Lab & pathology prices at University Hospitals Cleveland Medical Center
Cleveland, OH · every code in this section with a posted price and a Medicare benchmark.
899 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $160.50 | $214 | 7.0× |
| 5 Nucleotidase (83915) range across 2 matching MRF lines |
$156.75–$252.75 | $209–$337 | varies |
| Abl1 gene analysis kinase domain variants (81170) | $430.50 | $574 | 1.4× |
| Acetylcholine receptor blocking antibody (86042) | $357.75 | $477 | 19.4× |
| Acetylcholn Rcptr Modlg Antb (86043) | $489 | $652 | 40.6× |
| Acth (82024) | $117 | $156 | 3.0× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $66 | $88 | 2.0× |
| ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) | $384 | $512 | 4.4× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) | $351 | $468 | 4.5× |
| Actin smooth muscle antibody each (86015) | $135 | $180 | 11.2× |
| Acute hepatitis panel (80074) | $480 | $640 | 10.1× |
| Acylcarnitines Quant (82017) | $159 | $212 | 9.4× |
| Adenovirus antibody (86603) | $60 | $80 | 4.7× |
| Agglutinins Febrile Each Antigen (86000) | $76.50 | $102 | 11.0× |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$23.25–$43.50 | $31–$58 | varies |
| Albumin serum (82040) | $38.25 | $51 | 7.7× |
| Aldolase (82085) | $100.50 | $134 | 10.4× |
| Aldosterone Suppression Evaluation Panel (80408) | $904.50 | $1,206 | 7.2× |
| Aldosterone urine (82088) | $271.50 | $362 | 6.7× |
| Alkaline phosphatase isoenzymes (84080) | $206.25 | $275 | 14.0× |
| Allergen spec ige qual multiallergen screen (86005) | $78 | $104 | 9.8× |
| Allergen specific ige (86003) range across 20 matching MRF lines |
$24–$81 | $32–$108 | varies |
| Allergen specific igg (86001) range across 5 matching MRF lines |
$27.75–$176.25 | $37–$235 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
$65.25–$110.25 | $87–$147 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $117 | $156 | 8.1× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$153–$398.25 | $204–$531 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $65.25 | $87 | 3.8× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$84.75–$168.75 | $113–$225 | varies |
| Alt (sgpt) (84460) | $60.75 | $81 | 11.5× |
| Aluminum (82108) | $240.75 | $321 | 9.4× |
| Amikacin trough (80150) | $207.75 | $277 | 13.8× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $88.50 | $118 | 3.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$235.50–$550.50 | $314–$734 | varies |
| Amino Acids Quant 2-5 (82136) range across 2 matching MRF lines |
$205.50–$239.25 | $274–$319 | varies |
| Aminolevulinic acid (ala) (82135) | $712.50 | $950 | 43.3× |
| Ammonia (82140) range across 2 matching MRF lines |
$69–$151.50 | $92–$202 | varies |
| Amylase urine (82150) range across 2 matching MRF lines |
$144.75–$168 | $193–$224 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$47.25–$84.75 | $63–$113 | varies |
| Anca screen each antibody (86036) | $147.75 | $197 | 12.3× |
| Androstenedione (82157) | $248.25 | $331 | 8.5× |
| Angiotensin converting enzyme csf (82164) | $55.50 | $74 | 3.8× |
| Anti-Phospholipid Antibody (86148) | $86.25 | $115 | 5.4× |
| Antibody aspergillus (86606) | $66.75 | $89 | 4.4× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $174.75 | $233 | 13.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $148.50 | $198 | 9.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $84 | $112 | 5.0× |
| Antibody Encephalitis California La Crosse (86651) | $144 | $192 | 10.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $136.50 | $182 | 10.4× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $120.75 | $161 | 7.9× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$34.50–$120.75 | $46–$161 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $44.25 | $59 | 3.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $140.25 | $187 | 9.7× |
| Antibody Herpes Smplx Type 1 (86695) | $100.50 | $134 | 7.6× |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$75–$102.75 | $100–$137 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 2 matching MRF lines |
$396.75–$567 | $529–$756 | varies |
| Antibody hla class ii semiquantitative panel (86835) | $620.25 | $827 | 1.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $289.50 | $386 | 15.0× |
| Antibody identification leukocyte antibodies (86021) | $280.50 | $374 | 18.6× |
| Antibody Identification Platelet Immunogl Assay (86023) | $274.50 | $366 | 22.0× |
| Antibody leishmania (86717) | $182.25 | $243 | 14.9× |
| Antibody Lymphocytic Choriomeningitis (86727) | $189 | $252 | 14.7× |
| Antibody neisseria meningitidis (86741) | $433.50 | $578 | 32.9× |
| Antibody Protozoa Nes (86753) range across 4 matching MRF lines |
$123–$160.50 | $164–$214 | varies |
| Antibody Titer (86886) range across 2 matching MRF lines |
$131.25–$186.75 | $175–$249 | varies |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$150.75–$169.50 | $201–$226 | varies |
| Antibody; encephalitis, st. louis (86653) | $144 | $192 | 10.9× |
| Antigen typing (86905) | $270.75 | $361 | 70.7× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $215.25 | $287 | 37.6× |
| Antinuclear antibodies (86038) | $103.50 | $138 | 8.6× |
| Antistreptolysin o titer (86060) | $83.25 | $111 | 11.4× |
| Antithrombin iii activity (85300) | $216 | $288 | 18.2× |
| Antithrombin iii antigen (85301) | $123.75 | $165 | 11.4× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$45.75–$153 | $61–$204 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $564.75 | $753 | 15.0× |
| AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) | $402 | $536 | 2.9× |
| Arsenic (82175) range across 4 matching MRF lines |
$30.75–$198.75 | $41–$265 | varies |
| Aspergillus ag eia (87305) | $374.25 | $499 | 31.2× |
| Assay activated protein c (85307) | $222 | $296 | 14.5× |
| Assay Blood Carbon Dioxide (82374) | $185.25 | $247 | 38.0× |
| Assay Dir Meas Fr Estradiol (82681) | $391.50 | $522 | 14.0× |
| Assay Duodenal Fluid Trypsin (84485) | $312.75 | $417 | 43.4× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$92.25–$183 | $123–$244 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$141–$183 | $188–$244 | varies |
| Assay of anti-mullerian hormone (82166) | $198.75 | $265 | 5.1× |
| Assay of b-hexosaminidase each assay (83080) | $104.25 | $139 | 6.2× |
| Assay of blood/uric acid (84550) | $50.25 | $67 | 11.1× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$57–$78.75 | $76–$105 | varies |
| Assay of cpk in blood (82552) | $88.50 | $118 | 6.6× |
| Assay of estrone (82679) | $177 | $236 | 7.1× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$75.75–$252.75 | $101–$337 | varies |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$56.25–$183 | $75–$244 | varies |
| Assay of lactic acid (83605) | $222 | $296 | 19.2× |
| Assay of manganese (83785) | $212.25 | $283 | 8.0× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$160.50–$803.25 | $214–$1,071 | varies |
| Assay of phosphatase acid total (84060) | $105 | $140 | 13.7× |
| Assay of phosphatase alkaline heat stable (84078) | $90.75 | $121 | 11.0× |
| Assay of proinsulin (84206) | $206.25 | $275 | 7.7× |
| Assay of pyruvate (84210) | $108 | $144 | 7.5× |
| Assay of serotonin (84260) | $215.25 | $287 | 6.9× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$60–$101.25 | $80–$135 | varies |
| Assay of Sialic Acid (84275) | $342 | $456 | 25.4× |
| Assay of sweat sodium (84302) | $97.50 | $130 | 20.1× |
| Assay of transcortin (84449) | $225.75 | $301 | 12.5× |
| Assay of urea nitrogen (84520) | $46.50 | $62 | 11.8× |
| Assay of urine vma (84585) | $150.75 | $201 | 9.7× |
| Assay of vasoactive intestinal peptide (84586) | $326.25 | $435 | 9.2× |
| Assay of vitamin b-1 (84425) | $115.50 | $154 | 5.4× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$36–$104.25 | $48–$139 | varies |
| Assay Phosphohexose Enzymes (84087) | $252.75 | $337 | 23.6× |
| Assay spec xcp ur&breath ia (82077) | $60.75 | $81 | 3.5× |
| Asstd Fertilization Microtq > 10 Oocytes (89281) | $1,687.50 | $2,250 | 10.5× |
| Asstd oocyte fert 10 or less (89280) | $1,176.75 | $1,569 | 1.5× |
| Asy carbamazepin 10,11-epxid (80161) | $241.50 | $322 | 13.0× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $802.50 | $1,070 | 1.0× |
| Autol bld/component collj storage salvage (86891) | $648.75 | $865 | 0.9× |
| Automated Leukocyte Count (85048) | $51.75 | $69 | 20.4× |
| B cells total count (86355) | $84.75 | $113 | 2.2× |
| Babesia microti amp prb (87469) | $105 | $140 | 3.0× |
| Bartonella antibody (86611) | $84 | $112 | 8.3× |
| Bcr/abl1 gene major bp (81206) | $332.25 | $443 | 2.0× |
| Bcr/abl1 gene minor bp (81207) | $332.25 | $443 | 2.3× |
| Beta 2 glycoprotein i antibody each (86146) | $138 | $184 | 5.4× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$184.50–$285.75 | $246–$381 | varies |
| Beta Lactamase (87185) | $23.25 | $31 | 4.9× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$27.75–$84 | $37–$112 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $504 | $672 | 3.9× |
| Bile acids total (82239) | $178.50 | $238 | 10.4× |
| Bilirubin direct (82248) | $47.25 | $63 | 9.4× |
| Bilirubin total (82247) | $44.25 | $59 | 8.8× |
| Bilirubin total transcutaneous (88720) | $39.75 | $53 | 7.9× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) | $1,521 | $2,028 | 9.4× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) | $1,298.25 | $1,731 | 8.1× |
| Biotinidase (82261) | $414 | $552 | 24.5× |
| Bl Smear W/O Diff Wbc Count (85008) | $127.50 | $170 | 37.2× |
| Blastomyces antibody (86612) | $262.50 | $350 | 20.3× |
| Bld Typing Serologic Rh Phnt (86906) | $53.25 | $71 | 6.9× |
| Blood Count Red Blood Cell Automated (85041) | $37.50 | $50 | 12.4× |
| Blood count reticulocyte automated (85045) | $42.75 | $57 | 10.7× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $129.75 | $173 | 34.1× |
| Blood gas (82803) | $198.75 | $265 | 7.6× |
| Blood gases w/02 saturation (82805) | $198.75 | $265 | 2.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $59.25 | $79 | 3.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $44.25 | $59 | 10.1× |
| Blood Sulfhemoglobin Assay (83060) | $132.75 | $177 | 15.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $270.75 | $361 | 42.6× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$97.50–$186.75 | $130–$249 | varies |
| Body fluid cell count (89050) | $76.50 | $102 | 16.2× |
| Bordetella antibody (86615) | $135.75 | $181 | 10.3× |
| Braf gene analysis (81210) | $148.50 | $198 | 0.8× |
| Breath Alcohol Test (82075) | $105 | $140 | 3.5× |
| Brucella antibody (86622) | $324.75 | $433 | 36.4× |
| Btk Gene Analysis Common Variants (81233) | $383.25 | $511 | 2.2× |
| C diff amplified probe (87493) | $171.75 | $229 | 4.6× |
| C-Peptide (84681) | $128.25 | $171 | 6.2× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$97.50–$126 | $130–$168 | varies |
| Ca 19-9 (86301) | $175.50 | $234 | 8.4× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) | $635.25 | $847 | 0.8× |
| Cadmium (82300) range across 2 matching MRF lines |
$86.25–$90.75 | $115–$121 | varies |
| Caffeine (80155) | $60.75 | $81 | 1.6× |
| Calcitonin (82308) | $159.75 | $213 | 6.0× |
| Calcium ionized (82330) | $92.25 | $123 | 6.7× |
| Calcium total (82310) | $45 | $60 | 8.7× |
| Calculus Spectroscopy (82365) | $103.50 | $138 | 8.0× |
| Calprotectin Fecal (83993) | $351 | $468 | 17.9× |
| Cancer Antigen 125 (86304) | $104.25 | $139 | 5.0× |
| Cancer Antigen 27.29 (86300) | $78 | $104 | 3.7× |
| Candida antibody (86628) | $157.50 | $210 | 13.1× |
| Carbamazepine free (80157) | $131.25 | $175 | 9.9× |
| Carbamazepine total (80156) | $104.25 | $139 | 7.2× |
| Carbohydrate Deficient Transferrin (82373) | $231.75 | $309 | 12.8× |
| Carboxyhemoglobin (82375) | $102 | $136 | 8.3× |
| Carcinoembryonic antigen (82378) | $162.75 | $217 | 8.6× |
| Cardiolipin ab iga (86147) | $213.75 | $285 | 8.4× |
| Carnitine Quantitative Each Specimen (82379) | $159 | $212 | 9.4× |
| Carotene (82380) | $106.50 | $142 | 11.6× |
| Catecholamines fractionated (82384) | $135.75 | $181 | 5.4× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$47.25–$249.75 | $63–$333 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $387 | $516 | 1.6× |
| Cell count csf (89051) | $145.50 | $194 | 26.0× |
| Cell marker study (88182) | $1,170 | $1,560 | 23.7× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 6 matching MRF lines |
$265.50–$949.50 | $354–$1,266 | varies |
| Ceruloplasmin (82390) | $117.75 | $157 | 11.0× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $285.75 | $381 | 1.7× |
| Cftr gene com variants (81220) | $1,131.75 | $1,509 | 2.0× |
| Cftr gene dup/delet variants (81222) | $918 | $1,224 | 2.1× |
| Cftr gene full sequence (81223) range across 2 matching MRF lines |
$1,188–$7,404.75 | $1,584–$9,873 | varies |
| Chemiluminescent assay (82397) range across 8 matching MRF lines |
$57.75–$377.25 | $77–$503 | varies |
| Chg cryopreservation mature oocyte(s) (89337) | $365.25 | $487 | 2.3× |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $698.25 | $931 | 2.7× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $1,322.25 | $1,763 | 6.4× |
| Chlamydia antibody (86631) | $128.25 | $171 | 10.9× |
| Chlamydia Igm Antibody (86632) | $93 | $124 | 7.3× |
| Chloride other source (82438) range across 2 matching MRF lines |
$138.75–$147 | $185–$196 | varies |
| Chloride Serum (82435) | $42.75 | $57 | 9.3× |
| Chloride urine (82436) range across 2 matching MRF lines |
$40.50–$52.50 | $54–$70 | varies |
| Chlorinated Hydrocarbons Screen (82441) | $225 | $300 | 37.4× |
| Cholesterol total (82465) | $63.75 | $85 | 14.7× |
| Cholinesterase rbc (82482) | $191.25 | $255 | 19.5× |
| Cholinesterase Serum (82480) | $138.75 | $185 | 17.6× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) | $257.25 | $343 | 4.6× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) | $151.50 | $202 | 2.9× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$69.75–$88.50 | $93–$118 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) range across 2 matching MRF lines |
$577.50–$1,027.50 | $770–$1,370 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $147.75 | $197 | 5.5× |
| Chrmsm Analysis Addl High Resolution Study (88289) range across 2 matching MRF lines |
$100.50–$149.25 | $134–$199 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 7 matching MRF lines |
$78–$337.50 | $104–$450 | varies |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $519 | $692 | 3.0× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $519 | $692 | 3.0× |
| Chromium serum (82495) | $165 | $220 | 8.1× |
| Chromogenic Substrate Assay (85130) range across 4 matching MRF lines |
$187.50–$382.50 | $250–$510 | varies |
| Chromogranin a (86316) range across 3 matching MRF lines |
$85.50–$186.75 | $114–$249 | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$446.25–$1,069.50 | $595–$1,426 | varies |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$387.75–$462 | $517–$616 | varies |
| Chromosome analysis 45 cells (88263) | $1,692.75 | $2,257 | 11.3× |
| Chromosome analysis, 5 (88261) range across 2 matching MRF lines |
$439.50–$915 | $586–$1,220 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $173.25 | $231 | 4.9× |
| Citric acid urine (82507) | $246 | $328 | 8.8× |
| Ckmb (82553) | $114.75 | $153 | 9.9× |
| Clostridium Difficile (87324) | $103.50 | $138 | 8.6× |
| Clot Factor VIII Multimetric (85247) | $525.75 | $701 | 22.9× |
| Clot factor xiii fibrin stab (85290) | $292.50 | $390 | 17.9× |
| Clotting factor xii hageman (85280) | $246.75 | $329 | 12.8× |
| Clotting Funct Activity (85397) range across 3 matching MRF lines |
$207–$911.25 | $276–$1,215 | varies |
| Clotting hi molec weight kininogen assay (85293) | $535.50 | $714 | 28.3× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $535.50 | $714 | 28.3× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) | $2,587.50 | $3,450 | 18.9× |
| Cns DNA amp probe type 12-25 (87483) | $861 | $1,148 | 2.1× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$21–$102 | $28–$136 | varies |
| Coccidioides antibody (86635) | $111 | $148 | 9.7× |
| Cold agglutinin titer (86157) | $114.75 | $153 | 14.2× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$132.75–$207 | $177–$276 | varies |
| Column Chromotography Quant (82542) range across 23 matching MRF lines |
$99–$1,213.50 | $132–$1,618 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 3 matching MRF lines |
$519.75–$1,660.50 | $693–$2,214 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$144–$849 | $192–$1,132 | varies |
| Complement Antigen Each Component (86160) range across 8 matching MRF lines |
$81–$489 | $108–$652 | varies |
| Complement Total (Ch50) (86162) | $171.75 | $229 | 8.5× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$108–$132.75 | $144–$177 | varies |
| Coombs direct (86880) | $81.75 | $109 | 15.2× |
| Copper urine (82525) range across 2 matching MRF lines |
$165–$243 | $220–$324 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$114.75–$207 | $153–$276 | varies |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$175.50–$197.25 | $234–$263 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$75.75–$84.75 | $101–$113 | varies |
| Creatine kinase total (82550) | $90 | $120 | 13.8× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$44.25–$48 | $59–$64 | varies |
| Creatinine clearance (82575) | $186.75 | $249 | 19.7× |
| Creatinine Urine (82570) range across 10 matching MRF lines |
$12–$73.50 | $16–$98 | varies |
| Crossmatch electronic (86923) | $131.25 | $175 | 0.8× |
| Crossmatch immediate spin (86920) | $131.25 | $175 | 0.8× |
| Crp High Sensitivity (86141) | $132.75 | $177 | 10.3× |
| Cryofibrinogen (82585) | $166.50 | $222 | 11.8× |
| Cryoglobulin (82595) | $136.50 | $182 | 21.1× |
| Cryopreservation, reproductive tissue, testicular (89335) | $443.25 | $591 | 9.0× |
| Cryopreservation; embryo(s) (89258) | $624 | $832 | 0.8× |
| Cryopreservation; sperm (89259) | $365.25 | $487 | 2.3× |
| Cryptococcal Antigen (87327) | $60.75 | $81 | 4.5× |
| Cryptococcus ab (86641) | $219 | $292 | 15.2× |
| Cryptococcus ag titer (87899) | $141.75 | $189 | 8.8× |
| Cryptosporidium ag eia (87328) | $82.50 | $110 | 6.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $63.75 | $85 | 7.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $126 | $168 | 16.3× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) range across 3 matching MRF lines |
$278.25–$408.75 | $371–$545 | varies |
| Culture aerobic quant other (87071) | $99.75 | $133 | 10.1× |
| Culture afb (87116) | $153.75 | $205 | 14.2× |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$78–$135.75 | $104–$181 | varies |
| Culture blood (87040) | $161.25 | $215 | 15.6× |
| Culture chlamydia (87110) | $108.75 | $145 | 5.5× |
| Culture csf (87070) range across 2 matching MRF lines |
$126–$130.50 | $168–$174 | varies |
| Culture fungus (87102) | $126 | $168 | 15.0× |
| Culture fungus blood (87103) | $136.50 | $182 | 6.7× |
| Culture oocyte/embryos<4day (89250) | $3,387 | $4,516 | 21.0× |
| Culture screen only (87081) | $115.50 | $154 | 17.4× |
| Culture stool (87045) | $92.25 | $123 | 9.8× |
| Culture urine (87086) | $126 | $168 | 15.6× |
| Cyanide (82600) | $267 | $356 | 13.8× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $105.75 | $141 | 7.4× |
| Cyclic amp (82030) | $363 | $484 | 14.1× |
| Cyclosporine (80158) | $166.50 | $222 | 9.2× |
| Cyp2c19 gene analysis common variants (81225) range across 2 matching MRF lines |
$546.75–$613.50 | $729–$818 | varies |
| Cyp2c9 gene com variants (81227) range across 2 matching MRF lines |
$328.50–$368.25 | $438–$491 | varies |
| Cyp2d6 gene com variants (81226) range across 2 matching MRF lines |
$846–$949.50 | $1,128–$1,266 | varies |
| Cyp3a4 gene common variants (81230) range across 2 matching MRF lines |
$121.50–$328.50 | $162–$438 | varies |
| Cyp3a5 gene common variants (81231) range across 2 matching MRF lines |
$121.50–$328.50 | $162–$438 | varies |
| Cystatin C (82610) range across 2 matching MRF lines |
$36.75–$113.25 | $49–$151 | varies |
| Cytog genom-wid alys hem mal (81195) | $2,368.50 | $3,158 | 1.3× |
| Cytogenetics 10-30 (88273) range across 2 matching MRF lines |
$384.75–$459.75 | $513–$613 | varies |
| Cytogenetics 100-300 (88275) range across 46 matching MRF lines |
$122.25–$566.25 | $163–$755 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,222.50 | $1,630 | 1.1× |
| Cytomegalovirus igg (86644) | $171 | $228 | 11.9× |
| Cytopath C/V Index Add-On (88155) | $47.25 | $63 | 3.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $189 | $252 | 9.3× |
| Cytopath Cell Enhance Tech (88112) | $240.75 | $321 | 4.9× |
| Cytotoxic pra quick (86808) range across 2 matching MRF lines |
$215.25–$505.50 | $287–$674 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $201.75 | $269 | 7.6× |
| Cytp Concentration Smears & Interpretation (88108) | $314.25 | $419 | 8.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $339 | $452 | 6.9× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $164.25 | $219 | 1.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $266.25 | $355 | 7.5× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $96 | $128 | 5.2× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $190.50 | $254 | 7.0× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $907.50 | $1,210 | 5.6× |
| Deoxycortisol (82634) | $175.50 | $234 | 6.0× |
| Deoxyribonuclease antibody (86215) | $101.25 | $135 | 7.6× |
| Desoxycorticosterone (82633) | $465.75 | $621 | 15.0× |
| Detect Agent Nos Dna Amp (87798) range across 18 matching MRF lines |
$75–$751.50 | $100–$1,002 | varies |
| Detect Agent Nos Dna Quant (87799) range across 13 matching MRF lines |
$250.50–$1,294.50 | $334–$1,726 | varies |
| Detect agnt mult DNA ampli (87801) range across 5 matching MRF lines |
$168.75–$1,973.25 | $225–$2,631 | varies |
| Dgp Antibody Each Ig Class (86258) | $42.75 | $57 | 3.5× |
| Dhea (82626) | $246 | $328 | 9.7× |
| Dhea-S (82627) | $249.75 | $333 | 11.2× |
| Dibucaine number (82638) | $99.75 | $133 | 8.1× |
| Digoxin (80162) | $138.75 | $185 | 10.4× |
| Digoxin free (80163) | $27 | $36 | 2.0× |
| Dihydrotestosterone (82642) | $255.75 | $341 | 8.7× |
| Dipropylacetic Acid Free (80165) | $126 | $168 | 9.3× |
| Dmd Duplication/Deletion Analysis (81161) | $2,106 | $2,808 | 7.5× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $522.75 | $697 | 3.8× |
| Dna Antibody Native/Double Stranded (86225) | $131.25 | $175 | 9.6× |
| DNA/RNA direct probe (87149) | $163.50 | $218 | 8.2× |
| Dpyd gene common variants (81232) | $354 | $472 | 2.0× |
| Drug assay acetaminophen (80143) | $67.50 | $90 | 3.6× |
| Drug assay adalimumab (80145) range across 2 matching MRF lines |
$654.75–$3,813.75 | $873–$5,085 | varies |
| Drug Assay Amiodarone (80151) | $138 | $184 | 7.4× |
| Drug Assay Everolimus (80169) | $245.25 | $327 | 17.9× |
| Drug assay felbamate (80167) | $144 | $192 | 7.7× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$563.25–$4,117.50 | $751–$5,490 | varies |
| Drug Assay Itraconazole (80189) | $228 | $304 | 8.4× |
| Drug Assay Lacosamide (80235) | $279 | $372 | 10.3× |
| Drug Assay Leflunomide (80193) | $153 | $204 | 4.0× |
| Drug Assay Posaconazole (80187) | $186 | $248 | 6.9× |
| Drug Assay Vedolizumab (80280) | $949.50 | $1,266 | 24.6× |
| Drug assay voriconazole (80285) range across 2 matching MRF lines |
$131.25–$186 | $175–$248 | varies |
| Drug Asy Hydroxychloroquine (80220) range across 2 matching MRF lines |
$511.50–$531.75 | $682–$709 | varies |
| Drug Screen Quant Clozapine (80159) | $135 | $180 | 6.7× |
| Drug Screen Quant Zonisamide (80203) | $307.50 | $410 | 23.2× |
| Drug Screen Quantitative Gabapentin (80171) | $159.75 | $213 | 7.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $218.25 | $291 | 16.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $267.75 | $357 | 20.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $69.75 | $93 | 5.3× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $70.50 | $94 | 4.2× |
| Drug Screen Quantitative Tiagabine (80199) | $276 | $368 | 10.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 25 matching MRF lines |
$7.50–$732 | $10–$976 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $54 | $72 | 4.3× |
| Ehrlichia antibody (86666) | $183 | $244 | 18.0× |
| El-1 Fecal Quantitative (82653) | $250.50 | $334 | 10.9× |
| Electrolyte panel (80051) | $121.50 | $162 | 17.3× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$804–$2,205 | $1,072–$2,940 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $336.75 | $449 | 5.5× |
| Embryo hatching microtechnique (89253) | $394.50 | $526 | 2.4× |
| Encephaltis East Eqne Anbdy (86652) | $144 | $192 | 10.9× |
| Encephaltis West Eqne Antbdy (86654) | $144 | $192 | 10.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $222.75 | $297 | 18.4× |
| Enterovirus Antibody (86658) range across 15 matching MRF lines |
$83.25–$171.75 | $111–$229 | varies |
| Enterovirus PCR (87498) | $591.75 | $789 | 16.9× |
| Enzyme cell activity (82657) range across 10 matching MRF lines |
$132.75–$1,266.75 | $177–$1,689 | varies |
| Enzyme histochemistry (88319) | $648.75 | $865 | 0.9× |
| Eosinophil Smear (89190) | $60 | $80 | 10.4× |
| Erythropoietin (82668) | $169.50 | $226 | 9.0× |
| Estradiol serum (82670) | $174 | $232 | 6.2× |
| Estriol (82677) | $138.75 | $185 | 5.7× |
| Estrogen total (82672) | $216 | $288 | 10.0× |
| Ethosuximide (80168) | $198 | $264 | 12.1× |
| Ethylene Glycol (82693) | $102.75 | $137 | 6.9× |
| Exam Synovial Fluid Crystals (89060) | $157.50 | $210 | 21.5× |
| Exome Sequence Analysis (81415) | $7,002 | $9,336 | 1.5× |
| Exome sequence analysis each comparator exome (81416) | $7,002 | $9,336 | 0.6× |
| Extnd Cul Oocyte/Embryo 4-7 Days (89272) | $624 | $832 | 0.8× |
| Ezh2 Gene Analysis Common Variants (81237) | $328.50 | $438 | 1.9× |
| F2 Gene (81240) | $464.25 | $619 | 7.1× |
| Factor ii activity (85210) | $190.50 | $254 | 14.7× |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
$151.50–$186.75 | $202–$249 | varies |
| Factor ix activity (85250) | $254.25 | $339 | 13.4× |
| Factor v activity (85220) | $219 | $292 | 12.4× |
| Factor v leiden mutation (81241) | $613.50 | $818 | 8.4× |
| Factor vii assay (85230) | $204 | $272 | 11.4× |
| Factor viii assay (85240) | $274.50 | $366 | 15.3× |
| Factor X (85260) | $250.50 | $334 | 14.0× |
| Factor xi activity (85270) | $262.50 | $350 | 14.7× |
| Factor xiii screen (85291) | $51.75 | $69 | 5.7× |
| Fat stain feces urine/respir secretions (89125) | $47.25 | $63 | 8.0× |
| Fat/Lipids Feces Quantitative (82710) | $296.25 | $395 | 17.6× |
| Fatty acids free (82725) | $174 | $232 | 9.3× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $135 | $180 | 17.5× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $907.50 | $1,210 | 52.8× |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | $535.50 | $714 | 52.6× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $782.25 | $1,043 | 119.8× |
| Ferritin (82728) range across 2 matching MRF lines |
$156.75–$242.25 | $209–$323 | varies |
| Fetal hemoglobin assay qual (83033) | $43.50 | $58 | 5.4× |
| Fetal screen rosette (85461) | $240.75 | $321 | 25.7× |
| Fibrin degradation products (85362) | $171 | $228 | 24.8× |
| Fibrin Degradation Quant (85379) | $162 | $216 | 15.9× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$62.25–$113.25 | $83–$151 | varies |
| Fibrinogen antigen (85385) | $331.50 | $442 | 22.9× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $72 | $96 | 4.7× |
| Flecainide level (80181) | $93.75 | $125 | 5.0× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$181.50–$270.75 | $242–$361 | varies |
| Flt3 Gene (81245) | $206.25 | $275 | 1.2× |
| Fluorescent antibody screen (86255) range across 34 matching MRF lines |
$60–$1,833 | $80–$2,444 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 40 matching MRF lines |
$51.75–$429.75 | $69–$573 | varies |
| Fluoride serum (82735) | $337.50 | $450 | 18.2× |
| Fmr1 gene detection (81243) | $441 | $588 | 7.7× |
| Folic acid rbc (82747) | $52.50 | $70 | 3.0× |
| Folic Acid Serum (82746) | $85.50 | $114 | 5.8× |
| Follicle Stimulating Hormone (83001) | $206.25 | $275 | 11.1× |
| Francisella tularensis (86668) | $58.50 | $78 | 4.1× |
| Frozen Section (88331) | $392.25 | $523 | 2.4× |
| Fungi Identification Mold (87107) | $83.25 | $111 | 8.1× |
| Fungi Identification Yeast (87106) | $81 | $108 | 7.8× |
| Galactose (82760) | $514.50 | $686 | 45.9× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $85.50 | $114 | 4.1× |
| Galectin-3 (82777) range across 2 matching MRF lines |
$227.25–$1,755 | $303–$2,340 | varies |
| Gammaglobulin ige (82785) | $148.50 | $198 | 9.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $106.50 | $142 | 10.9× |
| Gastrin (82941) | $159.75 | $213 | 9.1× |
| Gastrin after secretin stim (82938) | $159 | $212 | 9.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $984 | $1,312 | 2.4× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 4 matching MRF lines |
$1,187.25–$1,708.50 | $1,583–$2,278 | varies |
| Genet Virus Isolate Hsv (87255) | $54.75 | $73 | 1.6× |
| Genetic Tstg Severe Inh Cond (81443) range across 3 matching MRF lines |
$6,627–$11,208.75 | $8,836–$14,945 | varies |
| Genome Sequence Analysis (81425) range across 3 matching MRF lines |
$1,978.50–$8,306.25 | $2,638–$11,075 | varies |
| Genome sequence analysis each comparator genome (81426) | $5,081.25 | $6,775 | 1.9× |
| Gentamicin (80170) | $156.75 | $209 | 9.6× |
| Ggt (82977) range across 2 matching MRF lines |
$48–$69.75 | $64–$93 | varies |
| Gh suppression panel (80430) | $261.75 | $349 | 2.0× |
| Giardia antigen (87329) | $108.75 | $145 | 9.1× |
| Giardia lamblia antibody (86674) | $127.50 | $170 | 8.7× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $69 | $92 | 11.4× |
| Glucagon (82943) | $84.75 | $113 | 5.9× |
| Glucose 2 hr pp (82950) | $121.50 | $162 | 25.6× |
| Glucose Blood Test (82962) | $34.50 | $46 | 10.5× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$4.50–$72.75 | $6–$97 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$28.50–$45 | $38–$60 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$175.50–$182.25 | $234–$243 | varies |
| Glucosidase beta (82963) | $1,008 | $1,344 | 46.9× |
| Glutathione (82978) | $252.75 | $337 | 16.4× |
| Glycated Protein (82985) range across 2 matching MRF lines |
$69.75–$80.25 | $93–$107 | varies |
| Gonadotropin releasing hormone (83727) | $871.50 | $1,162 | 50.7× |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) | $1,341.75 | $1,789 | 9.0× |
| Growth hormone (83003) | $159 | $212 | 9.5× |
| Growth Hormone Stimulation Panel (80428) | $135.75 | $181 | 2.0× |
| Growth Stimulation Gene 2 (83006) | $1,637.25 | $2,183 | 21.7× |
| Gtt-added samples (82952) | $57 | $76 | 14.5× |
| H Pylori (C-13) Breath (83013) | $492 | $656 | 7.3× |
| H Pylori Drug Admin (83014) | $72 | $96 | 9.2× |
| Haloperidol (80173) | $117 | $156 | 7.4× |
| Haptoglobin (83010) | $99.75 | $133 | 7.9× |
| Hba1/hba2 full gene sequence (81259) | $1,051.50 | $1,402 | 1.8× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $743.25 | $991 | 3.7× |
| Hdl Cholesterol (83718) | $93.75 | $125 | 11.4× |
| Helminth Antibody (86682) range across 5 matching MRF lines |
$40.50–$171.75 | $54–$229 | varies |
| Hematocrit (85014) | $38.25 | $51 | 16.1× |
| Hemoglobin (85018) | $34.50 | $46 | 14.6× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$99–$114.75 | $132–$153 | varies |
| Hemoglobin Chromotography (83021) range across 4 matching MRF lines |
$112.50–$252.75 | $150–$337 | varies |
| Hemoglobin electrophoresis (83020) range across 5 matching MRF lines |
$242.25–$506.25 | $323–$675 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$60–$132.75 | $80–$177 | varies |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
$78–$187.50 | $104–$250 | varies |
| Hemoglobin stability screen (83068) | $252.75 | $337 | 26.7× |
| Hemosiderin urine (83070) | $73.50 | $98 | 15.5× |
| Hep a ab igm (86709) | $84 | $112 | 7.5× |
| Heparin assay (85520) | $175.50 | $234 | 13.4× |
| Heparin Neutralization (85525) range across 2 matching MRF lines |
$177.75–$187.50 | $237–$250 | varies |
| Hepatitis a antibody total (86708) | $87 | $116 | 7.0× |
| Hepatitis b core ab igm (86705) | $127.50 | $170 | 10.8× |
| Hepatitis b core ab total (86704) | $96 | $128 | 8.0× |
| Hepatitis B Surface Antibody (86706) | $87 | $116 | 8.1× |
| Hepatitis B Surface Antigen (87340) | $70.50 | $94 | 6.8× |
| Hepatitis Be Antibody (86707) | $78.75 | $105 | 6.8× |
| Hepatitis Be Antigen (87350) | $75.75 | $101 | 6.6× |
| Hepatitis C Antibody (86803) | $120 | $160 | 8.4× |
| Hepatitis c antibody confirmatory test (86804) | $784.50 | $1,046 | 50.6× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$889.50–$1,216.50 | $1,186–$1,622 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $371.25 | $495 | 10.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $1,230 | $1,640 | 28.7× |
| Hepatitis d quantification (87523) | $1,161.75 | $1,549 | 27.1× |
| Hepatitis delta ag (87380) | $189 | $252 | 10.3× |
| Hepatitis Delta Agent Antibody (86692) | $187.50 | $250 | 10.9× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,755 | $2,340 | 1.3× |
| Herpes simplex type 2 (86696) | $86.25 | $115 | 4.5× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$45–$97.50 | $60–$130 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$123–$153.75 | $164–$205 | varies |
| Histamine urine (83088) | $189.75 | $253 | 6.4× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$77.25–$161.25 | $103–$215 | varies |
| Histoplasma antigen urine (87385) | $492 | $656 | 37.1× |
| Hiv Genotype (87901) | $603.75 | $805 | 2.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $65.25 | $87 | 2.7× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$243.75–$274.50 | $325–$366 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $627.75 | $837 | 7.4× |
| Hla class i semiquant panel (86834) | $697.50 | $930 | 2.0× |
| Hla Class I Typing High Resolution Complete (81379) | $381 | $508 | 1.1× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $177 | $236 | 1.0× |
| Hla Class I Typing Low Resolution Complete (81372) | $488.25 | $651 | 1.2× |
| Hla class i/ii antibody qual (86829) | $435 | $580 | 6.8× |
| Hla class ii high defin qual (86833) range across 2 matching MRF lines |
$368.25–$483.75 | $491–$645 | varies |
| Hla class ii typing high resolution one locus ea (81382) range across 4 matching MRF lines |
$176.25–$867 | $235–$1,156 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $515.25 | $687 | 4.7× |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $201.75 | $269 | 5.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $197.25 | $263 | 2.7× |
| Hla I Typing 1 Allele Hr (81381) range across 3 matching MRF lines |
$164.25–$201.75 | $219–$269 | varies |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $342 | $456 | 0.8× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $193.50 | $258 | 0.9× |
| Hla ii typing 1 allele hr (81383) range across 3 matching MRF lines |
$156–$175.50 | $208–$234 | varies |
| Hla ii typing 1 locus lr (81376) | $333 | $444 | 2.7× |
| Homocysteine (83090) | $90.75 | $121 | 5.1× |
| Homovanillic acid urine (83150) | $267 | $356 | 11.9× |
| Hpa-1 genotyping gene analysis common variant (81105) range across 2 matching MRF lines |
$114.75–$165 | $153–$220 | varies |
| Hpa-15 genotyping gene analysis common variant (81112) range across 2 matching MRF lines |
$114.75–$165 | $153–$220 | varies |
| Hpa-2 genotyping gene analysis common variant (81106) range across 2 matching MRF lines |
$114.75–$165 | $153–$220 | varies |
| Hpa-3 genotyping gene analysis common variant (81107) range across 2 matching MRF lines |
$114.75–$165 | $153–$220 | varies |
| Hpa-4 genotyping gene analysis common variant (81108) range across 2 matching MRF lines |
$114.75–$165 | $153–$220 | varies |
| Hpa-5 genotyping gene analysis common variant (81109) range across 2 matching MRF lines |
$114.75–$165 | $153–$220 | varies |
| Hpa-6 genotyping gene analysis common variant (81110) range across 2 matching MRF lines |
$114.75–$165 | $153–$220 | varies |
| Hpa-9 Genotyping (81111) range across 2 matching MRF lines |
$114.75–$165 | $153–$220 | varies |
| Hpv High-Risk Types (87624) | $290.25 | $387 | 8.3× |
| Hpv sep hi-rsk typ&pool rslt (87626) range across 2 matching MRF lines |
$215.25–$234.75 | $287–$313 | varies |
| Hsv Dna Amp Probe (87529) range across 5 matching MRF lines |
$81.75–$306.75 | $109–$409 | varies |
| Hsv Dna Quant (87530) | $346.50 | $462 | 8.1× |
| Htlv-I Antibody (86687) | $210.75 | $281 | 23.2× |
| Htlv-ii antibody (86688) | $210.75 | $281 | 15.1× |
| Htt Gene Detc Abnor Alleles (81271) | $345.75 | $461 | 2.5× |
| Hydroxyprogesterone 17-d (83498) | $153.75 | $205 | 5.7× |
| Iaad Ia Entamoeba Histolytica Grp (87337) range across 2 matching MRF lines |
$45–$89.25 | $60–$119 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $59.25 | $79 | 1.7× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $105 | $140 | 3.0× |
| Iadna Bartonella Amplified Probe Technique (87471) range across 2 matching MRF lines |
$426–$1,113 | $568–$1,484 | varies |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $735 | $980 | 20.9× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $744.75 | $993 | 21.2× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $483 | $644 | 13.8× |
| Iadna Cytomegalovirus Quantification (87497) | $627 | $836 | 14.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $75.75 | $101 | 1.1× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $105 | $140 | 3.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $328.50 | $438 | 7.7× |
| Iadna Herpes Virus-6 Quantification (87533) | $696.75 | $929 | 16.7× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $450.75 | $601 | 12.8× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $329.25 | $439 | 9.4× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) range across 2 matching MRF lines |
$138.75–$357.75 | $185–$477 | varies |
| Iadna Multiple Organisms Direct Probe Tq (87800) | $162 | $216 | 3.7× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) range across 2 matching MRF lines |
$386.25–$444.75 | $515–$593 | varies |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $612.75 | $817 | 14.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$180–$744.75 | $240–$993 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $168.75 | $225 | 4.8× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $180 | $240 | 3.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $225.75 | $301 | 1.6× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $261.75 | $349 | 1.0× |
| Ig Light Chains Free Each (83521) | $150.75 | $201 | 8.7× |
| Igg subclasses (82787) | $153 | $204 | 19.1× |
| Igh gene rearrange amp meth (81261) | $353.25 | $471 | 1.8× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) range across 2 matching MRF lines |
$594–$607.50 | $792–$810 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $318.75 | $425 | 0.9× |
| Immune Complex Assay (86332) | $72 | $96 | 3.0× |
| Immunfix e-phorsis/urine/csf (86335) | $349.50 | $466 | 11.9× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 19 matching MRF lines |
$75–$1,768.50 | $100–$2,358 | varies |
| Immunoassay infectious agent (86318) | $36.75 | $49 | 2.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 5 matching MRF lines |
$57.75–$163.50 | $77–$218 | varies |
| Immunoassay nonantibody (83516) range across 19 matching MRF lines |
$27.75–$911.25 | $37–$1,215 | varies |
| Immunodiffusion not elsewhere specified (86329) range across 2 matching MRF lines |
$155.25–$201.75 | $207–$269 | varies |
| Immunodiffusion Ouchterlony (86331) range across 6 matching MRF lines |
$50.25–$108 | $67–$144 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $433.50 | $578 | 18.7× |
| Immunoelectrophoresis Serum (86320) | $417 | $556 | 13.9× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$100.50–$231 | $134–$308 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$270.75–$475.50 | $361–$634 | varies |
| Immunohistochemistry (88342) | $322.50 | $430 | 2.0× |
| In situ hybridization 1st probe stain (88365) | $396.75 | $529 | 2.5× |
| In situ hybridization ea multiplex probe stain (88366) | $907.50 | $1,210 | 5.6× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) | $386.25 | $515 | 9.0× |
| Influenza assay w/optic (87804) | $101.25 | $135 | 6.1× |
| Influenza DNA amp probe (87502) | $141 | $188 | 1.5× |
| Inhibin A (86336) | $275.25 | $367 | 17.7× |
| Inhibin b (83520) range across 48 matching MRF lines |
$44.25–$1,192.50 | $59–$1,590 | varies |
| Insitu hybridization manual (88368) | $473.25 | $631 | 1.4× |
| Insulin antibodies (86337) | $114.75 | $153 | 5.4× |
| Insulin free (83527) | $69.75 | $93 | 5.4× |
| Insulin tolerance panel growth horm defncy (80435) | $209.25 | $279 | 2.0× |
| Insulin total (83525) | $103.50 | $138 | 9.1× |
| Interleukin-6 (83529) | $45 | $60 | 2.6× |
| Intrinsic factor antibody (86340) | $102.75 | $137 | 6.8× |
| Iron (83540) range across 2 matching MRF lines |
$59.25–$451.50 | $79–$602 | varies |
| Iron Binding Capacity (83550) | $89.25 | $119 | 10.2× |
| Irradiation Blood Product Each Unit (86945) | $157.50 | $210 | 4.5× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$126–$615.75 | $168–$821 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $215.25 | $287 | 2.3× |
| Kit Gene Analysis D816 Variant(S) (81273) | $268.50 | $358 | 2.2× |
| Koh Prep (87220) | $66 | $88 | 15.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$54.75–$63.75 | $73–$85 | varies |
| Lactoferrin fecal qualitative (83630) | $48 | $64 | 2.4× |
| Ldh Isoenzymes (83625) | $150.75 | $201 | 11.8× |
| LDL direct (83721) | $112.50 | $150 | 10.7× |
| Lead (83655) | $90 | $120 | 7.4× |
| Legionella antibody (86713) | $108 | $144 | 7.1× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$113.25–$420.75 | $151–$561 | varies |
| Legionella pneumophila dfa (87278) | $99 | $132 | 6.3× |
| Leptospira antibody (86720) | $123.75 | $165 | 7.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $117 | $156 | 4.3× |
| Level ii surg pathology grossµscopic exam (88302) | $206.25 | $275 | 5.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $572.25 | $763 | 1.7× |
| Lidocaine (80176) | $75 | $100 | 5.1× |
| Lipase (83690) | $177.75 | $237 | 25.8× |
| Lipoprotein A (83695) | $168 | $224 | 11.7× |
| Lipoprotein Bld Quan Part (83704) | $254.25 | $339 | 7.4× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $45.75 | $61 | 4.1× |
| Lithium (80178) | $94.50 | $126 | 14.3× |
| Liver ds alys 3 bmrk srm alg (81517) range across 2 matching MRF lines |
$669.75–$812.25 | $893–$1,083 | varies |
| Luteinizing Hormone (Lh) (83002) | $129.75 | $173 | 7.0× |
| Lyme disease antibody (86618) | $105 | $140 | 6.2× |
| Lymphocyte transformation (86353) range across 7 matching MRF lines |
$126–$858.75 | $168–$1,145 | varies |
| Lysozyme serum (85549) | $138.75 | $185 | 7.4× |
| M. Genitalium Amp Probe (87563) | $98.25 | $131 | 2.8× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) range across 2 matching MRF lines |
$386.25–$489.75 | $515–$653 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $435 | $580 | 2.7× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$57–$96 | $76–$128 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$104.25–$571.50 | $139–$762 | varies |
| Meat fibers, feces (89160) | $47.25 | $63 | 9.7× |
| Mechanical fragility rbc (85547) | $277.50 | $370 | 32.3× |
| Mercury urine (83825) range across 3 matching MRF lines |
$105–$142.50 | $140–$190 | varies |
| Metabolic panel ionized ca (80047) | $186.75 | $249 | 13.6× |
| Methotrexate (80204) | $66.75 | $89 | 1.7× |
| Methylmalonic acid serum (83921) range across 4 matching MRF lines |
$114–$375.75 | $152–$501 | varies |
| Mgmt methylation analysis (81287) | $261.75 | $349 | 2.1× |
| Microalbumin, quantitative (82043) | $60 | $80 | 10.4× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$85.50–$177 | $114–$236 | varies |
| Mitochondrial Antibody Each (86381) | $123 | $164 | 4.8× |
| Mlh1 Gene (81288) | $290.25 | $387 | 1.5× |
| Mog-Igg1 Antb Cba Each (86362) | $355.50 | $474 | 29.5× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $924 | $1,232 | 24.5× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 49 matching MRF lines |
$83.25–$1,133.25 | $111–$1,511 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $188.25 | $251 | 4.4× |
| Molecular Pathology Procedure Level 6 (81405) range across 3 matching MRF lines |
$1,134.75–$2,340.75 | $1,513–$3,121 | varies |
| Mononuclear cell antigen (86356) range across 3 matching MRF lines |
$36–$773.25 | $48–$1,031 | varies |
| Mopath procedure level 1 (81400) | $1,012.50 | $1,350 | 15.8× |
| Mopath procedure level 2 (81401) range across 5 matching MRF lines |
$276.75–$886.50 | $369–$1,182 | varies |
| Mopath procedure level 4 (81403) range across 8 matching MRF lines |
$140.25–$1,540.50 | $187–$2,054 | varies |
| Mopath procedure level 5 (81404) range across 2 matching MRF lines |
$1,188–$1,825.50 | $1,584–$2,434 | varies |
| Mopath procedure level 7 (81406) range across 4 matching MRF lines |
$531–$2,340.75 | $708–$3,121 | varies |
| Mopath procedure level 8 (81407) range across 2 matching MRF lines |
$635.25–$1,587 | $847–$2,116 | varies |
| Mopath procedure level 9 (81408) range across 5 matching MRF lines |
$1,500–$2,250 | $2,000–$3,000 | varies |
| Mrsa Pcr (87641) | $129 | $172 | 3.7× |
| Mthfr Gene Analysis Common Variants (81291) | $986.25 | $1,315 | 15.1× |
| Mucopolysaccharides acid quantitative (83864) | $911.25 | $1,215 | 32.0× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$133.50–$148.50 | $178–$198 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,833 | $2,444 | 99.6× |
| Mycobacteric Identification (87118) | $96.75 | $129 | 6.6× |
| Mycophenolic Acid (80180) | $581.25 | $775 | 32.2× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$102.75–$127.50 | $137–$170 | varies |
| Mycoplasma culture (87109) | $148.50 | $198 | 9.6× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $370.50 | $494 | 2.1× |
| Myelin basic protein csf (83873) | $155.25 | $207 | 9.0× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$118.50–$165 | $158–$220 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$142.50–$206.25 | $190–$275 | varies |
| Neutralization Test Viral (86382) | $156 | $208 | 9.2× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $436.50 | $582 | 3.4× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $2,208.75 | $2,945 | 8.6× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $400.50 | $534 | 2.8× |
| Nfct ds chrnc hcv 6 assays (81596) | $258.75 | $345 | 3.6× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $301.50 | $402 | 2.3× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $1,288.50 | $1,718 | 49.4× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $108 | $144 | 0.2× |
| Niacin (84591) | $210.75 | $281 | 12.4× |
| Nickel level (83885) | $90.75 | $121 | 3.7× |
| Nk cells total count (86357) range across 3 matching MRF lines |
$64.50–$262.50 | $86–$350 | varies |
| Noonan Spectrum Disorders (81442) | $2,412 | $3,216 | 1.1× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $376.50 | $502 | 1.5× |
| Nuclear antigen antibody (86235) range across 15 matching MRF lines |
$60.75–$234 | $81–$312 | varies |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $1,090.50 | $1,454 | 24.8× |
| Occult Blood Other Sources (82271) | $28.50 | $38 | 5.4× |
| Oligoclonal bands (83916) | $135.75 | $181 | 5.0× |
| Oncology Prostate Prob Score (81539) | $1,623.75 | $2,165 | 2.1× |
| Oncoprotein dcp (83951) | $537 | $716 | 8.3× |
| Oncoprotein Her-2/Neu (83950) | $210 | $280 | 3.3× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$145.50–$508.50 | $194–$678 | varies |
| Osmolality serum (83930) | $66.75 | $89 | 10.1× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$65.25–$75.75 | $87–$101 | varies |
| Osmotic fragility rbc incubated (85557) range across 2 matching MRF lines |
$252.75–$277.50 | $337–$370 | varies |
| Osmotic Fragility RBC Unincubated (85555) | $147.75 | $197 | 19.8× |
| Osteocalcin (83937) | $205.50 | $274 | 6.9× |
| Outpatient Global Laboratory, Radiology and Diagnostic Services (89346) | $521.25 | $695 | 3.2× |
| Ova and parasites smears (87177) | $36 | $48 | 4.0× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$114.75–$183 | $153–$244 | varies |
| Particle Agglut Antbdy Titr (86406) | $144 | $192 | 13.5× |
| Particle Agglutination Screen Each Antibody (86403) | $88.50 | $118 | 7.7× |
| Parvovirus antibody (86747) | $133.50 | $178 | 8.9× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $648.75 | $865 | 0.9× |
| Pathology Consultation During Surgery (88329) | $135.75 | $181 | 2.4× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $618 | $824 | 1.9× |
| Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) | $89.25 | $119 | 2.0× |
| Ph urine (81003) | $51 | $68 | 22.7× |
| Phenobarbital Level (80184) | $153 | $204 | 10.0× |
| Phenotype Infect Agent Drug (87900) range across 2 matching MRF lines |
$271.50–$447.75 | $362–$597 | varies |
| Phenylalanine (84030) | $213.75 | $285 | 38.9× |
| Phenytoin (Dilantin) (80185) | $135 | $180 | 10.2× |
| Phenytoin free (80186) | $123.75 | $165 | 9.0× |
| Phosphatase acid prostatic (84066) | $120.75 | $161 | 12.5× |
| Phosphatase alkaline (84075) | $46.50 | $62 | 9.0× |
| Phospholipid Neutralization Hexagonal (85598) | $326.25 | $435 | 18.1× |
| Phosphorus Serum (84100) | $57.75 | $77 | 12.2× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$47.25–$108.75 | $63–$145 | varies |
| Pinworm exam (87172) | $36 | $48 | 8.4× |
| Platelet Aggregation (85576) range across 4 matching MRF lines |
$126–$223.50 | $168–$298 | varies |
| Platelet Antibodies (86022) range across 6 matching MRF lines |
$165–$1,320 | $220–$1,760 | varies |
| Platelet count automated (85049) | $43.50 | $58 | 9.7× |
| Platelet neutralization (85597) | $366.75 | $489 | 20.4× |
| PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) | $972 | $1,296 | 3.3× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $1,187.25 | $1,583 | 5.7× |
| Pmp22 Gene Anal Duplication/Deletion Analysis (81324) | $1,054.50 | $1,406 | 1.4× |
| Pneumcysts jirovecii amp prb (87594) | $292.50 | $390 | 8.3× |
| Pooling blood platelets (86965) | $131.25 | $175 | 0.8× |
| Porphobilinogen, urine; quantitative (84110) | $189.75 | $253 | 22.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $716.25 | $955 | 48.7× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$55.50–$93 | $74–$124 | varies |
| Prealbumin (84134) | $144.75 | $193 | 9.9× |
| Pregnancy-Associated Plasma Protein-A (84163) | $110.25 | $147 | 7.3× |
| Pregnenolone (84140) | $202.50 | $270 | 9.8× |
| Preparation of embryo for transfer (89255) | $219 | $292 | 4.4× |
| Primidone (80188) | $157.50 | $210 | 9.5× |
| Procalcitonin (Pct) (84145) | $75 | $100 | 2.8× |
| Progesterone (84144) | $93.75 | $125 | 4.5× |
| Prolactin (84146) | $214.50 | $286 | 11.1× |
| Prostaglandin (84150) range across 2 matching MRF lines |
$87–$93.75 | $116–$125 | varies |
| Protein body fluid (84157) range across 3 matching MRF lines |
$70.50–$114 | $94–$152 | varies |
| Protein C Activity (85303) | $281.25 | $375 | 20.3× |
| Protein c antigen (85302) | $204 | $272 | 17.0× |
| Protein Electrophoresis Urine (84166) | $96 | $128 | 5.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $45 | $60 | 4.2× |
| Protein S Free (85306) range across 2 matching MRF lines |
$274.50–$315 | $366–$420 | varies |
| Protein s total (85305) | $234 | $312 | 20.2× |
| Protein total serum (84155) | $42 | $56 | 11.4× |
| Protein Total Urine (84156) | $31.50 | $42 | 8.6× |
| Protein Western Blot Test (84182) range across 13 matching MRF lines |
$39–$1,173.75 | $52–$1,565 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $63 | $84 | 16.0× |
| Protoporphyrin rbc quantitative (84202) | $83.25 | $111 | 5.8× |
| PSA free (84154) | $184.50 | $246 | 10.0× |
| Pth Intact (83970) range across 2 matching MRF lines |
$396.75–$500.25 | $529–$667 | varies |
| Pyruvate kinase (84220) range across 2 matching MRF lines |
$231.75–$252.75 | $309–$337 | varies |
| Q Fever Antibody (86638) | $108 | $144 | 8.9× |
| Quantitative assay drug (80299) range across 23 matching MRF lines |
$34.50–$503.25 | $46–$671 | varies |
| Quantitative Screen Metals (83018) range across 7 matching MRF lines |
$117–$248.25 | $156–$331 | varies |
| Rbc antibody elution (86860) | $170.25 | $227 | 1.1× |
| Rbc antibody identification (86870) | $276.75 | $369 | 0.8× |
| Rbc antibody screen (86850) | $105 | $140 | 10.7× |
| Rbc pretreatment serum (86978) | $153 | $204 | 2.7× |
| Rbc pretx incubatj w/enzymes (86971) | $270.75 | $361 | 1.7× |
| Reagent Strip/Blood Glucose (82948) | $30 | $40 | 6.0× |
| Renin activity plasma (84244) | $180.75 | $241 | 8.2× |
| Reptilase test (85635) | $159.75 | $213 | 16.2× |
| Resp virus 12-25 targets (87633) | $1,157.25 | $1,543 | 2.8× |
| Resp Virus 6-11 Targets (87632) | $1,251.75 | $1,669 | 5.7× |
| Reticulated Platelet Assay (85055) | $75 | $100 | 2.1× |
| Rh (86901) range across 2 matching MRF lines |
$55.50–$126 | $74–$168 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$47.25–$98.25 | $63–$131 | varies |
| Rickettsia antibody (86757) | $115.50 | $154 | 6.0× |
| Ristocetin cofactor (85245) | $414.75 | $553 | 18.1× |
| Rotavirus ag eia (87425) | $157.50 | $210 | 13.1× |
| Rpr qualitative (86592) | $54.75 | $73 | 12.8× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$21.75–$86.25 | $29–$115 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$80.25–$171 | $107–$228 | varies |
| Rufinamide (80210) | $135.75 | $181 | 5.0× |
| Russell Viper Venom Time Diluted (85613) | $108 | $144 | 11.3× |
| Salicylate Level (80179) | $54 | $72 | 2.9× |
| Salmonella antibody (86768) | $29.25 | $39 | 2.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $141 | $188 | 2.7× |
| Sars-cov-2 COVID-19 antibody (86769) range across 2 matching MRF lines |
$84–$122.25 | $112–$163 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $299.25 | $399 | 2.1× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $299.25 | $399 | 2.1× |
| Sedimentation Rate, Automated (85652) | $75 | $100 | 27.8× |
| Selenium (84255) | $177 | $236 | 6.9× |
| Semen Anal Sperm Detection (89321) | $197.25 | $263 | 16.4× |
| Semen analysis complete (89322) | $267 | $356 | 17.2× |
| Semen analysis complete (89320) | $397.50 | $530 | 32.3× |
| Sensitivity mic (87186) | $105.75 | $141 | 12.2× |
| Sex Hormone Binding Globulin (84270) | $202.50 | $270 | 9.3× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$60.75–$67.50 | $81–$90 | varies |
| Sirolimus (80195) | $250.50 | $334 | 18.2× |
| Skin test tuberculosis intradermal (86580) | $51 | $68 | 1.9× |
| Smear acid fast (87206) | $81 | $108 | 15.0× |
| Smear complex stain (87209) | $36 | $48 | 2.0× |
| Smear gram stain (87205) | $63.75 | $85 | 14.9× |
| Smear Special Stain (87207) | $101.25 | $135 | 16.9× |
| Smn1 Gene Dos/Deletion Alys (81329) | $287.25 | $383 | 2.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $52.50 | $70 | 9.0× |
| Snrpn/Ube3a Methylation Analysis (81331) range across 2 matching MRF lines |
$243–$376.50 | $324–$502 | varies |
| So neo gsap cll fr DNA/DNA&RNA cpy nmbr&reargmt (81462) | $2,242.50 | $2,990 | 1.9× |
| So neo gsap DNA aly cpy nmbrµsatellite ins (81458) range across 2 matching MRF lines |
$939–$1,580.25 | $1,252–$2,107 | varies |
| Sodium Serum (84295) | $57 | $76 | 11.9× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$48–$60 | $64–$80 | varies |
| Soluble Transferrin Receptor (84238) | $228 | $304 | 6.2× |
| Somatomedin (84305) | $134.25 | $179 | 6.3× |
| Somatostatin (84307) | $719.25 | $959 | 39.3× |
| Special Stains Group 1 (88312) range across 2 matching MRF lines |
$141–$213.75 | $188–$285 | varies |
| Special Stains Group 2 (88313) | $150.75 | $201 | 1.2× |
| Specimen infect agnt concntj (87015) | $36 | $48 | 5.4× |
| Spectrophotometry (84311) range across 4 matching MRF lines |
$88.50–$374.25 | $118–$499 | varies |
| Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) | $277.50 | $370 | 14.2× |
| Sperm identification from aspiration (89257) | $383.25 | $511 | 7.8× |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $388.50 | $518 | 7.9× |
| Splitting Blood/Blood Products Each Unit (86985) | $544.50 | $726 | 3.4× |
| Sprm id from tstis tiss frsh/cryoprsrvd (89264) | $924.75 | $1,233 | 18.8× |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) | $376.50 | $502 | 7.6× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $300 | $400 | 1.9× |
| Staph a DNA amp probe (87640) | $147 | $196 | 4.2× |
| Stem cells total count (86367) | $96 | $128 | 1.2× |
| Storage (per year); reproductive tissue, testicular/ovarian Facility Physician Professional Component (89344) | $231 | $308 | 1.4× |
| Storage per Year Embryo (89342) | $365.25 | $487 | 2.3× |
| Storage per year sperm/semen (89343) | $274.50 | $366 | 1.7× |
| Strep a assay w/optic (87880) | $95.25 | $127 | 5.8× |
| Strep a DNA amp probe (87651) | $88.50 | $118 | 2.5× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) range across 2 matching MRF lines |
$69.75–$137.25 | $93–$183 | varies |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) range across 2 matching MRF lines |
$100.50–$936 | $134–$1,248 | varies |
| Sugars Single Qual (84376) | $56.25 | $75 | 10.2× |
| Sulfate urine (84392) | $62.25 | $83 | 11.3× |
| Surg path level iii (88304) | $333.75 | $445 | 6.8× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$183–$411.75 | $244–$549 | varies |
| Surgical pathology level vi (88309) | $648.75 | $865 | 0.9× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$65.25–$169.50 | $87–$226 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $78.75 | $105 | 10.5× |
| Sweat Collection Iontophoresis (89230) | $156.75 | $209 | 3.2× |
| Syphilis Test Non-Trep Quant (86593) | $60.75 | $81 | 13.8× |
| T cells total count (86359) range across 2 matching MRF lines |
$64.50–$108 | $86–$144 | varies |
| T3 Free (84481) | $65.25 | $87 | 3.9× |
| T3 reverse (84482) | $96.75 | $129 | 6.1× |
| T3 Total (84480) | $43.50 | $58 | 3.1× |
| T3 Uptake (84479) | $108.75 | $145 | 16.8× |
| T4 Free (84439) | $42 | $56 | 4.7× |
| T4 total (84436) | $99.75 | $133 | 14.5× |
| Tacrolimus (80197) | $175.50 | $234 | 12.8× |
| Tau phosphorylated each (84393) | $504 | $672 | 3.9× |
| Tb ag response t-cell susp (86481) | $93.75 | $125 | 0.9× |
| Tert gene targeted seq alys (81345) | $347.25 | $463 | 1.9× |
| Testosterone total (84403) | $199.50 | $266 | 7.7× |
| Testosterone, Free (84402) | $154.50 | $206 | 6.1× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 2 matching MRF lines |
$1,314–$1,643.25 | $1,752–$2,191 | varies |
| Thawing Cryopreserved Oocytes Each Aliquot (89356) | $426 | $568 | 2.6× |
| Thawing Cryopresrved Sperm (89353) | $405.75 | $541 | 8.2× |
| Thawing of cryopreserved embryos (89352) | $405.75 | $541 | 2.5× |
| Theophylline (80198) | $111 | $148 | 7.9× |
| Thiocyanate (84430) | $402.75 | $537 | 34.6× |
| Thrombin Time (85670) | $85.50 | $114 | 14.8× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $78 | $104 | 12.1× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$146.25–$665.25 | $195–$887 | varies |
| Thyroglobulin Antibody (86800) | $47.25 | $63 | 3.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $408.75 | $545 | 8.0× |
| Thyroxine binding globulin (84442) | $83.25 | $111 | 5.6× |
| Tiss cul neo disorders solid tumor (88239) | $1,087.50 | $1,450 | 7.4× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $42.75 | $57 | 3.7× |
| Tissue Culture (88233) range across 3 matching MRF lines |
$509.25–$1,468.50 | $679–$1,958 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 3 matching MRF lines |
$542.25–$6,844.50 | $723–$9,126 | varies |
| Tissue culture bone marrow (88237) range across 3 matching MRF lines |
$600.75–$943.50 | $801–$1,258 | varies |
| Tissue Culture Lymphocyte (88230) range across 3 matching MRF lines |
$420.75–$657.75 | $561–$877 | varies |
| Tobramycin peak (80200) | $93 | $124 | 5.8× |
| Topiramate (80201) | $342 | $456 | 28.7× |
| Total Tau (84394) | $504 | $672 | 3.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 2 matching MRF lines |
$45.75–$67.50 | $61–$90 | varies |
| Toxoplasma ab igm (86778) | $99 | $132 | 6.9× |
| Toxoplasma antibody (86777) | $62.25 | $83 | 4.3× |
| Tpmt gene com variants (81335) | $1,022.25 | $1,363 | 5.8× |
| Transferase Aspartate Amino Ast Sgot (84450) | $50.25 | $67 | 9.7× |
| Transferrin (84466) | $136.50 | $182 | 10.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $503.25 | $671 | 2.4× |
| Trg gene rearrangement anal (81342) range across 2 matching MRF lines |
$566.25–$732 | $755–$976 | varies |
| Trichinella Antibody (86784) | $148.50 | $198 | 11.8× |
| Trichomonas Vaginalis Amplif (87661) | $105 | $140 | 3.0× |
| Triglycerides (84478) | $72.75 | $97 | 12.7× |
| Troponin Quant (84484) | $298.50 | $398 | 23.9× |
| Tumor immunohistochem/comput (88361) | $311.25 | $415 | 0.9× |
| Tumor Immunohistochem/Manual (88360) | $311.25 | $415 | 1.9× |
| Ugt1a1 gene analysis common variants (81350) | $438.75 | $585 | 1.9× |
| Unlisted miscellaneous pathology test (89240) range across 2 matching MRF lines |
$206.25–$9,375 | $275–$12,500 | varies |
| Urea Nitrogen Clearance (84545) | $57 | $76 | 7.9× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$21.75–$47.25 | $29–$63 | varies |
| Uric acid other source (84560) | $42.75 | $57 | 8.4× |
| Urinalysis Volume Measure (81050) | $31.50 | $42 | 8.7× |
| Urine Pregnancy Test (81025) | $65.25 | $87 | 7.6× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $93 | $124 | 29.3× |
| Valproic acid (80164) | $153.75 | $205 | 11.4× |
| Vancomycin (80202) | $147 | $196 | 10.9× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$105–$177.75 | $140–$237 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$96.75–$663.75 | $129–$885 | varies |
| Very Long Chain Fatty Acids (82726) | $523.50 | $698 | 26.5× |
| Viral Culture (87252) | $113.25 | $151 | 4.3× |
| Virus antibody nos (86790) range across 8 matching MRF lines |
$50.25–$423 | $67–$564 | varies |
| Virus inoculation, shell via (87254) | $67.50 | $90 | 3.5× |
| Viscosity serum (85810) | $153 | $204 | 13.1× |
| Vit D 1 25-Dihydroxy (82652) | $277.50 | $370 | 7.2× |
| Vitamin A (84590) | $104.25 | $139 | 9.0× |
| Vitamin b-12 (82607) | $111 | $148 | 7.4× |
| Vitamin B2 (Riboflavin) (84252) | $150 | $200 | 7.4× |
| Vitamin B6 (84207) | $163.50 | $218 | 5.8× |
| Vitamin c (82180) | $36 | $48 | 3.6× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$174.75–$282 | $233–$376 | varies |
| Vitamin E (84446) | $63.75 | $85 | 4.5× |
| Vitamin K (84597) | $458.25 | $611 | 33.4× |
| Volatiles (84600) range across 4 matching MRF lines |
$223.50–$858 | $298–$1,144 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $507 | $676 | 42.1× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $131.25 | $175 | 0.8× |
| Von willebrand factor ag (85246) | $216 | $288 | 9.4× |
| West nile virus ab igm (86788) | $174.75 | $233 | 10.4× |
| West Nile Virus Antibody (86789) | $173.25 | $231 | 12.0× |
| Western Blot Test (84181) range across 2 matching MRF lines |
$865.50–$935.25 | $1,154–$1,247 | varies |
| Xm Archive Tissue Molec Anal (88363) | $65.25 | $87 | 2.4× |
| Zika Virus Dna/Rna Amp Probe (87662) | $274.50 | $366 | 5.3× |
| Zika Virus Igm Antibody (86794) | $160.50 | $214 | 9.5× |
| Zinc (84630) | $101.25 | $135 | 8.9× |
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.