Lab & pathology prices at St. Luke's Patients Medical Center

Pasadena, TX · every code in this section with a posted price and a Medicare benchmark.

635 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $39.06 $111.60 1.7×
5 Nucleotidase (83915) $51.03 $145.80 4.6×
Acth (82024) $179.90 $514 4.7×
Acute hepatitis panel (80074) $368.55 $1,053 7.7×
Adenovirus antibody (86603) $19.85 $56.70 1.5×
Agglutinins Febrile Each Antigen (86000) $55.13 $157.50 7.9×
Albumin Fluid (82042) $58.59 $167.40 7.5×
Albumin serum (82040) $77 $220 15.6×
Aldolase (82085) $27.72 $79.20 2.9×
Aldosterone urine (82088) $123.80 $353.70 3.0×
Alkaline phosphatase isoenzymes (84080) $75.60 $216 5.1×
Allergen specific ige (86003)
range across 4 matching MRF lines
$57.33–$59.85 $163.80–$171 varies
Allergen specific igg (86001)
range across 3 matching MRF lines
$17.64–$21.34 $50.40–$60.95 varies
Alpha-1-antitrypsin total (82103) $86.10 $246 6.4×
Alpha-Fetoprotein Serum (82105) $127.05 $363 7.6×
Alt (sgpt) (84460) $26.46 $75.60 5.0×
Aluminum (82108) $24.89 $71.10 1.0×
Amikacin trough (80150) $37.80 $108 2.5×
Amino Acids 1 Quantitative Each Specimen (82131) $130.10 $371.70 5.7×
Amino Acids Multiple Qualitative Each Specimen (82128) $141.44 $404.10 10.2×
Aminolevulinic acid (ala) (82135) $30.24 $86.40 1.8×
Ammonia (82140) $122.50 $350 8.4×
Amylase urine (82150)
range across 3 matching MRF lines
$125.30–$195.30 $358–$558 varies
Ana Titer (86039)
range across 2 matching MRF lines
$88.90–$145.60 $254–$416 varies
Androstenedione (82157) $93.24 $266.40 3.2×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$40.95–$43.47 $117–$124.20 varies
Anti-Phospholipid Antibody (86148) $47.88 $136.80 3.0×
Antibody aspergillus (86606) $35.60 $101.70 2.4×
Antibody Bacterium Not Elsewhere Specified (86609) $34.65 $99 2.7×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $51.03 $145.80 3.3×
Antibody Cytomegalovirus Cmv Igm (86645) $187.74 $536.40 11.1×
Antibody Encephalitis California La Crosse (86651) $40.01 $114.30 3.0×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $29.40 $84 2.2×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $26.60 $75.99 1.7×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $85.40 $244 4.7×
Antibody Fungus Not Elsewhere Specified (86671) $44.45 $127 3.6×
Antibody haemophilus influenza (86684) $69.93 $199.80 4.4×
Antibody helicobacter pylori (86677)
range across 5 matching MRF lines
$66.15–$80.91 $189–$231.15 varies
Antibody Herpes Smplx Non-Specific Type Test (86694) $30.56 $87.30 2.1×
Antibody Herpes Smplx Type 1 (86695) $204.40 $584 15.5×
Antibody HIV-1&HIV-2 single result (86703) $114.66 $327.60 8.4×
Antibody HIV-2 (86702) $23.52 $67.19 1.7×
Antibody Hla Class I High Definition Panel Qual (86832) $189 $540 0.6×
Antibody hla class ii semiquantitative panel (86835) $1,677.38 $4,792.50 5.2×
Antibody htlv/HIV antibody confirmatory test (86689) $55.76 $159.30 2.9×
Antibody identification leukocyte antibodies (86021)
range across 3 matching MRF lines
$109.06–$109.20 $311.60–$312 varies
Antibody Identification Platelet Immunogl Assay (86023) $49.77 $142.20 4.0×
Antibody nocardia (86744) $27.41 $78.30 1.7×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines
$64.89–$68.99 $185.40–$197.10 varies
Antibody Titer (86886) $76.23 $217.80 14.7×
Antibody Treponema Pallidum (86780) $25.83 $73.80 2.0×
Antibody; campylobacter (86625) $52.61 $150.30 4.0×
Antibody; encephalitis, st. louis (86653) $26.78 $76.50 2.0×
Antibody; influenza virus (86710) $141.75 $405 10.5×
Antigen typing (86905)
range across 4 matching MRF lines
$75.92–$493.15 $216.90–$1,409 varies
Antinuclear antibodies (86038) $52.29 $149.40 4.3×
Antistreptolysin O Screen (86063) $20.16 $57.60 3.5×
Antistreptolysin o titer (86060) $45.05 $128.70 6.2×
Antithrombin iii activity (85300) $149.31 $426.60 12.6×
Antithrombin iii antigen (85301) $66.15 $189 6.1×
Apolipoprotein a1 (82172) $32.76 $93.60 1.6×
Arsenic (82175) $53.24 $152.10 2.8×
Aspergillus ag eia (87305) $63.95 $182.70 5.3×
Assay activated protein c (85307) $132.62 $378.90 8.7×
Assay Blood Carbon Dioxide (82374) $22.37 $63.90 4.6×
Assay Nephelometry Not Spec (83883) $53.87 $153.90 4.0×
Assay of 5-hiaa (83497) $27.72 $79.20 2.1×
Assay of blood/uric acid (84550) $126.06 $360.15 27.9×
Assay of calcium in urine (82340) $34.02 $97.20 5.6×
Assay of corticosterone (82528) $102.06 $291.60 4.5×
Assay of cpk in blood (82552) $68.25 $195 5.1×
Assay of estrone (82679) $37.80 $108 1.5×
Assay of g6pd enzyme (82955) $23 $65.70 2.4×
Assay of gammaglobulin igm (82784) $130.90 $374 14.1×
Assay of lactic acid (83605)
range across 2 matching MRF lines
$59.50–$97.65 $170–$279 varies
Assay of metanephrines (83835) $74.34 $212.40 4.4×
Assay of proinsulin (84206) $134.82 $385.20 5.1×
Assay of prostate specific antigen complexed (84152) $39.47 $112.75 2.1×
Assay of pyruvate (84210) $77.81 $222.30 5.4×
Assay of serotonin (84260)
range across 2 matching MRF lines
$55.44–$58.91 $158.40–$168.30 varies
Assay of serum potassium (84132)
range across 2 matching MRF lines
$72.45–$118.34 $207–$338.10 varies
Assay of sweat sodium (84302) $25.20 $72 5.2×
Assay of transcortin (84449) $24.26 $69.30 1.3×
Assay of Tyrosine (84510) $46.94 $134.10 4.4×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines
$17.85–$30.10 $51–$86 varies
Assay of urine vma (84585)
range across 2 matching MRF lines
$32.45–$34.65 $92.70–$99 varies
Assay of vasoactive intestinal peptide (84586) $43.16 $123.30 1.2×
Assay of vitamin b-1 (84425) $79.38 $226.80 3.7×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$35.91–$38.12 $102.60–$108.90 varies
Autol Bld/Component Collj Storage Predeposited (86890) $112.46 $321.30 0.7×
Automated Leukocyte Count (85048) $22.68 $64.80 8.9×
Bartonella antibody (86611) $39.38 $112.50 3.9×
Bcr/abl1 gene major bp (81206) $228.38 $652.50 1.4×
Bcr/abl1 gene minor bp (81207) $248.22 $709.20 1.7×
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines
$37.80–$56.39 $108–$161.10 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines
$35.35–$36.75 $101–$105 varies
Beta Lactamase (87185) $28.04 $80.10 5.9×
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines
$58.59–$61.25 $167.40–$175 varies
Bile acids total (82239) $37.17 $106.20 2.2×
Bilirubin direct (82248) $93.80 $268 18.7×
Bilirubin total (82247) $55.76 $159.30 11.1×
Bl Smear W/O Diff Wbc Count (85008) $8.82 $25.20 2.6×
Blastomyces antibody (86612) $26.78 $76.50 2.1×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $75.29 $215.10 0.4×
Bleeding time test (85002) $27.41 $78.30 5.7×
Blood Count Manual Cell Count Each (85032) $39.06 $111.60 9.1×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $34.02 $97.20 6.7×
Blood Count Red Blood Cell Automated (85041) $7.88 $22.50 2.6×
Blood count reticulocyte automated (85045) $41.53 $118.65 10.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $46.55 $133 12.3×
Blood gases w/02 saturation (82805) $254.80 $728 3.2×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $41.27 $117.90 2.6×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $16.54 $47.25 3.8×
Blood Type Antigen Donor Reagent Serum Each (86902) $79.70 $227.70 12.6×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $40.64 $116.10 2.5×
Blood typing serologic abo (86900) $189.66 $541.88 63.4×
Bordetella antibody (86615) $27.09 $77.40 2.1×
Breath Alcohol Test (82075) $63.32 $180.90 2.1×
Brucella antibody (86622) $31.19 $89.10 3.5×
C diff amplified probe (87493) $64.84 $185.23 1.7×
C-Peptide (84681) $41.58 $118.80 2.0×
C-reactive protein (86140) $127.16 $363.30 24.5×
Ca 19-9 (86301) $90.04 $257.25 4.3×
Cadmium (82300) $57.02 $162.90 2.4×
Calcitonin (82308) $46.61 $133.15 1.7×
Calcium ionized (82330)
range across 2 matching MRF lines
$82.85–$88.20 $236.70–$252 varies
Calcium total (82310) $75.71 $216.30 14.7×
Calculus Spectroscopy (82365) $55.76 $159.30 4.3×
Calprotectin Fecal (83993) $106.58 $304.50 5.4×
Cancer Antigen 125 (86304) $101.85 $291 4.9×
Cancer Antigen 27.29 (86300) $123.48 $352.80 5.9×
Candida antibody (86628) $54.18 $154.80 4.5×
Carbamazepine free (80157) $62.37 $178.20 4.7×
Carbamazepine total (80156)
range across 2 matching MRF lines
$43.47–$45.50 $124.20–$130 varies
Carboxyhemoglobin (82375) $33.08 $94.50 2.7×
Carcinoembryonic antigen (82378) $207.90 $594 11.0×
Cardiolipin ab iga (86147) $68.67 $196.20 2.7×
Carnitine Quantitative Each Specimen (82379) $97.97 $279.90 5.8×
Carotene (82380) $34.34 $98.10 3.7×
Catecholamines fractionated (82384) $77.81 $222.30 3.1×
Ccp antibody (86200) $74.97 $214.20 5.8×
Cell count csf (89051)
range across 2 matching MRF lines
$127.89–$190.37 $365.40–$543.90 varies
Ceruloplasmin (82390) $82.95 $237 7.7×
Cftr gene com variants (81220) $37.45 $107 0.1×
Cftr gene full sequence (81223) $619.92 $1,771.20 1.2×
Chemiluminescent assay (82397) $36.23 $103.50 2.6×
Chlamydia antibody (86631) $38.50 $110 3.3×
Chlamydia Igm Antibody (86632) $36.86 $105.30 2.9×
Chloride other source (82438) $30.87 $88.20 6.2×
Chloride Serum (82435)
range across 2 matching MRF lines
$30.24–$32.13 $86.40–$91.80 varies
Chloride urine (82436)
range across 2 matching MRF lines
$27.72–$29.61 $79.20–$84.60 varies
Cholesterol total (82465) $57.75 $165 13.3×
Cholinesterase rbc (82482) $37.80 $108 3.9×
Cholinesterase Serum (82480) $51.35 $146.70 6.5×
Chorionic gonadotropin test (84702) $134.40 $384 8.9×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $74.03 $211.50 0.4×
Chromogranin a (86316) $73.08 $208.80 3.5×
Chromosome Analysis 15-20 (88262) $273.74 $782.10 2.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$107.10–$146.27 $306–$417.90 varies
Citric acid urine (82507)
range across 2 matching MRF lines
$98.91–$103.95 $282.60–$297 varies
Ckmb (82553)
range across 2 matching MRF lines
$39.90–$65.45 $114–$187 varies
Clostridium Difficile (87324) $51.45 $147 4.3×
Coagulation time activated (85347)
range across 2 matching MRF lines
$77.18–$108.05 $220.50–$308.70 varies
Coccidioides antibody (86635) $41.27 $117.90 3.6×
Cold agglutinin titer (86157) $52.92 $151.20 6.6×
Collagen crosslinks (82523) $74.03 $211.50 4.0×
Column Chromotography Quant (82542)
range across 4 matching MRF lines
$92.93–$125.88 $265.50–$359.64 varies
Compatibility Each Unit Incubation (86921) $48.83 $139.50 0.3×
Compatibility test antiglob (86922) $249.62 $713.20 1.5×
Complement Antigen Each Component (86160) $133 $380 11.1×
Complement Total (Ch50) (86162) $57.96 $165.60 2.9×
Coombs direct (86880) $73.50 $210 13.6×
Copper urine (82525) $39.38 $112.50 3.2×
Cortisol free (82530)
range across 2 matching MRF lines
$42.84–$45.68 $122.40–$130.50 varies
Cortisol saliva (82533)
range across 2 matching MRF lines
$139.30–$180.95 $398–$517 varies
Creatine (82540) $25.52 $72.90 5.5×
Creatine kinase total (82550)
range across 2 matching MRF lines
$47.95–$78.75 $137–$225 varies
Creatinine blood (82565)
range across 2 matching MRF lines
$32.55–$54.25 $93–$155 varies
Creatinine clearance (82575) $99.86 $285.30 10.6×
Creatinine Urine (82570) $61.95 $177 12.0×
Crossmatch electronic (86923) $51.03 $145.80 0.3×
Crossmatch immediate spin (86920) $249.62 $713.20 1.5×
Crp High Sensitivity (86141) $42.63 $121.80 3.3×
Cryofibrinogen (82585) $21.42 $61.20 1.5×
Cryoglobulin (82595) $34.97 $99.90 5.4×
Cryptococcal Antigen (87327) $33.71 $96.30 2.5×
Cryptococcus ab (86641) $64.26 $183.60 4.5×
Cryptococcus ag titer (87899) $27.96 $79.87 1.7×
Cryptosporidium (87272) $46.62 $133.20 3.9×
Cryptosporidium ag eia (87328)
range across 2 matching MRF lines
$23.94–$30.62 $68.40–$87.48 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $90.72 $259.20 11.2×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $75.29 $215.10 9.3×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $33.08 $94.50 4.3×
Culture aerobic quant other (87071) $18.90 $54 1.9×
Culture afb (87116) $95.90 $274 8.9×
Culture Anaerobic (87075)
range across 2 matching MRF lines
$68.99–$112.83 $197.10–$322.35 varies
Culture blood (87040) $293.30 $838 28.4×
Culture chlamydia (87110)
range across 2 matching MRF lines
$97.34–$98.91 $278.10–$282.60 varies
Culture csf (87070) $251.65 $719 29.2×
Culture fungus (87102)
range across 2 matching MRF lines
$78.40–$128.45 $224–$367 varies
Culture fungus blood (87103) $81.59 $233.10 4.0×
Culture screen only (87081)
range across 3 matching MRF lines
$98.91–$109.90 $282.60–$314 varies
Culture stool (87045) $141.86 $405.30 15.0×
Culture typing if ea antiserum (87140) $85.05 $243 15.3×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $47.57 $135.90 9.2×
Culture urine (87086) $188.90 $539.70 23.4×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $22.37 $63.90 1.6×
Cyclic amp (82030) $110.57 $315.90 4.3×
Cyclosporine (80158)
range across 2 matching MRF lines
$60.80–$64.58 $173.70–$184.50 varies
Cyp2c9 gene com variants (81227) $257.36 $735.30 1.5×
Cystatin C (82610) $48.83 $139.50 2.6×
Cytomegalovirus igg (86644) $213.57 $610.20 14.8×
Cytopath Cell Enhance Tech (88112) $131.25 $375 2.5×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $208.60 $596 4.0×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $249.62 $713.20 1.5×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $64.89 $185.40 1.7×
Cytp smrs any oth src extnd std > 5 slides (88162) $55.13 $157.50 1.1×
Deoxycortisol (82634) $74.97 $214.20 2.6×
Deoxyribonuclease antibody (86215) $59.54 $170.10 4.5×
Desoxycorticosterone (82633) $90.41 $258.30 2.9×
Detect Agent Nos Dna Amp (87798)
range across 3 matching MRF lines
$102.38–$117.94 $292.50–$336.95 varies
Dhea (82626) $38.43 $109.80 1.5×
Dhea-S (82627) $38.67 $110.48 1.7×
Digoxin (80162) $88.57 $253.05 6.7×
Diphtheria antitoxoid (86648) $80.64 $230.40 5.3×
Dmd Duplication/Deletion Analysis (81161) $50.75 $145 0.2×
Dna Antibody Native/Double Stranded (86225) $135.45 $387 9.9×
DNA/RNA direct probe (87149) $43.47 $124.20 2.2×
Drug Screen Quantitative Procainamide Metabolite (80192) $45.68 $130.50 2.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 3 matching MRF lines
$76.65–$156.10 $219–$446 varies
Drug Test Prsmv Dir Opt Obs (80305) $154.67 $441.90 12.3×
Drug Test Prsmv Instrmnt (80306)
range across 2 matching MRF lines
$29.30–$154.67 $83.70–$441.90 varies
Ehrlichia antibody (86666) $86.94 $248.40 8.5×
Electrolyte panel (80051)
range across 2 matching MRF lines
$147.42–$154 $421.20–$440 varies
Encephaltis East Eqne Anbdy (86652) $49.14 $140.40 3.7×
Encephaltis West Eqne Antbdy (86654) $45.05 $128.70 3.4×
Enterovirus Antibody (86658) $85.05 $243 6.5×
Enzyme cell activity (82657) $140.49 $401.40 6.3×
Eosinophil Smear (89190) $30.87 $88.20 5.3×
Erythropoietin (82668) $58.45 $167 3.1×
Estradiol serum (82670) $140.18 $400.50 5.0×
Estriol (82677) $75.60 $216 3.1×
Estrogen total (82672) $138.13 $394.63 6.4×
Ethosuximide (80168) $60.80 $173.70 3.7×
Ethylene Glycol (82693) $66.85 $191 4.5×
Euglobulin lysis (85360) $51.03 $145.80 6.1×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines
$40.43–$40.60 $115.50–$116 varies
F2 Gene (81240) $301.77 $862.20 4.6×
Factor ii activity (85210) $86.31 $246.60 6.6×
Factor Inhibitor Test (85335) $158.76 $453.60 12.3×
Factor ix activity (85250) $58.59 $167.40 3.1×
Factor v leiden mutation (81241) $275.63 $787.50 3.8×
Factor vii assay (85230) $169.40 $484 9.5×
Factor viii assay (85240) $159.71 $456.30 8.9×
Factor X (85260) $125.06 $357.30 7.0×
Factor xi activity (85270) $111.20 $317.70 6.2×
Fat stain feces urine/respir secretions (89125) $30.56 $87.30 5.2×
Fat/Lipids Feces Quantitative (82710) $24.26 $69.30 1.4×
Fatty acids free (82725) $35.28 $100.80 1.9×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $146.48 $418.50 8.5×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $162.54 $464.40 16.0×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $19.53 $55.80 3.0×
Fecal Fat Qualitative (82705) $17.33 $49.50 3.4×
Ferritin (82728) $103.27 $295.05 7.6×
Fibrin degradation products (85362) $79.07 $225.90 11.5×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$117.95–$184.10 $337–$526 varies
Fibrin dgradj products d-dimer qual/semiquan (85378) $122.54 $350.10 12.6×
Fibrinogen activity (85384) $92.40 $264 9.5×
Flow cytometry first marker (88184) $360.15 $1,029 1.0×
Fluorescent antibody screen (86255) $140 $400 11.6×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 4 matching MRF lines
$69.83–$70 $199.50–$200 varies
Folic acid rbc (82747) $63.35 $181 3.6×
Folic Acid Serum (82746) $63.95 $182.70 4.4×
Follicle Stimulating Hormone (83001) $147.35 $421 7.9×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $189 $540 6.6×
Francisella tularensis (86668) $59.85 $171 4.2×
Frozen Section (88331) $292.25 $835 1.7×
Fungi Identification Mold (87107) $74.97 $214.20 7.3×
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$46.62–$65.21 $133.20–$186.30 varies
Galactose transferase test (82776) $49.77 $142.20 4.2×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $54.50 $155.70 2.6×
Gammaglobulin ige (82785) $124.95 $357 7.6×
Gases Blood O2 Saturation Only Direct Meas (82810) $43.16 $123.30 4.4×
Gastrin (82941) $70.88 $202.50 4.0×
Gentamicin (80170)
range across 3 matching MRF lines
$51.35–$57.05 $146.70–$163 varies
Ggt (82977) $59.35 $169.56 8.2×
Giardia lamblia antibody (86674) $53.87 $153.90 3.7×
Glucagon (82943) $46.31 $132.30 3.2×
Glucose Blood Test (82962) $13.55 $38.70 4.1×
Glucose body fluid (82945)
range across 2 matching MRF lines
$71.19–$77.91 $203.40–$222.60 varies
Glucose Serum (82947)
range across 2 matching MRF lines
$44.42–$72.40 $126.90–$206.85 varies
Glucose tolerance test (gtt) (82951) $114.98 $328.50 8.9×
Glycated Protein (82985) $18.90 $54 1.1×
Growth hormone (83003) $29.93 $85.50 1.8×
Gtt-added samples (82952) $14.49 $41.40 3.7×
Haptoglobin (83010) $126.70 $362 10.1×
Hdl Cholesterol (83718) $54.81 $156.60 6.7×
Helicobacter Pylori Stool (87338) $34.34 $98.10 2.4×
Helminth Antibody (86682) $53.87 $153.90 4.1×
Hematocrit (85014)
range across 3 matching MRF lines
$53.20–$87.15 $152–$249 varies
Hemoglobin (85018)
range across 2 matching MRF lines
$44.42–$72.40 $126.90–$206.85 varies
Hemoglobin a1c (83036)
range across 2 matching MRF lines
$54.95–$89.60 $157–$256 varies
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines
$63.95–$66.85 $182.70–$191 varies
Hemoglobin electrophoresis (83020) $114.98 $328.50 8.9×
Hemoglobin Methemoglobin Quantitative (83050) $30.87 $88.20 3.8×
Hemoglobin plasma (83051) $24.57 $70.20 3.4×
Hemolysins&Agglutinins Auto Screen Each (86940) $54.18 $154.80 6.2×
Hemolysins&Agglutinins Incubated (86941) $60.20 $172 5.0×
Hemosiderin urine (83070) $68.04 $194.40 14.3×
Hep a ab igm (86709) $90.72 $259.20 8.1×
Heparin assay (85520) $76.55 $218.70 5.8×
Heparin Neutralization (85525) $55.13 $157.50 4.7×
Hepatitis a antibody total (86708)
range across 2 matching MRF lines
$56.39–$59.85 $161.10–$171 varies
Hepatitis b core ab igm (86705) $96.60 $276 8.2×
Hepatitis b core ab total (86704)
range across 2 matching MRF lines
$83.30–$129.85 $238–$371 varies
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines
$87.89–$143.70 $251.10–$410.55 varies
Hepatitis B Surface Antigen (87340) $101.80 $290.85 9.9×
Hepatitis Be Antibody (86707) $62.65 $179 5.4×
Hepatitis Be Antigen (87350) $42.84 $122.40 3.7×
Hepatitis C Antibody (86803) $77.69 $221.95 5.4×
Hepatitis C Genotype (87902) $408.87 $1,168.20 1.6×
Hepatitis C Probe&Rvrs Trnsc (87521) $197.75 $565 5.6×
Hepatitis C Revrs Trnscrpj (87522)
range across 2 matching MRF lines
$278.15–$313.74 $794.70–$896.40 varies
Hepatitis delta ag (87380) $83.79 $239.40 4.6×
Hepatitis Delta Agent Antibody (86692) $86.94 $248.40 5.1×
Herpes simplex type 2 (86696) $67.20 $192 3.5×
Heterophile Antibody Screen (86308) $121.45 $347 23.4×
Hfe Gene (81256) $464 $1,325.70 7.1×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $48.83 $139.50 6.3×
Histamine urine (83088) $137.34 $392.40 4.7×
Histoplasma antibody (86698) $36.54 $104.40 2.6×
Histoplasma antigen urine (87385) $63.95 $182.70 4.8×
Hiv Genotype (87901) $167.90 $479.70 0.7×
Hiv-1 Antibody (86701) $63.63 $181.80 7.2×
HIV-1 p24 antigen (87390)
range across 2 matching MRF lines
$70.25–$84.67 $200.70–$241.90 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $163.49 $467.10 1.9×
Hla class i semiquant panel (86834) $1,653.75 $4,725 4.6×
Hla class i&ii antibody qual (86828) $114.03 $325.80 1.8×
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $2,335.41 $6,672.60 5.8×
Hla class ii high defin qual (86833) $113.09 $323.10 0.3×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $169.79 $485.10 1.6×
Hla Typing a/B/C Multiple Antigens (86813) $174.51 $498.60 3.0×
Hla Typing Dr/Dq Multiple Antigens (86817) $217.98 $622.80 2.1×
Hla Typing Dr/Dq Single Antigen (86816) $493.92 $1,411.20 16.4×
Hla-b27 (86812)
range across 2 matching MRF lines
$91.04–$96.71 $260.10–$276.30 varies
Homocysteine (83090) $86.80 $248 4.8×
Homovanillic acid urine (83150) $53.87 $153.90 2.4×
Hsv Dna Amp Probe (87529) $133 $380 3.8×
Htlv-I Antibody (86687) $52.92 $151.20 5.8×
Htlv-ii antibody (86688) $29.30 $83.70 2.1×
Hydroxycorticosteroids 17 (83491) $21.42 $61.20 1.2×
Hydroxyprogesterone 17-d (83498) $56 $160 2.1×
Hydroxyproline free (83500) $116.55 $333 5.1×
Hydroxyproline total (83505) $93.24 $266.40 3.8×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $82.85 $236.70 1.8×
Iaad Ia Entamoeba Histolytica Grp (87337) $36.86 $105.30 3.1×
Iaad Ia Escherichia Coli 0157 (87335) $22.03 $62.92 1.7×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420)
range across 2 matching MRF lines
$110.57–$136.71 $315.90–$390.60 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426)
range across 2 matching MRF lines
$82.85–$742.98 $236.70–$2,122.78 varies
Iaad ia shiga-like toxin (87427) $45.36 $129.60 3.8×
Iaad Ia Streptococcus Group A (87430) $50.09 $143.10 3.0×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $63.95 $182.70 5.3×
Iaadi not otherwise specified each organism (87299) $90.41 $258.30 5.6×
Iaadi parainfluenza virus each type (87279) $26.15 $74.70 1.6×
Iaadi pneumocustis carinii (87281) $78.25 $223.56 6.5×
Iaadi Varicella Zoster Virus (87290) $34.97 $99.90 2.6×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)
range across 2 matching MRF lines
$57.33–$61.04 $163.80–$174.40 varies
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $46.62 $133.20 2.0×
Iadna hepatitis b virus amplified probe tq (87516) $73.08 $208.80 2.1×
Iadna Hepatitis B Virus Quantification (87517)
range across 2 matching MRF lines
$191.52–$203.81 $547.20–$582.30 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $153.72 $439.20 4.4×
Iadna Multiple Organisms Direct Probe Tq (87800) $57.33 $163.80 1.3×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $61.74 $176.40 1.5×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $148.11 $423.15 4.2×
Igg subclasses (82787) $30.56 $87.30 3.8×
Immune Complex Assay (86332) $81.59 $233.10 3.3×
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$55.13–$58.59 $157.50–$167.40 varies
Immunoassay analyte qual/semiqual single step (83518) $17.22 $49.20 1.8×
Immunoassay Analyte Quant Radioimmunoassay (83519) $117.25 $335 6.4×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $23.63 $67.50 1.6×
Immunoassay nonantibody (83516)
range across 3 matching MRF lines
$63.32–$140 $180.90–$400 varies
Immunodiffusion not elsewhere specified (86329) $63 $180 4.5×
Immunodiffusion Ouchterlony (86331) $49.77 $142.20 4.2×
Immunofixation electrophoresis (86334)
range across 2 matching MRF lines
$86.94–$93.79 $248.40–$267.95 varies
Immunofluorescence per spec 1st singl antb stain (88346) $120.65 $344.70 0.7×
Immunohistochemistry (88342)
range across 2 matching MRF lines
$238.70–$262.03 $682–$748.65 varies
In situ hybridization 1st probe stain (88365) $138.29 $395.10 0.8×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $132.30 $378 1.9×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $33.71 $96.30 2.8×
Influenza a/b ag eia (87400)
range across 2 matching MRF lines
$117.60–$128.10 $336–$366 varies
Influenza assay w/optic (87804) $40.95 $117 2.5×
Influenza DNA amp probe (87502) $104.90 $299.70 1.1×
Inhibin A (86336) $58.28 $166.50 3.7×
Inhibin b (83520)
range across 4 matching MRF lines
$100.17–$114.92 $286.20–$328.32 varies
Insulin antibodies (86337) $45.05 $128.70 2.1×
Insulin total (83525) $51.10 $146 4.5×
Intrinsic factor antibody (86340) $27.09 $77.40 1.8×
Iron (83540)
range across 2 matching MRF lines
$56.07–$91.51 $160.20–$261.45 varies
Iron Binding Capacity (83550) $55.76 $159.30 6.4×
Irradiation Blood Product Each Unit (86945) $42.21 $120.60 1.1×
Islet cell antibody (86341) $34.65 $99 1.5×
Ketosteroids 17 total (83586) $14.49 $41.40 1.1×
Koh Prep (87220) $14.18 $40.50 3.3×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines
$36.05–$58.80 $103–$168 varies
Lactoferrin fecal qualitative (83630) $37.05 $105.84 1.9×
Ldh Isoenzymes (83625) $27.41 $78.30 2.1×
LDL direct (83721) $32.45 $92.70 3.1×
Lead (83655) $41.58 $118.80 3.4×
Legionella antibody (86713) $112.77 $322.20 7.4×
Legionella antigen urine (87449)
range across 3 matching MRF lines
$48.30–$48.65 $138–$139 varies
Legionella pneumophila dfa (87278) $44.42 $126.90 2.8×
Leptospira antibody (86720) $33.39 $95.40 2.1×
Leukocyte Assessment Fecal (89055) $54.50 $155.70 12.8×
Level I Surg Pathology Gross Examination Only (88300) $116.20 $332 4.0×
Level ii surg pathology gross&microscopic exam (88302) $203.75 $582.12 5.4×
Level V Surg Pathology Gross&Microscopic Exam (88307) $494.90 $1,414 1.4×
Lidocaine (80176) $58.59 $167.40 4.0×
Lipase (83690)
range across 2 matching MRF lines
$97.65–$159.87 $279–$456.75 varies
Lipoprotein A (83695) $35.60 $101.70 2.5×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $37.80 $108 3.4×
Lithium (80178)
range across 2 matching MRF lines
$38.75–$40.60 $110.70–$116 varies
Luteinizing Hormone (Lh) (83002) $105.21 $300.60 5.7×
Lyme disease antibody (86618) $34.65 $99 2.0×
Lysozyme serum (85549) $61.43 $175.50 3.3×
Macroscopic exam arthropod (87168) $13.23 $37.80 3.1×
Macroscopic Exam Parasite (87169) $19.85 $56.70 4.6×
Magnesium Urine (83735)
range across 2 matching MRF lines
$97.30–$159.25 $278–$455 varies
Mass Spectrometry Quant (83789) $57.96 $165.60 2.4×
Mercury urine (83825) $56.70 $162 3.5×
Metabolic panel ionized ca (80047) $63.32 $180.90 4.6×
Methemalbumin (83857) $48.51 $138.60 4.5×
Methylmalonic acid serum (83921) $46.55 $133 2.2×
Microalbumin, quantitative (82043) $32.13 $91.80 5.6×
Microsomal Antibodies Each (86376)
range across 2 matching MRF lines
$51.98–$66.15 $148.50–$189 varies
Mopath procedure level 4 (81403) $569.21 $1,626.30 3.1×
Mrsa Pcr (87641) $75.60 $216 2.2×
Mthfr Gene Analysis Common Variants (81291) $1,554.21 $4,440.60 23.8×
Mucin Clot Body Fluid (83872) $21.42 $61.20 3.7×
Mucopolysaccharides acid quantitative (83864) $100.80 $288 3.5×
Mumps antibody (86735) $42.53 $121.50 3.3×
Mycoplasma antibody (86738) $46.20 $132 3.5×
Mycoplasma culture (87109)
range across 2 matching MRF lines
$33.73–$34.97 $96.35–$99.90 varies
Myelin basic protein csf (83873) $68.36 $195.30 4.0×
Myoglobin urine (83874)
range across 2 matching MRF lines
$49.77–$55.13 $142.20–$157.50 varies
Natriuretic peptide (83880)
range across 2 matching MRF lines
$93.10–$152.60 $266–$436 varies
Neisseria Dir Na Probe (87590) $46.62 $133.20 1.7×
Neutralization Test Viral (86382) $179.55 $513 10.6×
Niacin (84591) $74.66 $213.30 4.4×
Nuclear antigen antibody (86235)
range across 3 matching MRF lines
$102.38–$102.55 $292.50–$293 varies
Occult Blood Other Sources (82271)
range across 3 matching MRF lines
$9.45–$10.08 $27–$28.80 varies
Oligoclonal bands (83916) $119.44 $341.25 4.4×
Organic Acids Qualitative Each Specimen (83919) $98.28 $280.80 6.0×
Osmolality serum (83930) $139.65 $399 21.1×
Osmolality Urine (83935)
range across 2 matching MRF lines
$43.75–$71.75 $125–$205 varies
Osmotic fragility rbc incubated (85557) $87.26 $249.30 6.5×
Osteocalcin (83937) $114.03 $325.80 3.8×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$144.20–$197.35 $412–$563.85 varies
Oxalate urine (83945) $31.19 $89.10 2.2×
Particle Agglut Antbdy Titr (86406)
range across 2 matching MRF lines
$46.94–$48.65 $134.10–$139 varies
Particle Agglutination Screen Each Antibody (86403) $72.14 $206.10 6.3×
Parvovirus antibody (86747) $36.86 $105.30 2.5×
Path Consltj Surg Cytologic Exam Initial Site (88333) $1,092.76 $3,122.15 1.4×
Pathology Consultation During Surgery (88329) $58.16 $166.15 1.0×
Ph urine (81003)
range across 2 matching MRF lines
$39.55–$64.40 $113–$184 varies
Phenobarbital Level (80184) $34.97 $99.90 2.3×
Phenotype Infect Agent Drug (87900) $223.97 $639.90 1.7×
Phenytoin (Dilantin) (80185) $152.25 $435 11.5×
Phenytoin free (80186) $35.28 $100.80 2.6×
Phosphatase acid prostatic (84066) $13.55 $38.70 1.4×
Phosphatase alkaline (84075) $24.26 $69.30 4.7×
Phospholipid Neutralization Hexagonal (85598) $41.90 $119.70 2.3×
Phosphorus Serum (84100) $162.05 $463 34.2×
Phosphorus urine (84105) $23.63 $67.50 4.1×
Platelet Aggregation (85576) $33.08 $94.50 1.3×
Platelet Antibodies (86022)
range across 3 matching MRF lines
$145.22–$225.75 $414.90–$645 varies
Platelet count automated (85049) $146.65 $419 32.7×
Platelet neutralization (85597) $62.65 $179 3.5×
Pooling blood platelets (86965) $63.95 $182.70 0.4×
Porphobilinogen Urine Qualitative (84106) $48.20 $137.70 8.3×
Porphobilinogen, urine; quantitative (84110) $30.87 $88.20 3.7×
Porphyrins Urine Quantitation & Fractionation (84120) $42.53 $121.50 2.9×
Porphyrins, urine; qualitative (84119) $63.63 $181.80 4.8×
Potassium Urine (84133)
range across 2 matching MRF lines
$40.32–$42 $115.20–$120 varies
Prealbumin (84134) $144.90 $414 9.9×
Pregnanetriol (84138) $71.19 $203.40 3.4×
Pregnenolone (84140) $64.89 $185.40 3.1×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $41.90 $119.70 0.2×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $45.36 $129.60 0.8×
Primidone (80188) $36.86 $105.30 2.2×
Procalcitonin (Pct) (84145) $133.35 $381 4.9×
Progesterone (84144) $75.60 $216 3.6×
Prolactin (84146) $153.65 $439 7.9×
Prostaglandin (84150) $173.88 $496.80 4.2×
Protein body fluid (84157)
range across 2 matching MRF lines
$44.84–$66.89 $128.10–$191.10 varies
Protein C Activity (85303)
range across 2 matching MRF lines
$105.21–$147.42 $300.60–$421.20 varies
Protein c antigen (85302) $110.25 $315 9.2×
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$84.11–$92.25 $240.30–$263.55 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $109.55 $313 10.2×
Protein S Free (85306)
range across 3 matching MRF lines
$92.61–$144.20 $264.60–$412 varies
Protein s total (85305) $106.75 $305 9.2×
Protein total serum (84155) $74.20 $212 20.2×
Protein Total Urine (84156) $77.35 $221 21.1×
Protein Western Blot Test (84182) $178.61 $510.30 6.1×
Prothrombin Time Substitution Plasma Frctj Each (85611) $27.72 $79.20 7.0×
Protoporphyrin rbc quantitative (84202) $75.29 $215.10 5.2×
Pth Intact (83970)
range across 2 matching MRF lines
$97.65–$160.30 $279–$458 varies
Pyruvate kinase (84220) $68.67 $196.20 7.3×
Q Fever Antibody (86638) $30.87 $88.20 2.5×
Quantiferon tb gold plus (86480) $32.76 $93.60 0.5×
Quantitative assay drug (80299) $71.82 $205.20 3.9×
Quantitative Screen Metals (83018)
range across 2 matching MRF lines
$51.03–$113.09 $145.80–$323.10 varies
Quinidine (80194) $49.14 $140.40 3.4×
Rbc antibody elution (86860) $77.81 $222.30 0.5×
Rbc antibody identification (86870) $493 $1,408.55 1.4×
Rbc antibody screen (86850) $139.29 $397.95 14.3×
Rbc pretreatment serum (86978) $89.46 $255.60 1.5×
Rbc pretx incubatj w/enzymes (86971) $79.70 $227.70 0.5×
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines
$16.10–$19.60 $46–$56 varies
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $106.16 $303.30 1.5×
Receptor assay estrogen (84233) $203.18 $580.50 2.3×
Renin activity plasma (84244)
range across 2 matching MRF lines
$47.88–$51.03 $136.80–$145.80 varies
Reptilase test (85635) $28.98 $82.80 2.9×
Resp virus 12-25 targets (87633) $268.38 $766.80 0.6×
Reticulocyte separation (86972) $61.43 $175.50 0.4×
Rh (86901) $46.31 $132.30 15.5×
Rheumatoid factor quant (86431) $94.15 $269 16.6×
Rickettsia antibody (86757) $41.58 $118.80 2.1×
Ristocetin cofactor (85245) $99.54 $284.40 4.3×
Rotavirus ag eia (87425) $61.43 $175.50 5.1×
Rpr qualitative (86592)
range across 2 matching MRF lines
$71.40–$113.05 $204–$323 varies
Rubella Antibody (86762) $55.76 $159.30 3.9×
Rubeola antibody (86765) $29.93 $85.50 2.3×
Russell Viper Venom Time Diluted (85613)
range across 2 matching MRF lines
$43.79–$72.45 $125.10–$207 varies
Salmonella antibody (86768) $96.08 $274.50 7.3×
Sars-Cov-2 Covid-19 Amp Prb (87635) $82.85 $236.70 1.6×
Sars-cov-2 COVID-19 antibody (86769) $82.85 $236.70 2.0×
Sars-Cov-2 Covid19 W/Optic (87811) $125.69 $359.10 3.0×
Sedimentation rate (85651) $71.67 $204.75 16.8×
Selenium (84255) $66.78 $190.80 2.6×
Semen analysis complete (89320) $44.42 $126.90 3.6×
Sensitivity mic (87186)
range across 2 matching MRF lines
$184.86–$185.15 $528.15–$529 varies
Serum Bactericidal Titer (87197) $114.66 $327.60 7.6×
Sickling of rbc reduction (85660) $46.62 $133.20 8.5×
Sirolimus (80195) $87.26 $249.30 6.4×
Skin test tuberculosis intradermal (86580) $13.23 $37.80 0.5×
Smear acid fast (87206) $91 $260 16.9×
Smear gram stain (87205) $138.95 $397 32.5×
Smear Special Stain (87207)
range across 2 matching MRF lines
$31.50–$33.39 $90–$95.40 varies
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines
$55.44–$88.90 $158.40–$254 varies
Sodium Serum (84295)
range across 2 matching MRF lines
$22.75–$37.10 $65–$106 varies
Sodium Urine (84300) $43.74 $124.95 8.6×
Soluble Transferrin Receptor (84238) $55.76 $159.30 1.5×
Somatomedin (84305)
range across 2 matching MRF lines
$42.21–$46.90 $120.60–$134 varies
Special Stains Group 1 (88312) $189.67 $541.90 3.6×
Special Stains Group 2 (88313)
range across 2 matching MRF lines
$152.78–$173.95 $436.50–$497 varies
Specimen infect agnt concntj (87015)
range across 3 matching MRF lines
$29.93–$31.82 $85.50–$90.90 varies
Spectrophotometry (84311)
range across 3 matching MRF lines
$41.27–$43.79 $117.90–$125.10 varies
Sperm Antibodies (89325) $105.21 $300.60 9.9×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $64.26 $183.60 0.4×
Stool cultr aerobic bact ea (87046)
range across 3 matching MRF lines
$14.49–$68.99 $41.40–$197.10 varies
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $44.42 $126.90 3.9×
Sugars Single Qual (84376) $23.63 $67.50 4.3×
Surg path level iii (88304) $337.05 $963 6.4×
Surgical pathology level IV (88305) $415.80 $1,188 7.9×
Surgical pathology level vi (88309) $1,093.75 $3,125 1.4×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $23.94 $68.40 5.0×
Susceptibility Study Antimicrobial Disk Method (87184) $41.58 $118.80 5.6×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $26.78 $76.50 3.7×
T cells absolute cd4 count (86361)
range across 2 matching MRF lines
$181.76–$193.41 $519.30–$552.60 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $229.32 $655.20 4.9×
T3 Free (84481) $44.61 $127.44 2.6×
T3 Total (84480) $114.10 $326 8.0×
T3 Uptake (84479) $25.20 $72 3.9×
T4 Free (84439) $74.55 $213 8.3×
T4 total (84436) $78.75 $225 11.5×
Tacrolimus (80197) $126.95 $362.70 9.2×
Test for acetone/ketones (82009) $18.90 $54 4.2×
Testosterone total (84403) $96.08 $274.50 3.7×
Testosterone, Free (84402) $89.85 $256.71 3.5×
Tetanus antibody (86774) $71.51 $204.30 4.8×
Theophylline (80198) $45.68 $130.50 3.2×
Thiocyanate (84430) $119.70 $342 10.3×
Thrombin Time (85670) $42.53 $121.50 7.4×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $54.18 $154.80 8.4×
Thyroglobulin Antibody (86800) $38.43 $109.80 2.4×
Thyroid Stimulating Immunoglobulin (84445) $132.62 $378.90 2.6×
Thyroxine binding globulin (84442)
range across 2 matching MRF lines
$51.03–$56.70 $145.80–$162 varies
Tissue Culture (88233) $231.53 $661.50 1.6×
Tissue Culture Lymphocyte (88230) $170.73 $487.80 1.5×
Tobramycin peak (80200) $88.52 $252.90 5.5×
Topiramate (80201) $71.19 $203.40 6.0×
Touch prep (88161) $47.88 $136.80 1.6×
Toxin/Antitoxin Assay Tissue Culture (87230) $105.84 $302.40 5.4×
Toxoplasma ab igm (86778) $77.70 $222 5.4×
Toxoplasma antibody (86777) $71.75 $205 5.0×
Transferase Aspartate Amino Ast Sgot (84450) $18.59 $53.10 3.6×
Transferrin (84466) $82.95 $237 6.5×
Trichinella Antibody (86784) $66.47 $189.90 5.3×
Triglycerides (84478)
range across 2 matching MRF lines
$64.58–$75.60 $184.50–$216 varies
Troponin Quant (84484)
range across 2 matching MRF lines
$99.05–$162.05 $283–$463 varies
Unlisted Surgical Pathology Procedure (88399) $14.81 $42.30 0.3×
Urea nitrogen urine (84540) $40.32 $115.20 7.3×
Uric acid other source (84560) $19.22 $54.90 3.8×
Urinalysis Microscopic Only (81015) $11.55 $33 3.8×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $54.18 $154.80 25.0×
Urinalysis Volume Measure (81050)
range across 2 matching MRF lines
$15.44–$18.20 $44.10–$52 varies
Urine Albumin Semiquantitative (82044) $31.94 $91.23 5.1×
Urine Bacteria Culture (87088) $77.18 $220.50 9.5×
Urine Pregnancy Test (81025)
range across 3 matching MRF lines
$114.10–$167.65 $326–$479 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 2 matching MRF lines
$86.80–$141.86 $248–$405.30 varies
Valproic acid (80164) $134.75 $385 10.0×
Vancomycin (80202) $150.85 $431 11.1×
Varicella-zoster antibody (86787) $58.91 $168.30 4.6×
Vasopressin (84588) $56.39 $161.10 1.7×
Viral Culture (87252)
range across 3 matching MRF lines
$62.37–$69.30 $178.20–$198 varies
Virus antibody nos (86790)
range across 3 matching MRF lines
$71.51–$75.92 $204.30–$216.90 varies
Virus inoculation, shell via (87254) $18.27 $52.20 0.9×
Viscosity serum (85810) $23.63 $67.50 2.0×
Vit D 1 25-Dihydroxy (82652) $113.05 $323 2.9×
Vitamin A (84590) $47.25 $135 4.1×
Vitamin b-12 (82607) $70.93 $202.65 4.7×
Vitamin B2 (Riboflavin) (84252) $67.10 $191.70 3.3×
Vitamin B6 (84207) $56.35 $161 2.0×
Vitamin c (82180) $68.99 $197.10 7.0×
Vitamin D 25-Hydroxy (82306) $95.80 $273.70 3.2×
Vitamin E (84446) $21.74 $62.10 1.5×
Vitamin K (84597) $141.75 $405 10.3×
Vkorc1 gene (81355) $257.36 $735.30 2.9×
Volatiles (84600) $50.09 $143.10 2.9×
Von willebrand factor ag (85246) $79.70 $227.70 3.5×
Wbc Alkaline Phosphatase Count (85540) $60.48 $172.80 7.0×
West Nile Virus Antibody (86789)
range across 2 matching MRF lines
$53.87–$57.33 $153.90–$163.80 varies
Western Blot Test (84181) $103.32 $295.20 6.1×
Xylose Absorption Test (84620) $57.02 $162.90 4.4×
Zinc (84630)
range across 2 matching MRF lines
$21.11–$22.37 $60.30–$63.90 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.