Lab & pathology prices at The Carle Foundation Hospital (Urbana, IL)

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

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Procedure	Posted cash	Posted gross	× Medicare
17-Hydroxypregnenolone (84143)	$96	$96	4.2×
5 Nucleotidase (83915) range across 2 matching MRF lines	$47–$95	$47–$95	varies
Acetylcholine receptor binding antibody (86041)	$82	$82	4.5×
Acetylcholine receptor blocking antibody (86042)	$82	$82	4.5×
Acetylcholinesterase Assay (82013) range across 2 matching MRF lines	$51–$441	$51–$441	varies
Acetylcholn Rcptr Modlg Antb (86043)	$55	$55	4.6×
Acth (82024) range across 3 matching MRF lines	$41–$162	$41–$162	varies
Actin smooth muscle antibody each (86015)	$50	$50	4.1×
Acute hepatitis panel (80074) range across 3 matching MRF lines	$64–$977	$64–$977	varies
Acylcarnitines Quant (82017) range across 2 matching MRF lines	$70–$85	$70–$85	varies
Acylcarnitines; qualitative, each specimen Facility (82016)	$69	$69	4.2×
Adenovirus antibody (86603)	$54	$54	4.2×
Afp-l3 fraction isoform & total afp w/ratio (82107)	$158	$158	2.5×
Agglutinins Febrile Each Antigen (86000) range across 2 matching MRF lines	$29–$142	$29–$142	varies
Albumin Fluid (82042) range across 4 matching MRF lines	$33–$163	$33–$163	varies
Albumin serum (82040) range across 3 matching MRF lines	$21–$102	$21–$102	varies
Aldolase (82085) range across 3 matching MRF lines	$12–$57	$12–$57	varies
Aldosterone urine (82088)	$171	$171	4.2×
Alkaline phosphatase isoenzymes (84080) range across 5 matching MRF lines	$7–$75	$7–$75	varies
Allergen spec ige qual multiallergen screen (86005)	$34	$34	4.3×
Allergen specific ige (86003) range across 9 matching MRF lines	$21–$170	$21–$170	varies
Allergen specific igg (86001) range across 2 matching MRF lines	$33–$91	$33–$91	varies
Allg Spec Ige Recomb Ea (86008)	$76	$76	4.2×
Alpha-1-antitrypsin phenotype (82104) range across 3 matching MRF lines	$29–$61	$29–$61	varies
Alpha-1-antitrypsin total (82103) range across 5 matching MRF lines	$27–$284	$27–$284	varies
Alpha-Fetoprotein Amniotic Fluid (82106)	$71	$71	4.2×
Alpha-Fetoprotein Serum (82105) range across 5 matching MRF lines	$70–$389	$70–$389	varies
Alt (sgpt) (84460) range across 2 matching MRF lines	$22–$184	$22–$184	varies
Aluminum (82108)	$107	$107	4.2×
Amikacin trough (80150) range across 2 matching MRF lines	$63–$194	$63–$194	varies
Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines	$97–$220	$97–$220	varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 4 matching MRF lines	$70–$483	$70–$483	varies
Amino Acids Multiple Qualitative Each Specimen (82128) range across 2 matching MRF lines	$11–$158	$11–$158	varies
Amino Acids Quant 2-5 (82136) range across 2 matching MRF lines	$82–$263	$82–$263	varies
Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines	$69–$147	$69–$147	varies
Ammonia (82140) range across 4 matching MRF lines	$61–$284	$61–$284	varies
Amniotic fluid protein test on cervicovaginal fluid (84112) range across 3 matching MRF lines	$179–$278	$179–$278	varies
Amylase urine (82150) range across 4 matching MRF lines	$27–$226	$27–$226	varies
Ana Titer (86039) range across 4 matching MRF lines	$19–$231	$19–$231	varies
Analysis skeletal muscle (88355)	$713	$713	3.9×
Anca screen each antibody (86036) range across 2 matching MRF lines	$27–$50	$27–$50	varies
Androstenedione (82157)	$123	$123	4.2×
Angiotensin converting enzyme csf (82164) range across 4 matching MRF lines	$38–$76	$38–$76	varies
Anti-Phospholipid Antibody (86148)	$67	$67	4.2×
Antibody aspergillus (86606) range across 3 matching MRF lines	$12–$63	$12–$63	varies
Antibody Bacterium Not Elsewhere Specified (86609) range across 3 matching MRF lines	$11–$56	$11–$56	varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 4 matching MRF lines	$19–$135	$19–$135	varies
Antibody Cytomegalovirus Cmv Igm (86645) range across 7 matching MRF lines	$18–$362	$18–$362	varies
Antibody Encephalitis California La Crosse (86651) range across 4 matching MRF lines	$56–$78	$56–$78	varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) range across 3 matching MRF lines	$37–$59	$37–$59	varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 3 matching MRF lines	$8–$64	$8–$64	varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)	$77	$77	4.2×
Antibody Fungus Not Elsewhere Specified (86671)	$51	$51	4.2×
Antibody haemophilus influenza (86684)	$66	$66	4.2×
Antibody helicobacter pylori (86677) range across 3 matching MRF lines	$70–$446	$70–$446	varies
Antibody Herpes Smplx Non-Specific Type Test (86694)	$61	$61	4.2×
Antibody Herpes Smplx Type 1 (86695) range across 5 matching MRF lines	$7–$56	$7–$56	varies
Antibody HIV-1&HIV-2 single result (86703) range across 4 matching MRF lines	$158–$284	$158–$284	varies
Antibody HIV-2 (86702) range across 5 matching MRF lines	$38–$179	$38–$179	varies
Antibody Hla Class I High Definition Panel Qual (86832)	$1,360	$1,360	4.2×
Antibody htlv/HIV antibody confirmatory test (86689) range across 6 matching MRF lines	$27–$420	$27–$420	varies
Antibody identification leukocyte antibodies (86021) range across 4 matching MRF lines	$63–$99	$63–$99	varies
Antibody Identification Platelet Immunogl Assay (86023)	$53	$53	4.3×
Antibody Lymphocytic Choriomeningitis (86727)	$54	$54	4.2×
Antibody Protozoa Nes (86753) range across 3 matching MRF lines	$53–$103	$53–$103	varies
Antibody Titer (86886) range across 2 matching MRF lines	$425–$713	$425–$713	varies
Antibody Treponema Pallidum (86780) range across 7 matching MRF lines	$9–$257	$9–$257	varies
Antibody; encephalitis, st. louis (86653) range across 4 matching MRF lines	$56–$78	$56–$78	varies
Antibody; influenza virus (86710)	$57	$57	4.2×
Antigen typing (86905) range across 3 matching MRF lines	$425–$1,575	$425–$1,575	varies
Antinuclear antibodies (86038) range across 5 matching MRF lines	$50–$336	$50–$336	varies
Antistreptolysin o titer (86060) range across 5 matching MRF lines	$30–$331	$30–$331	varies
Antithrombin iii activity (85300) range across 2 matching MRF lines	$49–$341	$49–$341	varies
Antithrombin iii antigen (85301)	$45	$45	4.2×
Aortic dysfunction/dilation dup/del analysis (81411)	$5,671	$5,671	4.2×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410)	$2,117	$2,117	4.2×
Apolipoprotein a1 (82172) range across 3 matching MRF lines	$32–$88	$32–$88	varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 2 matching MRF lines	$66–$168	$66–$168	varies
Aquaporin-4 Antb Cba Each (86052)	$50	$50	4.1×
Arsenic (82175) range across 5 matching MRF lines	$80–$116	$80–$116	varies
Ashkenazi Jewish Assoc Dis (81412)	$662	$662	0.3×
Aspa gene analysis common variants (81200)	$198	$198	4.2×
Aspergillus ag eia (87305) range across 4 matching MRF lines	$50–$105	$50–$105	varies
Assay activated protein c (85307)	$483	$483	31.5×
Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines	$142–$163	$142–$163	varies
Assay Dir Meas Fr Estradiol (82681)	$118	$118	4.2×
Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines	$18–$168	$18–$168	varies
Assay of 5-hiaa (83497) range across 3 matching MRF lines	$27–$55	$27–$55	varies
Assay of anti-mullerian hormone (82166)	$173	$173	4.5×
Assay of b-hexosaminidase each assay (83080) range across 2 matching MRF lines	$70–$221	$70–$221	varies
Assay of blood/uric acid (84550)	$168	$168	37.2×
Assay of calcium in urine (82340) range across 4 matching MRF lines	$8–$226	$8–$226	varies
Assay of cpk in blood (82552) range across 3 matching MRF lines	$23–$57	$23–$57	varies
Assay of estrone (82679) range across 2 matching MRF lines	$18–$105	$18–$105	varies
Assay of g6pd enzyme (82955) range across 3 matching MRF lines	$41–$53	$41–$53	varies
Assay of gammaglobulin igm (82784) range across 10 matching MRF lines	$8–$352	$8–$352	varies
Assay of lactic acid (83605) range across 6 matching MRF lines	$22–$320	$22–$320	varies
Assay of manganese (83785)	$112	$112	4.2×
Assay of metanephrines (83835) range across 5 matching MRF lines	$19–$71	$19–$71	varies
Assay of phosphatase acid total (84060)	$33	$33	4.3×
Assay of proinsulin (84206) range across 2 matching MRF lines	$112–$175	$112–$175	varies
Assay of pyruvate (84210) range across 2 matching MRF lines	$61–$64	$61–$64	varies
Assay of serotonin (84260) range across 3 matching MRF lines	$36–$130	$36–$130	varies
Assay of serum potassium (84132) range across 5 matching MRF lines	$4–$189	$4–$189	varies
Assay of sweat sodium (84302) range across 2 matching MRF lines	$20–$86	$20–$86	varies
Assay of Tyrosine (84510)	$45	$45	4.2×
Assay of urea nitrogen (84520) range across 5 matching MRF lines	$17–$179	$17–$179	varies
Assay of urine vma (84585) range across 3 matching MRF lines	$65–$137	$65–$137	varies
Assay of vasoactive intestinal peptide (84586) range across 3 matching MRF lines	$147–$148	$147–$148	varies
Assay of vitamin b-1 (84425) range across 3 matching MRF lines	$89–$121	$89–$121	varies
Assay Ph Body Fluid Nos (83986) range across 7 matching MRF lines	$5–$189	$5–$189	varies
Assay Phosphohexose Enzymes (84087)	$45	$45	4.2×
Assay spec xcp ur&breath ia (82077) range across 2 matching MRF lines	$64–$72	$64–$72	varies
Asstd Fertilization Microtq > 10 Oocytes (89281)	$2,468	$2,468	13.5×
Asstd oocyte fert 10 or less (89280)	$1,974	$1,974	2.3×
Asy carbamazepin 10,11-epxid (80161)	$79	$79	4.2×
Autol Bld/Component Collj Storage Predeposited (86890) range across 2 matching MRF lines	$350–$500	$350–$500	varies
Automated Leukocyte Count (85048)	$85	$85	33.5×
B cells total count (86355) range across 2 matching MRF lines	$159–$714	$159–$714	varies
Babesia microti amp prb (87469)	$158	$158	4.5×
Bartonella antibody (86611) range across 4 matching MRF lines	$43–$103	$43–$103	varies
Bcr/abl1 gene major bp (81206) range across 4 matching MRF lines	$126–$689	$126–$689	varies
Bcr/abl1 gene minor bp (81207) range across 2 matching MRF lines	$131–$608	$131–$608	varies
Bcr/Abl1 Gene Other Bp (81208)	$901	$901	4.2×
Beta 2 glycoprotein i antibody each (86146) range across 3 matching MRF lines	$107–$137	$107–$137	varies
Beta hydroxybutyrate (82010) range across 2 matching MRF lines	$35–$200	$35–$200	varies
Beta Lactamase (87185) range across 2 matching MRF lines	$20–$131	$20–$131	varies
Beta-2 Microglobulin (82232) range across 3 matching MRF lines	$59–$68	$59–$68	varies
Bile acids total (82239) range across 2 matching MRF lines	$55–$71	$55–$71	varies
Bilirubin direct (82248) range across 2 matching MRF lines	$21–$121	$21–$121	varies
Bilirubin total (82247) range across 2 matching MRF lines	$21–$100	$21–$100	varies
Bilirubin total transcutaneous (88720)	$93	$93	18.5×
Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290)	$2,100	$2,100	11.5×
Biotinidase (82261) range across 3 matching MRF lines	$18–$176	$18–$176	varies
Blastomyces antibody (86612) range across 4 matching MRF lines	$55–$61	$55–$61	varies
Bld Typing Serologic Rh Phnt (86906)	$172	$172	22.2×
Bleeding time test (85002)	$200	$200	41.5×
Blm Gene (81209)	$165	$165	4.2×
Blood Count Automated Differential Wbc Count (85004)	$104	$104	16.1×
Blood Count Manual Cell Count Each (85032)	$66	$66	15.3×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009)	$70	$70	13.8×
Blood Count Red Blood Cell Automated (85041) range across 2 matching MRF lines	$13–$68	$13–$68	varies
Blood count reticulocyte automated (85045)	$110	$110	27.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)	$103	$103	27.1×
Blood count spun microhematocrit (85013) range across 2 matching MRF lines	$53–$85	$53–$85	varies
Blood gas (82803) range across 7 matching MRF lines	$425–$620	$425–$620	varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines	$67–$310	$67–$310	varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 3 matching MRF lines	$88–$102	$88–$102	varies
Blood Sulfhemoglobin Assay (83060)	$37	$37	4.2×
Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines	$425–$788	$425–$788	varies
Blood typing serologic abo (86900) range across 6 matching MRF lines	$142–$564	$142–$564	varies
Body fluid cell count (89050)	$179	$179	37.9×
Bordetella antibody (86615)	$56	$56	4.2×
Braf gene analysis (81210) range across 2 matching MRF lines	$737–$1,449	$737–$1,449	varies
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163)	$1,966	$1,966	4.2×
Brucella antibody (86622) range across 3 matching MRF lines	$38–$231	$38–$231	varies
C diff amplified probe (87493) range across 2 matching MRF lines	$263–$620	$263–$620	varies
C-Peptide (84681) range across 4 matching MRF lines	$13–$347	$13–$347	varies
C-reactive protein (86140) range across 3 matching MRF lines	$22–$184	$22–$184	varies
Ca 19-9 (86301) range across 4 matching MRF lines	$23–$347	$23–$347	varies
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185)	$3,554	$3,554	4.2×
Cadmium (82300) range across 5 matching MRF lines	$20–$103	$20–$103	varies
Caffeine (80155) range across 2 matching MRF lines	$33–$162	$33–$162	varies
Calcitonin (82308) range across 3 matching MRF lines	$24–$121	$24–$121	varies
Calcium ionized (82330) range across 4 matching MRF lines	$58–$352	$58–$352	varies
Calcium total (82310) range across 3 matching MRF lines	$22–$105	$22–$105	varies
Calculus Spectroscopy (82365) range across 4 matching MRF lines	$55–$105	$55–$105	varies
Calprotectin Fecal (83993) range across 3 matching MRF lines	$110–$368	$110–$368	varies
Calr gene com variants (81219)	$511	$511	4.2×
Cancer Antigen 125 (86304) range across 2 matching MRF lines	$121–$431	$121–$431	varies
Cancer Antigen 27.29 (86300) range across 7 matching MRF lines	$14–$87	$14–$87	varies
Candida antibody (86628)	$81	$81	6.7×
Carbamazepine free (80157) range across 3 matching MRF lines	$24–$67	$24–$67	varies
Carbamazepine total (80156) range across 4 matching MRF lines	$27–$383	$27–$383	varies
Carbohydrate Deficient Transferrin (82373) range across 2 matching MRF lines	$76–$355	$76–$355	varies
Carboxyhemoglobin (82375)	$163	$163	13.2×
Carcinoembryonic antigen (82378) range across 3 matching MRF lines	$80–$335	$80–$335	varies
Cardiolipin ab iga (86147) range across 4 matching MRF lines	$17–$121	$17–$121	varies
Carnitine Quantitative Each Specimen (82379) range across 6 matching MRF lines	$70–$347	$70–$347	varies
Carotene (82380) range across 2 matching MRF lines	$34–$97	$34–$97	varies
Catecholamines fractionated (82384) range across 4 matching MRF lines	$34–$236	$34–$236	varies
Ccp antibody (86200) range across 3 matching MRF lines	$55–$194	$55–$194	varies
Cell count csf (89051)	$215	$215	38.4×
Cell marker study (88182) range across 3 matching MRF lines	$226–$756	$226–$756	varies
Cellular Function Assay Stimul&Detect Biomarke (86352)	$570	$570	4.2×
Ceruloplasmin (82390) range across 3 matching MRF lines	$12–$352	$12–$352	varies
Cftr Gene Analysis Intron 8 Poly-T Analysis (81224)	$819	$819	4.9×
Cftr Gene Analysis Known Familial Variants (81221)	$341	$341	3.5×
Cftr gene com variants (81220) range across 2 matching MRF lines	$672–$2,337	$672–$2,337	varies
Cftr gene dup/delet variants (81222) range across 3 matching MRF lines	$488–$1,827	$488–$1,827	varies
Cftr gene full sequence (81223) range across 3 matching MRF lines	$956–$2,096	$956–$2,096	varies
Chemiluminescent assay (82397) range across 6 matching MRF lines	$59–$273	$59–$273	varies
Chg cryopreservation mature oocyte(s) (89337)	$1,071	$1,071	5.9×
Chlamydia antibody (86631) range across 5 matching MRF lines	$6–$152	$6–$152	varies
Chlamydia Igm Antibody (86632) range across 4 matching MRF lines	$7–$79	$7–$79	varies
Chlamydia trachomatis ag if (87270) range across 2 matching MRF lines	$50–$99	$50–$99	varies
Chlmy trch&neisra gonor mult (87494)	$350	$350	5.0×
Chloride other source (82438) range across 3 matching MRF lines	$21–$116	$21–$116	varies
Chloride Serum (82435) range across 5 matching MRF lines	$19–$105	$19–$105	varies
Chloride urine (82436) range across 3 matching MRF lines	$24–$92	$24–$92	varies
Cholesterol total (82465) range across 2 matching MRF lines	$36–$121	$36–$121	varies
Cholinesterase rbc (82482) range across 3 matching MRF lines	$41–$72	$41–$72	varies
Cholinesterase Serum (82480) range across 3 matching MRF lines	$33–$103	$33–$103	varies
Chorionic gonadotropin test (84702) range across 4 matching MRF lines	$55–$368	$55–$368	varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267)	$399	$399	2.1×
Chrmsm Analysis Addl Cells Counted Each Study (88285)	$113	$113	4.2×
Chrmsm Analysis Addl High Resolution Study (88289) range across 2 matching MRF lines	$145–$273	$145–$273	varies
Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 2 matching MRF lines	$58–$66	$58–$66	varies
Chrmsm Analysis Addl Specialized Banding (88283)	$288	$288	4.2×
Chromium serum (82495) range across 2 matching MRF lines	$38–$85	$38–$85	varies
Chromogenic Substrate Assay (85130)	$50	$50	4.2×
Chromogranin a (86316) range across 6 matching MRF lines	$43–$116	$43–$116	varies
Chromosome analys amniotic (88269)	$730	$730	4.2×
Chromosome Analysis 15-20 (88262) range across 4 matching MRF lines	$210–$527	$210–$527	varies
Chromosome Analysis 20-25 (88264) range across 3 matching MRF lines	$607–$683	$607–$683	varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines	$147–$672	$147–$672	varies
Citric acid urine (82507) range across 5 matching MRF lines	$117–$387	$117–$387	varies
Ckmb (82553)	$326	$326	28.2×
Clostridium Difficile (87324)	$263	$263	22.0×
Clot Factor VIII Multimetric (85247) range across 3 matching MRF lines	$50–$299	$50–$299	varies
Clot factor xiii fibrin stab (85290) range across 2 matching MRF lines	$68–$168	$68–$168	varies
Clotting factor xii hageman (85280) range across 2 matching MRF lines	$81–$126	$81–$126	varies
Clotting Funct Activity (85397) range across 3 matching MRF lines	$129–$352	$129–$352	varies
Cns DNA amp probe type 12-25 (87483) range across 2 matching MRF lines	$1,750–$3,276	$1,750–$3,276	varies
Coagulation time activated (85347) range across 5 matching MRF lines	$15–$110	$15–$110	varies
Coccidioides antibody (86635) range across 7 matching MRF lines	$17–$97	$17–$97	varies
Cold agglutinin screen (86156)	$34	$34	4.2×
Cold agglutinin titer (86157)	$34	$34	4.2×
Collagen crosslinks (82523) range across 4 matching MRF lines	$79–$270	$79–$270	varies
Column Chromotography Quant (82542) range across 9 matching MRF lines	$101–$452	$101–$452	varies
Comparative Anal Str Markers Patient&Comp Spec (81265) range across 2 matching MRF lines	$578–$979	$578–$979	varies
Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266)	$1,280	$1,280	4.2×
Compatibility test antiglob (86922)	$488	$488	2.7×
Complement Antigen Each Component (86160) range across 7 matching MRF lines	$50–$305	$50–$305	varies
Complement Total (Ch50) (86162) range across 4 matching MRF lines	$15–$85	$15–$85	varies
Complement/Function Activity (86161) range across 3 matching MRF lines	$54–$284	$54–$284	varies
Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines	$226–$1,134	$226–$1,134	varies
Coombs direct (86880) range across 2 matching MRF lines	$260–$305	$260–$305	varies
Copper urine (82525) range across 7 matching MRF lines	$21–$200	$21–$200	varies
Cortisol free (82530) range across 3 matching MRF lines	$70–$308	$70–$308	varies
Cortisol saliva (82533) range across 4 matching MRF lines	$68–$326	$68–$326	varies
Creatine (82540) range across 2 matching MRF lines	$20–$89	$20–$89	varies
Creatine kinase total (82550) range across 4 matching MRF lines	$27–$221	$27–$221	varies
Creatinine blood (82565) range across 3 matching MRF lines	$168–$215	$168–$215	varies
Creatinine clearance (82575) range across 2 matching MRF lines	$23–$310	$23–$310	varies
Creatinine Urine (82570) range across 11 matching MRF lines	$22–$168	$22–$168	varies
Crossmatch electronic (86923)	$341	$341	1.9×
Crossmatch immediate spin (86920)	$651	$651	3.6×
Crp High Sensitivity (86141) range across 2 matching MRF lines	$55–$215	$55–$215	varies
Cryofibrinogen (82585) range across 3 matching MRF lines	$60–$91	$60–$91	varies
Cryoglobulin (82595) range across 3 matching MRF lines	$27–$96	$27–$96	varies
Cryopreservation, reproductive tissue, testicular (89335)	$746	$746	13.4×
Cryopreservation; embryo(s) (89258)	$1,071	$1,071	1.2×
Cryopreservation; sperm (89259)	$536	$536	2.9×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) range across 4 matching MRF lines	$30–$55	$30–$55	varies
Cryptococcal Antigen (87327) range across 2 matching MRF lines	$56–$57	$56–$57	varies
Cryptococcus ag titer (87899) range across 6 matching MRF lines	$67–$273	$67–$273	varies
Cryptosporidium ag eia (87328) range across 2 matching MRF lines	$58–$263	$58–$263	varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines	$34–$200	$34–$200	varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 2 matching MRF lines	$34–$179	$34–$179	varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 3 matching MRF lines	$33–$383	$33–$383	varies
Cul Typ ID Bld Pthgn 6+ Trgt (87154)	$966	$966	4.4×
Culture aerobic quant other (87071)	$189	$189	19.1×
Culture afb (87116) range across 3 matching MRF lines	$45–$341	$45–$341	varies
Culture Anaerobic (87075)	$315	$315	33.3×
Culture bacteria anaerobic (87073)	$273	$273	28.3×
Culture blood (87040)	$336	$336	32.6×
Culture chlamydia (87110)	$294	$294	15.0×
Culture csf (87070) range across 4 matching MRF lines	$36–$347	$36–$347	varies
Culture fungus (87102) range across 3 matching MRF lines	$5–$305	$5–$305	varies
Culture fungus blood (87103)	$431	$431	21.1×
Culture oocyte/embryos<4day (89250)	$809	$809	4.4×
Culture screen only (87081) range across 3 matching MRF lines	$28–$226	$28–$226	varies
Culture stool (87045)	$336	$336	35.6×
Culture Typing Gas/High Pres Liq Chromatography (87143)	$315	$315	25.2×
Culture typing if ea antiserum (87140)	$63	$63	11.3×
Culture typing other methods (87158)	$33	$33	4.3×
Culture urine (87086)	$215	$215	26.6×
Culture, typing; identification by pulse field gel typing Facility (87152)	$18	$18	2.3×
Cyanide (82600)	$150	$150	7.7×
Cyclosporine (80158) range across 4 matching MRF lines	$76–$383	$76–$383	varies
Cyp2c19 gene analysis common variants (81225)	$1,224	$1,224	4.2×
Cyp2d6 gene com variants (81226)	$1,894	$1,894	4.2×
Cystatin C (82610)	$78	$78	4.2×
Cytogenetics 10-30 (88273) range across 5 matching MRF lines	$146–$347	$146–$347	varies
Cytogenetics 100-300 (88275) range across 23 matching MRF lines	$26–$257	$26–$257	varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)	$4,872	$4,872	4.2×
Cytogenomic neo microra alys (81277)	$4,872	$4,872	4.2×
Cytomegalovirus igg (86644) range across 9 matching MRF lines	$21–$320	$21–$320	varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)	$336	$336	16.6×
Cytopath Cell Enhance Tech (88112)	$809	$809	14.5×
Cytotoxic Antibody Screen Std (86807)	$331	$331	4.2×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 3 matching MRF lines	$111–$478	$111–$478	varies
Cytp Concentration Smears & Interpretation (88108) range across 3 matching MRF lines	$110–$578	$110–$578	varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 2 matching MRF lines	$383–$1,134	$383–$1,134	varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)	$1,029	$1,029	5.6×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)	$546	$546	13.6×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) range across 3 matching MRF lines	$509–$1,386	$509–$1,386	varies
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164)	$179	$179	9.7×
Cytp smrs any oth src extnd std > 5 slides (88162)	$809	$809	14.5×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164)	$179	$179	16.7×
Deoxyribonuclease antibody (86215) range across 3 matching MRF lines	$41–$170	$41–$170	varies
Detect Agent Nos Dna Amp (87798) range across 39 matching MRF lines	$20–$567	$20–$567	varies
Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines	$79–$357	$79–$357	varies
Detect agnt mult DNA ampli (87801) range across 5 matching MRF lines	$93–$394	$93–$394	varies
Dgp Antibody Each Ig Class (86258) range across 4 matching MRF lines	$20–$50	$20–$50	varies
Dhea (82626) range across 4 matching MRF lines	$106–$467	$106–$467	varies
Dhea-S (82627) range across 5 matching MRF lines	$15–$467	$15–$467	varies
Dibucaine number (82638)	$55	$55	4.5×
Digoxin (80162)	$284	$284	21.4×
Dihydrotestosterone (82642) range across 2 matching MRF lines	$35–$123	$35–$123	varies
Diphtheria antitoxoid (86648)	$26	$26	1.7×
Dipropylacetic Acid Free (80165)	$57	$57	4.2×
DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded… (81239)	$1,155	$1,155	4.2×
Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234)	$2,331	$2,331	17.0×
Dna Antibody Native/Double Stranded (86225) range across 4 matching MRF lines	$38–$368	$38–$368	varies
Dna Antibody Single Stranded (86226)	$50	$50	4.1×
Dna/Rna Amplified Probe (87150) range across 6 matching MRF lines	$97–$578	$97–$578	varies
DNA/RNA direct probe (87149)	$336	$336	16.8×
Dna/Rna Sequencing (87153) range across 4 matching MRF lines	$278–$693	$278–$693	varies
Dpyd gene common variants (81232)	$734	$734	4.2×
Drug assay acetaminophen (80143)	$79	$79	4.2×
Drug assay adalimumab (80145)	$162	$162	4.2×
Drug Assay Everolimus (80169) range across 4 matching MRF lines	$58–$83	$58–$83	varies
Drug assay felbamate (80167) range across 2 matching MRF lines	$33–$79	$33–$79	varies
Drug Assay Infliximab (80230)	$162	$162	4.2×
Drug Assay Itraconazole (80189) range across 2 matching MRF lines	$33–$113	$33–$113	varies
Drug Assay Lacosamide (80235)	$113	$113	4.2×
Drug Assay Leflunomide (80193) range across 2 matching MRF lines	$173–$310	$173–$310	varies
Drug Assay Posaconazole (80187)	$113	$113	4.2×
Drug Assay Vedolizumab (80280)	$162	$162	4.2×
Drug assay voriconazole (80285)	$113	$113	4.2×
Drug Screen Quant Clozapine (80159)	$85	$85	4.2×
Drug Screen Quant Zonisamide (80203)	$56	$56	4.2×
Drug Screen Quantitative Gabapentin (80171)	$91	$91	4.2×
Drug Screen Quantitative Lamotrigine (80175)	$56	$56	4.2×
Drug Screen Quantitative Levetiracetam (80177)	$56	$56	4.2×
Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines	$29–$56	$29–$56	varies
Drug Screen Quantitative Procainamide Metabolite (80192)	$278	$278	16.6×
Drug Screen Quantitative Tiagabine (80199) range across 2 matching MRF lines	$98–$113	$98–$113	varies
Drug Test Prsmv Chem Anlyzr (80307) range across 20 matching MRF lines	$14–$966	$14–$966	varies
Drug Test Prsmv Dir Opt Obs (80305)	$121	$121	9.6×
Egfr Gene Analysis Common Variants (81235)	$1,363	$1,363	4.2×
Ehrlichia antibody (86666)	$43	$43	4.2×
El-1 Fecal Quantitative (82653) range across 2 matching MRF lines	$97–$99	$97–$99	varies
Electrolyte panel (80051)	$215	$215	30.7×
Electron Microscopy (88348) range across 2 matching MRF lines	$2,058–$4,442	$2,058–$4,442	varies
Electrophoretic Test - Immunofixation Electrophoresis (82664)	$258	$258	4.2×
Embryo hatching microtechnique (89253)	$809	$809	4.4×
Encephaltis East Eqne Anbdy (86652) range across 4 matching MRF lines	$56–$78	$56–$78	varies
Encephaltis West Eqne Antbdy (86654) range across 4 matching MRF lines	$56–$78	$56–$78	varies
Endomysial Antibody Each Immunoglobulin Class (86231) range across 4 matching MRF lines	$50–$131	$50–$131	varies
Enterovirus Antibody (86658) range across 9 matching MRF lines	$12–$110	$12–$110	varies
Enterovirus PCR (87498) range across 3 matching MRF lines	$147–$545	$147–$545	varies
Enzyme cell activity (82657) range across 4 matching MRF lines	$93–$289	$93–$289	varies
Enzyme histochemistry (88319) range across 2 matching MRF lines	$1,250–$2,058	$1,250–$2,058	varies
Eosinophil Smear (89190)	$121	$121	20.9×
Erythropoietin (82668) range across 3 matching MRF lines	$18–$79	$18–$79	varies
Estradiol serum (82670) range across 5 matching MRF lines	$20–$520	$20–$520	varies
Estriol (82677)	$310	$310	12.8×
Estrogen total (82672)	$91	$91	4.2×
Estrogens fractionated (82671)	$135	$135	4.2×
Ethosuximide (80168) range across 3 matching MRF lines	$68–$121	$68–$121	varies
Ethylene Glycol (82693)	$63	$63	4.2×
Euglobulin lysis (85360)	$36	$36	4.3×
Exam Synovial Fluid Crystals (89060) range across 3 matching MRF lines	$30–$221	$30–$221	varies
Exome Sequence Analysis (81415)	$20,076	$20,076	4.2×
Exome sequence analysis each comparator exome (81416)	$50,400	$50,400	4.2×
Extnd Cul Oocyte/Embryo 4-7 Days (89272)	$851	$851	1.0×
F2 Gene (81240) range across 3 matching MRF lines	$276–$1,218	$276–$1,218	varies
Factor ii activity (85210) range across 2 matching MRF lines	$55–$242	$55–$242	varies
Factor Inhibitor Test (85335) range across 4 matching MRF lines	$54–$494	$54–$494	varies
Factor ix activity (85250) range across 3 matching MRF lines	$80–$357	$80–$357	varies
Factor v activity (85220) range across 2 matching MRF lines	$75–$336	$75–$336	varies
Factor v leiden mutation (81241) range across 6 matching MRF lines	$308–$1,281	$308–$1,281	varies
Factor vii assay (85230) range across 2 matching MRF lines	$76–$415	$76–$415	varies
Factor viii assay (85240) range across 3 matching MRF lines	$76–$599	$76–$599	varies
Factor X (85260)	$347	$347	19.4×
Factor xi activity (85270)	$76	$76	4.2×
Factor xiii screen (85291) range across 2 matching MRF lines	$38–$150	$38–$150	varies
Fancc Gene (81242)	$153	$153	4.2×
Fat/Lipids Feces Quantitative (82710) range across 2 matching MRF lines	$70–$91	$70–$91	varies
Fatty acids free (82725) range across 2 matching MRF lines	$79–$121	$79–$121	varies
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410)	$263	$263	34.1×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415)	$72	$72	4.2×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421)	$184	$184	18.1×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420)	$195	$195	29.9×
Fecal Fat Qualitative (82705) range across 3 matching MRF lines	$12–$89	$12–$89	varies
Ferritin (82728) range across 2 matching MRF lines	$58–$368	$58–$368	varies
Fetal Chrmoml Aneuploidy (81420)	$3,188	$3,188	4.2×
Fetal Congenital Abnor Assay Four Anal (81511)	$645	$645	4.2×
Fetal Fibronectin (82731)	$683	$683	10.6×
Fetal hemoglobin assay qual (83033)	$142	$142	17.8×
Fetal screen rosette (85461)	$168	$168	17.9×
Fibrin degradation products (85362)	$263	$263	38.2×
Fibrin Degradation Quant (85379) range across 3 matching MRF lines	$43–$305	$43–$305	varies
Fibrinogen activity (85384) range across 4 matching MRF lines	$34–$273	$34–$273	varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 3 matching MRF lines	$65–$257	$65–$257	varies
Flecainide level (80181)	$79	$79	4.2×
Flow cytometry first marker (88184) range across 7 matching MRF lines	$651–$1,575	$651–$1,575	varies
Fluorescent antibody screen (86255) range across 12 matching MRF lines	$20–$450	$20–$450	varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 15 matching MRF lines	$17–$320	$17–$320	varies
Fluoride serum (82735) range across 2 matching MRF lines	$78–$126	$78–$126	varies
Fmr1 Gene Charac Alleles (81244)	$231	$231	5.1×
Fmr1 gene detection (81243) range across 2 matching MRF lines	$239–$273	$239–$273	varies
Folic acid rbc (82747) range across 4 matching MRF lines	$23–$75	$23–$75	varies
Folic Acid Serum (82746)	$315	$315	21.4×
Follicle Stimulating Hormone (83001) range across 2 matching MRF lines	$373–$441	$373–$441	varies
Francisella tularensis (86668) range across 3 matching MRF lines	$60–$77	$60–$77	varies
Fresh Frozen Plasma Thawing Each Unit (86927)	$273	$273	1.5×
Frozen Section (88331)	$1,407	$1,407	7.7×
Fungi Identification Mold (87107) range across 2 matching MRF lines	$43–$179	$43–$179	varies
Fungi Identification Yeast (87106) range across 3 matching MRF lines	$43–$194	$43–$194	varies
G6pd gene analysis full gene sequence (81249)	$2,520	$2,520	4.2×
Galactose (82760)	$47	$47	4.2×
Galactose transferase test (82776) range across 2 matching MRF lines	$18–$49	$18–$49	varies
Galactose-1-Phosphate Uridyl Transferase Quan (82775)	$380	$380	18.0×
Gammaglobulin ige (82785) range across 4 matching MRF lines	$69–$320	$69–$320	varies
Gastric Analy W/Ph Ea Spec (82930)	$64	$64	9.5×
Gastrin (82941) range across 3 matching MRF lines	$25–$75	$25–$75	varies
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines	$1,750–$2,058	$1,750–$2,058	varies
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251)	$198	$198	4.2×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)	$3,190	$3,190	4.2×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)	$12,262	$12,262	4.2×
Genet Virus Isolate Hsv (87255)	$142	$142	4.2×
Genetic Tstg Severe Inh Cond (81443)	$10,284	$10,284	4.2×
Gentamicin (80170)	$273	$273	16.7×
Ggt (82977) range across 2 matching MRF lines	$30–$189	$30–$189	varies
Giardia antigen (87329) range across 2 matching MRF lines	$50–$226	$50–$226	varies
Gluc-6-phosphate dehydrogenase screen (82960) range across 2 matching MRF lines	$25–$116	$25–$116	varies
Glucagon (82943) range across 2 matching MRF lines	$38–$60	$38–$60	varies
Glucose 2 hr pp (82950)	$168	$168	35.4×
Glucose Blood Test (82962)	$55	$55	16.8×
Glucose body fluid (82945) range across 2 matching MRF lines	$17–$215	$17–$215	varies
Glucose Serum (82947) range across 4 matching MRF lines	$131–$194	$131–$194	varies
Glucose tolerance test (gtt) (82951)	$452	$452	35.1×
Glutathione (82978)	$65	$65	4.2×
Glycated Protein (82985) range across 3 matching MRF lines	$18–$70	$18–$70	varies
Growth hormone (83003)	$70	$70	4.2×
Gtt-added samples (82952)	$131	$131	33.4×
Haptoglobin (83010)	$294	$294	23.4×
Hba1/hba2 full gene sequence (81259)	$2,520	$2,520	4.2×
Hba1/Hba2 Gene (81257) range across 2 matching MRF lines	$168–$429	$168–$429	varies
Hba1/Hba2 Gene Dup/Del Vrnts (81269)	$851	$851	4.2×
Hbb Full Gene Sequence (81364)	$1,363	$1,363	4.2×
Hdl Cholesterol (83718) range across 3 matching MRF lines	$19–$200	$19–$200	varies
Helicobacter Pylori Stool (87338)	$284	$284	19.7×
Helminth Antibody (86682) range across 2 matching MRF lines	$55–$109	$55–$109	varies
Hematocrit (85014) range across 4 matching MRF lines	$9–$96	$9–$96	varies
Hemoglobin (85018) range across 3 matching MRF lines	$9–$78	$9–$78	varies
Hemoglobin a1c (83036) range across 3 matching MRF lines	$30–$263	$30–$263	varies
Hemoglobin Chromotography (83021) range across 4 matching MRF lines	$18–$76	$18–$76	varies
Hemoglobin electrophoresis (83020) range across 3 matching MRF lines	$54–$242	$54–$242	varies
Hemoglobin Methemoglobin Quantitative (83050)	$35	$35	4.3×
Hemoglobin plasma (83051)	$30	$30	4.1×
Hemoglobin stability screen (83068) range across 2 matching MRF lines	$40–$139	$40–$139	varies
Hemoglobin urine (83069)	$91	$91	23.0×
Hemosiderin urine (83070)	$78	$78	16.4×
Hep a ab igm (86709) range across 3 matching MRF lines	$47–$278	$47–$278	varies
Heparin assay (85520) range across 4 matching MRF lines	$55–$295	$55–$295	varies
Hepatitis a antibody total (86708) range across 4 matching MRF lines	$53–$205	$53–$205	varies
Hepatitis b core ab igm (86705) range across 4 matching MRF lines	$49–$389	$49–$389	varies
Hepatitis b core ab total (86704) range across 7 matching MRF lines	$50–$226	$50–$226	varies
Hepatitis B Surface Antibody (86706)	$310	$310	28.9×
Hepatitis B Surface Antigen (87340) range across 7 matching MRF lines	$80–$305	$80–$305	varies
Hepatitis Be Antibody (86707) range across 3 matching MRF lines	$48–$84	$48–$84	varies
Hepatitis Be Antigen (87350)	$48	$48	4.2×
Hepatitis C Antibody (86803) range across 4 matching MRF lines	$60–$425	$60–$425	varies
Hepatitis c antibody confirmatory test (86804)	$158	$158	10.2×
Hepatitis C Genotype (87902) range across 10 matching MRF lines	$60–$2,426	$60–$2,426	varies
Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines	$12–$158	$12–$158	varies
Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines	$158–$704	$158–$704	varies
Hepatitis delta ag (87380)	$126	$126	6.9×
Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines	$105–$189	$105–$189	varies
Hereditary peripheral neuropathy gen seq pnl (81448)	$2,457	$2,457	4.2×
Heredtry Nurondcrn Tum Dsrdr (81437)	$1,844	$1,844	1.4×
Herpes simplex type 2 (86696) range across 6 matching MRF lines	$9–$81	$9–$81	varies
Heterophile Antibody Screen (86308) range across 2 matching MRF lines	$23–$194	$23–$194	varies
Hexa gene analysis common variants (81255)	$216	$216	4.2×
Hfe Gene (81256)	$274	$274	4.2×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)	$163	$163	21.1×
Histamine urine (83088) range across 2 matching MRF lines	$124–$190	$124–$190	varies
Histoplasma antibody (86698) range across 4 matching MRF lines	$21–$58	$21–$58	varies
Histoplasma antigen urine (87385) range across 7 matching MRF lines	$56–$125	$56–$125	varies
Hiv Genotype (87901) range across 4 matching MRF lines	$452–$1,334	$452–$1,334	varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 3 matching MRF lines	$66–$101	$66–$101	varies
Hiv-1 Antibody (86701) range across 4 matching MRF lines	$38–$215	$38–$215	varies
HIV-1 p24 antigen (87390)	$210	$210	8.7×
Hiv-1 Quant&Revrse Trnscrpj (87536) range across 5 matching MRF lines	$357–$1,365	$357–$1,365	varies
HIV-2 probe&revrse trnscripj (87538) range across 2 matching MRF lines	$147–$303	$147–$303	varies
Hla Class I Typing High Resolution One Locus Ea (81380)	$744	$744	4.2×
Hla Class I Typing Low Resolution Complete (81372)	$1,695	$1,695	4.2×
Hla Class I Typing Low Resolution One Locus Each (81373)	$536	$536	4.2×
Hla class i&ii antibody qual (86828)	$270	$270	4.2×
Hla class ii typing high resolution one locus ea (81382) range across 2 matching MRF lines	$452–$520	$452–$520	varies
Hla I Low Resolution One Antigen Equivalent Each (81374) range across 3 matching MRF lines	$312–$620	$312–$620	varies
Hla I Typing 1 Allele Hr (81381)	$714	$714	4.2×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) range across 2 matching MRF lines	$509–$927	$509–$927	varies
Hla ii type 1 ag equiv lr (81377)	$398	$398	4.2×
Hla ii typing 1 allele hr (81383)	$459	$459	4.2×
Hla ii typing 1 locus lr (81376)	$513	$513	4.2×
Hla Typing Dr/Dq Single Antigen (86816)	$194	$194	6.4×
Hla-b27 (86812) range across 3 matching MRF lines	$108–$620	$108–$620	varies
Homocysteine (83090) range across 2 matching MRF lines	$57–$320	$57–$320	varies
Homogenization Tissue (87176) range across 2 matching MRF lines	$25–$131	$25–$131	varies
Homovanillic acid urine (83150)	$53	$53	2.4×
Hpa-1 genotyping gene analysis common variant (81105)	$513	$513	4.2×
Hpa-15 genotyping gene analysis common variant (81112)	$513	$513	4.2×
Hpa-2 genotyping gene analysis common variant (81106)	$513	$513	4.2×
Hpa-3 genotyping gene analysis common variant (81107)	$513	$513	4.2×
Hpa-4 genotyping gene analysis common variant (81108)	$513	$513	4.2×
Hpa-5 genotyping gene analysis common variant (81109)	$513	$513	4.2×
Hpa-6 genotyping gene analysis common variant (81110)	$513	$513	4.2×
Hpa-9 Genotyping (81111)	$513	$513	4.2×
Hpv High-Risk Types (87624) range across 4 matching MRF lines	$147–$441	$147–$441	varies
Hpv sep hi-rsk typ&pool rslt (87626) range across 2 matching MRF lines	$322–$441	$322–$441	varies
Hpv Types 16 & 18 Only (87625) range across 2 matching MRF lines	$190–$200	$190–$200	varies
Hsv Dna Amp Probe (87529) range across 5 matching MRF lines	$64–$672	$64–$672	varies
Hsv Dna Quant (87530)	$284	$284	6.6×
Htlv-I Antibody (86687)	$38	$38	4.2×
Htt Gene Detc Abnor Alleles (81271)	$575	$575	4.2×
Human Epididymis Protein 4 (86305)	$87	$87	4.2×
Hydroxyprogesterone 17-d (83498) range across 5 matching MRF lines	$18–$184	$18–$184	varies
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 3 matching MRF lines	$43–$184	$43–$184	varies
Iaad ia shiga-like toxin (87427)	$226	$226	18.9×
Iaadi parainfluenza virus each type (87279)	$116	$116	7.1×
Iaadi pneumocustis carinii (87281)	$179	$179	14.9×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300)	$184	$184	15.4×
Iaadiadoo trichomonas vaginalis (87808)	$210	$210	13.7×
Iadna anaplasma phagocytophilum amplifed prb tq (87468)	$158	$158	4.5×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)	$147	$147	4.2×
Iadna Candida Species Amplified Probe Tq (87481)	$147	$147	4.2×
Iadna chlamydia pneumoniae amplified probe tq (87486) range across 3 matching MRF lines	$263–$284	$263–$284	varies
Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 4 matching MRF lines	$79–$147	$79–$147	varies
Iadna Cytomegalovirus Quantification (87497) range across 4 matching MRF lines	$51–$945	$51–$945	varies
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 3 matching MRF lines	$525–$1,292	$525–$1,292	varies
Iadna Hepatitis B Virus Quantification (87517) range across 4 matching MRF lines	$180–$368	$180–$368	varies
Iadna Herpes Virus-6 Amplified Probe Tq (87532)	$147	$147	4.2×
Iadna Herpes Virus-6 Quantification (87533)	$175	$175	4.2×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines	$147–$294	$147–$294	varies
Iadna Hiv-2 Quant & Reverse Transcription (87539)	$246	$246	4.2×
Iadna Legionella Pneumophila Amplified Probe Tq (87541)	$147	$147	4.2×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564)	$323	$323	4.2×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 3 matching MRF lines	$137–$194	$137–$194	varies
Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines	$147–$546	$147–$546	varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines	$147–$672	$147–$672	varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593)	$71	$71	1.4×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631)	$1,596	$1,596	11.2×
Idh1 common variants (81120)	$812	$812	4.2×
Idh2 common variants (81121)	$1,242	$1,242	4.2×
Ig Light Chains Free Each (83521)	$257	$257	14.9×
Igg subclasses (82787)	$34	$34	4.2×
Igh gene rearrange amp meth (81261)	$832	$832	4.2×
Igh@ Variable Region Somatic Mutation Analysis (81263)	$1,237	$1,237	4.2×
Igk rearrangeabn clonal pop (81264)	$726	$726	4.2×
Ikbkap Gene Analysis Common Variants (81260)	$165	$165	4.2×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)	$1,722	$1,722	4.5×
Immunfix e-phorsis/urine/csf (86335) range across 7 matching MRF lines	$123–$546	$123–$546	varies
Immunoassay analyte qual/semiqual single step (83518)	$956	$956	99.2×
Immunoassay Analyte Quant Radioimmunoassay (83519) range across 23 matching MRF lines	$19–$1,176	$19–$1,176	varies
Immunoassay infectious agent (86318)	$205	$205	11.3×
Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 5 matching MRF lines	$3–$205	$3–$205	varies
Immunoassay nonantibody (83516) range across 17 matching MRF lines	$18–$599	$18–$599	varies
Immunodiffusion not elsewhere specified (86329)	$93	$93	6.6×
Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines	$50–$102	$50–$102	varies
Immunofixation electrophoresis (86334) range across 4 matching MRF lines	$93–$478	$93–$478	varies
Immunofluorescence per spec 1st singl antb stain (88346) range across 4 matching MRF lines	$750–$1,376	$750–$1,376	varies
Immunohistochemistry (88342) range across 7 matching MRF lines	$578–$750	$578–$750	varies
In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines	$630–$713	$630–$713	varies
In situ hybridization ea multiplex probe stain (88366) range across 2 matching MRF lines	$870–$1,607	$870–$1,607	varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451)	$205	$205	19.5×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271)	$168	$168	12.5×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511)	$147	$147	4.2×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905)	$231	$231	18.9×
Influenza assay w/optic (87804) range across 2 matching MRF lines	$142–$205	$142–$205	varies
Influenza DNA amp probe (87502) range across 3 matching MRF lines	$394–$651	$394–$651	varies
Inhibin A (86336) range across 4 matching MRF lines	$27–$92	$27–$92	varies
Inhibin b (83520) range across 28 matching MRF lines	$18–$1,454	$18–$1,454	varies
Insemination of oocytes (89268)	$809	$809	4.4×
Insitu hybridization auto (88367)	$1,680	$1,680	4.4×
Insitu hybridization manual (88368) range across 2 matching MRF lines	$1,376–$1,575	$1,376–$1,575	varies
Insulin antibodies (86337) range across 4 matching MRF lines	$28–$294	$28–$294	varies
Insulin free (83527)	$55	$55	4.2×
Insulin total (83525) range across 4 matching MRF lines	$48–$215	$48–$215	varies
Interleukin-6 (83529) range across 2 matching MRF lines	$72–$147	$72–$147	varies
Intrinsic factor antibody (86340) range across 3 matching MRF lines	$22–$158	$22–$158	varies
Iron (83540) range across 2 matching MRF lines	$29–$184	$29–$184	varies
Iron Binding Capacity (83550) range across 2 matching MRF lines	$39–$221	$39–$221	varies
Irradiation Blood Product Each Unit (86945)	$110	$110	2.7×
Islet cell antibody (86341) range across 6 matching MRF lines	$32–$266	$32–$266	varies
Jak2 gene analysis p.val617phe variant (81270) range across 4 matching MRF lines	$289–$385	$289–$385	varies
Jak2 Gene Trgt Sequence Alys (81279)	$819	$819	4.4×
Jt spc pthgn&rx rsist gen26+ (87627)	$3,399	$3,399	5.0×
Kit Gene Analysis D816 Variant(S) (81273)	$524	$524	4.2×
Koh Prep (87220)	$121	$121	28.3×
L/s ratio (83661)	$515	$515	23.4×
Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines	$25–$189	$25–$189	varies
Lactoferrin fecal qualitative (83630)	$368	$368	18.7×
Ldh Isoenzymes (83625) range across 2 matching MRF lines	$55–$226	$55–$226	varies
LDL direct (83721) range across 2 matching MRF lines	$44–$184	$44–$184	varies
Lead (83655) range across 5 matching MRF lines	$50–$142	$50–$142	varies
Legionella antibody (86713)	$64	$64	4.2×
Legionella antigen urine (87449) range across 5 matching MRF lines	$50–$179	$50–$179	varies
Leptospira antibody (86720) range across 2 matching MRF lines	$68–$96	$68–$96	varies
Leukocyte Histamine Release (86343) range across 2 matching MRF lines	$53–$77	$53–$77	varies
Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines	$194–$431	$194–$431	varies
Level ii surg pathology gross&microscopic exam (88302) range across 2 matching MRF lines	$320–$499	$320–$499	varies
Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines	$914–$2,783	$914–$2,783	varies
Lidocaine (80176) range across 2 matching MRF lines	$205–$231	$205–$231	varies
Lipase (83690) range across 2 matching MRF lines	$29–$257	$29–$257	varies
Lipoprotein A (83695) range across 3 matching MRF lines	$60–$117	$60–$117	varies
Lipoprotein Bld Quan Part (83704)	$144	$144	4.2×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) range across 2 matching MRF lines	$51–$152	$51–$152	varies
Lithium (80178)	$194	$194	29.3×
Luteinizing Hormone (Lh) (83002) range across 3 matching MRF lines	$78–$425	$78–$425	varies
Lyme disease antibody (86618) range across 7 matching MRF lines	$22–$425	$22–$425	varies
Lymphocyte transformation (86353) range across 2 matching MRF lines	$206–$570	$206–$570	varies
Lysozyme serum (85549)	$79	$79	4.2×
M. Genitalium Amp Probe (87563)	$147	$147	4.2×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines	$713–$2,846	$713–$2,846	varies
M/phmtrc alys ishquant/semiq (88374) range across 2 matching MRF lines	$713–$2,615	$713–$2,615	varies
Macroscopic exam arthropod (87168)	$86	$86	20.1×
Macroscopic Exam Parasite (87169)	$86	$86	20.0×
Magnesium Urine (83735) range across 5 matching MRF lines	$9–$205	$9–$205	varies
Mass Spectrometry Quant (83789) range across 8 matching MRF lines	$56–$152	$56–$152	varies
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290)	$165	$165	4.2×
Mercury urine (83825) range across 7 matching MRF lines	$21–$142	$21–$142	varies
Metabolic panel ionized ca (80047) range across 3 matching MRF lines	$315–$1,239	$315–$1,239	varies
Methotrexate (80204)	$184	$184	4.8×
Methylmalonic acid serum (83921) range across 4 matching MRF lines	$84–$89	$84–$89	varies
Mgmt methylation analysis (81287)	$524	$524	4.2×
Microalbumin, quantitative (82043)	$194	$194	33.6×
Microbe Suscept Macrobroth (87188) range across 6 matching MRF lines	$37–$48	$37–$48	varies
Microsatellite instability (81301) range across 3 matching MRF lines	$1,464–$2,867	$1,464–$2,867	varies
Microsomal Antibodies Each (86376) range across 5 matching MRF lines	$23–$278	$23–$278	varies
Mlh1 Gene (81288)	$807	$807	4.2×
Molecular Cytogenetics Dna Probe Each (88271) range across 20 matching MRF lines	$8–$211	$8–$211	varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274)	$179	$179	4.2×
Molecular Pathology Procedure Level 6 (81405)	$1,265	$1,265	4.2×
Mononuclear cell antigen (86356) range across 3 matching MRF lines	$14–$126	$14–$126	varies
Mopath procedure level 1 (81400)	$97	$97	1.5×
Mopath procedure level 2 (81401) range across 3 matching MRF lines	$247–$575	$247–$575	varies
Mopath procedure level 4 (81403) range across 3 matching MRF lines	$168–$778	$168–$778	varies
Mopath procedure level 5 (81404) range across 2 matching MRF lines	$81–$1,154	$81–$1,154	varies
Mopath procedure level 7 (81406)	$1,189	$1,189	4.2×
Mopath procedure level 8 (81407)	$3,554	$3,554	4.2×
Mopath procedure level 9 (81408)	$8,400	$8,400	4.2×
Morphometric analysis nerve (88356)	$226	$226	4.0×
Mpl gene analysis sequence analysis exon 10 (81339) range across 2 matching MRF lines	$778–$903	$778–$903	varies
Mpl gene common variants (81338)	$631	$631	4.2×
Mrsa Pcr (87641)	$578	$578	16.5×
Mthfr Gene Analysis Common Variants (81291) range across 3 matching MRF lines	$274–$977	$274–$977	varies
Mucin Clot Body Fluid (83872)	$97	$97	16.6×
Mucopolysaccharides acid quantitative (83864)	$120	$120	4.2×
Mumps antibody (86735) range across 5 matching MRF lines	$12–$242	$12–$242	varies
Muscle-Specific Kinase Antb (86366)	$82	$82	4.5×
Mycobacteric Identification (87118) range across 2 matching MRF lines	$61–$284	$61–$284	varies
Mycophenolic Acid (80180) range across 2 matching MRF lines	$26–$76	$26–$76	varies
Mycoplasma antibody (86738) range across 2 matching MRF lines	$56–$326	$56–$326	varies
Mycoplasma culture (87109)	$34	$34	2.2×
Myd88 Gene P.Leu265pro Vrnt (81305)	$737	$737	4.2×
Myelin basic protein csf (83873)	$72	$72	4.2×
Myoglobin urine (83874) range across 6 matching MRF lines	$20–$341	$20–$341	varies
Natriuretic peptide (83880) range across 4 matching MRF lines	$165–$462	$165–$462	varies
Neurofilament light chain (83884)	$581	$581	5.0×
Neutralization Test Viral (86382) range across 5 matching MRF lines	$71–$1,103	$71–$1,103	varies
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) range across 4 matching MRF lines	$95–$110	$95–$110	varies
Nfct Agent Genotype Hepatitis B Virus (87912)	$1,082	$1,082	4.2×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513)	$525	$525	3.7×
Nfct ds bv&vaginitis DNA alg (81515)	$1,103	$1,103	4.2×
Nfct ds chrnc hcv 6 assays (81596) range across 3 matching MRF lines	$303–$341	$303–$341	varies
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906)	$541	$541	4.2×
Nfct phexyp resist tiss cul HIV ea addl drug (87904)	$257	$257	9.9×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903)	$1,386	$1,386	2.8×
Niacin (84591) range across 2 matching MRF lines	$71–$93	$71–$93	varies
Nickel level (83885)	$103	$103	4.2×
Nk cells total count (86357) range across 3 matching MRF lines	$28–$714	$28–$714	varies
Nuclear antigen antibody (86235) range across 18 matching MRF lines	$16–$166	$16–$166	varies
Nudt15 Gene Common Variants (81306)	$966	$966	3.3×
Obstetric panel (80081)	$893	$893	11.9×
Occult blood feces (82272) range across 2 matching MRF lines	$69–$79	$69–$79	varies
Oligoclonal bands (83916) range across 2 matching MRF lines	$116–$383	$116–$383	varies
Oncology Prostate Prob Score (81539)	$3,800	$3,800	5.0×
Oncoprotein dcp (83951) range across 2 matching MRF lines	$271–$278	$271–$278	varies
Oocyte identification from follicular fluid (89254)	$641	$641	3.5×
Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines	$69–$105	$69–$105	varies
Organic acids urine (83918)	$35	$35	1.5×
Osmolality serum (83930) range across 3 matching MRF lines	$27–$189	$27–$189	varies
Osmolality Urine (83935) range across 5 matching MRF lines	$28–$226	$28–$226	varies
Osmotic fragility rbc incubated (85557) range across 2 matching MRF lines	$56–$206	$56–$206	varies
Osteocalcin (83937)	$36	$36	1.2×
Outpatient Global Laboratory, Radiology and Diagnostic Services (89346)	$693	$693	3.8×
Ova and parasites smears (87177) range across 2 matching MRF lines	$38–$221	$38–$221	varies
Oxalate urine (83945) range across 6 matching MRF lines	$24–$152	$24–$152	varies
Pancreatic Elastase Fecal (82656)	$101	$101	8.8×
Particle Agglutination Screen Each Antibody (86403) range across 3 matching MRF lines	$55–$131	$55–$131	varies
Parvovirus antibody (86747) range across 3 matching MRF lines	$18–$63	$18–$63	varies
Path Clin Consltj Mod 21-40 (80504)	$685	$685	3.8×
Path Consltj Surg Cytologic Exam Initial Site (88333)	$1,292	$1,292	1.5×
Pathology Clinical Consultation Hi Mdm 41-60 Min (80505)	$685	$685	3.8×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503)	$214	$214	3.8×
Ph urine (81003) range across 3 matching MRF lines	$96–$116	$96–$116	varies
Phenobarbital Level (80184) range across 2 matching MRF lines	$64–$284	$64–$284	varies
Phenotype Infect Agent Drug (87900) range across 3 matching MRF lines	$215–$547	$215–$547	varies
Phenylalanine (84030) range across 2 matching MRF lines	$23–$110	$23–$110	varies
Phenytoin (Dilantin) (80185) range across 4 matching MRF lines	$19–$310	$19–$310	varies
Phenytoin free (80186) range across 3 matching MRF lines	$53–$58	$53–$58	varies
Phosphatase acid prostatic (84066)	$131	$131	13.6×
Phosphatase alkaline (84075) range across 5 matching MRF lines	$22–$121	$22–$121	varies
Phosphatidylglycerol (84081)	$305	$305	18.5×
Phosphorus Serum (84100) range across 2 matching MRF lines	$20–$105	$20–$105	varies
Phosphorus urine (84105) range across 5 matching MRF lines	$24–$336	$24–$336	varies
Pinworm exam (87172)	$82	$82	19.2×
Platelet Aggregation (85576) range across 4 matching MRF lines	$83–$410	$83–$410	varies
Platelet Antibodies (86022) range across 4 matching MRF lines	$77–$704	$77–$704	varies
Platelet count automated (85049)	$131	$131	29.2×
Platelet neutralization (85597)	$42	$42	2.3×
Pml/Raralpha Common Breakpoints Qual/Quant (81315)	$870	$870	4.2×
Pmp22 Gene Anal Duplication/Deletion Analysis (81324)	$3,185	$3,185	4.2×
Pneumcysts jirovecii amp prb (87594)	$95	$95	2.7×
Pooling blood platelets (86965)	$375	$375	2.1×
Porphobilinogen, urine; quantitative (84110) range across 3 matching MRF lines	$26–$78	$26–$78	varies
Porphyrins Feces Quantitative (84126)	$164	$164	4.2×
Porphyrins Urine Quantitation & Fractionation (84120) range across 3 matching MRF lines	$46–$82	$46–$82	varies
Potassium Urine (84133) range across 4 matching MRF lines	$6–$147	$6–$147	varies
Prealbumin (84134) range across 3 matching MRF lines	$61–$257	$61–$257	varies
Pregnenolone (84140) range across 2 matching MRF lines	$23–$87	$23–$87	varies
Preparation of embryo for transfer (89255)	$2,100	$2,100	37.6×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970)	$255	$255	4.0×
Pretx serum rbc antibody identification dilution (86976)	$79	$79	2.5×
Primidone (80188) range across 2 matching MRF lines	$69–$231	$69–$231	varies
Procalcitonin (Pct) (84145) range across 2 matching MRF lines	$168–$362	$168–$362	varies
Progesterone (84144)	$499	$499	23.9×
Prolactin (84146) range across 2 matching MRF lines	$82–$373	$82–$373	varies
Prostaglandin (84150)	$146	$146	3.5×
Protein body fluid (84157) range across 2 matching MRF lines	$17–$163	$17–$163	varies
Protein C Activity (85303)	$441	$441	31.9×
Protein c antigen (85302)	$85	$85	7.1×
Protein Electrophoresis Urine (84166) range across 5 matching MRF lines	$75–$341	$75–$341	varies
Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines	$45–$362	$45–$362	varies
Protein S Free (85306) range across 3 matching MRF lines	$64–$567	$64–$567	varies
Protein s total (85305) range across 2 matching MRF lines	$48–$110	$48–$110	varies
Protein Total Refractometry Any Src (84160)	$23	$23	4.1×
Protein total serum (84155)	$103	$103	28.1×
Protein Total Urine (84156) range across 4 matching MRF lines	$16–$168	$16–$168	varies
Protein Western Blot Test (84182) range across 5 matching MRF lines	$123–$331	$123–$331	varies
Prothrombin Time Substitution Plasma Frctj Each (85611) range across 3 matching MRF lines	$81–$92	$81–$92	varies
Protoporphyrin rbc quantitative (84202) range across 3 matching MRF lines	$30–$60	$30–$60	varies
PSA free (84154) range across 5 matching MRF lines	$19–$335	$19–$335	varies
Pth Intact (83970) range across 3 matching MRF lines	$173–$683	$173–$683	varies
Pyruvate kinase (84220) range across 2 matching MRF lines	$40–$175	$40–$175	varies
Q Fever Antibody (86638) range across 5 matching MRF lines	$50–$92	$50–$92	varies
Quantiferon tb gold plus (86480) range across 2 matching MRF lines	$260–$683	$260–$683	varies
Quantitative assay drug (80299) range across 10 matching MRF lines	$16–$200	$16–$200	varies
Quantitative Screen Metals (83018) range across 4 matching MRF lines	$56–$99	$56–$99	varies
Rbc antibody elution (86860) range across 2 matching MRF lines	$567–$713	$567–$713	varies
Rbc antibody identification (86870) range across 2 matching MRF lines	$746–$1,499	$746–$1,499	varies
Rbc antibody screen (86850) range across 4 matching MRF lines	$121–$483	$121–$483	varies
Rbc pretreatment serum (86978)	$255	$255	4.0×
Rbc pretx incubatj w/enzymes (86971)	$914	$914	5.0×
Renin activity plasma (84244) range across 4 matching MRF lines	$92–$110	$92–$110	varies
Reptilase test (85635)	$173	$173	17.6×
Resp virus 12-25 targets (87633) range across 3 matching MRF lines	$1,750–$4,452	$1,750–$4,452	varies
Reticulocyte Count (85046)	$189	$189	33.9×
Reticulocyte separation (86972)	$713	$713	3.9×
Rh (86901) range across 6 matching MRF lines	$121–$221	$121–$221	varies
Rheumatoid factor quant (86431) range across 2 matching MRF lines	$24–$194	$24–$194	varies
Rickettsia antibody (86757) range across 8 matching MRF lines	$81–$179	$81–$179	varies
Ristocetin cofactor (85245) range across 4 matching MRF lines	$97–$273	$97–$273	varies
Rotavirus ag eia (87425)	$221	$221	18.4×
Rpr qualitative (86592) range across 4 matching MRF lines	$18–$152	$18–$152	varies
Rsv Assay W/Optic (87807) range across 2 matching MRF lines	$92–$163	$92–$163	varies
Rubella Antibody (86762) range across 9 matching MRF lines	$11–$310	$11–$310	varies
Rubeola antibody (86765) range across 6 matching MRF lines	$20–$263	$20–$263	varies
Rufinamide (80210)	$113	$113	4.2×
Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines	$40–$263	$40–$263	varies
Sars-Cov-2 Covid-19 Amp Prb (87635)	$226	$226	4.4×
Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines	$62–$177	$62–$177	varies
Sarscov2 & inf a&b amp prb (87636)	$431	$431	3.0×
Sarscov2&inf a&b&rsv amp prb (87637)	$226	$226	1.6×
Sedimentation Rate, Automated (85652) range across 2 matching MRF lines	$152–$179	$152–$179	varies
Selenium (84255)	$107	$107	4.2×
Semen Anal Sperm Detection (89321)	$331	$331	27.5×
Semen analysis complete (89322)	$441	$441	28.5×
Semen analysis motility and count (89310)	$226	$226	26.2×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300)	$263	$263	26.7×
Sensitivity mic (87186) range across 15 matching MRF lines	$37–$352	$37–$352	varies
Serpina 1 gene (81332)	$50	$50	1.1×
Serum Bactericidal Titer (87197)	$200	$200	13.3×
Sex Hormone Binding Globulin (84270) range across 4 matching MRF lines	$91–$125	$91–$125	varies
SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common… (81347)	$812	$812	4.2×
Sickling of rbc reduction (85660) range across 3 matching MRF lines	$23–$194	$23–$194	varies
Sirolimus (80195) range across 3 matching MRF lines	$24–$231	$24–$231	varies
Skin test tuberculosis intradermal (86580) range across 5 matching MRF lines	$181.67–$707.86	$181.67–$707.86	varies
Smear acid fast (87206) range across 4 matching MRF lines	$23–$263	$23–$263	varies
Smear complex stain (87209) range across 2 matching MRF lines	$76–$341	$76–$341	varies
Smear gram stain (87205) range across 2 matching MRF lines	$18–$194	$18–$194	varies
Smear Special Stain (87207) range across 5 matching MRF lines	$25–$620	$25–$620	varies
Smn1 Gene Analysis Full Gene Sequence (81336)	$1,265	$1,265	4.2×
Smn1 Gene Dos/Deletion Alys (81329)	$575	$575	4.2×
Smpd1 Gene Analysis Common Variants (81330)	$197	$197	4.2×
Smr Prim Src Wet Mount Nfct Agt (87210)	$189	$189	32.5×
Snrpn/Ube3a Methylation Analysis (81331)	$214	$214	4.2×
Sodium Serum (84295) range across 5 matching MRF lines	$20–$179	$20–$179	varies
Sodium Urine (84300) range across 5 matching MRF lines	$21–$152	$21–$152	varies
Soluble fibrin monomer (85366)	$338	$338	4.2×
Soluble Transferrin Receptor (84238)	$153	$153	4.2×
Somatomedin (84305)	$89	$89	4.2×
Special Stains Group 1 (88312) range across 3 matching MRF lines	$226–$809	$226–$809	varies
Special Stains Group 2 (88313) range across 4 matching MRF lines	$352–$564	$352–$564	varies
Specific gravity body fluid (84315)	$44	$44	13.4×
Specimen infect agnt concntj (87015) range across 4 matching MRF lines	$28–$110	$28–$110	varies
Spectrophotometry (84311) range across 3 matching MRF lines	$34–$116	$34–$116	varies
Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331)	$368	$368	18.8×
Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330)	$431	$431	41.5×
Sperm identification from aspiration (89257)	$1,082	$1,082	19.4×
Splitting Blood/Blood Products Each Unit (86985)	$305	$305	1.7×
Sprm id from tstis tiss frsh/cryoprsrvd (89264)	$1,197	$1,197	21.4×
Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261)	$924	$924	16.5×
Staph a DNA amp probe (87640) range across 2 matching MRF lines	$147–$578	$147–$578	varies
Stool cultr aerobic bact ea (87046)	$189	$189	20.0×
Storage (per year); reproductive tissue, testicular/ovarian Facility Physician Professional Component (89344)	$693	$693	3.8×
Storage per Year Embryo (89342)	$693	$693	3.8×
Storage per year sperm/semen (89343)	$693	$693	3.8×
Strep a assay w/optic (87880) range across 2 matching MRF lines	$221–$320	$221–$320	varies
Strep a DNA amp probe (87651)	$263	$263	7.5×
Strep b DNA amp probe (87653)	$578	$578	16.5×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581)	$63	$63	0.7×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) range across 2 matching MRF lines	$48–$758	$48–$758	varies
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377)	$23	$23	4.2×
Sugars Multiple Quant (84379)	$38	$38	3.3×
Sugars Single Qual (84376)	$23	$23	4.2×
Sulfate urine (84392) range across 3 matching MRF lines	$7–$48	$7–$48	varies
Surg path level iii (88304) range across 2 matching MRF lines	$425–$924	$425–$924	varies
Surgical pathology level IV (88305) range across 5 matching MRF lines	$226–$924	$226–$924	varies
Surgical pathology level vi (88309) range across 2 matching MRF lines	$1,050–$3,812	$1,050–$3,812	varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines	$20–$137	$20–$137	varies
Susceptibility Study Antimicrobial Disk Method (87184) range across 6 matching MRF lines	$32–$215	$32–$215	varies
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187)	$147	$147	3.7×
Syphilis Test Non-Trep Quant (86593) range across 3 matching MRF lines	$17–$163	$17–$163	varies
T cells absolute cd4 count (86361)	$112	$112	4.2×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 5 matching MRF lines	$197–$767	$197–$767	varies
T cells total count (86359) range across 4 matching MRF lines	$29–$630	$29–$630	varies
T3 Free (84481) range across 3 matching MRF lines	$71–$326	$71–$326	varies
T3 reverse (84482) range across 2 matching MRF lines	$30–$66	$30–$66	varies
T3 Total (84480) range across 3 matching MRF lines	$60–$362	$60–$362	varies
T3 Uptake (84479) range across 4 matching MRF lines	$15–$27	$15–$27	varies
T4 Free (84439) range across 3 matching MRF lines	$38–$315	$38–$315	varies
T4 total (84436) range across 5 matching MRF lines	$17–$110	$17–$110	varies
Tacrolimus (80197) range across 4 matching MRF lines	$50–$138	$50–$138	varies
Tau phosphorylated each (84393)	$394	$394	3.1×
Tb ag response t-cell susp (86481)	$630	$630	6.3×
Tert gene targeted seq alys (81345)	$778	$778	4.2×
Testosterone Bioavailable (84410) range across 3 matching MRF lines	$77–$215	$77–$215	varies
Testosterone total (84403) range across 7 matching MRF lines	$13–$230	$13–$230	varies
Testosterone, Free (84402) range across 4 matching MRF lines	$13–$230	$13–$230	varies
Tetanus antibody (86774) range across 2 matching MRF lines	$62–$103	$62–$103	varies
Thawing Cryopreserved Oocytes Each Aliquot (89356)	$641	$641	3.5×
Thawing Cryopresrved Sperm (89353)	$924	$924	16.5×
Thawing of cryopreserved embryos (89352)	$809	$809	4.4×
Theophylline (80198)	$273	$273	19.3×
Thrombin Time (85670) range across 2 matching MRF lines	$24–$152	$24–$152	varies
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 4 matching MRF lines	$27–$131	$27–$131	varies
Thyroglobulin (84432)	$67	$67	4.2×
Thyroglobulin Antibody (86800) range across 5 matching MRF lines	$16–$205	$16–$205	varies
Thyroid Stimulating Immunoglobulin (84445) range across 3 matching MRF lines	$89–$213	$89–$213	varies
Tiss Trnsgltmnase Ea Ig Clas (86364) range across 4 matching MRF lines	$48–$282	$48–$282	varies
Tissue Culture (88233) range across 3 matching MRF lines	$210–$591	$210–$591	varies
Tissue Culture Amniotic Fluid (88235) range across 4 matching MRF lines	$221–$631	$221–$631	varies
Tissue culture bone marrow (88237) range across 4 matching MRF lines	$205–$683	$205–$683	varies
Tissue Culture Lymphocyte (88230) range across 4 matching MRF lines	$205–$489	$205–$489	varies
Tobramycin peak (80200)	$320	$320	19.8×
Topiramate (80201) range across 3 matching MRF lines	$37–$142	$37–$142	varies
Touch prep (88161)	$431	$431	13.9×
Toxin/Antitoxin Assay Tissue Culture (87230)	$83	$83	4.2×
Toxoplasma ab igm (86778) range across 4 matching MRF lines	$58–$61	$58–$61	varies
Toxoplasma antibody (86777) range across 4 matching MRF lines	$38–$61	$38–$61	varies
Tp53 gene analysis full gene sequence (81351)	$2,695	$2,695	4.2×
Tpmt gene com variants (81335) range across 2 matching MRF lines	$546–$734	$546–$734	varies
Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines	$22–$184	$22–$184	varies
Transferrin (84466) range across 2 matching MRF lines	$14–$331	$14–$331	varies
Trb@ Rearrangement Anal Amplification Method (81340)	$878	$878	4.2×
Trg gene rearrangement anal (81342)	$846	$846	4.2×
Trichinella Antibody (86784) range across 2 matching MRF lines	$23–$53	$23–$53	varies
Trichomonas Vaginalis Amplif (87661) range across 4 matching MRF lines	$121–$147	$121–$147	varies
Triglycerides (84478) range across 2 matching MRF lines	$24–$184	$24–$184	varies
Troponin Quant (84484) range across 6 matching MRF lines	$53–$320	$53–$320	varies
Tumor immunohistochem/comput (88361) range across 2 matching MRF lines	$1,499–$2,384	$1,499–$2,384	varies
Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines	$713–$1,145	$713–$1,145	varies
Ugt1a1 gene analysis common variants (81350)	$983	$983	4.2×
Unlisted Cytogenetic Study (88299) range across 5 matching MRF lines	$205–$234	$205–$234	varies
Unlisted miscellaneous pathology test (89240)	$226	$226	4.0×
Unlisted reproductive medicine lab procedure (89398)	$1,019	$1,019	18.2×
Unlisted Transfusion Medicine Procedure (86999) range across 4 matching MRF lines	$194–$819	$194–$819	varies
Urea nitrogen urine (84540) range across 3 matching MRF lines	$7–$90	$7–$90	varies
Uric acid other source (84560) range across 5 matching MRF lines	$21–$231	$21–$231	varies
Urinalysis Microscopic Only (81015)	$83	$83	27.2×
Urinalysis Qual/Semiquant Except Immunoassays (81005)	$8	$8	3.7×
Urinalysis Volume Measure (81050)	$69	$69	19.0×
Urine Bacteria Culture (87088)	$184	$184	22.7×
Urine Pregnancy Test (81025) range across 3 matching MRF lines	$173–$194	$173–$194	varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)	$168	$168	53.0×
Valproic acid (80164) range across 5 matching MRF lines	$57–$341	$57–$341	varies
Vancomycin (80202)	$331	$331	24.4×
Varicella-zoster antibody (86787) range across 6 matching MRF lines	$19–$336	$19–$336	varies
Vasopressin (84588) range across 3 matching MRF lines	$143–$312	$143–$312	varies
Very Long Chain Fatty Acids (82726) range across 2 matching MRF lines	$83–$510	$83–$510	varies
Viral Culture (87252) range across 5 matching MRF lines	$102–$194	$102–$194	varies
Virus antibody nos (86790) range across 12 matching MRF lines	$55–$158	$55–$158	varies
Virus inoculate tissue addl (87253) range across 2 matching MRF lines	$247–$494	$247–$494	varies
Virus inoculation, shell via (87254) range across 3 matching MRF lines	$82–$179	$82–$179	varies
Viscosity serum (85810) range across 2 matching MRF lines	$49–$92	$49–$92	varies
Vit D 1 25-Dihydroxy (82652) range across 4 matching MRF lines	$25–$205	$25–$205	varies
Vitamin A (84590) range across 3 matching MRF lines	$48–$116	$48–$116	varies
Vitamin b-12 (82607)	$326	$326	21.6×
Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines	$60–$85	$60–$85	varies
Vitamin B6 (84207) range across 3 matching MRF lines	$118–$210	$118–$210	varies
Vitamin c (82180)	$42	$42	4.2×
Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines	$124–$557	$124–$557	varies
Vitamin E (84446) range across 4 matching MRF lines	$46–$60	$46–$60	varies
Vitamin K (84597) range across 3 matching MRF lines	$58–$121	$58–$121	varies
Volatiles (84600) range across 2 matching MRF lines	$71–$75	$71–$75	varies
Voltage-Gated Calcium Channel Antibody Each (86596)	$78	$78	6.5×
Von willebrand factor ag (85246) range across 4 matching MRF lines	$97–$252	$97–$252	varies
Wbc Alkaline Phosphatase Count (85540) range across 2 matching MRF lines	$36–$331	$36–$331	varies
West nile virus ab igm (86788)	$70	$70	4.2×
West Nile Virus Antibody (86789) range across 5 matching MRF lines	$14–$61	$14–$61	varies
Western Blot Test (84181) range across 3 matching MRF lines	$71–$405	$71–$405	varies
Whole Mitochondrial Genome (81460)	$5,405	$5,405	4.2×
Whole mitochondrial genome analysis panel (81465)	$3,931	$3,931	4.2×
Zika Virus Dna/Rna Amp Probe (87662) range across 2 matching MRF lines	$215–$315	$215–$315	varies
Zika Virus Igm Antibody (86794)	$185	$185	11.0×
Zinc (84630) range across 3 matching MRF lines	$21–$121	$21–$121	varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.