Lab & pathology prices at Titus Regional Medical Center

Mount Pleasant, TX · every code in this section with a posted price and a Medicare benchmark.

1155 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $36.60 $61 2.4×
17-Hydroxypregnenolone (84143)
range across 2 matching MRF lines		 $43.80–$59.40 $73–$99 varies
5 Nucleotidase (83915)
range across 2 matching MRF lines		 $28.80–$37.80 $48–$63 varies
Acetylcholine receptor binding antibody (86041) $38.40 $64 2.1×
Acetylcholine receptor blocking antibody (86042) $38.40 $64 2.1×
Acetylcholinesterase Assay (82013) $28.80 $48 2.3×
Acetylcholn Rcptr Modlg Antb (86043) $25.80 $43 2.1×
Acth (82024)
range across 2 matching MRF lines		 $79.80–$100.20 $133–$167 varies
Acth Stimulation Panel Adrenal Insufficiency (80400) $84.60 $141 2.6×
ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) $225.60 $376 2.6×
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) $202.80 $338 2.6×
Actin smooth muscle antibody each (86015) $25.80 $43 2.1×
Acute hepatitis panel (80074)
range across 2 matching MRF lines		 $136.80–$248.40 $228–$414 varies
Acylcarnitines Quant (82017)
range across 2 matching MRF lines		 $43.80–$118.80 $73–$198 varies
Acylcarnitines; qualitative, each specimen Facility (82016) $36 $60 2.2×
Adenovirus antibody (86603) $33.60 $56 2.6×
Afp-l3 fraction isoform & total afp w/ratio (82107) $166.80 $278 2.6×
Agglutinins Febrile Each Antigen (86000)
range across 2 matching MRF lines		 $12.60–$18 $21–$30 varies
Albumin Fluid (82042) $16.20 $27 2.1×
Albumin ischemia modified (82045) $88.20 $147 2.6×
Albumin serum (82040)
range across 2 matching MRF lines		 $12.60–$23.40 $21–$39 varies
Aldolase (82085)
range across 2 matching MRF lines		 $25.20–$34.20 $42–$57 varies
Aldosterone Suppression Evaluation Panel (80408) $325.20 $542 2.6×
Aldosterone urine (82088)
range across 2 matching MRF lines		 $105.60–$181.80 $176–$303 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines		 $38.40–$44.40 $64–$74 varies
Allergen spec ige qual multiallergen screen (86005)
range across 2 matching MRF lines		 $20.40–$40.80 $34–$68 varies
Allergen specific ige (86003)
range across 4 matching MRF lines		 $13.80–$18.60 $23–$31 varies
Allergen specific igg (86001)
range across 2 matching MRF lines		 $16.20–$16.80 $27–$28 varies
Allg Spec Ige Recomb Ea (86008) $37.20 $62 2.1×
Alpha-1-antitrypsin phenotype (82104)
range across 2 matching MRF lines		 $37.80–$56.40 $63–$94 varies
Alpha-1-antitrypsin total (82103)
range across 3 matching MRF lines		 $34.80–$95.40 $58–$159 varies
Alpha-Fetoprotein Amniotic Fluid (82106) $43.20 $72 2.5×
Alpha-Fetoprotein Serum (82105)
range across 4 matching MRF lines		 $34.80–$223.80 $58–$373 varies
Alt (sgpt) (84460)
range across 3 matching MRF lines		 $13.80–$25.80 $23–$43 varies
Aluminum (82108)
range across 2 matching MRF lines		 $34.80–$66 $58–$110 varies
Amikacin trough (80150)
range across 2 matching MRF lines		 $39–$108 $65–$180 varies
Amines vaginal fluid qualitative (82120) $12.60 $21 2.1×
Amino Acids 1 Quantitative Each Specimen (82131) $48 $80 2.1×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 3 matching MRF lines		 $35.40–$148.20 $59–$247 varies
Amino Acids Multiple Qualitative Each Specimen (82128) $36 $60 2.6×
Amino Acids Quant 2-5 (82136) $43.80 $73 2.2×
Amino acids; single, qualitative, each specimen Facility (82127) $36 $60 2.5×
Aminolevulinic acid (ala) (82135) $42.60 $71 2.6×
Ammonia (82140)
range across 3 matching MRF lines		 $35.40–$57 $59–$95 varies
Amniotic fluid protein test on cervicovaginal fluid (84112)
range across 2 matching MRF lines		 $202.20–$205.80 $337–$343 varies
Amniotic fluid scan (82143) $19.80 $33 2.1×
Amylase urine (82150)
range across 3 matching MRF lines		 $21–$48.60 $35–$81 varies
Ana Titer (86039)
range across 3 matching MRF lines		 $24–$55.80 $40–$93 varies
Analysis skeletal muscle (88355)
range across 3 matching MRF lines		 $105.60–$291.60 $176–$486 varies
Anca screen each antibody (86036) $25.80 $43 2.1×
Anca Titer Each Antibody (86037) $25.20 $42 2.1×
Androstanediol Glucuronide (82154) $75 $125 2.6×
Androstenedione (82157)
range across 2 matching MRF lines		 $75.60–$107.40 $126–$179 varies
Androsterone (hormone) level (82160) $64.80 $108 2.5×
Angiotensin converting enzyme csf (82164)
range across 3 matching MRF lines		 $30.60–$87.60 $51–$146 varies
Angiotensin II (82163) $53.40 $89 2.6×
Animal inoculation, small animal, with observation and dissection Facility (87003) $43.80 $73 2.6×
Anti-Phospholipid Antibody (86148)
range across 4 matching MRF lines		 $33.60–$41.40 $56–$69 varies
Antibody aspergillus (86606)
range across 7 matching MRF lines		 $31.20–$82.20 $52–$137 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 2 matching MRF lines		 $33.60–$190.80 $56–$318 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 4 matching MRF lines		 $40.20–$58.80 $67–$98 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 3 matching MRF lines		 $35.40–$46.80 $59–$78 varies
Antibody Encephalitis California La Crosse (86651)
range across 3 matching MRF lines		 $25.20–$34.20 $42–$57 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 2 matching MRF lines		 $34.20–$40.80 $57–$68 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines		 $39.60–$42 $66–$70 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 5 matching MRF lines		 $27.60–$46.80 $46–$78 varies
Antibody Fungus Not Elsewhere Specified (86671)
range across 4 matching MRF lines		 $25.20–$88.20 $42–$147 varies
Antibody haemophilus influenza (86684) $40.80 $68 2.6×
Antibody helicobacter pylori (86677)
range across 5 matching MRF lines		 $45–$102 $75–$170 varies
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 3 matching MRF lines		 $39–$40.20 $65–$67 varies
Antibody Herpes Smplx Type 1 (86695)
range across 3 matching MRF lines		 $36–$113.40 $60–$189 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 3 matching MRF lines		 $35.40–$53.40 $59–$89 varies
Antibody HIV-2 (86702)
range across 2 matching MRF lines		 $28.20–$34.80 $47–$58 varies
Antibody htlv/HIV antibody confirmatory test (86689)
range across 2 matching MRF lines		 $208.80–$215.40 $348–$359 varies
Antibody identification leukocyte antibodies (86021) $39 $65 2.6×
Antibody Identification Platelet Immunogl Assay (86023) $32.40 $54 2.6×
Antibody leishmania (86717)
range across 3 matching MRF lines		 $25.20–$31.80 $42–$53 varies
Antibody Lymphocytic Choriomeningitis (86727) $33.60 $56 2.6×
Antibody neisseria meningitidis (86741) $34.20 $57 2.6×
Antibody nocardia (86744) $34.20 $57 2.1×
Antibody plasmodium malaria (86750) $34.20 $57 2.6×
Antibody Protozoa Nes (86753)
range across 2 matching MRF lines		 $25.20–$32.40 $42–$54 varies
Antibody rotavirus (86759) $38.40 $64 2.1×
Antibody Titer (86886) $13.20 $22 2.5×
Antibody Treponema Pallidum (86780)
range across 4 matching MRF lines		 $34.20–$63.60 $57–$106 varies
Antibody yersinia (86793) $34.20 $57 2.6×
Antibody; campylobacter (86625) $34.20 $57 2.6×
Antibody; encephalitis, st. louis (86653) $34.20 $57 2.6×
Antibody; influenza virus (86710) $35.40 $59 2.6×
Antibody; mucormycosis Facility (86732) $34.20 $57 2.3×
Antigen typing (86905)
range across 2 matching MRF lines		 $10.20–$148.20 $17–$247 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $15 $25 2.6×
Antinomyces antibody (86602)
range across 3 matching MRF lines		 $21.60–$26.40 $36–$44 varies
Antinuclear antibodies (86038)
range across 2 matching MRF lines		 $36–$51 $60–$85 varies
Antistreptolysin O Screen (86063) $15 $25 2.6×
Antistreptolysin o titer (86060)
range across 2 matching MRF lines		 $19.20–$43.20 $32–$72 varies
Antithrombin iii activity (85300)
range across 2 matching MRF lines		 $30.60–$153.60 $51–$256 varies
Antithrombin iii antigen (85301)
range across 2 matching MRF lines		 $28.20–$91.20 $47–$152 varies
Apolipoprotein a1 (82172)
range across 3 matching MRF lines		 $30.60–$44.40 $51–$74 varies
Aquaporin-4 Antb Cba Each (86052) $25.80 $43 2.1×
Aquaporin-4 Antb Elisa (86051) $24.60 $41 2.1×
Arsenic (82175)
range across 4 matching MRF lines		 $46.80–$126 $78–$210 varies
Aspa gene analysis common variants (81200) $97.80 $163 2.1×
Aspergillus ag eia (87305)
range across 3 matching MRF lines		 $25.20–$31.20 $42–$52 varies
Assay activated protein c (85307)
range across 2 matching MRF lines		 $39.60–$67.80 $66–$113 varies
Assay Blood Carbon Dioxide (82374)
range across 2 matching MRF lines		 $12.60–$19.20 $21–$32 varies
Assay Blood Catecholamines (82383) $64.80 $108 2.2×
Assay Duodenal Fluid Trypsin (84485) $18.60 $31 2.6×
Assay myeloperoxidase (83876) $106.80 $178 2.1×
Assay Nephelometry Not Spec (83883)
range across 4 matching MRF lines		 $28.80–$93.60 $48–$156 varies
Assay of 5-hiaa (83497)
range across 3 matching MRF lines		 $12.60–$93.60 $21–$156 varies
Assay of b-hexosaminidase each assay (83080) $43.80 $73 2.6×
Assay of blood/uric acid (84550)
range across 2 matching MRF lines		 $24.60–$27 $41–$45 varies
Assay of calcium in urine (82340)
range across 2 matching MRF lines		 $15.60–$45 $26–$75 varies
Assay of corticosterone (82528) $58.20 $97 2.6×
Assay of cpk in blood (82552)
range across 2 matching MRF lines		 $34.80–$43.80 $58–$73 varies
Assay of estrone (82679)
range across 3 matching MRF lines		 $51–$64.80 $85–$108 varies
Assay of feces for trypsin (84490) $21 $35 2.1×
Assay of g6pd enzyme (82955)
range across 3 matching MRF lines		 $18.60–$30.60 $31–$51 varies
Assay of gammaglobulin igm (82784)
range across 15 matching MRF lines		 $19.20–$78 $32–$130 varies
Assay of lactic acid (83605)
range across 4 matching MRF lines		 $27.60–$93.60 $46–$156 varies
Assay of manganese (83785) $63.60 $106 2.4×
Assay of metanephrines (83835)
range across 3 matching MRF lines		 $43.80–$123.60 $73–$206 varies
Assay of phosphatase acid total (84060) $19.20 $32 2.5×
Assay of phosphatase alkaline heat stable (84078) $19.20 $32 2.3×
Assay of procainamide (80190) $126 $210 2.1×
Assay of proinsulin (84206)
range across 2 matching MRF lines		 $55.20–$55.80 $92–$93 varies
Assay of prostate specific antigen complexed (84152) $47.40 $79 2.6×
Assay of pyruvate (84210) $30.60 $51 2.1×
Assay of semen fructose (82757)
range across 2 matching MRF lines		 $45–$58.80 $75–$98 varies
Assay of serotonin (84260)
range across 2 matching MRF lines		 $64.80–$80.40 $108–$134 varies
Assay of serum potassium (84132)
range across 3 matching MRF lines		 $12–$60.60 $20–$101 varies
Assay of Sialic Acid (84275) $34.80 $58 2.6×
Assay of sweat sodium (84302)
range across 3 matching MRF lines		 $12.60–$61.80 $21–$103 varies
Assay of transcortin (84449) $46.80 $78 2.6×
Assay of Tyrosine (84510) $27 $45 2.5×
Assay of urea nitrogen (84520)
range across 2 matching MRF lines		 $10.20–$22.80 $17–$38 varies
Assay of urine vma (84585)
range across 3 matching MRF lines		 $32.40–$42 $54–$70 varies
Assay of vasoactive intestinal peptide (84586) $91.80 $153 2.6×
Assay of vitamin b-1 (84425)
range across 2 matching MRF lines		 $55.20–$60.60 $92–$101 varies
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines		 $9–$16.80 $15–$28 varies
Assay Phosphohexose Enzymes (84087) $27 $45 2.5×
Atomic Absorption (82190)
range across 2 matching MRF lines		 $38.40–$67.80 $64–$113 varies
Automated Leukocyte Count (85048)
range across 2 matching MRF lines		 $6.60–$32.40 $11–$54 varies
B cells total count (86355)
range across 2 matching MRF lines		 $78–$97.80 $130–$163 varies
Bacterial antigens 87802 (87802) $31.20 $52 2.5×
Bartonella antibody (86611)
range across 6 matching MRF lines		 $22.20–$34.20 $37–$57 varies
Bcr/abl1 gene minor bp (81207) $358.80 $598 2.5×
Beta 2 glycoprotein i antibody each (86146)
range across 2 matching MRF lines		 $52.80–$66 $88–$110 varies
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines		 $21–$91.20 $35–$152 varies
Beta Lactamase (87185) $12.60 $21 2.7×
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines		 $42–$53.40 $70–$89 varies
Bile acids total (82239)
range across 2 matching MRF lines		 $36–$44.40 $60–$74 varies
Bile acids, cholylglycine (82240) $69 $115 2.6×
Bilirubin direct (82248)
range across 2 matching MRF lines		 $13.20–$40.80 $22–$68 varies
Bilirubin total (82247)
range across 2 matching MRF lines		 $13.20–$24.60 $22–$41 varies
Bilirubin total transcutaneous (88720)
range across 2 matching MRF lines		 $10.80–$13.20 $18–$22 varies
Bilirubin; feces, qualitative Facility (82252) $12 $20 2.6×
Biotinidase (82261) $43.80 $73 2.6×
Bl Smear W/O Diff Wbc Count (85008) $9 $15 2.6×
Blastomyces antibody (86612)
range across 3 matching MRF lines		 $27–$64.80 $45–$108 varies
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $115.80 $193 2.2×
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $116.40 $194 4.0×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $116.40 $194 0.7×
Bld Typing Serologic Rh Phnt (86906)
range across 3 matching MRF lines		 $19.80–$70.20 $33–$117 varies
Bleeding time test (85002) $11.40 $19 2.4×
Blm Gene (81209) $81 $135 2.1×
Blood Count Automated Differential Wbc Count (85004) $16.80 $28 2.6×
Blood Count Manual Cell Count Each (85032)
range across 2 matching MRF lines		 $11.40–$31.20 $19–$52 varies
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $10.80 $18 2.1×
Blood Count Red Blood Cell Automated (85041)
range across 2 matching MRF lines		 $7.80–$18.60 $13–$31 varies
Blood count reticulocyte automated (85045)
range across 3 matching MRF lines		 $9–$30 $15–$50 varies
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines		 $9–$11.40 $15–$19 varies
Blood count spun microhematocrit (85013) $15 $25 2.1×
Blood gas (82803)
range across 3 matching MRF lines		 $54–$142.80 $90–$238 varies
Blood gases w/02 saturation (82805)
range across 2 matching MRF lines		 $162.60–$165.60 $271–$276 varies
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $41.40 $69 2.6×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 4 matching MRF lines		 $9.60–$37.80 $16–$63 varies
Blood Sulfhemoglobin Assay (83060) $21.60 $36 2.5×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 3 matching MRF lines		 $13.20–$514.80 $22–$858 varies
Blood Typing Antigen Screen Patient Serum/Unit (86904) $34.20 $57 2.1×
Blood typing serologic abo (86900)
range across 2 matching MRF lines		 $7.80–$57.60 $13–$96 varies
Body fluid cell count (89050)
range across 2 matching MRF lines		 $12–$15 $20–$25 varies
Bone marrow smear interpretation (85097)
range across 3 matching MRF lines		 $184.80–$909 $308–$1,515 varies
Bordetella antibody (86615)
range across 3 matching MRF lines		 $34.20–$64.80 $57–$108 varies
Borrelia Antibody (86619) $34.80 $58 2.6×
Braf gene analysis (81210) $368.40 $614 2.1×
Brca1&2 gen full seq dup/del (81162) $3,757.80 $6,263 2.1×
Breath Alcohol Test (82075) $27 $45 0.9×
Brucella antibody (86622)
range across 2 matching MRF lines		 $23.40–$30.60 $39–$51 varies
C diff amplified probe (87493) $91.20 $152 2.4×
C-Peptide (84681)
range across 2 matching MRF lines		 $43.80–$54 $73–$90 varies
C-reactive protein (86140)
range across 2 matching MRF lines		 $33–$66 $55–$110 varies
Ca 19-9 (86301)
range across 2 matching MRF lines		 $54–$72 $90–$120 varies
Cadmium (82300)
range across 3 matching MRF lines		 $43.20–$60 $72–$100 varies
Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) $534.60 $891 3.1×
Calcitonin (82308)
range across 2 matching MRF lines		 $69.60–$123.60 $116–$206 varies
Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) $208.20 $347 2.6×
Calcium ionized (82330)
range across 3 matching MRF lines		 $35.40–$60.60 $59–$101 varies
Calcium total (82310)
range across 2 matching MRF lines		 $13.20–$24.60 $22–$41 varies
Calcium; after calcium infusion test (82331) $28.20 $47 2.1×
Calculus assay quant (82360)
range across 2 matching MRF lines		 $33.60–$40.20 $56–$67 varies
Calculus Spectroscopy (82365) $33.60 $56 2.6×
Calculus Xray Diffraction (82370) $32.40 $54 2.6×
Calprotectin Fecal (83993)
range across 2 matching MRF lines		 $51–$106.80 $85–$178 varies
Calr gene com variants (81219) $251.40 $419 2.1×
Cancer Antigen 125 (86304)
range across 2 matching MRF lines		 $43.80–$57 $73–$95 varies
Cancer Antigen 27.29 (86300)
range across 3 matching MRF lines		 $54–$85.80 $90–$143 varies
Candida antibody (86628)
range across 2 matching MRF lines		 $25.20–$31.20 $42–$52 varies
Candida Dna Dir Probe (87480) $52.20 $87 2.6×
Carbamazepine free (80157) $34.20 $57 2.6×
Carbamazepine total (80156)
range across 2 matching MRF lines		 $65.40–$94.80 $109–$158 varies
Carbohydrate Deficient Transferrin (82373)
range across 2 matching MRF lines		 $46.80–$91.20 $78–$152 varies
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $29.40 $49 2.1×
Carboxyhemoglobin (82375)
range across 3 matching MRF lines		 $26.40–$31.80 $44–$53 varies
Carcinoembryonic antigen (82378)
range across 2 matching MRF lines		 $66.60–$88.80 $111–$148 varies
Cardiolipin ab iga (86147)
range across 5 matching MRF lines		 $66–$106.80 $110–$178 varies
Carnitine Quantitative Each Specimen (82379)
range across 2 matching MRF lines		 $52.20–$60.60 $87–$101 varies
Carotene (82380) $24 $40 2.6×
Catecholamines fractionated (82384)
range across 3 matching MRF lines		 $65.40–$75 $109–$125 varies
Catecholamines total urine (82382) $57.60 $96 2.1×
Cathepsin-d (82387) $46.80 $78 2.6×
Ccp antibody (86200)
range across 2 matching MRF lines		 $33.60–$52.20 $56–$87 varies
Cell count csf (89051)
range across 3 matching MRF lines		 $14.40–$49.80 $24–$83 varies
Cell marker study (88182)
range across 4 matching MRF lines		 $73.20–$240.60 $122–$401 varies
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 2 matching MRF lines		 $280.20–$352.20 $467–$587 varies
Ceruloplasmin (82390)
range across 2 matching MRF lines		 $27.60–$36 $46–$60 varies
Cftr gene com variants (81220)
range across 2 matching MRF lines		 $1,146.60–$1,168.80 $1,911–$1,948 varies
Chemiluminescent assay (82397)
range across 7 matching MRF lines		 $30–$64.80 $50–$108 varies
Chemotaxis Assay (86155) $41.40 $69 2.6×
Chlamydia antibody (86631)
range across 5 matching MRF lines		 $22.20–$77.40 $37–$129 varies
Chlamydia Igm Antibody (86632)
range across 5 matching MRF lines		 $22.20–$43.20 $37–$72 varies
Chlamydia trachomatis ag if (87270) $31.20 $52 2.6×
Chloramphenicol level (82415) $33 $55 2.6×
Chloride other source (82438)
range across 3 matching MRF lines		 $12.60–$73.80 $21–$123 varies
Chloride Serum (82435)
range across 2 matching MRF lines		 $12–$19.80 $20–$33 varies
Chloride urine (82436)
range across 2 matching MRF lines		 $12.60–$13.20 $21–$22 varies
Chlorinated Hydrocarbons Screen (82441) $15.60 $26 2.6×
Cholesterol total (82465)
range across 2 matching MRF lines		 $20.40–$43.80 $34–$73 varies
Cholinesterase rbc (82482) $20.40 $34 2.1×
Cholinesterase Serum (82480) $20.40 $34 2.6×
Chondroitin B sulfate, quantitative Facility (82485) $53.40 $89 2.6×
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) $144.60 $241 2.6×
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) $133.80 $223 2.6×
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines		 $34.20–$108 $57–$180 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $466.20 $777 2.5×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $56.40 $94 2.1×
Chrmsm Analysis Addl High Resolution Study (88289) $89.40 $149 2.6×
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 2 matching MRF lines		 $65.40–$70.20 $109–$117 varies
Chrmsm Analysis Addl Specialized Banding (88283) $177.60 $296 2.6×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $448.80 $748 2.6×
Chrmsm Breakage Baseline Sister 20-25 Cll (88245) $448.80 $748 2.6×
Chrmsm Breakage Synds Score 100 Cll (88249) $448.80 $748 2.6×
Chromium serum (82495)
range across 2 matching MRF lines		 $42.60–$52.80 $71–$88 varies
Chromogenic Substrate Assay (85130) $30.60 $51 2.6×
Chromogranin a (86316)
range across 2 matching MRF lines		 $72.60–$85.80 $121–$143 varies
Chromosome analys amniotic (88269) $431.40 $719 2.5×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines		 $323.40–$621.60 $539–$1,036 varies
Chromosome Analysis 20-25 (88264)
range across 2 matching MRF lines		 $298.20–$323.40 $497–$539 varies
Chromosome analysis 45 cells (88263) $389.40 $649 2.6×
Chromosome analysis, 5 (88261) $555 $925 2.1×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 3 matching MRF lines		 $57.60–$139.80 $96–$233 varies
Citric acid urine (82507)
range across 2 matching MRF lines		 $72–$211.80 $120–$353 varies
Ckmb (82553)
range across 2 matching MRF lines		 $33–$46.20 $55–$77 varies
Clostridium Difficile (87324)
range across 2 matching MRF lines		 $31.20–$70.20 $52–$117 varies
Clot Factor VIII Multimetric (85247) $59.40 $99 2.6×
Clot factor xiii fibrin stab (85290) $42.60 $71 2.6×
Clot lysis time, whole blood dilution Facility (85175) $42.60 $71 2.1×
Clot retraction (85170) $34.20 $57 2.1×
Clotting factor viii related antigen (85244) $52.80 $88 2.6×
Clotting factor xii hageman (85280) $50.40 $84 2.6×
Clotting Funct Activity (85397)
range across 2 matching MRF lines		 $64.80–$123.60 $108–$206 varies
Clotting hi molec weight kininogen assay (85293) $49.20 $82 2.6×
Clotting prekallikrein assay fletcher fact assay (85292) $49.20 $82 2.6×
Cns DNA amp probe type 12-25 (87483) $858.60 $1,431 2.1×
Coagulation time activated (85347)
range across 4 matching MRF lines		 $10.80–$46.20 $18–$77 varies
Coagulation time other methods (85348) $9.60 $16 2.1×
Coagulation time; Lee and White Facility (85345) $11.40 $19 2.4×
Coccidioides antibody (86635)
range across 3 matching MRF lines		 $24.60–$30 $41–$50 varies
Cold agglutinin screen (86156) $17.40 $29 2.2×
Cold agglutinin titer (86157)
range across 2 matching MRF lines		 $21–$46.20 $35–$77 varies
Collagen crosslinks (82523)
range across 2 matching MRF lines		 $48.60–$80.40 $81–$134 varies
Column Chromotography Quant (82542)
range across 7 matching MRF lines		 $36.60–$180.60 $61–$301 varies
Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) $1,502.40 $2,504 2.6×
Compatibility test antiglob (86922) $116.40 $194 0.7×
Complement Antigen Each Component (86160)
range across 4 matching MRF lines		 $31.20–$53.40 $52–$89 varies
Complement Fixation Tests Each Antigen (86171) $25.80 $43 2.6×
Complement Total (Ch50) (86162)
range across 2 matching MRF lines		 $52.80–$68.40 $88–$114 varies
Complement/Function Activity (86161)
range across 2 matching MRF lines		 $31.20–$205.80 $52–$343 varies
Consltj Compre Review Reprt Referred Matrl (88325) $387 $645 2.3×
Consltj&Reprt Material Requiring Prepj Slides (88323)
range across 3 matching MRF lines		 $90.60–$266.40 $151–$444 varies
Consltj&Reprt Slides Prepared Elsewhere (88321) $103.20 $172 2.8×
Coombs direct (86880)
range across 3 matching MRF lines		 $13.80–$109.80 $23–$183 varies
Copper urine (82525)
range across 3 matching MRF lines		 $32.40–$76.20 $54–$127 varies
Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) $1,683.60 $2,806 2.1×
Cortisol free (82530)
range across 3 matching MRF lines		 $43.20–$66.60 $72–$111 varies
Cortisol saliva (82533)
range across 3 matching MRF lines		 $42–$91.20 $70–$152 varies
Creatine (82540) $12 $20 2.6×
Creatine kinase (CK), (CPK); isoforms Facility (82554) $30.60 $51 2.6×
Creatine kinase total (82550)
range across 3 matching MRF lines		 $39–$48.60 $65–$81 varies
Creatinine blood (82565)
range across 3 matching MRF lines		 $25.20–$33 $42–$55 varies
Creatinine clearance (82575)
range across 2 matching MRF lines		 $51–$63 $85–$105 varies
Creatinine Urine (82570)
range across 7 matching MRF lines		 $11.40–$84.60 $19–$141 varies
Crossmatch immediate spin (86920) $273 $455 1.6×
Crp High Sensitivity (86141)
range across 2 matching MRF lines		 $33.60–$50.40 $56–$84 varies
Cryofibrinogen (82585)
range across 2 matching MRF lines		 $26.40–$29.40 $44–$49 varies
Cryoglobulin (82595)
range across 2 matching MRF lines		 $16.80–$63.60 $28–$106 varies
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $27.60 $46 2.1×
Cryptococcal Antigen (87327) $31.20 $52 2.3×
Cryptococcus ab (86641) $37.20 $62 2.6×
Cryptococcus ag titer (87899)
range across 6 matching MRF lines		 $33.60–$47.40 $56–$79 varies
Cryptosporidium (87272) $31.20 $52 2.6×
Cryptosporidium ag eia (87328)
range across 2 matching MRF lines		 $29.40–$31.20 $49–$52 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 3 matching MRF lines		 $40.80–$70.80 $68–$118 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines		 $21–$35.40 $35–$59 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101)
range across 2 matching MRF lines		 $19.80–$70.80 $33–$118 varies
Culture aerobic quant other (87071) $24.60 $41 2.5×
Culture afb (87116)
range across 2 matching MRF lines		 $28.20–$69 $47–$115 varies
Culture Anaerobic (87075)
range across 2 matching MRF lines		 $24.60–$90 $41–$150 varies
Culture bacteria anaerobic (87073) $24.60 $41 2.5×
Culture blood (87040)
range across 2 matching MRF lines		 $27–$97.20 $45–$162 varies
Culture chlamydia (87110)
range across 2 matching MRF lines		 $51–$64.20 $85–$107 varies
Culture csf (87070)
range across 6 matching MRF lines		 $58.80–$691.20 $98–$1,152 varies
Culture fungus (87102)
range across 3 matching MRF lines		 $21.60–$76.20 $36–$127 varies
Culture fungus blood (87103) $43.20 $72 2.1×
Culture screen only (87081)
range across 4 matching MRF lines		 $17.40–$49.20 $29–$82 varies
Culture stool (87045)
range across 2 matching MRF lines		 $24.60–$59.40 $41–$99 varies
Culture Typing Gas/High Pres Liq Chromatography (87143) $32.40 $54 2.6×
Culture typing if ea antiserum (87140)
range across 3 matching MRF lines		 $14.40–$27 $24–$45 varies
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $13.20 $22 2.5×
Culture typing other methods (87158) $16.20 $27 2.1×
Culture urine (87086)
range across 2 matching MRF lines		 $16.80–$21 $28–$35 varies
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) $57 $95 2.1×
Culture, typing; identification by pulse field gel typing Facility (87152) $16.20 $27 2.1×
Cyanide (82600) $50.40 $84 2.6×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608)
range across 2 matching MRF lines		 $37.20–$78 $62–$130 varies
Cyclic amp (82030) $66.60 $111 2.6×
Cyclosporine (80158)
range across 2 matching MRF lines		 $46.80–$136.20 $78–$227 varies
Cystatin C (82610)
range across 2 matching MRF lines		 $39–$117.60 $65–$196 varies
Cytogenetics 10-30 (88273) $83.40 $139 2.4×
Cytogenetics 100-300 (88275)
range across 3 matching MRF lines		 $106.20–$107.40 $177–$179 varies
Cytomegalovirus igg (86644)
range across 3 matching MRF lines		 $28.20–$37.20 $47–$62 varies
Cytopath C/V Index Add-On (88155) $30.60 $51 2.1×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines		 $49.80–$64.80 $83–$108 varies
Cytopath Cell Enhance Tech (88112)
range across 4 matching MRF lines		 $57.60–$137.40 $96–$229 varies
Cytopath Fl Nongyn Filter (88106)
range across 3 matching MRF lines		 $40.20–$128.40 $67–$214 varies
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) $106.20 $177 2.1×
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) $39.60 $66 2.1×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $55.20 $92 2.2×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) $30.60 $51 1.7×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) $30.60 $51 1.7×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) $88.80 $148 2.1×
Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) $58.20 $97 2.1×
Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) $50.40 $84 2.1×
Cytotoxic Antibody Screen Std (86807) $165 $275 2.1×
Cytotoxic pra quick (86808) $76.80 $128 2.6×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $68.40 $114 2.6×
Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) $52.80 $88 2.3×
Cytp Concentration Smears & Interpretation (88108)
range across 3 matching MRF lines		 $48–$126 $80–$210 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 4 matching MRF lines		 $107.40–$310.80 $179–$518 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 5 matching MRF lines		 $41.40–$297.60 $69–$496 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 4 matching MRF lines		 $60.60–$150 $101–$250 varies
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120)
range across 3 matching MRF lines		 $117.60–$1,256.40 $196–$2,094 varies
Cytp Slides C/V Mnl Scr Under Phys (88150) $30.60 $51 1.7×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $30.60 $51 1.7×
Cytp smrs any oth src extnd std > 5 slides (88162)
range across 3 matching MRF lines		 $82.80–$201 $138–$335 varies
Cytp Smrs Any Oth Src Scr&Interpj (88160)
range across 3 matching MRF lines		 $54–$145.80 $90–$243 varies
Cytp Urine 3-5 Probes Cmptr (88121)
range across 3 matching MRF lines		 $104.40–$1,085.40 $174–$1,809 varies
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $54 $90 5.0×
Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) $29.40 $49 2.6×
Deoxycortisol (82634) $75.60 $126 2.6×
Deoxyribonuclease antibody (86215)
range across 2 matching MRF lines		 $34.20–$39.60 $57–$66 varies
Desoxycorticosterone (82633) $80.40 $134 2.6×
Detect Agent Nos Dna Amp (87798)
range across 18 matching MRF lines		 $61.80–$212.40 $103–$354 varies
Detect Agent Nos Dna Quant (87799)
range across 6 matching MRF lines		 $68.40–$179.40 $114–$299 varies
Detect agnt mult DNA ampli (87801)
range across 3 matching MRF lines		 $145.20–$181.80 $242–$303 varies
Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) $340.20 $567 2.1×
Dgp Antibody Each Ig Class (86258)
range across 3 matching MRF lines		 $18.60–$25.80 $31–$43 varies
Dhea (82626)
range across 2 matching MRF lines		 $65.40–$97.80 $109–$163 varies
Dhea-S (82627)
range across 2 matching MRF lines		 $46.80–$57.60 $78–$96 varies
Dibucaine number (82638) $31.80 $53 2.6×
Digoxin (80162)
range across 2 matching MRF lines		 $34.20–$75 $57–$125 varies
Dihydrotestosterone (82642) $60.60 $101 2.1×
Diphtheria antitoxoid (86648) $39.60 $66 2.6×
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines		 $35.40–$46.20 $59–$77 varies
Dna Antibody Single Stranded (86226) $31.20 $52 2.6×
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines		 $72.60–$91.20 $121–$152 varies
DNA/RNA direct probe (87149)
range across 2 matching MRF lines		 $52.20–$93 $87–$155 varies
Dna/Rna Sequencing (87153)
range across 2 matching MRF lines		 $238.20–$298.80 $397–$498 varies
Dpyd gene common variants (81232) $360.60 $601 2.1×
Drug assay acetaminophen (80143)
range across 2 matching MRF lines		 $70.20–$363.60 $117–$606 varies
Drug assay adalimumab (80145) $74.40 $124 1.9×
Drug Assay Amiodarone (80151) $167.40 $279 9.0×
Drug assay felbamate (80167) $46.80 $78 2.5×
Drug Assay Infliximab (80230) $73.20 $122 1.9×
Drug Assay Lacosamide (80235) $55.20 $92 2.0×
Drug Screen Quant Clozapine (80159) $55.20 $92 2.7×
Drug Screen Quant Zonisamide (80203) $70.20 $117 5.3×
Drug Screen Quantitative Gabapentin (80171) $72.60 $121 3.4×
Drug Screen Quantitative Lamotrigine (80175) $72.60 $121 5.5×
Drug Screen Quantitative Levetiracetam (80177)
range across 2 matching MRF lines		 $70.20–$71.40 $117–$119 varies
Drug Screen Quantitative Oxcarbazepine (80183) $30.60 $51 2.3×
Drug Screen Quantitative Procainamide Metabolite (80192) $43.20 $72 2.6×
Drug Test Prsmv Chem Anlyzr (80307)
range across 13 matching MRF lines		 $115.80–$370.80 $193–$618 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines		 $7.80–$30 $13–$50 varies
Drug Test Prsmv Instrmnt (80306) $37.80 $63 2.2×
Egfr Gene Analysis Common Variants (81235) $681.60 $1,136 2.1×
Ehrlichia antibody (86666)
range across 2 matching MRF lines		 $26.40–$40.20 $44–$67 varies
El-1 Fecal Quantitative (82653) $43.80 $73 1.9×
Electrolyte panel (80051)
range across 2 matching MRF lines		 $18–$49.80 $30–$83 varies
Electron Microscopy (88348)
range across 3 matching MRF lines		 $174.60–$774 $291–$1,290 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664) $129 $215 2.1×
Encephaltis East Eqne Anbdy (86652)
range across 2 matching MRF lines		 $25.20–$34.20 $42–$57 varies
Encephaltis West Eqne Antbdy (86654) $34.20 $57 2.6×
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 2 matching MRF lines		 $18.60–$25.80 $31–$43 varies
Enterovirus Antibody (86658)
range across 3 matching MRF lines		 $27.60–$33.60 $46–$56 varies
Enterovirus PCR (87498)
range across 2 matching MRF lines		 $72.60–$91.20 $121–$152 varies
Enzyme cell activity (82657)
range across 3 matching MRF lines		 $46.80–$118.80 $78–$198 varies
Enzyme histochemistry (88319)
range across 3 matching MRF lines		 $55.80–$178.20 $93–$297 varies
Eosinophil Smear (89190) $12.60 $21 2.2×
Erythropoietin (82668)
range across 2 matching MRF lines		 $48.60–$57.60 $81–$96 varies
Estradiol serum (82670)
range across 3 matching MRF lines		 $75.60–$181.80 $126–$303 varies
Estriol (82677)
range across 2 matching MRF lines		 $67.20–$111 $112–$185 varies
Estrogen total (82672)
range across 2 matching MRF lines		 $56.40–$138.60 $94–$231 varies
Estrogens fractionated (82671) $84 $140 2.6×
Ethosuximide (80168)
range across 2 matching MRF lines		 $42–$42.60 $70–$71 varies
Ethylene Glycol (82693) $38.40 $64 2.6×
Euglobulin lysis (85360) $21.60 $36 2.6×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines		 $34.20–$54 $57–$90 varies
F2 Gene (81240)
range across 2 matching MRF lines		 $68.40–$135.60 $114–$226 varies
Factor ii activity (85210) $33.60 $56 2.6×
Factor Inhibitor Test (85335) $33.60 $56 2.6×
Factor ix activity (85250)
range across 2 matching MRF lines		 $49.20–$91.20 $82–$152 varies
Factor v activity (85220)
range across 2 matching MRF lines		 $45.60–$90.60 $76–$151 varies
Factor v leiden mutation (81241)
range across 2 matching MRF lines		 $65.40–$151.80 $109–$253 varies
Factor vii assay (85230)
range across 3 matching MRF lines		 $7.20–$212.40 $12–$354 varies
Factor viii assay (85240)
range across 2 matching MRF lines		 $46.20–$200.40 $77–$334 varies
Factor X (85260) $46.20 $77 2.6×
Factor xi activity (85270) $46.20 $77 2.6×
Factor xiii screen (85291)
range across 2 matching MRF lines		 $19.20–$22.80 $32–$38 varies
Fancc Gene (81242) $76.20 $127 2.1×
Fat differential, feces, quantitative Facility (82715) $48 $80 2.1×
Fat stain feces urine/respir secretions (89125)
range across 2 matching MRF lines		 $12.60–$31.20 $21–$52 varies
Fat/Lipids Feces Quantitative (82710) $43.80 $73 2.6×
Fatty acids free (82725)
range across 2 matching MRF lines		 $37.20–$39.60 $62–$66 varies
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $19.80 $33 2.6×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $44.40 $74 2.6×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $26.40 $44 2.6×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420)
range across 2 matching MRF lines		 $16.80–$101.40 $28–$169 varies
Fecal Fat Qualitative (82705)
range across 2 matching MRF lines		 $13.20–$31.80 $22–$53 varies
Ferritin (82728)
range across 2 matching MRF lines		 $42–$75 $70–$125 varies
Fetal Congenital Abnor Assay Four Anal (81511) $316.80 $528 2.1×
Fetal Fibronectin (82731)
range across 2 matching MRF lines		 $166.80–$223.80 $278–$373 varies
Fetal hemoglobin assay qual (83033) $16.80 $28 2.1×
Fetal lung maturity assessment; foam stability test Facility (83662) $49.20 $82 2.6×
Fetal Lung Maturity Fluorescence Polarization (83663) $49.20 $82 2.6×
Fetal screen rosette (85461)
range across 2 matching MRF lines		 $19.80–$30.60 $33–$51 varies
Fibrin degradation products (85362)
range across 2 matching MRF lines		 $18–$59.40 $30–$99 varies
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines		 $87.60–$88.80 $146–$148 varies
Fibrin dgradj products d-dimer qual/semiquan (85378) $20.40 $34 2.1×
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) $26.40 $44 2.6×
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $29.40 $49 2.4×
Fibrinogen activity (85384)
range across 2 matching MRF lines		 $22.20–$54.60 $37–$91 varies
Fibrinogen antigen (85385)
range across 2 matching MRF lines		 $30.60–$54 $51–$90 varies
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $57 $95 3.7×
Fibrinolytic factors and inhibitors; plasmin Facility (85400) $19.80 $33 2.6×
Flecainide level (80181) $169.80 $283 9.1×
Flow cytometry first marker (88184)
range across 4 matching MRF lines		 $120.60–$254.40 $201–$424 varies
Fluorescent antibody screen (86255)
range across 12 matching MRF lines		 $25.80–$370.80 $43–$618 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 8 matching MRF lines		 $25.80–$108 $43–$180 varies
Fluoride serum (82735) $48 $80 2.6×
Folic acid rbc (82747)
range across 2 matching MRF lines		 $45–$112.20 $75–$187 varies
Folic Acid Serum (82746)
range across 2 matching MRF lines		 $51.60–$61.80 $86–$103 varies
Follicle Stimulating Hormone (83001)
range across 2 matching MRF lines		 $65.40–$79.80 $109–$133 varies
Forensic Cytopathology (88125)
range across 3 matching MRF lines		 $19.80–$42.60 $33–$71 varies
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $68.40 $114 2.4×
Francisella tularensis (86668) $30 $50 2.1×
Frozen Section (88331)
range across 4 matching MRF lines		 $66–$198.60 $110–$331 varies
Fungi Identification Mold (87107)
range across 2 matching MRF lines		 $27–$76.20 $45–$127 varies
Fungi Identification Yeast (87106)
range across 2 matching MRF lines		 $27–$39.60 $45–$66 varies
Galactokinase rbc (82759) $55.80 $93 2.6×
Galactose (82760) $28.80 $48 2.6×
Galactose transferase test (82776) $24.60 $41 2.1×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $54.60 $91 2.6×
Gammaglobulin ige (82785)
range across 2 matching MRF lines		 $42.60–$48.60 $71–$81 varies
Gardner vag DNA dir probe (87510) $52.20 $87 2.6×
Gardner Vag Dna Quant (87512) $108 $180 2.6×
Gases Blood O2 Saturation Only Direct Meas (82810)
range across 2 matching MRF lines		 $20.40–$22.80 $34–$38 varies
Gases blood ph only (82800)
range across 2 matching MRF lines		 $23.40–$60.60 $39–$101 varies
Gastric Analy W/Ph Ea Spec (82930) $14.40 $24 2.1×
Gastrin (82941)
range across 2 matching MRF lines		 $45.60–$93 $76–$155 varies
Gastrin after secretin stim (82938) $45.60 $76 2.6×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $727.20 $1,212 1.7×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $97.80 $163 2.1×
Genet Virus Isolate Hsv (87255)
range across 2 matching MRF lines		 $70.20–$91.80 $117–$153 varies
Gentamicin (80170)
range across 2 matching MRF lines		 $42.60–$108.60 $71–$181 varies
Ggt (82977)
range across 2 matching MRF lines		 $19.80–$30.60 $33–$51 varies
Gh suppression panel (80430) $271.80 $453 2.1×
Giardia antigen (87329)
range across 2 matching MRF lines		 $31.20–$56.40 $52–$94 varies
Giardia lamblia antibody (86674) $38.40 $64 2.6×
Gluc-6-phosphate dehydrogenase screen (82960)
range across 2 matching MRF lines		 $15.60–$108 $26–$180 varies
Glucagon (82943)
range across 2 matching MRF lines		 $37.20–$69.60 $62–$116 varies
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $119.40 $199 2.6×
Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) $130.80 $218 2.6×
Glucagon tolerance test Facility (82946) $39 $65 2.2×
Glucose 2 hr pp (82950)
range across 2 matching MRF lines		 $10.20–$12.60 $17–$21 varies
Glucose Blood Test (82962)
range across 4 matching MRF lines		 $6.60–$25.20 $11–$42 varies
Glucose body fluid (82945)
range across 2 matching MRF lines		 $10.20–$40.80 $17–$68 varies
Glucose Serum (82947)
range across 2 matching MRF lines		 $11.40–$30.60 $19–$51 varies
Glucose tolerance test (gtt) (82951)
range across 4 matching MRF lines		 $10.20–$73.20 $17–$122 varies
Glucosidase beta (82963) $55.80 $93 2.6×
Glutamate dehydrogenase Facility (82965) $27.60 $46 2.1×
Glutathione (82978) $37.20 $62 2.4×
Glutathione reductase, RBC Facility (82979) $24.60 $41 2.6×
Glycated Protein (82985)
range across 2 matching MRF lines		 $34.80–$39 $58–$65 varies
Gonadotropin Chorionic Hcg Free Beta Chain (84704) $39 $65 2.6×
Gonadotropin Chorionic Qualitative (84703)
range across 3 matching MRF lines		 $19.80–$55.80 $33–$93 varies
Gonadotropin releasing hormone (83727) $44.40 $74 2.6×
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) $384.60 $641 2.6×
Growth hormone (83003)
range across 2 matching MRF lines		 $43.20–$49.20 $72–$82 varies
Growth hormone antibody (86277) $40.80 $68 2.6×
Growth Hormone Stimulation Panel (80428) $172.80 $288 2.6×
Gtt-added samples (82952)
range across 2 matching MRF lines		 $10.20–$73.20 $17–$122 varies
H Pylori (C-13) Breath (83013)
range across 2 matching MRF lines		 $139.20–$174.60 $232–$291 varies
H Pylori Drug Admin (83014)
range across 2 matching MRF lines		 $20.40–$24.60 $34–$41 varies
Haloperidol (80173)
range across 2 matching MRF lines		 $37.80–$51 $63–$85 varies
Haptoglobin (83010)
range across 2 matching MRF lines		 $32.40–$43.80 $54–$73 varies
Haptoglobin; phenotypes Facility (83012) $56.40 $94 2.1×
Hba1/Hba2 Gene (81257)
range across 2 matching MRF lines		 $211.20–$417.60 $352–$696 varies
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $417.60 $696 2.1×
Hbb duplication/deletion variants (81363) $417.60 $696 2.1×
Hdl Cholesterol (83718)
range across 2 matching MRF lines		 $21–$37.80 $35–$63 varies
Heavy metal qualitative any analytes (83015) $48.60 $81 2.3×
Heinz Bodies Direct (85441) $10.80 $18 2.6×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $17.40 $29 2.6×
Helicobacter Pylori Stool (87338)
range across 2 matching MRF lines		 $37.20–$66 $62–$110 varies
Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) $174.60 $291 2.6×
Helminth Antibody (86682)
range across 4 matching MRF lines		 $25.20–$117 $42–$195 varies
Hemagglutination Inhibition (86280) $21 $35 2.6×
Hematocrit (85014)
range across 4 matching MRF lines		 $5.40–$22.80 $9–$38 varies
Hemoglobin (85018)
range across 3 matching MRF lines		 $11.40–$21 $19–$35 varies
Hemoglobin a1c (83036)
range across 3 matching MRF lines		 $18.60–$53.40 $31–$89 varies
Hemoglobin Chromotography (83021)
range across 2 matching MRF lines		 $37.80–$46.80 $63–$78 varies
Hemoglobin Copper Sulfate Method Non-Automated (83026) $8.40 $14 2.1×
Hemoglobin electrophoresis (83020)
range across 2 matching MRF lines		 $46.20–$57 $77–$95 varies
Hemoglobin F Fetal Chemical (83030) $22.80 $38 2.1×
Hemoglobin Methemoglobin Quantitative (83050)
range across 2 matching MRF lines		 $19.20–$43.80 $32–$73 varies
Hemoglobin plasma (83051) $19.20 $32 2.6×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $19.80 $33 2.1×
Hemoglobin stability screen (83068) $22.20 $37 2.3×
Hemoglobin Thermolabile (83065) $19.20 $32 2.1×
Hemoglobin urine (83069) $10.20 $17 2.6×
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) $19.80 $33 2.1×
Hemoglobin-Oxygen Affinity (82820) $28.20 $47 2.1×
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) $25.20 $42 2.6×
Hemoglobin; methemoglobin, qualitative Facility (83045) $13.80 $23 2.1×
Hemolysin Acid (85475) $22.80 $38 2.6×
Hemolysins&Agglutinins Auto Screen Each (86940) $21 $35 2.4×
Hemolysins&Agglutinins Incubated (86941) $31.20 $52 2.6×
Hemosiderin urine (83070) $12.60 $21 2.7×
Hep a ab igm (86709)
range across 2 matching MRF lines		 $29.40–$43.80 $49–$73 varies
Heparin assay (85520)
range across 2 matching MRF lines		 $34.20–$74.40 $57–$124 varies
Heparin Neutralization (85525) $30.60 $51 2.6×
Heparin-Protamine Tolerance Tst (85530) $34.20 $57 2.6×
Hepatitis a antibody total (86708)
range across 3 matching MRF lines		 $25.20–$43.20 $42–$72 varies
Hepatitis b core ab igm (86705)
range across 2 matching MRF lines		 $30.60–$46.80 $51–$78 varies
Hepatitis b core ab total (86704)
range across 3 matching MRF lines		 $25.20–$43.80 $42–$73 varies
Hepatitis B Surface Antibody (86706)
range across 3 matching MRF lines		 $52.80–$91.80 $88–$153 varies
Hepatitis B Surface Antigen (87340)
range across 2 matching MRF lines		 $39–$42.60 $65–$71 varies
Hepatitis Be Antibody (86707)
range across 2 matching MRF lines		 $30–$31.80 $50–$53 varies
Hepatitis Be Antigen (87350)
range across 2 matching MRF lines		 $24.60–$30 $41–$50 varies
Hepatitis C Antibody (86803)
range across 2 matching MRF lines		 $37.20–$120 $62–$200 varies
Hepatitis c antibody confirmatory test (86804) $40.20 $67 2.6×
Hepatitis C Genotype (87902)
range across 3 matching MRF lines		 $530.40–$667.20 $884–$1,112 varies
Hepatitis C Probe&Rvrs Trnsc (87521)
range across 2 matching MRF lines		 $91.20–$138 $152–$230 varies
Hepatitis C Revrs Trnscrpj (87522)
range across 4 matching MRF lines		 $25.20–$211.20 $42–$352 varies
Hepatitis delta ag (87380) $42.60 $71 2.3×
Hepatitis Delta Agent Antibody (86692)
range across 2 matching MRF lines		 $44.40–$161.40 $74–$269 varies
Hepatitis G Dna Quant (87527) $108 $180 2.6×
Herpes simplex type 2 (86696)
range across 3 matching MRF lines		 $50.40–$113.40 $84–$189 varies
Heterophile antibodies titer (86309)
range across 2 matching MRF lines		 $16.80–$28.20 $28–$47 varies
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) $19.20 $32 2.6×
Heterophile Antibody Screen (86308)
range across 3 matching MRF lines		 $13.20–$56.40 $22–$94 varies
Hexa gene analysis common variants (81255) $106.80 $178 2.1×
Hfe Gene (81256) $181.80 $303 2.8×
Hgb Quantitative Transcutaneous (88738)
range across 2 matching MRF lines		 $13.20–$46.20 $22–$77 varies
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460)
range across 2 matching MRF lines		 $16.20–$19.80 $27–$33 varies
Histamine urine (83088)
range across 2 matching MRF lines		 $76.80–$82.20 $128–$137 varies
Histoplasma antibody (86698)
range across 2 matching MRF lines		 $32.40–$67.20 $54–$112 varies
Histoplasma antigen urine (87385)
range across 3 matching MRF lines		 $31.20–$121.20 $52–$202 varies
Hiv Genotype (87901) $667.20 $1,112 2.6×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 2 matching MRF lines		 $50.40–$62.40 $84–$104 varies
Hiv-1 Antibody (86701)
range across 2 matching MRF lines		 $18.60–$48 $31–$80 varies
HIV-1 p24 antigen (87390) $50.40 $84 2.1×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 4 matching MRF lines		 $154.80–$220.80 $258–$368 varies
HIV-2 probe&revrse trnscripj (87538)
range across 2 matching MRF lines		 $91.20–$201 $152–$335 varies
Hla Class I Typing High Resolution Complete (81379) $691.20 $1,152 2.1×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $229.80 $383 2.1×
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) $76.80 $128 2.1×
Hla I Low Resolution One Antigen Equivalent Each (81374) $153.60 $256 2.1×
Hla Typing a/B/C Multiple Antigens (86813) $150.60 $251 2.6×
Hla Typing Dr/Dq Multiple Antigens (86817)
range across 2 matching MRF lines		 $222.60–$691.20 $371–$1,152 varies
Hla Typing Dr/Dq Single Antigen (86816) $72 $120 2.4×
Hla-b27 (86812)
range across 2 matching MRF lines		 $67.20–$175.20 $112–$292 varies
Homocysteine (83090)
range across 2 matching MRF lines		 $43.80–$92.40 $73–$154 varies
Homogenization Tissue (87176) $15 $25 2.6×
Homovanillic acid urine (83150)
range across 2 matching MRF lines		 $12.60–$50.40 $21–$84 varies
Hpv High-Risk Types (87624) $91.20 $152 2.6×
Hpv low-risk types (87623) $91.20 $152 2.6×
Hpv Types 16 & 18 Only (87625) $91.20 $152 2.2×
Hsv Dna Amp Probe (87529)
range across 4 matching MRF lines		 $68.40–$158.40 $114–$264 varies
Hsv Dna Quant (87530) $111 $185 2.6×
Htlv-I Antibody (86687)
range across 2 matching MRF lines		 $21.60–$159.60 $36–$266 varies
Htlv-ii antibody (86688) $36.60 $61 2.6×
Human Epididymis Protein 4 (86305) $54 $90 2.6×
Hydroxycorticosteroids 17 (83491) $45.60 $76 2.5×
Hydroxyprogesterone 17-d (83498)
range across 2 matching MRF lines		 $70.20–$155.40 $117–$259 varies
Hydroxyproline free (83500) $58.80 $98 2.6×
Hydroxyproline total (83505) $63 $105 2.6×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $31.20 $52 2.6×
Iaad Ia Cytomegalovirus (87332) $31.20 $52 2.6×
Iaad Ia Entamoeba Histolytica Grp (87337) $31.20 $52 2.6×
Iaad Ia Escherichia Coli 0157 (87335) $31.20 $52 2.5×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341)
range across 2 matching MRF lines		 $22.20–$27 $37–$45 varies
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420)
range across 2 matching MRF lines		 $31.20–$87 $52–$145 varies
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426)
range across 3 matching MRF lines		 $46.80–$81 $78–$135 varies
Iaad ia shiga-like toxin (87427)
range across 3 matching MRF lines		 $31.20–$37.20 $52–$62 varies
Iaad Ia Streptococcus Group A (87430)
range across 2 matching MRF lines		 $35.40–$39 $59–$65 varies
Iaadi Bordetella Prtussis/Paraprtussis (87265) $31.20 $52 2.6×
Iaadi giardia (87269) $31.20 $52 2.3×
Iaadi herpes smplx virus type 1 (87274) $31.20 $52 2.6×
Iaadi herpes smplx virus type 2 (87273) $31.20 $52 2.6×
Iaadi inffluenza a virus (87276) $33.60 $56 2.1×
Iaadi not otherwise specified each organism (87299) $33.60 $56 2.1×
Iaadi parainfluenza virus each type (87279)
range across 2 matching MRF lines		 $34.20–$34.80 $57–$58 varies
Iaadi pneumocustis carinii (87281) $31.20 $52 2.6×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $31.20 $52 2.6×
Iaadi respiratory synctial virus (87280)
range across 2 matching MRF lines		 $28.20–$31.20 $47–$52 varies
Iaadi Varicella Zoster Virus (87290) $31.20 $52 2.3×
Iaadiadoo trichomonas vaginalis (87808) $32.40 $54 2.1×
Iadna Bartonella Amplified Probe Technique (87471) $91.20 $152 2.6×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)
range across 2 matching MRF lines		 $72.60–$91.20 $121–$152 varies
Iadna Candida Species Amplified Probe Tq (87481) $91.20 $152 2.6×
Iadna chlamydia pneumoniae amplified probe tq (87486)
range across 3 matching MRF lines		 $31.20–$91.20 $52–$152 varies
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $85.80 $143 3.8×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 2 matching MRF lines		 $91.20–$172.80 $152–$288 varies
Iadna Cytomegalovirus Direct Probe Tq (87495) $63 $105 2.1×
Iadna Cytomegalovirus Quantification (87497)
range across 3 matching MRF lines		 $80.40–$162 $134–$270 varies
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $181.80 $303 2.6×
Iadna hepatitis b virus amplified probe tq (87516) $91.20 $152 2.6×
Iadna Hepatitis B Virus Quantification (87517)
range across 2 matching MRF lines		 $88.80–$111 $148–$185 varies
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $91.20 $152 2.6×
Iadna Herpes Virus-6 Quantification (87533) $108 $180 2.6×
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 3 matching MRF lines		 $91.20–$344.40 $152–$574 varies
Iadna Hiv-2 Quant & Reverse Transcription (87539) $123 $205 2.1×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $91.20 $152 2.6×
Iadna Multiple Organisms Direct Probe Tq (87800) $103.80 $173 2.4×
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $57.60 $96 2.1×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $101.40 $169 2.1×
Iadna Mycobacteria Species Direct Probe Tq (87550) $52.20 $87 2.6×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 5 matching MRF lines		 $80.40–$201 $134–$335 varies
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $56.40 $94 2.1×
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 3 matching MRF lines		 $31.20–$91.20 $52–$152 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines		 $72.60–$136.80 $121–$228 varies
Iadna Nos Direct Probe Tq Each Organism (87797) $63 $105 2.1×
Ig Light Chains Free Each (83521)
range across 3 matching MRF lines		 $34.20–$210 $57–$350 varies
Igg subclasses (82787)
range across 2 matching MRF lines		 $21–$128.40 $35–$214 varies
Ikbkap Gene Analysis Common Variants (81260) $81 $135 2.1×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 4 matching MRF lines		 $79.20–$537 $132–$895 varies
Immune Complex Assay (86332) $63 $105 2.6×
Immunfix e-phorsis/urine/csf (86335)
range across 3 matching MRF lines		 $60.60–$76.20 $101–$127 varies
Immunoassay analyte qual/semiqual single step (83518) $22.20 $37 2.3×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 12 matching MRF lines		 $36–$389.40 $60–$649 varies
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $53.40 $89 2.1×
Immunoassay infectious agent (86318) $37.80 $63 2.1×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 5 matching MRF lines		 $31.20–$43.20 $52–$72 varies
Immunoassay nonantibody (83516)
range across 17 matching MRF lines		 $22.20–$91.20 $37–$152 varies
Immunodiffusion not elsewhere specified (86329) $36.60 $61 2.6×
Immunodiffusion Ouchterlony (86331)
range across 3 matching MRF lines		 $25.20–$31.20 $42–$52 varies
Immunoelectrophoresis Other Fluids Concentration (86325) $58.20 $97 2.5×
Immunoelectrophoresis Serum (86320) $63 $105 2.1×
Immunofixation electrophoresis (86334)
range across 3 matching MRF lines		 $58.20–$99 $97–$165 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines		 $75.60–$115.20 $126–$192 varies
Immunohistochemistry (88342)
range across 5 matching MRF lines		 $72–$303 $120–$505 varies
In situ hybridization 1st probe stain (88365)
range across 4 matching MRF lines		 $90–$355.20 $150–$592 varies
In situ hybridization ea multiplex probe stain (88366)
range across 3 matching MRF lines		 $125.40–$513.60 $209–$856 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) $46.20 $77 2.1×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) $33.60 $56 2.1×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $31.80 $53 2.1×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) $24.60 $41 2.3×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $112.80 $188 7.1×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) $45.60 $76 2.1×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $33.60 $56 2.1×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) $51.60 $86 2.1×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260)
range across 2 matching MRF lines		 $30.60–$31.20 $51–$52 varies
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $31.20 $52 2.3×
Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) $31.20 $52 2.3×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275)
range across 2 matching MRF lines		 $25.80–$31.20 $43–$52 varies
Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) $127.80 $213 2.1×
Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) $31.20 $52 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) $111 $185 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) $52.20 $87 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) $117 $195 2.1×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) $52.20 $87 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) $111 $185 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) $112.20 $187 2.1×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $91.20 $152 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $65.40 $109 2.1×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $91.20 $152 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) $62.40 $104 2.1×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) $52.20 $87 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $121.80 $203 2.1×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) $52.20 $87 2.4×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) $52.20 $87 2.4×
Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) $108 $180 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) $111 $185 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) $111 $185 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) $111 $185 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) $52.20 $87 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) $635.40 $1,059 2.1×
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) $111 $185 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) $52.20 $87 2.6×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) $108 $180 2.6×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $133.20 $222 2.6×
Infectious Agent Dna/Rna Vancomycin Resistance (87500) $91.20 $152 2.6×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $31.80 $53 2.6×
Influenza a/b ag eia (87400) $31.20 $52 2.2×
Influenza assay w/optic (87804)
range across 4 matching MRF lines		 $31.20–$67.80 $52–$113 varies
Influenza DNA amp probe (87502)
range across 2 matching MRF lines		 $198–$220.80 $330–$368 varies
Inhibin A (86336) $40.20 $67 2.6×
Inhibin b (83520)
range across 15 matching MRF lines		 $36–$139.20 $60–$232 varies
Insitu hybridization auto (88367)
range across 3 matching MRF lines		 $97.80–$294 $163–$490 varies
Insitu hybridization manual (88368)
range across 3 matching MRF lines		 $87–$247.20 $145–$412 varies
Insulin antibodies (86337)
range across 2 matching MRF lines		 $45–$55.80 $75–$93 varies
Insulin free (83527)
range across 2 matching MRF lines		 $33.60–$46.20 $56–$77 varies
Insulin tolerance panel growth horm defncy (80435) $267 $445 2.6×
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) $598.80 $998 2.1×
Insulin total (83525)
range across 2 matching MRF lines		 $39.60–$42 $66–$70 varies
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) $350.40 $584 2.1×
Interleukin-6 (83529) $24.60 $41 1.4×
Intrinsic factor (stomach protein) level (83528) $41.40 $69 2.1×
Intrinsic factor antibody (86340) $39 $65 2.6×
Iron (83540)
range across 2 matching MRF lines		 $28.80–$33 $48–$55 varies
Iron Binding Capacity (83550)
range across 2 matching MRF lines		 $33.60–$48 $56–$80 varies
Iron stain peripheral blood (85536) $16.80 $28 2.4×
Islet cell antibody (86341)
range across 5 matching MRF lines		 $51.60–$93 $86–$155 varies
Isocitric dehydrogenase (IDH) Facility (83570) $22.80 $38 2.6×
Jak2 gene analysis p.val617phe variant (81270)
range across 2 matching MRF lines		 $189.60–$237.60 $316–$396 varies
Jak2 Gene Trgt Sequence Alys (81279) $382.20 $637 2.1×
Ketosteroids 17 total (83586) $33 $55 2.6×
Kit Gene Analysis D816 Variant(S) (81273) $262.20 $437 2.1×
Kit Gene Analysis Targeted Sequence Analysis (81272) $691.80 $1,153 2.1×
Koh Prep (87220) $10.80 $18 2.5×
Kras Gene Analysis Additional Variant(S) (81276) $405.60 $676 2.1×
Kras Gene Variants Exon 2 (81275) $405.60 $676 2.1×
L/s ratio (83661) $57 $95 2.6×
Lactate (ld) (ldh) enzyme (83615)
range across 2 matching MRF lines		 $30–$33 $50–$55 varies
Lactoferrin fecal qualitative (83630)
range across 2 matching MRF lines		 $40.80–$51 $68–$85 varies
Lactoferrin Fecal Quantitative (83631)
range across 2 matching MRF lines		 $51–$61.80 $85–$103 varies
Lactogen Hpl Human Chorionic Somatomammotropin (83632) $52.20 $87 2.6×
Lactose urine qual (83633) $23.40 $39 2.1×
Lamellar Body Count (83664) $49.20 $82 2.5×
Ldh Isoenzymes (83625)
range across 2 matching MRF lines		 $33–$39 $55–$65 varies
LDL direct (83721) $24.60 $41 2.3×
Lead (83655)
range across 3 matching MRF lines		 $33–$71.40 $55–$119 varies
Legionella antibody (86713)
range across 4 matching MRF lines		 $18.60–$174.60 $31–$291 varies
Legionella antigen urine (87449)
range across 4 matching MRF lines		 $25.20–$91.20 $42–$152 varies
Legionella DNA probe (87540) $52.20 $87 2.6×
Legionella pneumophila dfa (87278) $33 $55 2.1×
Leptospira antibody (86720)
range across 2 matching MRF lines		 $33.60–$34.20 $56–$57 varies
Leucine Aminopeptidase Lap (83670) $24 $40 2.4×
Leukocyte Assessment Fecal (89055) $10.80 $18 2.5×
Leukocyte Histamine Release (86343) $32.40 $54 2.6×
Leukocyte phagocytosis (86344) $21.60 $36 2.1×
Level I Surg Pathology Gross Examination Only (88300)
range across 4 matching MRF lines		 $9–$39 $15–$65 varies
Level ii surg pathology gross&microscopic exam (88302)
range across 5 matching MRF lines		 $14.40–$91.20 $24–$152 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 5 matching MRF lines		 $174–$534.60 $290–$891 varies
Lidocaine (80176)
range across 2 matching MRF lines		 $37.80–$91.20 $63–$152 varies
Lipase (83690)
range across 3 matching MRF lines		 $19.80–$51.60 $33–$86 varies
Lipoprotein A (83695)
range across 2 matching MRF lines		 $30–$33.60 $50–$56 varies
Lipoprotein Bld Quan Part (83704) $81.60 $136 2.4×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $29.40 $49 2.6×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701)
range across 2 matching MRF lines		 $55.20–$71.40 $92–$119 varies
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $30 $50 2.4×
Lipoprotein-Associated Phospholipase A2 (83698)
range across 2 matching MRF lines		 $87–$97.20 $145–$162 varies
Listeria Monocytogenes (86723) $34.20 $57 2.6×
Lithium (80178)
range across 2 matching MRF lines		 $42–$49.80 $70–$83 varies
Luteinizing Hormone (Lh) (83002)
range across 2 matching MRF lines		 $65.40–$79.80 $109–$133 varies
Lyme disease antibody (86618)
range across 2 matching MRF lines		 $44.40–$156 $74–$260 varies
Lymphocyte Culture Mixed (86821) $94.80 $158 2.6×
Lymphocyte transformation (86353) $127.20 $212 2.6×
Lymphocytotoxicity Assay (86805) $397.80 $663 2.1×
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) $123.60 $206 2.6×
Lysozyme serum (85549)
range across 2 matching MRF lines		 $48.60–$60.60 $81–$101 varies
M. Genitalium Amp Probe (87563) $68.40 $114 1.9×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) $91.20 $152 2.6×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 4 matching MRF lines		 $129.60–$807.60 $216–$1,346 varies
M/phmtrc alys ishquant/semiq (88374)
range across 4 matching MRF lines		 $88.80–$675 $148–$1,125 varies
Macroscopic exam arthropod (87168) $10.80 $18 2.5×
Macroscopic Exam Parasite (87169)
range across 2 matching MRF lines		 $10.80–$22.20 $18–$37 varies
Magnesium Urine (83735)
range across 5 matching MRF lines		 $14.40–$46.80 $24–$78 varies
Malate dehydrogenase Facility (83775) $19.20 $32 2.6×
Mass Spectrometry Quant (83789)
range across 3 matching MRF lines		 $14.40–$50.40 $24–$84 varies
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $81 $135 2.1×
Meat fibers, feces (89160) $10.20 $17 2.1×
Mechanical fragility rbc (85547) $22.20 $37 2.6×
Mercury urine (83825)
range across 3 matching MRF lines		 $42–$46.80 $70–$78 varies
Metabolic panel ionized ca (80047) $28.80 $48 2.1×
Methemalbumin (83857) $27.60 $46 2.6×
Methylmalonic acid serum (83921)
range across 3 matching MRF lines		 $44.40–$61.80 $74–$103 varies
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) $236.40 $394 2.6×
Microalbumin, quantitative (82043)
range across 2 matching MRF lines		 $51.60–$57 $86–$95 varies
Microbe Suscept Macrobroth (87188)
range across 2 matching MRF lines		 $17.40–$46.20 $29–$77 varies
Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) $47.40 $79 2.1×
Microsatellite instability (81301) $750.60 $1,251 2.2×
Microsomal Antibodies Each (86376)
range across 3 matching MRF lines		 $49.20–$82.80 $82–$138 varies
Mitochondrial Antibody Each (86381) $49.80 $83 2.0×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $424.80 $708 2.1×
Mog-Igg1 Antb Cba Each (86362) $25.80 $43 2.1×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $85.20 $142 2.1×
Molecular Cytogenetics Dna Probe Each (88271)
range across 4 matching MRF lines		 $45–$225 $75–$375 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $90 $150 2.1×
Molecular Pathology Procedure Level 6 (81405)
range across 2 matching MRF lines		 $185.40–$633 $309–$1,055 varies
Mononuclear cell antigen (86356) $69.60 $116 2.6×
Mopath procedure level 4 (81403)
range across 3 matching MRF lines		 $382.20–$388.80 $637–$648 varies
Mopath procedure level 5 (81404) $417.60 $696 1.5×
Mopath procedure level 7 (81406)
range across 2 matching MRF lines		 $185.40–$583.20 $309–$972 varies
Mopath procedure level 8 (81407) $1,743 $2,905 2.1×
Mopath procedure level 9 (81408)
range across 2 matching MRF lines		 $185.40–$3,708 $309–$6,180 varies
Morphometric analysis nerve (88356)
range across 3 matching MRF lines		 $181.80–$428.40 $303–$714 varies
Morphometric Analysis Tumor (88358)
range across 3 matching MRF lines		 $90–$181.80 $150–$303 varies
Mpl gene common variants (81338) $310.20 $517 2.1×
Mrsa Pcr (87641)
range across 2 matching MRF lines		 $91.20–$114 $152–$190 varies
Mthfr Gene Analysis Common Variants (81291) $123.60 $206 1.9×
Mucin Clot Body Fluid (83872) $15 $25 2.6×
Mucopolysaccharides acid quantitative (83864) $60 $100 2.1×
Mumps antibody (86735)
range across 3 matching MRF lines		 $88.20–$109.80 $147–$183 varies
Muscle-Specific Kinase Antb (86366) $38.40 $64 2.1×
Mycobacteric Identification (87118)
range across 2 matching MRF lines		 $16.80–$30.60 $28–$51 varies
Mycophenolic Acid (80180) $91.20 $152 5.1×
Mycoplasma antibody (86738)
range across 4 matching MRF lines		 $25.20–$99 $42–$165 varies
Mycoplasma culture (87109)
range across 3 matching MRF lines		 $31.20–$40.20 $52–$67 varies
Myelin basic protein csf (83873) $44.40 $74 2.6×
Myoglobin urine (83874)
range across 3 matching MRF lines		 $33.60–$91.80 $56–$153 varies
Natriuretic peptide (83880)
range across 3 matching MRF lines		 $81–$135 $135–$225 varies
Neisseria Dir Na Probe (87590) $85.80 $143 3.2×
Nerve teasing preparations (88362)
range across 3 matching MRF lines		 $214.20–$468.60 $357–$781 varies
Neutralization Test Viral (86382) $43.80 $73 2.6×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $61.20 $102 2.1×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $333.60 $556 2.6×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $67.80 $113 2.6×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $1,266.60 $2,111 2.6×
Niacin (84591)
range across 2 matching MRF lines		 $34.20–$36 $57–$60 varies
Nickel level (83885) $63.60 $106 2.6×
Nitroblue Tetrazolium Dye (86384) $29.40 $49 2.2×
Nk cells total count (86357) $97.80 $163 2.6×
Nras gene variants exon 2&3 (81311) $621 $1,035 2.1×
Nuclear antigen antibody (86235)
range across 16 matching MRF lines		 $34.20–$94.20 $57–$157 varies
Nzym actv blood cells/tiss radact substrate ea (82658) $92.40 $154 2.1×
Occult blood feces (82272)
range across 2 matching MRF lines		 $9–$18.60 $15–$31 varies
Occult Blood Other Sources (82271)
range across 2 matching MRF lines		 $11.40–$25.20 $19–$42 varies
Oligoclonal bands (83916)
range across 3 matching MRF lines		 $57–$57.60 $95–$96 varies
Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) $3,090 $5,150 0.8×
Oncoprotein dcp (83951)
range across 2 matching MRF lines		 $133.20–$166.80 $222–$278 varies
Oncoprotein Her-2/Neu (83950) $166.80 $278 2.6×
Organic Acids Qualitative Each Specimen (83919)
range across 2 matching MRF lines		 $42.60–$91.20 $71–$152 varies
Organic acids urine (83918) $49.80 $83 2.1×
Osmolality serum (83930)
range across 2 matching MRF lines		 $17.40–$48 $29–$80 varies
Osmolality Urine (83935)
range across 2 matching MRF lines		 $17.40–$48 $29–$80 varies
Osmotic fragility rbc incubated (85557) $34.80 $58 2.6×
Osmotic Fragility RBC Unincubated (85555) $17.40 $29 2.3×
Osteocalcin (83937) $77.40 $129 2.6×
Ova and parasites smears (87177)
range across 3 matching MRF lines		 $22.80–$45 $38–$75 varies
Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) $26.40 $44 2.1×
Oxalate urine (83945)
range across 2 matching MRF lines		 $30.60–$33.60 $51–$56 varies
Pancreatic Elastase Fecal (82656)
range across 2 matching MRF lines		 $30–$130.80 $50–$218 varies
Particle Agglut Antbdy Titr (86406) $27.60 $46 2.6×
Particle Agglutination Screen Each Antibody (86403)
range across 3 matching MRF lines		 $26.40–$78 $44–$130 varies
Parvovirus antibody (86747)
range across 4 matching MRF lines		 $31.80–$39 $53–$65 varies
Path Consltj Surg Cytologic Exam Initial Site (88333)
range across 4 matching MRF lines		 $64.20–$583.20 $107–$972 varies
Pathology Consultation During Surgery (88329) $106.80 $178 1.8×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $691.80 $1,153 2.1×
Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) $114 $190 2.6×
Ph urine (81003)
range across 2 matching MRF lines		 $6.60–$18.60 $11–$31 varies
pH; exhaled breath condensate Facility (83987) $9 $15 2.5×
Phenobarbital Level (80184)
range across 3 matching MRF lines		 $32.40–$60.60 $54–$101 varies
Phenotype Infect Agent Drug (87900) $337.80 $563 2.6×
Phenylalanine (84030)
range across 3 matching MRF lines		 $14.40–$93 $24–$155 varies
Phenylketones qual (84035) $9.60 $16 2.4×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines		 $57–$88.80 $95–$148 varies
Phenytoin free (80186)
range across 2 matching MRF lines		 $35.40–$43.20 $59–$72 varies
Phosphatase acid prostatic (84066) $25.20 $42 2.6×
Phosphatase alkaline (84075)
range across 3 matching MRF lines		 $12.60–$25.80 $21–$43 varies
Phosphatidylglycerol (84081) $42.60 $71 2.6×
Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) $24.60 $41 2.6×
Phospholipid Neutralization Hexagonal (85598)
range across 2 matching MRF lines		 $37.20–$46.80 $62–$78 varies
Phosphorus Serum (84100)
range across 3 matching MRF lines		 $25.20–$27 $42–$45 varies
Phosphorus urine (84105) $13.20 $22 2.3×
Pinworm exam (87172) $10.80 $18 2.5×
Platelet Aggregation (85576)
range across 4 matching MRF lines		 $16.20–$57 $27–$95 varies
Platelet Antibodies (86022)
range across 3 matching MRF lines		 $47.40–$151.80 $79–$253 varies
Platelet count automated (85049)
range across 2 matching MRF lines		 $11.40–$31.20 $19–$52 varies
Platelet neutralization (85597)
range across 2 matching MRF lines		 $46.80–$52.80 $78–$88 varies
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $427.20 $712 2.1×
Pms2 gene full seq analysis (81317) $1,485 $2,475 2.2×
Porphobilinogen Urine Qualitative (84106) $12 $20 2.1×
Porphobilinogen, urine; quantitative (84110) $21.60 $36 2.6×
Porphyrins Feces Quantitative (84126)
range across 2 matching MRF lines		 $73.20–$82.20 $122–$137 varies
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines		 $12.60–$38.40 $21–$64 varies
Porphyrins, urine; qualitative (84119) $28.20 $47 2.1×
Potassium Urine (84133)
range across 2 matching MRF lines		 $11.40–$55.80 $19–$93 varies
Pr assay of bradykinin (82286) $13.20 $22 2.6×
Pr assay of etiocholanolone (82696) $61.20 $102 2.3×
Prealbumin (84134)
range across 2 matching MRF lines		 $37.80–$43.80 $63–$73 varies
Pregnancy-Associated Plasma Protein-A (84163) $39 $65 2.6×
Pregnanediol (84135) $49.80 $83 2.3×
Pregnanetriol (84138) $49.20 $82 2.3×
Pregnenolone (84140)
range across 2 matching MRF lines		 $43.20–$53.40 $72–$89 varies
Primidone (80188)
range across 2 matching MRF lines		 $43.20–$45.60 $72–$76 varies
Procalcitonin (Pct) (84145)
range across 2 matching MRF lines		 $69.60–$160.80 $116–$268 varies
Progesterone (84144)
range across 2 matching MRF lines		 $97.80–$109.20 $163–$182 varies
Prolactin (84146)
range across 2 matching MRF lines		 $68.40–$144 $114–$240 varies
Prostaglandin (84150) $87.60 $146 2.1×
Protein Alys Wstrn Blot I&R Immunological Ea (88372) $58.80 $98 2.2×
Protein body fluid (84157)
range across 4 matching MRF lines		 $9.60–$41.40 $16–$69 varies
Protein C Activity (85303)
range across 2 matching MRF lines		 $36–$216.60 $60–$361 varies
Protein c antigen (85302)
range across 2 matching MRF lines		 $31.20–$73.20 $52–$122 varies
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines		 $51.60–$54 $86–$90 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines		 $53.40–$54 $89–$90 varies
Protein S Free (85306)
range across 3 matching MRF lines		 $39.60–$192 $66–$320 varies
Protein s total (85305)
range across 3 matching MRF lines		 $22.20–$144 $37–$240 varies
Protein Total Refractometry Any Src (84160) $13.20 $22 2.4×
Protein total serum (84155)
range across 3 matching MRF lines		 $9.60–$43.80 $16–$73 varies
Protein Total Urine (84156)
range across 4 matching MRF lines		 $9.60–$30.60 $16–$51 varies
Protein Western Blot Test (84182) $61.20 $102 2.1×
Protein, western blot tissue (88371) $57.60 $96 2.6×
Prothrombin Time Substitution Plasma Frctj Each (85611) $10.20 $17 2.6×
Protoporphyrin rbc quantitative (84202) $37.20 $62 2.6×
Protoporphyrin, RBC; screen Facility (84203)
range across 2 matching MRF lines		 $9.60–$22.20 $16–$37 varies
PSA free (84154)
range across 2 matching MRF lines		 $38.40–$47.40 $64–$79 varies
Pten Gene Analysis Duplication/Deletion Variant (81323) $630 $1,050 2.1×
Pten Gene Analysis Full Sequence Analysis (81321) $1,260 $2,100 2.1×
Pth Intact (83970)
range across 2 matching MRF lines		 $106.80–$366 $178–$610 varies
Pyruvate kinase (84220) $24.60 $41 2.6×
Q Fever Antibody (86638) $31.20 $52 2.6×
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines		 $128.40–$160.80 $214–$268 varies
Quantitative assay drug (80299)
range across 11 matching MRF lines		 $36.60–$167.40 $61–$279 varies
Quantitative Screen Metals (83018)
range across 3 matching MRF lines		 $46.20–$57 $77–$95 varies
Quinidine (80194) $37.80 $63 2.6×
Quinine (84228) $30 $50 2.6×
Rbc antibody elution (86860) $181.80 $303 1.1×
Rbc antibody identification (86870)
range across 3 matching MRF lines		 $243.60–$514.80 $406–$858 varies
Rbc antibody screen (86850)
range across 2 matching MRF lines		 $30–$43.20 $50–$72 varies
Rbc pretreatment serum (86978) $42.60 $71 0.7×
Rbc pretx incubatj w/enzymes (86971)
range across 2 matching MRF lines		 $254.40–$556.20 $424–$927 varies
Reagent Strip/Blood Glucose (82948)
range across 2 matching MRF lines		 $10.80–$30.60 $18–$51 varies
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $149.40 $249 2.1×
Receptor assay estrogen (84233) $184.80 $308 2.1×
Receptor assay progesterone (84234) $168 $280 2.6×
Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) $439.80 $733 2.1×
Renin activity plasma (84244)
range across 2 matching MRF lines		 $57–$88.80 $95–$148 varies
Reptilase test (85635)
range across 2 matching MRF lines		 $20.40–$25.80 $34–$43 varies
Resp virus 12-25 targets (87633) $858.60 $1,431 2.1×
Reticulated Platelet Assay (85055) $75 $125 2.1×
Reticulocyte Count (85046) $14.40 $24 2.6×
Reticulocyte Count Manual (85044)
range across 2 matching MRF lines		 $11.40–$23.40 $19–$39 varies
Rh (86901)
range across 2 matching MRF lines		 $7.80–$22.20 $13–$37 varies
Rheumatoid Factor Qualitative (86430) $15 $25 2.4×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines		 $31.20–$57 $52–$95 varies
Rickettsia antibody (86757)
range across 6 matching MRF lines		 $40.20–$91.20 $67–$152 varies
Ristocetin cofactor (85245)
range across 2 matching MRF lines		 $59.40–$123 $99–$205 varies
Rotavirus ag eia (87425)
range across 3 matching MRF lines		 $25.20–$31.20 $42–$52 varies
Rpr qualitative (86592)
range across 4 matching MRF lines		 $9.60–$34.80 $16–$58 varies
Rsv ab (86756) $33.60 $56 2.1×
Rsv Assay W/Optic (87807) $31.20 $52 2.4×
Rubella Antibody (86762)
range across 5 matching MRF lines		 $25.20–$63 $42–$105 varies
Rubeola antibody (86765)
range across 3 matching MRF lines		 $33.60–$42 $56–$70 varies
Russell Viper Venom Time Diluted (85613)
range across 3 matching MRF lines		 $24.60–$68.40 $41–$114 varies
Russell Viper Venon Time Undiluted (85612) $36.60 $61 2.1×
Salicylate Level (80179) $216.60 $361 11.6×
Salmonella antibody (86768) $34.20 $57 2.6×
Sars-Cov-2 Covid-19 Amp Prb (87635) $106.20 $177 2.1×
Sars-cov-2 COVID-19 antibody (86769) $87.60 $146 2.1×
Sars-Cov-2 Covid19 W/Optic (87811) $60 $100 1.4×
Sarscov2 & inf a&b amp prb (87636) $294.60 $491 2.1×
Sedimentation rate (85651) $39 $65 9.1×
Sedimentation Rate, Automated (85652)
range across 2 matching MRF lines		 $7.20–$32.40 $12–$54 varies
Selenium (84255)
range across 2 matching MRF lines		 $53.40–$66 $89–$110 varies
Semen Anal Sperm Detection (89321) $31.20 $52 2.6×
Semen analysis complete (89322) $40.20 $67 2.6×
Semen analysis complete (89320)
range across 2 matching MRF lines		 $31.20–$59.40 $52–$99 varies
Semen analysis motility and count (89310)
range across 2 matching MRF lines		 $22.20–$45 $37–$75 varies
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $23.40 $39 2.4×
Sensitivity mic (87186)
range across 6 matching MRF lines		 $22.20–$46.80 $37–$78 varies
Serum Bactericidal Titer (87197) $39 $65 2.6×
Sex Chromatin Identification Barr Bodies (88130) $46.80 $78 2.6×
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) $21 $35 2.6×
Sex Hormone Binding Globulin (84270)
range across 2 matching MRF lines		 $56.40–$104.40 $94–$174 varies
Shigella Antibody (86771) $51.60 $86 2.1×
Sickling of rbc reduction (85660)
range across 3 matching MRF lines		 $12–$27.60 $20–$46 varies
Silica (84285) $61.20 $102 2.4×
Sirolimus (80195)
range across 2 matching MRF lines		 $35.40–$65.40 $59–$109 varies
Skin test tuberculosis intradermal (86580)
range across 3 matching MRF lines		 $16.20–$58.80 $27–$98 varies
Skin test unlisted antigen each (86486) $9.60 $16 0.3×
Skin test; histoplasmosis (86510) $12 $20 0.3×
Smear acid fast (87206)
range across 2 matching MRF lines		 $13.80–$31.80 $23–$53 varies
Smear complex stain (87209)
range across 3 matching MRF lines		 $37.20–$46.80 $62–$78 varies
Smear gram stain (87205)
range across 5 matching MRF lines		 $10.80–$31.80 $18–$53 varies
Smear Special Stain (87207)
range across 2 matching MRF lines		 $40.20–$57 $67–$95 varies
Smpd1 Gene Analysis Common Variants (81330) $97.20 $162 2.1×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 5 matching MRF lines		 $13.80–$33 $23–$55 varies
Snrpn/Ube3a Methylation Analysis (81331) $96 $160 1.9×
Sodium Serum (84295)
range across 3 matching MRF lines		 $12.60–$30.60 $21–$51 varies
Sodium Urine (84300)
range across 2 matching MRF lines		 $12.60–$34.20 $21–$57 varies
Soluble fibrin monomer (85366)
range across 2 matching MRF lines		 $22.20–$169.20 $37–$282 varies
Soluble Transferrin Receptor (84238)
range across 2 matching MRF lines		 $94.80–$169.20 $158–$282 varies
Somatomedin (84305)
range across 2 matching MRF lines		 $55.20–$112.80 $92–$188 varies
Somatostatin (84307) $47.40 $79 2.6×
Special Stains Group 1 (88312)
range across 5 matching MRF lines		 $55.80–$197.40 $93–$329 varies
Special Stains Group 2 (88313)
range across 4 matching MRF lines		 $24.60–$139.20 $41–$232 varies
Specific gravity body fluid (84315)
range across 2 matching MRF lines		 $6.60–$13.80 $11–$23 varies
Specimen infect agnt concntj (87015)
range across 2 matching MRF lines		 $17.40–$25.20 $29–$42 varies
Spectrophotometry (84311)
range across 4 matching MRF lines		 $18–$106.80 $30–$178 varies
Sperm Antibodies (89325) $27.60 $46 2.6×
Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) $51 $85 2.6×
Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) $25.80 $43 2.5×
Sperm evaluation; hamster penetration test Facility (89329) $51 $85 2.6×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220)
range across 2 matching MRF lines		 $32.40–$336 $54–$560 varies
Staph a DNA amp probe (87640) $91.20 $152 2.6×
Stem cells total count (86367) $163.20 $272 2.1×
Stone Analysis (82355) $30 $50 2.6×
Stool cultr aerobic bact ea (87046) $24.60 $41 2.6×
Strep a assay w/optic (87880)
range across 4 matching MRF lines		 $31.20–$39.60 $52–$66 varies
Strep a DNA amp probe (87651)
range across 2 matching MRF lines		 $72.60–$91.20 $121–$152 varies
Strep b DNA amp probe (87653) $91.20 $152 2.6×
Streptokinase, antibody Facility (86590) $28.80 $48 2.3×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $30 $50 2.6×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $14.40 $24 2.6×
Sugars Multiple Quant (84379) $30 $50 2.6×
Sugars Single Qual (84376)
range across 2 matching MRF lines		 $14.40–$37.20 $24–$62 varies
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $82.20 $137 2.1×
Sulfate urine (84392) $12.60 $21 2.3×
Surg path level iii (88304)
range across 6 matching MRF lines		 $24–$121.20 $40–$202 varies
Surgical pathology level IV (88305)
range across 5 matching MRF lines		 $60–$151.80 $100–$253 varies
Surgical pathology level vi (88309)
range across 4 matching MRF lines		 $312–$821.40 $520–$1,369 varies
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $12.60 $21 2.7×
Susceptibility Study Antimicrobial Disk Method (87184)
range across 2 matching MRF lines		 $15.60–$64.80 $26–$108 varies
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $84.60 $141 2.1×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $15.60 $26 2.1×
Sweat Collection Iontophoresis (89230) $8.40 $14 0.2×
Syphilis Test Non-Trep Quant (86593)
range across 2 matching MRF lines		 $11.40–$30 $19–$50 varies
T cells absolute cd4 count (86361)
range across 2 matching MRF lines		 $55.80–$69.60 $93–$116 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 2 matching MRF lines		 $121.80–$354.60 $203–$591 varies
T cells total count (86359)
range across 2 matching MRF lines		 $78–$97.80 $130–$163 varies
T3 Free (84481)
range across 2 matching MRF lines		 $94.80–$97.80 $158–$163 varies
T3 reverse (84482)
range across 2 matching MRF lines		 $40.80–$52.20 $68–$87 varies
T3 Total (84480)
range across 3 matching MRF lines		 $36.60–$71.40 $61–$119 varies
T3 Uptake (84479)
range across 2 matching MRF lines		 $16.80–$64.20 $28–$107 varies
T4 Free (84439)
range across 2 matching MRF lines		 $48–$70.80 $80–$118 varies
T4 total (84436)
range across 2 matching MRF lines		 $14.40–$39 $24–$65 varies
T4-neonatal (84437) $16.80 $28 2.6×
Tacrolimus (80197)
range across 2 matching MRF lines		 $35.40–$82.20 $59–$137 varies
Tb ag response t-cell susp (86481) $210 $350 2.1×
Test for acetone/ketones (82009)
range across 2 matching MRF lines		 $12–$23.40 $20–$39 varies
Test for urine cystines (82615) $21 $35 2.2×
Testosterone total (84403)
range across 2 matching MRF lines		 $67.20–$72 $112–$120 varies
Testosterone, Free (84402)
range across 2 matching MRF lines		 $52.80–$145.20 $88–$242 varies
Tetanus antibody (86774)
range across 2 matching MRF lines		 $25.20–$38.40 $42–$64 varies
Thawing and expansion of frozen cells, each aliquot Facility (88241) $26.40 $44 2.2×
Theophylline (80198)
range across 2 matching MRF lines		 $36.60–$67.80 $61–$113 varies
Thiocyanate (84430) $30 $50 2.6×
Thrombin Time (85670)
range across 2 matching MRF lines		 $12.60–$15 $21–$25 varies
Thrombin time titer (85675) $18 $30 2.6×
Thrombomodulin Facility (85337) $36 $60 2.1×
Thromboplastin Inhibition Tissue (85705) $25.20 $42 2.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 2 matching MRF lines		 $16.80–$40.80 $28–$68 varies
Thromboxane metabolite(s), including thromboxane if performed, urine Facility (84431) $73.80 $123 2.1×
Thyroglobulin (84432)
range across 2 matching MRF lines		 $33.60–$41.40 $56–$69 varies
Thyroglobulin Antibody (86800)
range across 2 matching MRF lines		 $41.40–$76.20 $69–$127 varies
Thyroid Stimulating Immunoglobulin (84445)
range across 2 matching MRF lines		 $105.60–$132 $176–$220 varies
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $130.80 $218 2.6×
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) $174 $290 2.6×
Thyroxine binding globulin (84442)
range across 2 matching MRF lines		 $38.40–$43.20 $64–$72 varies
Tiss cul neo disorders solid tumor (88239)
range across 3 matching MRF lines		 $254.40–$382.20 $424–$637 varies
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 2 matching MRF lines		 $22.20–$29.40 $37–$49 varies
Tissue Culture (88233) $364.80 $608 2.6×
Tissue Culture Amniotic Fluid (88235) $381.60 $636 2.5×
Tissue culture bone marrow (88237)
range across 3 matching MRF lines		 $296.40–$327.60 $494–$546 varies
Tissue Culture Lymphocyte (88230)
range across 2 matching MRF lines		 $301.80–$403.80 $503–$673 varies
Tobramycin peak (80200)
range across 2 matching MRF lines		 $42–$70.20 $70–$117 varies
Topiramate (80201)
range across 2 matching MRF lines		 $31.20–$52.20 $52–$87 varies
Touch prep (88161)
range across 3 matching MRF lines		 $51.60–$132 $86–$220 varies
Toxin/Antitoxin Assay Tissue Culture (87230) $51 $85 2.6×
Toxoplasma ab igm (86778)
range across 2 matching MRF lines		 $37.20–$49.80 $62–$83 varies
Toxoplasma antibody (86777)
range across 2 matching MRF lines		 $37.20–$43.20 $62–$72 varies
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines		 $13.20–$36.60 $22–$61 varies
Transferrin (84466)
range across 2 matching MRF lines		 $33–$57.60 $55–$96 varies
Trichinella Antibody (86784) $32.40 $54 2.6×
Trichomonas vagin dir probe (87660)
range across 2 matching MRF lines		 $52.20–$88.80 $87–$148 varies
Trichomonas Vaginalis Amplif (87661)
range across 3 matching MRF lines		 $72.60–$91.20 $121–$152 varies
Triglycerides (84478)
range across 3 matching MRF lines		 $37.80–$93 $63–$155 varies
Troponin Quant (84484)
range across 4 matching MRF lines		 $48–$66 $80–$110 varies
Troponin, qualitative (84512) $21 $35 2.1×
Trypsin feces qual (84488) $19.20 $32 2.6×
Tumor immunohistochem/comput (88361)
range across 4 matching MRF lines		 $104.40–$537 $174–$895 varies
Tumor Immunohistochem/Manual (88360)
range across 5 matching MRF lines		 $97.20–$282.60 $162–$471 varies
Unlisted miscellaneous pathology test (89240) $75 $125 1.4×
Unlisted Transfusion Medicine Procedure (86999) $300 $500 10.3×
Urea Nitrogen Clearance (84545) $17.40 $29 2.4×
Urea nitrogen urine (84540)
range across 2 matching MRF lines		 $12.60–$30 $21–$50 varies
Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) $10.80 $18 2.1×
Uric acid other source (84560)
range across 2 matching MRF lines		 $12.60–$56.40 $21–$94 varies
Urinalysis Microscopic Only (81015)
range across 2 matching MRF lines		 $7.20–$7.80 $12–$13 varies
Urinalysis Qual/Semiquant Except Immunoassays (81005) $9 $15 4.1×
Urinalysis Volume Measure (81050) $7.80 $13 2.1×
Urinalysis; 2 or 3 glass test Facility (81020) $9.60 $16 2.0×
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) $63 $105 2.1×
Urine Albumin Semiquantitative (82044) $13.20 $22 2.1×
Urine Bacteria Culture (87088)
range across 2 matching MRF lines		 $42.60–$60 $71–$100 varies
Urine Pregnancy Test (81025)
range across 2 matching MRF lines		 $25.20–$51.60 $42–$86 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 4 matching MRF lines		 $6.60–$18 $11–$30 varies
Urobilinogen urine qual (84578) $9.60 $16 2.1×
Urobilinogen, feces, quantitative Facility (84577) $43.80 $73 2.6×
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $21 $35 2.2×
Urobilinogen, urine; semiquantitative Facility (84583) $13.20 $22 2.2×
Valproic acid (80164)
range across 2 matching MRF lines		 $35.40–$66.60 $59–$111 varies
Vancomycin (80202)
range across 2 matching MRF lines		 $35.40–$65.40 $59–$109 varies
Varicella-zoster antibody (86787)
range across 4 matching MRF lines		 $33.60–$92.40 $56–$154 varies
Vasopressin (84588)
range across 3 matching MRF lines		 $65.40–$136.80 $109–$228 varies
Very Long Chain Fatty Acids (82726)
range across 2 matching MRF lines		 $46.80–$121.20 $78–$202 varies
Viral Culture (87252)
range across 2 matching MRF lines		 $67.80–$173.40 $113–$289 varies
Virus antibody nos (86790)
range across 5 matching MRF lines		 $33.60–$93 $56–$155 varies
Virus inoculate tissue addl (87253)
range across 2 matching MRF lines		 $42.60–$52.20 $71–$87 varies
Virus inoculation, shell via (87254)
range across 2 matching MRF lines		 $46.20–$51 $77–$85 varies
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $51 $85 2.6×
Viscosity serum (85810) $30 $50 2.6×
Vit D 1 25-Dihydroxy (82652)
range across 2 matching MRF lines		 $79.80–$99.60 $133–$166 varies
Vitamin A (84590)
range across 2 matching MRF lines		 $30–$43.20 $50–$72 varies
Vitamin b-12 (82607)
range across 2 matching MRF lines		 $63–$85.80 $105–$143 varies
Vitamin B2 (Riboflavin) (84252)
range across 2 matching MRF lines		 $42.60–$52.20 $71–$87 varies
Vitamin B6 (84207)
range across 3 matching MRF lines		 $58.20–$72.60 $97–$121 varies
Vitamin c (82180)
range across 2 matching MRF lines		 $25.80–$66 $43–$110 varies
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines		 $61.20–$81 $102–$135 varies
Vitamin E (84446)
range across 2 matching MRF lines		 $36.60–$43.20 $61–$72 varies
Vitamin K (84597)
range across 2 matching MRF lines		 $35.40–$76.20 $59–$127 varies
Volatiles (84600) $41.40 $69 2.4×
Von willebrand factor ag (85246)
range across 2 matching MRF lines		 $59.40–$219 $99–$365 varies
Wbc Alkaline Phosphatase Count (85540) $22.20 $37 2.6×
West nile virus ab igm (86788)
range across 3 matching MRF lines		 $35.40–$61.80 $59–$103 varies
West Nile Virus Antibody (86789)
range across 3 matching MRF lines		 $37.20–$43.20 $62–$72 varies
Western Blot Test (84181)
range across 2 matching MRF lines		 $54–$727.20 $90–$1,212 varies
Xm Archive Tissue Molec Anal (88363) $48.60 $81 1.7×
Xylose Absorption Test (84620) $30.60 $51 2.4×
Zika Virus Igm Antibody (86794)
range across 2 matching MRF lines		 $60.60–$61.20 $101–$102 varies
Zinc (84630)
range across 3 matching MRF lines		 $22.20–$52.80 $37–$88 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.