture blood (87040) | $273.60 | $380 | 26.5× |
| Culture chlamydia (87110) | $77.04 | $107 | 3.9× |
| Culture csf (87070) range across 3 matching MRF lines |
$177.84–$208.08 | $247–$289 | varies |
| Culture fungus (87102) | $192.24 | $267 | 22.9× |
| Culture fungus blood (87103) | $194.40 | $270 | 9.5× |
| Culture screen only (87081) range across 4 matching MRF lines |
$42.48–$126.72 | $59–$176 | varies |
| Culture stool (87045) | $151.20 | $210 | 16.0× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $138.96 | $193 | 11.1× |
| Culture typing if ea antiserum (87140) | $77.04 | $107 | 13.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$59.04–$154.80 | $82–$215 | varies |
| Culture urine (87086) range across 3 matching MRF lines |
$136.80–$167.04 | $190–$232 | varies |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $123.84 | $172 | 4.6× |
| Cyanide (82600) | $61.92 | $86 | 3.2× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $92.88 | $129 | 6.5× |
| Cyclosporine (80158) range across 2 matching MRF lines |
$129.60–$325.44 | $180–$452 | varies |
| Cyp2c19 gene analysis common variants (81225) | $936 | $1,300 | 3.2× |
| Cystatin C (82610) | $199.44 | $277 | 10.8× |
| Cytogenetics 10-30 (88273) | $136.80 | $190 | 3.9× |
| Cytogenetics 100-300 (88275) range across 4 matching MRF lines |
$57.60–$324 | $80–$450 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $1,490.40 | $2,070 | 1.7× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,273.76 | $3,158 | 2.0× |
| Cytogenomic neo microra alys (81277) | $3,465.36 | $4,813 | 3.0× |
| Cytomegalovirus igg (86644) | $98.64 | $137 | 6.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$141.84–$156.24 | $197–$217 | varies |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
$267.12–$301.68 | $371–$419 | varies |
| Cytopath Fl Nongyn Filter (88106) | $267.12 | $371 | 8.6× |
| Cytotoxic Antibody Screen Std (86807) | $238.32 | $331 | 3.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $192.96 | $268 | 7.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $313.20 | $435 | 5.6× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $552.96 | $768 | 3.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $255.60 | $355 | 6.4× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $936 | $1,300 | 5.1× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $37.44 | $52 | 2.0× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $1,075.68 | $1,494 | 5.9× |
| Deoxycortisol (82634) | $55.44 | $77 | 1.9× |
| Deoxyribonuclease antibody (86215) | $41.76 | $58 | 3.2× |
| Desoxycorticosterone (82633) | $228.24 | $317 | 7.4× |
| Detect Agent Nos Dna Amp (87798) range across 10 matching MRF lines |
$115.92–$552.24 | $161–$767 | varies |
| Detect Agent Nos Dna Quant (87799) | $663.12 | $921 | 15.5× |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$226.08–$439.20 | $314–$610 | varies |
| Dgp Antibody Each Ig Class (86258) range across 2 matching MRF lines |
$91.44–$114.48 | $127–$159 | varies |
| Dhea (82626) | $81.36 | $113 | 3.2× |
| Dhea-S (82627) | $88.56 | $123 | 4.0× |
| Digoxin (80162) | $66.96 | $93 | 5.0× |
| Dihydrotestosterone (82642) | $162 | $225 | 5.5× |
| Diphtheria antitoxoid (86648) | $46.80 | $65 | 3.1× |
| Dipropylacetic Acid Free (80165) | $1,944 | $2,700 | 143.6× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $564.48 | $784 | 4.1× |
| Dna Antibody Native/Double Stranded (86225) | $64.80 | $90 | 4.7× |
| Dna Antibody Single Stranded (86226) | $38.16 | $53 | 3.2× |
| Dna/Rna Amplified Probe (87150) range across 4 matching MRF lines |
$43.92–$456.48 | $61–$634 | varies |
| DNA/RNA direct probe (87149) | $151.20 | $210 | 7.5× |
| Dna/Rna Sequencing (87153) range across 2 matching MRF lines |
$322.56–$696.96 | $448–$968 | varies |
| Drug assay adalimumab (80145) | $326.16 | $453 | 8.5× |
| Drug Assay Amiodarone (80151) | $120.96 | $168 | 6.5× |
| Drug Assay Everolimus (80169) | $2,268 | $3,150 | 165.2× |
| Drug assay felbamate (80167) | $27.36 | $38 | 1.5× |
| Drug Assay Infliximab (80230) | $319.68 | $444 | 8.3× |
| Drug Assay Lacosamide (80235) | $179.28 | $249 | 6.6× |
| Drug Assay Posaconazole (80187) | $154.08 | $214 | 5.7× |
| Drug Assay Vedolizumab (80280) | $352.80 | $490 | 9.1× |
| Drug assay voriconazole (80285) | $162.72 | $226 | 6.0× |
| Drug Screen Quant Clozapine (80159) | $720.72 | $1,001 | 35.8× |
| Drug Screen Quant Zonisamide (80203) | $128.88 | $179 | 9.7× |
| Drug Screen Quantitative Gabapentin (80171) | $2,268 | $3,150 | 104.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $748.08 | $1,039 | 56.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $6,868.08 | $9,539 | 518.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $719.28 | $999 | 54.3× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $1,038.24 | $1,442 | 62.0× |
| Drug Screen Quantitative Tiagabine (80199) | $129.60 | $180 | 4.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 10 matching MRF lines |
$68.40–$260.64 | $95–$362 | varies |
| Egfr Gene Analysis Common Variants (81235) | $1,924.56 | $2,673 | 5.9× |
| Ehrlichia antibody (86666) | $59.04 | $82 | 5.8× |
| Electrolyte panel (80051) range across 3 matching MRF lines |
$102.96–$231.84 | $143–$322 | varies |
| Electron Microscopy (88348) | $894.96 | $1,243 | 1.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $151.20 | $210 | 2.5× |
| Encephaltis East Eqne Anbdy (86652) | $46.80 | $65 | 3.5× |
| Encephaltis West Eqne Antbdy (86654) | $46.80 | $65 | 3.5× |
| Enterovirus Antibody (86658) | $41.76 | $58 | 3.2× |
| Enterovirus PCR (87498) range across 3 matching MRF lines |
$122.40–$256.32 | $170–$356 | varies |
| Enzyme cell activity (82657) | $357.84 | $497 | 16.1× |
| Enzyme histochemistry (88319) | $1,029.60 | $1,430 | 1.2× |
| Eosinophil Smear (89190) | $62.64 | $87 | 10.8× |
| Erythropoietin (82668) | $74.88 | $104 | 4.0× |
| Estradiol serum (82670) | $74.88 | $104 | 2.7× |
| Estriol (82677) | $144.72 | $201 | 6.0× |
| Estrogen total (82672) | $213.12 | $296 | 9.8× |
| Estrogens fractionated (82671) | $198.72 | $276 | 6.2× |
| Ethosuximide (80168) | $2,304 | $3,200 | 141.0× |
| Ethylene Glycol (82693) | $192.24 | $267 | 12.9× |
| Euglobulin lysis (85360) | $136.08 | $189 | 16.2× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$106.56–$122.40 | $148–$170 | varies |
| Exome Sequence Analysis (81415) | $7,594.56 | $10,548 | 1.6× |
| Exome sequence analysis each comparator exome (81416) | $13,147.92 | $18,261 | 1.1× |
| F2 Gene (81240) range across 2 matching MRF lines |
$125.28–$226.80 | $174–$315 | varies |
| Factor ii activity (85210) | $173.52 | $241 | 13.4× |
| Factor Inhibitor Test (85335) | $211.68 | $294 | 16.4× |
| Factor ix activity (85250) | $100.08 | $139 | 5.3× |
| Factor v activity (85220) | $173.52 | $241 | 9.8× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$121.68–$226.80 | $169–$315 | varies |
| Factor vii assay (85230) | $162.72 | $226 | 9.1× |
| Factor viii assay (85240) | $120.24 | $167 | 6.7× |
| Factor X (85260) | $87.84 | $122 | 4.9× |
| Factor xi activity (85270) | $121.68 | $169 | 6.8× |
| Factor xiii screen (85291) | $100.80 | $140 | 11.1× |
| Fat/Lipids Feces Quantitative (82710) | $51.12 | $71 | 3.0× |
| Fatty acids free (82725) | $138.24 | $192 | 7.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $167.04 | $232 | 9.7× |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | $92.88 | $129 | 9.1× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $148.32 | $206 | 22.7× |
| Fecal Fat Qualitative (82705) | $46.08 | $64 | 9.0× |
| Ferritin (82728) | $146.88 | $204 | 10.8× |
| Fetal Chrmoml Aneuploidy (81420) | $1,755.36 | $2,438 | 2.3× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $193.68 | $269 | 1.3× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $187.20 | $260 | 3.4× |
| Fetal Fibronectin (82731) | $462.24 | $642 | 7.2× |
| Fetal hemoglobin assay qual (83033) | $187.20 | $260 | 23.4× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $463.68 | $644 | 24.5× |
| Fetal screen rosette (85461) | $43.20 | $60 | 4.6× |
| Fibrin degradation products (85362) | $53.28 | $74 | 7.7× |
| Fibrin Degradation Quant (85379) | $50.40 | $70 | 5.0× |
| Fibrinogen activity (85384) | $86.40 | $120 | 8.9× |
| Fibrinogen antigen (85385) | $115.92 | $161 | 8.0× |
| Flecainide level (80181) | $105.84 | $147 | 5.7× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$393.84–$404.64 | $547–$562 | varies |
| Flt3 Gene (81245) | $634.32 | $881 | 3.8× |
| Flt3 gene analysis (81246) | $480.96 | $668 | 5.8× |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$133.92–$557.28 | $186–$774 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$79.20–$675.36 | $110–$938 | varies |
| Fmr1 Gene Charac Alleles (81244) | $172.08 | $239 | 3.8× |
| Fmr1 gene detection (81243) | $329.04 | $457 | 5.8× |
| Folic acid rbc (82747) | $164.88 | $229 | 9.3× |
| Folic Acid Serum (82746) | $133.20 | $185 | 9.1× |
| Follicle Stimulating Hormone (83001) | $213.84 | $297 | 11.5× |
| Francisella tularensis (86668) | $106.56 | $148 | 7.5× |
| Frozen Section (88331) | $298.08 | $414 | 1.6× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$120.24–$315.36 | $167–$438 | varies |
| Fungi Identification Yeast (87106) range across 3 matching MRF lines |
$116.64–$315.36 | $162–$438 | varies |
| G6pd gene analysis full gene sequence (81249) | $1,244.16 | $1,728 | 2.1× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $333.36 | $463 | 15.8× |
| Galectin-3 (82777) | $199.44 | $277 | 4.5× |
| Gammaglobulin ige (82785) | $175.68 | $244 | 10.7× |
| Gardner vag DNA dir probe (87510) | $117.36 | $163 | 5.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $131.04 | $182 | 13.4× |
| Gases blood ph only (82800) | $40.32 | $56 | 3.7× |
| Gastrin (82941) | $56.16 | $78 | 3.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $817.20 | $1,135 | 2.0× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $3,023.28 | $4,199 | 4.0× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $5,340.96 | $7,418 | 1.8× |
| Genet Virus Isolate Hsv (87255) | $313.92 | $436 | 9.3× |
| Genetic Tstg Severe Inh Cond (81443) | $3,883.68 | $5,394 | 1.6× |
| Genome Sequence Analysis (81425) | $4,256.64 | $5,912 | 0.8× |
| Genome sequence analysis each comparator genome (81426) | $1,944 | $2,700 | 0.7× |
| Gentamicin (80170) | $123.84 | $172 | 7.6× |
| Ggt (82977) | $110.16 | $153 | 15.3× |
| Giardia antigen (87329) | $169.20 | $235 | 14.1× |
| Giardia lamblia antibody (86674) | $46.80 | $65 | 3.2× |
| Glucagon (82943) | $155.52 | $216 | 10.9× |
| Glucose 2 hr pp (82950) | $61.92 | $86 | 13.0× |
| Glucose Blood Test (82962) | $20.16 | $28 | 6.1× |
| Glucose body fluid (82945) | $51.84 | $72 | 13.2× |
| Glucose Serum (82947) | $33.84 | $47 | 8.6× |
| Glucose tolerance test (gtt) (82951) | $146.88 | $204 | 11.4× |
| Glucosidase beta (82963) | $752.40 | $1,045 | 35.0× |
| Glycated Protein (82985) | $62.64 | $87 | 3.7× |
| Gonadotropin Chorionic Qualitative (84703) | $151.92 | $211 | 20.2× |
| Growth hormone (83003) range across 2 matching MRF lines |
$31.68–$56.16 | $44–$78 | varies |
| Growth hormone antibody (86277) | $188.64 | $262 | 12.0× |
| Gtt-added samples (82952) | $64.80 | $90 | 16.5× |
| H Pylori (C-13) Breath (83013) | $346.32 | $481 | 5.1× |
| Haloperidol (80173) | $624.24 | $867 | 39.6× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$50.40–$131.04 | $70–$182 | varies |
| Hba1/hba2 full gene sequence (81259) | $797.04 | $1,107 | 1.3× |
| Hba1/Hba2 Gene (81257) | $259.20 | $360 | 2.5× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $780.48 | $1,084 | 3.9× |
| Hbb duplication/deletion variants (81363) | $732.24 | $1,017 | 3.6× |
| Hbb Full Gene Sequence (81364) | $1,424.16 | $1,978 | 4.4× |
| Hbb Gene Com Variants (81361) | $392.40 | $545 | 2.2× |
| Hdl Cholesterol (83718) | $93.60 | $130 | 11.4× |
| Helicobacter Pylori Stool (87338) | $213.12 | $296 | 14.8× |
| Helminth Antibody (86682) | $72 | $100 | 5.5× |
| Hematocrit (85014) | $30.24 | $42 | 12.8× |
| Hemoglobin (85018) | $34.56 | $48 | 14.6× |
| Hemoglobin a1c (83036) | $105.12 | $146 | 10.8× |
| Hemoglobin Chromotography (83021) | $88.56 | $123 | 4.9× |
| Hemoglobin electrophoresis (83020) | $49.68 | $69 | 3.9× |
| Hemoglobin Methemoglobin Quantitative (83050) | $43.92 | $61 | 5.4× |
| Hemoglobin plasma (83051) | $183.60 | $255 | 25.1× |
| Hemoglobin stability screen (83068) | $138.24 | $192 | 14.6× |
| Hemoglobin-Oxygen Affinity (82820) | $1,223.28 | $1,699 | 91.7× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $103.68 | $144 | 11.8× |
| Hemolysins&Agglutinins Incubated (86941) | $119.52 | $166 | 9.9× |
| Hemosiderin urine (83070) | $86.40 | $120 | 18.2× |
| Hep a ab igm (86709) | $106.56 | $148 | 9.5× |
| Heparin assay (85520) | $123.84 | $172 | 9.5× |
| Hepatitis a antibody total (86708) | $120.96 | $168 | 9.8× |
| Hepatitis b core ab igm (86705) | $98.64 | $137 | 8.4× |
| Hepatitis b core ab total (86704) | $99.36 | $138 | 8.2× |
| Hepatitis B Surface Antibody (86706) | $133.20 | $185 | 12.4× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$108–$164.16 | $150–$228 | varies |
| Hepatitis Be Antibody (86707) | $38.88 | $54 | 3.4× |
| Hepatitis Be Antigen (87350) | $66.96 | $93 | 5.8× |
| Hepatitis C Antibody (86803) | $170.64 | $237 | 12.0× |
| Hepatitis C Genotype (87902) | $828.72 | $1,151 | 3.2× |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$152.64–$739.44 | $212–$1,027 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$308.16–$564.48 | $428–$784 | varies |
| Hepatitis delta ag (87380) | $61.20 | $85 | 3.3× |
| Hepatitis Delta Agent Antibody (86692) | $133.92 | $186 | 7.8× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,748.88 | $2,429 | 1.3× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $3,142.08 | $4,364 | 5.4× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$69.84–$86.40 | $97–$120 | varies |
| Heterophile Antibody Screen (86308) | $72 | $100 | 13.9× |
| Hfe Gene (81256) | $246.96 | $343 | 3.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $162 | $225 | 21.0× |
| Histamine urine (83088) | $213.12 | $296 | 7.2× |
| Histoplasma antibody (86698) | $28.80 | $40 | 2.1× |
| Histoplasma antigen urine (87385) | $191.52 | $266 | 14.5× |
| Hiv Genotype (87901) | $908.64 | $1,262 | 3.5× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$200.88–$234 | $279–$325 | varies |
| Hiv-1 Antibody (86701) | $123.84 | $172 | 13.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $576 | $800 | 6.8× |
| HIV-2 probe&revrse trnscripj (87538) | $462.96 | $643 | 13.2× |
| Hla Class I Typing Low Resolution Complete (81372) | $1,050.48 | $1,459 | 2.6× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $416.16 | $578 | 3.3× |
| Hla class i&ii antibody qual (86828) | $152.64 | $212 | 2.4× |
| Hla class ii high defin qual (86833) | $779.04 | $1,082 | 2.4× |
| Hla class ii typing high resolution one locus ea (81382) | $647.28 | $899 | 5.2× |
| Hla I Typing 1 Allele Hr (81381) | $531.36 | $738 | 3.1× |
| Hla ii typing 1 locus lr (81376) | $387.36 | $538 | 3.2× |
| Hla Typing a/B/C Multiple Antigens (86813) | $285.84 | $397 | 4.9× |
| Hla-b27 (86812) | $80.64 | $112 | 3.1× |
| Homocysteine (83090) | $92.88 | $129 | 5.2× |
| Homogenization Tissue (87176) | $68.40 | $95 | 11.6× |
| Homovanillic acid urine (83150) | $61.92 | $86 | 2.8× |
| Hpa-1 genotyping gene analysis common variant (81105) | $475.92 | $661 | 3.9× |
| Hpa-15 genotyping gene analysis common variant (81112) | $475.92 | $661 | 3.9× |
| Hpa-2 genotyping gene analysis common variant (81106) | $475.92 | $661 | 3.9× |
| Hpa-3 genotyping gene analysis common variant (81107) | $475.92 | $661 | 3.9× |
| Hpa-4 genotyping gene analysis common variant (81108) | $475.92 | $661 | 3.9× |
| Hpa-5 genotyping gene analysis common variant (81109) | $475.92 | $661 | 3.9× |
| Hpa-6 genotyping gene analysis common variant (81110) | $475.92 | $661 | 3.9× |
| Hpa-9 Genotyping (81111) | $475.92 | $661 | 3.9× |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$164.16–$288 | $228–$400 | varies |
| Hpv Types 16 & 18 Only (87625) range across 2 matching MRF lines |
$215.28–$258.48 | $299–$359 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$122.40–$213.12 | $170–$296 | varies |
| Hsv Dna Quant (87530) | $263.52 | $366 | 6.2× |
| Human Epididymis Protein 4 (86305) | $246.24 | $342 | 11.8× |
| Hydroxycorticosteroids 17 (83491) | $1,519.20 | $2,110 | 84.9× |
| Hydroxyprogesterone 17-d (83498) | $87.84 | $122 | 3.2× |
| Hydroxyproline free (83500) | $106.56 | $148 | 4.7× |
| Ia infectious agt antibody sars-cov-2 COVID-19 (86328) | $114.48 | $159 | 2.5× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $205.20 | $285 | 17.1× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $136.80 | $190 | 11.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $40.32 | $56 | 3.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $194.40 | $270 | 14.0× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $95.04 | $132 | 2.7× |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$86.40–$142.56 | $120–$198 | varies |
| Iaad Ia Streptococcus Group A (87430) | $84.96 | $118 | 5.1× |
| Iaadi giardia (87269) | $77.04 | $107 | 5.7× |
| Iaadi herpes smplx virus type 1 (87274) | $84.96 | $118 | 7.1× |
| Iaadi herpes smplx virus type 2 (87273) | $80.64 | $112 | 6.7× |
| Iaadi inffluenza a virus (87276) | $77.04 | $107 | 4.8× |
| Iaadi not otherwise specified each organism (87299) | $138.24 | $192 | 8.6× |
| Iaadi parainfluenza virus each type (87279) | $77.04 | $107 | 4.7× |
| Iaadi pneumocustis carinii (87281) | $172.80 | $240 | 14.4× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $134.64 | $187 | 11.2× |
| Iaadi respiratory synctial virus (87280) | $77.04 | $107 | 5.7× |
| Iaadi Varicella Zoster Virus (87290) | $84.96 | $118 | 6.3× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $174.24 | $242 | 5.0× |
| Iadna Bartonella Amplified Probe Technique (87471) | $645.12 | $896 | 18.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $518.40 | $720 | 14.8× |
| Iadna Candida Species Amplified Probe Tq (87481) | $163.44 | $227 | 4.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 3 matching MRF lines |
$122.40–$207.36 | $170–$288 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$112.32–$122.40 | $156–$170 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $280.80 | $390 | 6.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $185.04 | $257 | 5.3× |
| Iadna hepatitis b virus amplified probe tq (87516) | $233.28 | $324 | 6.6× |
| Iadna Hepatitis B Virus Quantification (87517) | $362.16 | $503 | 8.5× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) range across 2 matching MRF lines |
$122.40–$341.28 | $170–$474 | varies |
| Iadna Herpes Virus-6 Quantification (87533) | $538.56 | $748 | 12.9× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$344.16–$658.08 | $478–$914 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) range across 3 matching MRF lines |
$94.32–$373.68 | $131–$519 | varies |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $216 | $300 | 2.8× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $293.76 | $408 | 6.1× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $528.48 | $734 | 12.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 4 matching MRF lines |
$122.40–$254.16 | $170–$353 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$164.16–$206.64 | $228–$287 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $407.52 | $566 | 13.6× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $98.64 | $137 | 1.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $464.40 | $645 | 3.3× |
| Idh1 common variants (81120) | $564.48 | $784 | 2.9× |
| Idh2 common variants (81121) | $681.12 | $946 | 2.3× |
| Ig Light Chains Free Each (83521) | $148.32 | $206 | 8.6× |
| Igg subclasses (82787) | $121.68 | $169 | 15.2× |
| Igh gene rearrange amp meth (81261) | $1,077.84 | $1,497 | 5.4× |
| IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) | $1,077.84 | $1,497 | 15.7× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,136.16 | $1,578 | 3.9× |
| Igk rearrangeabn clonal pop (81264) | $1,069.92 | $1,486 | 6.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $1,148.40 | $1,595 | 3.0× |
| Immune Complex Assay (86332) | $180 | $250 | 7.4× |
| Immunfix e-phorsis/urine/csf (86335) | $224.64 | $312 | 7.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$260.64–$1,097.28 | $362–$1,524 | varies |
| Immunoassay infectious agent (86318) | $59.04 | $82 | 3.3× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $16.56 | $23 | 1.1× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$80.64–$124.56 | $112–$173 | varies |
| Immunodiffusion not elsewhere specified (86329) | $102.96 | $143 | 7.3× |
| Immunodiffusion Ouchterlony (86331) | $71.28 | $99 | 5.9× |
| Immunofixation electrophoresis (86334) | $224.64 | $312 | 10.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $187.92 | $261 | 1.0× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$410.40–$458.64 | $570–$637 | varies |
| In situ hybridization 1st probe stain (88365) | $566.64 | $787 | 3.1× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) | $51.12 | $71 | 4.9× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $77.04 | $107 | 5.3× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $77.04 | $107 | 6.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) | $113.76 | $158 | 2.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) | $106.56 | $148 | 2.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) | $75.60 | $105 | 1.8× |
| Influenza a/b ag eia (87400) | $123.84 | $172 | 8.8× |
| Influenza assay w/optic (87804) | $211.68 | $294 | 12.8× |
| Inherited Cardmypthy 5 Gns (81439) | $2,919.60 | $4,055 | 5.0× |
| Inhibin A (86336) | $162.72 | $226 | 10.4× |
| Inhibin b (83520) range across 2 matching MRF lines |
$134.64–$222.48 | $187–$309 | varies |
| Insulin antibodies (86337) | $205.92 | $286 | 9.6× |
| Insulin total (83525) | $56.88 | $79 | 5.0× |
| Intrinsic factor antibody (86340) | $54 | $75 | 3.6× |
| Iron (83540) | $89.28 | $124 | 13.8× |
| Iron Binding Capacity (83550) | $87.84 | $122 | 10.1× |
| Islet cell antibody (86341) | $92.16 | $128 | 3.9× |
| Jak2 gene analysis p.val617phe variant (81270) | $1,020.96 | $1,418 | 11.1× |
| Jak2 Gene Trgt Sequence Alys (81279) | $754.56 | $1,048 | 4.1× |
| Kit Gene Analysis D816 Variant(S) (81273) | $896.40 | $1,245 | 7.2× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $928.08 | $1,289 | 2.8× |
| Koh Prep (87220) | $76.32 | $106 | 17.9× |
| Kras Gene Analysis Additional Variant(S) (81276) | $590.40 | $820 | 3.1× |
| Kras Gene Variants Exon 2 (81275) | $868.32 | $1,206 | 4.5× |
| Lactate (ld) (ldh) enzyme (83615) | $51.84 | $72 | 8.6× |
| Lactoferrin fecal qualitative (83630) | $138.96 | $193 | 7.1× |
| Lactoferrin Fecal Quantitative (83631) | $249.84 | $347 | 12.7× |
| Lamellar Body Count (83664) | $254.16 | $353 | 13.2× |
| Ldh Isoenzymes (83625) | $37.44 | $52 | 2.9× |
| LDL direct (83721) | $53.28 | $74 | 5.1× |
| Lead (83655) | $56.88 | $79 | 4.7× |
| Legionella antibody (86713) | $19.44 | $27 | 1.3× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$230.40–$252.72 | $320–$351 | varies |
| Legionella pneumophila dfa (87278) | $177.84 | $247 | 11.4× |
| Leptospira antibody (86720) | $123.84 | $172 | 7.6× |
| Leukocyte Assessment Fecal (89055) | $33.12 | $46 | 7.8× |
| Leukocyte Histamine Release (86343) | $169.92 | $236 | 13.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $159.84 | $222 | 5.2× |
| Level ii surg pathology grossµscopic exam (88302) | $262.80 | $365 | 6.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $695.52 | $966 | 1.8× |
| Lipase (83690) | $92.88 | $129 | 13.5× |
| Lipoprotein A (83695) range across 3 matching MRF lines |
$79.20–$122.40 | $110–$170 | varies |
| Lipoprotein Bld Quan Part (83704) | $110.16 | $153 | 3.2× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $120.96 | $168 | 10.7× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $227.52 | $316 | 4.9× |
| Lithium (80178) | $82.80 | $115 | 12.5× |
| Luteinizing Hormone (Lh) (83002) | $213.84 | $297 | 11.5× |
| Lyme disease antibody (86618) | $152.64 | $212 | 9.0× |
| Lymphocyte transformation (86353) | $337.68 | $469 | 6.9× |
| Lymphocytotoxicity Assay (86805) | $239.04 | $332 | 1.3× |
| Lysozyme serum (85549) | $49.68 | $69 | 2.6× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $272.16 | $378 | 7.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,130.40 | $1,570 | 6.2× |
| M/phmtrc alys ishquant/semiq (88374) | $779.76 | $1,083 | 4.3× |
| Macroscopic exam arthropod (87168) | $120.96 | $168 | 28.3× |
| Macroscopic Exam Parasite (87169) | $105.84 | $147 | 24.6× |
| Magnesium Urine (83735) | $108 | $150 | 16.1× |
| Mass Spectrometry Quant (83789) | $213.12 | $296 | 8.8× |
| Mecp2 gene full seq (81302) | $1,291.68 | $1,794 | 2.4× |
| Mercury urine (83825) | $56.16 | $78 | 3.5× |
| Methylmalonic acid serum (83921) | $247.68 | $344 | 11.7× |
| Mgmt methylation analysis (81287) | $661.68 | $919 | 5.3× |
| Microalbumin, quantitative (82043) | $64.08 | $89 | 11.1× |
| Microbe Suscept Macrobroth (87188) | $74.88 | $104 | 11.3× |
| Microsomal Antibodies Each (86376) | $73.44 | $102 | 5.0× |
| Mlh1 Gene (81288) | $720.72 | $1,001 | 3.7× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $539.28 | $749 | 2.7× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,488.24 | $2,067 | 2.2× |
| Mog-Igg1 Antb Cba Each (86362) | $900 | $1,250 | 74.7× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $630 | $875 | 16.7× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 5 matching MRF lines |
$56.16–$285.84 | $78–$397 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $275.04 | $382 | 6.5× |
| Molecular Pathology Procedure Level 3 (81402) | $718.56 | $998 | 4.8× |
| Molecular Pathology Procedure Level 6 (81405) | $1,328.40 | $1,845 | 4.4× |
| Mononuclear cell antigen (86356) | $180 | $250 | 6.7× |
| Mopath procedure level 1 (81400) range across 2 matching MRF lines |
$80.64–$325.44 | $112–$452 | varies |
| Mopath procedure level 2 (81401) | $475.20 | $660 | 3.5× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$738–$1,408.32 | $1,025–$1,956 | varies |
| Mopath procedure level 5 (81404) | $1,210.32 | $1,681 | 4.4× |
| Mopath procedure level 7 (81406) | $2,268 | $3,150 | 8.0× |
| Mopath procedure level 8 (81407) | $2,152.08 | $2,989 | 2.5× |
| Mopath procedure level 9 (81408) | $4,388.40 | $6,095 | 2.2× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $712.08 | $989 | 3.8× |
| Mrsa Pcr (87641) range across 3 matching MRF lines |
$217.44–$289.44 | $302–$402 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $534.24 | $742 | 2.5× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $651.60 | $905 | 1.7× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $453.60 | $630 | 1.9× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $808.56 | $1,123 | 1.3× |
| Msh6 Gene Known Variants (81299) | $3,501.36 | $4,863 | 11.4× |
| Mthfr Gene Analysis Common Variants (81291) | $226.08 | $314 | 3.5× |
| Mucin Clot Body Fluid (83872) | $54.72 | $76 | 9.3× |
| Mucopolysaccharides acid quantitative (83864) | $216.72 | $301 | 7.6× |
| Mumps antibody (86735) | $61.92 | $86 | 4.7× |
| Muscle-Specific Kinase Antb (86366) | $857.52 | $1,191 | 46.6× |
| Mycobacteric Identification (87118) | $259.20 | $360 | 17.7× |
| Mycophenolic Acid (80180) | $11,476.08 | $15,939 | 635.8× |
| Mycoplasma antibody (86738) | $108.72 | $151 | 8.2× |
| Mycoplasma culture (87109) | $31.68 | $44 | 2.1× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $1,524.24 | $2,117 | 8.7× |
| Myelin basic protein csf (83873) | $99.36 | $138 | 5.8× |
| Myoglobin urine (83874) | $168.48 | $234 | 13.0× |
| Natriuretic peptide (83880) | $171.36 | $238 | 4.4× |
| Nerve teasing preparations (88362) | $1,298.88 | $1,804 | 1.5× |
| Neutralization Test Viral (86382) | $174.24 | $242 | 10.3× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $1,120.32 | $1,556 | 4.4× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $2,264.40 | $3,145 | 8.8× |
| Nfct ds bv&vaginitis DNA alg (81515) | $378.72 | $526 | 1.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $678.96 | $943 | 9.4× |
| Niacin (84591) | $170.64 | $237 | 10.0× |
| Nk cells total count (86357) | $163.44 | $227 | 4.3× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $678.96 | $943 | 2.8× |
| Nras gene variants exon 2&3 (81311) | $978.48 | $1,359 | 3.3× |
| Nuclear antigen antibody (86235) | $69.84 | $97 | 3.9× |
| Occult blood feces (82272) | $45.36 | $63 | 10.7× |
| Occult Blood Other Sources (82271) | $21.60 | $30 | 4.1× |
| Oligoclonal bands (83916) | $81.36 | $113 | 3.0× |
| Oncology Prostate Prob Score (81539) | $1,311.12 | $1,821 | 1.7× |
| Oncoprotein dcp (83951) | $332.64 | $462 | 5.2× |
| Organic Acids Qualitative Each Specimen (83919) | $299.52 | $416 | 18.2× |
| Organic acids urine (83918) | $298.80 | $415 | 12.7× |
| Osmolality serum (83930) | $93.60 | $130 | 14.2× |
| Osmolality Urine (83935) | $122.40 | $170 | 17.9× |
| Osmotic fragility rbc incubated (85557) | $74.88 | $104 | 5.6× |
| Osteocalcin (83937) | $100.80 | $140 | 3.4× |
| Ova and parasites smears (87177) | $126.72 | $176 | 14.2× |
| Oxalate urine (83945) | $50.40 | $70 | 3.5× |
| Pancreatic Elastase Fecal (82656) | $109.44 | $152 | 9.5× |
| Particle Agglut Antbdy Titr (86406) | $74.16 | $103 | 7.0× |
| Particle Agglutination Screen Each Antibody (86403) | $90.72 | $126 | 7.9× |
| Parvovirus antibody (86747) | $46.80 | $65 | 3.1× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $122.40 | $170 | 2.2× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $743.76 | $1,033 | 2.9× |
| Ph urine (81003) | $46.08 | $64 | 20.5× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$83.52–$19,975.68 | $116–$27,744 | varies |
| Phenotype Infect Agent Drug (87900) | $457.20 | $635 | 3.5× |
| Phenylalanine (84030) | $154.80 | $215 | 28.1× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$91.44–$13,300.56 | $127–$18,473 | varies |
| Phenytoin free (80186) | $5,577.12 | $7,746 | 405.3× |
| Phosphatase acid prostatic (84066) | $36.72 | $51 | 3.8× |
| Phosphatase alkaline (84075) | $42.48 | $59 | 8.2× |
| Phosphatidylglycerol (84081) | $49.68 | $69 | 3.0× |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$29.52–$56.16 | $41–$78 | varies |
| Phosphorus Serum (84100) | $30.96 | $43 | 6.5× |
| Phosphorus urine (84105) | $60.48 | $84 | 10.5× |
| Pinworm exam (87172) | $93.60 | $130 | 21.9× |
| Platelet Aggregation (85576) | $196.56 | $273 | 7.9× |
| Platelet Antibodies (86022) range across 7 matching MRF lines |
$120.96–$579.60 | $168–$805 | varies |
| Platelet count automated (85049) | $34.56 | $48 | 7.7× |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$29.52–$128.88 | $41–$179 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $873.36 | $1,213 | 4.2× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $955.44 | $1,327 | 1.3× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $529.92 | $736 | 2.6× |
| Pms2 gene full seq analysis (81317) | $1,342.80 | $1,865 | 2.0× |
| Pneumcysts jirovecii amp prb (87594) | $180 | $250 | 5.1× |
| Pooling blood platelets (86965) | $370.08 | $514 | 2.0× |
| Porphobilinogen Urine Qualitative (84106) | $82.08 | $114 | 14.1× |
| Porphobilinogen, urine; quantitative (84110) | $158.40 | $220 | 18.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $48.24 | $67 | 3.3× |
| Potassium Urine (84133) | $87.84 | $122 | 18.6× |
| Prealbumin (84134) | $132.48 | $184 | 9.1× |
| Pregnancy-Associated Plasma Protein-A (84163) | $141.12 | $196 | 9.4× |
| Pregnenolone (84140) | $161.28 | $224 | 7.8× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $223.20 | $310 | 1.2× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $164.16 | $228 | 2.6× |
| Pretx serum rbc antibody identification dilution (86976) | $108.72 | $151 | 3.5× |
| Primidone (80188) | $11,476.08 | $15,939 | 691.7× |
| Procalcitonin (Pct) (84145) | $340.56 | $473 | 12.5× |
| Progesterone (84144) | $180 | $250 | 8.6× |
| Prolactin (84146) | $202.32 | $281 | 10.4× |
| Prostaglandin (84150) | $452.16 | $628 | 10.8× |
| Protein body fluid (84157) | $77.04 | $107 | 19.3× |
| Protein C Activity (85303) | $59.76 | $83 | 4.3× |
| Protein c antigen (85302) | $54.72 | $76 | 4.6× |
| Protein Electrophoresis Urine (84166) | $307.44 | $427 | 17.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $276.48 | $384 | 25.7× |
| Protein S Free (85306) | $59.76 | $83 | 3.9× |
| Protein s total (85305) | $51.84 | $72 | 4.5× |
| Protein total serum (84155) range across 2 matching MRF lines |
$24.48–$64.80 | $34–$90 | varies |
| Protein Total Urine (84156) | $64.08 | $89 | 17.5× |
| Protein Western Blot Test (84182) | $177.12 | $246 | 6.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $56.16 | $78 | 14.3× |
| Protoporphyrin rbc quantitative (84202) | $203.04 | $282 | 14.1× |
| PSA free (84154) | $135.36 | $188 | 7.4× |
| Pth Intact (83970) | $254.16 | $353 | 6.2× |
| Pyruvate kinase (84220) | $169.20 | $235 | 17.9× |
| Q Fever Antibody (86638) | $57.60 | $80 | 4.8× |
| Quantiferon tb gold plus (86480) | $238.32 | $331 | 3.8× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$198.72–$389.52 | $276–$541 | varies |
| Quantitative Screen Metals (83018) | $136.08 | $189 | 6.2× |
| Quinidine (80194) | $2,179.44 | $3,027 | 149.3× |
| Rbc antibody elution (86860) | $262.80 | $365 | 1.4× |
| Rbc antibody identification (86870) | $393.84 | $547 | 1.0× |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$78.48–$118.08 | $109–$164 | varies |
| Rbc pretreatment serum (86978) | $164.16 | $228 | 2.6× |
| Rbc pretx incubatj w/enzymes (86971) | $216 | $300 | 1.2× |
| Rbc serum pretx incubj drugs (86975) | $502.56 | $698 | 1.0× |
| Reagent Strip/Blood Glucose (82948) | $44.64 | $62 | 8.9× |
| Renin activity plasma (84244) | $87.84 | $122 | 4.0× |
| Reptilase test (85635) | $87.84 | $122 | 8.9× |
| Resp virus 12-25 targets (87633) range across 3 matching MRF lines |
$524.88–$1,448.64 | $729–$2,012 | varies |
| Resp Virus 6-11 Targets (87632) | $950.40 | $1,320 | 4.4× |
| Reticulated Platelet Assay (85055) | $115.92 | $161 | 3.2× |
| Reticulocyte Count (85046) | $28.80 | $40 | 5.2× |
| Reticulocyte separation (86972) | $216 | $300 | 1.2× |
| Rh (86901) | $66.24 | $92 | 22.2× |
| Rheumatoid Factor Qualitative (86430) | $85.68 | $119 | 14.0× |
| Rheumatoid factor quant (86431) | $61.92 | $86 | 10.9× |
| Rickettsia antibody (86757) | $60.48 | $84 | 3.1× |
| Ristocetin cofactor (85245) | $112.32 | $156 | 4.9× |
| Rotavirus ag eia (87425) | $208.80 | $290 | 17.4× |
| Rpr qualitative (86592) | $36 | $50 | 8.4× |
| Rsv Assay W/Optic (87807) | $76.32 | $106 | 5.8× |
| Rubella Antibody (86762) | $39.60 | $55 | 2.8× |
| Rubeola antibody (86765) | $90 | $125 | 7.0× |
| Rufinamide (80210) | $80.64 | $112 | 3.0× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$12.24–$69.84 | $17–$97 | varies |
| Salmonella antibody (86768) | $68.40 | $95 | 5.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 5 matching MRF lines |
$64.80–$338.40 | $90–$470 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $98.64 | $137 | 2.3× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $126.72 | $176 | 3.1× |
| Sarscov2 & inf a&b amp prb (87636) | $346.32 | $481 | 2.4× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $396 | $550 | 2.8× |
| Sedimentation Rate, Automated (85652) | $50.40 | $70 | 18.7× |
| Selenium (84255) | $82.80 | $115 | 3.2× |
| Semen Anal Sperm Detection (89321) | $398.88 | $554 | 33.1× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$137.52–$732.96 | $191–$1,018 | varies |
| Serpina 1 gene (81332) | $338.40 | $470 | 7.8× |
| Serum Bactericidal Titer (87197) | $501.12 | $696 | 33.4× |
| Sex Hormone Binding Globulin (84270) | $149.76 | $208 | 6.9× |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$71.28–$218.16 | $99–$303 | varies |
| Sirolimus (80195) | $81.36 | $113 | 5.9× |
| Smear acid fast (87206) | $100.08 | $139 | 18.6× |
| Smear complex stain (87209) | $48.24 | $67 | 2.7× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$69.84–$82.08 | $97–$114 | varies |
| Smear Special Stain (87207) | $169.20 | $235 | 28.2× |
| Smn1 Gene Dos/Deletion Alys (81329) | $1,176.48 | $1,634 | 8.6× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $95.04 | $132 | 16.3× |
| So neo gsap DNA aly cpy nmbrµsatellite ins (81458) | $2,304 | $3,200 | 2.2× |
| So neo gsap DNA/DNA&RNA (81459) | $3,767.04 | $5,232 | 1.3× |
| Sodium Serum (84295) | $35.28 | $49 | 7.3× |
| Sodium Urine (84300) | $84.96 | $118 | 16.8× |
| Soluble fibrin monomer (85366) | $157.68 | $219 | 2.0× |
| Soluble Transferrin Receptor (84238) | $434.16 | $603 | 11.9× |
| Somatomedin (84305) | $88.56 | $123 | 4.2× |
| Somatostatin (84307) | $276.48 | $384 | 15.1× |
| Special Stains Group 1 (88312) | $348.48 | $484 | 6.2× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$141.12–$298.08 | $196–$414 | varies |
| Specific gravity body fluid (84315) | $15.12 | $21 | 4.6× |
| Specimen infect agnt concntj (87015) | $44.64 | $62 | 6.7× |
| Spectrophotometry (84311) | $134.64 | $187 | 16.6× |
| Splitting Blood/Blood Products Each Unit (86985) | $321.84 | $447 | 1.8× |
| Staph a DNA amp probe (87640) | $177.84 | $247 | 5.1× |
| Stool cultr aerobic bact ea (87046) | $131.76 | $183 | 14.0× |
| Strep a assay w/optic (87880) | $117.36 | $163 | 7.1× |
| Strep a DNA amp probe (87651) | $151.92 | $211 | 4.3× |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$122.40–$202.32 | $170–$281 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $120.96 | $168 | 10.5× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $166.32 | $231 | 30.2× |
| Sugars Multiple Quant (84379) | $554.40 | $770 | 48.1× |
| Sugars Single Qual (84376) | $112.32 | $156 | 20.4× |
| Sulfate urine (84392) | $50.40 | $70 | 9.2× |
| Surg path level iii (88304) | $338.40 | $470 | 6.1× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$58.32–$340.56 | $81–$473 | varies |
| Surgical pathology level vi (88309) | $894.96 | $1,243 | 1.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $100.08 | $139 | 21.1× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $138.24 | $192 | 18.5× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $30.96 | $43 | 4.2× |
| Syphilis Test Non-Trep Quant (86593) | $192.24 | $267 | 43.7× |
| T cells absolute cd4 count (86361) | $186.48 | $259 | 7.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $250.56 | $348 | 5.3× |
| T cells total count (86359) | $191.52 | $266 | 5.1× |
| T3 Free (84481) | $72 | $100 | 4.3× |
| T3 reverse (84482) | $181.44 | $252 | 11.5× |
| T3 Total (84480) | $198.72 | $276 | 14.0× |
| T3 Uptake (84479) | $78.48 | $109 | 12.1× |
| T4 Free (84439) | $159.12 | $221 | 17.6× |
| T4 total (84436) | $68.40 | $95 | 10.0× |
| Tacrolimus (80197) | $64.80 | $90 | 4.7× |
| Tau phosphorylated each (84393) | $324 | $450 | 2.5× |
| Tert gene targeted seq alys (81345) | $1,023.12 | $1,421 | 5.5× |
| Test for acetone/ketones (82009) | $93.60 | $130 | 20.7× |
| Testosterone Bioavailable (84410) | $200.88 | $279 | 3.9× |
| Testosterone total (84403) | $126.72 | $176 | 4.9× |
| Testosterone, Free (84402) | $81.36 | $113 | 3.2× |
| Tetanus antibody (86774) | $46.80 | $65 | 3.2× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $2,700.72 | $3,751 | 4.5× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $2,255.04 | $3,132 | 3.8× |
| Theophylline (80198) | $93.60 | $130 | 6.6× |
| Thiocyanate (84430) | $109.44 | $152 | 9.4× |
| Thrombin Time (85670) | $78.48 | $109 | 13.6× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$7.92–$54 | $11–$75 | varies |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$64.80–$237.60 | $90–$330 | varies |
| Thyroglobulin Antibody (86800) | $64.08 | $89 | 4.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $203.76 | $283 | 4.0× |
| Thyroxine binding globulin (84442) | $48.24 | $67 | 3.3× |
| Tiss cul neo disorders solid tumor (88239) | $498.24 | $692 | 3.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$95.04–$95.76 | $132–$133 | varies |
| Tissue Culture (88233) | $409.68 | $569 | 2.9× |
| Tissue Culture Amniotic Fluid (88235) range across 2 matching MRF lines |
$237.60–$523.44 | $330–$727 | varies |
| Tissue culture bone marrow (88237) | $372.96 | $518 | 2.6× |
| Tissue Culture Lymphocyte (88230) | $304.56 | $423 | 2.6× |
| Tobramycin peak (80200) | $141.84 | $197 | 8.8× |
| Topiramate (80201) | $57.60 | $80 | 4.8× |
| Total Tau (84394) | $511.20 | $710 | 4.0× |
| Toxoplasma ab igm (86778) | $54.72 | $76 | 3.8× |
| Toxoplasma antibody (86777) | $121.68 | $169 | 8.5× |
| Tp53 gene analysis full gene sequence (81351) | $1,691.28 | $2,349 | 2.6× |
| Tpmt gene com variants (81335) | $220.32 | $306 | 1.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $38.88 | $54 | 7.5× |
| Transferrin (84466) | $146.88 | $204 | 11.5× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,031.76 | $1,433 | 4.9× |
| Trg gene rearrangement anal (81342) | $1,031.76 | $1,433 | 5.1× |
| Trichinella Antibody (86784) | $92.88 | $129 | 7.4× |
| Trichomonas vagin dir probe (87660) | $117.36 | $163 | 5.9× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$177.12–$259.20 | $246–$360 | varies |
| Triglycerides (84478) | $80.64 | $112 | 14.0× |
| Troponin Quant (84484) | $193.68 | $269 | 15.5× |
| Trypsin feces qual (84488) | $61.20 | $85 | 8.4× |
| Tumor immunohistochem/comput (88361) | $582.48 | $809 | 1.5× |
| Tumor Immunohistochem/Manual (88360) | $484.56 | $673 | 2.7× |
| Ugt1a1 gene analysis common variants (81350) | $915.12 | $1,271 | 3.9× |
| Unlisted Cytogenetic Study (88299) | $457.92 | $636 | 8.2× |
| Unlisted Transfusion Medicine Procedure (86999) | $75.60 | $105 | 2.4× |
| Urea nitrogen urine (84540) | $69.84 | $97 | 12.6× |
| Uric acid other source (84560) | $103.68 | $144 | 20.4× |
| Urinalysis Microscopic Only (81015) | $41.04 | $57 | 13.5× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $44.64 | $62 | 20.6× |
| Urinalysis Volume Measure (81050) | $74.88 | $104 | 20.6× |
| Urine Bacteria Culture (87088) | $100.08 | $139 | 12.4× |
| Urine Pregnancy Test (81025) | $111.60 | $155 | 13.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $60.48 | $84 | 19.1× |
| Valproic acid (80164) range across 2 matching MRF lines |
$95.76–$4,256.64 | $133–$5,912 | varies |
| Vancomycin (80202) | $170.64 | $237 | 12.6× |
| Varicella-zoster antibody (86787) | $123.12 | $171 | 9.6× |
| Vasopressin (84588) | $210.24 | $292 | 6.2× |
| Very Long Chain Fatty Acids (82726) | $564.48 | $784 | 28.6× |
| Viral Culture (87252) | $231.12 | $321 | 8.9× |
| Virus antibody nos (86790) | $51.84 | $72 | 4.0× |
| Virus inoculate tissue addl (87253) | $136.08 | $189 | 6.7× |
| Virus inoculation, shell via (87254) | $240.48 | $334 | 12.3× |
| Viscosity serum (85810) | $54 | $75 | 4.6× |
| Vit D 1 25-Dihydroxy (82652) | $42.48 | $59 | 1.1× |
| Vitamin A (84590) | $141.12 | $196 | 12.2× |
| Vitamin b-12 (82607) | $172.08 | $239 | 11.4× |
| Vitamin B2 (Riboflavin) (84252) | $111.60 | $155 | 5.5× |
| Vitamin B6 (84207) | $112.32 | $156 | 4.0× |
| Vitamin c (82180) | $56.16 | $78 | 5.7× |
| Vitamin D 25-Hydroxy (82306) | $171.36 | $238 | 5.8× |
| Vitamin E (84446) | $37.44 | $52 | 2.6× |
| Vitamin K (84597) | $238.32 | $331 | 17.4× |
| Volatiles (84600) | $40.32 | $56 | 2.4× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $106.56 | $148 | 8.8× |
| Von willebrand factor ag (85246) | $129.60 | $180 | 5.6× |
| Wbc Alkaline Phosphatase Count (85540) | $149.76 | $208 | 17.4× |
| West nile virus ab igm (86788) | $52.56 | $73 | 3.1× |
| West Nile Virus Antibody (86789) | $45.36 | $63 | 3.2× |
| Western Blot Test (84181) | $205.92 | $286 | 12.1× |
| Whole Mitochondrial Genome (81460) | $2,478.96 | $3,443 | 1.9× |
| Whole mitochondrial genome analysis panel (81465) | $2,194.56 | $3,048 | 2.3× |
| Xm Archive Tissue Molec Anal (88363) | $30.96 | $43 | 1.0× |
| Zika Virus Dna/Rna Amp Probe (87662) | $319.68 | $444 | 6.2× |
| Zika Virus Igm Antibody (86794) | $211.68 | $294 | 12.6× |
| Zinc (84630) | $45.36 | $63 | 4.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.