Lab & pathology prices at St. Luke's Hospital
Chesterfield, MO · every code in this section with a posted price and a Medicare benchmark.
590 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $114.12 | $190.20 | 10.2× |
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$80.25–$244.20 | $133.75–$407 | varies |
| Acetylcholine receptor blocking antibody (86042) range across 2 matching MRF lines |
$80.25–$203.67 | $133.75–$339.45 | varies |
| Acetylcholn Rcptr Modlg Antb (86043) | $80.25 | $133.75 | 6.7× |
| Acth (82024) | $257.94 | $429.90 | 6.7× |
| Actin smooth muscle antibody each (86015) | $41.82 | $69.70 | 3.5× |
| Agglutinins Febrile Each Antigen (86000) | $57.90 | $96.50 | 8.3× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$25.94–$71.64 | $43.23–$119.40 | varies |
| Albumin serum (82040) range across 4 matching MRF lines |
$25.94–$48.90 | $43.23–$81.50 | varies |
| Aldolase (82085) | $79.92 | $133.20 | 8.2× |
| Aldosterone urine (82088) | $272.16 | $453.60 | 6.7× |
| Alkaline phosphatase isoenzymes (84080) range across 3 matching MRF lines |
$7.20–$205.68 | $12–$342.80 | varies |
| Allergen specific ige (86003) range across 153 matching MRF lines |
$6–$29.25 | $10–$48.75 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 4 matching MRF lines |
$29.90–$84 | $49.83–$140 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $24.75 | $41.25 | 1.7× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$24.75–$117.06 | $41.25–$195.10 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $167.63 | $279.38 | 9.9× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$39–$117.06 | $65–$195.10 | varies |
| Alt (sgpt) (84460) | $39.18 | $65.30 | 7.4× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $34.47 | $57.45 | 1.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 4 matching MRF lines |
$150–$530.82 | $250–$884.70 | varies |
| Ammonia (82140) range across 3 matching MRF lines |
$24.29–$102.30 | $40.48–$170.50 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $351.06 | $585.10 | 3.6× |
| Amylase urine (82150) | $77.10 | $128.50 | 11.9× |
| Ana Titer (86039) | $74.64 | $124.40 | 6.7× |
| Anca Titer Each Antibody (86037) | $79.92 | $133.20 | 6.6× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$73.95–$114.96 | $123.25–$191.60 | varies |
| Antibody aspergillus (86606) range across 3 matching MRF lines |
$25.10–$53.33 | $41.83–$88.89 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$13.33–$13.34 | $22.22–$22.24 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $25.82 | $43.03 | 1.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $155.58 | $259.30 | 9.2× |
| Antibody Encephalitis California La Crosse (86651) | $56.10 | $93.50 | 4.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $158.34 | $263.90 | 12.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $108.06 | $180.10 | 7.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$22.50–$168 | $37.50–$280 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $30.85 | $51.41 | 2.5× |
| Antibody Herpes Smplx Type 1 (86695) | $109.50 | $182.50 | 8.3× |
| Antibody HIV-2 (86702) | $37.50 | $62.50 | 2.8× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$30.60–$150 | $51–$250 | varies |
| Antibody neisseria meningitidis (86741) | $121.87 | $203.12 | 9.2× |
| Antibody Titer (86886) range across 3 matching MRF lines |
$126.02–$175.31 | $210.03–$292.18 | varies |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$22.07–$99.12 | $36.78–$165.20 | varies |
| Antibody; encephalitis, st. louis (86653) | $126.06 | $210.10 | 9.6× |
| Antigen typing (86905) | $120 | $200 | 31.3× |
| Antinomyces antibody (86602) | $30.85 | $51.41 | 3.0× |
| Antinuclear antibodies (86038) range across 5 matching MRF lines |
$30–$112.50 | $50–$187.50 | varies |
| Antistreptolysin o titer (86060) | $75 | $125 | 10.3× |
| Antithrombin iii activity (85300) | $120.60 | $201 | 10.2× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$31.64–$103.50 | $52.73–$172.50 | varies |
| Aquaporin-4 Antb Elisa (86051) | $577.50 | $962.50 | 50.1× |
| Arsenic (82175) range across 2 matching MRF lines |
$36.94–$170.04 | $61.56–$283.40 | varies |
| Aspergillus ag eia (87305) | $157.50 | $262.50 | 13.1× |
| Assay activated protein c (85307) | $156.90 | $261.50 | 10.2× |
| Assay Blood Carbon Dioxide (82374) | $22.32 | $37.20 | 4.6× |
| Assay Nephelometry Not Spec (83883) | $51 | $85 | 3.8× |
| Assay of 5-hiaa (83497) | $130.08 | $216.80 | 10.1× |
| Assay of anti-mullerian hormone (82166) | $135 | $225 | 3.5× |
| Assay of blood/uric acid (84550) | $60.54 | $100.90 | 13.4× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$14.58–$82.62 | $24.30–$137.70 | varies |
| Assay of estrone (82679) | $58.50 | $97.50 | 2.3× |
| Assay of g6pd enzyme (82955) | $16.16 | $26.93 | 1.7× |
| Assay of gammaglobulin igm (82784) range across 10 matching MRF lines |
$13.95–$88.14 | $23.25–$146.90 | varies |
| Assay of lactic acid (83605) range across 4 matching MRF lines |
$17.36–$142.62 | $28.93–$237.70 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$165.90–$197.16 | $276.50–$328.60 | varies |
| Assay of proinsulin (84206) | $49.50 | $82.50 | 1.9× |
| Assay of serotonin (84260) | $252.66 | $421.10 | 8.2× |
| Assay of serum potassium (84132) range across 4 matching MRF lines |
$7.14–$36.78 | $11.90–$61.30 | varies |
| Assay of urea nitrogen (84520) range across 6 matching MRF lines |
$15.12–$40.80 | $25.20–$68 | varies |
| Assay of urine vma (84585) | $142.50 | $237.50 | 9.2× |
| Assay of vasoactive intestinal peptide (84586) | $237.54 | $395.90 | 6.7× |
| Assay of vitamin b-1 (84425) | $158.34 | $263.90 | 7.5× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$14.58–$50.94 | $24.30–$84.90 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $239.64 | $399.40 | 1.4× |
| Automated Leukocyte Count (85048) | $19.98 | $33.30 | 7.9× |
| B cells total count (86355) | $135 | $225 | 3.6× |
| Bartonella antibody (86611) | $74.40 | $124 | 7.3× |
| Bcr/abl1 gene major bp (81206) | $273.27 | $455.45 | 1.7× |
| Bcr/abl1 gene minor bp (81207) | $241.40 | $402.33 | 1.7× |
| Beta 2 glycoprotein i antibody each (86146) | $72 | $120 | 2.8× |
| Beta hydroxybutyrate (82010) | $43.50 | $72.50 | 5.3× |
| Beta Lactamase (87185) | $15.12 | $25.20 | 3.2× |
| Beta-2 Microglobulin (82232) | $145.26 | $242.10 | 9.0× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $125.25 | $208.75 | 1.0× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $125.25 | $208.75 | 1.0× |
| Bile acids total (82239) | $39 | $65 | 2.3× |
| Bilirubin direct (82248) | $61.32 | $102.20 | 12.2× |
| Bilirubin total (82247) | $70.26 | $117.10 | 14.0× |
| Bilirubin total transcutaneous (88720) | $15.96 | $26.60 | 3.2× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) | $1,242.95 | $2,071.58 | 7.3× |
| Biotinidase (82261) | $25.31 | $42.18 | 1.5× |
| Blastomyces antibody (86612) | $91.56 | $152.60 | 7.1× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $110.64 | $184.40 | 0.6× |
| Blood Count Red Blood Cell Automated (85041) range across 2 matching MRF lines |
$5.03–$13.09 | $8.38–$21.81 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $17.22 | $28.70 | 4.5× |
| Blood gas (82803) | $39.11 | $65.18 | 1.5× |
| Blood gases w/02 saturation (82805) range across 8 matching MRF lines |
$135.72–$180 | $226.20–$300 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $43.80 | $73 | 2.8× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $22.08 | $36.80 | 5.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 5 matching MRF lines |
$118.13–$273.75 | $196.88–$456.25 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) range across 10 matching MRF lines |
$15.84–$110.82 | $26.40–$184.70 | varies |
| Blood typing serologic abo (86900) range across 4 matching MRF lines |
$72–$72.72 | $120–$121.20 | varies |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$46.26–$89.46 | $77.10–$149.10 | varies |
| Bone marrow smear interpretation (85097) | $604.80 | $1,008 | 0.7× |
| Bordetella antibody (86615) | $65.63 | $109.38 | 5.0× |
| Brucella antibody (86622) range across 4 matching MRF lines |
$14.88–$27 | $24.80–$45 | varies |
| C diff amplified probe (87493) | $55.91 | $93.18 | 1.5× |
| C-Peptide (84681) | $145.98 | $243.30 | 7.0× |
| C-reactive protein (86140) | $78.48 | $130.80 | 15.2× |
| Ca 19-9 (86301) | $138.90 | $231.50 | 6.7× |
| Calcitonin (82308) | $198.18 | $330.30 | 7.4× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$20.52–$99.84 | $34.20–$166.40 | varies |
| Calcium total (82310) | $46.80 | $78 | 9.1× |
| Calculus assay quant (82360) | $128.16 | $213.60 | 10.0× |
| Calculus Spectroscopy (82365) | $22.13 | $36.88 | 1.7× |
| Calprotectin Fecal (83993) | $112.50 | $187.50 | 5.7× |
| Calr gene com variants (81219) | $445.50 | $742.50 | 3.7× |
| Cancer Antigen 125 (86304) | $153.54 | $255.90 | 7.4× |
| Cancer Antigen 27.29 (86300) | $138.90 | $231.50 | 6.7× |
| Candida Dna Dir Probe (87480) | $40.10 | $66.84 | 2.0× |
| Carbamazepine total (80156) | $119.10 | $198.50 | 8.2× |
| Carboxyhemoglobin (82375) | $87.36 | $145.60 | 7.1× |
| Carcinoembryonic antigen (82378) | $133.14 | $221.90 | 7.0× |
| Cardiolipin ab iga (86147) | $169.74 | $282.90 | 6.7× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$196.20–$254.76 | $327–$424.60 | varies |
| Ccp antibody (86200) | $110.82 | $184.70 | 8.6× |
| Cell count csf (89051) | $110.10 | $183.50 | 19.7× |
| Ceruloplasmin (82390) | $75 | $125 | 7.0× |
| Cftr gene com variants (81220) | $1,170 | $1,950 | 2.1× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$45–$84.60 | $75–$141 | varies |
| Chlamydia antibody (86631) range across 6 matching MRF lines |
$23.06–$80.04 | $38.44–$133.40 | varies |
| Chlamydia Igm Antibody (86632) | $23.06 | $38.44 | 1.8× |
| Chloride urine (82436) range across 3 matching MRF lines |
$9–$94.26 | $15–$157.10 | varies |
| Cholesterol total (82465) | $50.28 | $83.80 | 11.6× |
| Chorionic gonadotropin test (84702) | $107.40 | $179 | 7.1× |
| Chromium serum (82495) | $72.60 | $121 | 3.6× |
| Chromogranin a (86316) | $302.04 | $503.40 | 14.5× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$257–$429.68 | $428.33–$716.13 | varies |
| Chromosome Analysis 20-25 (88264) | $405.62 | $676.03 | 2.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$52.64–$89.52 | $87.73–$149.20 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$30–$46.34 | $50–$77.23 | varies |
| Ckmb (82553) | $97.08 | $161.80 | 8.4× |
| Clostridium Difficile (87324) | $95.70 | $159.50 | 8.0× |
| Clotting factor xii hageman (85280) | $198.18 | $330.30 | 10.2× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$46.29–$202.50 | $77.15–$337.50 | varies |
| Coagulation time activated (85347) range across 6 matching MRF lines |
$6.42–$43.44 | $10.70–$72.40 | varies |
| Coccidioides antibody (86635) | $76.56 | $127.60 | 6.7× |
| Cold agglutinin titer (86157) | $70.26 | $117.10 | 8.7× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$83.40–$135 | $139–$225 | varies |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$36.14–$390 | $60.23–$650 | varies |
| Compatibility test antiglob (86922) | $91.44 | $152.40 | 0.5× |
| Complement Antigen Each Component (86160) | $128.70 | $214.50 | 10.7× |
| Complement Total (Ch50) (86162) | $150.78 | $251.30 | 7.4× |
| Complement/Function Activity (86161) | $137.10 | $228.50 | 11.4× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $156.06 | $260.10 | 3.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $160.56 | $267.60 | 4.3× |
| Coombs direct (86880) range across 4 matching MRF lines |
$46.80–$117 | $78–$195 | varies |
| Copper urine (82525) | $122.52 | $204.20 | 9.9× |
| Cortisol free (82530) | $27.86 | $46.43 | 1.7× |
| Cortisol saliva (82533) | $137.70 | $229.50 | 8.4× |
| Creatine kinase total (82550) | $72.30 | $120.50 | 11.1× |
| Creatinine blood (82565) range across 5 matching MRF lines |
$7.68–$63.54 | $12.80–$105.90 | varies |
| Creatinine clearance (82575) | $140.40 | $234 | 14.8× |
| Creatinine Urine (82570) range across 7 matching MRF lines |
$14.58–$54.42 | $24.30–$90.70 | varies |
| Crossmatch electronic (86923) | $121.68 | $202.80 | 0.7× |
| Crossmatch immediate spin (86920) | $121.68 | $202.80 | 0.7× |
| Crp High Sensitivity (86141) | $78.48 | $130.80 | 6.1× |
| Cryoglobulin (82595) | $9.71 | $16.18 | 1.5× |
| Cryopreservation; sperm (89259) | $69 | $115 | 0.4× |
| Cryptococcus ag titer (87899) range across 6 matching MRF lines |
$42–$144.54 | $70–$240.90 | varies |
| Cryptosporidium (87272) | $33.36 | $55.60 | 2.8× |
| Cryptosporidium ag eia (87328) | $71.74 | $119.56 | 5.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $53.82 | $89.70 | 6.7× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$90.90–$92.22 | $151.50–$153.70 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $115.68 | $192.80 | 15.0× |
| Culture afb (87116) range across 2 matching MRF lines |
$108.72–$131.46 | $181.20–$219.10 | varies |
| Culture Anaerobic (87075) | $99.12 | $165.20 | 10.5× |
| Culture blood (87040) | $131.46 | $219.10 | 12.7× |
| Culture chlamydia (87110) range across 2 matching MRF lines |
$32.66–$130.92 | $54.43–$218.20 | varies |
| Culture csf (87070) range across 11 matching MRF lines |
$20.25–$123.24 | $33.75–$205.40 | varies |
| Culture fungus (87102) | $115.68 | $192.80 | 13.8× |
| Culture fungus blood (87103) | $106.74 | $177.90 | 5.2× |
| Culture screen only (87081) range across 5 matching MRF lines |
$13.13–$123.24 | $21.88–$205.40 | varies |
| Culture stool (87045) | $14.16 | $23.60 | 1.5× |
| Culture typing if ea antiserum (87140) | $9.29 | $15.48 | 1.7× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $58.56 | $97.60 | 11.3× |
| Culture urine (87086) | $54.42 | $90.70 | 6.7× |
| Cyclosporine (80158) | $225.78 | $376.30 | 12.5× |
| Cyp3a4 gene common variants (81230) | $262.50 | $437.50 | 1.5× |
| Cyp3a5 gene common variants (81231) | $262.50 | $437.50 | 1.5× |
| Cytogenetics 100-300 (88275) range across 4 matching MRF lines |
$81.18–$360 | $135.30–$600 | varies |
| Cytomegalovirus igg (86644) | $142.50 | $237.50 | 9.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $72.96 | $121.60 | 3.6× |
| Cytopath Cell Enhance Tech (88112) | $110.64 | $184.40 | 2.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $57 | $95 | 2.1× |
| Cytp Concentration Smears & Interpretation (88108) | $110.64 | $184.40 | 3.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $163.86 | $273.10 | 3.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $158.34 | $263.90 | 0.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $110.64 | $184.40 | 3.0× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $24.84 | $41.40 | 1.3× |
| Deoxycortisol (82634) | $195.48 | $325.80 | 6.7× |
| Deoxyribonuclease antibody (86215) | $88.56 | $147.60 | 6.7× |
| Detect Agent Nos Dna Amp (87798) range across 11 matching MRF lines |
$58.49–$657.74 | $97.48–$1,096.23 | varies |
| Detect Agent Nos Dna Quant (87799) range across 2 matching MRF lines |
$150–$202.50 | $250–$337.50 | varies |
| Detect agnt mult DNA ampli (87801) | $337.50 | $562.50 | 4.8× |
| Dgp Antibody Each Ig Class (86258) range across 4 matching MRF lines |
$17.30–$137.10 | $28.83–$228.50 | varies |
| Dhea (82626) | $60 | $100 | 2.4× |
| Dhea-S (82627) | $185.22 | $308.70 | 8.3× |
| Digoxin (80162) | $98.46 | $164.10 | 7.4× |
| Dihydrotestosterone (82642) | $67.50 | $112.50 | 2.3× |
| Diphtheria antitoxoid (86648) | $68.85 | $114.75 | 4.5× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$87.83–$119.76 | $146.38–$199.60 | varies |
| Drug assay adalimumab (80145) | $252.90 | $421.50 | 6.6× |
| Drug Assay Amiodarone (80151) | $237.54 | $395.90 | 12.7× |
| Drug Assay Everolimus (80169) | $199.13 | $331.88 | 14.5× |
| Drug Assay Lacosamide (80235) | $142.50 | $237.50 | 5.3× |
| Drug Assay Vedolizumab (80280) | $142.50 | $237.50 | 3.7× |
| Drug assay voriconazole (80285) | $72 | $120 | 2.7× |
| Drug Screen Quant Zonisamide (80203) | $154.20 | $257 | 11.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $237.54 | $395.90 | 17.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $154.20 | $257 | 11.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $154.20 | $257 | 11.6× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 12 matching MRF lines |
$5.70–$399 | $9.50–$665 | varies |
| Drug Test Prsmv Instrmnt (80306) | $117.30 | $195.50 | 6.8× |
| Ehrlichia antibody (86666) | $45 | $75 | 4.4× |
| El-1 Fecal Quantitative (82653) | $97.50 | $162.50 | 4.2× |
| Electrolyte panel (80051) range across 3 matching MRF lines |
$81.96–$86.88 | $136.60–$144.80 | varies |
| Encephaltis East Eqne Anbdy (86652) | $56.10 | $93.50 | 4.3× |
| Encephaltis West Eqne Antbdy (86654) | $56.10 | $93.50 | 4.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$18.14–$138.24 | $30.23–$230.40 | varies |
| Enterovirus Antibody (86658) range across 14 matching MRF lines |
$12.73–$97.50 | $21.21–$162.50 | varies |
| Enterovirus PCR (87498) | $234 | $390 | 6.7× |
| Enzyme cell activity (82657) | $33.26 | $55.43 | 1.5× |
| Erythropoietin (82668) | $138.36 | $230.60 | 7.4× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$195.90–$205.56 | $326.50–$342.60 | varies |
| Estrogen total (82672) | $144.72 | $241.20 | 6.7× |
| Ethylene Glycol (82693) | $82.50 | $137.50 | 5.5× |
| Exam Synovial Fluid Crystals (89060) | $90.90 | $151.50 | 12.4× |
| F2 Gene (81240) | $428.40 | $714 | 6.5× |
| Factor ix activity (85250) | $169.38 | $282.30 | 8.9× |
| Factor v activity (85220) | $158.34 | $263.90 | 9.0× |
| Factor v leiden mutation (81241) | $219.80 | $366.33 | 3.0× |
| Factor vii assay (85230) | $158.34 | $263.90 | 8.8× |
| Factor viii assay (85240) | $167.28 | $278.80 | 9.3× |
| Factor X (85260) | $93.18 | $155.30 | 5.2× |
| Factor xi activity (85270) | $141.24 | $235.40 | 7.9× |
| Factor xiii screen (85291) | $59.34 | $98.90 | 6.5× |
| Fecal Fat Qualitative (82705) | $103.26 | $172.10 | 20.2× |
| Ferritin (82728) | $123.24 | $205.40 | 9.0× |
| Fetal Chrmoml Aneuploidy (81420) | $523.50 | $872.50 | 0.7× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $144.48 | $240.80 | 0.9× |
| Fetal Fibronectin (82731) | $430.14 | $716.90 | 6.7× |
| Fetal screen rosette (85461) | $44.34 | $73.90 | 4.7× |
| Fibrin degradation products (85362) | $265.17 | $441.95 | 38.5× |
| Fibrin Degradation Quant (85379) | $99.12 | $165.20 | 9.7× |
| Fibrinogen activity (85384) range across 5 matching MRF lines |
$14.58–$70.86 | $24.30–$118.10 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $23.22 | $38.70 | 1.5× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$97.56–$187.20 | $162.60–$312 | varies |
| Fluorescent antibody screen (86255) range across 3 matching MRF lines |
$80.25–$92.74 | $133.75–$154.56 | varies |
| Fmr1 gene detection (81243) | $167.63 | $279.38 | 2.9× |
| Folic acid rbc (82747) | $124.20 | $207 | 7.0× |
| Folic Acid Serum (82746) | $103.08 | $171.80 | 7.0× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$37.50–$158.34 | $62.50–$263.90 | varies |
| Francisella tularensis (86668) | $51.86 | $86.44 | 3.7× |
| Frozen Section (88331) | $159 | $265 | 0.9× |
| Fungi Identification Mold (87107) | $69.06 | $115.10 | 6.7× |
| Fungi Identification Yeast (87106) | $69.06 | $115.10 | 6.7× |
| Galactose transferase test (82776) | $17.61 | $29.35 | 1.5× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$103.68–$109.98 | $172.80–$183.30 | varies |
| Gardner vag DNA dir probe (87510) | $40.10 | $66.84 | 2.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $61.20 | $102 | 6.3× |
| Gastrin (82941) | $133.56 | $222.60 | 7.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $900 | $1,500 | 2.2× |
| Gentamicin (80170) | $114.96 | $191.60 | 7.0× |
| Ggt (82977) | $64.02 | $106.70 | 8.9× |
| Giardia antigen (87329) range across 2 matching MRF lines |
$22.50–$71.74 | $37.50–$119.56 | varies |
| Glucose 2 hr pp (82950) | $48.90 | $81.50 | 10.3× |
| Glucose body fluid (82945) | $77.82 | $129.70 | 19.8× |
| Glucose Serum (82947) range across 5 matching MRF lines |
$5.90–$48.90 | $9.83–$81.50 | varies |
| Glucose tolerance test (gtt) (82951) | $105.96 | $176.60 | 8.2× |
| Glycated Protein (82985) | $27.14 | $45.23 | 1.6× |
| Gonadotropin Chorionic Qualitative (84703) | $62.64 | $104.40 | 8.3× |
| Growth hormone (83003) | $135 | $225 | 8.1× |
| Gtt-added samples (82952) | $59.22 | $98.70 | 15.1× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$47.18–$99 | $78.63–$165 | varies |
| Hba1/Hba2 Gene (81257) | $225 | $375 | 2.2× |
| Hdl Cholesterol (83718) | $59.88 | $99.80 | 7.3× |
| Helicobacter Pylori Stool (87338) | $71.64 | $119.40 | 5.0× |
| Hematocrit (85014) range across 5 matching MRF lines |
$3.56–$24.12 | $5.93–$40.20 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$13.09–$25.44 | $21.81–$42.40 | varies |
| Hemoglobin a1c (83036) | $24 | $40 | 2.5× |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$13.50–$91.60 | $22.50–$152.67 | varies |
| Hemoglobin electrophoresis (83020) range across 2 matching MRF lines |
$19.31–$30 | $32.18–$50 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $51.36 | $85.60 | 6.3× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$90.90–$91.20 | $151.50–$152 | varies |
| Heparin assay (85520) | $158.34 | $263.90 | 12.1× |
| Heparin Neutralization (85525) | $101.82 | $169.70 | 8.6× |
| Hepatitis a antibody total (86708) | $93.60 | $156 | 7.6× |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$99.60–$99.84 | $166–$166.40 | varies |
| Hepatitis b core ab total (86704) | $90.90 | $151.50 | 7.5× |
| Hepatitis B Surface Antibody (86706) | $75.42 | $125.70 | 7.0× |
| Hepatitis B Surface Antigen (87340) | $88.14 | $146.90 | 8.5× |
| Hepatitis Be Antibody (86707) | $114.96 | $191.60 | 9.9× |
| Hepatitis Be Antigen (87350) | $138.36 | $230.60 | 12.0× |
| Hepatitis C Antibody (86803) | $133.56 | $222.60 | 9.4× |
| Hepatitis C Genotype (87902) | $573.12 | $955.20 | 2.2× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $319.44 | $532.40 | 9.1× |
| Hepatitis C Revrs Trnscrpj (87522) | $371.10 | $618.50 | 8.7× |
| Herpes simplex type 2 (86696) range across 3 matching MRF lines |
$85.50–$97.74 | $142.50–$162.90 | varies |
| Heterophile Antibody Screen (86308) | $55.74 | $92.90 | 10.8× |
| Hfe Gene (81256) | $138 | $230 | 2.1× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $116.34 | $193.90 | 15.1× |
| Histoplasma antibody (86698) | $20.82 | $34.70 | 1.5× |
| Histoplasma antigen urine (87385) | $82.50 | $137.50 | 6.2× |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$499.13–$998.25 | $831.88–$1,663.75 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 3 matching MRF lines |
$70.20–$70.26 | $117–$117.10 | varies |
| Hiv-1 Antibody (86701) | $37.50 | $62.50 | 4.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$135–$186 | $225–$310 | varies |
| HIV-2 probe&revrse trnscripj (87538) | $48.75 | $81.25 | 1.4× |
| Hla class i&ii antibody qual (86828) | $324 | $540 | 5.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $172.32 | $287.20 | 2.3× |
| Hla I Typing 1 Allele Hr (81381) | $60.38 | $100.63 | 0.4× |
| Homocysteine (83090) | $143.94 | $239.90 | 8.0× |
| Homogenization Tissue (87176) | $39.30 | $65.50 | 6.7× |
| Hpv High-Risk Types (87624) | $79.14 | $131.90 | 2.3× |
| Hpv Types 16 & 18 Only (87625) range across 2 matching MRF lines |
$51–$67.50 | $85–$112.50 | varies |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$52.64–$338.70 | $87.73–$564.50 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$40.76–$210.66 | $67.93–$351.10 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$27–$51 | $45–$85 | varies |
| Iaad ia shiga-like toxin (87427) | $17.97 | $29.95 | 1.5× |
| Iaadi giardia (87269) | $80.10 | $133.50 | 5.9× |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$69–$148.68 | $115–$247.80 | varies |
| Iaadiadoo trichomonas vaginalis (87808) | $30 | $50 | 2.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $338.16 | $563.60 | 9.6× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $57.44 | $95.74 | 1.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $93.60 | $156 | 2.7× |
| Iadna Cytomegalovirus Quantification (87497) | $115.50 | $192.50 | 2.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $105.30 | $175.50 | 1.5× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $238.62 | $397.70 | 6.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $135 | $225 | 3.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 4 matching MRF lines |
$48.75–$97.50 | $81.25–$162.50 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $57.44 | $95.74 | 1.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 5 matching MRF lines |
$13.50–$74 | $22.50–$123.34 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $115.50 | $192.50 | 2.3× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $236.88 | $394.80 | 0.9× |
| Ig Light Chains Free Each (83521) | $239.64 | $399.40 | 13.9× |
| Igg subclasses (82787) | $67.44 | $112.40 | 8.4× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $675 | $1,125 | 2.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $261.65 | $436.08 | 0.7× |
| Immune Complex Assay (86332) | $162.84 | $271.40 | 6.7× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$66–$253.92 | $110–$423.20 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$180–$211.50 | $300–$352.50 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$67.50–$68.85 | $112.50–$114.75 | varies |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$17.30–$136.13 | $28.83–$226.88 | varies |
| Immunodiffusion Ouchterlony (86331) | $53.33 | $88.89 | 4.5× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$33.51–$48 | $55.85–$80 | varies |
| Immunohistochemistry (88342) | $202.32 | $337.20 | 1.2× |
| In situ hybridization 1st probe stain (88365) | $233.87 | $389.78 | 1.4× |
| Influenza assay w/optic (87804) | $74.46 | $124.10 | 4.5× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$157.59–$204 | $262.65–$340 | varies |
| Inhibin b (83520) range across 22 matching MRF lines |
$27.14–$314.63 | $45.23–$524.38 | varies |
| Insulin antibodies (86337) | $48 | $80 | 2.2× |
| Insulin total (83525) | $110.82 | $184.70 | 9.7× |
| Intrinsic factor antibody (86340) | $212.52 | $354.20 | 14.1× |
| Iron (83540) | $81.18 | $135.30 | 12.5× |
| Iron Binding Capacity (83550) | $49.44 | $82.40 | 5.7× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$150.78–$204.42 | $251.30–$340.70 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $270 | $450 | 2.9× |
| Ketosteroids 17 total (83586) | $57.18 | $95.30 | 4.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$53.64–$80.52 | $89.40–$134.20 | varies |
| Lactoferrin Fecal Quantitative (83631) | $63 | $105 | 3.2× |
| Lamellar Body Count (83664) | $102.90 | $171.50 | 5.3× |
| LDL direct (83721) | $66.90 | $111.50 | 6.4× |
| Lead (83655) range across 3 matching MRF lines |
$20.53–$81.18 | $34.22–$135.30 | varies |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$95.58–$117 | $159.30–$195 | varies |
| Leptospira antibody (86720) | $112.50 | $187.50 | 6.9× |
| Leukocyte Assessment Fecal (89055) | $44.82 | $74.70 | 10.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $66.06 | $110.10 | 2.3× |
| Level ii surg pathology grossµscopic exam (88302) | $124.56 | $207.60 | 3.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $269.88 | $449.80 | 0.8× |
| Lidocaine (80176) | $156.90 | $261.50 | 10.7× |
| Lipase (83690) | $77.10 | $128.50 | 11.2× |
| Lipoprotein A (83695) | $165.78 | $276.30 | 11.6× |
| Lipoprotein Bld Quan Part (83704) | $71.42 | $119.03 | 2.1× |
| Lithium (80178) | $75 | $125 | 11.3× |
| Liver ds alys 3 bmrk srm alg (81517) | $687 | $1,145 | 3.9× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$30–$130.86 | $50–$218.10 | varies |
| Lyme disease antibody (86618) | $52.50 | $87.50 | 3.1× |
| M. Genitalium Amp Probe (87563) | $52.65 | $87.75 | 1.5× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$14.40–$66.72 | $24–$111.20 | varies |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
$36.17–$57 | $60.28–$95 | varies |
| Mercury urine (83825) range across 2 matching MRF lines |
$33.75–$36.94 | $56.25–$61.56 | varies |
| Metabolic panel ionized ca (80047) | $20.40 | $34 | 1.5× |
| Methylmalonic acid serum (83921) | $126.72 | $211.20 | 6.0× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$54.42–$70.26 | $90.70–$117.10 | varies |
| Microsomal Antibodies Each (86376) | $126.72 | $211.20 | 8.7× |
| Mitochondrial Antibody Each (86381) | $121.20 | $202 | 4.8× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
$81.18–$450 | $135.30–$750 | varies |
| Mopath procedure level 2 (81401) | $72 | $120 | 0.5× |
| Mopath procedure level 4 (81403) range across 4 matching MRF lines |
$450–$634.50 | $750–$1,057.50 | varies |
| Mpl gene common variants (81338) | $834 | $1,390 | 5.5× |
| Mthfr Gene Analysis Common Variants (81291) | $261.96 | $436.60 | 4.0× |
| Mumps antibody (86735) | $87.12 | $145.20 | 6.7× |
| Muscle-Specific Kinase Antb (86366) | $750 | $1,250 | 40.8× |
| Mycoplasma antibody (86738) | $119.10 | $198.50 | 9.0× |
| Mycoplasma culture (87109) | $255.96 | $426.60 | 16.6× |
| Myoglobin urine (83874) | $130.86 | $218.10 | 10.1× |
| Natriuretic peptide (83880) | $120 | $200 | 3.1× |
| Neutralization Test Viral (86382) | $94.68 | $157.80 | 5.6× |
| Nfct ds chrnc hcv 6 assays (81596) | $165 | $275 | 2.3× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $499.13 | $831.88 | 3.9× |
| Nk cells total count (86357) | $121.20 | $202 | 3.2× |
| Nuclear antigen antibody (86235) range across 19 matching MRF lines |
$30–$129 | $50–$215 | varies |
| Nudt15 Gene Common Variants (81306) | $150 | $250 | 0.5× |
| Obstetric panel (80081) | $152.96 | $254.93 | 2.0× |
| Occult Blood Other Sources (82271) | $24.12 | $40.20 | 4.5× |
| Oligoclonal bands (83916) | $25.94 | $43.23 | 0.9× |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$135.03–$237.54 | $225.05–$395.90 | varies |
| Osmolality serum (83930) | $49.56 | $82.60 | 7.5× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$11.36–$53.64 | $18.93–$89.40 | varies |
| Outpatient Global Laboratory, Radiology and Diagnostic Services (89346) | $150 | $250 | 0.9× |
| Ova and parasites smears (87177) | $87.36 | $145.60 | 9.8× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$21.68–$94.98 | $36.13–$158.30 | varies |
| Particle Agglutination Screen Each Antibody (86403) | $194.55 | $324.25 | 16.9× |
| Parvovirus antibody (86747) | $158.34 | $263.90 | 10.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $330 | $550 | 0.4× |
| Pathology Consultation During Surgery (88329) | $52.68 | $87.80 | 0.9× |
| Ph urine (81003) range across 6 matching MRF lines |
$9–$44.82 | $15–$74.70 | varies |
| Phenobarbital Level (80184) | $114.36 | $190.60 | 7.5× |
| Phenytoin (Dilantin) (80185) | $127.38 | $212.30 | 9.6× |
| Phenytoin free (80186) | $58.56 | $97.60 | 4.3× |
| Phosphatase alkaline (84075) range across 4 matching MRF lines |
$7.20–$65.46 | $12–$109.10 | varies |
| Phospholipid Neutralization Hexagonal (85598) range across 2 matching MRF lines |
$49.50–$60 | $82.50–$100 | varies |
| Phosphorus Serum (84100) | $53.64 | $89.40 | 11.3× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$9–$55.74 | $15–$92.90 | varies |
| Pinworm exam (87172) | $59.22 | $98.70 | 13.9× |
| Platelet Aggregation (85576) range across 4 matching MRF lines |
$37.37–$275.21 | $62.28–$458.68 | varies |
| Platelet Antibodies (86022) range across 7 matching MRF lines |
$49.50–$390 | $82.50–$650 | varies |
| Platelet count automated (85049) | $39.18 | $65.30 | 8.7× |
| Platelet neutralization (85597) | $120 | $200 | 6.7× |
| Pneumcysts jirovecii amp prb (87594) | $249 | $415 | 7.1× |
| Pooling blood platelets (86965) | $91.44 | $152.40 | 0.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $158.34 | $263.90 | 10.8× |
| Potassium Urine (84133) range across 4 matching MRF lines |
$9–$39.18 | $15–$65.30 | varies |
| Prealbumin (84134) | $97.38 | $162.30 | 6.7× |
| Primidone (80188) | $110.82 | $184.70 | 6.7× |
| Procalcitonin (Pct) (84145) | $60 | $100 | 2.2× |
| Progesterone (84144) | $146.22 | $243.70 | 7.0× |
| Prolactin (84146) | $148.08 | $246.80 | 7.6× |
| Protein body fluid (84157) | $68.82 | $114.70 | 17.2× |
| Protein C Activity (85303) | $234.06 | $390.10 | 16.9× |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$26.75–$42 | $44.58–$70 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$16.11–$24 | $26.85–$40 | varies |
| Protein S Free (85306) range across 3 matching MRF lines |
$192.78–$282.90 | $321.30–$471.50 | varies |
| Protein s total (85305) | $282.90 | $471.50 | 24.4× |
| Protein total serum (84155) range across 3 matching MRF lines |
$5.51–$9 | $9.18–$15 | varies |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$5.51–$71.64 | $9.18–$119.40 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $5.85 | $9.75 | 1.5× |
| Protoporphyrin rbc quantitative (84202) | $50.15 | $83.58 | 3.5× |
| PSA free (84154) | $48.54 | $80.90 | 2.6× |
| Pth Intact (83970) range across 2 matching MRF lines |
$137.82–$138 | $229.70–$230 | varies |
| Q Fever Antibody (86638) range across 11 matching MRF lines |
$22.50–$138 | $37.50–$230 | varies |
| Quantiferon tb gold plus (86480) range across 2 matching MRF lines |
$75–$132 | $125–$220 | varies |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$137.70–$154.50 | $229.50–$257.50 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$22.50–$54.30 | $37.50–$90.50 | varies |
| Rbc antibody elution (86860) | $266.79 | $444.65 | 1.6× |
| Rbc antibody identification (86870) | $357.75 | $596.25 | 1.0× |
| Rbc antibody screen (86850) | $95.70 | $159.50 | 9.8× |
| Reagent Strip/Blood Glucose (82948) range across 6 matching MRF lines |
$2.40–$28.98 | $4–$48.30 | varies |
| Renin activity plasma (84244) | $146.88 | $244.80 | 6.7× |
| Resp virus 12-25 targets (87633) | $682.20 | $1,137 | 1.6× |
| Reticulocyte Count (85046) | $48.90 | $81.50 | 8.8× |
| Rh (86901) | $37.20 | $62 | 12.4× |
| Rheumatoid factor quant (86431) range across 3 matching MRF lines |
$40.62–$70.26 | $67.70–$117.10 | varies |
| Rickettsia antibody (86757) range across 8 matching MRF lines |
$36.53–$230.13 | $60.89–$383.55 | varies |
| Ristocetin cofactor (85245) | $198.18 | $330.30 | 8.6× |
| Rotavirus ag eia (87425) | $33.36 | $55.60 | 2.8× |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$33.12–$46.14 | $55.20–$76.90 | varies |
| Rsv Assay W/Optic (87807) | $80.10 | $133.50 | 6.1× |
| Rubella Antibody (86762) | $96.18 | $160.30 | 6.7× |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$60–$161.04 | $100–$268.40 | varies |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$20.21–$63.06 | $33.68–$105.10 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 6 matching MRF lines |
$120–$126 | $200–$210 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $63.20 | $105.33 | 1.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $354 | $590 | 2.5× |
| Sedimentation Rate, Automated (85652) | $39.90 | $66.50 | 14.8× |
| Semen analysis complete (89322) | $131.34 | $218.90 | 8.5× |
| Semen analysis motility and count (89310) | $57.54 | $95.90 | 6.7× |
| Sensitivity mic (87186) | $108.06 | $180.10 | 12.5× |
| Serpina 1 gene (81332) | $412.50 | $687.50 | 9.5× |
| Sex Hormone Binding Globulin (84270) | $68.40 | $114 | 3.1× |
| Sickling of rbc reduction (85660) range across 4 matching MRF lines |
$6.75–$59.22 | $11.25–$98.70 | varies |
| Sirolimus (80195) | $52.50 | $87.50 | 3.8× |
| Skin test tuberculosis intradermal (86580) | $11.16 | $18.60 | 0.4× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$15–$68.82 | $25–$114.70 | varies |
| Smear complex stain (87209) | $120 | $200 | 6.7× |
| Smear gram stain (87205) | $44.82 | $74.70 | 10.5× |
| Smear Special Stain (87207) | $11.40 | $19 | 1.9× |
| Smn1 Gene Dos/Deletion Alys (81329) | $187.50 | $312.50 | 1.4× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$7.22–$35.82 | $12.03–$59.70 | varies |
| Sodium Urine (84300) range across 5 matching MRF lines |
$9–$41.94 | $15–$69.90 | varies |
| Soluble Transferrin Receptor (84238) | $78 | $130 | 2.1× |
| Somatomedin (84305) | $170.70 | $284.50 | 8.0× |
| Special Stains Group 1 (88312) | $121.68 | $202.80 | 2.3× |
| Special Stains Group 2 (88313) | $85.32 | $142.20 | 0.6× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$15–$44.58 | $25–$74.30 | varies |
| Spectrophotometry (84311) | $105 | $175 | 13.0× |
| Splitting Blood/Blood Products Each Unit (86985) | $19.38 | $32.30 | 0.1× |
| Stool cultr aerobic bact ea (87046) | $14.16 | $23.60 | 1.5× |
| Storage per Year Embryo (89342) | $150 | $250 | 0.9× |
| Storage per year sperm/semen (89343) range across 2 matching MRF lines |
$69–$150 | $115–$250 | varies |
| Strep a assay w/optic (87880) | $39.96 | $66.60 | 2.4× |
| Strep a DNA amp probe (87651) | $78 | $130 | 2.2× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 4 matching MRF lines |
$3.46–$40.68 | $5.76–$67.80 | varies |
| Sulfate urine (84392) range across 2 matching MRF lines |
$9–$30 | $15–$50 | varies |
| Surg path level iii (88304) | $180.42 | $300.70 | 3.5× |
| Surgical pathology level IV (88305) | $212.70 | $354.50 | 4.1× |
| Surgical pathology level vi (88309) | $548.64 | $914.40 | 0.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $58.56 | $97.60 | 12.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $84.66 | $141.10 | 11.3× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$7.34–$29.46 | $12.23–$49.10 | varies |
| T cells absolute cd4 count (86361) | $79.14 | $131.90 | 3.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $121.20 | $202 | 2.6× |
| T cells total count (86359) | $178.32 | $297.20 | 4.7× |
| T3 Free (84481) | $125.34 | $208.90 | 7.4× |
| T3 reverse (84482) | $30 | $50 | 1.9× |
| T3 Total (84480) | $110.10 | $183.50 | 7.8× |
| T3 Uptake (84479) | $93.36 | $155.60 | 14.4× |
| T4 Free (84439) | $97.08 | $161.80 | 10.8× |
| T4 total (84436) | $80.52 | $134.20 | 11.7× |
| Tacrolimus (80197) | $228.60 | $381 | 16.6× |
| Tau phosphorylated each (84393) range across 2 matching MRF lines |
$250.50–$340.50 | $417.50–$567.50 | varies |
| Tb ag response t-cell susp (86481) | $216 | $360 | 2.2× |
| Test for acetone/ketones (82009) | $39.18 | $65.30 | 8.7× |
| Test for urine cystines (82615) | $30 | $50 | 3.1× |
| Testosterone Bioavailable (84410) | $85.47 | $142.45 | 1.7× |
| Testosterone total (84403) range across 3 matching MRF lines |
$20.25–$120 | $33.75–$200 | varies |
| Tetanus antibody (86774) | $68.85 | $114.75 | 4.7× |
| Theophylline (80198) | $105.96 | $176.60 | 7.5× |
| Thiopurine methyltransferase (84433) | $375 | $625 | 16.9× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$9.68–$55.77 | $16.13–$92.95 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 7 matching MRF lines |
$12–$92.22 | $20–$153.70 | varies |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$39–$102.96 | $65–$171.60 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$124.56–$158.34 | $207.60–$263.90 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $316.68 | $527.80 | 6.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines |
$17.30–$240.12 | $28.83–$400.20 | varies |
| Tissue Culture (88233) | $290.16 | $483.60 | 2.1× |
| Tissue culture bone marrow (88237) | $212.25 | $353.75 | 1.5× |
| Tissue Culture Lymphocyte (88230) | $454.41 | $757.35 | 3.9× |
| Topiramate (80201) | $106.74 | $177.90 | 9.0× |
| Touch prep (88161) | $110.64 | $184.40 | 3.8× |
| Toxoplasma ab igm (86778) | $146.64 | $244.40 | 10.2× |
| Toxoplasma antibody (86777) | $110.82 | $184.70 | 7.7× |
| Tp53 gene analysis full gene sequence (81351) | $1,075.72 | $1,792.87 | 1.7× |
| Tpmt gene com variants (81335) | $150 | $250 | 0.9× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 3 matching MRF lines |
$54.42–$79.10 | $90.70–$131.83 | varies |
| Transferrin (84466) | $90.90 | $151.50 | 7.1× |
| Trichomonas vagin dir probe (87660) | $40.10 | $66.84 | 2.0× |
| Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines |
$42–$168 | $70–$280 | varies |
| Triglycerides (84478) | $66.72 | $111.20 | 11.6× |
| Troponin Quant (84484) | $120 | $200 | 9.6× |
| Tumor Immunohistochem/Manual (88360) | $226.08 | $376.80 | 1.3× |
| Unlisted reproductive medicine lab procedure (89398) | $150 | $250 | 2.9× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$30–$49.56 | $50–$82.60 | varies |
| Uric acid other source (84560) range across 4 matching MRF lines |
$9–$66.06 | $15–$110.10 | varies |
| Urinalysis Volume Measure (81050) | $22.74 | $37.90 | 6.2× |
| Urine Bacteria Culture (87088) | $37.26 | $62.10 | 4.6× |
| Urine Pregnancy Test (81025) range across 6 matching MRF lines |
$77.10–$96.36 | $128.50–$160.60 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $55.74 | $92.90 | 17.6× |
| Valproic acid (80164) | $110.82 | $184.70 | 8.2× |
| Vancomycin (80202) | $133.56 | $222.60 | 9.9× |
| Varicella-zoster antibody (86787) | $121.20 | $202 | 9.4× |
| Vasopressin (84588) | $219.66 | $366.10 | 6.5× |
| Virus antibody nos (86790) range across 7 matching MRF lines |
$48.45–$149.28 | $80.75–$248.80 | varies |
| Viscosity serum (85810) | $90.12 | $150.20 | 7.7× |
| Vit D 1 25-Dihydroxy (82652) | $257.10 | $428.50 | 6.7× |
| Vitamin A (84590) | $135 | $225 | 11.6× |
| Vitamin b-12 (82607) | $107.40 | $179 | 7.1× |
| Vitamin B2 (Riboflavin) (84252) | $27 | $45 | 1.3× |
| Vitamin B6 (84207) | $198.18 | $330.30 | 7.1× |
| Vitamin c (82180) | $28.13 | $46.88 | 2.8× |
| Vitamin D 25-Hydroxy (82306) | $105 | $175 | 3.5× |
| Vitamin E (84446) | $122.52 | $204.20 | 8.6× |
| Vitamin K (84597) | $90 | $150 | 6.6× |
| Volatiles (84600) | $107.28 | $178.80 | 6.3× |
| Von willebrand factor ag (85246) | $277.50 | $462.50 | 12.1× |
| West nile virus ab igm (86788) | $87.72 | $146.20 | 5.2× |
| West Nile Virus Antibody (86789) | $87.72 | $146.20 | 6.1× |
| Xm Archive Tissue Molec Anal (88363) | $36.12 | $60.20 | 1.2× |
| Zika Virus Igm Antibody (86794) | $187.50 | $312.50 | 11.1× |
| Zinc (84630) | $122.52 | $204.20 | 10.8× |
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.