Lab & pathology prices at St. Luke's Elmore Medical Center
Mountain Home, ID · every code in this section with a posted price and a Medicare benchmark.
745 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $41.10 | $41.10 | 1.8× |
| 5 Nucleotidase (83915) | $17.96 | $17.96 | 1.6× |
| Abl1 gene analysis kinase domain variants (81170) | $945.40 | $945.40 | 3.2× |
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$42.24–$63.74 | $42.24–$63.74 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 3 matching MRF lines |
$43.62–$63.74 | $43.62–$63.74 | varies |
| Acetylcholinesterase Assay (82013) | $115.04 | $115.04 | 9.4× |
| Acetylcholn Rcptr Modlg Antb (86043) | $53.60 | $53.60 | 4.4× |
| Acth (82024) | $27.50 | $27.50 | 0.7× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $145 | $145 | 4.4× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$12.50–$15.89 | $12.50–$15.89 | varies |
| Acute hepatitis panel (80074) | $212 | $212 | 4.5× |
| Acylcarnitines Quant (82017) | $160.63 | $160.63 | 9.5× |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$16.47–$35 | $16.47–$35 | varies |
| Albumin serum (82040) range across 4 matching MRF lines |
$16.47–$23.90 | $16.47–$23.90 | varies |
| Aldolase (82085) | $8.13 | $8.13 | 0.8× |
| Aldosterone urine (82088) range across 7 matching MRF lines |
$21.25–$314 | $21.25–$314 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$11.84–$114 | $11.84–$114 | varies |
| Allergen spec ige qual multiallergen screen (86005) range across 2 matching MRF lines |
$7.21–$35 | $7.21–$35 | varies |
| Allergen specific ige (86003) range across 8 matching MRF lines |
$6.99–$46.74 | $6.99–$46.74 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 4 matching MRF lines |
$6.99–$80 | $6.99–$80 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$14.38–$37.80 | $14.38–$37.80 | varies |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$12.50–$146.81 | $12.50–$146.81 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $34.05 | $34.05 | 2.0× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$13.75–$17.90 | $13.75–$17.90 | varies |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$24–$43.75 | $24–$43.75 | varies |
| Amikacin trough (80150) | $67 | $67 | 4.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$85.91–$673.75 | $85.91–$673.75 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$122.74–$310 | $122.74–$310 | varies |
| Amino acids; single, qualitative, each specimen Facility (82127) | $28.51 | $28.51 | 2.0× |
| Aminolevulinic acid (ala) (82135) | $64.78 | $64.78 | 3.9× |
| Ammonia (82140) range across 2 matching MRF lines |
$28.51–$65 | $28.51–$65 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $437 | $437 | 4.5× |
| Amylase urine (82150) range across 3 matching MRF lines |
$11.71–$255.50 | $11.71–$255.50 | varies |
| Ana Titer (86039) range across 6 matching MRF lines |
$15.89–$50 | $15.89–$50 | varies |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$17.08–$28.12 | $17.08–$28.12 | varies |
| Androstenedione (82157) | $36.25 | $36.25 | 1.2× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$15–$34.30 | $15–$34.30 | varies |
| Anti-Phospholipid Antibody (86148) | $17.43 | $17.43 | 1.1× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$8.23–$14.80 | $8.23–$14.80 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$23.35–$23.94 | $23.35–$23.94 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$14.31–$75 | $14.31–$75 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $58 | $58 | 4.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$13.94–$68 | $13.94–$68 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$13.94–$81 | $13.94–$81 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$28.12–$30.30 | $28.12–$30.30 | varies |
| Antibody helicobacter pylori (86677) | $130 | $130 | 7.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 3 matching MRF lines |
$14.48–$46.25 | $14.48–$46.25 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$10–$59 | $10–$59 | varies |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$46.25–$180.55 | $46.25–$180.55 | varies |
| Antibody HIV-2 (86702) range across 3 matching MRF lines |
$60–$61.84 | $60–$61.84 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $100.84 | $100.84 | 5.2× |
| Antibody identification leukocyte antibodies (86021) | $90.84 | $90.84 | 6.0× |
| Antibody Identification Platelet Immunogl Assay (86023) range across 2 matching MRF lines |
$37.80–$96 | $37.80–$96 | varies |
| Antibody john cunningham virus (86711) | $1,703.75 | $1,703.75 | 100.9× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$46.25–$124.10 | $46.25–$124.10 | varies |
| Antibody Titer (86886) range across 6 matching MRF lines |
$23–$128.75 | $23–$128.75 | varies |
| Antibody Treponema Pallidum (86780) range across 6 matching MRF lines |
$13.99–$180.56 | $13.99–$180.56 | varies |
| Antigen typing (86905) range across 3 matching MRF lines |
$17–$64.38 | $17–$64.38 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $24.38 | $24.38 | 4.3× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$6.25–$54 | $6.25–$54 | varies |
| Antistreptolysin o titer (86060) | $11.25 | $11.25 | 1.5× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$28.61–$53 | $28.61–$53 | varies |
| Antithrombin iii antigen (85301) | $28.61 | $28.61 | 2.6× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$15–$16.68 | $15–$16.68 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $262.50 | $262.50 | 21.8× |
| Arsenic (82175) range across 4 matching MRF lines |
$14.99–$20.38 | $14.99–$20.38 | varies |
| Aspergillus ag eia (87305) | $72.50 | $72.50 | 6.1× |
| Assay activated protein c (85307) range across 3 matching MRF lines |
$27.96–$68 | $27.96–$68 | varies |
| Assay Blood Carbon Dioxide (82374) | $38 | $38 | 7.8× |
| Assay Nephelometry Not Spec (83883) | $40 | $40 | 2.9× |
| Assay of 5-hiaa (83497) | $23.99 | $23.99 | 1.9× |
| Assay of blood/uric acid (84550) | $20 | $20 | 4.4× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$13.11–$28.51 | $13.11–$28.51 | varies |
| Assay of cpk in blood (82552) | $14.70 | $14.70 | 1.1× |
| Assay of estrone (82679) | $45.48 | $45.48 | 1.8× |
| Assay of g6pd enzyme (82955) | $21.25 | $21.25 | 2.2× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$7.50–$130.93 | $7.50–$130.93 | varies |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$51–$89 | $51–$89 | varies |
| Assay of manganese (83785) | $20.46 | $20.46 | 0.8× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$28.75–$70 | $28.75–$70 | varies |
| Assay of proinsulin (84206) | $41.30 | $41.30 | 1.5× |
| Assay of pyruvate (84210) | $35.91 | $35.91 | 2.5× |
| Assay of semen fructose (82757) | $54.93 | $54.93 | 3.2× |
| Assay of serotonin (84260) | $42.53 | $42.53 | 1.4× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$21–$37 | $21–$37 | varies |
| Assay of sweat sodium (84302) | $16.98 | $16.98 | 3.5× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$18–$40 | $18–$40 | varies |
| Assay of urine vma (84585) | $21.71 | $21.71 | 1.4× |
| Assay of vitamin b-1 (84425) | $34.85 | $34.85 | 1.6× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$14.21–$28.51 | $14.21–$28.51 | varies |
| Assay spec xcp ur&breath ia (82077) | $77 | $77 | 4.5× |
| Autol bld/component collj storage salvage (86891) | $3,559 | $3,559 | 4.5× |
| Automated Leukocyte Count (85048) | $11 | $11 | 4.3× |
| B cells total count (86355) range across 4 matching MRF lines |
$22.44–$168 | $22.44–$168 | varies |
| Bartonella antibody (86611) | $14.48 | $14.48 | 1.4× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$52.08–$293.75 | $52.08–$293.75 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$52.08–$318.75 | $52.08–$318.75 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $52.08 | $52.08 | 0.2× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$15.63–$196 | $15.63–$196 | varies |
| Beta hydroxybutyrate (82010) | $36 | $36 | 4.4× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$13.75–$125 | $13.75–$125 | varies |
| Bilirubin direct (82248) | $22 | $22 | 4.4× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$10.73–$22 | $10.73–$22 | varies |
| Bilirubin total transcutaneous (88720) | $22 | $22 | 4.4× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$14.80–$15.73 | $14.80–$15.73 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $760 | $760 | 4.5× |
| Bld Typing Serologic Rh Phnt (86906) range across 4 matching MRF lines |
$60–$99.69 | $60–$99.69 | varies |
| Blood count reticulocyte automated (85045) | $18 | $18 | 4.5× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $17 | $17 | 4.5× |
| Blood gas (82803) range across 2 matching MRF lines |
$116–$201 | $116–$201 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $71 | $71 | 4.5× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $19 | $19 | 4.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 4 matching MRF lines |
$28–$125.63 | $28–$125.63 | varies |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$13–$118.36 | $13–$118.36 | varies |
| Body fluid cell count (89050) | $21 | $21 | 4.4× |
| Bone marrow smear interpretation (85097) | $3,559 | $3,559 | 4.5× |
| Bordetella antibody (86615) | $17.96 | $17.96 | 1.4× |
| Braf gene analysis (81210) range across 3 matching MRF lines |
$137.50–$1,137.50 | $137.50–$1,137.50 | varies |
| Brca1&2 gen full seq dup/del (81162) | $2,512.50 | $2,512.50 | 1.4× |
| Breath Alcohol Test (82075) | $231 | $231 | 7.7× |
| Brucella antibody (86622) | $16.18 | $16.18 | 1.8× |
| C diff amplified probe (87493) | $166 | $166 | 4.5× |
| C-Peptide (84681) | $12.50 | $12.50 | 0.6× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$23–$37.38 | $23–$37.38 | varies |
| Ca 19-9 (86301) | $19.18 | $19.18 | 0.9× |
| Cadmium (82300) range across 4 matching MRF lines |
$14.99–$18.94 | $14.99–$18.94 | varies |
| Caffeine (80155) | $51.41 | $51.41 | 1.3× |
| Calcitonin (82308) | $29.05 | $29.05 | 1.1× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$61–$105 | $61–$105 | varies |
| Calcium total (82310) | $23 | $23 | 4.5× |
| Calculus Spectroscopy (82365) | $23.75 | $23.75 | 1.8× |
| Calprotectin Fecal (83993) | $87 | $87 | 4.4× |
| Calr gene com variants (81219) | $325 | $325 | 2.7× |
| Cancer Antigen 125 (86304) | $93 | $93 | 4.5× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$18.75–$93 | $18.75–$93 | varies |
| Carbamazepine total (80156) | $65 | $65 | 4.5× |
| Carbohydrate Deficient Transferrin (82373) | $142.98 | $142.98 | 7.9× |
| Carboxyhemoglobin (82375) | $55 | $55 | 4.5× |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
$22.88–$244.88 | $22.88–$244.88 | varies |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$14.98–$113 | $14.98–$113 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$33.75–$83.13 | $33.75–$83.13 | varies |
| Carotene (82380) | $19.25 | $19.25 | 2.1× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$39.71–$46.80 | $39.71–$46.80 | varies |
| Ccp antibody (86200) range across 5 matching MRF lines |
$10–$154.25 | $10–$154.25 | varies |
| Cell count csf (89051) | $25 | $25 | 4.5× |
| Cell marker study (88182) | $410 | $410 | 8.0× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$212.50–$460.94 | $212.50–$460.94 | varies |
| Ceruloplasmin (82390) | $8.75 | $8.75 | 0.8× |
| Cftr gene com variants (81220) | $237.50 | $237.50 | 0.4× |
| Cftr gene full sequence (81223) | $833.34 | $833.34 | 1.7× |
| Chemiluminescent assay (82397) range across 7 matching MRF lines |
$18.75–$190.63 | $18.75–$190.63 | varies |
| Chimerism w/comp to baseline w/o cell selection (81267) range across 3 matching MRF lines |
$243.75–$318.75 | $243.75–$318.75 | varies |
| Chlamydia antibody (86631) | $11.29 | $11.29 | 1.0× |
| Chlamydia Igm Antibody (86632) | $11.29 | $11.29 | 0.9× |
| Chlmy trch&neisra gonor mult (87494) range across 2 matching MRF lines |
$51.30–$77.50 | $51.30–$77.50 | varies |
| Chloride other source (82438) range across 3 matching MRF lines |
$16.98–$22 | $16.98–$22 | varies |
| Chloride Serum (82435) | $35 | $35 | 7.6× |
| Chloride urine (82436) range across 4 matching MRF lines |
$9.58–$28.51 | $9.58–$28.51 | varies |
| Cholesterol total (82465) | $19 | $19 | 4.4× |
| Cholinesterase rbc (82482) | $19.66 | $19.66 | 2.0× |
| Cholinesterase Serum (82480) range across 2 matching MRF lines |
$17.92–$19.66 | $17.92–$19.66 | varies |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$17.50–$67 | $17.50–$67 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $321.88 | $321.88 | 1.7× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $528 | $528 | 7.7× |
| Chromium serum (82495) range across 2 matching MRF lines |
$18.75–$137.50 | $18.75–$137.50 | varies |
| Chromogenic Substrate Assay (85130) | $53 | $53 | 4.5× |
| Chromogranin a (86316) range across 3 matching MRF lines |
$40–$178.13 | $40–$178.13 | varies |
| Chromosome analys amniotic (88269) range across 2 matching MRF lines |
$238.67–$238.68 | $238.67–$238.68 | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$181.25–$289.06 | $181.25–$289.06 | varies |
| Chromosome Analysis 20-25 (88264) range across 4 matching MRF lines |
$187.50–$321.88 | $187.50–$321.88 | varies |
| Chromosome analysis 45 cells (88263) | $299.22 | $299.22 | 2.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$18.49–$156 | $18.49–$156 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$13.11–$28.51 | $13.11–$28.51 | varies |
| Ckmb (82553) | $89 | $89 | 7.7× |
| Clostridium Difficile (87324) | $53 | $53 | 4.4× |
| Clot Factor VIII Multimetric (85247) | $84.85 | $84.85 | 3.7× |
| Clot factor xiii fibrin stab (85290) range across 2 matching MRF lines |
$126–$187.50 | $126–$187.50 | varies |
| Clotting factor xii hageman (85280) | $58.53 | $58.53 | 3.0× |
| Clotting Funct Activity (85397) | $144.69 | $144.69 | 4.7× |
| Cns DNA amp probe type 12-25 (87483) | $1,855 | $1,855 | 4.5× |
| Coagulation time activated (85347) | $19 | $19 | 4.4× |
| Coagulation time other methods (85348) | $35 | $35 | 7.8× |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$14.21–$18.94 | $14.21–$18.94 | varies |
| Cold agglutinin screen (86156) | $80 | $80 | 9.9× |
| Cold agglutinin titer (86157) range across 3 matching MRF lines |
$17.96–$128.75 | $17.96–$128.75 | varies |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$34.53–$36.25 | $34.53–$36.25 | varies |
| Column Chromotography Quant (82542) range across 11 matching MRF lines |
$75.89–$625 | $75.89–$625 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $960.16 | $960.16 | 4.1× |
| Compatibility Each Unit Incubation (86921) | $760 | $760 | 4.5× |
| Compatibility test antiglob (86922) | $760 | $760 | 4.5× |
| Complement Antigen Each Component (86160) range across 7 matching MRF lines |
$12.15–$126.98 | $12.15–$126.98 | varies |
| Complement Fixation Tests Each Antigen (86171) range across 2 matching MRF lines |
$45–$46 | $45–$46 | varies |
| Complement Total (Ch50) (86162) | $21.88 | $21.88 | 1.1× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$33.53–$98.69 | $33.53–$98.69 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $237 | $237 | 4.6× |
| Coombs direct (86880) range across 4 matching MRF lines |
$24–$43.75 | $24–$43.75 | varies |
| Copper urine (82525) range across 5 matching MRF lines |
$12.50–$133.75 | $12.50–$133.75 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$23.15–$23.61 | $23.15–$23.61 | varies |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$54.40–$75.25 | $54.40–$75.25 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$14.70–$29 | $14.70–$29 | varies |
| Creatinine blood (82565) | $23 | $23 | 4.5× |
| Creatinine clearance (82575) | $42 | $42 | 4.4× |
| Creatinine Urine (82570) range across 3 matching MRF lines |
$23–$90 | $23–$90 | varies |
| Crossmatch immediate spin (86920) | $760 | $760 | 4.5× |
| Crp High Sensitivity (86141) | $58 | $58 | 4.5× |
| Cryoglobulin (82595) range across 3 matching MRF lines |
$9.74–$29 | $9.74–$29 | varies |
| Cryptococcal Antigen (87327) | $30.46 | $30.46 | 2.3× |
| Cryptococcus ab (86641) | $64 | $64 | 4.4× |
| Cryptococcus ag titer (87899) | $124 | $124 | 7.7× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $36 | $36 | 4.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $34 | $34 | 4.4× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,679 | $1,679 | 7.7× |
| Culture aerobic quant other (87071) | $44 | $44 | 4.4× |
| Culture afb (87116) range across 3 matching MRF lines |
$32.93–$46.03 | $32.93–$46.03 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$42–$85.63 | $42–$85.63 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$44.66–$46 | $44.66–$46 | varies |
| Culture chlamydia (87110) | $33.05 | $33.05 | 1.7× |
| Culture csf (87070) | $38 | $38 | 4.4× |
| Culture fungus (87102) | $37 | $37 | 4.4× |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$46.03–$91 | $46.03–$91 | varies |
| Culture screen only (87081) range across 4 matching MRF lines |
$18.23–$52.28 | $18.23–$52.28 | varies |
| Culture typing if ea antiserum (87140) range across 2 matching MRF lines |
$26.80–$33.05 | $26.80–$33.05 | varies |
| Culture urine (87086) | $36 | $36 | 4.5× |
| Cyclosporine (80158) range across 3 matching MRF lines |
$34.85–$80 | $34.85–$80 | varies |
| Cystatin C (82610) | $82 | $82 | 4.4× |
| Cytogenetics 10-30 (88273) range across 2 matching MRF lines |
$168.56–$268 | $168.56–$268 | varies |
| Cytogenetics 100-300 (88275) range across 13 matching MRF lines |
$78.13–$228 | $78.13–$228 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 5 matching MRF lines |
$960.16–$1,851.56 | $960.16–$1,851.56 | varies |
| Cytogenomic neo microra alys (81277) | $1,812.50 | $1,812.50 | 1.6× |
| Cytomegalovirus igg (86644) range across 5 matching MRF lines |
$14.48–$180.56 | $14.48–$180.56 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $156 | $156 | 7.7× |
| Cytopath Cell Enhance Tech (88112) | $237 | $237 | 4.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $118 | $118 | 4.4× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $177 | $177 | 7.7× |
| Cytp Concentration Smears & Interpretation (88108) | $175 | $175 | 4.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $237 | $237 | 4.6× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $760 | $760 | 4.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $175 | $175 | 4.7× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $140 | $140 | 7.6× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $188 | $188 | 6.6× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $564.38 | $564.38 | 3.4× |
| Deoxyribonuclease antibody (86215) | $13.68 | $13.68 | 1.0× |
| Desoxycorticosterone (82633) | $41.10 | $41.10 | 1.3× |
| Detect Agent Nos Dna Amp (87798) range across 21 matching MRF lines |
$35.63–$406.25 | $35.63–$406.25 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$95–$271.88 | $95–$271.88 | varies |
| Detect agnt mult DNA ampli (87801) range across 7 matching MRF lines |
$46.25–$1,652.24 | $46.25–$1,652.24 | varies |
| Dgp Antibody Each Ig Class (86258) | $14.21 | $14.21 | 1.2× |
| Dhea (82626) | $33.34 | $33.34 | 1.3× |
| Dhea-S (82627) | $13.75 | $13.75 | 0.6× |
| Dibucaine number (82638) | $17.92 | $17.92 | 1.5× |
| Digoxin (80162) | $59 | $59 | 4.4× |
| Dihydrotestosterone (82642) | $44.63 | $44.63 | 1.5× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$12.50–$106 | $12.50–$106 | varies |
| Dna/Rna Amplified Probe (87150) | $156 | $156 | 4.4× |
| DNA/RNA direct probe (87149) range across 3 matching MRF lines |
$154–$159.54 | $154–$159.54 | varies |
| Dna/Rna Sequencing (87153) | $225 | $225 | 2.0× |
| Dpyd gene common variants (81232) range across 2 matching MRF lines |
$312.50–$337.50 | $312.50–$337.50 | varies |
| Drug assay acetaminophen (80143) | $144 | $144 | 7.7× |
| Drug assay adalimumab (80145) | $190.63 | $190.63 | 4.9× |
| Drug Assay Amiodarone (80151) | $23.68 | $23.68 | 1.3× |
| Drug Assay Everolimus (80169) | $82.50 | $82.50 | 6.0× |
| Drug assay felbamate (80167) | $24.48 | $24.48 | 1.3× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$190.63–$546.88 | $190.63–$546.88 | varies |
| Drug Assay Lacosamide (80235) | $131.25 | $131.25 | 4.8× |
| Drug Assay Leflunomide (80193) | $96.03 | $96.03 | 2.5× |
| Drug Assay Posaconazole (80187) | $79.54 | $79.54 | 2.9× |
| Drug assay voriconazole (80285) | $80.31 | $80.31 | 3.0× |
| Drug Screen Quant Clozapine (80159) | $29.40 | $29.40 | 1.5× |
| Drug Screen Quant Zonisamide (80203) | $58.03 | $58.03 | 4.4× |
| Drug Screen Quantitative Gabapentin (80171) | $23.73 | $23.73 | 1.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $18.75 | $18.75 | 1.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $32.50 | $32.50 | 2.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $34.41 | $34.41 | 2.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 17 matching MRF lines |
$7.24–$213.75 | $7.24–$213.75 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $56 | $56 | 4.4× |
| Drug Test Prsmv Instrmnt (80306) | $76 | $76 | 4.4× |
| Egfr Gene Analysis Common Variants (81235) | $387.50 | $387.50 | 1.2× |
| El-1 Fecal Quantitative (82653) | $102.50 | $102.50 | 4.5× |
| Electrolyte panel (80051) | $31 | $31 | 4.4× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $142.89 | $142.89 | 2.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$34.85–$55.86 | $34.85–$55.86 | varies |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$23.94–$50.94 | $23.94–$50.94 | varies |
| Enterovirus PCR (87498) | $176.88 | $176.88 | 5.0× |
| Enzyme cell activity (82657) | $174.39 | $174.39 | 7.9× |
| Eosinophil Smear (89190) | $45 | $45 | 7.8× |
| Erythropoietin (82668) | $26.25 | $26.25 | 1.4× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$33.75–$124 | $33.75–$124 | varies |
| Estriol (82677) | $17.43 | $17.43 | 0.7× |
| Estrogens fractionated (82671) | $37.50 | $37.50 | 1.2× |
| Ethosuximide (80168) | $21.71 | $21.71 | 1.3× |
| Ethylene Glycol (82693) | $45.91 | $45.91 | 3.1× |
| Exam Synovial Fluid Crystals (89060) | $33 | $33 | 4.5× |
| F2 Gene (81240) | $81.10 | $81.10 | 1.2× |
| Factor ii activity (85210) | $55.56 | $55.56 | 4.3× |
| Factor Inhibitor Test (85335) | $57 | $57 | 4.4× |
| Factor ix activity (85250) | $85 | $85 | 4.5× |
| Factor v activity (85220) | $30.91 | $30.91 | 1.8× |
| Factor v leiden mutation (81241) | $60 | $60 | 0.8× |
| Factor vii assay (85230) | $38.41 | $38.41 | 2.1× |
| Factor viii assay (85240) | $80 | $80 | 4.5× |
| Factor xi activity (85270) | $62.28 | $62.28 | 3.5× |
| Fat stain feces urine/respir secretions (89125) | $45 | $45 | 7.7× |
| Fat/Lipids Feces Quantitative (82710) range across 3 matching MRF lines |
$47.35–$72.35 | $47.35–$72.35 | varies |
| Fatty acids free (82725) | $71.81 | $71.81 | 3.8× |
| Fecal Fat Qualitative (82705) range across 2 matching MRF lines |
$23.41–$39 | $23.41–$39 | varies |
| Ferritin (82728) range across 2 matching MRF lines |
$43.75–$61 | $43.75–$61 | varies |
| Fetal Chrmoml Aneuploidy (81420) | $468.75 | $468.75 | 0.6× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $57.50 | $57.50 | 0.4× |
| Fetal Fibronectin (82731) | $287 | $287 | 4.5× |
| Fetal hemoglobin assay qual (83033) | $115.04 | $115.04 | 14.4× |
| Fetal screen rosette (85461) | $72 | $72 | 7.7× |
| Fibrin degradation products (85362) | $52.28 | $52.28 | 7.6× |
| Fibrin Degradation Quant (85379) | $45 | $45 | 4.4× |
| Fibrinogen activity (85384) | $43 | $43 | 4.4× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $69 | $69 | 4.5× |
| Flecainide level (80181) | $38.04 | $38.04 | 2.0× |
| Flow cytometry first marker (88184) range across 6 matching MRF lines |
$105.24–$1,587 | $105.24–$1,587 | varies |
| Flt3 Gene (81245) range across 2 matching MRF lines |
$262.50–$469.81 | $262.50–$469.81 | varies |
| Flt3 gene analysis (81246) range across 2 matching MRF lines |
$112.50–$469.81 | $112.50–$469.81 | varies |
| Fluorescent antibody screen (86255) range across 12 matching MRF lines |
$19.93–$178.13 | $19.93–$178.13 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 16 matching MRF lines |
$30.15–$312.50 | $30.15–$312.50 | varies |
| Fmr1 Gene Charac Alleles (81244) | $553.13 | $553.13 | 12.3× |
| Fmr1 gene detection (81243) | $118.75 | $118.75 | 2.1× |
| Folic acid rbc (82747) | $18.75 | $18.75 | 1.1× |
| Folic Acid Serum (82746) | $65 | $65 | 4.4× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$18.75–$83 | $18.75–$83 | varies |
| Francisella tularensis (86668) | $32.50 | $32.50 | 2.3× |
| Frozen Section (88331) | $760 | $760 | 4.5× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$7.01–$73 | $7.01–$73 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $75 | $75 | 7.7× |
| Gases blood ph only (82800) | $85 | $85 | 7.7× |
| Gastric Analy W/Ph Ea Spec (82930) | $52 | $52 | 7.7× |
| Gastrin (82941) | $19.40 | $19.40 | 1.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$625–$1,855 | $625–$1,855 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 2 matching MRF lines |
$1,800–$2,762.50 | $1,800–$2,762.50 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $2,406.25 | $2,406.25 | 0.8× |
| Genet Virus Isolate Hsv (87255) | $31.25 | $31.25 | 0.9× |
| Gentamicin (80170) | $73 | $73 | 4.5× |
| Ggt (82977) range across 2 matching MRF lines |
$32–$40 | $32–$40 | varies |
| Giardia antigen (87329) | $19.93 | $19.93 | 1.7× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $584.38 | $584.38 | 5.8× |
| Glucagon (82943) | $28.94 | $28.94 | 2.0× |
| Glucose 2 hr pp (82950) | $21 | $21 | 4.4× |
| Glucose Blood Test (82962) | $15 | $15 | 4.6× |
| Glucose body fluid (82945) | $17 | $17 | 4.3× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$17–$43.75 | $17–$43.75 | varies |
| Glucose tolerance test (gtt) (82951) | $57 | $57 | 4.4× |
| Glycated Protein (82985) | $13.94 | $13.94 | 0.8× |
| Gonadotropin Chorionic Qualitative (84703) | $33 | $33 | 4.4× |
| Growth hormone (83003) | $20.81 | $20.81 | 1.2× |
| Growth Hormone Stimulation Panel (80428) | $83.24 | $83.24 | 1.2× |
| Gtt-added samples (82952) | $17 | $17 | 4.3× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$75–$519 | $75–$519 | varies |
| Haptoglobin (83010) | $11.25 | $11.25 | 0.9× |
| Hba1/hba2 full gene sequence (81259) | $574.61 | $574.61 | 1.0× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 2 matching MRF lines |
$550.79–$574.61 | $550.79–$574.61 | varies |
| Hbb duplication/deletion variants (81363) | $659.46 | $659.46 | 3.3× |
| Hdl Cholesterol (83718) | $36 | $36 | 4.4× |
| Helicobacter Pylori Stool (87338) | $64 | $64 | 4.5× |
| Helminth Antibody (86682) range across 3 matching MRF lines |
$40.03–$117.50 | $40.03–$117.50 | varies |
| Hematocrit (85014) range across 2 matching MRF lines |
$11–$18 | $11–$18 | varies |
| Hemoglobin (85018) | $11 | $11 | 4.6× |
| Hemoglobin a1c (83036) | $43 | $43 | 4.4× |
| Hemoglobin Chromotography (83021) | $36.38 | $36.38 | 2.0× |
| Hemoglobin electrophoresis (83020) | $41.36 | $41.36 | 3.2× |
| Hemoglobin Methemoglobin Quantitative (83050) | $36 | $36 | 4.4× |
| Hemoglobin plasma (83051) | $22.88 | $22.88 | 3.1× |
| Hemoglobin urine (83069) | $22.88 | $22.88 | 5.8× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $121.56 | $121.56 | 13.9× |
| Hemolysins&Agglutinins Incubated (86941) range across 2 matching MRF lines |
$94.69–$121.56 | $94.69–$121.56 | varies |
| Hemosiderin urine (83070) | $15.46 | $15.46 | 3.3× |
| Hep a ab igm (86709) | $50 | $50 | 4.4× |
| Heparin assay (85520) range across 2 matching MRF lines |
$62.50–$101 | $62.50–$101 | varies |
| Heparin Neutralization (85525) range across 3 matching MRF lines |
$26.80–$91 | $26.80–$91 | varies |
| Hepatitis a antibody total (86708) | $55 | $55 | 4.4× |
| Hepatitis b core ab igm (86705) | $52 | $52 | 4.4× |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$46.25–$180.55 | $46.25–$180.55 | varies |
| Hepatitis B Surface Antibody (86706) | $48 | $48 | 4.5× |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$46–$180.56 | $46–$180.56 | varies |
| Hepatitis Be Antibody (86707) | $21.44 | $21.44 | 1.9× |
| Hepatitis Be Antigen (87350) | $20.19 | $20.19 | 1.8× |
| Hepatitis C Antibody (86803) range across 3 matching MRF lines |
$18.73–$180.55 | $18.73–$180.55 | varies |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$87.50–$587.50 | $87.50–$587.50 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 4 matching MRF lines |
$87.50–$191 | $87.50–$191 | varies |
| Hepatitis Delta Agent Antibody (86692) | $18.46 | $18.46 | 1.1× |
| Herpes simplex type 2 (86696) range across 4 matching MRF lines |
$10–$250.13 | $10–$250.13 | varies |
| Heterophile Antibody Screen (86308) | $23 | $23 | 4.4× |
| Hfe Gene (81256) | $118.60 | $118.60 | 1.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $60 | $60 | 7.8× |
| Histamine urine (83088) | $35.38 | $35.38 | 1.2× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$13.94–$14.80 | $13.94–$14.80 | varies |
| Histoplasma antigen urine (87385) | $94.69 | $94.69 | 7.1× |
| Hiv Genotype (87901) | $743 | $743 | 2.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 3 matching MRF lines |
$31.55–$107 | $31.55–$107 | varies |
| Hiv-1 Antibody (86701) range across 3 matching MRF lines |
$40–$61.84 | $40–$61.84 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $379 | $379 | 4.5× |
| Hla Class I Typing High Resolution Complete (81379) | $338.59 | $338.59 | 1.0× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $456.25 | $456.25 | 3.6× |
| Hla class i&ii antibody qual (86828) | $493.75 | $493.75 | 7.7× |
| Hla class ii typing high resolution one locus ea (81382) range across 3 matching MRF lines |
$130.93–$952 | $130.93–$952 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $31.51 | $31.51 | 0.4× |
| Hla Typing a/B/C Multiple Antigens (86813) | $429.69 | $429.69 | 7.4× |
| Hla-b27 (86812) | $31.25 | $31.25 | 1.2× |
| Homocysteine (83090) | $80 | $80 | 4.5× |
| Homogenization Tissue (87176) | $26 | $26 | 4.4× |
| Homovanillic acid urine (83150) | $21.44 | $21.44 | 1.0× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$52.50–$156 | $52.50–$156 | varies |
| Hpv Types 16 & 18 Only (87625) range across 2 matching MRF lines |
$62.50–$180 | $62.50–$180 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$96.88–$156 | $96.88–$156 | varies |
| Htt Gene Detc Abnor Alleles (81271) | $283.29 | $283.29 | 2.1× |
| Hydroxyprogesterone 17-d (83498) range across 4 matching MRF lines |
$23.75–$31.25 | $23.75–$31.25 | varies |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $80 | $80 | 7.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $107 | $107 | 7.7× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $157 | $157 | 4.4× |
| Iaad Ia Streptococcus Group A (87430) | $75 | $75 | 4.5× |
| Iaadi not otherwise specified each organism (87299) | $72 | $72 | 4.5× |
| Iaadiadoo trichomonas vaginalis (87808) | $68 | $68 | 4.4× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $118.36 | $118.36 | 3.4× |
| Iadna Candida Species Amplified Probe Tq (87481) | $156 | $156 | 4.4× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 2 matching MRF lines |
$118.36–$270 | $118.36–$270 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $118.36 | $118.36 | 3.4× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$68.75–$330 | $68.75–$330 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $312 | $312 | 4.4× |
| Iadna Hepatitis B Virus Quantification (87517) | $191 | $191 | 4.5× |
| Iadna Herpes Virus-6 Quantification (87533) | $234.06 | $234.06 | 5.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$88.13–$156 | $88.13–$156 | varies |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $237 | $237 | 3.1× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $385.87 | $385.87 | 8.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$118.36–$385.87 | $118.36–$385.87 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$116.80–$270 | $116.80–$270 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$18.49–$156 | $18.49–$156 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $106.25 | $106.25 | 2.1× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $223.13 | $223.13 | 1.6× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,170 | $1,170 | 4.4× |
| Idh1 common variants (81120) | $600 | $600 | 3.1× |
| Idh2 common variants (81121) | $600 | $600 | 2.0× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$15.63–$35.63 | $15.63–$35.63 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$17.19–$17.50 | $17.19–$17.50 | varies |
| Igh gene rearrange amp meth (81261) | $262.50 | $262.50 | 1.3× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $581.25 | $581.25 | 2.0× |
| Igk rearrangeabn clonal pop (81264) | $262.50 | $262.50 | 1.5× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $1,587 | $1,587 | 4.5× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$35.63–$131 | $35.63–$131 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$62.42–$265.59 | $62.42–$265.59 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
$15.73–$252.25 | $15.73–$252.25 | varies |
| Immunoassay nonantibody (83516) range across 23 matching MRF lines |
$13.75–$154.25 | $13.75–$154.25 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$8.23–$53 | $8.23–$53 | varies |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$24.25–$99 | $24.25–$99 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 4 matching MRF lines |
$37.38–$1,315 | $37.38–$1,315 | varies |
| Immunohistochemistry (88342) range across 6 matching MRF lines |
$59.85–$760 | $59.85–$760 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$493.75–$760 | $493.75–$760 | varies |
| In situ hybridization ea multiplex probe stain (88366) range across 4 matching MRF lines |
$500–$690.71 | $500–$690.71 | varies |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $313 | $313 | 4.5× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $156 | $156 | 4.4× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $270 | $270 | 7.7× |
| Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) | $54 | $54 | 4.4× |
| Influenza a/b ag eia (87400) | $63 | $63 | 4.5× |
| Influenza assay w/optic (87804) | $74 | $74 | 4.5× |
| Influenza DNA amp probe (87502) | $426 | $426 | 4.4× |
| Inhibin A (86336) | $35.38 | $35.38 | 2.3× |
| Inhibin b (83520) range across 21 matching MRF lines |
$27.04–$318.75 | $27.04–$318.75 | varies |
| Insitu hybridization manual (88368) | $1,587 | $1,587 | 4.5× |
| Insulin antibodies (86337) | $52.48 | $52.48 | 2.5× |
| Insulin total (83525) range across 2 matching MRF lines |
$11.86–$51 | $11.86–$51 | varies |
| Interleukin-6 (83529) | $106.25 | $106.25 | 6.2× |
| Intrinsic factor (stomach protein) level (83528) | $153 | $153 | 7.7× |
| Intrinsic factor antibody (86340) | $30.38 | $30.38 | 2.0× |
| Iron (83540) range across 3 matching MRF lines |
$7.01–$133.75 | $7.01–$133.75 | varies |
| Iron Binding Capacity (83550) range across 4 matching MRF lines |
$7.01–$39 | $7.01–$39 | varies |
| Islet cell antibody (86341) range across 9 matching MRF lines |
$34.41–$325 | $34.41–$325 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $171.25 | $171.25 | 1.9× |
| Jak2 Gene Trgt Sequence Alys (81279) | $187.50 | $187.50 | 1.0× |
| Kit Gene Analysis D816 Variant(S) (81273) | $357.50 | $357.50 | 2.9× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $322.50 | $322.50 | 1.0× |
| Koh Prep (87220) | $19 | $19 | 4.4× |
| Kras Gene Analysis Additional Variant(S) (81276) | $543.75 | $543.75 | 2.8× |
| Kras Gene Variants Exon 2 (81275) | $543.75 | $543.75 | 2.8× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$13.23–$27 | $13.23–$27 | varies |
| Lactoferrin fecal qualitative (83630) | $88 | $88 | 4.5× |
| Ldh Isoenzymes (83625) | $13.23 | $13.23 | 1.0× |
| LDL direct (83721) range across 2 matching MRF lines |
$14.21–$47 | $14.21–$47 | varies |
| Lead (83655) range across 6 matching MRF lines |
$7.50–$54 | $7.50–$54 | varies |
| Legionella antibody (86713) | $30 | $30 | 2.0× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$53–$92.50 | $53–$92.50 | varies |
| Legionella pneumophila dfa (87278) | $47.35 | $47.35 | 3.0× |
| Leptospira antibody (86720) | $66.10 | $66.10 | 4.1× |
| Level I Surg Pathology Gross Examination Only (88300) | $109 | $109 | 3.8× |
| Level ii surg pathology grossµscopic exam (88302) | $175 | $175 | 4.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $1,587 | $1,587 | 4.5× |
| Lidocaine (80176) | $123.75 | $123.75 | 8.4× |
| Lipase (83690) range across 2 matching MRF lines |
$10–$31 | $10–$31 | varies |
| Lipoprotein A (83695) | $20 | $20 | 1.4× |
| Lipoprotein Bld Quan Part (83704) | $21.25 | $21.25 | 0.6× |
| Lithium (80178) | $29 | $29 | 4.4× |
| Luteinizing Hormone (Lh) (83002) range across 4 matching MRF lines |
$9.19–$82 | $9.19–$82 | varies |
| Lyme disease antibody (86618) | $71.03 | $71.03 | 4.2× |
| Lymphocyte transformation (86353) | $145 | $145 | 3.0× |
| Lysozyme serum (85549) | $22.81 | $22.81 | 1.2× |
| M. Genitalium Amp Probe (87563) | $62.87 | $62.87 | 1.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 16 matching MRF lines |
$307.50–$1,315 | $307.50–$1,315 | varies |
| M/phmtrc alys ishquant/semiq (88374) range across 8 matching MRF lines |
$307.50–$1,315 | $307.50–$1,315 | varies |
| Macroscopic Exam Parasite (87169) | $25.91 | $25.91 | 6.0× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$28.51–$49.61 | $28.51–$49.61 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$23.15–$110 | $23.15–$110 | varies |
| Mercury urine (83825) range across 5 matching MRF lines |
$13.15–$17.16 | $13.15–$17.16 | varies |
| Metabolic panel ionized ca (80047) | $61 | $61 | 4.4× |
| Methotrexate (80204) | $172 | $172 | 4.5× |
| Methylmalonic acid serum (83921) | $23.75 | $23.75 | 1.1× |
| Mgmt methylation analysis (81287) | $381.25 | $381.25 | 3.1× |
| Microalbumin, quantitative (82043) | $26 | $26 | 4.5× |
| Microsatellite instability (81301) | $361.73 | $361.73 | 1.0× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$11.98–$65 | $11.98–$65 | varies |
| Mitochondrial Antibody Each (86381) range across 2 matching MRF lines |
$13.75–$15.89 | $13.75–$15.89 | varies |
| Mlh1 Gene (81288) range across 2 matching MRF lines |
$355.09–$356.80 | $355.09–$356.80 | varies |
| Mog-Igg1 Antb Cba Each (86362) range across 2 matching MRF lines |
$187.50–$225 | $187.50–$225 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 15 matching MRF lines |
$78.12–$168.56 | $78.12–$168.56 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$833.34–$907.50 | $833.34–$907.50 | varies |
| Mononuclear cell antigen (86356) range across 7 matching MRF lines |
$14.95–$205.48 | $14.95–$205.48 | varies |
| Mopath procedure level 2 (81401) | $227.50 | $227.50 | 1.7× |
| Mopath procedure level 4 (81403) range across 3 matching MRF lines |
$299.23–$638.75 | $299.23–$638.75 | varies |
| Mopath procedure level 5 (81404) range across 3 matching MRF lines |
$562.50–$833.34 | $562.50–$833.34 | varies |
| Mopath procedure level 7 (81406) | $907.50 | $907.50 | 3.2× |
| Mpl gene common variants (81338) | $431.88 | $431.88 | 2.9× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$156–$225 | $156–$225 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $101.18 | $101.18 | 1.5× |
| Mucopolysaccharides acid quantitative (83864) range across 2 matching MRF lines |
$142.90–$192.04 | $142.90–$192.04 | varies |
| Mumps antibody (86735) range across 2 matching MRF lines |
$16.23–$58 | $16.23–$58 | varies |
| Muscle-Specific Kinase Antb (86366) | $381.25 | $381.25 | 20.7× |
| Mycophenolic Acid (80180) | $37.60 | $37.60 | 2.1× |
| Mycoplasma antibody (86738) | $13.99 | $13.99 | 1.1× |
| Mycoplasma culture (87109) | $59.85 | $59.85 | 3.9× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $368.36 | $368.36 | 2.1× |
| Myelin basic protein csf (83873) | $37.75 | $37.75 | 2.2× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$16.18–$57 | $16.18–$57 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$92.04–$175 | $92.04–$175 | varies |
| Neutralization Test Viral (86382) | $58.75 | $58.75 | 3.5× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $571 | $571 | 4.5× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $1,170 | $1,170 | 4.4× |
| Niacin (84591) | $122.50 | $122.50 | 7.2× |
| Nk cells total count (86357) range across 3 matching MRF lines |
$22.44–$168 | $22.44–$168 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) range across 2 matching MRF lines |
$337.50–$351.18 | $337.50–$351.18 | varies |
| Nras gene variants exon 2&3 (81311) | $425 | $425 | 1.4× |
| Nuclear antigen antibody (86235) range across 16 matching MRF lines |
$7.50–$112.50 | $7.50–$112.50 | varies |
| Nudt15 Gene Common Variants (81306) | $221.87 | $221.87 | 0.8× |
| Occult blood feces (82272) | $19 | $19 | 4.5× |
| Occult Blood Other Sources (82271) | $41 | $41 | 7.7× |
| Oligoclonal bands (83916) | $23.90 | $23.90 | 0.9× |
| Oncology Prostate Prob Score (81539) | $962.50 | $962.50 | 1.3× |
| Organic Acids Qualitative Each Specimen (83919) | $607.50 | $607.50 | 36.9× |
| Osmolality serum (83930) | $29 | $29 | 4.4× |
| Osmolality Urine (83935) | $30 | $30 | 4.4× |
| Ova and parasites smears (87177) | $18.75 | $18.75 | 2.1× |
| Oxalate urine (83945) range across 4 matching MRF lines |
$13.11–$132.04 | $13.11–$132.04 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $89 | $89 | 7.7× |
| Parvovirus antibody (86747) | $18.09 | $18.09 | 1.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $3,559 | $3,559 | 4.5× |
| Ph urine (81003) | $10 | $10 | 4.4× |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
$10.73–$14.48 | $10.73–$14.48 | varies |
| Phenytoin (Dilantin) (80185) | $59 | $59 | 4.5× |
| Phenytoin free (80186) | $21.18 | $21.18 | 1.5× |
| Phosphatase acid prostatic (84066) | $16.98 | $16.98 | 1.8× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$11.84–$23 | $11.84–$23 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $90.48 | $90.48 | 5.0× |
| Phosphorus Serum (84100) | $21 | $21 | 4.4× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$26–$28.51 | $26–$28.51 | varies |
| Pinworm exam (87172) | $19 | $19 | 4.4× |
| Platelet Aggregation (85576) | $111 | $111 | 4.5× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$81.25–$356.88 | $81.25–$356.88 | varies |
| Platelet count automated (85049) | $20 | $20 | 4.5× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) range across 2 matching MRF lines |
$350–$424.23 | $350–$424.23 | varies |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$39.06–$41.90 | $39.06–$41.90 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $39.06 | $39.06 | 2.7× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$9.58–$28.51 | $9.58–$28.51 | varies |
| Prealbumin (84134) | $65 | $65 | 4.5× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 4 matching MRF lines |
$83.13–$456 | $83.13–$456 | varies |
| Pretx serum rbc antibody identification dilution (86976) | $48.75 | $48.75 | 1.7× |
| Primidone (80188) | $10.73 | $10.73 | 0.6× |
| Procalcitonin (Pct) (84145) | $121 | $121 | 4.4× |
| Progesterone (84144) range across 2 matching MRF lines |
$35.16–$93 | $35.16–$93 | varies |
| Prolactin (84146) range across 4 matching MRF lines |
$17.65–$86 | $17.65–$86 | varies |
| Protein body fluid (84157) | $18 | $18 | 4.5× |
| Protein C Activity (85303) range across 2 matching MRF lines |
$34.85–$62 | $34.85–$62 | varies |
| Protein c antigen (85302) | $18.94 | $18.94 | 1.6× |
| Protein Electrophoresis Urine (84166) | $79 | $79 | 4.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $48 | $48 | 4.5× |
| Protein S Free (85306) range across 3 matching MRF lines |
$68–$68.91 | $68–$68.91 | varies |
| Protein s total (85305) | $29.36 | $29.36 | 2.5× |
| Protein total serum (84155) | $16 | $16 | 4.4× |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$11.71–$35.63 | $11.71–$35.63 | varies |
| Protein Western Blot Test (84182) range across 3 matching MRF lines |
$28.80–$43.75 | $28.80–$43.75 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $20.44 | $20.44 | 5.2× |
| Protoporphyrin rbc quantitative (84202) | $25.11 | $25.11 | 1.7× |
| PSA free (84154) range across 3 matching MRF lines |
$16.36–$178.13 | $16.36–$178.13 | varies |
| Pth Intact (83970) | $184 | $184 | 4.5× |
| Q Fever Antibody (86638) | $21.88 | $21.88 | 1.8× |
| Quantiferon tb gold plus (86480) | $276 | $276 | 4.5× |
| Quantitative assay drug (80299) range across 5 matching MRF lines |
$77.35–$296.96 | $77.35–$296.96 | varies |
| Quantitative Screen Metals (83018) range across 4 matching MRF lines |
$25.91–$90.71 | $25.91–$90.71 | varies |
| Rbc antibody elution (86860) range across 4 matching MRF lines |
$128.75–$760 | $128.75–$760 | varies |
| Rbc antibody identification (86870) range across 4 matching MRF lines |
$113.75–$1,587 | $113.75–$1,587 | varies |
| Rbc antibody screen (86850) range across 4 matching MRF lines |
$43–$71.56 | $43–$71.56 | varies |
| Rbc pretreatment serum (86978) range across 4 matching MRF lines |
$169.06–$456 | $169.06–$456 | varies |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$33.75–$1,315 | $33.75–$1,315 | varies |
| Renin activity plasma (84244) range across 4 matching MRF lines |
$21.88–$169 | $21.88–$169 | varies |
| Reptilase test (85635) range across 2 matching MRF lines |
$34.85–$76 | $34.85–$76 | varies |
| Resp virus 12-25 targets (87633) | $3,209 | $3,209 | 7.7× |
| Reticulated Platelet Assay (85055) | $159 | $159 | 4.4× |
| Reticulocyte Count (85046) | $25 | $25 | 4.5× |
| Reticulocyte separation (86972) | $193.13 | $193.13 | 1.1× |
| Rh (86901) range across 3 matching MRF lines |
$13–$34.38 | $13–$34.38 | varies |
| Rheumatoid factor quant (86431) range across 7 matching MRF lines |
$12.15–$154.25 | $12.15–$154.25 | varies |
| Rickettsia antibody (86757) | $19.86 | $19.86 | 1.0× |
| Ristocetin cofactor (85245) range across 2 matching MRF lines |
$39.44–$102 | $39.44–$102 | varies |
| Rotavirus ag eia (87425) | $92 | $92 | 7.7× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$6.25–$19 | $6.25–$19 | varies |
| Rsv Assay W/Optic (87807) | $58 | $58 | 4.4× |
| Rubella Antibody (86762) range across 5 matching MRF lines |
$13.99–$64 | $13.99–$64 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$15.46–$57 | $15.46–$57 | varies |
| Rufinamide (80210) | $87.11 | $87.11 | 3.2× |
| Russell Viper Venom Time Diluted (85613) range across 5 matching MRF lines |
$15.03–$74 | $15.03–$74 | varies |
| Salicylate Level (80179) | $144 | $144 | 7.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$93.75–$228 | $93.75–$228 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $34.38 | $34.38 | 0.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $635 | $635 | 4.5× |
| Sedimentation Rate, Automated (85652) | $12 | $12 | 4.4× |
| Selenium (84255) | $19.09 | $19.09 | 0.7× |
| Semen Anal Sperm Detection (89321) | $93 | $93 | 7.7× |
| Semen analysis complete (89320) | $55 | $55 | 4.5× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $44 | $44 | 4.5× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$22.74–$159 | $22.74–$159 | varies |
| Serpina 1 gene (81332) | $126.34 | $126.34 | 2.9× |
| Sex Hormone Binding Globulin (84270) range across 4 matching MRF lines |
$9.05–$17.29 | $9.05–$17.29 | varies |
| Sickling of rbc reduction (85660) range across 3 matching MRF lines |
$25–$87.19 | $25–$87.19 | varies |
| Sirolimus (80195) range across 2 matching MRF lines |
$42.50–$106 | $42.50–$106 | varies |
| Skin test tuberculosis intradermal (86580) | $109 | $109 | 3.8× |
| Smear acid fast (87206) | $32.93 | $32.93 | 6.1× |
| Smear complex stain (87209) | $18.75 | $18.75 | 1.0× |
| Smear gram stain (87205) | $19 | $19 | 4.4× |
| Smear Special Stain (87207) | $27 | $27 | 4.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $26 | $26 | 4.5× |
| Snrpn/Ube3a Methylation Analysis (81331) | $431.25 | $431.25 | 8.4× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$21–$37 | $21–$37 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$9.58–$28.51 | $9.58–$28.51 | varies |
| Somatomedin (84305) | $25.39 | $25.39 | 1.2× |
| Somatostatin (84307) | $242.50 | $242.50 | 13.3× |
| Special Stains Group 1 (88312) | $237 | $237 | 4.6× |
| Special Stains Group 2 (88313) | $573 | $573 | 4.4× |
| Specific gravity body fluid (84315) | $25 | $25 | 7.6× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$30–$32.93 | $30–$32.93 | varies |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$24.48–$47.35 | $24.48–$47.35 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $760 | $760 | 4.5× |
| Staph a DNA amp probe (87640) | $156 | $156 | 4.4× |
| Stem cells total count (86367) | $346 | $346 | 4.4× |
| Strep a assay w/optic (87880) | $74 | $74 | 4.5× |
| Strep a DNA amp probe (87651) | $156 | $156 | 4.4× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 2 matching MRF lines |
$35.10–$89.70 | $35.10–$89.70 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $149.61 | $149.61 | 13.0× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$17.44–$42 | $17.44–$42 | varies |
| Sulfate urine (84392) | $28.51 | $28.51 | 5.2× |
| Surg path level iii (88304) | $237 | $237 | 4.6× |
| Surgical pathology level IV (88305) | $237 | $237 | 4.6× |
| Surgical pathology level vi (88309) | $3,559 | $3,559 | 4.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $159 | $159 | 33.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $33 | $33 | 4.4× |
| Sweat Collection Iontophoresis (89230) | $237 | $237 | 4.6× |
| Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines |
$20–$32.35 | $20–$32.35 | varies |
| T cells absolute cd4 count (86361) | $45.16 | $45.16 | 1.7× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$22.44–$209 | $22.44–$209 | varies |
| T cells total count (86359) range across 3 matching MRF lines |
$22.44–$168 | $22.44–$168 | varies |
| T3 Free (84481) range across 2 matching MRF lines |
$11.84–$75 | $11.84–$75 | varies |
| T3 reverse (84482) | $25 | $25 | 1.6× |
| T3 Total (84480) | $63 | $63 | 4.4× |
| T3 Uptake (84479) | $9.48 | $9.48 | 1.5× |
| T4 Free (84439) range across 2 matching MRF lines |
$40–$40.05 | $40–$40.05 | varies |
| T4 total (84436) | $31 | $31 | 4.5× |
| Tacrolimus (80197) range across 2 matching MRF lines |
$28.75–$61 | $28.75–$61 | varies |
| Tb ag response t-cell susp (86481) | $770 | $770 | 7.7× |
| Test for acetone/ketones (82009) | $35 | $35 | 7.7× |
| Testosterone total (84403) range across 7 matching MRF lines |
$9.05–$115 | $9.05–$115 | varies |
| Testosterone, Free (84402) range across 4 matching MRF lines |
$9.05–$56.93 | $9.05–$56.93 | varies |
| Theophylline (80198) | $63 | $63 | 4.5× |
| Thiocyanate (84430) | $132.50 | $132.50 | 11.4× |
| Thiopurine methyltransferase (84433) | $170.71 | $170.71 | 7.7× |
| Thrombin Time (85670) range across 5 matching MRF lines |
$18.99–$27.88 | $18.99–$27.88 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$14.21–$20.91 | $14.21–$20.91 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$71–$96.25 | $71–$96.25 | varies |
| Thyroglobulin Antibody (86800) | $12.50 | $12.50 | 0.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $51.48 | $51.48 | 1.0× |
| Thyroxine binding globulin (84442) | $20.96 | $20.96 | 1.4× |
| Tiss cul neo disorders solid tumor (88239) range across 2 matching MRF lines |
$236.72–$321.88 | $236.72–$321.88 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$8.75–$51 | $8.75–$51 | varies |
| Tissue Culture (88233) range across 3 matching MRF lines |
$289.06–$1,084 | $289.06–$1,084 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 2 matching MRF lines |
$238.68–$321.88 | $238.68–$321.88 | varies |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$187.50–$238.68 | $187.50–$238.68 | varies |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$181.25–$299.22 | $181.25–$299.22 | varies |
| Tobramycin peak (80200) | $72 | $72 | 4.5× |
| Topiramate (80201) | $39.43 | $39.43 | 3.3× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$14.31–$64 | $14.31–$64 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$14.48–$64 | $14.48–$64 | varies |
| Tp53 gene analysis targeted sequence analysis (81352) | $1,523.75 | $1,523.75 | 4.6× |
| Tpmt gene com variants (81335) | $221.88 | $221.88 | 1.3× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$23–$43.75 | $23–$43.75 | varies |
| Transferrin (84466) | $10 | $10 | 0.8× |
| Trg gene rearrangement anal (81342) | $471.88 | $471.88 | 2.3× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$77.50–$156 | $77.50–$156 | varies |
| Triglycerides (84478) range across 2 matching MRF lines |
$11.44–$26 | $11.44–$26 | varies |
| Troponin Quant (84484) range across 2 matching MRF lines |
$45.49–$55 | $45.49–$55 | varies |
| Tumor immunohistochem/comput (88361) | $1,587 | $1,587 | 4.5× |
| Tumor Immunohistochem/Manual (88360) range across 8 matching MRF lines |
$189.38–$760 | $189.38–$760 | varies |
| Unlisted Transfusion Medicine Procedure (86999) | $122.19 | $122.19 | 4.3× |
| Urea Nitrogen Clearance (84545) | $32 | $32 | 4.4× |
| Urea nitrogen urine (84540) | $25 | $25 | 4.5× |
| Uric acid other source (84560) range across 3 matching MRF lines |
$13.11–$28.51 | $13.11–$28.51 | varies |
| Urinalysis Microscopic Only (81015) | $23 | $23 | 7.5× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $10 | $10 | 4.6× |
| Urine Albumin Semiquantitative (82044) | $28 | $28 | 4.5× |
| Urine Bacteria Culture (87088) | $62 | $62 | 7.7× |
| Urine Pregnancy Test (81025) | $38 | $38 | 4.4× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $14 | $14 | 4.4× |
| Valproic acid (80164) | $60 | $60 | 4.4× |
| Vancomycin (80202) | $60 | $60 | 4.4× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$13.99–$57 | $13.99–$57 | varies |
| Vasopressin (84588) | $57.50 | $57.50 | 1.7× |
| Very Long Chain Fatty Acids (82726) | $498.75 | $498.75 | 25.3× |
| Viral Culture (87252) range across 2 matching MRF lines |
$44.22–$59.85 | $44.22–$59.85 | varies |
| Virus antibody nos (86790) range across 5 matching MRF lines |
$15.73–$180.55 | $15.73–$180.55 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$44.22–$88.44 | $44.22–$88.44 | varies |
| Viscosity serum (85810) | $14.36 | $14.36 | 1.2× |
| Vit D 1 25-Dihydroxy (82652) range across 2 matching MRF lines |
$31.44–$171 | $31.44–$171 | varies |
| Vitamin A (84590) | $13.75 | $13.75 | 1.2× |
| Vitamin b-12 (82607) | $67 | $67 | 4.4× |
| Vitamin B2 (Riboflavin) (84252) | $56.66 | $56.66 | 2.8× |
| Vitamin B6 (84207) | $18.75 | $18.75 | 0.7× |
| Vitamin c (82180) | $28.68 | $28.68 | 2.9× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$32.81–$132 | $32.81–$132 | varies |
| Vitamin E (84446) | $16.25 | $16.25 | 1.1× |
| Vitamin K (84597) | $57.19 | $57.19 | 4.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $234.06 | $234.06 | 19.4× |
| Von willebrand factor ag (85246) | $102 | $102 | 4.4× |
| Wbc Alkaline Phosphatase Count (85540) | $66 | $66 | 7.7× |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$21.90–$28.86 | $21.90–$28.86 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$21.90–$28.86 | $21.90–$28.86 | varies |
| Xm Archive Tissue Molec Anal (88363) | $109 | $109 | 3.8× |
| Zika Virus Dna/Rna Amp Probe (87662) | $187.50 | $187.50 | 3.7× |
| Zinc (84630) range across 3 matching MRF lines |
$10–$62.50 | $10–$62.50 | 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.