Lab & pathology prices at St. Mary Medical Center
Galesburg, IL · every code in this section with a posted price and a Medicare benchmark.
831 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $158.40 | $264 | 6.9× |
| 5 Nucleotidase (83915) range across 3 matching MRF lines |
$89.40–$163.20 | $149–$272 | varies |
| Abl1 gene analysis kinase domain variants (81170) | $1,072.20 | $1,787 | 3.6× |
| Acetylcholine receptor binding antibody (86041) range across 3 matching MRF lines |
$109.80–$394.20 | $183–$657 | varies |
| Acetylcholinesterase Assay (82013) | $229.80 | $383 | 18.7× |
| Acetylcholn Rcptr Modlg Antb (86043) | $157.80 | $263 | 13.1× |
| Acth (82024) | $287.40 | $479 | 7.4× |
| Acute hepatitis panel (80074) | $412.20 | $687 | 8.7× |
| Acylcarnitines Quant (82017) | $250.80 | $418 | 14.9× |
| Adenovirus antibody (86603) | $114.60 | $191 | 8.9× |
| Albumin Fluid (82042) | $77.40 | $129 | 9.9× |
| Albumin serum (82040) | $79.80 | $133 | 16.1× |
| Aldolase (82085) | $96 | $160 | 9.9× |
| Aldosterone urine (82088) | $277.20 | $462 | 6.8× |
| Alkaline phosphatase isoenzymes (84080) | $114 | $190 | 7.7× |
| Allergen specific ige (86003) range across 12 matching MRF lines |
$52.80–$57.60 | $88–$96 | varies |
| Allergen specific igg (86001) | $265.80 | $443 | 34.0× |
| Allg Spec Ige Recomb Ea (86008) | $134.40 | $224 | 7.5× |
| Alpha-1-antitrypsin phenotype (82104) | $190.20 | $317 | 13.2× |
| Alpha-1-antitrypsin total (82103) | $166.80 | $278 | 12.4× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $144 | $240 | 8.5× |
| Alpha-Fetoprotein Serum (82105) | $223.80 | $373 | 13.3× |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$31.80–$44.40 | $53–$74 | varies |
| Aluminum (82108) | $147 | $245 | 5.8× |
| Amikacin trough (80150) | $167.40 | $279 | 11.1× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $743.40 | $1,239 | 32.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $406.20 | $677 | 24.1× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $550.20 | $917 | 39.7× |
| Amino Acids Quant 2-5 (82136) | $222 | $370 | 11.3× |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
$207–$222 | $345–$370 | varies |
| Ammonia (82140) range across 2 matching MRF lines |
$54.60–$161.40 | $91–$269 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $164.40 | $274 | 1.7× |
| Amniotic fluid scan (82143) | $154.80 | $258 | 16.6× |
| Amylase urine (82150) range across 2 matching MRF lines |
$79.80–$129.60 | $133–$216 | varies |
| Ana Titer (86039) | $118.80 | $198 | 10.6× |
| Anca screen each antibody (86036) | $29.40 | $49 | 2.4× |
| Androstenedione (82157) range across 2 matching MRF lines |
$203.40–$204 | $339–$340 | varies |
| Angiotensin converting enzyme csf (82164) range across 3 matching MRF lines |
$136.80–$230.40 | $228–$384 | varies |
| Anti-Phospholipid Antibody (86148) range across 3 matching MRF lines |
$66.60–$201.60 | $111–$336 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$54.60–$103.80 | $91–$173 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $251.40 | $419 | 19.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $159 | $265 | 10.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 3 matching MRF lines |
$44.40–$178.20 | $74–$297 | varies |
| Antibody Encephalitis California La Crosse (86651) | $44.40 | $74 | 3.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $134.40 | $224 | 10.2× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $130.20 | $217 | 8.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$134.40–$152.40 | $224–$254 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 6 matching MRF lines |
$30.60–$154.80 | $51–$258 | varies |
| Antibody haemophilus influenza (86684) | $52.80 | $88 | 3.3× |
| Antibody helicobacter pylori (86677) | $164.40 | $274 | 9.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $120.60 | $201 | 8.4× |
| Antibody Herpes Smplx Type 1 (86695) range across 5 matching MRF lines |
$44.40–$120.60 | $74–$201 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $132.60 | $221 | 9.7× |
| Antibody HIV-2 (86702) | $198 | $330 | 14.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 4 matching MRF lines |
$130.80–$383.40 | $218–$639 | varies |
| Antibody identification leukocyte antibodies (86021) | $226.20 | $377 | 15.0× |
| Antibody Identification Platelet Immunogl Assay (86023) | $193.80 | $323 | 15.6× |
| Antibody Lymphocytic Choriomeningitis (86727) | $36.60 | $61 | 2.8× |
| Antibody Protozoa Nes (86753) | $114 | $190 | 9.2× |
| Antibody Titer (86886) | $301.20 | $502 | 58.1× |
| Antibody Treponema Pallidum (86780) | $86.40 | $144 | 6.5× |
| Antibody; encephalitis, st. louis (86653) | $44.40 | $74 | 3.4× |
| Antibody; influenza virus (86710) range across 4 matching MRF lines |
$44.40–$178.20 | $74–$297 | varies |
| Antigen typing (86905) range across 8 matching MRF lines |
$226.80–$381 | $378–$635 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $132.60 | $221 | 23.2× |
| Antinuclear antibodies (86038) | $178.20 | $297 | 14.7× |
| Antistreptolysin O Screen (86063) | $156 | $260 | 27.0× |
| Antistreptolysin o titer (86060) | $124.80 | $208 | 17.1× |
| Antithrombin iii activity (85300) | $165.60 | $276 | 14.0× |
| Antithrombin iii antigen (85301) | $184.80 | $308 | 17.1× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) range across 2 matching MRF lines |
$4,344.60–$6,641.40 | $7,241–$11,069 | varies |
| Apolipoprotein a1 (82172) range across 6 matching MRF lines |
$100.80–$250.20 | $168–$417 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 9 matching MRF lines |
$177.60–$767.40 | $296–$1,279 | varies |
| Arsenic (82175) range across 3 matching MRF lines |
$129–$228.60 | $215–$381 | varies |
| Aspergillus ag eia (87305) | $151.20 | $252 | 12.6× |
| Assay activated protein c (85307) | $490.20 | $817 | 32.0× |
| Assay Blood Carbon Dioxide (82374) | $56.40 | $94 | 11.6× |
| Assay Nephelometry Not Spec (83883) range across 8 matching MRF lines |
$93.60–$313.20 | $156–$522 | varies |
| Assay of 5-hiaa (83497) | $129 | $215 | 10.0× |
| Assay of anti-mullerian hormone (82166) | $94.80 | $158 | 2.5× |
| Assay of blood/uric acid (84550) | $47.40 | $79 | 10.5× |
| Assay of calcium in urine (82340) range across 3 matching MRF lines |
$22.80–$80.40 | $38–$134 | varies |
| Assay of cpk in blood (82552) | $50.40 | $84 | 3.8× |
| Assay of estrone (82679) range across 2 matching MRF lines |
$130.20–$156.60 | $217–$261 | varies |
| Assay of g6pd enzyme (82955) | $99.60 | $166 | 10.3× |
| Assay of gammaglobulin igm (82784) range across 9 matching MRF lines |
$49.20–$190.20 | $82–$317 | varies |
| Assay of lactic acid (83605) | $165 | $275 | 14.3× |
| Assay of manganese (83785) range across 3 matching MRF lines |
$79.80–$537 | $133–$895 | varies |
| Assay of metanephrines (83835) | $205.20 | $342 | 12.1× |
| Assay of proinsulin (84206) | $192.60 | $321 | 7.2× |
| Assay of pyruvate (84210) | $136.20 | $227 | 9.4× |
| Assay of serotonin (84260) | $255 | $425 | 8.2× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$44.40–$70.80 | $74–$118 | varies |
| Assay of sweat sodium (84302) | $77.40 | $129 | 15.9× |
| Assay of Tyrosine (84510) | $129.60 | $216 | 12.2× |
| Assay of urea nitrogen (84520) | $47.40 | $79 | 12.0× |
| Assay of urine vma (84585) | $148.20 | $247 | 9.6× |
| Assay of vasoactive intestinal peptide (84586) | $134.40 | $224 | 3.8× |
| Assay of vitamin b-1 (84425) | $174 | $290 | 8.2× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$13.20–$61.20 | $22–$102 | varies |
| Assay Phosphohexose Enzymes (84087) | $86.40 | $144 | 8.1× |
| Assay spec xcp ur&breath ia (82077) | $231.60 | $386 | 13.4× |
| Asy carbamazepin 10,11-epxid (80161) | $52.80 | $88 | 2.8× |
| Automated Leukocyte Count (85048) | $56.40 | $94 | 22.2× |
| B cells total count (86355) | $159 | $265 | 4.2× |
| Babesia microti amp prb (87469) | $36.60 | $61 | 1.0× |
| Bartonella antibody (86611) range across 4 matching MRF lines |
$28.80–$98.40 | $48–$164 | varies |
| Bcr/abl1 gene major bp (81206) | $1,164.60 | $1,941 | 7.1× |
| Bcr/abl1 gene minor bp (81207) | $322.20 | $537 | 2.2× |
| Bcr/Abl1 Gene Other Bp (81208) | $387 | $645 | 1.8× |
| Beta 2 glycoprotein i antibody each (86146) | $135 | $225 | 5.3× |
| Beta hydroxybutyrate (82010) | $118.80 | $198 | 14.5× |
| Beta Lactamase (87185) | $47.40 | $79 | 10.0× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$67.80–$301.80 | $113–$503 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) range across 2 matching MRF lines |
$332.40–$333 | $554–$555 | varies |
| Bile acids total (82239) | $121.20 | $202 | 7.1× |
| Bilirubin direct (82248) | $44.40 | $74 | 8.8× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$31.80–$44.40 | $53–$74 | varies |
| Bilirubin total transcutaneous (88720) | $70.20 | $117 | 14.0× |
| Biotinidase (82261) | $161.40 | $269 | 9.6× |
| Blastomyces antibody (86612) | $64.80 | $108 | 5.0× |
| Blood Count Red Blood Cell Automated (85041) | $56.40 | $94 | 18.7× |
| Blood count reticulocyte automated (85045) | $76.80 | $128 | 19.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $56.40 | $94 | 14.8× |
| Blood gas (82803) range across 2 matching MRF lines |
$226.20–$273.60 | $377–$456 | varies |
| Blood gases w/02 saturation (82805) | $313.20 | $522 | 4.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $57 | $95 | 3.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $57.60 | $96 | 13.2× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 6 matching MRF lines |
$226.80–$381 | $378–$635 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$91.80–$92.40 | $153–$154 | varies |
| Body fluid cell count (89050) | $129.60 | $216 | 27.5× |
| Bone marrow smear interpretation (85097) | $540.60 | $901 | 0.6× |
| Bordetella antibody (86615) range across 3 matching MRF lines |
$129–$144 | $215–$240 | varies |
| Borrelia miyamotoi amp prb (87478) | $36.60 | $61 | 1.0× |
| Braf gene analysis (81210) | $675 | $1,125 | 3.8× |
| Brca1&2 gen full seq dup/del (81162) range across 5 matching MRF lines |
$2,081.40–$5,069.40 | $3,469–$8,449 | varies |
| Brucella antibody (86622) range across 5 matching MRF lines |
$60–$376.20 | $100–$627 | varies |
| C diff amplified probe (87493) | $226.20 | $377 | 6.1× |
| C-Peptide (84681) | $161.40 | $269 | 7.8× |
| C-reactive protein (86140) | $100.80 | $168 | 19.5× |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$161.40–$331.20 | $269–$552 | varies |
| Cadmium (82300) | $112.80 | $188 | 4.8× |
| Calcitonin (82308) | $211.20 | $352 | 7.9× |
| Calcium ionized (82330) | $171 | $285 | 12.5× |
| Calcium total (82310) range across 2 matching MRF lines |
$47.40–$69.60 | $79–$116 | varies |
| Calculus Spectroscopy (82365) | $117.60 | $196 | 9.1× |
| Calprotectin Fecal (83993) | $572.40 | $954 | 29.2× |
| Calr gene com variants (81219) | $1,284.60 | $2,141 | 10.6× |
| Cancer Antigen 125 (86304) | $201 | $335 | 9.7× |
| Cancer Antigen 27.29 (86300) | $219 | $365 | 10.5× |
| Candida Dna Dir Probe (87480) | $43.20 | $72 | 2.2× |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$67.20–$175.80 | $112–$293 | varies |
| Carbohydrate Deficient Transferrin (82373) | $147 | $245 | 8.1× |
| Carboxyhemoglobin (82375) | $157.20 | $262 | 12.8× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$205.20–$223.20 | $342–$372 | varies |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
$145.20–$153.60 | $242–$256 | varies |
| Carnitine Quantitative Each Specimen (82379) | $214.80 | $358 | 12.7× |
| Catecholamines fractionated (82384) | $212.40 | $354 | 8.4× |
| Ccp antibody (86200) | $23.40 | $39 | 1.8× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $813.60 | $1,356 | 3.4× |
| Cell count csf (89051) | $129.60 | $216 | 23.1× |
| Cell marker study (88182) range across 2 matching MRF lines |
$187.20–$426 | $312–$710 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $421.80 | $703 | 3.1× |
| Ceruloplasmin (82390) | $114.60 | $191 | 10.7× |
| Cftr Gene Analysis Known Familial Variants (81221) | $1,195.20 | $1,992 | 12.3× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$416.40–$1,863.60 | $694–$3,106 | varies |
| Cftr gene dup/delet variants (81222) | $2,123.40 | $3,539 | 4.9× |
| Cftr gene full sequence (81223) | $2,123.40 | $3,539 | 4.3× |
| Chemiluminescent assay (82397) | $139.80 | $233 | 9.9× |
| Chlamydia antibody (86631) range across 6 matching MRF lines |
$22.80–$106.20 | $38–$177 | varies |
| Chlamydia Igm Antibody (86632) range across 4 matching MRF lines |
$24–$99.60 | $40–$166 | varies |
| Chlmy trch&neisra gonor mult (87494) | $72.60 | $121 | 1.0× |
| Chloride other source (82438) | $123.60 | $206 | 24.7× |
| Chloride Serum (82435) | $47.40 | $79 | 10.3× |
| Chloride urine (82436) range across 2 matching MRF lines |
$19.80–$81 | $33–$135 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$47.40–$75.60 | $79–$126 | varies |
| Cholinesterase rbc (82482) | $121.20 | $202 | 12.4× |
| Cholinesterase Serum (82480) | $232.20 | $387 | 29.5× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$114–$210 | $190–$350 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $300.60 | $501 | 11.2× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $257.40 | $429 | 7.5× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $211.80 | $353 | 6.3× |
| Chromium serum (82495) | $205.20 | $342 | 10.1× |
| Chromogenic Substrate Assay (85130) | $193.80 | $323 | 16.3× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$181.20–$444.60 | $302–$741 | varies |
| Chromosome analys amniotic (88269) | $691.80 | $1,153 | 4.0× |
| Chromosome Analysis 15-20 (88262) | $807 | $1,345 | 6.4× |
| Chromosome Analysis 20-25 (88264) range across 3 matching MRF lines |
$652.20–$828 | $1,087–$1,380 | varies |
| Chromosome analysis 45 cells (88263) | $526.20 | $877 | 3.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$154.80–$213.60 | $258–$356 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$93.60–$204 | $156–$340 | varies |
| Ckmb (82553) | $107.40 | $179 | 9.3× |
| Clostridium Difficile (87324) | $169.20 | $282 | 14.1× |
| Clot Factor VIII Multimetric (85247) | $266.40 | $444 | 11.6× |
| Clot factor xiii fibrin stab (85290) | $474.60 | $791 | 29.0× |
| Clotting factor xii hageman (85280) | $369.60 | $616 | 19.1× |
| Clotting Funct Activity (85397) | $451.20 | $752 | 14.6× |
| Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines |
$781.20–$1,166.40 | $1,302–$1,944 | varies |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$85.20–$101.40 | $142–$169 | varies |
| Coccidioides antibody (86635) | $64.80 | $108 | 5.6× |
| Cold agglutinin titer (86157) | $99 | $165 | 12.3× |
| Collagen crosslinks (82523) | $169.20 | $282 | 9.1× |
| Column Chromotography Quant (82542) range across 10 matching MRF lines |
$129–$720 | $215–$1,200 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 3 matching MRF lines |
$742.20–$965.40 | $1,237–$1,609 | varies |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $429.60 | $716 | 1.4× |
| Compatibility Each Unit Incubation (86921) | $108 | $180 | 0.6× |
| Compatibility test antiglob (86922) | $159.60 | $266 | 0.9× |
| Complement Antigen Each Component (86160) | $154.80 | $258 | 12.9× |
| Complement Total (Ch50) (86162) | $184.80 | $308 | 9.1× |
| Complement/Function Activity (86161) | $336.60 | $561 | 28.1× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $853.20 | $1,422 | 4.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $772.20 | $1,287 | 13.8× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $25.20 | $42 | 0.6× |
| Coombs direct (86880) range across 2 matching MRF lines |
$86.40–$158.40 | $144–$264 | varies |
| Copper urine (82525) | $114 | $190 | 9.2× |
| Cortisol free (82530) | $163.20 | $272 | 9.8× |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$113.40–$175.80 | $189–$293 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$47.40–$115.20 | $79–$192 | varies |
| Creatinine blood (82565) | $44.40 | $74 | 8.7× |
| Creatinine clearance (82575) | $220.80 | $368 | 23.3× |
| Creatinine Urine (82570) | $43.80 | $73 | 8.5× |
| Crossmatch electronic (86923) | $280.20 | $467 | 1.5× |
| Crossmatch immediate spin (86920) | $118.80 | $198 | 0.7× |
| Crp High Sensitivity (86141) | $181.20 | $302 | 14.0× |
| Cryofibrinogen (82585) | $36 | $60 | 2.5× |
| Cryoglobulin (82595) | $255 | $425 | 39.4× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) range across 3 matching MRF lines |
$81–$624 | $135–$1,040 | varies |
| Cryptococcus ab (86641) | $217.20 | $362 | 15.1× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$45–$105.60 | $75–$176 | varies |
| Cryptosporidium ag eia (87328) | $103.80 | $173 | 7.5× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $63 | $105 | 7.8× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $108.60 | $181 | 13.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $166.80 | $278 | 21.6× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $625.20 | $1,042 | 2.9× |
| Culture aerobic quant other (87071) | $199.20 | $332 | 20.1× |
| Culture afb (87116) | $223.20 | $372 | 20.7× |
| Culture Anaerobic (87075) | $79.20 | $132 | 8.4× |
| Culture bacteria anaerobic (87073) | $199.20 | $332 | 20.6× |
| Culture blood (87040) | $222 | $370 | 21.5× |
| Culture chlamydia (87110) | $217.20 | $362 | 11.1× |
| Culture csf (87070) range across 3 matching MRF lines |
$157.20–$195.60 | $262–$326 | varies |
| Culture fungus (87102) | $171 | $285 | 20.3× |
| Culture fungus blood (87103) | $165 | $275 | 8.1× |
| Culture screen only (87081) range across 3 matching MRF lines |
$58.80–$60 | $98–$100 | varies |
| Culture stool (87045) | $109.20 | $182 | 11.6× |
| Culture typing if ea antiserum (87140) | $75.60 | $126 | 13.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $60 | $100 | 11.6× |
| Culture urine (87086) | $68.40 | $114 | 8.5× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $324 | $540 | 41.9× |
| Cyclosporine (80158) | $349.80 | $583 | 19.4× |
| Cyp2c19 gene analysis common variants (81225) range across 4 matching MRF lines |
$907.80–$1,609.80 | $1,513–$2,683 | varies |
| Cyp2d6 gene com variants (81226) | $2,049 | $3,415 | 4.5× |
| Cystatin C (82610) range across 3 matching MRF lines |
$30.60–$102.60 | $51–$171 | varies |
| Cytogenetics 10-30 (88273) | $352.20 | $587 | 10.1× |
| Cytogenetics 100-300 (88275) range across 7 matching MRF lines |
$85.20–$330.60 | $142–$551 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $4,584 | $7,640 | 5.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$3,622.20–$4,033.20 | $6,037–$6,722 | varies |
| Cytogenomic neo microra alys (81277) | $5,468.40 | $9,114 | 4.7× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$44.40–$178.80 | $74–$298 | varies |
| Cytopath Cell Enhance Tech (88112) | $187.80 | $313 | 3.4× |
| Cytotoxic pra quick (86808) | $671.40 | $1,119 | 22.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $153 | $255 | 5.7× |
| Cytp Concentration Smears & Interpretation (88108) | $177.60 | $296 | 4.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $247.80 | $413 | 4.4× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $176.40 | $294 | 1.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $165.60 | $276 | 4.1× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) range across 2 matching MRF lines |
$600.60–$819 | $1,001–$1,365 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $73.80 | $123 | 4.0× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $130.20 | $217 | 2.3× |
| Deoxycortisol (82634) | $203.40 | $339 | 6.9× |
| Deoxyribonuclease antibody (86215) | $102.60 | $171 | 7.7× |
| Desoxycorticosterone (82633) range across 2 matching MRF lines |
$214.80–$314.40 | $358–$524 | varies |
| Detect Agent Nos Dna Amp (87798) range across 9 matching MRF lines |
$151.80–$872.40 | $253–$1,454 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$435–$707.40 | $725–$1,179 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$171–$242.40 | $285–$404 | varies |
| Dhea (82626) | $175.80 | $293 | 7.0× |
| Dhea-S (82627) | $269.40 | $449 | 12.1× |
| Digoxin (80162) | $91.80 | $153 | 6.9× |
| Dihydrotestosterone (82642) | $109.80 | $183 | 3.7× |
| Diphtheria antitoxoid (86648) range across 2 matching MRF lines |
$64.80–$138.60 | $108–$231 | varies |
| Dipropylacetic Acid Free (80165) range across 2 matching MRF lines |
$55.80–$157.20 | $93–$262 | varies |
| Dna Antibody Native/Double Stranded (86225) | $319.80 | $533 | 23.3× |
| Dna/Rna Amplified Probe (87150) | $431.40 | $719 | 12.3× |
| DNA/RNA direct probe (87149) | $174.60 | $291 | 8.7× |
| Dna/Rna Sequencing (87153) | $369 | $615 | 3.2× |
| Dpyd gene common variants (81232) range across 2 matching MRF lines |
$1,418.40–$1,627.20 | $2,364–$2,712 | varies |
| Drug assay acetaminophen (80143) | $166.20 | $277 | 8.9× |
| Drug assay adalimumab (80145) | $694.80 | $1,158 | 18.0× |
| Drug Assay Amiodarone (80151) | $54.60 | $91 | 2.9× |
| Drug Assay Everolimus (80169) | $528 | $880 | 38.5× |
| Drug assay felbamate (80167) | $94.80 | $158 | 5.1× |
| Drug Assay Infliximab (80230) | $469.20 | $782 | 12.2× |
| Drug Assay Itraconazole (80189) | $107.40 | $179 | 4.0× |
| Drug Assay Lacosamide (80235) | $297.60 | $496 | 11.0× |
| Drug Assay Leflunomide (80193) | $402.60 | $671 | 10.4× |
| Drug Assay Posaconazole (80187) | $161.40 | $269 | 6.0× |
| Drug Assay Vedolizumab (80280) | $367.80 | $613 | 9.5× |
| Drug assay voriconazole (80285) | $134.40 | $224 | 5.0× |
| Drug Screen Quant Clozapine (80159) | $136.20 | $227 | 6.8× |
| Drug Screen Quant Zonisamide (80203) | $166.80 | $278 | 12.6× |
| Drug Screen Quantitative Gabapentin (80171) | $175.80 | $293 | 8.1× |
| Drug Screen Quantitative Lamotrigine (80175) range across 2 matching MRF lines |
$136.20–$175.80 | $227–$293 | varies |
| Drug Screen Quantitative Levetiracetam (80177) | $175.80 | $293 | 13.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $175.80 | $293 | 13.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 16 matching MRF lines |
$96.60–$650.40 | $161–$1,084 | varies |
| Drug Test Prsmv Instrmnt (80306) | $79.80 | $133 | 4.7× |
| Egfr Gene Analysis Common Variants (81235) | $4,749 | $7,915 | 14.6× |
| Ehrlichia antibody (86666) | $154.80 | $258 | 15.2× |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$192–$234 | $320–$390 | varies |
| Electrolyte panel (80051) | $139.80 | $233 | 19.9× |
| Electron Microscopy (88348) | $1,956 | $3,260 | 2.3× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
$181.80–$187.20 | $303–$312 | varies |
| Encephaltis East Eqne Anbdy (86652) | $44.40 | $74 | 3.4× |
| Encephaltis West Eqne Antbdy (86654) | $44.40 | $74 | 3.4× |
| Enterovirus Antibody (86658) range across 3 matching MRF lines |
$44.40–$114 | $74–$190 | varies |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$301.80–$344.40 | $503–$574 | varies |
| Enzyme cell activity (82657) | $504 | $840 | 22.7× |
| Enzyme histochemistry (88319) range across 2 matching MRF lines |
$535.20–$540.60 | $892–$901 | varies |
| Eosinophil Smear (89190) | $64.20 | $107 | 11.1× |
| Erythropoietin (82668) | $161.40 | $269 | 8.6× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$183.60–$232.20 | $306–$387 | varies |
| Estriol (82677) | $130.20 | $217 | 5.4× |
| Estrogens fractionated (82671) | $76.80 | $128 | 2.4× |
| Ethosuximide (80168) range across 2 matching MRF lines |
$69–$157.20 | $115–$262 | varies |
| Ethylene Glycol (82693) | $219 | $365 | 14.7× |
| Euglobulin lysis (85360) range across 2 matching MRF lines |
$250.20–$260.40 | $417–$434 | varies |
| Exam Synovial Fluid Crystals (89060) | $96.60 | $161 | 13.2× |
| F2 Gene (81240) | $544.80 | $908 | 8.3× |
| Factor ii activity (85210) | $479.40 | $799 | 36.9× |
| Factor Inhibitor Test (85335) range across 4 matching MRF lines |
$508.80–$795.60 | $848–$1,326 | varies |
| Factor ix activity (85250) | $266.40 | $444 | 14.0× |
| Factor v activity (85220) | $465.60 | $776 | 26.4× |
| Factor v leiden mutation (81241) | $544.80 | $908 | 7.4× |
| Factor vii assay (85230) | $532.80 | $888 | 29.8× |
| Factor viii assay (85240) | $266.40 | $444 | 14.9× |
| Factor X (85260) | $536.40 | $894 | 30.0× |
| Factor xi activity (85270) | $499.80 | $833 | 27.9× |
| Factor xiii screen (85291) | $295.20 | $492 | 32.4× |
| Fancc Gene (81242) | $876 | $1,460 | 23.9× |
| Fat/Lipids Feces Quantitative (82710) | $172.20 | $287 | 10.2× |
| Fatty acids free (82725) | $172.20 | $287 | 9.2× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $205.20 | $342 | 26.6× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $568.80 | $948 | 33.1× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $220.80 | $368 | 33.8× |
| Fecal Fat Qualitative (82705) | $79.20 | $132 | 15.5× |
| Ferritin (82728) | $142.20 | $237 | 10.4× |
| Fetal Chrmoml Aneuploidy (81420) range across 2 matching MRF lines |
$1,609.80–$2,575.20 | $2,683–$4,292 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $291.60 | $486 | 1.9× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $515.40 | $859 | 9.5× |
| Fetal Fibronectin (82731) | $694.80 | $1,158 | 10.8× |
| Fetal hemoglobin assay qual (83033) | $114.60 | $191 | 14.3× |
| Fetal screen rosette (85461) | $64.80 | $108 | 6.9× |
| Fibrin Degradation Quant (85379) | $192.60 | $321 | 18.9× |
| Fibrinogen activity (85384) | $87 | $145 | 9.0× |
| Fibrinogen antigen (85385) range across 2 matching MRF lines |
$157.20–$321 | $262–$535 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $454.80 | $758 | 29.4× |
| Flow cytometry first marker (88184) | $252.60 | $421 | 0.7× |
| Flt3 Gene (81245) range across 2 matching MRF lines |
$706.80–$916.20 | $1,178–$1,527 | varies |
| Flt3 gene analysis (81246) | $640.80 | $1,068 | 7.7× |
| Fluorescent antibody screen (86255) range across 7 matching MRF lines |
$30–$997.80 | $50–$1,663 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 8 matching MRF lines |
$48.60–$421.20 | $81–$702 | varies |
| Fmr1 Gene Charac Alleles (81244) | $486 | $810 | 10.8× |
| Fmr1 gene detection (81243) | $975 | $1,625 | 17.1× |
| Folic acid rbc (82747) | $148.80 | $248 | 8.4× |
| Folic Acid Serum (82746) | $138.60 | $231 | 9.4× |
| Follicle Stimulating Hormone (83001) | $172.20 | $287 | 9.3× |
| Francisella tularensis (86668) | $100.20 | $167 | 7.1× |
| Frozen Section (88331) | $316.20 | $527 | 1.7× |
| Fungi Identification Mold (87107) | $107.40 | $179 | 10.4× |
| Fungi Identification Yeast (87106) | $106.80 | $178 | 10.3× |
| G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) | $112.80 | $188 | 1.9× |
| G6pd gene analysis full gene sequence (81249) | $1,470.60 | $2,451 | 2.5× |
| Galactose transferase test (82776) | $36.60 | $61 | 3.1× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $439.80 | $733 | 20.9× |
| Gammaglobulin ige (82785) | $174.60 | $291 | 10.6× |
| Gardner vag DNA dir probe (87510) | $43.20 | $72 | 2.2× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $135.60 | $226 | 13.9× |
| Gases blood ph only (82800) | $115.20 | $192 | 10.5× |
| Gastrin (82941) | $148.80 | $248 | 8.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 3 matching MRF lines |
$805.20–$1,194 | $1,342–$1,990 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 4 matching MRF lines |
$1,619.40–$4,830.60 | $2,699–$8,051 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$3,268.80–$3,592.80 | $5,448–$5,988 | varies |
| Genet Virus Isolate Hsv (87255) | $198 | $330 | 5.8× |
| Genetic Tstg Severe Inh Cond (81443) range across 3 matching MRF lines |
$5,431.20–$7,447.80 | $9,052–$12,413 | varies |
| Gentamicin (80170) | $198 | $330 | 12.1× |
| Ggt (82977) range across 3 matching MRF lines |
$31.80–$91.80 | $53–$153 | varies |
| Giardia antigen (87329) | $55.80 | $93 | 4.7× |
| Glucose 2 hr pp (82950) | $76.80 | $128 | 16.2× |
| Glucose Blood Test (82962) | $47.40 | $79 | 14.5× |
| Glucose body fluid (82945) | $86.40 | $144 | 22.0× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$47.40–$67.80 | $79–$113 | varies |
| Glucose tolerance test (gtt) (82951) | $318 | $530 | 24.7× |
| Glutathione (82978) | $123.60 | $206 | 8.0× |
| Glycated Protein (82985) | $91.80 | $153 | 5.5× |
| Gonadotropin Chorionic Qualitative (84703) | $151.20 | $252 | 20.1× |
| Growth hormone (83003) | $144.60 | $241 | 8.7× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$47.40–$67.80 | $79–$113 | varies |
| H Pylori (C-13) Breath (83013) | $174.60 | $291 | 2.6× |
| Haptoglobin (83010) range across 3 matching MRF lines |
$183–$278.40 | $305–$464 | varies |
| Hba1/hba2 full gene sequence (81259) range across 2 matching MRF lines |
$976.20–$1,005.60 | $1,627–$1,676 | varies |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) range across 3 matching MRF lines |
$672–$872.40 | $1,120–$1,454 | varies |
| Hbb duplication/deletion variants (81363) range across 3 matching MRF lines |
$911.40–$1,417.20 | $1,519–$2,362 | varies |
| Hbb Full Gene Sequence (81364) range across 2 matching MRF lines |
$976.20–$1,005.60 | $1,627–$1,676 | varies |
| Hdl Cholesterol (83718) | $91.80 | $153 | 11.2× |
| Helicobacter Pylori Stool (87338) | $175.20 | $292 | 12.2× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$88.20–$91.20 | $147–$152 | varies |
| Hematocrit (85014) | $56.40 | $94 | 23.8× |
| Hemoglobin (85018) | $56.40 | $94 | 23.8× |
| Hemoglobin a1c (83036) | $69.60 | $116 | 7.2× |
| Hemoglobin Chromotography (83021) range across 7 matching MRF lines |
$36.60–$711 | $61–$1,185 | varies |
| Hemoglobin electrophoresis (83020) | $190.20 | $317 | 14.8× |
| Hemoglobin Methemoglobin Quantitative (83050) | $105.60 | $176 | 12.9× |
| Hemoglobin plasma (83051) | $99.60 | $166 | 13.6× |
| Hemoglobin stability screen (83068) range across 3 matching MRF lines |
$75.60–$460.20 | $126–$767 | varies |
| Hemoglobin-Oxygen Affinity (82820) | $279.60 | $466 | 21.0× |
| Hep a ab igm (86709) range across 2 matching MRF lines |
$178.20–$251.40 | $297–$419 | varies |
| Heparin assay (85520) | $193.80 | $323 | 14.8× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$79.20–$120.60 | $132–$201 | varies |
| Hepatitis b core ab igm (86705) | $178.20 | $297 | 15.1× |
| Hepatitis b core ab total (86704) | $122.40 | $204 | 10.2× |
| Hepatitis B Surface Antibody (86706) | $113.40 | $189 | 10.6× |
| Hepatitis B Surface Antigen (87340) | $109.80 | $183 | 10.6× |
| Hepatitis Be Antibody (86707) | $34.20 | $57 | 3.0× |
| Hepatitis Be Antigen (87350) | $99 | $165 | 8.6× |
| Hepatitis C Antibody (86803) | $273 | $455 | 19.1× |
| Hepatitis C Genotype (87902) | $799.80 | $1,333 | 3.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $371.40 | $619 | 10.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $504 | $840 | 11.8× |
| Hepatitis d quantification (87523) | $1,470.60 | $2,451 | 34.3× |
| Hepatitis Delta Agent Antibody (86692) | $279.60 | $466 | 16.3× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $3,677.40 | $6,129 | 2.8× |
| Hereditary peripheral neuropathy gen seq pnl (81448) range across 7 matching MRF lines |
$5,232–$7,241.40 | $8,720–$12,069 | varies |
| Herpes simplex type 2 (86696) range across 5 matching MRF lines |
$44.40–$120.60 | $74–$201 | varies |
| Heterophile Antibody Screen (86308) | $111 | $185 | 21.4× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$379.80–$652.20 | $633–$1,087 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $192.60 | $321 | 24.9× |
| Histamine urine (83088) | $331.80 | $553 | 11.2× |
| Histoplasma antibody (86698) range across 6 matching MRF lines |
$64.80–$124.80 | $108–$208 | varies |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
$208.20–$308.40 | $347–$514 | varies |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$988.20–$1,007.40 | $1,647–$1,679 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $220.80 | $368 | 9.2× |
| Hiv-1 Antibody (86701) | $151.20 | $252 | 17.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $477 | $795 | 5.6× |
| HIV-2 probe&revrse trnscripj (87538) | $52.80 | $88 | 1.5× |
| Hla Class I Typing Low Resolution Complete (81372) | $838.20 | $1,397 | 2.1× |
| Hla class ii typing high resolution one locus ea (81382) range across 3 matching MRF lines |
$407.40–$1,002.60 | $679–$1,671 | varies |
| Hla I Typing 1 Allele Hr (81381) | $483.60 | $806 | 2.8× |
| Hla ii typing 1 locus lr (81376) | $210.60 | $351 | 1.7× |
| Hla Typing Dr/Dq Single Antigen (86816) | $334.20 | $557 | 11.1× |
| Hla-b27 (86812) | $228.60 | $381 | 8.9× |
| Homocysteine (83090) | $220.80 | $368 | 12.3× |
| Homogenization Tissue (87176) | $66 | $110 | 11.2× |
| Homovanillic acid urine (83150) | $208.20 | $347 | 9.3× |
| Hsv Dna Amp Probe (87529) | $363.60 | $606 | 10.4× |
| Htlv-I Antibody (86687) | $159 | $265 | 17.5× |
| Htt Gene Detc Abnor Alleles (81271) | $805.20 | $1,342 | 5.9× |
| Human Epididymis Protein 4 (86305) | $334.80 | $558 | 16.1× |
| Hydroxyprogesterone 17-d (83498) | $186 | $310 | 6.8× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $109.80 | $183 | 10.6× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $58.80 | $98 | 1.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) range across 2 matching MRF lines |
$36.60–$40.80 | $61–$68 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$57–$387 | $95–$645 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $129 | $215 | 3.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $337.80 | $563 | 9.6× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $373.80 | $623 | 10.7× |
| Iadna Cytomegalovirus Quantification (87497) | $381 | $635 | 8.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $214.80 | $358 | 3.1× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 2 matching MRF lines |
$36.60–$40.80 | $61–$68 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $370.80 | $618 | 8.7× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $294.60 | $491 | 8.4× |
| Iadna Herpes Virus-6 Quantification (87533) | $525.60 | $876 | 12.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$52.80–$134.40 | $88–$224 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$338.40–$355.20 | $564–$592 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$331.80–$476.40 | $553–$794 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $152.40 | $254 | 4.3× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) range across 3 matching MRF lines |
$142.20–$217.20 | $237–$362 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $295.80 | $493 | 2.1× |
| Idh1 common variants (81120) | $618.60 | $1,031 | 3.2× |
| Idh2 common variants (81121) | $945.60 | $1,576 | 3.2× |
| Ifnl3 gene analysis rs12979860 variant (81283) range across 2 matching MRF lines |
$911.40–$939 | $1,519–$1,565 | varies |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$107.40–$118.20 | $179–$197 | varies |
| Igg subclasses (82787) | $136.80 | $228 | 17.1× |
| Igh gene rearrange amp meth (81261) | $650.40 | $1,084 | 3.3× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,505.40 | $2,509 | 5.1× |
| Igk rearrangeabn clonal pop (81264) | $490.20 | $817 | 2.8× |
| Ikbkap Gene Analysis Common Variants (81260) | $1,536.60 | $2,561 | 39.1× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $258.60 | $431 | 0.7× |
| Immunfix e-phorsis/urine/csf (86335) | $152.40 | $254 | 5.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 14 matching MRF lines |
$55.80–$2,948.40 | $93–$4,914 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
$21–$283.20 | $35–$472 | varies |
| Immunoassay nonantibody (83516) range across 16 matching MRF lines |
$22.80–$2,613 | $38–$4,355 | varies |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$199.20–$797.40 | $332–$1,329 | varies |
| Immunofixation electrophoresis (86334) | $225 | $375 | 10.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$312–$547.80 | $520–$913 | varies |
| Immunohistochemistry (88342) | $258.60 | $431 | 1.4× |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$411–$434.40 | $685–$724 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $583.80 | $973 | 3.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) | $137.40 | $229 | 9.2× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $298.80 | $498 | 4.3× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$132–$148.80 | $220–$248 | varies |
| Influenza DNA amp probe (87502) | $303.60 | $506 | 3.2× |
| Inherited Cardmypthy 5 Gns (81439) range across 4 matching MRF lines |
$4,465.20–$7,915.80 | $7,442–$13,193 | varies |
| Inhibin A (86336) | $130.20 | $217 | 8.4× |
| Inhibin b (83520) range across 25 matching MRF lines |
$48–$774 | $80–$1,290 | varies |
| Insitu hybridization auto (88367) | $430.80 | $718 | 1.1× |
| Insitu hybridization manual (88368) | $552 | $920 | 1.4× |
| Insulin antibodies (86337) | $183.60 | $306 | 8.6× |
| Insulin free (83527) range across 2 matching MRF lines |
$59.40–$114.60 | $99–$191 | varies |
| Insulin total (83525) range across 2 matching MRF lines |
$52.80–$126.60 | $88–$211 | varies |
| Interleukin-6 (83529) range across 4 matching MRF lines |
$42–$78 | $70–$130 | varies |
| Intrinsic factor antibody (86340) | $129.60 | $216 | 8.6× |
| Iron (83540) | $75 | $125 | 11.6× |
| Iron Binding Capacity (83550) | $87.60 | $146 | 10.0× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$69–$561.60 | $115–$936 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $1,129.80 | $1,883 | 12.3× |
| Jt spc pthgn&rx rsist gen26+ (87627) | $1,717.20 | $2,862 | 2.5× |
| Kit Gene Analysis D816 Variant(S) (81273) | $1,408.20 | $2,347 | 11.3× |
| Koh Prep (87220) | $98.40 | $164 | 23.0× |
| Kras Gene Analysis Additional Variant(S) (81276) | $780 | $1,300 | 4.0× |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$878.40–$909 | $1,464–$1,515 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$29.40–$91.20 | $49–$152 | varies |
| Lactoferrin fecal qualitative (83630) | $114 | $190 | 5.8× |
| Lamellar Body Count (83664) | $103.80 | $173 | 5.4× |
| Ldh Isoenzymes (83625) range across 2 matching MRF lines |
$60–$106.80 | $100–$178 | varies |
| LDL direct (83721) | $57.60 | $96 | 5.5× |
| Lead (83655) range across 2 matching MRF lines |
$94.80–$244.20 | $158–$407 | varies |
| Legionella antibody (86713) | $120.60 | $201 | 7.9× |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$217.20–$346.80 | $362–$578 | varies |
| Legionella pneumophila dfa (87278) | $237 | $395 | 15.2× |
| Leptospira antibody (86720) | $109.20 | $182 | 6.7× |
| Leukocyte Histamine Release (86343) range across 2 matching MRF lines |
$378–$429.60 | $630–$716 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $106.80 | $178 | 3.4× |
| Level ii surg pathology grossµscopic exam (88302) | $242.40 | $404 | 6.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$446.40–$468 | $744–$780 | varies |
| Lidocaine (80176) | $151.20 | $252 | 10.3× |
| Lipase (83690) | $80.40 | $134 | 11.7× |
| Lipoprotein A (83695) | $130.20 | $217 | 9.1× |
| Lipoprotein Bld Quan Part (83704) | $203.40 | $339 | 5.9× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $371.40 | $619 | 8.0× |
| Lithium (80178) | $114 | $190 | 17.2× |
| Liver ds alys 3 bmrk srm alg (81517) | $612 | $1,020 | 3.5× |
| Luteinizing Hormone (Lh) (83002) | $208.20 | $347 | 11.2× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$158.40–$253.20 | $264–$422 | varies |
| Lysozyme serum (85549) | $129 | $215 | 6.9× |
| M. Genitalium Amp Probe (87563) | $194.40 | $324 | 5.5× |
| Macroscopic exam arthropod (87168) | $96 | $160 | 22.5× |
| Macroscopic Exam Parasite (87169) | $64.20 | $107 | 14.9× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$25.80–$165.60 | $43–$276 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$89.40–$205.20 | $149–$342 | varies |
| Mecp2 gene dup/delet variant (81304) | $1,063.80 | $1,773 | 7.1× |
| Mecp2 gene full seq (81302) | $1,063.80 | $1,773 | 2.0× |
| Mercury urine (83825) | $115.20 | $192 | 7.1× |
| Metabolic panel ionized ca (80047) | $251.40 | $419 | 18.3× |
| Methotrexate (80204) | $194.40 | $324 | 5.0× |
| Methylmalonic acid serum (83921) | $223.80 | $373 | 10.6× |
| Mgmt methylation analysis (81287) | $988.20 | $1,647 | 7.9× |
| Microalbumin, quantitative (82043) | $61.80 | $103 | 10.7× |
| Microsatellite instability (81301) | $1,010.40 | $1,684 | 2.9× |
| Microsomal Antibodies Each (86376) | $126.60 | $211 | 8.7× |
| Mitochondrial Antibody Each (86381) | $55.80 | $93 | 2.2× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) range across 3 matching MRF lines |
$694.20–$1,937.40 | $1,157–$3,229 | varies |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 5 matching MRF lines |
$177.60–$680.40 | $296–$1,134 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $202.20 | $337 | 5.0× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 7 matching MRF lines |
$72.60–$235.80 | $121–$393 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $308.40 | $514 | 7.3× |
| Molecular Pathology Procedure Level 6 (81405) range across 2 matching MRF lines |
$1,834.80–$2,146.20 | $3,058–$3,577 | varies |
| Mononuclear cell antigen (86356) | $196.20 | $327 | 7.3× |
| Mopath procedure level 1 (81400) | $1,428.60 | $2,381 | 22.3× |
| Mopath procedure level 2 (81401) range across 3 matching MRF lines |
$668.40–$748.80 | $1,114–$1,248 | varies |
| Mopath procedure level 4 (81403) | $955.20 | $1,592 | 5.2× |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$1,834.80–$4,283.40 | $3,058–$7,139 | varies |
| Mopath procedure level 7 (81406) range across 3 matching MRF lines |
$1,834.80–$8,422.20 | $3,058–$14,037 | varies |
| Mopath procedure level 8 (81407) | $5,490 | $9,150 | 6.5× |
| Mopath procedure level 9 (81408) range across 7 matching MRF lines |
$2,292.60–$5,161.80 | $3,821–$8,603 | varies |
| Mpl gene analysis sequence analysis exon 10 (81339) | $846.60 | $1,411 | 4.6× |
| Mrsa Pcr (87641) | $223.20 | $372 | 6.4× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) range across 3 matching MRF lines |
$391.20–$1,095.60 | $652–$1,826 | varies |
| Msh6 Gene Analysis Full Sequence Analysis (81298) range across 3 matching MRF lines |
$658.80–$1,842 | $1,098–$3,070 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $909 | $1,515 | 13.9× |
| Mucin Clot Body Fluid (83872) | $169.20 | $282 | 28.9× |
| Mucopolysaccharides acid quantitative (83864) range across 3 matching MRF lines |
$142.20–$378.60 | $237–$631 | varies |
| Mumps antibody (86735) range across 4 matching MRF lines |
$36.60–$114.60 | $61–$191 | varies |
| Muscle-Specific Kinase Antb (86366) | $715.20 | $1,192 | 38.9× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$261–$268.20 | $435–$447 | varies |
| Mycophenolic Acid (80180) | $175.80 | $293 | 9.7× |
| Mycoplasma antibody (86738) | $126.60 | $211 | 9.6× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $939 | $1,565 | 5.4× |
| Myoglobin urine (83874) | $146.40 | $244 | 11.3× |
| Natriuretic peptide (83880) | $251.40 | $419 | 6.4× |
| Neurofilament light chain (83884) | $1,806.60 | $3,011 | 15.5× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $48 | $80 | 1.6× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) range across 2 matching MRF lines |
$462–$490.20 | $770–$817 | varies |
| Nfct ds chrnc hcv 6 assays (81596) | $671.40 | $1,119 | 9.3× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $1,216.80 | $2,028 | 9.5× |
| Niacin (84591) range across 2 matching MRF lines |
$378–$390 | $630–$650 | varies |
| Nickel level (83885) | $630.60 | $1,051 | 25.7× |
| Nk cells total count (86357) | $159.60 | $266 | 4.2× |
| Noonan Spectrum Disorders (81442) | $3,862.20 | $6,437 | 1.8× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $983.40 | $1,639 | 4.0× |
| Nras gene variants exon 2&3 (81311) | $587.40 | $979 | 2.0× |
| Nuclear antigen antibody (86235) range across 5 matching MRF lines |
$129.60–$195.60 | $216–$326 | varies |
| Occult blood feces (82272) | $52.20 | $87 | 12.3× |
| Occult Blood Other Sources (82271) | $70.80 | $118 | 13.3× |
| Oligoclonal bands (83916) | $192 | $320 | 7.0× |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$241.20–$411.60 | $402–$686 | varies |
| Osmolality serum (83930) | $118.80 | $198 | 18.0× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$24.60–$102.60 | $41–$171 | varies |
| Osmotic fragility rbc incubated (85557) | $217.20 | $362 | 16.3× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$23.40–$130.20 | $39–$217 | varies |
| Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) | $217.20 | $362 | 17.1× |
| Oxalate urine (83945) range across 3 matching MRF lines |
$47.40–$198 | $79–$330 | varies |
| Pancreatic Elastase Fecal (82656) range across 2 matching MRF lines |
$201.60–$241.20 | $336–$402 | varies |
| Particle Agglut Antbdy Titr (86406) | $148.20 | $247 | 13.9× |
| Particle Agglutination Screen Each Antibody (86403) | $67.80 | $113 | 5.9× |
| Parvovirus antibody (86747) | $129 | $215 | 8.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $540.60 | $901 | 0.6× |
| Pathology Consultation During Surgery (88329) | $120.60 | $201 | 1.9× |
| Ph urine (81003) | $44.40 | $74 | 19.7× |
| Phenobarbital Level (80184) range across 3 matching MRF lines |
$28.20–$158.40 | $47–$264 | varies |
| Phenotype Infect Agent Drug (87900) range across 3 matching MRF lines |
$336–$678 | $560–$1,130 | varies |
| Phenylalanine (84030) range across 2 matching MRF lines |
$126.60–$269.40 | $211–$449 | varies |
| Phenytoin (Dilantin) (80185) range across 3 matching MRF lines |
$132–$208.80 | $220–$348 | varies |
| Phenytoin free (80186) range across 2 matching MRF lines |
$187.80–$226.20 | $313–$377 | varies |
| Phosphatase acid prostatic (84066) | $105.60 | $176 | 10.9× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$44.40–$69 | $74–$115 | varies |
| Phosphatidylglycerol (84081) | $238.20 | $397 | 14.4× |
| Phospholipid Neutralization Hexagonal (85598) range across 4 matching MRF lines |
$167.40–$321 | $279–$535 | varies |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$47.40–$75 | $79–$125 | varies |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$20.40–$109.20 | $34–$182 | varies |
| Pinworm exam (87172) | $97.20 | $162 | 22.8× |
| Platelet Aggregation (85576) | $180 | $300 | 7.2× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$551.40–$953.40 | $919–$1,589 | varies |
| Platelet count automated (85049) | $89.40 | $149 | 20.0× |
| Platelet neutralization (85597) | $214.20 | $357 | 11.9× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $699 | $1,165 | 3.4× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $1,834.80 | $3,058 | 2.4× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | $1,834.80 | $3,058 | 2.4× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) range across 3 matching MRF lines |
$208.80–$584.40 | $348–$974 | varies |
| Pms2 gene full seq analysis (81317) range across 2 matching MRF lines |
$694.20–$1,033.80 | $1,157–$1,723 | varies |
| Pneumcysts jirovecii amp prb (87594) | $235.20 | $392 | 6.7× |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
$106.20–$178.20 | $177–$297 | varies |
| Porphyrins Urine Quantitation & Fractionation (84120) | $151.20 | $252 | 10.3× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$16.20–$91.80 | $27–$153 | varies |
| Prealbumin (84134) | $254.40 | $424 | 17.4× |
| Pregnancy-Associated Plasma Protein-A (84163) | $132 | $220 | 8.8× |
| Pregnenolone (84140) | $339 | $565 | 16.4× |
| Primidone (80188) range across 2 matching MRF lines |
$39.60–$123 | $66–$205 | varies |
| Procalcitonin (Pct) (84145) | $244.80 | $408 | 9.0× |
| Progesterone (84144) range across 2 matching MRF lines |
$109.20–$145.20 | $182–$242 | varies |
| Prolactin (84146) range across 3 matching MRF lines |
$84–$145.20 | $140–$242 | varies |
| Prostaglandin (84150) | $103.80 | $173 | 2.5× |
| Protein body fluid (84157) | $118.80 | $198 | 29.7× |
| Protein C Activity (85303) | $269.40 | $449 | 19.5× |
| Protein c antigen (85302) | $226.20 | $377 | 18.8× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$207–$220.80 | $345–$368 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $124.80 | $208 | 11.6× |
| Protein S Free (85306) range across 2 matching MRF lines |
$242.40–$264.60 | $404–$441 | varies |
| Protein s total (85305) | $261 | $435 | 22.5× |
| Protein total serum (84155) | $44.40 | $74 | 12.1× |
| Protein Total Urine (84156) | $81 | $135 | 22.1× |
| Protein Western Blot Test (84182) range across 5 matching MRF lines |
$273–$781.20 | $455–$1,302 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $174.60 | $291 | 44.3× |
| Protoporphyrin rbc quantitative (84202) | $313.20 | $522 | 21.8× |
| PSA free (84154) | $139.80 | $233 | 7.6× |
| Pten Gene Analysis Full Sequence Analysis (81321) range across 4 matching MRF lines |
$616.20–$4,166.40 | $1,027–$6,944 | varies |
| Pth Intact (83970) | $284.40 | $474 | 6.9× |
| Pyruvate kinase (84220) | $136.20 | $227 | 14.4× |
| Q Fever Antibody (86638) | $91.80 | $153 | 7.6× |
| Quantiferon tb gold plus (86480) | $269.40 | $449 | 4.3× |
| Quantitative assay drug (80299) range across 6 matching MRF lines |
$63–$362.40 | $105–$604 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$205.20–$361.80 | $342–$603 | varies |
| Rbc antibody elution (86860) | $177.60 | $296 | 1.0× |
| Rbc antibody identification (86870) | $295.20 | $492 | 0.8× |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$79.20–$268.20 | $132–$447 | varies |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$213.60–$225.60 | $356–$376 | varies |
| Renin activity plasma (84244) | $181.80 | $303 | 8.3× |
| Reptilase test (85635) | $107.40 | $179 | 10.9× |
| Resp virus 12-25 targets (87633) | $672 | $1,120 | 1.6× |
| Reticulocyte Count (85046) | $250.20 | $417 | 44.9× |
| Reticulocyte separation (86972) | $105.60 | $176 | 0.6× |
| Rh (86901) | $43.20 | $72 | 14.4× |
| Rheumatoid Factor Qualitative (86430) | $80.40 | $134 | 13.1× |
| Rheumatoid factor quant (86431) | $82.20 | $137 | 14.5× |
| Rickettsia antibody (86757) | $139.20 | $232 | 7.2× |
| Ristocetin cofactor (85245) | $260.40 | $434 | 11.4× |
| Rotavirus ag eia (87425) | $189 | $315 | 15.8× |
| Rpr qualitative (86592) | $79.20 | $132 | 18.5× |
| Rsv Assay W/Optic (87807) | $184.80 | $308 | 14.1× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$78–$159.60 | $130–$266 | varies |
| Rubeola antibody (86765) range across 4 matching MRF lines |
$44.40–$178.80 | $74–$298 | varies |
| Rufinamide (80210) | $107.40 | $179 | 4.0× |
| Russell Viper Venom Time Diluted (85613) | $142.20 | $237 | 14.8× |
| Rx metab gen seq alys pnl 6 (81418) | $2,420.40 | $4,034 | 2.6× |
| Salicylate Level (80179) | $114 | $190 | 6.1× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$45–$52.20 | $75–$87 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$30–$34.80 | $50–$58 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $262.80 | $438 | 1.8× |
| Sedimentation rate (85651) | $69.60 | $116 | 16.3× |
| Sedimentation Rate, Automated (85652) | $76.80 | $128 | 28.4× |
| Selenium (84255) | $152.40 | $254 | 6.0× |
| Sensitivity mic (87186) | $70.80 | $118 | 8.2× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$117.60–$140.40 | $196–$234 | varies |
| Sickling of rbc reduction (85660) | $86.40 | $144 | 15.7× |
| Sirolimus (80195) | $190.20 | $317 | 13.9× |
| Skin test tuberculosis intradermal (86580) | $45 | $75 | 1.5× |
| Smear acid fast (87206) | $97.20 | $162 | 18.0× |
| Smear complex stain (87209) | $108 | $180 | 6.0× |
| Smear gram stain (87205) | $79.80 | $133 | 18.7× |
| Smear Special Stain (87207) | $112.80 | $188 | 18.8× |
| Smn1 Gene Dos/Deletion Alys (81329) range across 2 matching MRF lines |
$520.80–$1,596.60 | $868–$2,661 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $98.40 | $164 | 16.9× |
| Snrpn/Ube3a Methylation Analysis (81331) range across 2 matching MRF lines |
$1,116.60–$1,444.20 | $1,861–$2,407 | varies |
| So neo gsap DNA mcrstl ins (81457) range across 2 matching MRF lines |
$5,406–$8,194.80 | $9,010–$13,658 | varies |
| Sodium Serum (84295) range across 2 matching MRF lines |
$44.40–$62.40 | $74–$104 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$19.20–$77.40 | $32–$129 | varies |
| Soluble fibrin monomer (85366) range across 2 matching MRF lines |
$417–$589.80 | $695–$983 | varies |
| Soluble Transferrin Receptor (84238) | $252 | $420 | 6.9× |
| Somatomedin (84305) | $219 | $365 | 10.3× |
| Somatostatin (84307) | $662.40 | $1,104 | 36.2× |
| Special Stains Group 1 (88312) | $157.80 | $263 | 2.8× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$149.40–$157.80 | $249–$263 | varies |
| Specific gravity body fluid (84315) | $66 | $110 | 20.1× |
| Specimen infect agnt concntj (87015) | $72.60 | $121 | 10.9× |
| Spectrophotometry (84311) | $171 | $285 | 21.1× |
| Staph a DNA amp probe (87640) range across 2 matching MRF lines |
$150–$171 | $250–$285 | varies |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
$22.20–$79.80 | $37–$133 | varies |
| Strep a assay w/optic (87880) | $64.80 | $108 | 3.9× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$58.20–$59.40 | $97–$99 | varies |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $108.60 | $181 | 1.2× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $287.40 | $479 | 24.9× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$87–$115.20 | $145–$192 | varies |
| Sulfate urine (84392) range across 2 matching MRF lines |
$19.20–$64.20 | $32–$107 | varies |
| Surg path level iii (88304) | $309.60 | $516 | 5.5× |
| Surgical pathology level IV (88305) | $378.60 | $631 | 6.8× |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$912.60–$956.40 | $1,521–$1,594 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $28.20 | $47 | 5.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$43.20–$80.40 | $72–$134 | varies |
| Sweat Collection Iontophoresis (89230) | $123.60 | $206 | 2.2× |
| Syphilis Test Non-Trep Quant (86593) | $66.60 | $111 | 15.1× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $318.60 | $531 | 6.8× |
| T cells total count (86359) | $189 | $315 | 5.0× |
| T3 Free (84481) | $186.60 | $311 | 11.0× |
| T3 reverse (84482) | $190.20 | $317 | 12.1× |
| T3 Total (84480) | $151.80 | $253 | 10.7× |
| T3 Uptake (84479) range across 2 matching MRF lines |
$84–$107.40 | $140–$179 | varies |
| T4 Free (84439) | $117 | $195 | 13.0× |
| T4 total (84436) range across 2 matching MRF lines |
$64.80–$88.80 | $108–$148 | varies |
| Tacrolimus (80197) | $453 | $755 | 33.0× |
| Tau phosphorylated each (84393) range across 4 matching MRF lines |
$230.40–$1,050.60 | $384–$1,751 | varies |
| Tert gene targeted seq alys (81345) range across 3 matching MRF lines |
$2,008.80–$2,531.40 | $3,348–$4,219 | varies |
| Test for acetone/ketones (82009) | $51 | $85 | 11.3× |
| Testosterone Bioavailable (84410) | $71.40 | $119 | 1.4× |
| Testosterone total (84403) range across 4 matching MRF lines |
$45–$286.80 | $75–$478 | varies |
| Testosterone, Free (84402) range across 6 matching MRF lines |
$26.40–$195 | $44–$325 | varies |
| Tetanus antibody (86774) range across 2 matching MRF lines |
$61.20–$135.60 | $102–$226 | varies |
| Tgsap so/hl 51/< RNA alys (81456) range across 2 matching MRF lines |
$3,592.80–$7,031.40 | $5,988–$11,719 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $2,950.80 | $4,918 | 4.9× |
| Theophylline (80198) | $117.60 | $196 | 8.3× |
| Thiocyanate (84430) range across 2 matching MRF lines |
$148.20–$172.20 | $247–$287 | varies |
| Thiopurine methyltransferase (84433) | $319.20 | $532 | 14.4× |
| Thrombin Time (85670) | $138.60 | $231 | 24.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $165 | $275 | 25.5× |
| Thyroglobulin (84432) | $127.80 | $213 | 8.0× |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$48.60–$114 | $81–$190 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $342.60 | $571 | 6.7× |
| Thyroxine binding globulin (84442) | $122.40 | $204 | 8.3× |
| Tiss cul neo disorders solid tumor (88239) range across 2 matching MRF lines |
$1,621.20–$2,087.40 | $2,702–$3,479 | varies |
| Tissue Culture (88233) range across 2 matching MRF lines |
$689.40–$939 | $1,149–$1,565 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 2 matching MRF lines |
$1,088.40–$1,192.20 | $1,814–$1,987 | varies |
| Tissue culture bone marrow (88237) | $613.80 | $1,023 | 4.3× |
| Tissue Culture Lymphocyte (88230) | $577.80 | $963 | 5.0× |
| Tobramycin peak (80200) | $172.20 | $287 | 10.7× |
| Topiramate (80201) range across 2 matching MRF lines |
$135.60–$144 | $226–$240 | varies |
| Total Tau (84394) range across 3 matching MRF lines |
$230.40–$333 | $384–$555 | varies |
| Touch prep (88161) | $148.80 | $248 | 4.8× |
| Toxoplasma ab igm (86778) | $138.60 | $231 | 9.6× |
| Toxoplasma antibody (86777) | $161.40 | $269 | 11.2× |
| Tp53 gene analysis full gene sequence (81351) | $672 | $1,120 | 1.0× |
| Tp53 gene analysis targeted sequence analysis (81352) range across 2 matching MRF lines |
$904.80–$1,005.60 | $1,508–$1,676 | varies |
| Tpmt gene com variants (81335) range across 2 matching MRF lines |
$1,013.40–$1,047 | $1,689–$1,745 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $44.40 | $74 | 8.6× |
| Transferrin (84466) | $161.40 | $269 | 12.6× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $722.40 | $1,204 | 3.5× |
| Trg gene rearrangement anal (81342) | $722.40 | $1,204 | 3.6× |
| Trichomonas vagin dir probe (87660) | $43.20 | $72 | 2.2× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$121.20–$157.80 | $202–$263 | varies |
| Triglycerides (84478) | $80.40 | $134 | 14.0× |
| Troponin Quant (84484) | $267 | $445 | 21.4× |
| Tumor immunohistochem/comput (88361) | $346.20 | $577 | 0.9× |
| Tumor Immunohistochem/Manual (88360) | $208.20 | $347 | 1.1× |
| Unlisted Cytogenetic Study (88299) range across 2 matching MRF lines |
$858–$1,416.60 | $1,430–$2,361 | varies |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$19.20–$75.60 | $32–$126 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$19.20–$75.60 | $32–$126 | varies |
| Urinalysis Microscopic Only (81015) | $82.20 | $137 | 27.0× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $82.20 | $137 | 37.9× |
| Urinalysis Volume Measure (81050) | $40.80 | $68 | 11.2× |
| Urine Bacteria Culture (87088) | $97.20 | $162 | 12.0× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$79.80–$98.40 | $133–$164 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $77.40 | $129 | 24.4× |
| Valproic acid (80164) range across 4 matching MRF lines |
$55.80–$157.20 | $93–$262 | varies |
| Vancomycin (80202) | $201.60 | $336 | 14.9× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$44.40–$178.80 | $74–$298 | varies |
| Vasopressin (84588) | $300.60 | $501 | 8.9× |
| Very Long Chain Fatty Acids (82726) | $576 | $960 | 29.2× |
| Viral Culture (87252) range across 2 matching MRF lines |
$246.60–$294 | $411–$490 | varies |
| Virus antibody nos (86790) range across 4 matching MRF lines |
$35.40–$402.60 | $59–$671 | varies |
| Virus inoculate tissue addl (87253) | $174.60 | $291 | 8.6× |
| Virus inoculation, shell via (87254) | $175.20 | $292 | 9.0× |
| Viscosity serum (85810) | $105.60 | $176 | 9.0× |
| Vit D 1 25-Dihydroxy (82652) | $289.20 | $482 | 7.5× |
| Vitamin A (84590) | $135.60 | $226 | 11.7× |
| Vitamin b-12 (82607) | $105 | $175 | 7.0× |
| Vitamin B2 (Riboflavin) (84252) | $195.60 | $326 | 9.7× |
| Vitamin B6 (84207) | $407.40 | $679 | 14.5× |
| Vitamin c (82180) | $486.60 | $811 | 49.2× |
| Vitamin D 25-Hydroxy (82306) | $127.80 | $213 | 4.3× |
| Vitamin E (84446) | $123.60 | $206 | 8.7× |
| Vitamin K (84597) | $270 | $450 | 19.7× |
| Volatiles (84600) | $349.80 | $583 | 20.4× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 4 matching MRF lines |
$30–$244.20 | $50–$407 | varies |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$46.20–$411.60 | $77–$686 | varies |
| West nile virus ab igm (86788) range across 2 matching MRF lines |
$37.20–$44.40 | $62–$74 | varies |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$31.80–$44.40 | $53–$74 | varies |
| Western Blot Test (84181) | $356.40 | $594 | 20.9× |
| Whole Mitochondrial Genome (81460) | $5,367 | $8,945 | 4.2× |
| Whole mitochondrial genome analysis panel (81465) | $1,992 | $3,320 | 2.1× |
| Xm Archive Tissue Molec Anal (88363) | $121.20 | $202 | 3.9× |
| Xylose Absorption Test (84620) | $230.40 | $384 | 17.8× |
| Zika Virus Dna/Rna Amp Probe (87662) range across 3 matching MRF lines |
$313.20–$649.20 | $522–$1,082 | varies |
| Zika Virus Igm Antibody (86794) | $424.80 | $708 | 25.2× |
| Zinc (84630) | $102.60 | $171 | 9.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.