Lab & pathology prices at Summit Medical Center

Casper, WY · every code in this section with a posted price and a Medicare benchmark.

1166 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $56.58 $138 3.7×
17-Hydroxypregnenolone (84143) $81.18 $198 3.6×
5 Nucleotidase (83915) $46.33 $113 4.2×
Acetylcholine receptor binding antibody (86041) $92.25 $225 5.0×
Acetylcholine receptor blocking antibody (86042) $92.25 $225 5.0×
Acetylcholn Rcptr Modlg Antb (86043) $92.25 $225 7.7×
Acth (82024) $59.04 $144 1.5×
Acth Stimulation Panel Adrenal Insufficiency (80400) $166.46 $406 5.1×
ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) $270.60 $660 3.1×
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) $284.95 $695 3.6×
Acute hepatitis panel (80074) $159.08 $388 3.3×
Acylcarnitines Quant (82017) $201.72 $492 12.0×
Acylcarnitines; qualitative, each specimen Facility (82016) $45.51 $111 2.8×
Adenovirus antibody (86603) $47.56 $116 3.7×
Afp-l3 fraction isoform & total afp w/ratio (82107) $112.34 $274 1.7×
Agglutinins Febrile Each Antigen (86000) $102.09 $249 14.6×
Albumin Fluid (82042) $19.68 $48 2.5×
Albumin ischemia modified (82045) $84.46 $206 2.5×
Albumin serum (82040) $18.45 $45 3.7×
Aldolase (82085) $29.11 $71 3.0×
Aldosterone Suppression Evaluation Panel (80408) $312.42 $762 2.5×
Aldosterone urine (82088) $54.94 $134 1.3×
Allergen spec ige qual multiallergen screen (86005) $54.12 $132 6.8×
Allergen specific ige (86003) $17.22 $42 3.3×
Allergen specific igg (86001) $14.76 $36 1.9×
Allg Spec Ige Recomb Ea (86008) $18.86 $46 1.1×
Alpha-1-antitrypsin phenotype (82104) $52.07 $127 3.6×
Alpha-1-antitrypsin total (82103) $45.10 $110 3.4×
Alpha-Fetoprotein Amniotic Fluid (82106) $17.63 $43 1.0×
Alpha-Fetoprotein Serum (82105) $38.13 $93 2.3×
Alt (sgpt) (84460) $17.63 $43 3.3×
Aluminum (82108) $82.41 $201 3.2×
Amines vaginal fluid qualitative (82120) $34.85 $85 5.8×
Amino Acids 1 Quantitative Each Specimen (82131) $181.63 $443 7.9×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $59.45 $145 3.5×
Amino Acids Multiple Qualitative Each Specimen (82128) $35.26 $86 2.5×
Amino Acids Quant 2-5 (82136) $181.63 $443 9.3×
Amino acids; single, qualitative, each specimen Facility (82127) $34.44 $84 2.4×
Aminolevulinic acid (ala) (82135) $98.81 $241 6.0×
Ammonia (82140) $50.02 $122 3.4×
Amniotic fluid protein test on cervicovaginal fluid (84112) $122.18 $298 1.2×
Amniotic fluid scan (82143) $53.71 $131 5.7×
Amylase urine (82150) $38.95 $95 6.0×
Ana Titer (86039) $31.98 $78 2.9×
Analysis skeletal muscle (88355) $331.69 $809 1.9×
Androstanediol Glucuronide (82154) $95.12 $232 3.3×
Androstenedione (82157) $75.44 $184 2.6×
Androsterone (hormone) level (82160) $84.87 $207 3.3×
Angiotensin converting enzyme csf (82164) $51.25 $125 3.5×
Angiotensin II (82163) $84.87 $207 4.1×
Animal inoculation, small animal, with observation and dissection Facility (87003) $41.82 $102 2.5×
Anti-Phospholipid Antibody (86148) $167.69 $409 10.4×
Antibody aspergillus (86606) $28.70 $70 1.9×
Antibody Bacterium Not Elsewhere Specified (86609) $64.78 $158 5.0×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $31.98 $78 2.1×
Antibody Cytomegalovirus Cmv Igm (86645) $32.80 $80 1.9×
Antibody Encephalitis California La Crosse (86651) $48.79 $119 3.7×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $28.70 $70 2.2×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $47.15 $115 3.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $50.84 $124 2.8×
Antibody Fungus Not Elsewhere Specified (86671) $69.70 $170 5.7×
Antibody haemophilus influenza (86684) $68.06 $166 4.3×
Antibody helicobacter pylori (86677) $37.31 $91 2.2×
Antibody Herpes Smplx Non-Specific Type Test (86694) $33.21 $81 2.3×
Antibody Herpes Smplx Type 1 (86695) $32.39 $79 2.5×
Antibody HIV-2 (86702) $74.21 $181 5.5×
Antibody Hla Class I High Definition Panel Qual (86832) $447.31 $1,091 1.4×
Antibody Hla Class I Phenotype Panel Qualitative (86830) $284.54 $694 3.0×
Antibody Hla Class II Phenotype Panel Qual (86831) $243.95 $595 3.0×
Antibody hla class ii semiquantitative panel (86835) $1,138.16 $2,776 3.5×
Antibody htlv/HIV antibody confirmatory test (86689) $71.75 $175 3.7×
Antibody identification leukocyte antibodies (86021) $22.96 $56 1.5×
Antibody Identification Platelet Immunogl Assay (86023) $74.62 $182 6.0×
Antibody john cunningham virus (86711) $55.35 $135 3.3×
Antibody leishmania (86717) $44.69 $109 3.6×
Antibody Lymphocytic Choriomeningitis (86727) $38.13 $93 3.0×
Antibody neisseria meningitidis (86741) $54.12 $132 4.1×
Antibody nocardia (86744) $54.12 $132 3.4×
Antibody plasmodium malaria (86750) $39.36 $96 3.0×
Antibody Protozoa Nes (86753) $39.77 $97 3.2×
Antibody rotavirus (86759) $54.12 $132 3.0×
Antibody Titer (86886) $156.62 $382 30.2×
Antibody Treponema Pallidum (86780)
range across 7 matching MRF lines		 $30.75–$135.74 $75–$331.09 varies
Antibody yersinia (86793) $92.25 $225 7.0×
Antibody; campylobacter (86625) $63.55 $155 4.8×
Antibody; encephalitis, st. louis (86653) $43.87 $107 3.3×
Antibody; influenza virus (86710) $44.69 $109 3.3×
Antibody; mucormycosis Facility (86732) $59.45 $145 4.0×
Antigen typing (86905) $277.98 $678 72.6×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885)
range across 5 matching MRF lines		 $22.55–$57.81 $55–$141 varies
Antinuclear antibodies (86038) $46.74 $114 3.9×
Antistreptolysin o titer (86060) $27.06 $66 3.7×
Antithrombin iii activity (85300) $33.21 $81 2.8×
Antithrombin iii antigen (85301) $55.76 $136 5.2×
Apc Gene Analysis Known Familial Variants (81202) $91.43 $223 0.3×
Apc gene dup/delet variants (81203) $91.43 $223 0.5×
Apc gene full sequence (81201) $91.43 $223 0.1×
Apolipoprotein a1 (82172) $22.96 $56 1.1×
Aquaporin-4 Antb Cba Each (86052) $726.79 $1,772.68 60.3×
Arsenic (82175) $42.64 $104 2.2×
Aspa gene analysis common variants (81200) $91.43 $223 1.9×
Aspergillus ag eia (87305) $91.02 $222 7.6×
Assay activated protein c (85307) $37.31 $91 2.4×
Assay Blood Carbon Dioxide (82374) $15.58 $38 3.2×
Assay Blood Catecholamines (82383) $77.90 $190 2.7×
Assay Dir Meas Fr Estradiol (82681) $181.63 $443 6.5×
Assay Duodenal Fluid Trypsin (84485) $42.64 $104 5.9×
Assay myeloperoxidase (83876) $84.46 $206 1.7×
Assay Nephelometry Not Spec (83883) $21.32 $52 1.6×
Assay of 5-hiaa (83497) $41.82 $102 3.2×
Assay of b-hexosaminidase each assay (83080) $179.58 $438 10.6×
Assay of blood/uric acid (84550) $20.91 $51 4.6×
Assay of calcium in urine (82340) $34.44 $84 5.7×
Assay of corticosterone (82528) $77.90 $190 3.5×
Assay of cpk in blood (82552) $79.54 $194 5.9×
Assay of estrone (82679) $24.60 $60 1.0×
Assay of feces for trypsin (84490) $25.42 $62 2.6×
Assay of g6pd enzyme (82955) $54.94 $134 5.7×
Assay of gammaglobulin igm (82784) $29.93 $73 3.2×
Assay of lactic acid (83605) $55.35 $135 4.8×
Assay of manganese (83785) $95.53 $233 3.6×
Assay of metanephrines (83835) $49.61 $121 2.9×
Assay of phosphatase acid total (84060) $41 $100 5.4×
Assay of phosphatase alkaline heat stable (84078) $36.90 $90 4.5×
Assay of procainamide (80190) $99.22 $242 1.7×
Assay of proinsulin (84206) $100.86 $246 3.8×
Assay of prostate specific antigen complexed (84152) $45.92 $112 2.5×
Assay of pyruvate (84210) $46.74 $114 3.2×
Assay of semen fructose (82757) $43.05 $105 2.5×
Assay of serotonin (84260) $78.31 $191 2.5×
Assay of serum potassium (84132) $16.40 $40 3.4×
Assay of Sialic Acid (84275) $49.61 $121 3.7×
Assay of sweat sodium (84302) $28.29 $69 5.8×
Assay of transcortin (84449) $70.93 $173 3.9×
Assay of Tyrosine (84510) $28.29 $69 2.7×
Assay of urea nitrogen (84520) $15.58 $38 3.9×
Assay of urine vma (84585) $16.81 $41 1.1×
Assay of vasoactive intestinal peptide (84586) $75.03 $183 2.1×
Assay of vitamin b-1 (84425) $43.46 $106 2.0×
Assay Ph Body Fluid Nos (83986) $19.27 $47 5.4×
Assay Phosphohexose Enzymes (84087) $63.96 $156 6.0×
Atomic Absorption (82190) $84.87 $207 5.3×
Autol Bld/Component Collj Storage Predeposited (86890) $114.80 $280 0.7×
Autol bld/component collj storage salvage (86891) $804.01 $1,961 1.0×
Automated Leukocyte Count (85048) $16.40 $40 6.5×
B cells total count (86355) $61.91 $151 1.6×
Bacterial antigens 87802 (87802) $30.34 $74 2.4×
Bartonella antibody (86611) $26.65 $65 2.6×
Bckdhb Gene Analysis Common Variants (81205) $91.43 $223 1.0×
Bcr/abl1 gene major bp (81206) $164.82 $402 1.0×
Bcr/abl1 gene minor bp (81207) $152.93 $373 1.1×
Bcr/Abl1 Gene Other Bp (81208) $191.88 $468 0.9×
Beta 2 glycoprotein i antibody each (86146) $40.59 $99 1.6×
Beta hydroxybutyrate (82010) $36.49 $89 4.5×
Beta Lactamase (87185) $6.15 $15 1.3×
Beta-2 Microglobulin (82232) $48.79 $119 3.0×
Bile acids total (82239) $48.38 $118 2.8×
Bile acids, cholylglycine (82240) $137.76 $336 5.2×
Bilirubin direct (82248) $15.58 $38 3.1×
Bilirubin total (82247) $19.68 $48 3.9×
Bilirubin total transcutaneous (88720) $45.51 $111 9.1×
Bilirubin; feces, qualitative Facility (82252) $15.58 $38 3.4×
Biotinidase (82261) $9.02 $22 0.5×
Bl Smear W/O Diff Wbc Count (85008)
range across 5 matching MRF lines		 $19.27–$67.65 $47–$165 varies
Blastomyces antibody (86612) $38.13 $93 3.0×
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $36.49 $89 0.7×
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $36.49 $89 1.2×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $113.57 $277 0.7×
Bld Typing Serologic Rh Phnt (86906) $95.53 $233 12.3×
Bleeding time test (85002) $38.54 $94 8.0×
Blm Gene (81209) $91.43 $223 2.3×
Blood Count Automated Differential Wbc Count (85004) $27.47 $67 4.2×
Blood Count Manual Cell Count Each (85032) $27.06 $66 6.3×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $22.96 $56 4.5×
Blood Count Red Blood Cell Automated (85041) $26.24 $64 8.7×
Blood count reticulocyte automated (85045) $39.36 $96 9.9×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $22.14 $54 5.8×
Blood count spun microhematocrit (85013) $17.22 $42 2.5×
Blood gases w/02 saturation (82805)
range across 10 matching MRF lines		 $65.19–$249.38 $159–$608.26 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $49.61 $121 3.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $10.66 $26 2.4×
Blood Sulfhemoglobin Assay (83060) $35.26 $86 4.0×
Blood Type Antigen Donor Reagent Serum Each (86902) $127.51 $311 20.1×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $25.42 $62 1.6×
Blood typing serologic abo (86900) $59.45 $145 19.9×
Body fluid cell count (89050) $36.08 $88 7.6×
Bone marrow smear interpretation (85097) $67.65 $165 0.1×
Bordetella antibody (86615) $79.54 $194 6.0×
Borrelia Antibody (86619) $54.12 $132 4.0×
Braf gene analysis (81210) $81.18 $198 0.5×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) $322.67 $787 0.7×
Brca1 Gene Analysis Known Familial Variant (81215) $170.15 $415 0.5×
Brca2 gene analysis full sequence analysis (81216) $91.43 $223 0.5×
Brca2 Gene Analysis Known Familial Variant (81217) $170.15 $415 0.5×
Breath Alcohol Test (82075) $19.27 $47 0.6×
Brucella antibody (86622) $28.29 $69 3.2×
C diff amplified probe (87493) $79.54 $194 2.1×
C-Peptide (84681) $56.99 $139 2.7×
C-reactive protein (86140) $36.90 $90 7.1×
Ca 19-9 (86301) $52.89 $129 2.5×
Cadmium (82300) $30.75 $75 1.3×
Caffeine (80155) $35.26 $86 0.9×
Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) $67.65 $165 0.4×
Calcitonin (82308) $52.48 $128 2.0×
Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) $256.66 $626 3.2×
Calcium ionized (82330) $53.30 $130 3.9×
Calcium total (82310) $15.99 $39 3.1×
Calcium; after calcium infusion test (82331) $28.29 $69 2.1×
Calculus Spectroscopy (82365) $43.87 $107 3.4×
Calculus Xray Diffraction (82370) $52.48 $128 4.2×
Calprotectin Fecal (83993) $126.69 $309 6.5×
Cancer Antigen 125 (86304) $55.35 $135 2.7×
Cancer Antigen 27.29 (86300) $59.86 $146 2.9×
Candida antibody (86628) $32.39 $79 2.7×
Candida Dna Dir Probe (87480) $50.43 $123 2.5×
Carbamazepine free (80157) $77.90 $190 5.9×
Carbamazepine total (80156) $52.07 $127 3.6×
Carbohydrate Deficient Transferrin (82373) $215.66 $526 11.9×
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $21.32 $52 1.5×
Carboxyhemoglobin (82375) $48.79 $119 4.0×
Carcinoembryonic antigen (82378) $50.43 $123 2.7×
Cardiolipin ab iga (86147) $50.02 $122 2.0×
Carnitine Quantitative Each Specimen (82379) $124.64 $304 7.4×
Carotene (82380) $41 $100 4.4×
Catecholamines fractionated (82384) $86.92 $212 3.4×
Catecholamines total urine (82382) $63.96 $156 2.3×
Cathepsin-d (82387) $99.22 $242 5.5×
Ccp antibody (86200) $34.03 $83 2.6×
Cell count csf (89051) $41 $100 7.3×
Cell enumeration & id (86152) $387.45 $945 1.5×
Cellular Function Assay Stimul&Detect Biomarke (86352) $338.25 $825 2.5×
Ceruloplasmin (82390) $22.55 $55 2.1×
Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) $91.43 $223 0.5×
Cftr Gene Analysis Known Familial Variants (81221) $91.43 $223 0.9×
Cftr gene com variants (81220) $271.01 $661 0.5×
Cftr gene dup/delet variants (81222) $575.23 $1,403 1.3×
Cftr gene full sequence (81223) $575.23 $1,403 1.2×
Chemiluminescent assay (82397) $96.35 $235 6.8×
Chemotaxis Assay (86155) $41.82 $102 2.6×
Chimerism w/comp to baseline w/cell selection ea (81268) $649.44 $1,584 2.5×
Chimerism w/comp to baseline w/o cell selection (81267) $516.60 $1,260 2.5×
Chlamydia antibody (86631) $21.32 $52 1.8×
Chlamydia Igm Antibody (86632) $21.32 $52 1.7×
Chlamydia trachomatis ag if (87270) $46.33 $113 3.9×
Chloramphenicol level (82415) $46.74 $114 3.7×
Chloride other source (82438) $23.78 $58 4.8×
Chloride Serum (82435) $14.35 $35 3.1×
Chloride urine (82436) $20.50 $50 3.6×
Chlorinated Hydrocarbons Screen (82441) $42.64 $104 7.1×
Cholesterol total (82465) $19.68 $48 4.5×
Cholinesterase rbc (82482)
range across 5 matching MRF lines		 $11.89–$43.87 $29–$107 varies
Cholinesterase Serum (82480)
range across 7 matching MRF lines		 $11.89–$34.03 $29–$83 varies
Chondroitin B sulfate, quantitative Facility (82485) $56.58 $138 2.7×
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) $138.99 $339 2.5×
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) $132.84 $324 2.6×
Chorionic gonadotropin test (84702) $59.86 $146 4.0×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $118.49 $289 4.4×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $431.32 $1,052 2.5×
Chrmsm Breakage Baseline Sister 20-25 Cll (88245) $370.64 $904 2.1×
Chrmsm Breakage Synds Score 100 Cll (88249) $431.32 $1,052 2.5×
Chromium serum (82495) $37.72 $92 1.9×
Chromogenic Substrate Assay (85130) $73.39 $179 6.2×
Chromogranin a (86316) $54.53 $133 2.6×
Chromosome Analysis 15-20 (88262) $257.89 $629 2.1×
Chromosome Analysis 20-25 (88264) $83.23 $203 0.6×
Chromosome analysis 45 cells (88263) $374.33 $913 2.5×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $55.35 $135 1.6×
Citric acid urine (82507) $52.48 $128 1.9×
Ckmb (82553) $74.21 $181 6.4×
Clostridium Difficile (87324) $43.87 $107 3.7×
Clot Factor VIII Multimetric (85247) $158.26 $386 6.9×
Clot factor xiii fibrin stab (85290) $115.62 $282 7.1×
Clot lysis time, whole blood dilution Facility (85175) $42.64 $104 2.1×
Clot retraction (85170) $22.96 $56 1.4×
Clotting factor viii related antigen (85244)
range across 5 matching MRF lines		 $144.73–$195.98 $353–$478 varies
Clotting factor xii hageman (85280) $69.70 $170 3.6×
Clotting Funct Activity (85397) $27.06 $66 0.9×
Clotting hi molec weight kininogen assay (85293) $115.62 $282 6.1×
Clotting prekallikrein assay fletcher fact assay (85292) $119.72 $292 6.3×
Coagulation time activated (85347) $29.11 $71 6.8×
Coagulation time other methods (85348) $30.75 $75 6.8×
Coagulation time; Lee and White Facility (85345) $48.38 $118 10.3×
Coccidioides antibody (86635) $24.60 $60 2.1×
Cold agglutinin screen (86156) $17.22 $42 2.1×
Cold agglutinin titer (86157) $45.92 $112 5.7×
Collagen crosslinks (82523) $62.32 $152 3.3×
Column Chromotography Quant (82542) $227.14 $554 9.4×
Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) $1,769.97 $4,317 3.1×
Comparative Anal Str Markers Patient&Comp Spec (81265) $425.58 $1,038 1.8×
Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) $191.88 $468 0.6×
Compatibility Each Unit Incubation (86921) $36.49 $89 0.2×
Compatibility test antiglob (86922) $104.96 $256 0.6×
Complement Antigen Each Component (86160) $42.64 $104 3.6×
Complement Total (Ch50) (86162) $44.28 $108 2.2×
Complement/Function Activity (86161) $38.54 $94 3.2×
Consltj&Reprt Material Requiring Prepj Slides (88323) $105.78 $258 2.0×
Coombs direct (86880) $44.28 $108 8.2×
Copper urine (82525) $26.65 $65 2.1×
Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) $820.82 $2,002 1.0×
Cortisol free (82530) $42.23 $103 2.5×
Cortisol saliva (82533) $49.61 $121 3.0×
Creatine (82540) $25.42 $62 5.5×
Creatine kinase (CK), (CPK); isoforms Facility (82554) $48.38 $118 4.1×
Creatine kinase total (82550) $29.93 $73 4.6×
Creatinine blood (82565) $17.22 $42 3.4×
Creatinine clearance (82575) $38.13 $93 4.0×
Creatinine Urine (82570) $27.88 $68 5.4×
Crossmatch electronic (86923) $104.96 $256 0.6×
Crossmatch immediate spin (86920) $58.22 $142 0.3×
Crp High Sensitivity (86141) $29.11 $71 2.2×
Cryofibrinogen (82585) $11.07 $27 0.8×
Cryoglobulin (82595) $21.73 $53 3.4×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $138.58 $338 10.6×
Cryptococcal Antigen (87327) $36.90 $90 2.7×
Cryptococcus ag titer (87899) $39.36 $96 2.4×
Cryptosporidium (87272) $46.33 $113 3.9×
Cryptosporidium ag eia (87328) $47.15 $115 3.4×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $28.29 $69 3.5×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $53.30 $130 6.6×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $10.25 $25 1.3×
Culture aerobic quant other (87071) $32.39 $79 3.3×
Culture afb (87116) $46.74 $114 4.3×
Culture Anaerobic (87075) $42.23 $103 4.5×
Culture bacteria anaerobic (87073) $34.85 $85 3.6×
Culture blood (87040) $56.58 $138 5.5×
Culture chlamydia (87110) $43.87 $107 2.2×
Culture csf (87070) $47.56 $116 5.5×
Culture fungus (87102) $40.59 $99 4.8×
Culture fungus blood (87103) $29.93 $73 1.5×
Culture screen only (87081) $32.39 $79 4.9×
Culture stool (87045) $23.37 $57 2.5×
Culture Typing Gas/High Pres Liq Chromatography (87143) $45.10 $110 3.6×
Culture typing if ea antiserum (87140) $43.87 $107 7.9×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $25.42 $62 4.9×
Culture typing other methods (87158) $17.22 $42 2.2×
Culture urine (87086) $36.49 $89 4.5×
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) $22.96 $56 0.8×
Culture, typing; identification by pulse field gel typing Facility (87152) $15.99 $39 2.1×
Cyanide (82600) $62.32 $152 3.2×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $59.45 $145 4.2×
Cyclic amp (82030) $99.22 $242 3.8×
Cyclosporine (80158) $52.48 $128 2.9×
Cyp2c19 gene analysis common variants (81225) $532.59 $1,299 1.8×
Cyp2c9 gene com variants (81227) $432.55 $1,055 2.5×
Cyp2d6 gene com variants (81226) $824.10 $2,010 1.8×
Cystatin C (82610) $41.82 $102 2.3×
Cytogenom Const Microarray Copy Number Variants (81228) $91.43 $223 0.1×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $1,548.98 $3,778 1.3×
Cytomegalovirus igg (86644) $26.65 $65 1.9×
Cytopath C/V Index Add-On (88155) $14.76 $36 1.0×
Cytopath Cell Enhance Tech (88112) $76.26 $186 1.4×
Cytopath Fl Nongyn Filter (88106) $36.49 $89 1.2×
Cytopath unlstd proc (88199) $36.49 $89 0.7×
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) $28.29 $69 0.6×
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) $37.72 $92 2.0×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $53.30 $130 2.1×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) $26.24 $64 1.4×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) $26.24 $64 1.4×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) $26.24 $64 0.6×
Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) $26.24 $64 0.9×
Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) $26.24 $64 1.1×
Cytotoxic Antibody Screen Std (86807) $108.24 $264 1.4×
Cytotoxic pra quick (86808) $88.15 $215 3.0×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $63.55 $155 2.4×
Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) $50.43 $123 2.2×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $69.70 $170 1.3×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $275.52 $672 1.6×
Cytp Slides C/V Mnl Scr Under Phys (88150) $26.24 $64 1.4×
Cytp smrs any oth src extnd std > 5 slides (88162) $67.24 $164 1.3×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $52.89 $129 1.8×
Cytp Urine 3-5 Probes Cmptr (88121) $331.69 $809 1.9×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $26.65 $65 2.5×
Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) $52.89 $129 4.7×
Deoxycortisol (82634) $112.75 $275 3.9×
Deoxyribonuclease antibody (86215) $6.15 $15 0.5×
Desoxycorticosterone (82633) $135.30 $330 4.4×
Detect Agent Nos Dna Amp (87798) $55.76 $136 1.6×
Detect Agent Nos Dna Quant (87799) $112.34 $274 2.6×
Detect agnt mult DNA ampli (87801) $174.66 $426 2.5×
Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) $221.40 $540 1.4×
Dhea (82626) $37.31 $91 1.5×
Dhea-S (82627) $54.12 $132 2.4×
Dibucaine number (82638)
range across 7 matching MRF lines		 $11.89–$39.77 $29–$97 varies
Digoxin (80162) $51.66 $126 3.9×
Dihydrotestosterone (82642) $43.87 $107 1.5×
Diphtheria antitoxoid (86648) $70.93 $173 4.7×
Dna Antibody Native/Double Stranded (86225) $29.52 $72 2.1×
Dna Antibody Single Stranded (86226) $51.66 $126 4.3×
Dna/Rna Amplified Probe (87150) $51.66 $126 1.5×
DNA/RNA direct probe (87149) $50.02 $122 2.5×
Dna/Rna Sequencing (87153) $225.50 $550 2.0×
Drug assay adalimumab (80145) $120.95 $295 3.1×
Drug Assay Everolimus (80169) $91.02 $222 6.6×
Drug assay felbamate (80167) $36.49 $89 2.0×
Drug Screen Quant Clozapine (80159) $28.70 $70 1.4×
Drug Screen Quant Zonisamide (80203) $103.73 $253 7.8×
Drug Screen Quantitative Gabapentin (80171) $146.78 $358 6.8×
Drug Screen Quantitative Lamotrigine (80175) $42.23 $103 3.2×
Drug Screen Quantitative Levetiracetam (80177) $70.52 $172 5.3×
Drug Screen Quantitative Oxcarbazepine (80183) $75.44 $184 5.7×
Drug Screen Quantitative Procainamide Metabolite (80192) $20.91 $51 1.2×
Drug Screen Quantitative Tiagabine (80199) $28.70 $70 1.1×
Drug Test Prsmv Chem Anlyzr (80307) $94.71 $231 1.5×
Egfr Gene Analysis Common Variants (81235) $602.29 $1,469 1.9×
Ehrlichia antibody (86666) $33.21 $81 3.3×
Electrolyte panel (80051) $43.46 $106 6.2×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $78.31 $191 1.3×
Encephaltis East Eqne Anbdy (86652)
range across 7 matching MRF lines		 $34.85–$48.79 $85–$119 varies
Encephaltis West Eqne Antbdy (86654)
range across 10 matching MRF lines		 $34.44–$48.79 $84–$119 varies
Endocrinology (type 2 diabetes), biochemical assays of seven analytes (glucose, HbA1c, insulin, hs-CRP, adiponectin,… (81506) $91.43 $223 1.3×
Enterovirus Antibody (86658)
range across 5 matching MRF lines		 $8.61–$48.79 $21–$119 varies
Enterovirus PCR (87498) $214.02 $522 6.1×
Enzyme cell activity (82657) $199.26 $486 9.0×
Enzyme histochemistry (88319) $140.22 $342 0.2×
Eosinophil Smear (89190) $18.45 $45 3.2×
Erythropoietin (82668) $47.56 $116 2.5×
Estradiol serum (82670)
range across 8 matching MRF lines		 $53.07–$80.77 $129.44–$197 varies
Estriol (82677) $19.68 $48 0.8×
Estrogen total (82672) $84.87 $207 3.9×
Estrogens fractionated (82671) $124.64 $304 3.9×
Ethosuximide (80168) $38.95 $95 2.4×
Ethylene Glycol (82693) $66.42 $162 4.5×
Euglobulin lysis (85360) $65.60 $160 7.8×
Exam Synovial Fluid Crystals (89060) $29.93 $73 4.1×
F2 Gene (81240) $128.74 $314 2.0×
Factor Inhibitor Test (85335) $268.96 $656 20.9×
Factor ix activity (85250) $61.50 $150 3.2×
Factor v activity (85220) $31.57 $77 1.8×
Factor v leiden mutation (81241) $135.30 $330 1.8×
Factor vii assay (85230) $83.23 $203 4.6×
Factor viii assay (85240) $44.69 $109 2.5×
Factor X (85260) $74.62 $182 4.2×
Factor xi activity (85270) $59.04 $144 3.3×
Factor xiii screen (85291) $77.08 $188 8.5×
Fancc Gene (81242) $91.43 $223 2.5×
Fat differential, feces, quantitative Facility (82715) $35.67 $87 1.6×
Fat stain feces urine/respir secretions (89125) $23.78 $58 4.0×
Fat/Lipids Feces Quantitative (82710)
range across 5 matching MRF lines		 $27.06–$139.12 $66–$339.34 varies
Fatty acids free (82725)
range across 5 matching MRF lines		 $14.76–$33.21 $36–$81 varies
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $96.35 $235 12.5×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $96.35 $235 5.6×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $125.46 $306 12.3×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $64.37 $157 9.9×
Fecal Fat Qualitative (82705) $31.16 $76 6.1×
Ferritin (82728) $51.25 $125 3.8×
Fetal Aneuploidy Trisom Risk (81507) $91.43 $223 0.1×
Fetal Congenital Abnor Assay Four Anal (81511) $196.80 $480 1.3×
Fetal Congenital Abnor Assay Two Proteins (81508) $91.43 $223 1.7×
Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) $91.43 $223 1.3×
Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) $91.43 $223 1.6×
Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG ºany form», DIA), utilizing maternal… (81509) $91.43 $223 0.1×
Fetal Fibronectin (82731) $332.92 $812 5.2×
Fetal hemoglobin assay qual (83033)
range across 6 matching MRF lines		 $7.79–$22.55 $19–$55 varies
Fetal lung maturity assessment; foam stability test Facility (83662) $47.15 $115 2.5×
Fetal Lung Maturity Fluorescence Polarization (83663) $47.15 $115 2.5×
Fetal screen rosette (85461) $46.33 $113 4.9×
Fibrin degradation products (85362) $78.72 $192 11.4×
Fibrin Degradation Quant (85379) $69.70 $170 6.8×
Fibrin dgradj products d-dimer qual/semiquan (85378) $54.12 $132 5.6×
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) $67.65 $165 6.6×
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $71.34 $174 5.7×
Fibrinogen activity (85384) $42.64 $104 4.4×
Fibrinogen antigen (85385) $71.75 $175 5.0×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $29.93 $73 1.9×
Fibrinolytic factors and inhibitors; plasmin Facility (85400) $86.92 $212 11.3×
Flow cytometry first marker (88184) $102.50 $250 0.3×
Flt3 Gene (81245) $302.99 $739 1.8×
Fluorescent antibody screen (86255) $92.25 $225 7.7×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $66.01 $161 5.5×
Fluoride serum (82735) $58.22 $142 3.1×
Fmr1 Gene Charac Alleles (81244)
range across 6 matching MRF lines		 $68.47–$91.43 $167–$223 varies
Fmr1 gene detection (81243) $336.20 $820 5.9×
Folic acid rbc (82747) $69.29 $169 3.9×
Folic Acid Serum (82746) $46.33 $113 3.2×
Follicle Stimulating Hormone (83001) $62.32 $152 3.4×
Forensic Cytopathology (88125) $67.65 $165 1.3×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $110.70 $270 3.9×
Francisella tularensis (86668) $44.69 $109 3.2×
Fresh Frozen Plasma Thawing Each Unit (86927) $15.04 $36.70 0.1×
Frozen Blood Each Unit Freezing (86930) $135.71 $331 0.8×
Frozen Blood Each Unit Thawing (86931) $111.93 $273 0.6×
Frozen blood freeze/thaw (86932) $114.80 $280 3.0×
Frozen Section (88331) $160.31 $391 0.9×
Fungi Identification Mold (87107) $13.12 $32 1.3×
Fungi Identification Yeast (87106) $35.67 $87 3.5×
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) $91.43 $223 1.6×
Galactokinase rbc (82759) $53.71 $131 2.5×
Galactose (82760) $34.03 $83 3.0×
Galactose transferase test (82776) $9.02 $22 0.8×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $52.48 $128 2.5×
Galectin-3 (82777) $54.94 $134 1.2×
Gammaglobulin ige (82785) $39.77 $97 2.4×
Gardner vag DNA dir probe (87510) $50.43 $123 2.5×
Gardner Vag Dna Quant (87512) $104.14 $254 2.5×
Gases Blood O2 Saturation Only Direct Meas (82810) $36.90 $90 3.8×
Gases blood ph only (82800) $29.93 $73 2.7×
Gastric Analy W/Ph Ea Spec (82930) $24.19 $59 3.6×
Gastrin (82941) $36.49 $89 2.1×
Gastrin after secretin stim (82938) $75.03 $183 4.2×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,541.19 $3,759 3.7×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $91.43 $223 1.9×
Genet Virus Isolate Hsv (87255) $84.46 $206 2.5×
Gentamicin (80170) $31.98 $78 2.0×
Ggt (82977) $19.27 $47 2.7×
Gh suppression panel (80430) $230.01 $561 1.8×
Giardia antigen (87329) $34.44 $84 2.9×
Giardia lamblia antibody (86674) $54.12 $132 3.7×
GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) $91.43 $223 1.5×
Gjb2 Gene Analysis Full Gene Sequence (81252) $91.43 $223 0.9×
Gjb6 Gene Analysis Common Variants (81254) $91.43 $223 2.6×
Gluc-6-phosphate dehydrogenase screen (82960) $27.06 $66 4.5×
Glucagon (82943) $76.67 $187 5.4×
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $150.47 $367 3.3×
Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) $150.47 $367 3.0×
Glucagon tolerance test Facility (82946) $41 $100 2.3×
Glucose 2 hr pp (82950) $30.75 $75 6.5×
Glucose Blood Test (82962) $12.30 $30 3.8×
Glucose body fluid (82945) $25.83 $63 6.6×
Glucose Serum (82947) $15.99 $39 4.1×
Glucose tolerance test (gtt) (82951) $65.19 $159 5.1×
Glucosidase beta (82963) $275.11 $671 12.8×
Glutamate dehydrogenase Facility (82965) $19.68 $48 1.5×
Glutathione (82978) $46.74 $114 3.0×
Glutathione reductase, RBC Facility (82979) $41 $100 4.3×
Glycated Protein (82985) $31.16 $76 1.9×
Gonadotropin Chorionic Hcg Free Beta Chain (84704) $53.71 $131 3.5×
Gonadotropin Chorionic Qualitative (84703) $35.67 $87 4.7×
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) $415.74 $1,014 2.8×
Growth hormone (83003) $21.73 $53 1.3×
Growth hormone antibody (86277) $50.02 $122 3.2×
Growth Hormone Stimulation Panel (80428) $230.01 $561 3.4×
Gtt-added samples (82952) $14.76 $36 3.8×
H Pylori (C-13) Breath (83013) $94.30 $230 1.4×
H Pylori Drug Admin (83014) $167.69 $409 21.3×
Haloperidol (80173) $28.29 $69 1.8×
Haptoglobin (83010) $38.95 $95 3.1×
Haptoglobin; phenotypes Facility (83012) $63.96 $156 2.4×
Hba1/Hba2 Gene (81257) $91.43 $223 0.9×
Hdl Cholesterol (83718) $29.52 $72 3.6×
Heavy metal qualitative any analytes (83015) $82.41 $201 3.9×
Heinz Bodies Direct (85441) $38.54 $94 9.2×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $32.80 $80 4.8×
Helicobacter Pylori Stool (87338) $67.65 $165 4.7×
Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) $167.69 $409 2.5×
Helminth Antibody (86682) $27.06 $66 2.1×
Hemagglutination Inhibition (86280) $39.36 $96 4.8×
Hematocrit (85014) $14.35 $35 6.1×
Hemoglobin (85018) $13.53 $33 5.7×
Hemoglobin a1c (83036) $34.85 $85 3.6×
Hemoglobin Copper Sulfate Method Non-Automated (83026) $9.84 $24 2.5×
Hemoglobin electrophoresis (83020) $29.93 $73 2.3×
Hemoglobin F Fetal Chemical (83030) $31.16 $76 2.9×
Hemoglobin Methemoglobin Quantitative (83050) $24.19 $59 3.0×
Hemoglobin plasma (83051) $22.14 $54 3.0×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $1,129.55 $2,755 120.5×
Hemoglobin stability screen (83068) $24.19 $59 2.6×
Hemoglobin Thermolabile (83065) $28.29 $69 3.1×
Hemoglobin urine (83069) $16.81 $41 4.3×
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) $1,129.55 $2,755 120.5×
Hemoglobin-Oxygen Affinity (82820) $43.87 $107 3.3×
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) $12.30 $30 1.3×
Hemoglobin; methemoglobin, qualitative Facility (83045) $18.45 $45 2.8×
Hemolysin Acid (85475) $69.29 $169 7.8×
Hemolysins&Agglutinins Auto Screen Each (86940)
range across 5 matching MRF lines		 $24.19–$34.85 $59–$85 varies
Hemolysins&Agglutinins Incubated (86941) $32.39 $79 2.7×
Hemosiderin urine (83070) $19.68 $48 4.1×
Hep a ab igm (86709) $31.98 $78 2.8×
Heparin assay (85520) $66.83 $163 5.1×
Heparin Neutralization (85525) $71.34 $174 6.0×
Heparin-Protamine Tolerance Tst (85530) $67.65 $165 5.2×
Hepatitis a antibody total (86708) $26.65 $65 2.2×
Hepatitis b core ab igm (86705) $44.28 $108 3.8×
Hepatitis b core ab total (86704) $30.75 $75 2.6×
Hepatitis B Surface Antibody (86706) $38.54 $94 3.6×
Hepatitis B Surface Antigen (87340) $34.03 $83 3.3×
Hepatitis Be Antibody (86707) $31.98 $78 2.8×
Hepatitis Be Antigen (87350) $32.80 $80 2.8×
Hepatitis C Antibody (86803) $41.82 $102 2.9×
Hepatitis c antibody confirmatory test (86804) $105.78 $258 6.8×
Hepatitis C Genotype (87902) $305.45 $745 1.2×
Hepatitis C Probe&Rvrs Trnsc (87521) $143.09 $349 4.1×
Hepatitis C Revrs Trnscrpj (87522) $129.56 $316 3.0×
Hepatitis delta ag (87380) $52.07 $127 2.8×
Hepatitis Delta Agent Antibody (86692) $89.38 $218 5.2×
Hepatitis G Dna Quant (87527) $104.14 $254 2.5×
Herpes simplex type 2 (86696) $41.82 $102 2.2×
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) $35.26 $86 4.8×
Heterophile Antibody Screen (86308) $35.26 $86 6.8×
Hexa gene analysis common variants (81255) $91.43 $223 1.8×
Hfe Gene (81256) $215.66 $526 3.3×
Hgb Quantitative Transcutaneous (88738) $193.93 $473 38.6×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $54.53 $133 7.1×
Histamine urine (83088) $25.42 $62 0.9×
Histoplasma antibody (86698) $28.70 $70 2.1×
Histoplasma antigen urine (87385) $64.37 $157 4.9×
Hiv Genotype (87901) $640.83 $1,563 2.5×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $43.87 $107 1.8×
Hiv-1 Antibody (86701) $74.21 $181 8.3×
HIV-1 p24 antigen (87390) $57.81 $141 2.4×
Hiv-1 Quant&Revrse Trnscrpj (87536) $139.40 $340 1.6×
HIV-2 probe&revrse trnscripj (87538) $104.14 $254 3.0×
Hla class i semiquant panel (86834) $1,260.34 $3,074 3.5×
Hla Class I Typing High Resolution Complete (81379) $835.17 $2,037 2.5×
Hla Class I Typing High Resolution One Locus Ea (81380) $441.16 $1,076 2.5×
Hla Class I Typing Low Resolution Complete (81372) $549.81 $1,341 1.4×
Hla Class I Typing Low Resolution One Locus Each (81373) $277.16 $676 2.2×
Hla class i&ii antibody qual (86828) $151.70 $370 2.4×
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $1,001.22 $2,442 2.5×
Hla class i/ii antibody qual (86829) $115.21 $281 1.8×
Hla class ii high defin qual (86833) $406.72 $992 1.2×
Hla class ii typing high resolution one locus ea (81382)
range across 10 matching MRF lines		 $95.12–$307.91 $232–$751 varies
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $134.89 $329 1.2×
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) $45.10 $110 1.2×
Hla I Low Resolution One Antigen Equivalent Each (81374) $181.22 $442 2.4×
Hla I Typing 1 Allele Hr (81381) $235.34 $574 1.4×
Hla i&ii high resolution hla-a -b -c and -drb1 (81378) $860.18 $2,098 2.5×
Hla i&li low resolution hla-a -b&-drb1 (81371) $599.42 $1,462 1.5×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $138.17 $337 0.6×
Hla ii type 1 ag equiv lr (81377) $228.78 $558 2.4×
Hla ii typing 1 allele hr (81383) $271.83 $663 2.5×
Hla ii typing 1 locus lr (81376) $57.81 $141 0.5×
Hla Typing a/B/C Multiple Antigens (86813) $149.24 $364 2.6×
Hla Typing Dr/Dq Multiple Antigens (86817) $311.60 $760 2.9×
Hla Typing Dr/Dq Single Antigen (86816) $48.38 $118 1.6×
Hla-b27 (86812) $86.10 $210 3.3×
Homocysteine (83090) $61.09 $149 3.4×
Homogenization Tissue (87176) $22.14 $54 3.8×
Homovanillic acid urine (83150) $25.42 $62 1.1×
Hsv Dna Amp Probe (87529)
range across 7 matching MRF lines		 $68.88–$70.35 $168–$171.60 varies
Hsv Dna Quant (87530) $214.43 $523 5.0×
Htlv-I Antibody (86687) $54.12 $132 6.0×
Htlv-ii antibody (86688) $51.66 $126 3.7×
Human Epididymis Protein 4 (86305) $68.47 $167 3.3×
Hydroxyprogesterone 17-d (83498) $62.32 $152 2.3×
Hydroxyproline free (83500)
range across 5 matching MRF lines		 $69.29–$103.32 $169–$252 varies
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $85.69 $209 7.2×
Iaad Ia Cytomegalovirus (87332) $36.90 $90 3.1×
Iaad Ia Entamoeba Histolytica Grp (87337) $36.90 $90 3.1×
Iaad Ia Escherichia Coli 0157 (87335) $36.90 $90 2.9×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $24.60 $60 2.4×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $36.90 $90 2.7×
Iaad ia shiga-like toxin (87427) $36.90 $90 3.1×
Iaad Ia Streptococcus Group A (87430) $29.93 $73 1.8×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $193.52 $472 16.2×
Iaadi giardia (87269) $46.33 $113 3.4×
Iaadi herpes smplx virus type 1 (87274)
range across 5 matching MRF lines		 $46.33–$77.08 $113–$188 varies
Iaadi herpes smplx virus type 2 (87273)
range across 5 matching MRF lines		 $46.33–$77.08 $113–$188 varies
Iaadi not otherwise specified each organism (87299) $50.84 $124 3.2×
Iaadi parainfluenza virus each type (87279) $46.33 $113 2.8×
Iaadi pneumocustis carinii (87281) $46.33 $113 3.9×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $36.90 $90 3.1×
Iaadi Varicella Zoster Virus (87290) $46.33 $113 3.5×
Iaadiadoo trichomonas vaginalis (87808) $46.33 $113 3.0×
Iadna Bartonella Amplified Probe Technique (87471) $104.14 $254 3.0×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $144.32 $352 4.1×
Iadna Candida Species Amplified Probe Tq (87481) $92.66 $226 2.6×
Iadna chlamydia pneumoniae amplified probe tq (87486) $40.59 $99 1.2×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $55.76 $136 2.5×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $80.77 $197 2.3×
Iadna Cytomegalovirus Direct Probe Tq (87495) $86.51 $211 2.9×
Iadna Cytomegalovirus Quantification (87497) $142.68 $348 3.3×
Iadna hepatitis b virus amplified probe tq (87516) $129.56 $316 3.7×
Iadna Hepatitis B Virus Quantification (87517) $84.87 $207 2.0×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $104.14 $254 3.0×
Iadna Herpes Virus-6 Quantification (87533) $150.06 $366 3.6×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $275.11 $671 7.8×
Iadna Hiv-2 Quant & Reverse Transcription (87539) $115.62 $282 2.0×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $48.38 $118 1.4×
Iadna Multiple Organisms Direct Probe Tq (87800) $104.96 $256 2.4×
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $50.02 $122 1.8×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $92.66 $226 1.9×
Iadna Mycobacteria Species Direct Probe Tq (87550) $50.02 $122 2.5×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 5 matching MRF lines		 $104.14–$299.91 $254–$731.50 varies
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $57.81 $141 2.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $43.46 $106 1.2×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $56.58 $138 1.6×
Iadna Nos Direct Probe Tq Each Organism (87797) $63.96 $156 2.1×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $319.39 $779 2.2×
Ig Light Chains Free Each (83521) $332.25 $810.37 19.2×
Igg subclasses (82787) $33.62 $82 4.2×
Igh gene rearrange amp meth (81261) $492.82 $1,202 2.5×
IGH@ (Immunoglobulin heavy chain locus) (eg, leukemias and lymphomas, B-cell), gene rearrangement analysis to detect… (81262) $108.65 $265 1.6×
Igh@ Variable Region Somatic Mutation Analysis (81263) $733.08 $1,788 2.5×
Igk rearrangeabn clonal pop (81264) $371.87 $907 2.2×
Ikbkap Gene Analysis Common Variants (81260) $91.43 $223 2.3×
Immune Complex Assay (86332) $74.62 $182 3.1×
Immunfix e-phorsis/urine/csf (86335) $59.45 $145 2.0×
Immunoassay analyte qual/semiqual single step (83518) $28.29 $69 2.9×
Immunoassay Analyte Quant Radioimmunoassay (83519) $114.80 $280 6.2×
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $67.65 $165 2.6×
Immunoassay infectious agent (86318) $44.69 $109 2.5×
Immunoassay nonantibody (83516) $41 $100 3.6×
Immunodiffusion not elsewhere specified (86329) $55.76 $136 4.0×
Immunodiffusion Ouchterlony (86331)
range across 5 matching MRF lines		 $10.66–$55.76 $26–$136 varies
Immunoelectrophoresis Other Fluids Concentration (86325) $70.52 $172 3.0×
Immunoelectrophoresis Serum (86320) $82.82 $202 2.8×
Immunofixation electrophoresis (86334) $67.65 $165 3.0×
Immunohistochemistry (88342) $77.08 $188 0.4×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) $54.12 $132 2.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) $36.90 $90 2.3×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $36.90 $90 2.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) $36.90 $90 3.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $227.55 $555 14.2×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $54.12 $132 0.8×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) $46.33 $113 2.1×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) $46.33 $113 1.3×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $46.33 $113 2.9×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) $46.33 $113 1.9×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $46.33 $113 3.2×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $55.35 $135 4.1×
Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) $46.33 $113 3.5×
Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) $46.33 $113 0.8×
Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) $52.07 $127 4.3×
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) $106.60 $260 2.5×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) $57.81 $141 2.9×
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) $104.14 $254 1.9×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) $52.07 $127 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) $106.60 $260 2.5×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) $86.92 $212 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $92.66 $226 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $69.29 $169 2.2×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $104.14 $254 2.7×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) $57.81 $141 1.9×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) $57.81 $141 2.9×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $57.81 $141 1.0×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) $57.81 $141 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) $57.81 $141 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) $104.14 $254 2.5×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) $106.60 $260 2.5×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) $106.60 $260 2.5×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) $106.60 $260 2.5×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) $50.02 $122 2.5×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) $104.14 $254 0.3×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) $50.02 $122 2.5×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) $104.14 $254 2.5×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $127.92 $312 2.5×
Infectious Agent Dna/Rna Vancomycin Resistance (87500) $127.10 $310 3.6×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $61.09 $149 5.0×
Influenza a/b ag eia (87400) $36.90 $90 2.6×
Influenza assay w/optic (87804)
range across 7 matching MRF lines		 $23.78–$40.59 $58–$99 varies
Influenza DNA amp probe (87502) $211.97 $517 2.2×
Inhibin A (86336) $38.13 $93 2.4×
Inhibin b (83520)
range across 78 matching MRF lines		 $88.34–$93.07 $215.48–$227 varies
Insitu hybridization auto (88367) $211.15 $515 0.6×
Insulin antibodies (86337) $84.87 $207 4.0×
Insulin free (83527) $61.09 $149 4.7×
Insulin tolerance panel growth horm defncy (80435) $300.94 $734 2.9×
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) $283.31 $691 1.0×
Insulin total (83525) $38.95 $95 3.4×
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) $451.41 $1,101 2.7×
Interleukin-6 (83529) $88.34 $215.48 5.1×
Intrinsic factor antibody (86340) $41 $100 2.7×
Iron (83540) $28.70 $70 4.4×
Iron Binding Capacity (83550) $24.60 $60 2.8×
Iron stain peripheral blood (85536) $36.49 $89 5.3×
Irradiation Blood Product Each Unit (86945) $125.46 $306 3.3×
Islet cell antibody (86341) $117.67 $287 5.0×
Isocitric dehydrogenase (IDH) Facility (83570) $36.90 $90 4.2×
Jak2 gene analysis p.val617phe variant (81270) $198.03 $483 2.2×
Ketosteroids 17 total (83586) $56.58 $138 4.4×
Koh Prep (87220) $35.26 $86 8.3×
Kras Gene Variants Exon 2 (81275) $315.29 $769 1.6×
L/s ratio (83661) $121.77 $297 5.5×
Lactate (ld) (ldh) enzyme (83615) $25.42 $62 4.2×
Lactoferrin fecal qualitative (83630) $43.05 $105 2.2×
Lactoferrin Fecal Quantitative (83631) $48.79 $119 2.5×
Lactogen Hpl Human Chorionic Somatomammotropin (83632) $90.61 $221 4.5×
Lactose urine qual (83633) $21.32 $52 1.9×
Lamellar Body Count (83664) $47.15 $115 2.4×
Ldh Isoenzymes (83625) $25.01 $61 2.0×
LDL direct (83721) $28.29 $69 2.7×
Lead (83655) $32.39 $79 2.7×
Legionella antibody (86713) $41.41 $101 2.7×
Legionella antigen urine (87449) $45.92 $112 3.8×
Legionella DNA probe (87540) $50.02 $122 2.5×
Legionella pneumophila dfa (87278) $46.33 $113 3.0×
Leucine Aminopeptidase Lap (83670) $55.35 $135 5.6×
Leukocyte Assessment Fecal (89055) $16.81 $41 3.9×
Leukocyte Histamine Release (86343) $63.55 $155 5.1×
Leukocyte phagocytosis (86344) $61.09 $149 5.9×
Leukocyte transfusion (86950) $88.15 $215 0.5×
Level I Surg Pathology Gross Examination Only (88300) $41.41 $101 1.4×
Level ii surg pathology gross&microscopic exam (88302) $51.25 $125 1.3×
Level V Surg Pathology Gross&Microscopic Exam (88307) $261.17 $637 0.7×
Lidocaine (80176) $39.36 $96 2.7×
Lipase (83690) $50.02 $122 7.3×
Lipoprotein A (83695) $33.62 $82 2.3×
Lipoprotein Bld Quan Part (83704) $66.42 $162 1.9×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $43.87 $107 3.9×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $43.05 $105 1.3×
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $32.80 $80 2.6×
Lithium (80178) $33.21 $81 5.0×
Luteinizing Hormone (Lh) (83002) $71.34 $174 3.9×
Lyme disease antibody (86618) $45.92 $112 2.7×
Lymphocyte Culture Mixed (86821) $230.42 $562 6.3×
Lymphocyte transformation (86353) $227.96 $556 4.6×
Lymphocytotoxicity Assay (86805) $162.77 $397 0.9×
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) $162.77 $397 3.4×
Lysozyme serum (85549) $25.42 $62 1.4×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) $104.14 $254 3.0×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $234.52 $572 1.3×
Macroscopic exam arthropod (87168) $25.83 $63 6.0×
Macroscopic Exam Parasite (87169) $25.83 $63 6.0×
Magnesium Urine (83735) $27.88 $68 4.2×
Malate dehydrogenase Facility (83775) $32.80 $80 4.5×
Mass Spectrometry Quant (83789) $135.30 $330 5.6×
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $91.43 $223 2.3×
Meat fibers, feces (89160) $15.99 $39 3.3×
Mechanical fragility rbc (85547) $40.59 $99 4.7×
MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) $91.43 $223 0.8×
Mecp2 gene dup/delet variant (81304) $91.43 $223 0.6×
Mecp2 gene full seq (81302)
range across 5 matching MRF lines		 $91.43–$442.39 $223–$1,079 varies
Mercury urine (83825) $46.33 $113 2.8×
Metabolic panel ionized ca (80047) $42.64 $104 3.1×
Methemalbumin (83857) $39.77 $97 3.7×
Methotrexate (80204) $38.13 $93 1.0×
Methylmalonic acid serum (83921) $76.67 $187 3.6×
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) $291.92 $712 3.2×
Mgmt methylation analysis (81287) $91.43 $223 0.7×
Microalbumin, quantitative (82043) $34.03 $83 5.9×
Microbe Suscept Macrobroth (87188) $26.65 $65 4.0×
Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) $41 $100 1.8×
Microsatellite instability (81301) $720.78 $1,758 2.1×
Microsomal Antibodies Each (86376) $44.28 $108 3.0×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $415.74 $1,014 2.1×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $415.74 $1,014 0.6×
Mlh1 Gene Analysis Known Familial Variants (81293) $472.73 $1,153 1.4×
Mog-Igg1 Antb Cba Each (86362) $934.45 $2,279.16 77.5×
Molecular Pathology Procedure Level 3 (81402) $350.14 $854 2.3×
Molecular Pathology Procedure Level 6 (81405) $403.03 $983 1.3×
Mononuclear cell antigen (86356) $119.31 $291 4.5×
Mopath procedure level 1 (81400) $293.15 $715 4.6×
Mopath procedure level 2 (81401) $190.65 $465 1.4×
Mopath procedure level 4 (81403) $85.69 $209 0.5×
Mopath procedure level 5 (81404) $575.23 $1,403 2.1×
Mopath procedure level 7 (81406) $1,790.47 $4,367 6.3×
Mopath procedure level 8 (81407) $1,790.47 $4,367 2.1×
Mopath procedure level 9 (81408) $3,572.33 $8,713 1.8×
Morphometric analysis nerve (88356) $149.24 $364 2.8×
Mrsa Pcr (87641) $72.16 $176 2.1×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $415.74 $1,014 1.9×
Msh2 Gene Analysis Full Sequence Analysis (81295) $415.74 $1,014 1.1×
Msh2 Gene Analysis Known Familial Variants (81296) $236.57 $577 0.7×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $295.20 $720 1.2×
Msh6 Gene Analysis Full Sequence Analysis (81298) $525.21 $1,281 0.8×
Msh6 Gene Known Variants (81299) $294.38 $718 1.0×
Mthfr Gene Analysis Common Variants (81291) $164 $400 2.5×
Mucin Clot Body Fluid (83872) $25.42 $62 4.3×
Mucopolysaccharides acid quantitative (83864) $73.80 $180 2.6×
Mumps antibody (86735) $34.85 $85 2.7×
Mycobacteric Identification (87118) $27.06 $66 1.9×
Mycophenolic Acid (80180) $11.89 $29 0.7×
Mycoplasma antibody (86738) $43.87 $107 3.3×
Mycoplasma culture (87109) $63.55 $155 4.1×
Myelin basic protein csf (83873) $26.65 $65 1.5×
Myoglobin urine (83874) $25.01 $61 1.9×
Natriuretic peptide (83880) $95.12 $232 2.4×
Neisseria Dir Na Probe (87590) $32.39 $79 1.2×
Neurofilament light chain (83884) $499.79 $1,219 4.3×
Neutralization Test Viral (86382) $52.07 $127 3.1×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $51.66 $126 1.8×
Nfct Agent Genotype Hepatitis B Virus (87912) $289.46 $706 1.1×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $640.83 $1,563 2.5×
Nfct ds chrnc hcv 6 assays (81596) $91.84 $224 1.3×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $320.62 $782 2.5×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $104.14 $254 4.0×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $1,216.47 $2,967 2.5×
Niacin (84591) $83.23 $203 4.9×
Nickel level (83885) $61.09 $149 2.5×
Nitroblue Tetrazolium Dye (86384) $67.65 $165 5.0×
Nk cells total count (86357) $90.61 $221 2.4×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $451 $1,100 1.8×
Nuclear antigen antibody (86235) $39.77 $97 2.2×
Nzym actv blood cells/tiss radact substrate ea (82658) $84.87 $207 1.9×
Occult blood feces (82272) $13.53 $33 3.2×
Occult Blood Other Sources (82271) $14.35 $35 2.7×
Oligoclonal bands (83916) $45.92 $112 1.7×
Onco (Ovarian) Biochemical Assay Two Proteins (81500) $91.43 $223 0.4×
Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed… (81504) $91.43 $223 0.2×
Oncology breast mrna gene expression 21 genes (81519) $1,767.10 $4,310 0.5×
Oncoprotein dcp (83951) $226.73 $553 3.5×
Oncoprotein Her-2/Neu (83950) $226.73 $553 3.5×
Organic Acids Qualitative Each Specimen (83919) $205.41 $501 12.5×
Organic acids urine (83918) $84.87 $207 3.6×
Osmolality serum (83930) $33.21 $81 5.0×
Osmolality Urine (83935) $33.62 $82 4.9×
Osmotic fragility rbc incubated (85557) $92.66 $226 6.9×
Osmotic Fragility RBC Unincubated (85555) $67.65 $165 9.1×
Osteocalcin (83937) $45.10 $110 1.5×
Ova and parasites smears (87177) $28.29 $69 3.2×
Ova1 (81503) $91.43 $223 0.1×
Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) $28.29 $69 2.2×
Oxalate urine (83945) $25.42 $62 1.8×
Pancreatic Elastase Fecal (82656) $73.80 $180 6.4×
Particle Agglut Antbdy Titr (86406)
range across 5 matching MRF lines		 $35.26–$46.74 $86–$114 varies
Particle Agglutination Screen Each Antibody (86403) $23.78 $58 2.1×
Parvovirus antibody (86747) $11.89 $29 0.8×
Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) $169.74 $414 3.9×
Ph urine (81003) $10.66 $26 4.7×
pH; exhaled breath condensate Facility (83987) $32.39 $79 9.0×
Phenobarbital Level (80184) $46.74 $114 3.1×
Phenotype Infect Agent Drug (87900) $572.77 $1,397 4.4×
Phenylalanine (84030) $23.78 $58 4.3×
Phenylketones qual (84035) $16.40 $40 4.1×
Phosphatase acid prostatic (84066) $42.64 $104 4.4×
Phosphatase alkaline (84075) $18.04 $44 3.5×
Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) $35.26 $86 3.7×
Phospholipid Neutralization Hexagonal (85598) $99.63 $243 5.5×
Phosphorus Serum (84100) $21.73 $53 4.6×
Phosphorus urine (84105) $13.53 $33 2.3×
Pinworm exam (87172) $33.21 $81 7.8×
Platelet Aggregation (85576) $59.04 $144 2.4×
Platelet Antibodies (86022) $61.09 $149 3.3×
Platelet count automated (85049) $20.91 $51 4.7×
Platelet neutralization (85597) $51.66 $126 2.9×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $516.19 $1,259 2.5×
PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia)… (81316) $787.20 $1,920 3.8×
PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) $91.43 $223 2.0×
Pmp22 Gene Anal Duplication/Deletion Analysis (81324) $424.76 $1,036 0.6×
Pmp22 Gene Analysis Full Sequence Analysis (81325) $91.43 $223 0.1×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $404.67 $987 2.0×
Pms2 gene analysis known familial variants (81318) $337.02 $822 1.0×
Pms2 gene full seq analysis (81317) $1,425.98 $3,478 2.1×
Pooling blood platelets (86965) $111.93 $273 0.6×
Porphobilinogen Urine Qualitative (84106) $28.29 $69 4.9×
Porphobilinogen, urine; quantitative (84110) $24.60 $60 2.9×
Porphyrins Feces Quantitative (84126) $75.03 $183 1.9×
Porphyrins Urine Quantitation & Fractionation (84120) $24.60 $60 1.7×
Porphyrins, urine; qualitative (84119) $36.90 $90 2.8×
Potassium Urine (84133) $30.34 $74 6.4×
Pr assay of bradykinin (82286) $113.57 $277 22.0×
Pr assay of etiocholanolone (82696) $84.87 $207 3.2×
Prealbumin (84134) $40.59 $99 2.8×
Pregnancy-Associated Plasma Protein-A (84163) $37.31 $91 2.5×
Pregnanediol (84135) $53.71 $131 2.5×
Pregnanetriol (84138) $59.45 $145 2.8×
Pregnenolone (84140) $81.18 $198 3.9×
Pretx serum rbc antibody identification dilution (86976) $111.93 $273 3.8×
Primidone (80188) $19.68 $48 1.2×
Procalcitonin (Pct) (84145) $88.56 $216 3.3×
Progesterone (84144) $49.20 $120 2.4×
Prolactin (84146)
range across 7 matching MRF lines		 $23.27–$63.96 $56.76–$156 varies
Prostaglandin (84150) $120.13 $293 2.9×
Protein Alys Wstrn Blot I&R Immunological Ea (88372) $90.20 $220 3.4×
Protein body fluid (84157) $37.72 $92 9.4×
Protein C Activity (85303) $54.53 $133 3.9×
Protein c antigen (85302) $118.90 $290 9.9×
Protein Electrophoresis Urine (84166) $39.36 $96 2.2×
Protein Electrophoretic Fractj&Quantj Serum (84165) $33.21 $81 3.1×
Protein S Free (85306) $52.89 $129 3.5×
Protein s total (85305) $63.14 $154 5.4×
Protein test for diagnosis and monitoring of bladder cancer (86386) $28.29 $69 1.3×
Protein Total Refractometry Any Src (84160) $12.71 $31 2.3×
Protein total serum (84155) $18.45 $45 5.0×
Protein Total Urine (84156) $32.80 $80 8.9×
Protein Western Blot Test (84182) $65.60 $160 2.2×
Protein, western blot tissue (88371) $92.25 $225 4.1×
Prothrombin Time Substitution Plasma Frctj Each (85611) $62.73 $153 15.9×
Protoporphyrin rbc quantitative (84202) $64.37 $157 4.5×
Protoporphyrin, RBC; screen Facility (84203) $27.06 $66 2.8×
PSA free (84154) $50.43 $123 2.7×
Pten Gene Analysis Duplication/Deletion Variant (81323) $159.90 $390 0.5×
Pten Gene Analysis Full Sequence Analysis (81321) $1,096.34 $2,674 1.8×
Pten gene analysis known familial variant (81322) $106.60 $260 2.3×
Pth Intact (83970) $100.04 $244 2.4×
Pyruvate kinase (84220) $36.90 $90 3.9×
Q Fever Antibody (86638) $24.60 $60 2.0×
Quantiferon tb gold plus (86480) $85.69 $209 1.4×
Quantitative assay drug (80299) $78.31 $191 4.2×
Quantitative Screen Metals (83018) $73.39 $179 3.3×
Quinidine (80194) $18.45 $45 1.3×
Quinine (84228) $56.58 $138 4.9×
Rbc antibody elution (86860) $199.26 $486 1.1×
Rbc antibody identification (86870) $189.42 $462 0.5×
Rbc antibody screen (86850) $50.84 $124 5.2×
Rbc pretreatment serum (86978) $63.55 $155 1.1×
Rbc pretx incubatj w/enzymes (86971) $183.27 $447 1.1×
Rbc serum pretx incubj drugs (86975) $58.22 $142 0.1×
Reagent Strip/Blood Glucose (82948) $15.58 $38 3.1×
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $130.38 $318 1.8×
Receptor assay estrogen (84233) $154.16 $376 1.8×
Receptor assay progesterone (84234) $152.52 $372 2.4×
Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) $328.41 $801 1.6×
Renin activity plasma (84244) $37.72 $92 1.7×
Reptilase test (85635) $28.70 $70 2.9×
Resp virus 12-25 targets (87633) $481.75 $1,175 1.2×
Resp Virus 6-11 Targets (87632) $301.76 $736 1.4×
Reticulated Platelet Assay (85055)
range across 5 matching MRF lines		 $18.45–$45.10 $45–$110 varies
Reticulocyte Count (85046)
range across 5 matching MRF lines		 $13.53–$25.42 $33–$62 varies
Reticulocyte Count Manual (85044) $27.06 $66 6.3×
Reticulocyte separation (86972) $58.22 $142 0.3×
Rh (86901) $34.03 $83 11.4×
Rheumatoid Factor Qualitative (86430) $25.83 $63 4.2×
Rheumatoid factor quant (86431) $26.65 $65 4.7×
Rickettsia antibody (86757) $44.69 $109 2.3×
Ristocetin cofactor (85245) $73.39 $179 3.2×
Rotavirus ag eia (87425) $51.25 $125 4.3×
Rpr qualitative (86592) $30.75 $75 7.2×
Rsv ab (86756) $54.12 $132 3.4×
Rsv Assay W/Optic (87807) $65.19 $159 5.0×
Rubella Antibody (86762) $36.90 $90 2.6×
Rubeola antibody (86765) $34.03 $83 2.6×
Russell Viper Venom Time Diluted (85613) $44.69 $109 4.7×
Russell Viper Venon Time Undiluted (85612) $65.60 $160 3.8×
Salmonella antibody (86768) $44.69 $109 3.4×
Sars-Cov-2 Covid-19 Amp Prb (87635) $65.19 $159 1.3×
Sars-cov-2 COVID-19 antibody (86769)
range across 6 matching MRF lines		 $163.18–$177.94 $398–$434 varies
Sedimentation rate (85651) $24.19 $59 5.7×
Sedimentation Rate, Automated (85652) $21.73 $53 8.0×
Selenium (84255) $68.06 $166 2.7×
Sensitivity mic (87186) $38.54 $94 4.5×
Serpina 1 gene (81332) $108.65 $265 2.5×
Serum Bactericidal Titer (87197) $37.31 $91 2.5×
Sex Chromatin Identification Barr Bodies (88130) $37.31 $91 2.1×
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) $18.45 $45 2.3×
Sex Hormone Binding Globulin (84270) $41.82 $102 1.9×
Shigella Antibody (86771) $44.69 $109 1.8×
Sickling of rbc reduction (85660) $64.78 $158 11.8×
Silica (84285) $77.90 $190 3.1×
Sirolimus (80195) $59.45 $145 4.3×
Skin Test Candida (86485) $23.37 $57 0.8×
Skin test tuberculosis intradermal (86580) $22.96 $56 0.8×
Skin test unlisted antigen each (86486) $23.37 $57 0.8×
Skin test; histoplasmosis (86510) $23.37 $57 0.6×
Smear acid fast (87206) $21.73 $53 4.0×
Smear complex stain (87209) $33.21 $81 1.8×
Smear gram stain (87205) $23.78 $58 5.6×
Smear Special Stain (87207) $64.37 $157 10.7×
Smpd1 Gene Analysis Common Variants (81330) $91.43 $223 1.9×
Smr Prim Src Wet Mount Nfct Agt (87210) $26.24 $64 4.5×
Snrpn/Ube3a Methylation Analysis (81331) $343.99 $839 6.7×
Sodium Serum (84295) $13.94 $34 2.9×
Sodium Urine (84300) $28.70 $70 5.7×
Soluble fibrin monomer (85366) $59.45 $145 0.7×
Soluble Transferrin Receptor (84238) $57.40 $140 1.6×
Somatostatin (84307) $87.74 $214 4.8×
Special Stains Group 1 (88312) $62.32 $152 1.2×
Special Stains Group 2 (88313) $73.39 $179 0.5×
Specific gravity body fluid (84315) $12.71 $31 3.9×
Specimen infect agnt concntj (87015) $20.09 $49 3.0×
Sperm identification from aspiration (89257) $67.65 $165 1.3×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220)
range across 5 matching MRF lines		 $67.50–$67.65 $164.65–$165 varies
Staph a DNA amp probe (87640) $92.66 $226 2.6×
Stem cells total count (86367) $93.89 $229 1.2×
Stone Analysis (82355) $43.87 $107 3.8×
Stool cultr aerobic bact ea (87046) $17.63 $43 1.9×
Strep a assay w/optic (87880) $33.21 $81 2.0×
Strep a DNA amp probe (87651) $92.66 $226 2.6×
Strep b DNA amp probe (87653) $92.66 $226 2.6×
Streptokinase, antibody Facility (86590) $27.47 $67 2.2×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $27.88 $68 2.4×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $13.53 $33 2.5×
Sugars Multiple Quant (84379) $27.88 $68 2.4×
Sugars Single Qual (84376) $47.97 $117 8.7×
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $53.71 $131 1.4×
Sulfate urine (84392) $56.99 $139 10.4×
Surg path level iii (88304) $84.87 $207 1.6×
Surgical pathology level IV (88305) $88.97 $217 1.7×
Surgical pathology level vi (88309) $580.56 $1,416 0.7×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $26.65 $65 5.6×
Susceptibility Study Antimicrobial Disk Method (87184) $9.84 $24 1.3×
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $26.65 $65 0.7×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $18.45 $45 2.5×
Sweat Collection Iontophoresis (89230) $67.65 $165 1.3×
Syphilis Test Non-Trep Quant (86593) $14.35 $35 3.3×
T cells absolute cd4 count (86361) $85.28 $208 3.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $88.97 $217 1.9×
T cells total count (86359) $57.40 $140 1.5×
T3 Free (84481) $56.17 $137 3.3×
T3 reverse (84482) $36.49 $89 2.3×
T3 Total (84480) $49.61 $121 3.5×
T3 Uptake (84479) $36.90 $90 5.7×
T4 Free (84439) $44.28 $108 4.9×
T4 total (84436) $34.85 $85 5.1×
T4-neonatal (84437) $9.02 $22 1.4×
Tacrolimus (80197) $59.86 $146 4.4×
Tb ag response t-cell susp (86481) $174.35 $425.25 1.7×
Test for urine cystines (82615) $42.64 $104 4.5×
Testosterone total (84403) $56.99 $139 2.2×
Testosterone, Free (84402) $60.68 $148 2.4×
Tetanus antibody (86774)
range across 5 matching MRF lines		 $36.08–$61.09 $88–$149 varies
Thawing and expansion of frozen cells, each aliquot Facility (88241) $56.58 $138 4.7×
Theophylline (80198) $68.47 $167 4.8×
Thiocyanate (84430) $45.51 $111 3.9×
Thrombin Time (85670) $28.70 $70 5.0×
Thrombin time titer (85675) $44.28 $108 6.5×
Thrombomodulin Facility (85337) $92.66 $226 5.4×
Thromboplastin Inhibition Tissue (85705) $77.08 $188 8.0×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $42.64 $104 6.6×
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $41 $100 1.2×
Thyroglobulin (84432) $86.92 $212 5.4×
Thyroglobulin Antibody (86800) $43.05 $105 2.7×
Thyroid Stimulating Immunoglobulin (84445) $113.16 $276 2.2×
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $168.10 $410 3.3×
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) $177.12 $432 2.6×
Thyroxine binding globulin (84442) $38.13 $93 2.6×
Tissue Culture Lymphocyte (88230) $257.89 $629 2.2×
Tobramycin peak (80200) $27.06 $66 1.7×
Topiramate (80201) $54.12 $132 4.5×
Toxin/Antitoxin Assay Tissue Culture (87230) $52.07 $127 2.6×
Toxoplasma ab igm (86778) $32.80 $80 2.3×
Toxoplasma antibody (86777) $29.93 $73 2.1×
Transferase Aspartate Amino Ast Sgot (84450) $17.22 $42 3.3×
Transferrin (84466) $54.12 $132 4.2×
Trb@ gene rearrange dirprobe (81341) $123.41 $301 2.5×
Trb@ Rearrangement Anal Amplification Method (81340) $520.29 $1,269 2.5×
Trg gene rearrangement anal (81342) $501.84 $1,224 2.5×
Trichinella Antibody (86784) $48.79 $119 3.9×
Trichomonas vagin dir probe (87660) $50.43 $123 2.5×
Trichomonas Vaginalis Amplif (87661) $108.24 $264 3.1×
Triglycerides (84478) $20.09 $49 3.5×
Troponin Quant (84484) $64.78 $158 5.2×
Troponin, qualitative (84512) $19.27 $47 1.9×
Trypsin feces qual (84488) $42.64 $104 5.8×
Tumor immunohistochem/comput (88361) $46.33 $113 0.1×
Tumor Immunohistochem/Manual (88360) $37.31 $91 0.2×
Ugt1a1 gene analysis common variants (81350) $91.43 $223 0.4×
Unlisted Cytogenetic Study (88299) $190.65 $465 3.6×
Unlisted Surgical Pathology Procedure (88399) $36.49 $89 0.7×
Unlisted Transfusion Medicine Procedure (86999) $22.55 $55 0.8×
Urea Nitrogen Clearance (84545) $29.93 $73 4.2×
Urea nitrogen urine (84540) $29.11 $71 5.2×
Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) $16.81 $41 3.3×
Uric acid other source (84560)
range across 5 matching MRF lines		 $17.52–$20.09 $42.75–$49 varies
Urinalysis Microscopic Only (81015) $9.02 $22 3.0×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $15.58 $38 7.2×
Urinalysis Volume Measure (81050) $11.89 $29 3.3×
Urinalysis; 2 or 3 glass test Facility (81020) $18.86 $46 4.0×
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) $18.86 $46 0.6×
Urine Albumin Semiquantitative (82044) $29.52 $72 4.7×
Urine Bacteria Culture (87088) $25.83 $63 3.2×
Urine Pregnancy Test (81025) $31.98 $78 3.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $18.86 $46 5.9×
Urobilinogen urine qual (84578) $16.81 $41 3.8×
Urobilinogen, feces, quantitative Facility (84577) $31.16 $76 1.9×
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $25.42 $62 2.7×
Urobilinogen, urine; semiquantitative Facility (84583) $16.81 $41 2.8×
Valproic acid (80164) $44.28 $108 3.3×
Vancomycin (80202) $54.53 $133 4.0×
Vasopressin (84588) $25.42 $62 0.7×
Very Long Chain Fatty Acids (82726) $28.70 $70 1.5×
Viral Culture (87252) $93.07 $227 3.6×
Virus antibody nos (86790) $72.57 $177 5.6×
Virus inoculate tissue addl (87253) $48.79 $119 2.4×
Virus inoculation, shell via (87254) $57.81 $141 3.0×
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $57.81 $141 3.0×
Viscosity serum (85810) $48.38 $118 4.1×
Vit D 1 25-Dihydroxy (82652) $77.90 $190 2.0×
Vitamin A (84590) $38.95 $95 3.4×
Vitamin b-12 (82607) $66.83 $163 4.4×
Vitamin B2 (Riboflavin) (84252) $63.96 $156 3.2×
Vitamin B6 (84207) $66.42 $162 2.4×
Vitamin c (82180) $27.06 $66 2.7×
Vitamin D 25-Hydroxy (82306) $68.47 $167 2.3×
Vitamin E (84446) $31.57 $77 2.2×
Vitamin K (84597) $43.05 $105 3.1×
Vkorc1 gene (81355) $91.43 $223 1.0×
Volume Reduction Blood/Blood Product Each Unit (86960) $58.22 $142 0.3×
Von willebrand factor ag (85246) $56.58 $138 2.5×
Wbc Alkaline Phosphatase Count (85540) $52.07 $127 6.1×
West nile virus ab igm (86788) $54.12 $132 3.2×
West Nile Virus Antibody (86789) $59.04 $144 4.1×
Western Blot Test (84181) $73.80 $180 4.3×
Xm Archive Tissue Molec Anal (88363) $36.49 $89 1.2×
Xylose Absorption Test (84620) $58.22 $142 4.5×
Zinc (84630) $36.90 $90 3.2×

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.