Lab & pathology prices at The University of Chicago Medical Center
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
989 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17 Ketogenic steroids (83582) | $91 | $91 | 5.9× |
| 17-Hydroxypregnenolone (84143) | $190 | $190 | 8.3× |
| 5 Nucleotidase (83915) | $122 | $122 | 10.9× |
| Abl1 gene analysis kinase domain variants (81170) | $815 | $815 | 2.7× |
| Acetylcholine receptor binding antibody (86041) | $149 | $149 | 8.1× |
| Acetylcholinesterase Assay (82013) | $363 | $363 | 29.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $149 | $149 | 12.4× |
| Acth (82024) | $619 | $619 | 16.0× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $334 | $334 | 10.2× |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) | $383 | $383 | 4.4× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) | $343 | $343 | 4.4× |
| Actin smooth muscle antibody each (86015) | $453 | $453 | 37.6× |
| Acute hepatitis panel (80074) | $1,118 | $1,118 | 23.5× |
| Acylcarnitines Quant (82017) | $398 | $398 | 23.6× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $37 | $37 | 2.2× |
| Adenovirus antibody (86603) | $220 | $220 | 17.1× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $211 | $211 | 3.3× |
| Agglutinins Febrile Each Antigen (86000) | $122 | $122 | 17.5× |
| Albumin Fluid (82042) | $146 | $146 | 18.8× |
| Albumin serum (82040) range across 2 matching MRF lines |
$43–$147 | $43–$147 | varies |
| Aldolase (82085) | $326 | $326 | 33.6× |
| Aldosterone Suppression Evaluation Panel (80408) | $648 | $648 | 5.2× |
| Aldosterone urine (82088) | $342 | $342 | 8.4× |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$214–$223 | $214–$223 | varies |
| Allergen specific ige (86003) range across 12 matching MRF lines |
$21–$142 | $21–$142 | varies |
| Allergen specific igg (86001) | $78 | $78 | 10.0× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$85–$99 | $85–$99 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $366 | $366 | 25.3× |
| Alpha-1-antitrypsin total (82103) | $337 | $337 | 25.1× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $331 | $331 | 19.5× |
| Alpha-Fetoprotein Serum (82105) | $454 | $454 | 27.1× |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$43–$152 | $43–$152 | varies |
| Aluminum (82108) | $149 | $149 | 5.8× |
| Amikacin trough (80150) | $310 | $310 | 20.6× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $261 | $261 | 11.4× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$853–$1,156 | $853–$1,156 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $37 | $37 | 2.7× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $415 | $415 | 29.3× |
| Aminolevulinic acid (ala) (82135) | $276 | $276 | 16.8× |
| Ammonia (82140) range across 2 matching MRF lines |
$92–$385 | $92–$385 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $615 | $615 | 6.3× |
| Amniotic fluid scan (82143) | $41 | $41 | 4.4× |
| Amylase urine (82150) | $196 | $196 | 30.2× |
| Ana Titer (86039) range across 2 matching MRF lines |
$171–$261 | $171–$261 | varies |
| Anca screen each antibody (86036) | $195 | $195 | 16.2× |
| Anca Titer Each Antibody (86037) | $214 | $214 | 17.8× |
| Androstenedione (82157) | $468 | $468 | 16.0× |
| Angiotensin converting enzyme csf (82164) | $366 | $366 | 25.1× |
| Anti-Phospholipid Antibody (86148) | $384 | $384 | 23.9× |
| Antibody aspergillus (86606) | $220 | $220 | 14.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $107 | $107 | 8.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $413 | $413 | 26.7× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $518 | $518 | 30.7× |
| Antibody Encephalitis California La Crosse (86651) | $68 | $68 | 5.2× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $298 | $298 | 22.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $319 | $319 | 20.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$231–$484 | $231–$484 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 4 matching MRF lines |
$204–$261 | $204–$261 | varies |
| Antibody haemophilus influenza (86684) | $263 | $263 | 16.6× |
| Antibody helicobacter pylori (86677) | $456 | $456 | 27.1× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $470 | $470 | 32.7× |
| Antibody Herpes Smplx Type 1 (86695) range across 2 matching MRF lines |
$127–$263 | $127–$263 | varies |
| Antibody HIV-1&HIV-2 single result (86703) | $108 | $108 | 7.9× |
| Antibody HIV-2 (86702) range across 4 matching MRF lines |
$78–$185 | $78–$185 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) | $550 | $550 | 1.7× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $492 | $492 | 5.2× |
| Antibody Hla Class II Phenotype Panel Qual (86831) range across 2 matching MRF lines |
$474–$492 | $474–$492 | varies |
| Antibody hla class ii semiquantitative panel (86835) | $1,410 | $1,410 | 4.4× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 6 matching MRF lines |
$241–$273 | $241–$273 | varies |
| Antibody identification leukocyte antibodies (86021) range across 8 matching MRF lines |
$253–$477 | $253–$477 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $234 | $234 | 18.8× |
| Antibody Lymphocytic Choriomeningitis (86727) | $107 | $107 | 8.3× |
| Antibody Protozoa Nes (86753) | $291 | $291 | 23.5× |
| Antibody Titer (86886) | $869 | $869 | 167.8× |
| Antibody Treponema Pallidum (86780) range across 6 matching MRF lines |
$127–$250 | $127–$250 | varies |
| Antibody yersinia (86793) | $163 | $163 | 12.4× |
| Antibody; encephalitis, st. louis (86653) range across 3 matching MRF lines |
$83–$244 | $83–$244 | varies |
| Antibody; influenza virus (86710) | $100 | $100 | 7.4× |
| Antigen typing (86905) | $238 | $238 | 62.1× |
| Antinuclear antibodies (86038) | $279 | $279 | 23.1× |
| Antistreptolysin o titer (86060) | $290 | $290 | 39.7× |
| Antithrombin iii activity (85300) | $645 | $645 | 54.4× |
| Antithrombin iii antigen (85301) | $302 | $302 | 27.9× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $4,095 | $4,095 | 8.1× |
| Apc Gene Analysis Known Familial Variants (81202) | $158 | $158 | 0.6× |
| Apc gene dup/delet variants (81203) | $440 | $440 | 2.2× |
| Apc gene full sequence (81201) | $1,045 | $1,045 | 1.3× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$74–$261 | $74–$261 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $453 | $453 | 12.0× |
| Arsenic (82175) | $178 | $178 | 9.4× |
| Aspa gene analysis common variants (81200) | $158 | $158 | 3.3× |
| Aspergillus ag eia (87305) | $242 | $242 | 20.2× |
| Assay activated protein c (85307) | $596 | $596 | 38.9× |
| Assay Blood Carbon Dioxide (82374) range across 2 matching MRF lines |
$43–$82 | $43–$82 | varies |
| Assay Blood Catecholamines (82383) | $404 | $404 | 13.9× |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$280–$309 | $280–$309 | varies |
| Assay of 5-hiaa (83497) | $246 | $246 | 19.1× |
| Assay of anti-mullerian hormone (82166) | $260 | $260 | 6.7× |
| Assay of b-hexosaminidase each assay (83080) range across 3 matching MRF lines |
$346–$442 | $346–$442 | varies |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$43–$150 | $43–$150 | varies |
| Assay of calcium in urine (82340) | $196 | $196 | 32.5× |
| Assay of corticosterone (82528) | $502 | $502 | 22.3× |
| Assay of estrone (82679) | $331 | $331 | 13.3× |
| Assay of g6pd enzyme (82955) | $207 | $207 | 21.3× |
| Assay of gammaglobulin igm (82784) range across 8 matching MRF lines |
$238–$266 | $238–$266 | varies |
| Assay of lactic acid (83605) | $247 | $247 | 21.3× |
| Assay of manganese (83785) | $232 | $232 | 8.7× |
| Assay of metanephrines (83835) | $460 | $460 | 27.2× |
| Assay of phosphatase acid total (84060) | $180 | $180 | 23.6× |
| Assay of procainamide (80190) | $429 | $429 | 7.2× |
| Assay of proinsulin (84206) | $366 | $366 | 13.7× |
| Assay of pyruvate (84210) | $256 | $256 | 17.7× |
| Assay of serotonin (84260) | $224 | $224 | 7.2× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$43–$50 | $43–$50 | varies |
| Assay of sweat sodium (84302) | $77 | $77 | 15.8× |
| Assay of urea nitrogen (84520) range across 3 matching MRF lines |
$43–$158 | $43–$158 | varies |
| Assay of urine vma (84585) | $282 | $282 | 18.2× |
| Assay of vasoactive intestinal peptide (84586) | $596 | $596 | 16.9× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$284–$309 | $284–$309 | varies |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$27–$117 | $27–$117 | varies |
| Assay Phosphohexose Enzymes (84087) | $372 | $372 | 34.7× |
| Assay spec xcp ur&breath ia (82077) | $231 | $231 | 13.4× |
| Asxl1 gene analysis full gene sequence (81175) | $94 | $94 | 0.1× |
| Asy carbamazepin 10,11-epxid (80161) | $159 | $159 | 8.5× |
| Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) range across 2 matching MRF lines |
$304–$685 | $304–$685 | varies |
| Atomic Absorption (82190) range across 7 matching MRF lines |
$96–$408 | $96–$408 | varies |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) range across 2 matching MRF lines |
$304–$685 | $304–$685 | varies |
| ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) range across 2 matching MRF lines |
$304–$685 | $304–$685 | varies |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) range across 2 matching MRF lines |
$304–$685 | $304–$685 | varies |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) range across 2 matching MRF lines |
$304–$685 | $304–$685 | varies |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) range across 2 matching MRF lines |
$304–$685 | $304–$685 | varies |
| ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) range across 2 matching MRF lines |
$304–$685 | $304–$685 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $1,235 | $1,235 | 6.8× |
| Autol bld/component collj storage salvage (86891) | $4,089 | $4,089 | 4.7× |
| Automated Leukocyte Count (85048) | $129 | $129 | 50.8× |
| B cells total count (86355) | $389 | $389 | 10.3× |
| Bartonella antibody (86611) | $88 | $88 | 8.6× |
| Bcr/abl1 gene major bp (81206) | $1,192 | $1,192 | 7.3× |
| Bcr/abl1 gene minor bp (81207) | $1,192 | $1,192 | 8.2× |
| Beta 2 glycoprotein i antibody each (86146) | $405 | $405 | 15.9× |
| Beta hydroxybutyrate (82010) | $157 | $157 | 19.2× |
| Beta Lactamase (87185) | $68 | $68 | 14.3× |
| Beta-2 Microglobulin (82232) range across 3 matching MRF lines |
$234–$411 | $234–$411 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $503 | $503 | 3.9× |
| Bile acids total (82239) | $187 | $187 | 10.9× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$43–$158 | $43–$158 | varies |
| Bilirubin total (82247) | $159 | $159 | 31.7× |
| Bilirubin total transcutaneous (88720) | $93 | $93 | 18.5× |
| Biotinidase (82261) range across 2 matching MRF lines |
$37–$204 | $37–$204 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $40 | $40 | 11.7× |
| Blastomyces antibody (86612) | $331 | $331 | 25.7× |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) | $171 | $171 | 5.5× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $268 | $268 | 1.5× |
| Bleeding time test (85002) | $106 | $106 | 22.0× |
| Blm Gene (81209) | $126 | $126 | 3.2× |
| Blood Count Automated Differential Wbc Count (85004) | $75 | $75 | 11.6× |
| Blood Count Manual Cell Count Each (85032) | $103 | $103 | 23.9× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $78 | $78 | 20.5× |
| Blood gas (82803) | $361 | $361 | 13.8× |
| Blood gases w/02 saturation (82805) | $428 | $428 | 5.4× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $165 | $165 | 10.4× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $72 | $72 | 16.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $186 | $186 | 29.3× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$50–$163 | $50–$163 | varies |
| Body fluid cell count (89050) | $199 | $199 | 42.2× |
| Bone marrow smear interpretation (85097) | $383 | $383 | 0.4× |
| Bordetella antibody (86615) | $224 | $224 | 17.0× |
| Braf gene analysis (81210) range across 2 matching MRF lines |
$158–$1,438 | $158–$1,438 | varies |
| Brca1&2 gen full seq dup/del (81162) range across 2 matching MRF lines |
$2,035–$2,750 | $2,035–$2,750 | varies |
| Brca2 gene analysis full sequence analysis (81216) | $1,264 | $1,264 | 6.8× |
| Breath Alcohol Test (82075) | $48 | $48 | 1.6× |
| Brucella antibody (86622) | $205 | $205 | 23.0× |
| C diff amplified probe (87493) | $421 | $421 | 11.3× |
| C-Peptide (84681) | $404 | $404 | 19.4× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$50–$276 | $50–$276 | varies |
| Ca 19-9 (86301) | $409 | $409 | 19.7× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) range across 2 matching MRF lines |
$304–$685 | $304–$685 | varies |
| Cadmium (82300) | $197 | $197 | 8.3× |
| Caffeine (80155) | $133 | $133 | 3.4× |
| Calcitonin (82308) | $392 | $392 | 14.6× |
| Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) | $419 | $419 | 5.2× |
| Calcium ionized (82330) | $312 | $312 | 22.8× |
| Calcium total (82310) range across 2 matching MRF lines |
$43–$162 | $43–$162 | varies |
| Calculus Spectroscopy (82365) | $197 | $197 | 15.3× |
| Calprotectin Fecal (83993) | $358 | $358 | 18.2× |
| Calr gene com variants (81219) range across 2 matching MRF lines |
$1,133–$1,339 | $1,133–$1,339 | varies |
| Cancer Antigen 125 (86304) | $520 | $520 | 25.0× |
| Cancer Antigen 27.29 (86300) | $461 | $461 | 22.2× |
| Candida antibody (86628) | $143 | $143 | 11.9× |
| Candida Dna Dir Probe (87480) | $103 | $103 | 5.1× |
| Carbamazepine free (80157) | $107 | $107 | 8.1× |
| Carbamazepine total (80156) | $806 | $806 | 55.3× |
| Carbohydrate Deficient Transferrin (82373) | $284 | $284 | 15.7× |
| Carboxyhemoglobin (82375) | $206 | $206 | 16.7× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$180–$531 | $180–$531 | varies |
| Cardiolipin ab iga (86147) | $544 | $544 | 21.4× |
| Carnitine Quantitative Each Specimen (82379) | $348 | $348 | 20.6× |
| Carotene (82380) | $204 | $204 | 22.1× |
| Catecholamines fractionated (82384) | $400 | $400 | 15.8× |
| Ccp antibody (86200) range across 3 matching MRF lines |
$116–$416 | $116–$416 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) range across 2 matching MRF lines |
$906–$1,116 | $906–$1,116 | varies |
| Cell count csf (89051) | $478 | $478 | 85.4× |
| Cell marker study (88182) | $556 | $556 | 10.0× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 2 matching MRF lines |
$702–$1,007 | $702–$1,007 | varies |
| Ceruloplasmin (82390) | $337 | $337 | 31.4× |
| Cftr gene com variants (81220) range across 3 matching MRF lines |
$341–$1,925 | $341–$1,925 | varies |
| Cftr gene dup/delet variants (81222) range across 2 matching MRF lines |
$495–$1,436 | $495–$1,436 | varies |
| Cftr gene full sequence (81223) range across 2 matching MRF lines |
$2,090–$2,266 | $2,090–$2,266 | varies |
| Chemiluminescent assay (82397) range across 11 matching MRF lines |
$162–$631 | $162–$631 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $800 | $800 | 3.1× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $800 | $800 | 3.9× |
| Chlamydia antibody (86631) | $212 | $212 | 17.9× |
| Chlamydia Igm Antibody (86632) | $210 | $210 | 16.6× |
| Chloramphenicol level (82415) | $176 | $176 | 13.9× |
| Chloride other source (82438) range across 4 matching MRF lines |
$83–$211 | $83–$211 | varies |
| Chloride Serum (82435) range across 3 matching MRF lines |
$30–$122 | $30–$122 | varies |
| Chloride urine (82436) | $35 | $35 | 6.1× |
| Cholesterol total (82465) range across 2 matching MRF lines |
$43–$162 | $43–$162 | varies |
| Cholinesterase rbc (82482) | $91 | $91 | 9.3× |
| Cholinesterase Serum (82480) | $122 | $122 | 15.5× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) | $541 | $541 | 9.7× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) | $541 | $541 | 10.5× |
| Chorionic gonadotropin test (84702) range across 6 matching MRF lines |
$143–$484 | $143–$484 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $2,056 | $2,056 | 10.9× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $212 | $212 | 7.9× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $263 | $263 | 7.9× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $1,275 | $1,275 | 18.6× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $1,066 | $1,066 | 6.2× |
| Chromium serum (82495) | $300 | $300 | 14.8× |
| Chromogenic Substrate Assay (85130) range across 3 matching MRF lines |
$283–$301 | $283–$301 | varies |
| Chromogranin a (86316) | $367 | $367 | 17.6× |
| Chromosome analys amniotic (88269) | $1,929 | $1,929 | 11.1× |
| Chromosome Analysis 15-20 (88262) | $2,646 | $2,646 | 21.1× |
| Chromosome Analysis 20-25 (88264) | $2,416 | $2,416 | 16.7× |
| Chromosome analysis, 5 (88261) | $1,223 | $1,223 | 4.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$113–$411 | $113–$411 | varies |
| Citric acid urine (82507) | $42 | $42 | 1.5× |
| Ckmb (82553) | $246 | $246 | 21.3× |
| Clostridium Difficile (87324) | $280 | $280 | 23.4× |
| Clot Factor VIII Multimetric (85247) | $540 | $540 | 23.5× |
| Clotting factor xii hageman (85280) | $793 | $793 | 41.0× |
| Clotting Funct Activity (85397) | $622 | $622 | 20.2× |
| Cns DNA amp probe type 12-25 (87483) | $2,044 | $2,044 | 4.9× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$148–$287 | $148–$287 | varies |
| Coccidioides antibody (86635) | $199 | $199 | 17.3× |
| Cold agglutinin screen (86156) | $91 | $91 | 11.3× |
| Cold agglutinin titer (86157) | $186 | $186 | 23.1× |
| Collagen crosslinks (82523) | $547 | $547 | 29.3× |
| Column Chromotography Quant (82542) range across 18 matching MRF lines |
$234–$595 | $234–$595 | varies |
| Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) | $2,548 | $2,548 | 4.4× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 3 matching MRF lines |
$1,637–$3,208 | $1,637–$3,208 | varies |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $1,890 | $1,890 | 6.2× |
| Compatibility test antiglob (86922) | $357 | $357 | 2.0× |
| Complement Antigen Each Component (86160) range across 6 matching MRF lines |
$96–$483 | $96–$483 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$265–$401 | $265–$401 | varies |
| Complement/Function Activity (86161) range across 3 matching MRF lines |
$299–$303 | $299–$303 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) | $938 | $938 | 5.1× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 2 matching MRF lines |
$645–$716 | $645–$716 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 2 matching MRF lines |
$385–$407 | $385–$407 | varies |
| Coombs direct (86880) | $182 | $182 | 33.8× |
| Copper urine (82525) | $232 | $232 | 18.7× |
| Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) | $3,089 | $3,089 | 3.9× |
| Cortisol free (82530) | $348 | $348 | 20.8× |
| Cortisol saliva (82533) | $456 | $456 | 28.0× |
| Creatine kinase total (82550) range across 6 matching MRF lines |
$43–$133 | $43–$133 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$43–$151 | $43–$151 | varies |
| Creatinine clearance (82575) | $411 | $411 | 43.4× |
| Creatinine Urine (82570) range across 9 matching MRF lines |
$50–$187 | $50–$187 | varies |
| Crossmatch electronic (86923) | $262 | $262 | 1.4× |
| Crossmatch immediate spin (86920) | $170 | $170 | 0.9× |
| Crp High Sensitivity (86141) | $375 | $375 | 29.0× |
| Cryofibrinogen (82585) | $91 | $91 | 6.4× |
| Cryoglobulin (82595) | $197 | $197 | 30.4× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $416 | $416 | 31.8× |
| Cryptococcus ag titer (87899) range across 6 matching MRF lines |
$193–$339 | $193–$339 | varies |
| Cryptosporidium (87272) | $213 | $213 | 17.8× |
| Cryptosporidium ag eia (87328) | $313 | $313 | 22.6× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$39–$186 | $39–$186 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $190 | $190 | 23.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $439 | $439 | 56.9× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,160 | $1,160 | 5.3× |
| Culture aerobic quant other (87071) | $465 | $465 | 47.0× |
| Culture afb (87116) | $471 | $471 | 43.6× |
| Culture Anaerobic (87075) | $447 | $447 | 47.2× |
| Culture bacteria anaerobic (87073) | $249 | $249 | 25.8× |
| Culture blood (87040) range across 3 matching MRF lines |
$298–$574 | $298–$574 | varies |
| Culture chlamydia (87110) | $433 | $433 | 22.1× |
| Culture csf (87070) | $385 | $385 | 44.7× |
| Culture fungus (87102) | $438 | $438 | 52.1× |
| Culture fungus blood (87103) | $207 | $207 | 10.1× |
| Culture screen only (87081) range across 13 matching MRF lines |
$167–$255 | $167–$255 | varies |
| Culture stool (87045) | $537 | $537 | 56.9× |
| Culture typing if ea antiserum (87140) | $190 | $190 | 34.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $82 | $82 | 15.8× |
| Culture typing other methods (87158) | $343 | $343 | 44.3× |
| Culture urine (87086) range across 2 matching MRF lines |
$77–$311 | $77–$311 | varies |
| Cyanide (82600) | $151 | $151 | 7.8× |
| Cyclosporine (80158) | $458 | $458 | 25.4× |
| Cystatin C (82610) | $311 | $311 | 16.8× |
| Cytogenetics 10-30 (88273) | $1,128 | $1,128 | 32.4× |
| Cytogenetics 100-300 (88275) | $1,793 | $1,793 | 35.0× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $1,993 | $1,993 | 2.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,556 | $2,556 | 2.2× |
| Cytogenomic neo microra alys (81277) | $2,493 | $2,493 | 2.1× |
| Cytomegalovirus igg (86644) | $453 | $453 | 31.5× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 2 matching MRF lines |
$194–$234 | $194–$234 | varies |
| Cytopath Cell Enhance Tech (88112) range across 4 matching MRF lines |
$253–$767 | $253–$767 | varies |
| Cytotoxic Antibody Screen Std (86807) | $378 | $378 | 4.8× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $186 | $186 | 7.0× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) range across 2 matching MRF lines |
$194–$274 | $194–$274 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $663 | $663 | 16.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $1,015 | $1,015 | 18.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $458 | $458 | 2.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $663 | $663 | 16.6× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $653 | $653 | 3.6× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $190 | $190 | 10.2× |
| Deoxycortisol (82634) | $196 | $196 | 6.7× |
| Deoxyribonuclease antibody (86215) | $195 | $195 | 14.7× |
| Desoxycorticosterone (82633) | $279 | $279 | 9.0× |
| Detect Agent Nos Dna Amp (87798) range across 28 matching MRF lines |
$224–$596 | $224–$596 | varies |
| Detect Agent Nos Dna Quant (87799) range across 9 matching MRF lines |
$266–$661 | $266–$661 | varies |
| Detect agnt mult DNA ampli (87801) range across 2 matching MRF lines |
$205–$476 | $205–$476 | varies |
| Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) | $574 | $574 | 3.5× |
| Dgp Antibody Each Ig Class (86258) | $354 | $354 | 29.4× |
| Dhea (82626) | $168 | $168 | 6.6× |
| Dhea-S (82627) | $567 | $567 | 25.5× |
| Digoxin (80162) | $327 | $327 | 24.6× |
| Dihydrotestosterone (82642) | $313.67 | $313.67 | 10.7× |
| Diphtheria antitoxoid (86648) | $168 | $168 | 11.0× |
| Dna Antibody Native/Double Stranded (86225) range across 3 matching MRF lines |
$143–$477 | $143–$477 | varies |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
$243–$619 | $243–$619 | varies |
| DNA/RNA direct probe (87149) | $367 | $367 | 18.3× |
| Dna/Rna Sequencing (87153) | $1,208 | $1,208 | 10.5× |
| Drug assay acetaminophen (80143) | $208 | $208 | 11.2× |
| Drug assay adalimumab (80145) | $212 | $212 | 5.5× |
| Drug Assay Amiodarone (80151) | $183 | $183 | 9.8× |
| Drug Assay Everolimus (80169) | $196 | $196 | 14.3× |
| Drug assay felbamate (80167) | $175 | $175 | 9.4× |
| Drug Assay Infliximab (80230) | $127 | $127 | 3.3× |
| Drug Assay Itraconazole (80189) | $223 | $223 | 8.2× |
| Drug Assay Lacosamide (80235) | $105 | $105 | 3.9× |
| Drug Assay Leflunomide (80193) | $223 | $223 | 5.8× |
| Drug Assay Posaconazole (80187) | $105 | $105 | 3.9× |
| Drug Assay Vedolizumab (80280) | $212 | $212 | 5.5× |
| Drug assay voriconazole (80285) | $105 | $105 | 3.9× |
| Drug Screen Quant Clozapine (80159) | $169 | $169 | 8.4× |
| Drug Screen Quant Zonisamide (80203) | $154 | $154 | 11.6× |
| Drug Screen Quantitative Gabapentin (80171) | $145 | $145 | 6.7× |
| Drug Screen Quantitative Lamotrigine (80175) | $123 | $123 | 9.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $120 | $120 | 9.1× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $151 | $151 | 11.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $256 | $256 | 15.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 26 matching MRF lines |
$42–$955 | $42–$955 | varies |
| Egfr Gene Analysis Common Variants (81235) | $1,116 | $1,116 | 3.4× |
| Ehrlichia antibody (86666) | $143 | $143 | 14.0× |
| El-1 Fecal Quantitative (82653) | $260 | $260 | 11.3× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$171–$192 | $171–$192 | varies |
| Electron Microscopy (88348) | $3,218 | $3,218 | 3.7× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $256 | $256 | 4.2× |
| Encephaltis East Eqne Anbdy (86652) range across 3 matching MRF lines |
$83–$244 | $83–$244 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 3 matching MRF lines |
$83–$244 | $83–$244 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $453 | $453 | 37.5× |
| Enterovirus Antibody (86658) range across 5 matching MRF lines |
$102–$157 | $102–$157 | varies |
| Enterovirus PCR (87498) | $546 | $546 | 15.6× |
| Enzyme cell activity (82657) range across 20 matching MRF lines |
$186–$453 | $186–$453 | varies |
| Enzyme histochemistry (88319) range across 8 matching MRF lines |
$358–$658 | $358–$658 | varies |
| Eosinophil Smear (89190) | $99 | $99 | 17.1× |
| Erythropoietin (82668) | $441 | $441 | 23.5× |
| Estradiol serum (82670) range across 4 matching MRF lines |
$108–$450 | $108–$450 | varies |
| Estriol (82677) | $252 | $252 | 10.4× |
| Estrogens fractionated (82671) | $350 | $350 | 10.8× |
| Ethosuximide (80168) | $403 | $403 | 24.7× |
| Ethylene Glycol (82693) | $133 | $133 | 8.9× |
| Euglobulin lysis (85360) | $168 | $168 | 20.0× |
| Exam Synovial Fluid Crystals (89060) | $226 | $226 | 30.8× |
| Exome Sequence Analysis (81415) | $11,330 | $11,330 | 2.4× |
| Exome sequence analysis each comparator exome (81416) likely a partial charge, not the full procedure |
$1,700 | $1,700 | 0.1× |
| Ezh2 gene analysis full gene sequence (81236) | $1,320 | $1,320 | 4.7× |
| F2 Gene (81240) | $676 | $676 | 10.3× |
| Factor ii activity (85210) | $483 | $483 | 37.2× |
| Factor Inhibitor Test (85335) | $648 | $648 | 50.3× |
| Factor ix activity (85250) | $802 | $802 | 42.1× |
| Factor v activity (85220) | $618 | $618 | 35.0× |
| Factor v leiden mutation (81241) | $676 | $676 | 9.2× |
| Factor vii assay (85230) | $643 | $643 | 35.9× |
| Factor viii assay (85240) | $813 | $813 | 45.4× |
| Factor X (85260) | $739 | $739 | 41.3× |
| Factor xi activity (85270) | $600 | $600 | 33.5× |
| Factor xiii screen (85291) | $445 | $445 | 48.8× |
| Fancc Gene (81242) | $1,565 | $1,565 | 42.7× |
| Fat/Lipids Feces Quantitative (82710) | $338 | $338 | 20.1× |
| Fatty acids free (82725) | $152 | $152 | 8.1× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $272 | $272 | 35.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $394 | $394 | 22.9× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $280 | $280 | 42.9× |
| Ferritin (82728) range across 2 matching MRF lines |
$130–$437 | $130–$437 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) | $549 | $549 | 3.6× |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $368 | $368 | 6.8× |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | $636 | $636 | 11.5× |
| Fetal Fibronectin (82731) | $779 | $779 | 12.1× |
| Fetal hemoglobin assay qual (83033) | $49 | $49 | 6.1× |
| Fetal Lung Maturity Fluorescence Polarization (83663) | $522 | $522 | 27.6× |
| Fetal screen rosette (85461) | $127 | $127 | 13.6× |
| Fibrin Degradation Quant (85379) | $418 | $418 | 41.1× |
| Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) | $280 | $280 | 22.5× |
| Fibrinogen activity (85384) | $286 | $286 | 29.4× |
| Flecainide level (80181) | $120 | $120 | 6.4× |
| Flow cytometry first marker (88184) range across 5 matching MRF lines |
$318–$783 | $318–$783 | varies |
| Flt3 Gene (81245) | $1,264 | $1,264 | 7.6× |
| Flt3 gene analysis (81246) | $365 | $365 | 4.4× |
| Fluorescent antibody screen (86255) range across 27 matching MRF lines |
$100–$453 | $100–$453 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 20 matching MRF lines |
$90–$288 | $90–$288 | varies |
| Fmr1 Gene Charac Alleles (81244) | $662 | $662 | 14.7× |
| Fmr1 gene detection (81243) range across 5 matching MRF lines |
$304–$1,683 | $304–$1,683 | varies |
| Folic acid rbc (82747) | $369 | $369 | 20.9× |
| Folic Acid Serum (82746) | $439 | $439 | 29.9× |
| Follicle Stimulating Hormone (83001) range across 4 matching MRF lines |
$124–$469 | $124–$469 | varies |
| Francisella tularensis (86668) | $275 | $275 | 19.4× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $389 | $389 | 2.1× |
| Frozen Section (88331) | $441 | $441 | 2.4× |
| Fungi Identification Mold (87107) | $232 | $232 | 22.5× |
| Fungi Identification Yeast (87106) | $297 | $297 | 28.8× |
| Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) range across 2 matching MRF lines |
$304–$685 | $304–$685 | varies |
| Fxn Gene Analysis Full Gene Sequence (81286) | $1,133 | $1,133 | 4.1× |
| Galactokinase rbc (82759) | $464 | $464 | 21.6× |
| Galactose (82760) range across 2 matching MRF lines |
$31–$37 | $31–$37 | varies |
| Galactose transferase test (82776) | $37 | $37 | 3.2× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $342 | $342 | 16.2× |
| Galectin-3 (82777) | $309 | $309 | 7.0× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$61–$84 | $61–$84 | varies |
| Gardner vag DNA dir probe (87510) | $103 | $103 | 5.1× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $193 | $193 | 19.8× |
| Gases blood ph only (82800) | $200 | $200 | 18.2× |
| Gastrin (82941) | $257 | $257 | 14.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,917 | $1,917 | 4.6× |
| Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) | $158 | $158 | 3.3× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 3 matching MRF lines |
$3,410–$5,361 | $3,410–$5,361 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 4 matching MRF lines |
$5,361–$8,340 | $5,361–$8,340 | varies |
| Genetic Tstg Severe Inh Cond (81443) range across 69 matching MRF lines |
$470–$5,096 | $470–$5,096 | varies |
| Gentamicin (80170) | $528 | $528 | 32.2× |
| Ggt (82977) | $158 | $158 | 21.9× |
| Gh suppression panel (80430) | $2,025 | $2,025 | 15.7× |
| Giardia antigen (87329) | $161 | $161 | 13.4× |
| Glucagon (82943) | $350 | $350 | 24.5× |
| Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) | $1,517 | $1,517 | 32.9× |
| Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) | $306 | $306 | 6.1× |
| Glucose 2 hr pp (82950) | $190 | $190 | 40.0× |
| Glucose Blood Test (82962) | $85 | $85 | 25.9× |
| Glucose body fluid (82945) | $188 | $188 | 47.8× |
| Glucose Serum (82947) range across 8 matching MRF lines |
$43–$75 | $43–$75 | varies |
| Glucose tolerance test (gtt) (82951) | $403 | $403 | 31.3× |
| Glucosidase beta (82963) | $416 | $416 | 19.4× |
| Glycated Protein (82985) | $150 | $150 | 8.9× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $185 | $185 | 12.1× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$63–$110 | $63–$110 | varies |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) | $2,252 | $2,252 | 15.2× |
| Growth hormone (83003) | $289 | $289 | 17.3× |
| Growth Hormone Stimulation Panel (80428) | $1,291 | $1,291 | 19.4× |
| Gtt-added samples (82952) | $122 | $122 | 31.1× |
| H Pylori (C-13) Breath (83013) | $1,213 | $1,213 | 18.0× |
| H Pylori Drug Admin (83014) | $405 | $405 | 51.5× |
| H pylri clrthmcn rst amp prb (87513) | $315 | $315 | 9.0× |
| Haloperidol (80173) | $155 | $155 | 9.8× |
| Haptoglobin (83010) | $387 | $387 | 30.8× |
| Hba1/Hba2 Gene (81257) | $833 | $833 | 8.1× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $833 | $833 | 4.1× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$30–$179 | $30–$179 | varies |
| Heinz Bodies Direct (85441) | $115 | $115 | 27.4× |
| Heinz Bodies Induced Acetyl Phenylhydrazine (85445) | $159 | $159 | 23.3× |
| Helicobacter Pylori Stool (87338) | $443 | $443 | 30.8× |
| Helminth Antibody (86682) | $186 | $186 | 14.3× |
| Hematocrit (85014) range across 2 matching MRF lines |
$39–$58 | $39–$58 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$39–$98 | $39–$98 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$92–$344 | $92–$344 | varies |
| Hemoglobin Chromotography (83021) range across 3 matching MRF lines |
$37–$386 | $37–$386 | varies |
| Hemoglobin electrophoresis (83020) | $37 | $37 | 2.9× |
| Hemoglobin Methemoglobin Quantitative (83050) | $82 | $82 | 10.0× |
| Hemoglobin plasma (83051) | $98 | $98 | 13.4× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $246 | $246 | 25.3× |
| Hemosiderin urine (83070) | $134 | $134 | 28.2× |
| Hep a ab igm (86709) | $533 | $533 | 47.3× |
| Heparin assay (85520) | $721 | $721 | 55.1× |
| Heparin Neutralization (85525) | $115 | $115 | 9.7× |
| Hepatitis a antibody total (86708) | $289 | $289 | 23.3× |
| Hepatitis b core ab igm (86705) | $561 | $561 | 47.7× |
| Hepatitis b core ab total (86704) | $390 | $390 | 32.4× |
| Hepatitis B Surface Antibody (86706) | $255 | $255 | 23.7× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$99–$456 | $99–$456 | varies |
| Hepatitis Be Antibody (86707) | $200 | $200 | 17.3× |
| Hepatitis Be Antigen (87350) | $200 | $200 | 17.3× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$136–$513 | $136–$513 | varies |
| Hepatitis c antibody confirmatory test (86804) | $412 | $412 | 26.6× |
| Hepatitis C Genotype (87902) range across 4 matching MRF lines |
$831–$1,985 | $831–$1,985 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) range across 2 matching MRF lines |
$193–$503 | $193–$503 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$409–$1,042 | $409–$1,042 | varies |
| Hepatitis Delta Agent Antibody (86692) | $210 | $210 | 12.2× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) range across 3 matching MRF lines |
$470–$3,399 | $470–$3,399 | varies |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) range across 2 matching MRF lines |
$470–$3,399 | $470–$3,399 | varies |
| Heredtry Nurondcrn Tum Dsrdr (81437) | $660 | $660 | 0.5× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$127–$289 | $127–$289 | varies |
| Heterophile Antibody Screen (86308) | $199 | $199 | 38.4× |
| Hexa gene analysis common variants (81255) | $158 | $158 | 3.1× |
| Hfe Gene (81256) | $458 | $458 | 7.0× |
| Hgb Quantitative Transcutaneous (88738) | $21 | $21 | 4.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $164 | $164 | 21.2× |
| Histamine urine (83088) | $156 | $156 | 5.3× |
| Histoplasma antibody (86698) | $163 | $163 | 11.8× |
| Histoplasma antigen urine (87385) | $347 | $347 | 26.2× |
| Hiv Antigen W/Hiv Antibodies (87806) | $332 | $332 | 10.1× |
| Hiv Genotype (87901) | $2,140 | $2,140 | 8.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$157–$241 | $157–$241 | varies |
| Hiv-1 Antibody (86701) range across 4 matching MRF lines |
$78–$84 | $78–$84 | varies |
| HIV-1 p24 antigen (87390) range across 3 matching MRF lines |
$78–$187 | $78–$187 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $954 | $954 | 11.2× |
| HIV-2 probe&revrse trnscripj (87538) | $615 | $615 | 17.5× |
| Hla class i semiquant panel (86834) | $1,410 | $1,410 | 3.9× |
| Hla Class I Typing High Resolution Complete (81379) | $8,192.70 | $8,192.70 | 24.4× |
| Hla Class I Typing High Resolution One Locus Ea (81380) range across 2 matching MRF lines |
$930–$3,088 | $930–$3,088 | varies |
| Hla Class I Typing Low Resolution Complete (81372) | $4,212 | $4,212 | 10.4× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $1,456 | $1,456 | 11.4× |
| Hla class i&ii antibody qual (86828) | $898 | $898 | 14.0× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $6,219.90 | $6,219.90 | 15.5× |
| Hla class i/ii antibody qual (86829) | $898 | $898 | 14.0× |
| Hla class ii high defin qual (86833) | $550 | $550 | 1.7× |
| Hla class ii typing high resolution one locus ea (81382) | $2,718 | $2,718 | 22.0× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) range across 2 matching MRF lines |
$496–$580 | $496–$580 | varies |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $290 | $290 | 7.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $1,814 | $1,814 | 24.4× |
| Hla I Typing 1 Allele Hr (81381) | $3,088 | $3,088 | 18.2× |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $10,663.20 | $10,663.20 | 30.9× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $4,228.20 | $4,228.20 | 10.5× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $3,391 | $3,391 | 15.4× |
| Hla ii type 1 ag equiv lr (81377) | $1,283 | $1,283 | 13.5× |
| Hla ii typing 1 allele hr (81383) | $2,718 | $2,718 | 24.9× |
| Hla ii typing 1 locus lr (81376) | $1,283 | $1,283 | 10.5× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $1,217 | $1,217 | 11.5× |
| Hla Typing Dr/Dq Single Antigen (86816) | $400 | $400 | 13.3× |
| Hla-b27 (86812) | $370 | $370 | 14.3× |
| Homocysteine (83090) | $490 | $490 | 27.3× |
| Homogenization Tissue (87176) | $118 | $118 | 20.1× |
| Homovanillic acid urine (83150) | $287 | $287 | 12.8× |
| Hpa-1 genotyping gene analysis common variant (81105) | $110 | $110 | 0.9× |
| Hpa-15 genotyping gene analysis common variant (81112) | $110 | $110 | 0.9× |
| Hpa-2 genotyping gene analysis common variant (81106) | $110 | $110 | 0.9× |
| Hpa-3 genotyping gene analysis common variant (81107) | $110 | $110 | 0.9× |
| Hpa-4 genotyping gene analysis common variant (81108) | $110 | $110 | 0.9× |
| Hpa-5 genotyping gene analysis common variant (81109) | $110 | $110 | 0.9× |
| Hpa-6 genotyping gene analysis common variant (81110) | $110 | $110 | 0.9× |
| Hpa-9 Genotyping (81111) | $110 | $110 | 0.9× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$336–$390 | $336–$390 | varies |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 3 matching MRF lines |
$336–$390 | $336–$390 | varies |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$319–$839 | $319–$839 | varies |
| Htlv-I Antibody (86687) | $263 | $263 | 28.9× |
| Hydroxycorticosteroids 17 (83491) | $228 | $228 | 12.7× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$37–$116 | $37–$116 | varies |
| Hydroxyproline total (83505) | $180 | $180 | 7.4× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $352 | $352 | 29.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $281 | $281 | 27.2× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $194 | $194 | 13.9× |
| Iaad ia shiga-like toxin (87427) | $118 | $118 | 9.8× |
| Iaad Ia Streptococcus Group A (87430) | $179 | $179 | 10.6× |
| Iaadi giardia (87269) | $213 | $213 | 15.7× |
| Iaadi herpes smplx virus type 1 (87274) | $135 | $135 | 11.3× |
| Iaadi herpes smplx virus type 2 (87273) | $135 | $135 | 11.3× |
| Iaadi inffluenza a virus (87276) | $148 | $148 | 9.2× |
| Iaadi parainfluenza virus each type (87279) | $93 | $93 | 5.7× |
| Iaadi pneumocustis carinii (87281) | $448 | $448 | 37.4× |
| Iaadi respiratory synctial virus (87280) | $230 | $230 | 17.1× |
| Iaadi Varicella Zoster Virus (87290) | $164 | $164 | 12.2× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $687 | $687 | 19.6× |
| Iadna Candida Species Amplified Probe Tq (87481) | $155 | $155 | 4.4× |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | $211 | $211 | 9.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 3 matching MRF lines |
$424–$1,043 | $424–$1,043 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $991 | $991 | 23.1× |
| Iadna hepatitis b virus amplified probe tq (87516) | $193 | $193 | 5.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $1,084 | $1,084 | 25.3× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $565 | $565 | 16.1× |
| Iadna Herpes Virus-6 Quantification (87533) | $728 | $728 | 17.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 5 matching MRF lines |
$193–$720 | $193–$720 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $382 | $382 | 9.2× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $288 | $288 | 10.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $337 | $337 | 9.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 4 matching MRF lines |
$149–$390 | $149–$390 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $180 | $180 | 3.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $796 | $796 | 5.6× |
| Ibmfs sequence analysis panel at least 30 genes (81441) | $5,096 | $5,096 | 2.1× |
| Idh1 common variants (81120) | $922 | $922 | 4.8× |
| Idh2 common variants (81121) | $922 | $922 | 3.1× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $638 | $638 | 8.7× |
| Ig Light Chains Free Each (83521) range across 2 matching MRF lines |
$230–$260 | $230–$260 | varies |
| Igg subclasses (82787) | $127 | $127 | 15.8× |
| Igh gene rearrange amp meth (81261) | $3,905 | $3,905 | 19.7× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,496 | $1,496 | 5.1× |
| Igk rearrangeabn clonal pop (81264) | $1,778 | $1,778 | 10.3× |
| Ikbkap Gene Analysis Common Variants (81260) | $158 | $158 | 4.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $345 | $345 | 0.9× |
| Immune Complex Assay (86332) | $204 | $204 | 8.4× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$400–$974 | $400–$974 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 24 matching MRF lines |
$37–$1,541 | $37–$1,541 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 8 matching MRF lines |
$52–$178 | $52–$178 | varies |
| Immunoassay nonantibody (83516) range across 30 matching MRF lines |
$37–$510 | $37–$510 | varies |
| Immunodiffusion not elsewhere specified (86329) | $128 | $128 | 9.1× |
| Immunodiffusion Ouchterlony (86331) | $104 | $104 | 8.7× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $496 | $496 | 21.4× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$289–$771 | $289–$771 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 5 matching MRF lines |
$349–$503 | $349–$503 | varies |
| Immunohistochemistry (88342) range across 8 matching MRF lines |
$358–$729 | $358–$729 | varies |
| In situ hybridization 1st probe stain (88365) | $788 | $788 | 4.3× |
| In situ hybridization ea multiplex probe stain (88366) | $1,847 | $1,847 | 10.1× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $230 | $230 | 15.9× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $148 | $148 | 12.1× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $249 | $249 | 4.9× |
| Influenza a/b ag eia (87400) | $127 | $127 | 9.0× |
| Influenza assay w/optic (87804) | $252 | $252 | 15.2× |
| Influenza DNA amp probe (87502) | $427 | $427 | 4.5× |
| Inherited Cardmypthy 5 Gns (81439) | $3,660 | $3,660 | 6.3× |
| Inhibin A (86336) | $220 | $220 | 14.1× |
| Inhibin b (83520) range across 60 matching MRF lines |
$37–$1,506 | $37–$1,506 | varies |
| Insitu hybridization manual (88368) | $1,027 | $1,027 | 2.7× |
| Insulin antibodies (86337) | $438 | $438 | 20.5× |
| Insulin tolerance panel growth horm defncy (80435) | $2,658 | $2,658 | 25.8× |
| Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) | $1,466 | $1,466 | 5.1× |
| Insulin total (83525) | $338 | $338 | 29.6× |
| Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) | $2,748 | $2,748 | 16.6× |
| Interleukin-6 (83529) | $270 | $270 | 15.6× |
| Intrinsic factor antibody (86340) | $245 | $245 | 16.2× |
| Iron (83540) range across 2 matching MRF lines |
$61–$213 | $61–$213 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$83–$269 | $83–$269 | varies |
| Irradiation Blood Product Each Unit (86945) | $305 | $305 | 7.6× |
| Islet cell antibody (86341) range across 7 matching MRF lines |
$126–$413 | $126–$413 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $1,439 | $1,439 | 15.7× |
| Ketosteroids 17 total (83586) | $133 | $133 | 10.4× |
| Kit Gene Analysis D816 Variant(S) (81273) | $1,339 | $1,339 | 10.7× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $1,339 | $1,339 | 4.1× |
| Koh Prep (87220) | $104 | $104 | 24.4× |
| Kras Gene Analysis Additional Variant(S) (81276) | $815 | $815 | 4.2× |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$477–$1,678 | $477–$1,678 | varies |
| L/s ratio (83661) | $174 | $174 | 7.9× |
| Lactate (ld) (ldh) enzyme (83615) | $159 | $159 | 26.3× |
| Lactoferrin fecal qualitative (83630) | $123 | $123 | 6.2× |
| Lamellar Body Count (83664) | $105 | $105 | 5.4× |
| Ldh Isoenzymes (83625) | $164 | $164 | 12.8× |
| LDL direct (83721) | $112 | $112 | 10.7× |
| Lead (83655) range across 2 matching MRF lines |
$129–$222 | $129–$222 | varies |
| Legionella antibody (86713) | $108 | $108 | 7.1× |
| Legionella antigen urine (87449) range across 8 matching MRF lines |
$282–$339 | $282–$339 | varies |
| Leptospira antibody (86720) | $255 | $255 | 15.7× |
| Leukocyte Assessment Fecal (89055) | $156 | $156 | 36.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $386 | $386 | 12.5× |
| Level ii surg pathology grossµscopic exam (88302) | $708 | $708 | 17.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 3 matching MRF lines |
$580–$1,560 | $580–$1,560 | varies |
| Lidocaine (80176) | $367 | $367 | 25.0× |
| Lipase (83690) | $293 | $293 | 42.5× |
| Lipoprotein A (83695) | $146 | $146 | 10.2× |
| Lipoprotein Bld Quan Part (83704) | $284 | $284 | 8.3× |
| Lithium (80178) | $382 | $382 | 57.8× |
| Liver ds alys 3 bmrk srm alg (81517) | $880 | $880 | 5.0× |
| Luteinizing Hormone (Lh) (83002) range across 4 matching MRF lines |
$176–$411 | $176–$411 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$280–$438 | $280–$438 | varies |
| Lymphocyte Culture Mixed (86821) | $4,242 | $4,242 | 116.0× |
| Lymphocyte transformation (86353) | $443 | $443 | 9.0× |
| Lysozyme serum (85549) | $206 | $206 | 11.0× |
| M. Genitalium Amp Probe (87563) | $372 | $372 | 10.6× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $117 | $117 | 3.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $1,470 | $1,470 | 8.1× |
| Macroscopic exam arthropod (87168) | $179 | $179 | 41.9× |
| Macroscopic Exam Parasite (87169) | $138 | $138 | 32.0× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$29–$123 | $29–$123 | varies |
| Mass Spectrometry Quant (83789) range across 8 matching MRF lines |
$37–$450 | $37–$450 | varies |
| Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) | $158 | $158 | 4.0× |
| Mercury urine (83825) range across 3 matching MRF lines |
$112–$116 | $112–$116 | varies |
| Methotrexate (80204) | $208 | $208 | 5.4× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$290–$459 | $290–$459 | varies |
| Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) | $1,053 | $1,053 | 11.6× |
| Mgmt methylation analysis (81287) | $944 | $944 | 7.6× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$56–$224 | $56–$224 | varies |
| Microbe Suscept Macrobroth (87188) | $115 | $115 | 17.3× |
| Microsatellite instability (81301) range across 2 matching MRF lines |
$1,053–$4,011 | $1,053–$4,011 | varies |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$200–$412 | $200–$412 | varies |
| Mitochondrial Antibody Each (86381) | $354 | $354 | 13.9× |
| Mlh1 Gene (81288) | $858 | $858 | 4.5× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $703 | $703 | 3.5× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) range across 3 matching MRF lines |
$703–$1,100 | $703–$1,100 | varies |
| Mlh1 Gene Analysis Known Familial Variants (81293) | $158 | $158 | 0.5× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 2 matching MRF lines |
$492–$930 | $492–$930 | varies |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $565 | $565 | 13.9× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 4 matching MRF lines |
$478–$855 | $478–$855 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $948 | $948 | 22.4× |
| Molecular Pathology Procedure Level 3 (81402) range across 12 matching MRF lines |
$550–$3,905 | $550–$3,905 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 32 matching MRF lines |
$158–$1,753 | $158–$1,753 | varies |
| Mononuclear cell antigen (86356) | $399 | $399 | 14.9× |
| Mopath procedure level 1 (81400) range across 5 matching MRF lines |
$86–$1,974 | $86–$1,974 | varies |
| Mopath procedure level 2 (81401) range across 4 matching MRF lines |
$440–$1,162 | $440–$1,162 | varies |
| Mopath procedure level 4 (81403) range across 28 matching MRF lines |
$158–$5,213 | $158–$5,213 | varies |
| Mopath procedure level 5 (81404) range across 27 matching MRF lines |
$158–$5,874 | $158–$5,874 | varies |
| Mopath procedure level 7 (81406) range across 32 matching MRF lines |
$680–$3,025 | $680–$3,025 | varies |
| Mopath procedure level 8 (81407) range across 12 matching MRF lines |
$770–$3,186 | $770–$3,186 | varies |
| Mopath procedure level 9 (81408) range across 10 matching MRF lines |
$1,133–$4,781 | $1,133–$4,781 | varies |
| Morphometric analysis nerve (88356) | $231 | $231 | 4.1× |
| Mrsa Pcr (87641) | $374 | $374 | 10.7× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $703 | $703 | 3.3× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) range across 3 matching MRF lines |
$550–$703 | $550–$703 | varies |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $703 | $703 | 3.0× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) range across 3 matching MRF lines |
$703–$825 | $703–$825 | varies |
| Mthfr Gene Analysis Common Variants (81291) | $451 | $451 | 6.9× |
| Mucopolysaccharides acid quantitative (83864) range across 2 matching MRF lines |
$100–$366 | $100–$366 | varies |
| Mumps antibody (86735) range across 4 matching MRF lines |
$58–$218 | $58–$218 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,056 | $1,056 | 57.4× |
| Mycobacteric Identification (87118) | $243 | $243 | 16.6× |
| Mycophenolic Acid (80180) | $227 | $227 | 12.6× |
| Mycoplasma antibody (86738) range across 5 matching MRF lines |
$191–$232 | $191–$232 | varies |
| Myelin basic protein csf (83873) | $180 | $180 | 10.5× |
| Myoglobin urine (83874) | $199 | $199 | 15.4× |
| Natriuretic peptide (83880) | $500 | $500 | 12.7× |
| Neisseria Dir Na Probe (87590) | $249 | $249 | 9.3× |
| Nerve teasing preparations (88362) | $1,392 | $1,392 | 1.6× |
| Neurofilament light chain (83884) | $765 | $765 | 6.6× |
| Neutralization Test Viral (86382) | $441 | $441 | 26.1× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $105 | $105 | 3.6× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $823 | $823 | 3.2× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $1,388 | $1,388 | 5.4× |
| Nfct ds bv&vaginitis DNA alg (81515) | $627 | $627 | 2.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $425 | $425 | 5.9× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $886 | $886 | 6.9× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $117 | $117 | 4.5× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $3,641 | $3,641 | 7.5× |
| Niacin (84591) | $243 | $243 | 14.2× |
| Nitroblue Tetrazolium Dye (86384) | $514 | $514 | 37.8× |
| Nk cells total count (86357) | $301 | $301 | 8.0× |
| Noonan Spectrum Disorders (81442) range across 2 matching MRF lines |
$3,660–$4,620 | $3,660–$4,620 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) range across 2 matching MRF lines |
$139–$440 | $139–$440 | varies |
| Nras gene variants exon 2&3 (81311) | $1,116 | $1,116 | 3.8× |
| Nuclear antigen antibody (86235) range across 24 matching MRF lines |
$96–$464 | $96–$464 | varies |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $547 | $547 | 12.4× |
| Occult blood feces (82272) | $110 | $110 | 26.0× |
| Occult Blood Other Sources (82271) | $59 | $59 | 11.1× |
| Oligoclonal bands (83916) | $250 | $250 | 9.1× |
| Oncoprotein dcp (83951) | $263 | $263 | 4.1× |
| Organic Acids Qualitative Each Specimen (83919) | $402 | $402 | 24.4× |
| Organic acids urine (83918) | $199 | $199 | 8.4× |
| Osmolality serum (83930) | $128 | $128 | 19.4× |
| Osmolality Urine (83935) | $198 | $198 | 29.0× |
| Osmotic fragility rbc incubated (85557) range across 2 matching MRF lines |
$158–$380 | $158–$380 | varies |
| Osmotic Fragility RBC Unincubated (85555) | $166 | $166 | 22.2× |
| Osteocalcin (83937) | $260 | $260 | 8.7× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$103–$408 | $103–$408 | varies |
| Oxalate urine (83945) | $48 | $48 | 3.3× |
| Pancreatic Elastase Fecal (82656) | $326 | $326 | 28.3× |
| Particle Agglut Antbdy Titr (86406) | $345 | $345 | 32.4× |
| Particle Agglutination Screen Each Antibody (86403) | $433 | $433 | 37.5× |
| Parvovirus antibody (86747) | $340 | $340 | 22.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $471 | $471 | 0.5× |
| Pathology Consultation During Surgery (88329) | $324 | $324 | 5.1× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $1,339 | $1,339 | 4.1× |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) | $227 | $227 | 5.2× |
| Ph urine (81003) range across 7 matching MRF lines |
$22–$112 | $22–$112 | varies |
| Phenobarbital Level (80184) | $416 | $416 | 27.2× |
| Phenotype Infect Agent Drug (87900) | $909 | $909 | 7.0× |
| Phenylalanine (84030) | $118 | $118 | 21.5× |
| Phenytoin (Dilantin) (80185) | $505 | $505 | 38.1× |
| Phenytoin free (80186) | $428 | $428 | 31.1× |
| Phosphatase acid prostatic (84066) | $99 | $99 | 10.2× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$43–$104 | $43–$104 | varies |
| Phosphatidylglycerol (84081) | $410 | $410 | 24.8× |
| Phosphorus Serum (84100) | $117 | $117 | 24.7× |
| Phosphorus urine (84105) | $144 | $144 | 24.9× |
| Pinworm exam (87172) | $163 | $163 | 38.2× |
| Platelet Aggregation (85576) range across 6 matching MRF lines |
$184–$391 | $184–$391 | varies |
| Platelet Antibodies (86022) range across 8 matching MRF lines |
$100–$505 | $100–$505 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$39–$122 | $39–$122 | varies |
| Platelet neutralization (85597) | $199 | $199 | 11.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $1,859 | $1,859 | 9.0× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $1,460 | $1,460 | 1.9× |
| Pmp22 Gene Analysis Full Sequence Analysis (81325) | $1,460 | $1,460 | 1.9× |
| Pms2 gene full seq analysis (81317) | $825 | $825 | 1.2× |
| Pooling blood platelets (86965) | $250 | $250 | 1.4× |
| Porphobilinogen Urine Qualitative (84106) | $99 | $99 | 17.0× |
| Porphobilinogen, urine; quantitative (84110) | $235 | $235 | 27.8× |
| Porphyrins Feces Quantitative (84126) | $329 | $329 | 8.4× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $302 | $302 | 20.5× |
| Potassium Urine (84133) range across 2 matching MRF lines |
$81–$149 | $81–$149 | varies |
| PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) range across 2 matching MRF lines |
$304–$685 | $304–$685 | varies |
| Prealbumin (84134) | $259 | $259 | 17.8× |
| Pregnancy-Associated Plasma Protein-A (84163) | $235 | $235 | 15.6× |
| Pretx serum rbc antibody identification dilution (86976) | $869 | $869 | 28.0× |
| Primidone (80188) | $138 | $138 | 8.3× |
| Progesterone (84144) range across 4 matching MRF lines |
$199–$349 | $199–$349 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$155–$459 | $155–$459 | varies |
| Protein body fluid (84157) range across 3 matching MRF lines |
$151–$185 | $151–$185 | varies |
| Protein C Activity (85303) | $759 | $759 | 54.8× |
| Protein c antigen (85302) | $660 | $660 | 55.0× |
| Protein Electrophoresis Urine (84166) | $451 | $451 | 25.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $405 | $405 | 37.7× |
| Protein S Free (85306) range across 3 matching MRF lines |
$380–$839 | $380–$839 | varies |
| Protein s total (85305) range across 3 matching MRF lines |
$634–$839 | $634–$839 | varies |
| Protein total serum (84155) range across 2 matching MRF lines |
$43–$147 | $43–$147 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$92–$185 | $92–$185 | varies |
| Protein Western Blot Test (84182) | $274 | $274 | 9.4× |
| Protoporphyrin rbc quantitative (84202) | $200 | $200 | 13.9× |
| PSA free (84154) | $356 | $356 | 19.4× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $550 | $550 | 1.8× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $1,045 | $1,045 | 1.7× |
| Pten gene analysis known familial variant (81322) | $158 | $158 | 3.4× |
| Pth Intact (83970) | $594 | $594 | 14.4× |
| Pyruvate kinase (84220) | $128 | $128 | 13.6× |
| Q Fever Antibody (86638) | $200 | $200 | 16.5× |
| Quantiferon tb gold plus (86480) range across 4 matching MRF lines |
$159–$453 | $159–$453 | varies |
| Quantitative assay drug (80299) range across 46 matching MRF lines |
$130–$830 | $130–$830 | varies |
| Quantitative Screen Metals (83018) range across 8 matching MRF lines |
$134–$309 | $134–$309 | varies |
| Quinidine (80194) | $189 | $189 | 12.9× |
| Rbc antibody elution (86860) | $378 | $378 | 2.1× |
| Rbc antibody identification (86870) | $630 | $630 | 1.6× |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$52–$324 | $52–$324 | varies |
| Rbc serum pretx incubj drugs (86975) | $399 | $399 | 0.8× |
| Reagent Strip/Blood Glucose (82948) | $54 | $54 | 10.7× |
| Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) | $418 | $418 | 5.9× |
| Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) | $681 | $681 | 3.3× |
| Renin activity plasma (84244) | $321 | $321 | 14.6× |
| Reptilase test (85635) | $158 | $158 | 16.0× |
| Resp virus 12-25 targets (87633) | $3,234 | $3,234 | 7.8× |
| Resp Virus 6-11 Targets (87632) | $856 | $856 | 3.9× |
| Reticulated Platelet Assay (85055) | $128 | $128 | 3.6× |
| Reticulocyte Count (85046) | $148 | $148 | 26.6× |
| Rh (86901) range across 2 matching MRF lines |
$52–$141 | $52–$141 | varies |
| Rheumatoid factor quant (86431) range across 5 matching MRF lines |
$54–$288 | $54–$288 | varies |
| Rickettsia antibody (86757) | $334 | $334 | 17.3× |
| Ristocetin cofactor (85245) | $778 | $778 | 33.9× |
| Rotavirus ag eia (87425) | $277 | $277 | 23.1× |
| Rpr qualitative (86592) | $168 | $168 | 39.3× |
| Rsv ab (86756) | $208 | $208 | 13.1× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$81–$350 | $81–$350 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$377–$392 | $377–$392 | varies |
| Runx1 gene analysis targeted sequence analysis (81334) range across 3 matching MRF lines |
$1,020–$1,317 | $1,020–$1,317 | varies |
| Russell Viper Venom Time Diluted (85613) | $388 | $388 | 40.5× |
| Salicylate Level (80179) | $208 | $208 | 11.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $180 | $180 | 3.5× |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$193–$200 | $193–$200 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) | $132 | $132 | 3.2× |
| Sarscov2 & inf a&b amp prb (87636) | $785 | $785 | 5.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$428–$880 | $428–$880 | varies |
| Sedimentation rate (85651) | $141 | $141 | 33.0× |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$26–$141 | $26–$141 | varies |
| Selenium (84255) | $342 | $342 | 13.4× |
| Sensitivity mic (87186) | $431 | $431 | 49.8× |
| Sex Hormone Binding Globulin (84270) | $229 | $229 | 10.5× |
| Shigella Antibody (86771) | $298 | $298 | 12.2× |
| Sickling of rbc reduction (85660) | $104 | $104 | 18.9× |
| Sirolimus (80195) | $563 | $563 | 41.0× |
| Skin test tuberculosis intradermal (86580) | $33 | $33 | 1.1× |
| Skin test unlisted antigen each (86486) | $74 | $74 | 2.4× |
| Smear acid fast (87206) | $227 | $227 | 42.1× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$127–$233 | $127–$233 | varies |
| Smear gram stain (87205) | $190 | $190 | 44.5× |
| Smear Special Stain (87207) range across 3 matching MRF lines |
$164–$314 | $164–$314 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) range across 2 matching MRF lines |
$377–$930 | $377–$930 | varies |
| Smpd1 Gene Analysis Common Variants (81330) | $158 | $158 | 3.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 11 matching MRF lines |
$104–$385 | $104–$385 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $793 | $793 | 15.5× |
| So neo gsap DNA/DNA&RNA (81459) | $5,361 | $5,361 | 1.8× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$43–$50 | $43–$50 | varies |
| Sodium Urine (84300) range across 2 matching MRF lines |
$42–$175 | $42–$175 | varies |
| Soluble fibrin monomer (85366) | $148 | $148 | 1.8× |
| Soluble Transferrin Receptor (84238) | $204 | $204 | 5.6× |
| Somatomedin (84305) range across 2 matching MRF lines |
$323–$509 | $323–$509 | varies |
| Special Stains Group 1 (88312) range across 6 matching MRF lines |
$192–$458 | $192–$458 | varies |
| Special Stains Group 2 (88313) range across 26 matching MRF lines |
$152–$302 | $152–$302 | varies |
| Specific gravity body fluid (84315) | $38 | $38 | 11.6× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$99–$119 | $99–$119 | varies |
| Spectrophotometry (84311) range across 6 matching MRF lines |
$196–$369 | $196–$369 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $312 | $312 | 1.7× |
| Stem cells total count (86367) | $600 | $600 | 7.7× |
| Stone Analysis (82355) | $41 | $41 | 3.5× |
| Stool cultr aerobic bact ea (87046) | $117 | $117 | 12.4× |
| Strep a DNA amp probe (87651) | $160 | $160 | 4.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $1,196 | $1,196 | 13.0× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $175 | $175 | 15.2× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $132 | $132 | 24.0× |
| Sulfate urine (84392) | $28 | $28 | 5.1× |
| Surg path level iii (88304) range across 2 matching MRF lines |
$283–$767 | $283–$767 | varies |
| Surgical pathology level IV (88305) range across 10 matching MRF lines |
$325–$938 | $325–$938 | varies |
| Surgical pathology level vi (88309) | $1,992 | $1,992 | 2.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $152 | $152 | 32.0× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $227 | $227 | 30.3× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $97 | $97 | 2.4× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $140 | $140 | 19.2× |
| Sweat Collection Iontophoresis (89230) | $376 | $376 | 6.7× |
| Syphilis Test Non-Trep Quant (86593) | $213 | $213 | 48.4× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $825 | $825 | 17.6× |
| T cells total count (86359) | $389 | $389 | 10.3× |
| T3 Free (84481) | $473 | $473 | 27.9× |
| T3 reverse (84482) range across 2 matching MRF lines |
$226–$425 | $226–$425 | varies |
| T3 Total (84480) | $322 | $322 | 22.7× |
| T3 Uptake (84479) | $128 | $128 | 19.8× |
| T4 Free (84439) range across 8 matching MRF lines |
$85–$347 | $85–$347 | varies |
| T4 total (84436) | $265 | $265 | 38.6× |
| T4-neonatal (84437) | $37 | $37 | 5.7× |
| Tacrolimus (80197) | $870 | $870 | 63.4× |
| Tau phosphorylated each (84393) range across 2 matching MRF lines |
$503–$908 | $503–$908 | varies |
| Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) range across 2 matching MRF lines |
$304–$685 | $304–$685 | varies |
| Tert gene targeted seq alys (81345) | $1,351 | $1,351 | 7.3× |
| Test for acetone/ketones (82009) | $58 | $58 | 12.8× |
| Test for urine cystines (82615) | $23 | $23 | 2.4× |
| Testosterone total (84403) | $270 | $270 | 10.5× |
| Testosterone, Free (84402) | $196 | $196 | 7.7× |
| Tetanus antibody (86774) | $255 | $255 | 17.2× |
| Tgsap hl neo 5-50 RNA alys (81451) | $1,988 | $1,988 | 2.6× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 5 matching MRF lines |
$3,724–$7,297 | $3,724–$7,297 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $1,988 | $1,988 | 3.3× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) | $394 | $394 | 32.6× |
| Theophylline (80198) | $425 | $425 | 30.1× |
| Thiocyanate (84430) | $100 | $100 | 8.6× |
| Thiopurine methyltransferase (84433) | $447 | $447 | 20.2× |
| Thrombin Time (85670) | $265 | $265 | 45.9× |
| Thrombin time titer (85675) | $174 | $174 | 25.4× |
| Thromboplastin Inhibition Tissue (85705) range across 4 matching MRF lines |
$244–$254 | $244–$254 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $295 | $295 | 45.6× |
| Thyroglobulin (84432) | $483 | $483 | 30.1× |
| Thyroglobulin Antibody (86800) range across 5 matching MRF lines |
$263–$645 | $263–$645 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $785 | $785 | 15.4× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $464 | $464 | 9.2× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) | $937 | $937 | 13.9× |
| Thyroxine binding globulin (84442) | $143 | $143 | 9.7× |
| Tiss cul neo disorders solid tumor (88239) | $1,731 | $1,731 | 11.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $354 | $354 | 30.7× |
| Tissue Culture (88233) | $2,153 | $2,153 | 15.3× |
| Tissue Culture Amniotic Fluid (88235) | $2,092 | $2,092 | 13.9× |
| Tissue culture bone marrow (88237) | $2,362 | $2,362 | 16.4× |
| Tissue Culture Lymphocyte (88230) | $1,394 | $1,394 | 12.0× |
| Tobramycin peak (80200) | $386 | $386 | 23.9× |
| Topiramate (80201) | $461 | $461 | 38.7× |
| Total Tau (84394) | $503 | $503 | 3.9× |
| Touch prep (88161) | $269 | $269 | 8.7× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$213–$372 | $213–$372 | varies |
| Toxoplasma antibody (86777) | $409 | $409 | 28.4× |
| Tp53 gene analysis full gene sequence (81351) range across 3 matching MRF lines |
$850–$1,133 | $850–$1,133 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$43–$152 | $43–$152 | varies |
| Transferrin (84466) | $237 | $237 | 18.6× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,952 | $1,952 | 9.3× |
| Trg gene rearrangement anal (81342) | $1,952 | $1,952 | 9.7× |
| Trichinella Antibody (86784) | $297 | $297 | 23.6× |
| Trichomonas vagin dir probe (87660) | $103 | $103 | 5.1× |
| Trichomonas Vaginalis Amplif (87661) | $364 | $364 | 10.4× |
| Triglycerides (84478) range across 4 matching MRF lines |
$43–$151 | $43–$151 | varies |
| Troponin Quant (84484) | $366 | $366 | 29.4× |
| Trypsin feces qual (84488) | $100 | $100 | 13.7× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$460–$909 | $460–$909 | varies |
| Ugt1a1 gene analysis common variants (81350) | $850 | $850 | 3.6× |
| Unlisted Cytogenetic Study (88299) range across 2 matching MRF lines |
$84–$3,922 | $84–$3,922 | varies |
| Unlisted Surgical Pathology Procedure (88399) | $349.87 | $349.87 | 6.3× |
| Unlisted Transfusion Medicine Procedure (86999) | $758 | $758 | 24.5× |
| Urea Nitrogen Clearance (84545) | $152 | $152 | 21.1× |
| Urea nitrogen urine (84540) | $94 | $94 | 16.9× |
| Uric acid other source (84560) | $168 | $168 | 33.1× |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$29–$74 | $29–$74 | varies |
| Urinalysis Volume Measure (81050) | $61 | $61 | 16.8× |
| Urine Bacteria Culture (87088) | $208 | $208 | 25.7× |
| Urine Pregnancy Test (81025) | $301 | $301 | 35.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$30–$140 | $30–$140 | varies |
| Valproic acid (80164) | $776 | $776 | 57.3× |
| Vancomycin (80202) | $560 | $560 | 41.4× |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$55–$374 | $55–$374 | varies |
| Vasopressin (84588) | $245 | $245 | 7.2× |
| Very Long Chain Fatty Acids (82726) | $518 | $518 | 26.2× |
| Viral Culture (87252) range across 3 matching MRF lines |
$359–$374 | $359–$374 | varies |
| Virus antibody nos (86790) range across 9 matching MRF lines |
$156–$351 | $156–$351 | varies |
| Virus inoculate tissue addl (87253) | $386 | $386 | 19.1× |
| Virus inoculation, shell via (87254) | $319 | $319 | 16.3× |
| Viscosity serum (85810) | $248 | $248 | 21.3× |
| Vit D 1 25-Dihydroxy (82652) | $442 | $442 | 11.5× |
| Vitamin A (84590) | $197 | $197 | 17.0× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$143–$428 | $143–$428 | varies |
| Vitamin B2 (Riboflavin) (84252) | $388 | $388 | 19.2× |
| Vitamin B6 (84207) | $370 | $370 | 13.2× |
| Vitamin c (82180) | $246 | $246 | 24.9× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$283–$469 | $283–$469 | varies |
| Vitamin E (84446) | $214 | $214 | 15.1× |
| Vitamin K (84597) | $178 | $178 | 13.0× |
| Volatiles (84600) | $133 | $133 | 7.8× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $149 | $149 | 12.4× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $298 | $298 | 1.6× |
| Von willebrand factor ag (85246) | $516 | $516 | 22.5× |
| Wbc Alkaline Phosphatase Count (85540) | $312 | $312 | 36.3× |
| West nile virus ab igm (86788) | $210 | $210 | 12.5× |
| West Nile Virus Antibody (86789) | $210 | $210 | 14.6× |
| Western Blot Test (84181) | $474 | $474 | 27.8× |
| X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must… (81470) | $3,850 | $3,850 | 4.2× |
| Xm Archive Tissue Molec Anal (88363) | $135 | $135 | 4.4× |
| Xylose Absorption Test (84620) | $140 | $140 | 10.8× |
| Zinc (84630) | $197 | $197 | 17.3× |
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.