Lab & pathology prices at St. John's Medical Center
Jackson, WY · every code in this section with a posted price and a Medicare benchmark.
624 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $50 | $50 | 4.5× |
| Abl1 gene analysis kinase domain variants (81170) | $1,110 | $1,110 | 3.7× |
| Acetylcholine receptor binding antibody (86041) | $145 | $145 | 7.9× |
| Acetylcholine receptor blocking antibody (86042) | $125 | $125 | 6.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $125 | $125 | 10.4× |
| Acth (82024) | $125 | $125 | 3.2× |
| Actin smooth muscle antibody each (86015) | $60 | $60 | 5.0× |
| Acute hepatitis panel (80074) range across 3 matching MRF lines |
$102–$345 | $102–$345 | varies |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$55–$103 | $55–$103 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$61–$73 | $61–$73 | varies |
| Aldolase (82085) | $55 | $55 | 5.7× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$135–$175 | $135–$175 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$110–$185 | $110–$185 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $41 | $41 | 5.1× |
| Allergen specific ige (86003) range across 4 matching MRF lines |
$24–$66 | $24–$66 | varies |
| Allergen specific igg (86001) | $47 | $47 | 6.0× |
| Allg Spec Ige Recomb Ea (86008) | $103 | $103 | 5.7× |
| Alpha-1-antitrypsin phenotype (82104) | $165 | $165 | 11.4× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$55–$93 | $55–$93 | varies |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$55–$80 | $55–$80 | varies |
| Alt (sgpt) (84460) | $85 | $85 | 16.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $300 | $300 | 17.8× |
| Aminolevulinic acid (ala) (82135) | $135 | $135 | 8.2× |
| Ammonia (82140) | $240 | $240 | 16.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $228 | $228 | 2.3× |
| Amylase urine (82150) range across 2 matching MRF lines |
$34–$140 | $34–$140 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$45–$55 | $45–$55 | varies |
| Analysis skeletal muscle (88355) | $458 | $458 | 2.6× |
| Angiotensin converting enzyme csf (82164) | $65 | $65 | 4.5× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$48–$66 | $48–$66 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$60–$90 | $60–$90 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $116 | $116 | 6.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $110 | $110 | 8.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $126 | $126 | 8.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$70–$119 | $70–$119 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $45 | $45 | 3.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$60–$108 | $60–$108 | varies |
| Antibody Herpes Smplx Type 1 (86695) | $90 | $90 | 6.8× |
| Antibody HIV-2 (86702) | $193 | $193 | 14.3× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $210 | $210 | 10.9× |
| Antibody Identification Platelet Immunogl Assay (86023) | $110 | $110 | 8.8× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$60–$94 | $60–$94 | varies |
| Antibody Treponema Pallidum (86780) | $42 | $42 | 3.2× |
| Antibody; influenza virus (86710) | $58 | $58 | 4.3× |
| Antigen typing (86905) range across 2 matching MRF lines |
$270–$289 | $270–$289 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $180 | $180 | 31.5× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$35–$59 | $35–$59 | varies |
| Antistreptolysin o titer (86060) | $41 | $41 | 5.6× |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$58–$150 | $58–$150 | varies |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
$95–$160 | $95–$160 | varies |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$70–$85 | $70–$85 | varies |
| Aquaporin-4 Antb Elisa (86051) | $483 | $483 | 41.9× |
| Arsenic (82175) | $110 | $110 | 5.8× |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$168–$265 | $168–$265 | varies |
| Assay activated protein c (85307) range across 3 matching MRF lines |
$53–$150 | $53–$150 | varies |
| Assay Blood Carbon Dioxide (82374) | $69 | $69 | 14.1× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$130–$181 | $130–$181 | varies |
| Assay of 5-hiaa (83497) | $70 | $70 | 5.4× |
| Assay of anti-mullerian hormone (82166) | $336 | $336 | 8.7× |
| Assay of blood/uric acid (84550) | $79 | $79 | 17.5× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$26–$44 | $26–$44 | varies |
| Assay of cpk in blood (82552) | $70 | $70 | 5.2× |
| Assay of estrone (82679) | $120 | $120 | 4.8× |
| Assay of g6pd enzyme (82955) | $80 | $80 | 8.2× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$25–$124 | $25–$124 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$186–$204 | $186–$204 | varies |
| Assay of manganese (83785) range across 2 matching MRF lines |
$60–$188 | $60–$188 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$90–$250 | $90–$250 | varies |
| Assay of proinsulin (84206) | $165 | $165 | 6.2× |
| Assay of pyruvate (84210) | $125 | $125 | 8.6× |
| Assay of serotonin (84260) | $191 | $191 | 6.2× |
| Assay of serum potassium (84132) | $90 | $90 | 18.9× |
| Assay of sweat sodium (84302) | $80 | $80 | 16.5× |
| Assay of urea nitrogen (84520) | $141 | $141 | 35.7× |
| Assay of urine vma (84585) | $153 | $153 | 9.9× |
| Assay of vasoactive intestinal peptide (84586) | $115 | $115 | 3.3× |
| Assay of vitamin b-1 (84425) | $135 | $135 | 6.4× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$41–$80 | $41–$80 | varies |
| Assay spec xcp ur&breath ia (82077) range across 2 matching MRF lines |
$57–$165 | $57–$165 | varies |
| Asy carbamazepin 10,11-epxid (80161) | $242 | $242 | 13.0× |
| Automated Leukocyte Count (85048) | $92 | $92 | 36.2× |
| B cells total count (86355) range across 2 matching MRF lines |
$60–$192 | $60–$192 | varies |
| Bartonella antibody (86611) range across 2 matching MRF lines |
$44–$64 | $44–$64 | varies |
| Bcr/abl1 gene major bp (81206) range across 3 matching MRF lines |
$435–$490 | $435–$490 | varies |
| Bcr/abl1 gene minor bp (81207) range across 3 matching MRF lines |
$445–$475 | $445–$475 | varies |
| Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines |
$59–$121 | $59–$121 | varies |
| Beta hydroxybutyrate (82010) | $119 | $119 | 14.6× |
| Beta Lactamase (87185) | $130 | $130 | 27.4× |
| Beta-2 Microglobulin (82232) | $65 | $65 | 4.0× |
| Bile acids total (82239) | $60 | $60 | 3.5× |
| Bilirubin direct (82248) | $82 | $82 | 16.3× |
| Bilirubin total (82247) | $94 | $94 | 18.7× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$70–$95 | $70–$95 | varies |
| Blood count reticulocyte automated (85045) | $155 | $155 | 38.8× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $110 | $110 | 28.9× |
| Blood gases w/02 saturation (82805) | $377 | $377 | 4.8× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $99 | $99 | 6.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$10–$84 | $10–$84 | varies |
| Blood typing serologic abo (86900) | $131 | $131 | 43.8× |
| Body fluid cell count (89050) | $125 | $125 | 26.5× |
| Bone marrow smear interpretation (85097) | $730 | $730 | 0.9× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$90–$125 | $90–$125 | varies |
| Breath Alcohol Test (82075) range across 2 matching MRF lines |
$75–$400 | $75–$400 | varies |
| Brucella antibody (86622) | $60 | $60 | 6.7× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$270–$294 | $270–$294 | varies |
| C-Peptide (84681) | $48 | $48 | 2.3× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$44–$129 | $44–$129 | varies |
| Ca 19-9 (86301) | $75 | $75 | 3.6× |
| Cadmium (82300) | $110 | $110 | 4.7× |
| Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) | $693 | $693 | 4.0× |
| Calcitonin (82308) | $100 | $100 | 3.7× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$60–$193 | $60–$193 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$88–$94 | $88–$94 | varies |
| Calculus Spectroscopy (82365) | $105 | $105 | 8.1× |
| Calprotectin Fecal (83993) | $323 | $323 | 16.5× |
| Calr gene com variants (81219) | $475 | $475 | 3.9× |
| Cancer Antigen 125 (86304) | $206 | $206 | 9.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$55–$60 | $55–$60 | varies |
| Carbohydrate Deficient Transferrin (82373) | $443 | $443 | 24.5× |
| Carboxyhemoglobin (82375) | $198 | $198 | 16.1× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$156–$177 | $156–$177 | varies |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$29–$110 | $29–$110 | varies |
| Carotene (82380) | $55 | $55 | 6.0× |
| Catecholamines fractionated (82384) | $130 | $130 | 5.1× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$30–$90 | $30–$90 | varies |
| Cell count csf (89051) | $254 | $254 | 45.4× |
| Cell marker study (88182) | $274 | $274 | 5.1× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$375–$480 | $375–$480 | varies |
| Ceruloplasmin (82390) | $42 | $42 | 3.9× |
| Cftr gene com variants (81220) | $413 | $413 | 0.7× |
| Chemiluminescent assay (82397) range across 4 matching MRF lines |
$85–$343 | $85–$343 | varies |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$35–$49 | $35–$49 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$33–$45 | $33–$45 | varies |
| Chlmy trch&neisra gonor mult (87494) range across 3 matching MRF lines |
$95–$267 | $95–$267 | varies |
| Chloride Serum (82435) | $87 | $87 | 18.9× |
| Chloride urine (82436) | $60 | $60 | 10.4× |
| Cholesterol total (82465) | $65 | $65 | 14.9× |
| Chorionic gonadotropin test (84702) range across 3 matching MRF lines |
$30–$188 | $30–$188 | varies |
| Chromium serum (82495) | $90 | $90 | 4.4× |
| Chromogranin a (86316) | $185 | $185 | 8.9× |
| Chromosome Analysis 20-25 (88264) | $423 | $423 | 2.9× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$95–$171 | $95–$171 | varies |
| Citric acid urine (82507) | $95 | $95 | 3.4× |
| Ckmb (82553) | $233 | $233 | 20.2× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$186–$212 | $186–$212 | varies |
| Clot Factor VIII Multimetric (85247) | $270 | $270 | 11.8× |
| Clot factor xiii fibrin stab (85290) | $325 | $325 | 19.9× |
| Clotting Funct Activity (85397) | $232 | $232 | 7.5× |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$590–$828 | $590–$828 | varies |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$42–$101 | $42–$101 | varies |
| Cold agglutinin titer (86157) | $60 | $60 | 7.4× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$115–$397 | $115–$397 | varies |
| Column Chromotography Quant (82542) range across 3 matching MRF lines |
$250–$452 | $250–$452 | varies |
| Compatibility test antiglob (86922) | $434 | $434 | 2.5× |
| Complement Antigen Each Component (86160) range across 5 matching MRF lines |
$48–$234 | $48–$234 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$42–$178 | $42–$178 | varies |
| Complement/Function Activity (86161) | $155 | $155 | 12.9× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $528 | $528 | 3.0× |
| Coombs direct (86880) | $150 | $150 | 27.8× |
| Copper urine (82525) | $65 | $65 | 5.2× |
| Cortisol free (82530) | $70 | $70 | 4.2× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$36–$179 | $36–$179 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$119–$147 | $119–$147 | varies |
| Creatinine blood (82565) | $112 | $112 | 21.9× |
| Creatinine clearance (82575) | $200 | $200 | 21.1× |
| Creatinine Urine (82570) | $85 | $85 | 16.4× |
| Crossmatch electronic (86923) | $236 | $236 | 1.4× |
| Crossmatch immediate spin (86920) | $393 | $393 | 2.3× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$56–$129 | $56–$129 | varies |
| Cryoglobulin (82595) | $44 | $44 | 6.8× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$40–$250 | $40–$250 | varies |
| Cryptosporidium ag eia (87328) | $115 | $115 | 8.3× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $132 | $132 | 16.3× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $187 | $187 | 23.1× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,090 | $1,090 | 5.0× |
| Culture aerobic quant other (87071) | $256 | $256 | 25.9× |
| Culture afb (87116) | $151 | $151 | 14.0× |
| Culture Anaerobic (87075) | $339 | $339 | 35.8× |
| Culture blood (87040) | $235 | $235 | 22.8× |
| Culture chlamydia (87110) | $95 | $95 | 4.8× |
| Culture csf (87070) range across 2 matching MRF lines |
$175–$188 | $175–$188 | varies |
| Culture fungus (87102) | $223 | $223 | 26.5× |
| Culture fungus blood (87103) | $91 | $91 | 4.4× |
| Culture screen only (87081) range across 2 matching MRF lines |
$111–$160 | $111–$160 | varies |
| Culture stool (87045) | $150 | $150 | 15.9× |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$72–$121 | $72–$121 | varies |
| Culture urine (87086) | $131 | $131 | 16.2× |
| Cyclosporine (80158) | $95 | $95 | 5.3× |
| Cystatin C (82610) | $74 | $74 | 4.0× |
| Cytogenetics 100-300 (88275) | $304 | $304 | 5.9× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $900 | $900 | 1.0× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,795 | $1,795 | 1.5× |
| Cytomegalovirus igg (86644) | $75 | $75 | 5.2× |
| Cytopath Fl Nongyn Filter (88106) | $110 | $110 | 3.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $125 | $125 | 4.7× |
| Cytp Concentration Smears & Interpretation (88108) | $100 | $100 | 2.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $70 | $70 | 1.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $295 | $295 | 1.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $95 | $95 | 2.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,554 | $1,554 | 8.9× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $75 | $75 | 4.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $389 | $389 | 7.3× |
| Cytp Urine 3-5 Probes Cmptr (88121) range across 2 matching MRF lines |
$658–$1,396 | $658–$1,396 | varies |
| Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) | $48 | $48 | 4.5× |
| Deoxyribonuclease antibody (86215) | $65 | $65 | 4.9× |
| Detect Agent Nos Dna Amp (87798) range across 15 matching MRF lines |
$40–$451 | $40–$451 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$152–$550 | $152–$550 | varies |
| Dgp Antibody Each Ig Class (86258) | $85 | $85 | 7.1× |
| Dhea (82626) | $120 | $120 | 4.7× |
| Dhea-S (82627) range across 2 matching MRF lines |
$34–$180 | $34–$180 | varies |
| Digoxin (80162) | $220 | $220 | 16.6× |
| Dna Antibody Native/Double Stranded (86225) | $60 | $60 | 4.4× |
| Drug assay acetaminophen (80143) | $236 | $236 | 12.7× |
| Drug assay adalimumab (80145) range across 2 matching MRF lines |
$253–$430 | $253–$430 | varies |
| Drug Assay Everolimus (80169) | $310 | $310 | 22.6× |
| Drug Assay Infliximab (80230) range across 3 matching MRF lines |
$253–$327 | $253–$327 | varies |
| Drug Assay Posaconazole (80187) | $260 | $260 | 9.6× |
| Drug Screen Quant Clozapine (80159) | $75 | $75 | 3.7× |
| Drug Screen Quantitative Gabapentin (80171) | $119 | $119 | 5.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $90 | $90 | 6.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $215 | $215 | 16.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $120 | $120 | 9.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$35–$110 | $35–$110 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$51–$135 | $51–$135 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$60–$304 | $60–$304 | varies |
| Ehrlichia antibody (86666) range across 4 matching MRF lines |
$85–$174 | $85–$174 | varies |
| El-1 Fecal Quantitative (82653) | $316 | $316 | 13.8× |
| Electrolyte panel (80051) | $153 | $153 | 21.8× |
| Electron Microscopy (88348) | $1,816 | $1,816 | 2.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $170 | $170 | 14.1× |
| Enterovirus Antibody (86658) range across 5 matching MRF lines |
$32–$153 | $32–$153 | varies |
| Enterovirus PCR (87498) | $438 | $438 | 12.5× |
| Enzyme cell activity (82657) | $510 | $510 | 23.0× |
| Enzyme histochemistry (88319) | $219 | $219 | 0.3× |
| Eosinophil Smear (89190) | $86 | $86 | 14.9× |
| Erythropoietin (82668) | $100 | $100 | 5.3× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$135–$226 | $135–$226 | varies |
| Estriol (82677) | $55 | $55 | 2.3× |
| Estrogens fractionated (82671) | $125 | $125 | 3.9× |
| Ethosuximide (80168) | $48 | $48 | 2.9× |
| Exam Synovial Fluid Crystals (89060) | $193 | $193 | 26.3× |
| Exome Sequence Analysis (81415) | $2,700 | $2,700 | 0.6× |
| Exome sequence analysis each comparator exome (81416) likely a partial charge, not the full procedure |
$2,700 | $2,700 | 0.2× |
| F2 Gene (81240) range across 3 matching MRF lines |
$158–$405 | $158–$405 | varies |
| Factor ii activity (85210) | $140 | $140 | 10.8× |
| Factor Inhibitor Test (85335) | $360 | $360 | 28.0× |
| Factor ix activity (85250) | $145 | $145 | 7.6× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$96–$290 | $96–$290 | varies |
| Factor vii assay (85230) | $150 | $150 | 8.4× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$115–$194 | $115–$194 | varies |
| Factor X (85260) | $150 | $150 | 8.4× |
| Factor xi activity (85270) | $191 | $191 | 10.7× |
| Fat/Lipids Feces Quantitative (82710) | $116 | $116 | 6.9× |
| Fecal Fat Qualitative (82705) | $65 | $65 | 12.7× |
| Ferritin (82728) range across 2 matching MRF lines |
$145–$148 | $145–$148 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $375 | $375 | 2.4× |
| Fetal Fibronectin (82731) | $673 | $673 | 10.4× |
| Fetal screen rosette (85461) | $220 | $220 | 23.5× |
| Fibrin degradation products (85362) | $104 | $104 | 15.1× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $148 | $148 | 15.2× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $43 | $43 | 3.5× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$65–$145 | $65–$145 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $51 | $51 | 3.3× |
| Flecainide level (80181) | $76 | $76 | 4.1× |
| Flow cytometry first marker (88184) | $100 | $100 | 0.3× |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$45–$295 | $45–$295 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$85–$440 | $85–$440 | varies |
| Fmr1 gene detection (81243) | $300 | $300 | 5.3× |
| Folic acid rbc (82747) | $70 | $70 | 4.0× |
| Folic Acid Serum (82746) range across 3 matching MRF lines |
$55–$146 | $55–$146 | varies |
| Follicle Stimulating Hormone (83001) | $186 | $186 | 10.0× |
| Forensic Cytopathology (88125) | $57 | $57 | 1.1× |
| Francisella tularensis (86668) | $95 | $95 | 6.7× |
| Frozen Section (88331) | $165 | $165 | 0.9× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$60–$101 | $60–$101 | varies |
| Gastrin (82941) | $65 | $65 | 3.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$700–$875 | $700–$875 | varies |
| Gentamicin (80170) | $223 | $223 | 13.6× |
| Ggt (82977) | $99 | $99 | 13.8× |
| Giardia antigen (87329) | $135 | $135 | 11.3× |
| Giardia lamblia antibody (86674) range across 2 matching MRF lines |
$97–$164 | $97–$164 | varies |
| Glucose 2 hr pp (82950) | $90 | $90 | 18.9× |
| Glucose Blood Test (82962) | $46 | $46 | 14.0× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$24–$114 | $24–$114 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$25–$93 | $25–$93 | varies |
| Glucose tolerance test (gtt) (82951) | $159 | $159 | 12.4× |
| Glycated Protein (82985) | $75 | $75 | 4.5× |
| Gonadotropin Chorionic Qualitative (84703) | $125 | $125 | 16.6× |
| Growth hormone (83003) | $60 | $60 | 3.6× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$79–$80 | $79–$80 | varies |
| H Pylori (C-13) Breath (83013) | $180 | $180 | 2.7× |
| Haptoglobin (83010) | $45 | $45 | 3.6× |
| Hba1/hba2 full gene sequence (81259) | $678 | $678 | 1.1× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $650 | $650 | 3.2× |
| Hbb duplication/deletion variants (81363) | $728 | $728 | 3.6× |
| Hbb Full Gene Sequence (81364) | $690 | $690 | 2.1× |
| Hdl Cholesterol (83718) | $100 | $100 | 12.2× |
| Helicobacter Pylori Stool (87338) range across 3 matching MRF lines |
$10–$216 | $10–$216 | varies |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$100–$124 | $100–$124 | varies |
| Hematocrit (85014) | $67 | $67 | 28.3× |
| Hemoglobin (85018) | $66 | $66 | 27.8× |
| Hemoglobin a1c (83036) range across 4 matching MRF lines |
$25–$110 | $25–$110 | varies |
| Hemoglobin Chromotography (83021) | $130 | $130 | 7.2× |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$51–$80 | $51–$80 | varies |
| Hemoglobin plasma (83051) | $75 | $75 | 10.3× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$48–$81 | $48–$81 | varies |
| Heparin assay (85520) range across 3 matching MRF lines |
$169–$310 | $169–$310 | varies |
| Heparin Neutralization (85525) range across 2 matching MRF lines |
$73–$78 | $73–$78 | varies |
| Hepatitis a antibody total (86708) | $48 | $48 | 3.9× |
| Hepatitis b core ab igm (86705) | $105 | $105 | 8.9× |
| Hepatitis b core ab total (86704) | $95 | $95 | 7.9× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$15–$147 | $15–$147 | varies |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$55–$115 | $55–$115 | varies |
| Hepatitis Be Antibody (86707) | $60 | $60 | 5.2× |
| Hepatitis Be Antigen (87350) | $60 | $60 | 5.2× |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
$60–$147 | $60–$147 | varies |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$261–$835 | $261–$835 | varies |
| Hepatitis C Revrs Trnscrpj (87522) | $140 | $140 | 3.3× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$90–$116 | $90–$116 | varies |
| Heterophile Antibody Screen (86308) range across 4 matching MRF lines |
$12.50–$110 | $12.50–$110 | varies |
| Hfe Gene (81256) | $200 | $200 | 3.1× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $399 | $399 | 51.6× |
| Histamine urine (83088) | $105 | $105 | 3.6× |
| Histoplasma antibody (86698) range across 4 matching MRF lines |
$49–$70 | $49–$70 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$263–$300 | $263–$300 | varies |
| Hiv Genotype (87901) | $260 | $260 | 1.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$90–$153 | $90–$153 | varies |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$80–$135 | $80–$135 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $400 | $400 | 4.7× |
| HIV-2 probe&revrse trnscripj (87538) | $141 | $141 | 4.0× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $555 | $555 | 3.1× |
| Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines |
$565–$745 | $565–$745 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $280 | $280 | 3.8× |
| Hla ii typing 1 allele hr (81383) | $200 | $200 | 1.8× |
| Hla ii typing 1 locus lr (81376) | $200 | $200 | 1.6× |
| Hla-b27 (86812) | $165 | $165 | 6.4× |
| Homocysteine (83090) range across 3 matching MRF lines |
$50–$177 | $50–$177 | varies |
| Homogenization Tissue (87176) | $68 | $68 | 11.6× |
| Homovanillic acid urine (83150) | $67 | $67 | 3.0× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$155–$245 | $155–$245 | varies |
| Hydroxyprogesterone 17-d (83498) | $115 | $115 | 4.2× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $88 | $88 | 7.3× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $88 | $88 | 8.5× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) range across 3 matching MRF lines |
$40–$341 | $40–$341 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 3 matching MRF lines |
$56–$102 | $56–$102 | varies |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$82–$97 | $82–$97 | varies |
| Iaadi herpes smplx virus type 1 (87274) | $129 | $129 | 10.8× |
| Iaadi herpes smplx virus type 2 (87273) | $129 | $129 | 10.8× |
| Iaadi Varicella Zoster Virus (87290) | $106 | $106 | 7.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $385 | $385 | 11.0× |
| Iadna Candida Species Amplified Probe Tq (87481) | $113 | $113 | 3.2× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $158 | $158 | 4.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $340 | $340 | 9.7× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$110–$525 | $110–$525 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $405 | $405 | 9.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $141 | $141 | 4.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$207–$228 | $207–$228 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $161 | $161 | 4.6× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $170 | $170 | 3.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $582 | $582 | 4.1× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$525–$570 | $525–$570 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$127–$145 | $127–$145 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$60–$101 | $60–$101 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $675 | $675 | 2.3× |
| Immune Complex Assay (86332) | $120 | $120 | 4.9× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$83–$191 | $83–$191 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$85–$360 | $85–$360 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 5 matching MRF lines |
$21–$138 | $21–$138 | varies |
| Immunoassay nonantibody (83516) range across 20 matching MRF lines |
$38–$273 | $38–$273 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$44–$49 | $44–$49 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $47 | $47 | 2.0× |
| Immunoelectrophoresis Serum (86320) | $46 | $46 | 1.5× |
| Immunofixation electrophoresis (86334) range across 4 matching MRF lines |
$46–$198 | $46–$198 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
$110–$284 | $110–$284 | varies |
| Immunohistochemistry (88342) | $295 | $295 | 1.7× |
| In situ hybridization 1st probe stain (88365) | $580 | $580 | 3.3× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) range across 2 matching MRF lines |
$58–$100 | $58–$100 | varies |
| Influenza a/b ag eia (87400) | $20 | $20 | 1.4× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$25–$68 | $25–$68 | varies |
| Influenza DNA amp probe (87502) | $275 | $275 | 2.9× |
| Inhibin A (86336) | $134 | $134 | 8.6× |
| Inhibin b (83520) range across 8 matching MRF lines |
$70–$336 | $70–$336 | varies |
| Insulin antibodies (86337) | $195 | $195 | 9.1× |
| Insulin total (83525) range across 2 matching MRF lines |
$110–$113 | $110–$113 | varies |
| Interleukin-6 (83529) | $135 | $135 | 7.8× |
| Intrinsic factor antibody (86340) | $110 | $110 | 7.3× |
| Iron (83540) | $102 | $102 | 15.8× |
| Iron Binding Capacity (83550) | $85 | $85 | 9.7× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$100–$500 | $100–$500 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$274–$660 | $274–$660 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $527 | $527 | 2.8× |
| Ketosteroids 17 total (83586) | $82 | $82 | 6.4× |
| Koh Prep (87220) | $108 | $108 | 25.3× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$55–$92 | $55–$92 | varies |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
$135–$165 | $135–$165 | varies |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $292 | $292 | 14.4× |
| Lamellar Body Count (83664) | $155 | $155 | 8.0× |
| Ldh Isoenzymes (83625) | $48 | $48 | 3.8× |
| LDL direct (83721) | $90 | $90 | 8.6× |
| Lead (83655) range across 2 matching MRF lines |
$75–$87 | $75–$87 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$115–$330 | $115–$330 | varies |
| Leukocyte Assessment Fecal (89055) | $146 | $146 | 34.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $60 | $60 | 2.0× |
| Level ii surg pathology grossµscopic exam (88302) | $100 | $100 | 2.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $315 | $315 | 0.9× |
| Lipase (83690) | $133 | $133 | 19.3× |
| Lipoprotein A (83695) | $80 | $80 | 5.6× |
| Lipoprotein Bld Quan Part (83704) | $68 | $68 | 2.0× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $107 | $107 | 3.2× |
| Lithium (80178) range across 2 matching MRF lines |
$36–$146 | $36–$146 | varies |
| Luteinizing Hormone (Lh) (83002) | $157 | $157 | 8.5× |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$38–$130 | $38–$130 | varies |
| Lymphocyte transformation (86353) range across 4 matching MRF lines |
$85–$389 | $85–$389 | varies |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$138–$206 | $138–$206 | varies |
| Macroscopic exam arthropod (87168) | $125 | $125 | 29.3× |
| Macroscopic Exam Parasite (87169) range across 2 matching MRF lines |
$42–$124 | $42–$124 | varies |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$65–$108 | $65–$108 | varies |
| Mass Spectrometry Quant (83789) | $405 | $405 | 16.8× |
| Mercury urine (83825) range across 3 matching MRF lines |
$60–$90 | $60–$90 | varies |
| Methylmalonic acid serum (83921) | $145 | $145 | 6.8× |
| Microalbumin, quantitative (82043) | $60 | $60 | 10.4× |
| Microsomal Antibodies Each (86376) range across 5 matching MRF lines |
$45–$152 | $45–$152 | varies |
| Mitochondrial Antibody Each (86381) | $55 | $55 | 2.2× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$110–$186 | $110–$186 | varies |
| Molecular Pathology Procedure Level 6 (81405) | $408 | $408 | 1.4× |
| Mononuclear cell antigen (86356) range across 3 matching MRF lines |
$76–$210 | $76–$210 | varies |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$290–$450 | $290–$450 | varies |
| Mopath procedure level 5 (81404) range across 3 matching MRF lines |
$275–$1,782 | $275–$1,782 | varies |
| Mopath procedure level 7 (81406) | $574 | $574 | 2.0× |
| Mopath procedure level 9 (81408) | $1,100 | $1,100 | 0.6× |
| Morphometric analysis nerve (88356) | $698 | $698 | 13.1× |
| Morphometric Analysis Tumor (88358) | $206 | $206 | 1.2× |
| Mpl gene common variants (81338) | $589 | $589 | 3.9× |
| Mrsa Pcr (87641) | $270 | $270 | 7.7× |
| Mthfr Gene Analysis Common Variants (81291) | $405 | $405 | 6.2× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$6–$50 | $6–$50 | varies |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$85–$144 | $85–$144 | varies |
| Myelin basic protein csf (83873) | $125 | $125 | 7.3× |
| Myoglobin urine (83874) | $75 | $75 | 5.8× |
| Natriuretic peptide (83880) range across 4 matching MRF lines |
$160–$358 | $160–$358 | varies |
| Nerve teasing preparations (88362) | $783 | $783 | 1.0× |
| Neutralization Test Viral (86382) | $154 | $154 | 9.1× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) range across 2 matching MRF lines |
$188–$465 | $188–$465 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $511 | $511 | 2.0× |
| Nfct ds bv&vaginitis DNA alg (81515) | $344 | $344 | 1.3× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $315 | $315 | 2.4× |
| Niacin (84591) | $160 | $160 | 9.4× |
| Nk cells total count (86357) | $101 | $101 | 2.7× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$30–$230 | $30–$230 | varies |
| Occult blood feces (82272) | $73 | $73 | 17.3× |
| Occult Blood Other Sources (82271) | $88 | $88 | 16.5× |
| Oligoclonal bands (83916) | $175 | $175 | 6.4× |
| Organic acids urine (83918) | $400 | $400 | 16.9× |
| Osmolality serum (83930) | $65 | $65 | 9.8× |
| Osmolality Urine (83935) | $70 | $70 | 10.3× |
| Osteocalcin (83937) | $185 | $185 | 6.2× |
| Ova and parasites smears (87177) range across 4 matching MRF lines |
$30–$136 | $30–$136 | varies |
| Oxalate urine (83945) range across 2 matching MRF lines |
$85–$126 | $85–$126 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $147 | $147 | 12.7× |
| Parvovirus antibody (86747) range across 2 matching MRF lines |
$70–$116 | $70–$116 | varies |
| Phenobarbital Level (80184) | $130 | $130 | 8.5× |
| Phenotype Infect Agent Drug (87900) | $318 | $318 | 2.4× |
| Phenylalanine (84030) | $125 | $125 | 22.7× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$105–$215 | $105–$215 | varies |
| Phenytoin free (80186) | $142 | $142 | 10.3× |
| Phosphatase acid prostatic (84066) | $80 | $80 | 8.3× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$44–$70 | $44–$70 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $181 | $181 | 10.1× |
| Phosphorus Serum (84100) | $112 | $112 | 23.6× |
| Phosphorus urine (84105) | $48 | $48 | 8.3× |
| Pinworm exam (87172) | $145 | $145 | 34.0× |
| Platelet Aggregation (85576) | $51 | $51 | 2.0× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$345–$486 | $345–$486 | varies |
| Platelet count automated (85049) | $88 | $88 | 19.6× |
| Platelet neutralization (85597) | $80 | $80 | 4.4× |
| PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) | $292 | $292 | 1.0× |
| Potassium Urine (84133) | $83 | $83 | 17.5× |
| Prealbumin (84134) | $55 | $55 | 3.8× |
| Pregnenolone (84140) | $170 | $170 | 8.2× |
| Primidone (80188) | $60 | $60 | 3.6× |
| Procalcitonin (Pct) (84145) | $306 | $306 | 11.2× |
| Progesterone (84144) range across 2 matching MRF lines |
$120–$182 | $120–$182 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$75–$169 | $75–$169 | varies |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) | $41 | $41 | 1.6× |
| Protein body fluid (84157) range across 2 matching MRF lines |
$50–$139 | $50–$139 | varies |
| Protein C Activity (85303) range across 3 matching MRF lines |
$68–$151 | $68–$151 | varies |
| Protein c antigen (85302) | $85 | $85 | 7.1× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$83–$203 | $83–$203 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$30–$61 | $30–$61 | varies |
| Protein S Free (85306) range across 5 matching MRF lines |
$136–$284 | $136–$284 | varies |
| Protein s total (85305) range across 2 matching MRF lines |
$85–$108 | $85–$108 | varies |
| Protein Total Refractometry Any Src (84160) range across 2 matching MRF lines |
$30–$32 | $30–$32 | varies |
| Protein total serum (84155) | $75 | $75 | 20.4× |
| Protein Total Urine (84156) range across 4 matching MRF lines |
$21–$100 | $21–$100 | varies |
| Protein Western Blot Test (84182) range across 3 matching MRF lines |
$38–$47 | $38–$47 | varies |
| Protein, western blot tissue (88371) | $49 | $49 | 2.2× |
| PSA free (84154) | $160 | $160 | 8.7× |
| Pth Intact (83970) range across 2 matching MRF lines |
$75–$350 | $75–$350 | varies |
| Q Fever Antibody (86638) range across 4 matching MRF lines |
$44–$150 | $44–$150 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$160–$235 | $160–$235 | varies |
| Quantitative assay drug (80299) | $260 | $260 | 13.9× |
| Quantitative Screen Metals (83018) range across 4 matching MRF lines |
$100–$367 | $100–$367 | varies |
| Rbc antibody identification (86870) | $460 | $460 | 1.3× |
| Rbc antibody screen (86850) | $170 | $170 | 17.4× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$9–$37 | $9–$37 | varies |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$180–$210 | $180–$210 | varies |
| Reptilase test (85635) | $56 | $56 | 5.7× |
| Resp virus 12-25 targets (87633) | $1,263 | $1,263 | 3.0× |
| Resp Virus 6-11 Targets (87632) | $939 | $939 | 4.3× |
| Reticulocyte Count (85046) | $159 | $159 | 28.5× |
| Rh (86901) | $88 | $88 | 29.4× |
| Rheumatoid factor quant (86431) | $44 | $44 | 7.8× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$100–$119 | $100–$119 | varies |
| Ristocetin cofactor (85245) | $225 | $225 | 9.8× |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$35–$119 | $35–$119 | varies |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$20–$81 | $20–$81 | varies |
| Rsv Assay W/Optic (87807) | $40 | $40 | 3.1× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$6–$36 | $6–$36 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$6–$93 | $6–$93 | varies |
| Russell Viper Venom Time Diluted (85613) range across 6 matching MRF lines |
$30–$128 | $30–$128 | varies |
| Salicylate Level (80179) | $195 | $195 | 10.5× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $170 | $170 | 3.3× |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$66–$105 | $66–$105 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$280–$630 | $280–$630 | varies |
| Sedimentation Rate, Automated (85652) | $62 | $62 | 23.0× |
| Selenium (84255) | $60 | $60 | 2.4× |
| Semen Anal Sperm Detection (89321) | $169 | $169 | 14.0× |
| Semen analysis complete (89320) | $280 | $280 | 22.7× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$145–$152 | $145–$152 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$75–$126 | $75–$126 | varies |
| Sickling of rbc reduction (85660) | $54 | $54 | 9.8× |
| Sirolimus (80195) | $200 | $200 | 14.6× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$21–$120 | $21–$120 | varies |
| Skin test unlisted antigen each (86486) | $15 | $15 | 0.5× |
| Skin test; histoplasmosis (86510) | $16 | $16 | 0.4× |
| Smear acid fast (87206) | $85 | $85 | 15.8× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$30–$139 | $30–$139 | varies |
| Smear gram stain (87205) | $109 | $109 | 25.5× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$58–$291 | $58–$291 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$116–$118 | $116–$118 | varies |
| Sodium Serum (84295) | $140 | $140 | 29.1× |
| Sodium Urine (84300) | $101 | $101 | 20.0× |
| Somatomedin (84305) | $75 | $75 | 3.5× |
| Somatostatin (84307) | $363 | $363 | 19.9× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$110–$140 | $110–$140 | varies |
| Special Stains Group 2 (88313) | $110 | $110 | 0.8× |
| Specimen infect agnt concntj (87015) | $62 | $62 | 9.3× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$39–$85 | $39–$85 | varies |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) | $115 | $115 | 2.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $44 | $44 | 0.3× |
| Stool cultr aerobic bact ea (87046) | $140 | $140 | 14.8× |
| Strep a assay w/optic (87880) range across 3 matching MRF lines |
$50–$105 | $50–$105 | varies |
| Strep a DNA amp probe (87651) | $180 | $180 | 5.1× |
| Strep b DNA amp probe (87653) | $316 | $316 | 9.0× |
| Sugars Single Qual (84376) | $48 | $48 | 8.7× |
| Surg path level iii (88304) | $115 | $115 | 2.2× |
| Surgical pathology level IV (88305) | $145 | $145 | 2.7× |
| Surgical pathology level vi (88309) | $730 | $730 | 0.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$113–$117 | $113–$117 | varies |
| Sweat Collection Iontophoresis (89230) | $6 | $6 | 0.1× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$64–$71 | $64–$71 | varies |
| T cells absolute cd4 count (86361) | $127 | $127 | 4.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $160 | $160 | 3.4× |
| T cells total count (86359) range across 2 matching MRF lines |
$60–$101 | $60–$101 | varies |
| T3 Free (84481) | $167 | $167 | 9.9× |
| T3 reverse (84482) | $90 | $90 | 5.7× |
| T3 Total (84480) | $80 | $80 | 5.6× |
| T3 Uptake (84479) | $40 | $40 | 6.2× |
| T4 Free (84439) | $141 | $141 | 15.6× |
| T4 total (84436) range across 2 matching MRF lines |
$55–$78 | $55–$78 | varies |
| Tacrolimus (80197) | $200 | $200 | 14.6× |
| Tau phosphorylated each (84393) | $575 | $575 | 4.5× |
| Testosterone total (84403) range across 3 matching MRF lines |
$55–$180 | $55–$180 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$75–$250 | $75–$250 | varies |
| Theophylline (80198) | $120 | $120 | 8.5× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$36–$63 | $36–$63 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$30–$41 | $30–$41 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$46–$154 | $46–$154 | varies |
| Thyroglobulin Antibody (86800) range across 4 matching MRF lines |
$35–$145 | $35–$145 | varies |
| Thyroid Stimulating Immunoglobulin (84445) range across 2 matching MRF lines |
$230–$250 | $230–$250 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$30–$120 | $30–$120 | varies |
| Tissue culture bone marrow (88237) | $250 | $250 | 1.7× |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$85–$190 | $85–$190 | varies |
| Topiramate (80201) | $135 | $135 | 11.3× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $130 | $130 | 6.6× |
| Toxoplasma ab igm (86778) | $95 | $95 | 6.6× |
| Toxoplasma antibody (86777) | $80 | $80 | 5.6× |
| Tpmt gene com variants (81335) | $705 | $705 | 4.0× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$70–$86 | $70–$86 | varies |
| Transferrin (84466) | $75 | $75 | 5.9× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$83–$210 | $83–$210 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$42–$80 | $42–$80 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$180–$316 | $180–$316 | varies |
| Urea nitrogen urine (84540) | $55 | $55 | 9.9× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$27–$45 | $27–$45 | varies |
| Urinalysis Volume Measure (81050) | $38 | $38 | 10.4× |
| Urine Albumin Semiquantitative (82044) | $15 | $15 | 2.4× |
| Urine Pregnancy Test (81025) range across 4 matching MRF lines |
$28–$93 | $28–$93 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $85 | $85 | 26.8× |
| Valproic acid (80164) | $235 | $235 | 17.4× |
| Vancomycin (80202) | $277 | $277 | 20.5× |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$6–$118 | $6–$118 | varies |
| Vasopressin (84588) | $185 | $185 | 5.5× |
| Viral Culture (87252) range across 3 matching MRF lines |
$150–$171 | $150–$171 | varies |
| Virus antibody nos (86790) range across 10 matching MRF lines |
$110–$275 | $110–$275 | varies |
| Virus inoculate tissue addl (87253) | $146 | $146 | 7.2× |
| Virus inoculation, shell via (87254) | $120 | $120 | 6.1× |
| Vit D 1 25-Dihydroxy (82652) | $120 | $120 | 3.1× |
| Vitamin A (84590) | $110 | $110 | 9.5× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$30–$83 | $30–$83 | varies |
| Vitamin B2 (Riboflavin) (84252) | $335 | $335 | 16.6× |
| Vitamin B6 (84207) | $90 | $90 | 3.2× |
| Vitamin c (82180) | $46 | $46 | 4.7× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$130–$232 | $130–$232 | varies |
| Vitamin E (84446) | $105 | $105 | 7.4× |
| Vitamin K (84597) | $249 | $249 | 18.1× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$191–$346 | $191–$346 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$74–$100 | $74–$100 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$75–$90 | $75–$90 | varies |
| Western Blot Test (84181) | $51 | $51 | 3.0× |
| Xm Archive Tissue Molec Anal (88363) | $143 | $143 | 4.8× |
| Zika Virus Dna/Rna Amp Probe (87662) | $370 | $370 | 7.2× |
| Zika Virus Igm Antibody (86794) | $210 | $210 | 12.5× |
| Zinc (84630) range across 2 matching MRF lines |
$80–$160 | $80–$160 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.