Lab & pathology prices at St. Nicholas Hospital
Sheboygan, WI · every code in this section with a posted price and a Medicare benchmark.
899 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $106.26 | $161 | 4.7× |
| 5 Nucleotidase (83915) | $117.48 | $178 | 10.5× |
| Abl1 gene analysis kinase domain variants (81170) | $415.14 | $629 | 1.4× |
| Acetylcholine receptor binding antibody (86041) | $89.10 | $135 | 4.8× |
| Acetylcholine receptor blocking antibody (86042) | $89.10 | $135 | 4.8× |
| Acetylcholn Rcptr Modlg Antb (86043) | $89.10 | $135 | 7.4× |
| Acth (82024) | $233.64 | $354 | 6.0× |
| Actin smooth muscle antibody each (86015) | $67.32 | $102 | 5.6× |
| Acute hepatitis panel (80074) | $316.80 | $480 | 6.7× |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$347.82–$387.42 | $527–$587 | varies |
| Adenovirus antibody (86603) | $52.14 | $79 | 4.1× |
| Agglutinins Febrile Each Antigen (86000) | $38.28 | $58 | 5.5× |
| Albumin Fluid (82042) | $54.12 | $82 | 7.0× |
| Albumin serum (82040) | $31.02 | $47 | 6.3× |
| Aldolase (82085) | $54.12 | $82 | 5.6× |
| Aldosterone urine (82088) | $252.12 | $382 | 6.2× |
| Alkaline phosphatase isoenzymes (84080) | $89.76 | $136 | 6.1× |
| Allergen specific ige (86003) range across 3 matching MRF lines |
$9.24–$22.44 | $14–$34 | varies |
| Allergen specific igg (86001) | $18.48 | $28 | 2.4× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$33–$33.66 | $50–$51 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $118.80 | $180 | 8.2× |
| Alpha-1-antitrypsin total (82103) | $81.18 | $123 | 6.0× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$99–$152.46 | $150–$231 | varies |
| Alt (sgpt) (84460) | $32.34 | $49 | 6.1× |
| Aluminum (82108) | $126.06 | $191 | 4.9× |
| Amikacin trough (80150) | $95.70 | $145 | 6.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $136.62 | $207 | 5.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$387.42–$900.90 | $587–$1,365 | varies |
| Aminolevulinic acid (ala) (82135) | $137.28 | $208 | 8.3× |
| Ammonia (82140) | $89.76 | $136 | 6.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$361.68–$396 | $548–$600 | varies |
| Amylase urine (82150) | $54.12 | $82 | 8.4× |
| Ana Titer (86039) | $79.86 | $121 | 7.2× |
| Anca screen each antibody (86036) | $98.34 | $149 | 8.2× |
| Androstenedione (82157) | $180.18 | $273 | 6.2× |
| Angiotensin converting enzyme csf (82164) | $89.76 | $136 | 6.1× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$27.06–$51.48 | $41–$78 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $31.02 | $47 | 2.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $108.90 | $165 | 7.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $89.10 | $135 | 5.3× |
| Antibody Encephalitis California La Crosse (86651) | $49.50 | $75 | 3.8× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $89.10 | $135 | 6.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $99 | $150 | 6.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $118.14 | $179 | 6.5× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 2 matching MRF lines |
$46.20–$130.02 | $70–$197 | varies |
| Antibody haemophilus influenza (86684) | $138.60 | $210 | 8.8× |
| Antibody helicobacter pylori (86677) | $79.86 | $121 | 4.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $97.68 | $148 | 6.8× |
| Antibody Herpes Smplx Type 1 (86695) | $85.80 | $130 | 6.5× |
| Antibody HIV-1&HIV-2 single result (86703) | $89.10 | $135 | 6.5× |
| Antibody HIV-2 (86702) | $79.86 | $121 | 5.9× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $802.56 | $1,216 | 2.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 2 matching MRF lines |
$113.52–$312.18 | $172–$473 | varies |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$68.64–$108.90 | $104–$165 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $89.10 | $135 | 7.2× |
| Antibody john cunningham virus (86711) | $1,585.32 | $2,402 | 93.9× |
| Antibody Lymphocytic Choriomeningitis (86727) | $73.92 | $112 | 5.7× |
| Antibody nocardia (86744) | $36.30 | $55 | 2.3× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$42.90–$84.48 | $65–$128 | varies |
| Antibody Titer (86886) | $172.26 | $261 | 33.3× |
| Antibody Treponema Pallidum (86780) | $38.28 | $58 | 2.9× |
| Antibody; encephalitis, st. louis (86653) | $60.72 | $92 | 4.6× |
| Antigen typing (86905) | $361.02 | $547 | 94.3× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $172.26 | $261 | 30.1× |
| Antinomyces antibody (86602) | $91.08 | $138 | 8.9× |
| Antinuclear antibodies (86038) | $68.64 | $104 | 5.7× |
| Antistreptolysin O Screen (86063) | $93.06 | $141 | 16.1× |
| Antistreptolysin o titer (86060) | $108.90 | $165 | 14.9× |
| Antithrombin iii activity (85300) | $129.36 | $196 | 10.9× |
| Antithrombin iii antigen (85301) | $89.10 | $135 | 8.2× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $2,284.26 | $3,461 | 4.5× |
| Apc gene dup/delet variants (81203) | $905.52 | $1,372 | 4.5× |
| Apc gene full sequence (81201) | $905.52 | $1,372 | 1.2× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$81.18–$96.36 | $123–$146 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $320.10 | $485 | 8.5× |
| Aquaporin-4 Antb Cba Each (86052) | $296.34 | $449 | 24.6× |
| Aquaporin-4 Antb Elisa (86051) | $431.64 | $654 | 37.4× |
| Arsenic (82175) | $72.60 | $110 | 3.8× |
| Aspergillus ag eia (87305) | $118.14 | $179 | 9.9× |
| Assay activated protein c (85307) | $118.14 | $179 | 7.7× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$34.98–$81.18 | $53–$123 | varies |
| Assay myeloperoxidase (83876) | $100.98 | $153 | 2.0× |
| Assay Nephelometry Not Spec (83883) | $102.30 | $155 | 7.5× |
| Assay of 5-hiaa (83497) | $81.18 | $123 | 6.3× |
| Assay of anti-mullerian hormone (82166) | $81.18 | $123 | 2.1× |
| Assay of blood/uric acid (84550) | $31.02 | $47 | 6.9× |
| Assay of calcium in urine (82340) | $36.96 | $56 | 6.1× |
| Assay of cpk in blood (82552) | $73.92 | $112 | 5.5× |
| Assay of estrone (82679) | $80.52 | $122 | 3.2× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$62.70–$346.50 | $95–$525 | varies |
| Assay of gammaglobulin igm (82784) range across 2 matching MRF lines |
$31.68–$54.12 | $48–$82 | varies |
| Assay of lactic acid (83605) | $72.60 | $110 | 6.3× |
| Assay of manganese (83785) | $126.06 | $191 | 4.7× |
| Assay of metanephrines (83835) | $107.58 | $163 | 6.4× |
| Assay of phosphatase acid total (84060) | $83.82 | $127 | 11.0× |
| Assay of proinsulin (84206) | $233.64 | $354 | 8.8× |
| Assay of pyruvate (84210) | $89.76 | $136 | 6.2× |
| Assay of serotonin (84260) | $152.46 | $231 | 4.9× |
| Assay of serum potassium (84132) | $29.04 | $44 | 6.1× |
| Assay of sweat sodium (84302) | $29.70 | $45 | 6.1× |
| Assay of Tyrosine (84510) | $114.18 | $173 | 10.7× |
| Assay of urea nitrogen (84520) | $25.74 | $39 | 6.5× |
| Assay of urine vma (84585) | $89.76 | $136 | 5.8× |
| Assay of vasoactive intestinal peptide (84586) | $152.46 | $231 | 4.3× |
| Assay of vitamin b-1 (84425) | $107.58 | $163 | 5.1× |
| Assay Ph Body Fluid Nos (83986) | $25.08 | $38 | 7.0× |
| Assay Phosphohexose Enzymes (84087) | $346.50 | $525 | 32.3× |
| Asxl1 gene analysis full gene sequence (81175) | $1,473.12 | $2,232 | 2.2× |
| Asy carbamazepin 10,11-epxid (80161) | $106.92 | $162 | 5.7× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $292.38 | $443 | 1.8× |
| Autol bld/component collj storage salvage (86891) | $943.80 | $1,430 | 1.2× |
| Automated Leukocyte Count (85048) | $17.16 | $26 | 6.8× |
| B cells total count (86355) | $256.74 | $389 | 6.8× |
| Babesia microti amp prb (87469) | $99.66 | $151 | 2.8× |
| Bacterial antigens 87802 (87802) | $116.82 | $177 | 9.2× |
| Bartonella antibody (86611) | $50.82 | $77 | 5.0× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$477.18–$753.06 | $723–$1,141 | varies |
| Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines |
$297–$910.80 | $450–$1,380 | varies |
| Bcr/Abl1 Gene Other Bp (81208) | $273.90 | $415 | 1.3× |
| Beta 2 glycoprotein i antibody each (86146) | $74.58 | $113 | 2.9× |
| Beta hydroxybutyrate (82010) | $44.22 | $67 | 5.4× |
| Beta Lactamase (87185) | $49.50 | $75 | 10.4× |
| Beta-2 Microglobulin (82232) | $99 | $150 | 6.1× |
| Bile acids total (82239) | $34.32 | $52 | 2.0× |
| Bilirubin direct (82248) | $35.64 | $54 | 7.1× |
| Bilirubin total (82247) | $35.64 | $54 | 7.1× |
| Bilirubin total transcutaneous (88720) | $31.02 | $47 | 6.2× |
| Biotinidase (82261) | $102.30 | $155 | 6.1× |
| Blastomyces antibody (86612) | $68.64 | $104 | 5.3× |
| Bld Typing Serologic Rh Phnt (86906) | $66 | $100 | 8.5× |
| Bleeding time test (85002) | $114.18 | $173 | 23.7× |
| Blood Count Automated Differential Wbc Count (85004) | $38.28 | $58 | 5.9× |
| Blood Count Red Blood Cell Automated (85041) | $14.52 | $22 | 4.8× |
| Blood count reticulocyte automated (85045) | $30.36 | $46 | 7.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $31.02 | $47 | 8.2× |
| Blood gas (82803) | $117.48 | $178 | 4.5× |
| Blood gases w/02 saturation (82805) | $174.90 | $265 | 2.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $99 | $150 | 6.2× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $21.12 | $32 | 4.8× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $361.02 | $547 | 56.9× |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $68.64 | $104 | 4.2× |
| Blood typing serologic abo (86900) | $129.36 | $196 | 43.3× |
| Bone marrow smear interpretation (85097) | $943.80 | $1,430 | 1.2× |
| Borrelia miyamotoi amp prb (87478) | $99.66 | $151 | 2.8× |
| Braf gene analysis (81210) | $475.20 | $720 | 2.7× |
| Brca1&2 gen full seq dup/del (81162) | $2,108.04 | $3,194 | 1.2× |
| Brucella antibody (86622) | $59.40 | $90 | 6.7× |
| C diff amplified probe (87493) | $237.60 | $360 | 6.4× |
| C-Peptide (84681) | $81.18 | $123 | 3.9× |
| C-reactive protein (86140) | $39.60 | $60 | 7.6× |
| Ca 19-9 (86301) | $139.92 | $212 | 6.7× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) | $977.46 | $1,481 | 1.2× |
| Cadmium (82300) | $72.60 | $110 | 3.1× |
| Caffeine (80155) | $125.40 | $190 | 3.3× |
| Calcitonin (82308) | $126.06 | $191 | 4.7× |
| Calcium ionized (82330) | $81.18 | $123 | 5.9× |
| Calcium total (82310) | $31.02 | $47 | 6.0× |
| Calculus assay quant (82360) | $85.14 | $129 | 6.6× |
| Calculus Spectroscopy (82365) | $95.04 | $144 | 7.4× |
| Calprotectin Fecal (83993) | $126.06 | $191 | 6.4× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$415.14–$520.08 | $629–$788 | varies |
| Cancer Antigen 125 (86304) | $138.60 | $210 | 6.7× |
| Cancer Antigen 27.29 (86300) | $138.60 | $210 | 6.7× |
| Candida antibody (86628) | $36.30 | $55 | 3.0× |
| Candida Dna Dir Probe (87480) | $138.60 | $210 | 6.9× |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $772.20 | $1,170 | 1.3× |
| Car Ion Chnnlpath Inc 2 Gns (81414) | $772.20 | $1,170 | 1.3× |
| Carbamazepine free (80157) | $99.66 | $151 | 7.5× |
| Carbamazepine total (80156) | $87.12 | $132 | 6.0× |
| Carbohydrate Deficient Transferrin (82373) range across 2 matching MRF lines |
$147.18–$415.80 | $223–$630 | varies |
| Carboxyhemoglobin (82375) | $134.64 | $204 | 10.9× |
| Carcinoembryonic antigen (82378) | $135.30 | $205 | 7.1× |
| Cardiolipin ab iga (86147) | $68.64 | $104 | 2.7× |
| Carnitine Quantitative Each Specimen (82379) | $342.54 | $519 | 20.3× |
| Carotene (82380) | $46.20 | $70 | 5.0× |
| Catecholamines fractionated (82384) | $152.46 | $231 | 6.0× |
| Ccnd1/Igh Translocation Alys (81168) | $478.50 | $725 | 2.3× |
| Ccp antibody (86200) | $89.10 | $135 | 6.9× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $415.14 | $629 | 1.7× |
| Cell count csf (89051) range across 2 matching MRF lines |
$56.10–$79.86 | $85–$121 | varies |
| Cell marker study (88182) range across 2 matching MRF lines |
$133.98–$546.48 | $203–$828 | varies |
| Ceruloplasmin (82390) | $62.70 | $95 | 5.8× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$724.02–$1,009.14 | $1,097–$1,529 | varies |
| Chemiluminescent assay (82397) | $89.76 | $136 | 6.4× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $450.12 | $682 | 2.2× |
| Chlamydia antibody (86631) | $42.90 | $65 | 3.6× |
| Chlamydia Igm Antibody (86632) | $48.84 | $74 | 3.9× |
| Chlamydia trachomatis ag if (87270) | $96.36 | $146 | 8.0× |
| Chloride other source (82438) | $61.38 | $93 | 12.3× |
| Chloride Serum (82435) | $54.12 | $82 | 11.8× |
| Chloride urine (82436) | $38.94 | $59 | 6.8× |
| Cholesterol total (82465) | $51.48 | $78 | 11.8× |
| Chorionic gonadotropin test (84702) | $91.08 | $138 | 6.1× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $46.86 | $71 | 1.7× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $240.24 | $364 | 7.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $217.14 | $329 | 6.5× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $225.72 | $342 | 1.3× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $339.24 | $514 | 2.0× |
| Chromium serum (82495) | $99 | $150 | 4.9× |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
$108.90–$444.84 | $165–$674 | varies |
| Chromogranin a (86316) | $147.84 | $224 | 7.1× |
| Chromosome analys amniotic (88269) | $737.22 | $1,117 | 4.2× |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$390.72–$611.16 | $592–$926 | varies |
| Chromosome Analysis 20-25 (88264) | $737.22 | $1,117 | 5.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $217.14 | $329 | 6.2× |
| Citric acid urine (82507) | $162.36 | $246 | 5.8× |
| Ckmb (82553) | $54.12 | $82 | 4.7× |
| Clostridium Difficile (87324) | $96.36 | $146 | 8.0× |
| Clot Factor VIII Multimetric (85247) | $216.48 | $328 | 9.4× |
| Clot factor xiii fibrin stab (85290) | $106.26 | $161 | 6.5× |
| Clot lysis time, whole blood dilution Facility (85175) | $68.64 | $104 | 3.4× |
| Clotting factor xii hageman (85280) | $108.90 | $165 | 5.6× |
| Clotting Funct Activity (85397) | $254.76 | $386 | 8.3× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) | $368.94 | $559 | 2.7× |
| Cns DNA amp probe type 12-25 (87483) | $1,684.32 | $2,552 | 4.0× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$27.06–$59.40 | $41–$90 | varies |
| Coccidioides antibody (86635) range across 2 matching MRF lines |
$49.50–$121.44 | $75–$184 | varies |
| Cold agglutinin screen (86156) | $122.10 | $185 | 15.1× |
| Cold agglutinin titer (86157) | $9.24 | $14 | 1.1× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$81.18–$99 | $123–$150 | varies |
| Column Chromotography Quant (82542) range across 6 matching MRF lines |
$126.06–$602.58 | $191–$913 | varies |
| Compatibility Each Unit Incubation (86921) | $94.38 | $143 | 0.6× |
| Compatibility test antiglob (86922) | $172.26 | $261 | 1.0× |
| Complement Antigen Each Component (86160) | $79.86 | $121 | 6.7× |
| Complement Fixation Tests Each Antigen (86171) | $281.16 | $426 | 28.1× |
| Complement Total (Ch50) (86162) | $129.36 | $196 | 6.4× |
| Complement/Function Activity (86161) | $76.56 | $116 | 6.4× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $993.96 | $1,506 | 6.0× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $366.96 | $556 | 7.2× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $456.72 | $692 | 12.5× |
| Coombs direct (86880) | $59.40 | $90 | 11.0× |
| Copper urine (82525) | $72.60 | $110 | 5.9× |
| Cortisol free (82530) | $99 | $150 | 5.9× |
| Cortisol saliva (82533) | $99 | $150 | 6.1× |
| Creatine (82540) | $33.66 | $51 | 7.3× |
| Creatine kinase total (82550) | $42.24 | $64 | 6.5× |
| Creatinine blood (82565) | $31.68 | $48 | 6.2× |
| Creatinine clearance (82575) | $72.60 | $110 | 7.7× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$31.68–$66.66 | $48–$101 | varies |
| Crossmatch electronic (86923) | $172.26 | $261 | 1.0× |
| Crossmatch immediate spin (86920) | $172.26 | $261 | 1.0× |
| Crp High Sensitivity (86141) | $147.84 | $224 | 11.4× |
| Cryofibrinogen (82585) | $42.24 | $64 | 3.0× |
| Cryoglobulin (82595) | $134.64 | $204 | 20.8× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $39.60 | $60 | 3.0× |
| Cryptococcal Antigen (87327) | $96.36 | $146 | 7.2× |
| Cryptococcus ag titer (87899) | $68.64 | $104 | 4.3× |
| Cryptosporidium (87272) | $89.10 | $135 | 7.4× |
| Cryptosporidium ag eia (87328) | $42.90 | $65 | 3.1× |
| CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence Facility (81189) | $317.46 | $481 | 1.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $59.40 | $90 | 7.4× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $59.40 | $90 | 7.4× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $118.14 | $179 | 15.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $483.78 | $733 | 2.2× |
| Culture afb (87116) range across 2 matching MRF lines |
$69.96–$143.22 | $106–$217 | varies |
| Culture Anaerobic (87075) | $89.10 | $135 | 9.4× |
| Culture blood (87040) range across 2 matching MRF lines |
$85.80–$99 | $130–$150 | varies |
| Culture chlamydia (87110) | $131.34 | $199 | 6.7× |
| Culture csf (87070) range across 6 matching MRF lines |
$11.88–$237.60 | $18–$360 | varies |
| Culture fungus (87102) | $68.64 | $104 | 8.2× |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$147.84–$163.02 | $224–$247 | varies |
| Culture screen only (87081) | $49.50 | $75 | 7.5× |
| Culture stool (87045) | $68.64 | $104 | 7.3× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $97.68 | $148 | 7.8× |
| Culture typing if ea antiserum (87140) | $49.50 | $75 | 8.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $117.48 | $178 | 22.7× |
| Culture urine (87086) | $59.40 | $90 | 7.4× |
| Cyanide (82600) | $117.48 | $178 | 6.1× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $13.20 | $20 | 0.9× |
| Cyclosporine (80158) | $69.96 | $106 | 3.9× |
| Cyp2d6 gene com variants (81226) range across 2 matching MRF lines |
$535.26–$1,585.32 | $811–$2,402 | varies |
| Cystatin C (82610) | $99 | $150 | 5.3× |
| Cytogenetics 10-30 (88273) | $398.64 | $604 | 11.5× |
| Cytogenetics 100-300 (88275) range across 12 matching MRF lines |
$87.12–$477.84 | $132–$724 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $2,001.78 | $3,033 | 2.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$1,882.98–$2,378.64 | $2,853–$3,604 | varies |
| Cytogenomic neo microra alys (81277) | $3,093.42 | $4,687 | 2.7× |
| Cytomegalovirus igg (86644) | $99 | $150 | 6.9× |
| Cytopath C/V Index Add-On (88155) | $40.26 | $61 | 2.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $139.26 | $211 | 6.9× |
| Cytopath Cell Enhance Tech (88112) | $168.30 | $255 | 3.3× |
| Cytotoxic Antibody Screen Std (86807) | $357.72 | $542 | 4.5× |
| Cytotoxic pra quick (86808) | $76.56 | $116 | 2.6× |
| Cytp Concentration Smears & Interpretation (88108) | $217.80 | $330 | 6.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $357.72 | $542 | 7.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $198 | $300 | 1.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $148.50 | $225 | 4.1× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) range across 2 matching MRF lines |
$382.80–$578.82 | $580–$877 | varies |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $71.94 | $109 | 3.9× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $61.38 | $93 | 3.3× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $248.16 | $376 | 4.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $168.30 | $255 | 5.9× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $522.06 | $791 | 3.1× |
| Deoxycortisol (82634) | $40.92 | $62 | 1.4× |
| Deoxyribonuclease antibody (86215) | $68.64 | $104 | 5.2× |
| Desoxycorticosterone (82633) | $184.14 | $279 | 5.9× |
| Detect Agent Nos Dna Amp (87798) range across 4 matching MRF lines |
$237.60–$495 | $360–$750 | varies |
| Detect Agent Nos Dna Quant (87799) | $287.76 | $436 | 6.7× |
| Detect agnt mult DNA ampli (87801) | $475.86 | $721 | 6.8× |
| Dgp Antibody Each Ig Class (86258) | $28.38 | $43 | 2.4× |
| Dhea (82626) | $152.46 | $231 | 6.0× |
| Dhea-S (82627) | $134.64 | $204 | 6.1× |
| Digoxin (80162) | $114.18 | $173 | 8.6× |
| Dihydrotestosterone (82642) | $143.88 | $218 | 4.9× |
| Diphtheria antitoxoid (86648) | $79.86 | $121 | 5.3× |
| Dipropylacetic Acid Free (80165) | $58.08 | $88 | 4.3× |
| Dmd Duplication/Deletion Analysis (81161) | $368.28 | $558 | 1.3× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $368.94 | $559 | 2.7× |
| Dna Antibody Native/Double Stranded (86225) | $89.10 | $135 | 6.5× |
| Dna Antibody Single Stranded (86226) | $101.64 | $154 | 8.4× |
| Dna/Rna Amplified Probe (87150) range across 3 matching MRF lines |
$59.40–$219.78 | $90–$333 | varies |
| Dna/Rna Sequencing (87153) | $594.66 | $901 | 5.2× |
| Dpyd gene common variants (81232) | $822.36 | $1,246 | 4.7× |
| Drug assay adalimumab (80145) | $260.04 | $394 | 6.7× |
| Drug Assay Amiodarone (80151) | $21.78 | $33 | 1.2× |
| Drug Assay Everolimus (80169) | $132.66 | $201 | 9.7× |
| Drug Assay Infliximab (80230) | $264.66 | $401 | 6.9× |
| Drug Assay Itraconazole (80189) | $48.18 | $73 | 1.8× |
| Drug Assay Lacosamide (80235) | $89.10 | $135 | 3.3× |
| Drug Assay Leflunomide (80193) | $120.12 | $182 | 3.1× |
| Drug Assay Posaconazole (80187) range across 2 matching MRF lines |
$34.98–$130.02 | $53–$197 | varies |
| Drug Assay Vedolizumab (80280) | $308.88 | $468 | 8.0× |
| Drug assay voriconazole (80285) | $100.98 | $153 | 3.7× |
| Drug Screen Quant Clozapine (80159) | $69.96 | $106 | 3.5× |
| Drug Screen Quant Zonisamide (80203) | $69.96 | $106 | 5.3× |
| Drug Screen Quantitative Gabapentin (80171) | $77.22 | $117 | 3.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $63.36 | $96 | 4.8× |
| Drug Screen Quantitative Levetiracetam (80177) | $77.22 | $117 | 5.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $69.96 | $106 | 5.3× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $92.40 | $140 | 5.5× |
| Drug Screen Quantitative Tiagabine (80199) | $83.82 | $127 | 3.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$83.82–$258.72 | $127–$392 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $120.78 | $183 | 9.6× |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$139.92–$209.88 | $212–$318 | varies |
| Egfr Gene Analysis Common Variants (81235) | $1,189.32 | $1,802 | 3.7× |
| Ehrlichia antibody (86666) | $36.30 | $55 | 3.6× |
| Electrolyte panel (80051) | $48.84 | $74 | 7.0× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$1,451.34–$2,982.54 | $2,199–$4,519 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $180.18 | $273 | 2.9× |
| Encephaltis East Eqne Anbdy (86652) | $60.06 | $91 | 4.6× |
| Encephaltis West Eqne Antbdy (86654) | $60.06 | $91 | 4.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $29.70 | $45 | 2.5× |
| Enterovirus Antibody (86658) range across 2 matching MRF lines |
$59.40–$129.36 | $90–$196 | varies |
| Enterovirus PCR (87498) | $237.60 | $360 | 6.8× |
| Enzyme cell activity (82657) | $207.24 | $314 | 9.3× |
| Enzyme histochemistry (88319) | $943.80 | $1,430 | 1.2× |
| Eosinophil Smear (89190) | $33 | $50 | 5.7× |
| Erythropoietin (82668) | $89.76 | $136 | 4.8× |
| Estradiol serum (82670) | $170.94 | $259 | 6.1× |
| Estriol (82677) | $162.36 | $246 | 6.7× |
| Estrogen total (82672) | $134.64 | $204 | 6.2× |
| Estrogens fractionated (82671) | $132 | $200 | 4.1× |
| Ethosuximide (80168) | $95.70 | $145 | 5.9× |
| Ethylene Glycol (82693) | $321.42 | $487 | 21.6× |
| Exam Synovial Fluid Crystals (89060) | $49.50 | $75 | 6.8× |
| Exome Re-Evaluation (81417) | $1,395.90 | $2,115 | 4.4× |
| Exome Sequence Analysis (81415) | $5,520.90 | $8,365 | 1.2× |
| Exome sequence analysis each comparator exome (81416) likely a partial charge, not the full procedure |
$1,796.52 | $2,722 | 0.1× |
| F2 Gene (81240) | $237.60 | $360 | 3.6× |
| Factor ii activity (85210) | $89.10 | $135 | 6.9× |
| Factor Inhibitor Test (85335) range across 2 matching MRF lines |
$198–$441.54 | $300–$669 | varies |
| Factor ix activity (85250) | $198 | $300 | 10.4× |
| Factor v activity (85220) | $147.84 | $224 | 8.4× |
| Factor v leiden mutation (81241) range across 3 matching MRF lines |
$237.60–$368.28 | $360–$558 | varies |
| Factor vii assay (85230) | $147.84 | $224 | 8.3× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$102.30–$195.36 | $155–$296 | varies |
| Factor X (85260) | $159.72 | $242 | 8.9× |
| Factor xi activity (85270) | $147.84 | $224 | 8.3× |
| Factor xiii screen (85291) | $49.50 | $75 | 5.4× |
| Fancc Gene (81242) | $122.10 | $185 | 3.3× |
| Fat stain feces urine/respir secretions (89125) | $31.68 | $48 | 5.4× |
| Fat/Lipids Feces Quantitative (82710) | $225.06 | $341 | 13.4× |
| Fatty acids free (82725) | $126.06 | $191 | 6.7× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $178.86 | $271 | 23.2× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $220.44 | $334 | 12.8× |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | $126.06 | $191 | 12.4× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $207.90 | $315 | 31.8× |
| Fecal Fat Qualitative (82705) | $28.38 | $43 | 5.6× |
| Ferritin (82728) | $81.18 | $123 | 6.0× |
| Fetal Fibronectin (82731) | $396 | $600 | 6.1× |
| Fetal hemoglobin assay qual (83033) | $44.22 | $67 | 5.5× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $434.94 | $659 | 23.0× |
| Fetal screen rosette (85461) | $59.40 | $90 | 6.3× |
| Fibrin degradation products (85362) | $47.52 | $72 | 6.9× |
| Fibrin Degradation Quant (85379) | $68.64 | $104 | 6.7× |
| Fibrinogen activity (85384) | $68.64 | $104 | 7.1× |
| Fibrinogen antigen (85385) | $59.40 | $90 | 4.1× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 2 matching MRF lines |
$95.04–$294.36 | $144–$446 | varies |
| Flecainide level (80181) | $21.78 | $33 | 1.2× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$415.80–$416.46 | $630–$631 | varies |
| Flt3 Gene (81245) | $247.50 | $375 | 1.5× |
| Flt3 gene analysis (81246) | $207.90 | $315 | 2.5× |
| Fluorescent antibody screen (86255) range across 10 matching MRF lines |
$36.30–$796.62 | $55–$1,207 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$79.86–$297 | $121–$450 | varies |
| Fmr1 gene detection (81243) | $237.60 | $360 | 4.2× |
| Folic acid rbc (82747) | $73.26 | $111 | 4.2× |
| Folic Acid Serum (82746) | $89.76 | $136 | 6.1× |
| Follicle Stimulating Hormone (83001) | $117.48 | $178 | 6.3× |
| Francisella tularensis (86668) | $59.40 | $90 | 4.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $198 | $300 | 1.2× |
| Frozen Section (88331) | $262.68 | $398 | 1.6× |
| Fungi Identification Mold (87107) | $68.64 | $104 | 6.7× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$85.14–$117.48 | $129–$178 | varies |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $224.40 | $340 | 10.7× |
| Galectin-3 (82777) | $147.84 | $224 | 3.3× |
| Gammaglobulin ige (82785) | $99 | $150 | 6.0× |
| Gardner vag DNA dir probe (87510) | $138.60 | $210 | 6.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $121.44 | $184 | 12.4× |
| Gases blood ph only (82800) | $67.32 | $102 | 6.1× |
| Gastrin (82941) | $81.18 | $123 | 4.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $833.58 | $1,263 | 2.0× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,954.92 | $2,962 | 2.6× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $4,368.54 | $6,619 | 1.5× |
| Genetic Tstg Severe Inh Cond (81443) | $3,915.78 | $5,933 | 1.6× |
| Genome Sequence Analysis (81425) | $5,811.30 | $8,805 | 1.2× |
| Genome sequence analysis each comparator genome (81426) | $3,129.72 | $4,742 | 1.2× |
| Gentamicin (80170) | $138.60 | $210 | 8.5× |
| Ggt (82977) | $44.22 | $67 | 6.1× |
| Giardia antigen (87329) | $59.40 | $90 | 5.0× |
| Glucagon (82943) | $50.16 | $76 | 3.5× |
| Glucose 2 hr pp (82950) | $72.60 | $110 | 15.3× |
| Glucose Blood Test (82962) | $15.84 | $24 | 4.8× |
| Glucose body fluid (82945) | $43.56 | $66 | 11.1× |
| Glucose Serum (82947) | $24.42 | $37 | 6.2× |
| Glucose tolerance test (gtt) (82951) | $89.76 | $136 | 7.0× |
| Glucosidase beta (82963) | $308.88 | $468 | 14.4× |
| Glutathione (82978) | $208.56 | $316 | 13.5× |
| Glycated Protein (82985) | $72.60 | $110 | 4.3× |
| Gonadotropin Chorionic Qualitative (84703) | $62.04 | $94 | 8.3× |
| Growth hormone (83003) | $81.18 | $123 | 4.9× |
| Gtt-added samples (82952) | $25.08 | $38 | 6.4× |
| H Pylori (C-13) Breath (83013) | $220.44 | $334 | 3.3× |
| Haloperidol (80173) | $33.66 | $51 | 2.1× |
| Haptoglobin (83010) | $81.18 | $123 | 6.5× |
| Hba1/hba2 full gene sequence (81259) | $698.94 | $1,059 | 1.2× |
| Hba1/Hba2 Gene (81257) | $554.40 | $840 | 5.4× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $684.42 | $1,037 | 3.4× |
| Hbb duplication/deletion variants (81363) | $641.52 | $972 | 3.2× |
| Hbb Full Gene Sequence (81364) | $374.88 | $568 | 1.2× |
| Hdl Cholesterol (83718) | $54.12 | $82 | 6.6× |
| Helicobacter Pylori Stool (87338) | $118.14 | $179 | 8.2× |
| Helminth Antibody (86682) | $141.24 | $214 | 10.9× |
| Hematocrit (85014) | $15.84 | $24 | 6.7× |
| Hemoglobin (85018) range across 2 matching MRF lines |
$17.16–$143.22 | $26–$217 | varies |
| Hemoglobin a1c (83036) | $62.70 | $95 | 6.5× |
| Hemoglobin Chromotography (83021) | $152.46 | $231 | 8.4× |
| Hemoglobin electrophoresis (83020) | $118.14 | $179 | 9.2× |
| Hemoglobin Methemoglobin Quantitative (83050) | $54.12 | $82 | 6.6× |
| Hemoglobin plasma (83051) | $20.46 | $31 | 2.8× |
| Hemoglobin stability screen (83068) | $97.02 | $147 | 10.2× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $73.92 | $112 | 8.4× |
| Hemosiderin urine (83070) | $44.88 | $68 | 9.4× |
| Hep a ab igm (86709) | $138.60 | $210 | 12.3× |
| Heparin assay (85520) | $167.64 | $254 | 12.8× |
| Hepatitis a antibody total (86708) | $68.64 | $104 | 5.5× |
| Hepatitis b core ab igm (86705) | $147.84 | $224 | 12.6× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$79.86–$87.12 | $121–$132 | varies |
| Hepatitis B Surface Antibody (86706) | $68.64 | $104 | 6.4× |
| Hepatitis B Surface Antigen (87340) | $68.64 | $104 | 6.6× |
| Hepatitis Be Antibody (86707) | $68.64 | $104 | 5.9× |
| Hepatitis Be Antigen (87350) | $59.40 | $90 | 5.2× |
| Hepatitis C Antibody (86803) | $99 | $150 | 6.9× |
| Hepatitis c antibody confirmatory test (86804) | $144.54 | $219 | 9.3× |
| Hepatitis C Genotype (87902) | $1,387.32 | $2,102 | 5.4× |
| Hepatitis C Revrs Trnscrpj (87522) | $287.76 | $436 | 6.7× |
| Hepatitis Delta Agent Antibody (86692) | $116.82 | $177 | 6.8× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $2,079 | $3,150 | 3.6× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$115.50–$129.36 | $175–$196 | varies |
| Heterophile Antibody Screen (86308) | $68.64 | $104 | 13.3× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$81.18–$426.36 | $123–$646 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $147.84 | $224 | 19.1× |
| Histamine urine (83088) | $170.94 | $259 | 5.8× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$68.64–$147.84 | $104–$224 | varies |
| Histoplasma antigen urine (87385) | $129.36 | $196 | 9.8× |
| Hiv Genotype (87901) | $86.46 | $131 | 0.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $99 | $150 | 4.1× |
| Hiv-1 Antibody (86701) | $79.86 | $121 | 9.0× |
| HIV-1 p24 antigen (87390) | $124.74 | $189 | 5.2× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $287.76 | $436 | 3.4× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $277.20 | $420 | 2.2× |
| Hla class ii typing high resolution one locus ea (81382) | $284.46 | $431 | 2.3× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $161.70 | $245 | 2.2× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $436.92 | $662 | 2.0× |
| Hla ii typing 1 allele hr (81383) | $629.64 | $954 | 5.8× |
| Hla ii typing 1 locus lr (81376) | $281.82 | $427 | 2.3× |
| Hla Typing a/B/C Multiple Antigens (86813) | $522.06 | $791 | 9.0× |
| Hla-b27 (86812) | $207.90 | $315 | 8.1× |
| Homocysteine (83090) | $107.58 | $163 | 6.0× |
| Homovanillic acid urine (83150) | $89.76 | $136 | 4.0× |
| Hpa-1 genotyping gene analysis common variant (81105) | $281.82 | $427 | 2.3× |
| Hpa-15 genotyping gene analysis common variant (81112) | $281.82 | $427 | 2.3× |
| Hpa-2 genotyping gene analysis common variant (81106) | $281.82 | $427 | 2.3× |
| Hpa-3 genotyping gene analysis common variant (81107) | $281.82 | $427 | 2.3× |
| Hpa-4 genotyping gene analysis common variant (81108) | $281.82 | $427 | 2.3× |
| Hpa-5 genotyping gene analysis common variant (81109) | $281.82 | $427 | 2.3× |
| Hpa-6 genotyping gene analysis common variant (81110) | $281.82 | $427 | 2.3× |
| Hpa-9 Genotyping (81111) | $281.82 | $427 | 2.3× |
| Hpv High-Risk Types (87624) | $138.60 | $210 | 3.9× |
| Hpv Types 16 & 18 Only (87625) | $138.60 | $210 | 3.4× |
| Hsv Dna Amp Probe (87529) | $158.40 | $240 | 4.5× |
| Hsv Dna Quant (87530) | $178.86 | $271 | 4.2× |
| Htt Gene Detc Abnor Alleles (81271) | $390.72 | $592 | 2.9× |
| Human Epididymis Protein 4 (86305) | $254.76 | $386 | 12.2× |
| Hydroxycorticosteroids 17 (83491) | $100.32 | $152 | 5.6× |
| Hydroxyprogesterone 17-d (83498) | $170.94 | $259 | 6.3× |
| Hydroxyproline total (83505) | $144.54 | $219 | 5.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $68.64 | $104 | 6.6× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $99 | $150 | 7.1× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $73.92 | $112 | 2.1× |
| Iaad Ia Streptococcus Group A (87430) | $79.86 | $121 | 4.8× |
| Iaadi herpes smplx virus type 1 (87274) | $75.24 | $114 | 6.3× |
| Iaadi herpes smplx virus type 2 (87273) | $75.24 | $114 | 6.3× |
| Iaadi inffluenza a virus (87276) | $96.36 | $146 | 6.0× |
| Iaadi parainfluenza virus each type (87279) | $75.24 | $114 | 4.6× |
| Iaadi pneumocustis carinii (87281) | $99 | $150 | 8.3× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $75.24 | $114 | 6.3× |
| Iaadi respiratory synctial virus (87280) | $99 | $150 | 7.4× |
| Iaadi Varicella Zoster Virus (87290) | $96.36 | $146 | 7.2× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $237.60 | $360 | 6.8× |
| Iadna Bartonella Amplified Probe Technique (87471) | $351.12 | $532 | 10.0× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $312.84 | $474 | 8.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $198.66 | $301 | 5.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 2 matching MRF lines |
$139.92–$256.74 | $212–$389 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $227.70 | $345 | 5.3× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $237.60 | $360 | 6.8× |
| Iadna Hepatitis B Virus Quantification (87517) | $327.36 | $496 | 7.6× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $139.92 | $212 | 4.0× |
| Iadna Herpes Virus-6 Quantification (87533) | $436.92 | $662 | 10.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $287.76 | $436 | 8.2× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $482.46 | $731 | 10.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $198 | $300 | 4.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $198.66 | $301 | 5.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$217.14–$237.60 | $329–$360 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $87.12 | $132 | 1.7× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $425.70 | $645 | 3.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$483.12–$535.26 | $732–$811 | varies |
| Idh1 common variants (81120) | $712.80 | $1,080 | 3.7× |
| Ig Light Chains Free Each (83521) | $81.18 | $123 | 4.7× |
| Igg subclasses (82787) | $33 | $50 | 4.1× |
| Igh gene rearrange amp meth (81261) range across 3 matching MRF lines |
$435.60–$1,604.46 | $660–$2,431 | varies |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $683.76 | $1,036 | 2.3× |
| IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) | $284.46 | $431 | 1.4× |
| Igk rearrangeabn clonal pop (81264) range across 2 matching MRF lines |
$435.60–$1,604.46 | $660–$2,431 | varies |
| Immune Complex Assay (86332) | $166.32 | $252 | 6.8× |
| Immunfix e-phorsis/urine/csf (86335) | $198 | $300 | 6.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$82.50–$450.12 | $125–$682 | varies |
| Immunoassay infectious agent (86318) | $118.14 | $179 | 6.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 2 matching MRF lines |
$79.86–$99 | $121–$150 | varies |
| Immunoassay nonantibody (83516) range across 6 matching MRF lines |
$47.52–$82.50 | $72–$125 | varies |
| Immunodiffusion not elsewhere specified (86329) | $96.36 | $146 | 6.9× |
| Immunodiffusion Ouchterlony (86331) | $85.80 | $130 | 7.2× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$170.28–$207.90 | $258–$315 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $172.26 | $261 | 1.0× |
| Immunohistochemistry (88342) | $297 | $450 | 1.8× |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$307.56–$493.68 | $466–$748 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $493.68 | $748 | 3.0× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $75.24 | $114 | 5.2× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $96.36 | $146 | 7.9× |
| Influenza a/b ag eia (87400) | $71.94 | $109 | 5.1× |
| Influenza assay w/optic (87804) | $85.14 | $129 | 5.1× |
| Inhibin A (86336) range across 2 matching MRF lines |
$108.90–$155.10 | $165–$235 | varies |
| Inhibin b (83520) range across 6 matching MRF lines |
$93.06–$669.90 | $141–$1,015 | varies |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$415.80–$894.30 | $630–$1,355 | varies |
| Insulin antibodies (86337) | $207.90 | $315 | 9.7× |
| Insulin free (83527) | $15.18 | $23 | 1.2× |
| Insulin total (83525) | $62.70 | $95 | 5.5× |
| Interleukin-6 (83529) | $87.12 | $132 | 5.0× |
| Intrinsic factor antibody (86340) | $99 | $150 | 6.6× |
| Iron (83540) | $39.60 | $60 | 6.1× |
| Iron Binding Capacity (83550) | $62.04 | $94 | 7.1× |
| Irradiation Blood Product Each Unit (86945) | $88.44 | $134 | 2.4× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$89.10–$227.70 | $135–$345 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 4 matching MRF lines |
$377.52–$1,069.86 | $572–$1,621 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $421.74 | $639 | 2.3× |
| Ketosteroids 17 total (83586) | $73.92 | $112 | 5.8× |
| Kit Gene Analysis D816 Variant(S) (81273) | $683.10 | $1,035 | 5.5× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $495 | $750 | 1.5× |
| Koh Prep (87220) | $47.52 | $72 | 11.1× |
| Kras Gene Variants Exon 2 (81275) | $931.26 | $1,411 | 4.8× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$43.56–$67.32 | $66–$102 | varies |
| Lactoferrin Fecal Quantitative (83631) | $114.18 | $173 | 5.8× |
| Lamellar Body Count (83664) | $131.34 | $199 | 6.8× |
| Ldh Isoenzymes (83625) | $62.70 | $95 | 4.9× |
| LDL direct (83721) | $62.70 | $95 | 6.0× |
| Lead (83655) | $72.60 | $110 | 6.0× |
| Legionella antibody (86713) | $89.10 | $135 | 5.8× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$59.40–$316.80 | $90–$480 | varies |
| Legionella pneumophila dfa (87278) | $59.40 | $90 | 3.8× |
| Leptospira antibody (86720) | $87.78 | $133 | 5.4× |
| Leukocyte Assessment Fecal (89055) | $36.30 | $55 | 8.5× |
| Leukocyte Histamine Release (86343) | $163.68 | $248 | 13.1× |
| Leukocyte transfusion (86950) | $1,306.14 | $1,979 | 7.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $97.02 | $147 | 3.4× |
| Level ii surg pathology grossµscopic exam (88302) | $198.66 | $301 | 5.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $974.16 | $1,476 | 2.8× |
| Lidocaine (80176) | $155.76 | $236 | 10.6× |
| Lipase (83690) range across 2 matching MRF lines |
$120.12–$143.88 | $182–$218 | varies |
| Lipoprotein A (83695) | $64.68 | $98 | 4.5× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$103.62–$217.80 | $157–$330 | varies |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $147.84 | $224 | 4.4× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $107.58 | $163 | 2.3× |
| Lithium (80178) | $39.60 | $60 | 6.0× |
| Luteinizing Hormone (Lh) (83002) | $117.48 | $178 | 6.3× |
| Lyme disease antibody (86618) | $118.14 | $179 | 6.9× |
| Lymphocyte transformation (86353) | $267.30 | $405 | 5.5× |
| Lysozyme serum (85549) | $77.88 | $118 | 4.2× |
| M. Genitalium Amp Probe (87563) | $237.60 | $360 | 6.8× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $551.76 | $836 | 3.3× |
| Macroscopic exam arthropod (87168) | $68.64 | $104 | 16.1× |
| Macroscopic Exam Parasite (87169) | $68.64 | $104 | 15.9× |
| Magnesium Urine (83735) | $48.84 | $74 | 7.3× |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$72.60–$278.52 | $110–$422 | varies |
| Mecp2 gene full seq (81302) | $1,149.72 | $1,742 | 2.2× |
| Mercury urine (83825) | $81.18 | $123 | 5.0× |
| Methylmalonic acid serum (83921) | $99 | $150 | 4.7× |
| Mgmt methylation analysis (81287) | $521.40 | $790 | 4.2× |
| Microalbumin, quantitative (82043) | $43.56 | $66 | 7.5× |
| Microbe Suscept Macrobroth (87188) | $143.88 | $218 | 21.7× |
| Microsatellite instability (81301) range across 2 matching MRF lines |
$517.44–$1,080.42 | $784–$1,637 | varies |
| Microsomal Antibodies Each (86376) | $99 | $150 | 6.8× |
| Mlh1 Gene (81288) | $469.26 | $711 | 2.4× |
| Mog-Igg1 Antb Cba Each (86362) | $952.38 | $1,443 | 79.0× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $488.40 | $740 | 12.9× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $262.68 | $398 | 6.5× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 8 matching MRF lines |
$87.12–$607.20 | $132–$920 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $173.58 | $263 | 4.1× |
| Molecular Pathology Procedure Level 3 (81402) | $495 | $750 | 3.3× |
| Molecular Pathology Procedure Level 6 (81405) | $686.40 | $1,040 | 2.3× |
| Mononuclear cell antigen (86356) | $114.18 | $173 | 4.3× |
| Mopath procedure level 1 (81400) | $370.92 | $562 | 5.8× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$495–$1,139.82 | $750–$1,727 | varies |
| Mopath procedure level 4 (81403) | $396.66 | $601 | 2.1× |
| Mopath procedure level 5 (81404) | $972.84 | $1,474 | 3.5× |
| Mopath procedure level 7 (81406) | $1,016.40 | $1,540 | 3.6× |
| Mopath procedure level 8 (81407) | $977.46 | $1,481 | 1.2× |
| Mopath procedure level 9 (81408) | $2,310 | $3,500 | 1.2× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $644.16 | $976 | 3.5× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$108.90–$199.32 | $165–$302 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $277.20 | $420 | 4.2× |
| Mucopolysaccharides acid quantitative (83864) | $555.06 | $841 | 19.5× |
| Mumps antibody (86735) | $108.90 | $165 | 8.3× |
| Muscle-Specific Kinase Antb (86366) | $495 | $750 | 26.9× |
| Mycobacteric Identification (87118) | $138.60 | $210 | 9.5× |
| Mycophenolic Acid (80180) | $79.20 | $120 | 4.4× |
| Mycoplasma antibody (86738) | $68.64 | $104 | 5.2× |
| Mycoplasma culture (87109) | $79.86 | $121 | 5.2× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $679.80 | $1,030 | 3.9× |
| Myelin basic protein csf (83873) | $89.76 | $136 | 5.2× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$32.34–$89.76 | $49–$136 | varies |
| Natriuretic peptide (83880) | $207.24 | $314 | 5.3× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$38.94–$138.60 | $59–$210 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $388.08 | $588 | 3.0× |
| Nfct ds bv&vaginitis DNA alg (81515) | $347.16 | $526 | 1.3× |
| Nfct ds chrnc hcv 6 assays (81596) | $211.86 | $321 | 2.9× |
| Niacin (84591) | $110.22 | $167 | 6.5× |
| Nk cells total count (86357) | $256.74 | $389 | 6.8× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $507.54 | $769 | 2.1× |
| Nras gene variants exon 2&3 (81311) | $673.86 | $1,021 | 2.3× |
| Ntrk translocation analysis (81194) | $1,342.44 | $2,034 | 2.6× |
| Nuclear antigen antibody (86235) | $118.14 | $179 | 6.6× |
| Obstetric panel (80081) | $356.40 | $540 | 4.8× |
| Occult blood feces (82272) | $22.44 | $34 | 5.3× |
| Occult Blood Other Sources (82271) | $24.42 | $37 | 4.6× |
| Oligoclonal bands (83916) | $117.48 | $178 | 4.3× |
| Organic acids urine (83918) | $531.30 | $805 | 22.5× |
| Osmolality serum (83930) | $40.26 | $61 | 6.1× |
| Osmolality Urine (83935) | $42.90 | $65 | 6.3× |
| Osmotic fragility rbc incubated (85557) | $228.36 | $346 | 17.1× |
| Osteocalcin (83937) | $59.40 | $90 | 2.0× |
| Ova and parasites smears (87177) | $59.40 | $90 | 6.7× |
| Oxalate urine (83945) | $79.86 | $121 | 5.5× |
| Palb2 gene full gene seq (81307) | $892.32 | $1,352 | 1.3× |
| Pancreatic Elastase Fecal (82656) | $170.94 | $259 | 14.8× |
| Particle Agglut Antbdy Titr (86406) | $71.28 | $108 | 6.7× |
| Particle Agglutination Screen Each Antibody (86403) range across 2 matching MRF lines |
$18.48–$82.50 | $28–$125 | varies |
| Parvovirus antibody (86747) | $79.86 | $121 | 5.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $820.38 | $1,243 | 1.0× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $107.58 | $163 | 2.1× |
| Pathology Consultation During Surgery (88329) | $353.10 | $535 | 6.1× |
| Pca3/Klk3 Prostate Specific Antigen Ratio (81313) | $1,189.32 | $1,802 | 4.7× |
| Ph urine (81003) range across 6 matching MRF lines |
$17.16–$35.64 | $26–$54 | varies |
| Phenobarbital Level (80184) | $77.88 | $118 | 5.1× |
| Phenotype Infect Agent Drug (87900) | $143.22 | $217 | 1.1× |
| Phenylalanine (84030) | $170.94 | $259 | 31.1× |
| Phenytoin (Dilantin) (80185) | $77.88 | $118 | 5.9× |
| Phenytoin free (80186) | $61.38 | $93 | 4.5× |
| Phosphatase acid prostatic (84066) | $89.76 | $136 | 9.3× |
| Phosphatase alkaline (84075) | $25.74 | $39 | 5.0× |
| Phosphatidylglycerol (84081) | $350.46 | $531 | 21.2× |
| Phosphorus Serum (84100) | $29.04 | $44 | 6.1× |
| Phosphorus urine (84105) | $31.68 | $48 | 5.5× |
| Pinworm exam (87172) | $23.76 | $36 | 5.6× |
| Platelet Aggregation (85576) range across 5 matching MRF lines |
$79.20–$196.68 | $120–$298 | varies |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$178.86–$386.10 | $271–$585 | varies |
| Platelet count automated (85049) | $34.32 | $52 | 7.7× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) range across 2 matching MRF lines |
$505.56–$861.96 | $766–$1,306 | varies |
| Pneumcysts jirovecii amp prb (87594) | $165 | $250 | 4.7× |
| Pooling blood platelets (86965) | $198 | $300 | 1.2× |
| Porphobilinogen, urine; quantitative (84110) | $50.16 | $76 | 5.9× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $134.64 | $204 | 9.2× |
| Potassium Urine (84133) | $25.74 | $39 | 5.4× |
| Prealbumin (84134) | $46.20 | $70 | 3.2× |
| Pregnenolone (84140) | $85.14 | $129 | 4.1× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $88.44 | $134 | 1.5× |
| Primidone (80188) | $77.88 | $118 | 4.7× |
| Procalcitonin (Pct) (84145) | $184.80 | $280 | 6.8× |
| Progesterone (84144) | $117.48 | $178 | 5.6× |
| Prolactin (84146) | $117.48 | $178 | 6.1× |
| Prostaglandin (84150) | $324.72 | $492 | 7.8× |
| Protein body fluid (84157) | $42.90 | $65 | 10.7× |
| Protein C Activity (85303) | $108.90 | $165 | 7.9× |
| Protein c antigen (85302) | $129.36 | $196 | 10.8× |
| Protein Electrophoresis Urine (84166) | $116.82 | $177 | 6.6× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $71.94 | $109 | 6.7× |
| Protein S Free (85306) | $118.14 | $179 | 7.7× |
| Protein s total (85305) | $129.36 | $196 | 11.1× |
| Protein total serum (84155) | $23.76 | $36 | 6.5× |
| Protein Total Urine (84156) | $27.06 | $41 | 7.4× |
| Protein Western Blot Test (84182) | $361.68 | $548 | 12.4× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $42.90 | $65 | 10.9× |
| Protoporphyrin rbc quantitative (84202) | $72.60 | $110 | 5.1× |
| PSA free (84154) | $117.48 | $178 | 6.4× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $1,306.80 | $1,980 | 2.2× |
| Pth Intact (83970) | $252.12 | $382 | 6.1× |
| Pyruvate kinase (84220) | $182.16 | $276 | 19.3× |
| Q Fever Antibody (86638) | $64.02 | $97 | 5.3× |
| Quantiferon tb gold plus (86480) | $415.14 | $629 | 6.7× |
| Quantitative assay drug (80299) | $130.02 | $197 | 7.0× |
| Quantitative Screen Metals (83018) | $99 | $150 | 4.5× |
| Quinidine (80194) | $88.44 | $134 | 6.1× |
| Rbc antibody elution (86860) | $198 | $300 | 1.2× |
| Rbc antibody identification (86870) | $415.80 | $630 | 1.2× |
| Rbc antibody screen (86850) | $75.24 | $114 | 7.7× |
| Rbc pretreatment serum (86978) | $100.32 | $152 | 1.7× |
| Rbc pretx incubatj w/enzymes (86971) | $413.82 | $627 | 2.5× |
| Reagent Strip/Blood Glucose (82948) | $13.86 | $21 | 2.8× |
| Renin activity plasma (84244) | $134.64 | $204 | 6.1× |
| Reptilase test (85635) | $108.90 | $165 | 11.1× |
| Resp virus 12-25 targets (87633) | $911.46 | $1,381 | 2.2× |
| Reticulated Platelet Assay (85055) | $178.86 | $271 | 5.0× |
| Reticulocyte Count Manual (85044) | $129.36 | $196 | 30.0× |
| Reticulocyte separation (86972) | $217.14 | $329 | 1.3× |
| Rh (86901) | $39.60 | $60 | 13.2× |
| Rheumatoid Factor Qualitative (86430) | $42.24 | $64 | 6.9× |
| Rheumatoid factor quant (86431) | $38.94 | $59 | 6.9× |
| Rickettsia antibody (86757) | $99 | $150 | 5.1× |
| Ristocetin cofactor (85245) | $175.56 | $266 | 7.7× |
| Rotavirus ag eia (87425) | $68.64 | $104 | 5.7× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$7.11–$32.34 | $10.78–$49 | varies |
| Rsv Assay W/Optic (87807) | $99 | $150 | 7.6× |
| Rubella Antibody (86762) | $99 | $150 | 6.9× |
| Rubeola antibody (86765) | $89.10 | $135 | 6.9× |
| Russell Viper Venom Time Diluted (85613) | $68.64 | $104 | 7.2× |
| Salmonella antibody (86768) | $66 | $100 | 5.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$119.46–$126.06 | $181–$191 | varies |
| Sars-cov-2 COVID-19 antibody (86769) | $77.22 | $117 | 1.8× |
| Sarscov2 & inf a&b amp prb (87636) | $317.46 | $481 | 2.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $363 | $550 | 2.5× |
| Sedimentation rate (85651) | $40.92 | $62 | 9.6× |
| Sedimentation Rate, Automated (85652) | $36.96 | $56 | 13.7× |
| Selenium (84255) | $152.46 | $231 | 6.0× |
| Semen Anal Sperm Detection (89321) | $207.90 | $315 | 17.3× |
| Semen analysis complete (89322) | $310.86 | $471 | 20.1× |
| Semen analysis complete (89320) | $48.18 | $73 | 3.9× |
| Semen analysis motility and count (89310) | $229.68 | $348 | 26.7× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $66.66 | $101 | 6.8× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$59.40–$356.40 | $90–$540 | varies |
| Serpina 1 gene (81332) | $663.30 | $1,005 | 15.2× |
| Sex Hormone Binding Globulin (84270) | $134.64 | $204 | 6.2× |
| Sickling of rbc reduction (85660) | $59.40 | $90 | 10.8× |
| Sirolimus (80195) | $71.28 | $108 | 5.2× |
| Skin test tuberculosis intradermal (86580) | $59.40 | $90 | 2.1× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$40.92–$118.14 | $62–$179 | varies |
| Smear complex stain (87209) | $79.86 | $121 | 4.4× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$39.60–$65.34 | $60–$99 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$65.34–$129.36 | $99–$196 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 2 matching MRF lines |
$28.38–$39.60 | $43–$60 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $327.36 | $496 | 6.4× |
| So neo gsap DNA mcrstl ins (81457) range across 3 matching MRF lines |
$1,981.98–$2,972.64 | $3,003–$4,504 | varies |
| Sodium Serum (84295) | $20.46 | $31 | 4.3× |
| Sodium Urine (84300) | $29.70 | $45 | 5.9× |
| Soluble Transferrin Receptor (84238) | $233.64 | $354 | 6.4× |
| Somatomedin (84305) | $134.64 | $204 | 6.3× |
| Special Stains Group 1 (88312) | $317.46 | $481 | 6.2× |
| Special Stains Group 2 (88313) | $258.06 | $391 | 2.0× |
| Specific gravity body fluid (84315) | $13.20 | $20 | 4.0× |
| Specimen infect agnt concntj (87015) | $40.92 | $62 | 6.1× |
| Spectrophotometry (84311) | $170.94 | $259 | 21.1× |
| Sperm Antibodies (89325) | $55.44 | $84 | 5.2× |
| Splitting Blood/Blood Products Each Unit (86985) | $198 | $300 | 1.2× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $198 | $300 | 1.2× |
| Staph a DNA amp probe (87640) | $237.60 | $360 | 6.8× |
| Stool cultr aerobic bact ea (87046) | $59.40 | $90 | 6.3× |
| Strep a assay w/optic (87880) | $79.86 | $121 | 4.8× |
| Strep a DNA amp probe (87651) | $219.12 | $332 | 6.2× |
| Strep b DNA amp probe (87653) | $237.60 | $360 | 6.8× |
| Sugars Single Qual (84376) | $54.12 | $82 | 9.8× |
| Sulfate urine (84392) | $29.04 | $44 | 5.3× |
| Surg path level iii (88304) | $248.16 | $376 | 4.9× |
| Surgical pathology level IV (88305) | $297.66 | $451 | 5.8× |
| Surgical pathology level vi (88309) | $1,391.94 | $2,109 | 1.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $68.64 | $104 | 14.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $67.32 | $102 | 9.0× |
| Sweat Collection Iontophoresis (89230) | $155.76 | $236 | 3.1× |
| Syphilis Test Non-Trep Quant (86593) | $42.24 | $64 | 9.6× |
| T cells absolute cd4 count (86361) | $172.92 | $262 | 6.5× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $316.80 | $480 | 6.7× |
| T cells total count (86359) | $268.62 | $407 | 7.1× |
| T3 Free (84481) range across 2 matching MRF lines |
$72.60–$143.88 | $110–$218 | varies |
| T3 reverse (84482) | $54.12 | $82 | 3.4× |
| T3 Total (84480) | $89.76 | $136 | 6.3× |
| T3 Uptake (84479) | $54.12 | $82 | 8.4× |
| T4 Free (84439) | $54.12 | $82 | 6.0× |
| T4 total (84436) | $31.68 | $48 | 4.6× |
| Tacrolimus (80197) | $77.88 | $118 | 5.7× |
| Tb ag response t-cell susp (86481) | $295.02 | $447 | 3.0× |
| Test for acetone/ketones (82009) | $40.92 | $62 | 9.1× |
| Testosterone total (84403) | $152.46 | $231 | 5.9× |
| Testosterone, Free (84402) | $152.46 | $231 | 6.0× |
| Tetanus antibody (86774) | $99 | $150 | 6.7× |
| Tgsap so/hl 51/< RNA alys (81456) | $4,899.18 | $7,423 | 1.7× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $2,178 | $3,300 | 3.6× |
| Theophylline (80198) | $69.30 | $105 | 4.9× |
| Thiopurine methyltransferase (84433) | $278.52 | $422 | 12.6× |
| Thrombin Time (85670) | $89.10 | $135 | 15.4× |
| Thromboplastin Inhibition Tissue (85705) | $49.50 | $75 | 5.1× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$26.40–$68.64 | $40–$104 | varies |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$99–$287.76 | $150–$436 | varies |
| Thyroglobulin Antibody (86800) | $108.90 | $165 | 6.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $233.64 | $354 | 4.6× |
| Thyroxine binding globulin (84442) | $65.34 | $99 | 4.4× |
| Tiss cul neo disorders solid tumor (88239) | $520.74 | $789 | 3.5× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $32.34 | $49 | 2.8× |
| Tissue Culture (88233) range across 2 matching MRF lines |
$320.76–$735.24 | $486–$1,114 | varies |
| Tissue Culture Amniotic Fluid (88235) | $483.78 | $733 | 3.2× |
| Tissue culture bone marrow (88237) | $339.24 | $514 | 2.4× |
| Tissue Culture Lymphocyte (88230) range across 5 matching MRF lines |
$134.64–$450.78 | $204–$683 | varies |
| Tobramycin peak (80200) | $77.88 | $118 | 4.8× |
| Topiramate (80201) | $77.88 | $118 | 6.5× |
| Total Tau (84394) | $468.60 | $710 | 3.6× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $115.50 | $175 | 5.9× |
| Toxoplasma ab igm (86778) | $89.10 | $135 | 6.2× |
| Toxoplasma antibody (86777) | $99 | $150 | 6.9× |
| Tp53 gene analysis full gene sequence (81351) | $1,083.72 | $1,642 | 1.7× |
| Tp53 gene analysis targeted sequence analysis (81352) | $790.68 | $1,198 | 2.4× |
| Transferase Aspartate Amino Ast Sgot (84450) | $32.34 | $49 | 6.2× |
| Transferrin (84466) | $43.56 | $66 | 3.4× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $455.40 | $690 | 2.2× |
| Trg gene rearrangement anal (81342) | $465.30 | $705 | 2.3× |
| Trichinella Antibody (86784) | $96.36 | $146 | 7.7× |
| Trichomonas vagin dir probe (87660) | $138.60 | $210 | 6.9× |
| Trichomonas Vaginalis Amplif (87661) | $150.48 | $228 | 4.3× |
| Triglycerides (84478) | $35.64 | $54 | 6.2× |
| Troponin Quant (84484) | $84.48 | $128 | 6.8× |
| Trypsin feces qual (84488) | $74.58 | $113 | 10.2× |
| Tumor immunohistochem/comput (88361) | $424.38 | $643 | 1.2× |
| Tumor Immunohistochem/Manual (88360) | $411.18 | $623 | 2.5× |
| Ugt1a1 gene analysis common variants (81350) | $619.08 | $938 | 2.6× |
| Unlisted Cytogenetic Study (88299) | $372.90 | $565 | 7.3× |
| Unlisted Surgical Pathology Procedure (88399) | $1,824.24 | $2,764 | 35.8× |
| Urea Nitrogen Clearance (84545) | $217.14 | $329 | 30.2× |
| Urea nitrogen urine (84540) | $54.12 | $82 | 9.7× |
| Uric acid other source (84560) | $31.02 | $47 | 6.1× |
| Urinalysis Microscopic Only (81015) | $21.78 | $33 | 7.1× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
$63.36–$64.68 | $96–$98 | varies |
| Urinalysis Volume Measure (81050) | $22.44 | $34 | 6.2× |
| Urine Bacteria Culture (87088) | $59.40 | $90 | 7.3× |
| Urine Pregnancy Test (81025) | $59.40 | $90 | 6.9× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $38.28 | $58 | 12.1× |
| Urobilinogen urine qual (84578) | $20.46 | $31 | 4.6× |
| Valproic acid (80164) | $77.88 | $118 | 5.8× |
| Vancomycin (80202) | $95.70 | $145 | 7.1× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$49.50–$68.64 | $75–$104 | varies |
| Vasopressin (84588) | $207.24 | $314 | 6.1× |
| Very Long Chain Fatty Acids (82726) | $225.06 | $341 | 11.4× |
| Viral Culture (87252) | $178.86 | $271 | 6.9× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$68.64–$99 | $104–$150 | varies |
| Virus inoculation, shell via (87254) | $129.36 | $196 | 6.6× |
| Viscosity serum (85810) | $89.10 | $135 | 7.6× |
| Vit D 1 25-Dihydroxy (82652) | $233.64 | $354 | 6.1× |
| Vitamin A (84590) | $72.60 | $110 | 6.3× |
| Vitamin b-12 (82607) | $89.76 | $136 | 6.0× |
| Vitamin B2 (Riboflavin) (84252) | $120.12 | $182 | 5.9× |
| Vitamin B6 (84207) | $170.94 | $259 | 6.1× |
| Vitamin c (82180) | $62.70 | $95 | 6.3× |
| Vitamin D 25-Hydroxy (82306) | $180.18 | $273 | 6.1× |
| Vitamin E (84446) | $89.76 | $136 | 6.3× |
| Vitamin K (84597) | $314.82 | $477 | 22.9× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 2 matching MRF lines |
$50.82–$217.80 | $77–$330 | varies |
| Von willebrand factor ag (85246) | $172.92 | $262 | 7.5× |
| Wbc Alkaline Phosphatase Count (85540) | $123.42 | $187 | 14.4× |
| West nile virus ab igm (86788) | $68.64 | $104 | 4.1× |
| West Nile Virus Antibody (86789) | $79.86 | $121 | 5.5× |
| Western Blot Test (84181) | $127.38 | $193 | 7.5× |
| Whole Mitochondrial Genome (81460) | $2,272.38 | $3,443 | 1.8× |
| Xm Archive Tissue Molec Anal (88363) range across 2 matching MRF lines |
$28.38–$110.88 | $43–$168 | varies |
| Xylose Absorption Test (84620) | $124.74 | $189 | 9.7× |
| Zika Virus Dna/Rna Amp Probe (87662) | $495 | $750 | 9.6× |
| Zinc (84630) | $62.70 | $95 | 5.5× |
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.