Lab & pathology prices at Unity Health - Jacksonville

Jacksonville, AR · every code in this section with a posted price and a Medicare benchmark.

1052 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $9.75 $39 0.6×
5 Nucleotidase (83915) $7.75 $31 0.7×
Acetylcholinesterase Assay (82013) $7.75 $31 0.6×
Acth (82024) $50.25 $201 1.3×
Acth Stimulation Panel Adrenal Insufficiency (80400) $22.25 $89 0.7×
ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) $58.50 $234 0.7×
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) $53 $212 0.7×
Actin smooth muscle antibody each (86015) $6.25 $25 0.5×
Acute hepatitis panel (80074) $199.50 $798 4.2×
Acylcarnitines; qualitative, each specimen Facility (82016) $9.25 $37 0.6×
Adenovirus antibody (86603) $9 $36 0.7×
Afp-l3 fraction isoform & total afp w/ratio (82107) $24.75 $99 0.4×
Agglutinins Febrile Each Antigen (86000) $15.75 $63 2.3×
Albumin Fluid (82042) $16.25 $65 2.1×
Albumin ischemia modified (82045) $23.25 $93 0.7×
Albumin serum (82040) $17.75 $71 3.6×
Aldolase (82085) $32 $128 3.3×
Aldosterone Suppression Evaluation Panel (80408) $84.50 $338 0.7×
Aldosterone urine (82088) $55.25 $221 1.4×
Alkaline phosphatase isoenzymes (84080) $19.25 $77 1.3×
Allergen spec ige qual multiallergen screen (86005) $5.50 $22 0.7×
Allergen specific ige (86003) $8.25 $33 1.6×
Allergen specific igg (86001) $8 $32 1.0×
Allg Spec Ige Recomb Ea (86008) $11 $44 0.6×
Alpha-1-antitrypsin phenotype (82104) $9.75 $39 0.7×
Alpha-1-antitrypsin total (82103) $49.50 $198 3.7×
Alpha-Fetoprotein Amniotic Fluid (82106) $11.75 $47 0.7×
Alpha-Fetoprotein Serum (82105) $64 $256 3.8×
Alt (sgpt) (84460) $26.25 $105 5.0×
Aluminum (82108) $6 $24 0.2×
Amikacin trough (80150) $25 $100 1.7×
Amines vaginal fluid qualitative (82120) $2.75 $11 0.5×
Amino Acids 1 Quantitative Each Specimen (82131) $11.75 $47 0.5×
Amino Acids Multiple Qualitative Each Specimen (82128) $9.25 $37 0.7×
Amino Acids Quant 2-5 (82136) $11.75 $47 0.6×
Amino acids; single, qualitative, each specimen Facility (82127) $9.25 $37 0.7×
Aminolevulinic acid (ala) (82135) $61 $244 3.7×
Ammonia (82140) $33.50 $134 2.3×
Amniotic fluid scan (82143) $4.75 $19 0.5×
Amylase urine (82150) $47 $188 7.3×
Ana Titer (86039)
range across 2 matching MRF lines		 $5.75–$7.75 $23–$31 varies
Analysis skeletal muscle (88355) $144.25 $577 0.9×
Anca screen each antibody (86036) $6.50 $26 0.5×
Anca Titer Each Antibody (86037) $6.50 $26 0.5×
Androstanediol Glucuronide (82154) $19.75 $79 0.7×
Androstenedione (82157) $22.50 $90 0.8×
Androsterone (hormone) level (82160) $17 $68 0.7×
Angiotensin converting enzyme csf (82164) $42.50 $170 2.9×
Angiotensin II (82163) $14.25 $57 0.7×
Animal inoculation, small animal, with observation and dissection Facility (87003) $11.75 $47 0.7×
Anti-Phospholipid Antibody (86148) $40 $160 2.5×
Antibody aspergillus (86606) $12 $48 0.8×
Antibody Bacterium Not Elsewhere Specified (86609)
range across 6 matching MRF lines		 $7–$19.25 $28–$77 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $36.25 $145 2.3×
Antibody Cytomegalovirus Cmv Igm (86645) $67.75 $271 4.0×
Antibody Encephalitis California La Crosse (86651) $9.25 $37 0.7×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $36.75 $147 2.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $36.75 $147 2.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $39.75 $159 2.2×
Antibody Fungus Not Elsewhere Specified (86671) $8.50 $34 0.7×
Antibody haemophilus influenza (86684) $10 $40 0.6×
Antibody helicobacter pylori (86677) $57.25 $229 3.4×
Antibody Herpes Smplx Non-Specific Type Test (86694) $43.50 $174 3.0×
Antibody Herpes Smplx Type 1 (86695) $10.75 $43 0.8×
Antibody HIV-1&HIV-2 single result (86703) $9.25 $37 0.7×
Antibody HIV-2 (86702) $9.25 $37 0.7×
Antibody htlv/HIV antibody confirmatory test (86689) $30.50 $122 1.6×
Antibody identification leukocyte antibodies (86021)
range across 3 matching MRF lines		 $56.50–$58.50 $226–$234 varies
Antibody john cunningham virus (86711) $428 $1,712 25.3×
Antibody leishmania (86717) $8.50 $34 0.7×
Antibody Lymphocytic Choriomeningitis (86727) $9 $36 0.7×
Antibody neisseria meningitidis (86741) $9.25 $37 0.7×
Antibody plasmodium malaria (86750) $9.25 $37 0.7×
Antibody Protozoa Nes (86753) $42.25 $169 3.4×
Antibody Titer (86886) $3.50 $14 0.7×
Antibody Treponema Pallidum (86780) $44 $176 3.3×
Antibody yersinia (86793) $9.25 $37 0.7×
Antibody; campylobacter (86625) $9 $36 0.7×
Antibody; encephalitis, st. louis (86653) $9.25 $37 0.7×
Antibody; mucormycosis Facility (86732) $9.25 $37 0.6×
Antigen typing (86905) $136.50 $546 35.6×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $4.25 $17 0.7×
Antinuclear antibodies (86038)
range across 3 matching MRF lines		 $6.75–$116.25 $27–$465 varies
Antistreptolysin O Screen (86063) $17.75 $71 3.1×
Antistreptolysin o titer (86060) $5.25 $21 0.7×
Antithrombin iii activity (85300) $8.25 $33 0.7×
Antithrombin iii antigen (85301) $91.25 $365 8.4×
Apolipoprotein a1 (82172) $10.75 $43 0.5×
Aquaporin-4 Antb Cba Each (86052) $6.50 $26 0.5×
Aquaporin-4 Antb Elisa (86051)
range across 2 matching MRF lines		 $6.25–$269.75 $25–$1,079 varies
Arsenic (82175) $32.75 $131 1.7×
Aspergillus ag eia (87305) $6.25 $25 0.5×
Assay activated protein c (85307) $10.75 $43 0.7×
Assay Blood Catecholamines (82383) $20.75 $83 0.7×
Assay Duodenal Fluid Trypsin (84485) $4 $16 0.6×
Assay Nephelometry Not Spec (83883) $40.75 $163 3.0×
Assay of 5-hiaa (83497) $49.75 $199 3.9×
Assay of anti-mullerian hormone (82166) $19.25 $77 0.5×
Assay of b-hexosaminidase each assay (83080) $11.75 $47 0.7×
Assay of blood/uric acid (84550) $28.25 $113 6.3×
Assay of calcium in urine (82340) $23.25 $93 3.9×
Assay of corticosterone (82528) $15.50 $62 0.7×
Assay of cpk in blood (82552) $52.50 $210 3.9×
Assay of estrone (82679) $16.25 $65 0.7×
Assay of g6pd enzyme (82955) $29.25 $117 3.0×
Assay of gammaglobulin igm (82784) $33.25 $133 3.6×
Assay of lactic acid (83605) $41.50 $166 3.6×
Assay of manganese (83785) $16.75 $67 0.6×
Assay of metanephrines (83835) $55.75 $223 3.3×
Assay of phosphatase acid total (84060) $5.25 $21 0.7×
Assay of procainamide (80190) $11.50 $46 0.2×
Assay of proinsulin (84206) $14 $56 0.5×
Assay of pyruvate (84210) $7.75 $31 0.5×
Assay of semen fructose (82757) $12 $48 0.7×
Assay of serotonin (84260) $62.25 $249 2.0×
Assay of serum potassium (84132) $19.25 $77 4.0×
Assay of Sialic Acid (84275) $9.25 $37 0.7×
Assay of sweat sodium (84302)
range across 2 matching MRF lines		 $2.75–$3.75 $11–$15 varies
Assay of transcortin (84449) $12.50 $50 0.7×
Assay of Tyrosine (84510) $4.75 $19 0.4×
Assay of urea nitrogen (84520) $16 $64 4.1×
Assay of urine vma (84585) $53 $212 3.4×
Assay of vasoactive intestinal peptide (84586) $80.25 $321 2.3×
Assay of vitamin b-1 (84425) $55.75 $223 2.6×
Assay Ph Body Fluid Nos (83986) $15 $60 4.2×
Assay Phosphohexose Enzymes (84087) $7.25 $29 0.7×
Atomic Absorption (82190) $10.50 $42 0.7×
Autol Bld/Component Collj Storage Predeposited (86890) $15.25 $61 0.1×
Autol bld/component collj storage salvage (86891) $23.50 $94 0.0×
Automated Leukocyte Count (85048) $11.50 $46 4.5×
B cells total count (86355)
range across 2 matching MRF lines		 $19–$25.50 $76–$102 varies
Bacterial antigens 87802 (87802) $6.25 $25 0.5×
Bartonella antibody (86611) $15 $60 1.5×
Beta 2 glycoprotein i antibody each (86146) $33.50 $134 1.3×
Beta hydroxybutyrate (82010) $5 $20 0.6×
Beta Lactamase (87185) $3.25 $13 0.7×
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines		 $8.75–$41.75 $35–$167 varies
Bile acids total (82239) $16.75 $67 1.0×
Bile acids, cholylglycine (82240) $18.25 $73 0.7×
Bilirubin direct (82248) $16.75 $67 3.3×
Bilirubin total (82247) $24.25 $97 4.8×
Bilirubin total transcutaneous (88720) $2.75 $11 0.5×
Bilirubin; feces, qualitative Facility (82252) $2 $8 0.4×
Biotinidase (82261) $11.75 $47 0.7×
Bl Smear W/O Diff Wbc Count (85008) $12 $48 3.5×
Blastomyces antibody (86612) $28 $112 2.2×
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $27.25 $109 0.6×
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $26.75 $107 1.0×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $27.25 $109 0.2×
Bleeding time test (85002) $21 $84 4.4×
Blood Count Automated Differential Wbc Count (85004) $11.50 $46 1.8×
Blood Count Manual Cell Count Each (85032) $3 $12 0.7×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $2.75 $11 0.5×
Blood Count Red Blood Cell Automated (85041) $7.25 $29 2.4×
Blood count reticulocyte automated (85045) $16.50 $66 4.1×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $14.75 $59 3.9×
Blood count spun microhematocrit (85013) $1.75 $7 0.3×
Blood gas (82803) $14.50 $58 0.6×
Blood gases w/02 saturation (82805)
range across 2 matching MRF lines		 $43.50–$53 $174–$212 varies
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $9 $36 2.1×
Blood Type Antigen Donor Reagent Serum Each (86902) $20 $80 3.1×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $6.50 $26 0.4×
Blood typing serologic abo (86900) $27.25 $109 9.1×
Body fluid cell count (89050) $3.25 $13 0.7×
Bone marrow smear interpretation (85097) $45 $180 0.1×
Bordetella antibody (86615) $9.25 $37 0.7×
Borrelia Antibody (86619) $9.25 $37 0.7×
Braf gene analysis (81210) $20.50 $82 0.1×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) $235.75 $943 0.5×
Brca1&2 gen full seq dup/del (81162) $977.50 $3,910 0.5×
Brucella antibody (86622) $39.50 $158 4.4×
C diff amplified probe (87493) $60.75 $243 1.6×
C-Peptide (84681) $34 $136 1.6×
C-reactive protein (86140) $30.50 $122 5.9×
Ca 19-9 (86301) $57 $228 2.7×
Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) $126 $504 0.8×
Calcitonin (82308) $46.25 $185 1.7×
Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) $54.25 $217 0.7×
Calcium ionized (82330) $48.25 $193 3.5×
Calcium total (82310) $24.50 $98 4.7×
Calcium; after calcium infusion test (82331) $3.75 $15 0.3×
Calculus Spectroscopy (82365) $27.75 $111 2.2×
Calprotectin Fecal (83993) $50.50 $202 2.6×
Calr gene com variants (81219) $65.25 $261 0.5×
Cancer Antigen 125 (86304) $61 $244 2.9×
Cancer Antigen 27.29 (86300) $64 $256 3.1×
Candida Dna Dir Probe (87480) $11.25 $45 0.6×
Carbamazepine free (80157) $9.25 $37 0.7×
Carbamazepine total (80156) $73 $292 5.0×
Carbohydrate Deficient Transferrin (82373) $12.50 $50 0.7×
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $4.50 $18 0.3×
Carboxyhemoglobin (82375) $43.50 $174 3.5×
Carcinoembryonic antigen (82378) $71.50 $286 3.8×
Cardiolipin ab iga (86147) $63 $252 2.5×
Carnitine Quantitative Each Specimen (82379) $9.25 $37 0.5×
Carotene (82380) $6.50 $26 0.7×
Catecholamines fractionated (82384) $43 $172 1.7×
Catecholamines total urine (82382) $12 $48 0.4×
Cathepsin-d (82387) $14.50 $58 0.8×
Ccnd1/Igh Translocation Alys (81168) $111.25 $445 0.5×
Ccp antibody (86200)
range across 2 matching MRF lines		 $13–$20.50 $52–$82 varies
Cebpa Gene Analysis Full Gene Sequence (81218) $129.75 $519 0.5×
Cell count csf (89051) $38.25 $153 6.8×
Cell marker study (88182) $26.25 $105 0.5×
Cellular Function Assay Stimul&Detect Biomarke (86352) $73 $292 0.5×
Ceruloplasmin (82390) $41.75 $167 3.9×
Chemotaxis Assay (86155) $11.25 $45 0.7×
Chlamydia Igm Antibody (86632) $37.25 $149 2.9×
Chlamydia trachomatis ag if (87270) $6.25 $25 0.5×
Chloramphenicol level (82415) $8.75 $35 0.7×
Chloride other source (82438) $3.75 $15 0.8×
Chloride Serum (82435) $20.25 $81 4.4×
Chloride urine (82436) $21.75 $87 3.8×
Chlorinated Hydrocarbons Screen (82441) $4 $16 0.7×
Cholesterol total (82465) $19.50 $78 4.5×
Cholinesterase Serum (82480) $17.50 $70 2.2×
Chondroitin B sulfate, quantitative Facility (82485) $3.75 $15 0.2×
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) $38 $152 0.7×
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) $35 $140 0.7×
Chorionic gonadotropin test (84702) $60 $240 4.0×
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $121 $484 0.6×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $13 $52 0.5×
Chrmsm Analysis Addl High Resolution Study (88289) $23.50 $94 0.7×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $52.25 $209 1.6×
Chrmsm Analysis Addl Specialized Banding (88283) $19 $76 0.3×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $116.75 $467 0.7×
Chrmsm Breakage Baseline Sister 20-25 Cll (88245) $43.25 $173 0.2×
Chrmsm Breakage Synds Score 100 Cll (88249) $116.75 $467 0.7×
Chromium serum (82495) $5 $20 0.2×
Chromogenic Substrate Assay (85130) $4.50 $18 0.4×
Chromogranin a (86316)
range across 2 matching MRF lines		 $40.50–$41.75 $162–$167 varies
Chromosome analys amniotic (88269) $112 $448 0.6×
Chromosome Analysis 15-20 (88262) $84 $336 0.7×
Chromosome Analysis 20-25 (88264)
range across 2 matching MRF lines		 $77.25–$84 $309–$336 varies
Chromosome analysis 45 cells (88263) $43.25 $173 0.3×
Chromosome analysis, 5 (88261) $118.75 $475 0.4×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $57.75 $231 1.6×
Citric acid urine (82507) $110 $440 4.0×
Ckmb (82553) $62.75 $251 5.4×
Clostridium Difficile (87324) $10.50 $42 0.9×
Clot Factor VIII Multimetric (85247) $15 $60 0.7×
Clot factor xiii fibrin stab (85290) $11.25 $45 0.7×
Clot lysis time, whole blood dilution Facility (85175) $3.25 $13 0.2×
Clot retraction (85170) $2.75 $11 0.2×
Clotting factor viii related antigen (85244) $14.25 $57 0.7×
Clotting factor xii hageman (85280) $13.25 $53 0.7×
Clotting Funct Activity (85397) $16.75 $67 0.5×
Clotting hi molec weight kininogen assay (85293) $13 $52 0.7×
Clotting prekallikrein assay fletcher fact assay (85292) $13 $52 0.7×
Coagulation time activated (85347) $38.50 $154 9.0×
Coagulation time other methods (85348) $2.75 $11 0.6×
Coagulation time; Lee and White Facility (85345) $3 $12 0.6×
Coccidioides antibody (86635) $22.75 $91 2.0×
Cold agglutinin screen (86156)
range across 2 matching MRF lines		 $28.25–$35 $113–$140 varies
Cold agglutinin titer (86157) $23 $92 2.9×
Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) $330 $1,320 0.6×
Compatibility Each Unit Incubation (86921) $27.75 $111 0.2×
Compatibility test antiglob (86922) $43.25 $173 0.3×
Complement Antigen Each Component (86160) $30 $120 2.5×
Complement Fixation Tests Each Antigen (86171) $7.25 $29 0.7×
Complement Total (Ch50) (86162) $32 $128 1.6×
Complement/Function Activity (86161) $8.50 $34 0.7×
Consltj Compre Review Reprt Referred Matrl (88325) $101.75 $407 0.6×
Consltj&Reprt Material Requiring Prepj Slides (88323) $74.75 $299 1.5×
Consltj&Reprt Slides Prepared Elsewhere (88321) $47.50 $190 1.4×
Coombs direct (86880)
range across 2 matching MRF lines		 $18.25–$27.75 $73–$111 varies
Copper urine (82525) $39.75 $159 3.2×
Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) $132.75 $531 0.2×
Cortisol free (82530) $31.50 $126 1.9×
Cortisol saliva (82533) $53.75 $215 3.3×
Creatine (82540) $3.25 $13 0.7×
Creatine kinase (CK), (CPK); isoforms Facility (82554) $8.25 $33 0.7×
Creatine kinase total (82550) $37.75 $151 5.8×
Creatinine blood (82565) $27.75 $111 5.4×
Creatinine clearance (82575) $63 $252 6.7×
Creatinine Urine (82570) $29.50 $118 5.7×
Crossmatch electronic (86923) $4.75 $19 0.0×
Crossmatch immediate spin (86920) $46.50 $186 0.3×
Crp High Sensitivity (86141) $35.25 $141 2.7×
Cryofibrinogen (82585) $6 $24 0.4×
Cryoglobulin (82595) $31 $124 4.8×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $7.25 $29 0.6×
Cryptococcal Antigen (87327) $6.25 $25 0.5×
Cryptococcus ab (86641) $10 $40 0.7×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines		 $23.25–$24.25 $93–$97 varies
Cryptosporidium (87272) $6.25 $25 0.5×
Cryptosporidium ag eia (87328) $11 $44 0.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $21.75 $87 2.7×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines		 $23–$34.50 $92–$138 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $24.50 $98 3.2×
Culture afb (87116) $39 $156 3.6×
Culture Anaerobic (87075) $38.50 $154 4.1×
Culture bacteria anaerobic (87073) $6.50 $26 0.7×
Culture blood (87040) $43 $172 4.2×
Culture chlamydia (87110) $13.50 $54 0.7×
Culture csf (87070) $44 $176 5.1×
Culture fungus (87102) $6.25 $25 0.7×
Culture fungus blood (87103) $52 $208 2.5×
Culture screen only (87081)
range across 5 matching MRF lines		 $19.75–$26.75 $79–$107 varies
Culture stool (87045) $43.25 $173 4.6×
Culture typing if ea antiserum (87140) $3.75 $15 0.7×
Culture urine (87086) $28.75 $115 3.6×
Culture, typing; identification by pulse field gel typing Facility (87152) $4 $16 0.5×
Cyanide (82600) $13.25 $53 0.7×
Cyclosporine (80158) $69.50 $278 3.9×
Cyp2c19 gene analysis common variants (81225) $150.25 $601 0.5×
Cystatin C (82610) $35.25 $141 1.9×
Cytogenetics 10-30 (88273) $22 $88 0.6×
Cytogenetics 100-300 (88275)
range across 5 matching MRF lines		 $27.25–$27.50 $109–$110 varies
Cytomegalovirus igg (86644) $35.25 $141 2.4×
Cytopath C/V Index Add-On (88155) $4.50 $18 0.3×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $16 $64 0.8×
Cytopath Cell Enhance Tech (88112) $31.75 $127 0.6×
Cytopath Fl Nongyn Filter (88106) $40.75 $163 1.5×
Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) $7.50 $30 0.1×
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) $7.50 $30 0.4×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $15.25 $61 0.6×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88166) $7.50 $30 0.4×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted… (88167) $7.50 $30 0.4×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) $7.50 $30 0.2×
Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician… (88152) $7.50 $30 0.3×
Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision Facility (88153) $7.50 $30 0.3×
Cytotoxic Antibody Screen Std (86807) $16 $64 0.2×
Cytotoxic pra quick (86808) $16 $64 0.5×
Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) $9.50 $38 0.4×
Cytp Concentration Smears & Interpretation (88108)
range across 2 matching MRF lines		 $31.25–$38 $125–$152 varies
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $30.50 $122 0.6×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $28 $112 0.2×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 2 matching MRF lines		 $25.50–$32.75 $102–$131 varies
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $143 $572 0.9×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $7.50 $30 0.4×
Cytp smrs any oth src extnd std > 5 slides (88162) $39.50 $158 0.8×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $18.25 $73 0.7×
Cytp Urine 3-5 Probes Cmptr (88121) $139.50 $558 0.9×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $10.50 $42 1.0×
Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection Facility (87166) $8 $32 0.7×
Deoxycortisol (82634) $20 $80 0.7×
Deoxyribonuclease antibody (86215) $21.25 $85 1.6×
Desoxycorticosterone (82633) $21 $84 0.7×
Detect Agent Nos Dna Amp (87798)
range across 3 matching MRF lines		 $45–$64 $180–$256 varies
Detect Agent Nos Dna Quant (87799) $73 $292 1.7×
Detect agnt mult DNA ampli (87801) $38.75 $155 0.6×
Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) $48.75 $195 0.3×
Dgp Antibody Each Ig Class (86258) $6.25 $25 0.5×
Dhea (82626) $17.50 $70 0.7×
Dhea-S (82627) $39.75 $159 1.8×
Dibucaine number (82638) $8.50 $34 0.7×
Digoxin (80162) $34.75 $139 2.6×
Diphtheria antitoxoid (86648) $10.75 $43 0.7×
Dipropylacetic Acid Free (80165) $9.75 $39 0.7×
Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) $73.50 $294 0.5×
Dna Antibody Native/Double Stranded (86225) $48 $192 3.5×
Dna Antibody Single Stranded (86226) $18.75 $75 1.5×
DNA/RNA direct probe (87149) $11 $44 0.5×
Drug assay adalimumab (80145) $20.75 $83 0.5×
Drug Assay Everolimus (80169) $7.50 $30 0.5×
Drug assay felbamate (80167) $10 $40 0.5×
Drug Assay Lacosamide (80235) $14.75 $59 0.5×
Drug assay voriconazole (80285) $14.75 $59 0.5×
Drug Asy Hydroxychloroquine (80220) $74.25 $297 4.0×
Drug Screen Quant Clozapine (80159) $23.25 $93 1.2×
Drug Screen Quant Zonisamide (80203) $7.50 $30 0.6×
Drug Screen Quantitative Gabapentin (80171) $22.50 $90 1.0×
Drug Screen Quantitative Lamotrigine (80175) $22.50 $90 1.7×
Drug Screen Quantitative Levetiracetam (80177) $22.50 $90 1.7×
Drug Screen Quantitative Oxcarbazepine (80183) $36.25 $145 2.7×
Drug Screen Quantitative Procainamide Metabolite (80192) $11.50 $46 0.7×
Drug Test Prsmv Chem Anlyzr (80307)
range across 3 matching MRF lines		 $48.25–$75.50 $193–$302 varies
Egfr Gene Analysis Common Variants (81235) $184 $736 0.6×
Ehrlichia antibody (86666) $36.75 $147 3.6×
El-1 Fecal Quantitative (82653) $12.50 $50 0.5×
Electrolyte panel (80051) $28.75 $115 4.1×
Electron Microscopy (88348) $328.75 $1,315 0.4×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $23.50 $94 0.4×
Encephaltis East Eqne Anbdy (86652) $9.25 $37 0.7×
Encephaltis West Eqne Antbdy (86654) $9.25 $37 0.7×
Endomysial Antibody Each Immunoglobulin Class (86231) $55 $220 4.5×
Enterovirus Antibody (86658) $17 $68 1.3×
Enzyme cell activity (82657) $12 $48 0.5×
Enzyme histochemistry (88319) $72.25 $289 0.1×
Eosinophil Smear (89190) $3.25 $13 0.6×
Erythropoietin (82668) $61.75 $247 3.3×
Estradiol serum (82670) $75.25 $301 2.7×
Estriol (82677) $55.25 $221 2.3×
Estrogen total (82672) $37.25 $149 1.7×
Estrogens fractionated (82671) $15.75 $63 0.5×
Ethylene Glycol (82693) $10.50 $42 0.7×
Euglobulin lysis (85360) $6 $24 0.7×
Exam Synovial Fluid Crystals (89060) $19 $76 2.6×
F2 Gene (81240) $58.25 $233 0.9×
Factor ii activity (85210) $4.75 $19 0.4×
Factor Inhibitor Test (85335) $7.25 $29 0.6×
Factor v activity (85220) $11.75 $47 0.7×
Factor v leiden mutation (81241) $128.50 $514 1.8×
Factor vii assay (85230) $58.25 $233 3.3×
Factor viii assay (85240) $22.50 $90 1.3×
Factor X (85260) $12.25 $49 0.7×
Factor xi activity (85270) $12.25 $49 0.7×
Factor xiii screen (85291) $6.25 $25 0.7×
Fat differential, feces, quantitative Facility (82715) $12 $48 0.5×
Fat stain feces urine/respir secretions (89125) $3 $12 0.5×
Fat/Lipids Feces Quantitative (82710) $37.25 $149 2.2×
Fatty acids free (82725) $9.25 $37 0.5×
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $5.50 $22 0.7×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $12 $48 0.7×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $7.25 $29 0.7×
Fecal Fat Qualitative (82705) $27 $108 5.3×
Ferritin (82728) $51 $204 3.7×
Fetal Congenital Abnor Assay Four Anal (81511) $82.50 $330 0.5×
Fetal Fibronectin (82731) $155.25 $621 2.4×
Fetal hemoglobin assay qual (83033) $4.25 $17 0.5×
Fetal lung maturity assessment; foam stability test Facility (83662) $13 $52 0.7×
Fetal Lung Maturity Fluorescence Polarization (83663) $13 $52 0.7×
Fetal screen rosette (85461) $25.50 $102 2.7×
Fibrin degradation products (85362) $29.75 $119 4.3×
Fibrin Degradation Quant (85379) $7.25 $29 0.7×
Fibrin dgradj products d-dimer qual/semiquan (85378) $45 $180 4.6×
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) $7.25 $29 0.7×
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $8 $32 0.6×
Fibrinogen activity (85384) $23.50 $94 2.4×
Fibrinogen antigen (85385) $6 $24 0.4×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $10.50 $42 0.7×
Fibrinolytic factors and inhibitors; plasmin Facility (85400) $6.25 $25 0.8×
Flow cytometry first marker (88184)
range across 2 matching MRF lines		 $38.75–$156.25 $155–$625 varies
Flt3 Gene (81245) $93 $372 0.6×
Flt3 gene analysis (81246) $44.75 $179 0.5×
Fluorescent antibody screen (86255) $28.25 $113 2.3×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 2 matching MRF lines		 $47–$57.75 $188–$231 varies
Folic acid rbc (82747) $35 $140 2.0×
Folic Acid Serum (82746) $34.50 $138 2.3×
Follicle Stimulating Hormone (83001) $49.75 $199 2.7×
Forensic Cytopathology (88125) $11.75 $47 0.2×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $18 $72 0.6×
Francisella tularensis (86668) $7.50 $30 0.5×
Fresh Frozen Plasma Thawing Each Unit (86927) $23 $92 0.1×
Frozen Blood Each Unit Freezing (86930) $19 $76 0.1×
Frozen Blood Each Unit Thawing (86931) $14.25 $57 0.1×
Frozen blood freeze/thaw (86932) $19 $76 0.5×
Frozen Section (88331) $69.50 $278 0.4×
Fungi Identification Mold (87107) $5.75 $23 0.6×
Fungi Identification Yeast (87106) $5.50 $22 0.5×
Galactokinase rbc (82759) $14.75 $59 0.7×
Galactose (82760) $5.75 $23 0.5×
Galactose transferase test (82776) $4.75 $19 0.4×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $14.50 $58 0.7×
Gammaglobulin ige (82785) $54 $216 3.3×
Gardner vag DNA dir probe (87510) $11.25 $45 0.6×
Gases Blood O2 Saturation Only Direct Meas (82810) $49.75 $199 5.1×
Gases blood ph only (82800) $21.25 $85 1.9×
Gastrin (82941) $37.50 $150 2.1×
Gastrin after secretin stim (82938) $12.25 $49 0.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $223.50 $894 0.5×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $56.50 $226 1.2×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $407.25 $1,629 0.5×
Genet Virus Isolate Hsv (87255) $55.75 $223 1.6×
Gentamicin (80170) $48 $192 2.9×
Ggt (82977) $24.25 $97 3.4×
Gh suppression panel (80430) $53 $212 0.4×
Giardia antigen (87329) $11.50 $46 1.0×
Giardia lamblia antibody (86674) $10 $40 0.7×
Gluc-6-phosphate dehydrogenase screen (82960) $4.50 $18 0.7×
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $31.25 $125 0.7×
Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) $34.25 $137 0.7×
Glucagon tolerance test Facility (82946) $10.50 $42 0.6×
Glucose 2 hr pp (82950) $7.25 $29 1.5×
Glucose Blood Test (82962) $12.75 $51 3.9×
Glucose body fluid (82945)
range across 3 matching MRF lines		 $2.75–$19 $11–$76 varies
Glucose Serum (82947) $16.50 $66 4.2×
Glucose tolerance test (gtt) (82951) $55.50 $222 4.3×
Glutamate dehydrogenase Facility (82965) $5 $20 0.4×
Glutathione reductase, RBC Facility (82979) $4.25 $17 0.5×
Glycated Protein (82985) $10 $40 0.6×
Gonadotropin Chorionic Qualitative (84703) $49.75 $199 6.6×
Gonadotropin releasing hormone (83727) $12 $48 0.7×
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) $100 $400 0.7×
Growth hormone (83003) $19.25 $77 1.2×
Growth hormone antibody (86277) $11 $44 0.7×
Growth Hormone Stimulation Panel (80428) $45.25 $181 0.7×
Gtt-added samples (82952) $6 $24 1.5×
H Pylori (C-13) Breath (83013) $19.75 $79 0.3×
Haloperidol (80173)
range across 2 matching MRF lines		 $8.75–$10 $35–$40 varies
Haptoglobin (83010) $8.75 $35 0.7×
Haptoglobin; phenotypes Facility (83012) $12 $48 0.4×
Hba1/Hba2 Gene (81257) $55 $220 0.5×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $108.75 $435 0.5×
Hbb Full Gene Sequence (81364) $174 $696 0.5×
Hdl Cholesterol (83718) $40.25 $161 4.9×
Heavy metal qualitative any analytes (83015) $13 $52 0.6×
Heinz Bodies Direct (85441) $3 $12 0.7×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $5 $20 0.7×
Helicobacter Pylori Stool (87338) $29 $116 2.0×
Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13) Facility (83009) $19.75 $79 0.3×
Helminth Antibody (86682) $8.50 $34 0.7×
Hematocrit (85014) $11.25 $45 4.7×
Hemoglobin (85018) $11.75 $47 5.0×
Hemoglobin a1c (83036) $27.25 $109 2.8×
Hemoglobin Chromotography (83021) $48.75 $195 2.7×
Hemoglobin Copper Sulfate Method Non-Automated (83026) $1.75 $7 0.4×
Hemoglobin electrophoresis (83020) $7.25 $29 0.6×
Hemoglobin F Fetal Chemical (83030) $5.75 $23 0.5×
Hemoglobin Methemoglobin Quantitative (83050) $9.75 $39 1.2×
Hemoglobin plasma (83051) $36.25 $145 5.0×
Hemoglobin stability screen (83068) $6 $24 0.6×
Hemoglobin Thermolabile (83065) $5 $20 0.6×
Hemoglobin urine (83069) $2.75 $11 0.7×
Hemoglobin-Oxygen Affinity (82820) $7.25 $29 0.5×
Hemoglobin; methemoglobin, qualitative Facility (83045) $3.75 $15 0.6×
Hemolysin Acid (85475) $6.25 $25 0.7×
Hemolysins&Agglutinins Auto Screen Each (86940) $5.75 $23 0.7×
Hemolysins&Agglutinins Incubated (86941) $8 $32 0.7×
Hemosiderin urine (83070) $27 $108 5.7×
Hep a ab igm (86709) $34.50 $138 3.1×
Heparin assay (85520) $13.25 $53 1.0×
Heparin-Protamine Tolerance Tst (85530) $9.75 $39 0.7×
Hepatitis a antibody total (86708) $66.75 $267 5.4×
Hepatitis b core ab igm (86705) $45.50 $182 3.9×
Hepatitis b core ab total (86704) $59.50 $238 4.9×
Hepatitis B Surface Antibody (86706) $49.25 $197 4.6×
Hepatitis B Surface Antigen (87340) $47.50 $190 4.6×
Hepatitis Be Antibody (86707) $18.50 $74 1.6×
Hepatitis Be Antigen (87350) $18.75 $75 1.6×
Hepatitis C Antibody (86803) $53.75 $215 3.8×
Hepatitis c antibody confirmatory test (86804) $10.75 $43 0.7×
Hepatitis C Genotype (87902) $147 $588 0.6×
Hepatitis C Probe&Rvrs Trnsc (87521) $89.25 $357 2.5×
Hepatitis C Revrs Trnscrpj (87522) $125 $500 2.9×
Hepatitis delta ag (87380) $11.50 $46 0.6×
Hepatitis Delta Agent Antibody (86692) $12 $48 0.7×
Hepatitis G Dna Quant (87527) $11.50 $46 0.3×
Hereditary brst ca-related gen seq analys 10 gen (81432) $363.75 $1,455 0.3×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $313.50 $1,254 0.2×
Herpes simplex type 2 (86696) $29 $116 1.5×
Heterophile antibodies titer (86309)
range across 2 matching MRF lines		 $4.50–$4.75 $18–$19 varies
Heterophile Antibody Screen (86308) $34.50 $138 6.7×
Hfe Gene (81256) $194.25 $777 3.0×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $19 $76 2.5×
Histamine urine (83088)
range across 2 matching MRF lines		 $14.75–$19 $59–$76 varies
Histoplasma antibody (86698) $59.50 $238 4.3×
Histoplasma antigen urine (87385) $30.75 $123 2.3×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $13 $52 0.5×
Hiv-1 Antibody (86701) $18.25 $73 2.1×
HIV-1 p24 antigen (87390) $12.25 $49 0.5×
Hiv-1 Quant&Revrse Trnscrpj (87536) $125.25 $501 1.5×
Hla I Typing 1 Allele Hr (81381) $91.25 $365 0.5×
Hla Typing a/B/C Multiple Antigens (86813) $39.25 $157 0.7×
Hla Typing Dr/Dq Multiple Antigens (86817) $43.50 $174 0.4×
Hla Typing Dr/Dq Single Antigen (86816) $19 $76 0.6×
Hla-b27 (86812) $39.50 $158 1.5×
Homocysteine (83090) $50.50 $202 2.8×
Homogenization Tissue (87176) $4 $16 0.7×
Hpa-1 genotyping gene analysis common variant (81105) $65.75 $263 0.5×
Hpv High-Risk Types (87624) $125.25 $501 3.6×
Hsv Dna Amp Probe (87529)
range across 2 matching MRF lines		 $71.50–$86.25 $286–$345 varies
Hsv Dna Quant (87530)
range across 3 matching MRF lines		 $23.25–$32 $93–$128 varies
Htlv-I Antibody (86687) $6 $24 0.7×
Htlv-ii antibody (86688) $9.75 $39 0.7×
Htt Gene Detc Abnor Alleles (81271) $73.50 $294 0.5×
Hydroxycorticosteroids 17 (83491) $12 $48 0.7×
Hydroxyprogesterone 17-d (83498) $25 $100 0.9×
Hydroxyproline total (83505) $16.50 $66 0.7×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $6.25 $25 0.5×
Iaad Ia Cytomegalovirus (87332) $6.25 $25 0.5×
Iaad Ia Entamoeba Histolytica Grp (87337) $6.25 $25 0.5×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $5.75 $23 0.6×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $20.50 $82 1.5×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $25.75 $103 0.7×
Iaad ia shiga-like toxin (87427) $6 $24 0.5×
Iaad Ia Streptococcus Group A (87430) $26.25 $105 1.6×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $6.25 $25 0.5×
Iaadi giardia (87269) $6.25 $25 0.5×
Iaadi herpes smplx virus type 1 (87274) $6.25 $25 0.5×
Iaadi herpes smplx virus type 2 (87273) $6.25 $25 0.5×
Iaadi inffluenza a virus (87276) $24.75 $99 1.5×
Iaadi not otherwise specified each organism (87299) $6.25 $25 0.4×
Iaadi parainfluenza virus each type (87279) $6.25 $25 0.4×
Iaadi pneumocustis carinii (87281) $28 $112 2.3×
Iaadi respiratory synctial virus (87280) $13.50 $54 1.0×
Iaadiadoo trichomonas vaginalis (87808) $6.25 $25 0.4×
Iadna Bartonella Amplified Probe Technique (87471) $23.75 $95 0.7×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $23.75 $95 0.7×
Iadna Candida Species Amplified Probe Tq (87481) $18.75 $75 0.5×
Iadna chlamydia pneumoniae amplified probe tq (87486) $23.75 $95 0.7×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $99.25 $397 2.8×
Iadna Cytomegalovirus Direct Probe Tq (87495) $14 $56 0.5×
Iadna Cytomegalovirus Quantification (87497) $101.50 $406 2.4×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $38.75 $155 0.6×
Iadna Hepatitis B Virus Quantification (87517) $66 $264 1.5×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $23.75 $95 0.7×
Iadna Herpes Virus-6 Quantification (87533) $11.50 $46 0.3×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $23.75 $95 0.7×
Iadna Hiv-2 Quant & Reverse Transcription (87539) $11.50 $46 0.2×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $23.75 $95 0.7×
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $14 $56 0.5×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $23.75 $95 0.5×
Iadna Mycobacteria Species Direct Probe Tq (87550) $14 $56 0.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $33.50 $134 0.8×
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $14 $56 0.5×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $95.50 $382 2.7×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $52 $208 1.5×
Iadna Nos Direct Probe Tq Each Organism (87797) $14 $56 0.5×
Idh1 common variants (81120) $103.75 $415 0.5×
Idh2 common variants (81121) $158.75 $635 0.5×
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines		 $9.50–$74.50 $38–$298 varies
Igg subclasses (82787) $5.50 $22 0.7×
Igh gene rearrange amp meth (81261) $27 $108 0.1×
Igh@ Variable Region Somatic Mutation Analysis (81263) $158 $632 0.5×
IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) $119 $476 0.6×
Immune Complex Assay (86332) $16.75 $67 0.7×
Immunfix e-phorsis/urine/csf (86335) $78.50 $314 2.7×
Immunoassay analyte qual/semiqual single step (83518) $3.25 $13 0.3×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 8 matching MRF lines		 $24.50–$200.75 $98–$803 varies
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $8 $32 0.3×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $10 $40 0.7×
Immunoassay nonantibody (83516)
range across 7 matching MRF lines		 $5.75–$32.50 $23–$130 varies
Immunoelectrophoresis Serum (86320) $15.50 $62 0.5×
Immunofixation electrophoresis (86334) $44 $176 2.0×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines		 $29.50–$52.25 $118–$209 varies
Immunohistochemistry (88342) $44.25 $177 0.3×
In situ hybridization 1st probe stain (88365) $82.75 $331 0.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) $12.25 $49 0.6×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) $6.25 $25 0.4×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $6.25 $25 0.4×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) $3.25 $13 0.3×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $6.25 $25 0.4×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $51 $204 0.7×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) $6.25 $25 0.3×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $6.25 $25 0.4×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) $6.25 $25 0.3×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $6.25 $25 0.5×
Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) $6.25 $25 0.5×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $6.75 $27 0.6×
Infectious agent antigen detection by immunofluorescent technique; Rubeola Facility (87283) $6.25 $25 0.1×
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) $29 $116 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) $14 $56 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) $11.50 $46 0.2×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) $14 $56 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) $29 $116 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) $11.50 $46 0.2×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $23.75 $95 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $14 $56 0.4×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $23.75 $95 0.6×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) $14 $56 0.5×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) $14 $56 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $14 $56 0.2×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) $14 $56 0.6×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) $14 $56 0.6×
Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) $11.50 $46 0.3×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) $29 $116 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) $29 $116 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) $14 $56 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification Facility (87582) $11.50 $46 0.0×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) $14 $56 0.7×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) $11.50 $46 0.3×
Infectious Agent Dna/Rna Vancomycin Resistance (87500) $23.75 $95 0.7×
Influenza a/b ag eia (87400) $26.25 $105 1.9×
Influenza assay w/optic (87804) $7.75 $31 0.5×
Influenza DNA amp probe (87502) $75.50 $302 0.8×
Inhibin A (86336) $44.50 $178 2.9×
Inhibin b (83520)
range across 17 matching MRF lines		 $8.75–$76 $35–$304 varies
Insitu hybridization auto (88367) $124.75 $499 0.4×
Insitu hybridization manual (88368) $109.50 $438 0.3×
Insulin antibodies (86337) $14.75 $59 0.7×
Insulin free (83527) $9 $36 0.7×
Insulin tolerance panel growth horm defncy (80435) $69.50 $278 0.7×
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) $68.25 $273 0.2×
Insulin total (83525) $29 $116 2.5×
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) $91 $364 0.5×
Interleukin-6 (83529) $48.75 $195 2.8×
Intrinsic factor (stomach protein) level (83528) $11 $44 0.6×
Iron (83540) $26.50 $106 4.1×
Iron Binding Capacity (83550) $32 $128 3.7×
Iron stain peripheral blood (85536) $4.75 $19 0.7×
Irradiation Blood Product Each Unit (86945) $10 $40 0.3×
Islet cell antibody (86341) $15.50 $62 0.7×
Isocitric dehydrogenase (IDH) Facility (83570) $6.25 $25 0.7×
Jak2 gene analysis p.val617phe variant (81270) $105 $420 1.1×
Jak2 Gene Trgt Sequence Alys (81279) $89.50 $358 0.5×
Ketosteroids 17 total (83586) $9 $36 0.7×
Koh Prep (87220) $8 $32 1.9×
L/s ratio (83661) $15.25 $61 0.7×
Lactate (ld) (ldh) enzyme (83615) $21.25 $85 3.5×
Lactoferrin fecal qualitative (83630) $19.50 $78 1.0×
Lactogen Hpl Human Chorionic Somatomammotropin (83632) $14 $56 0.7×
Lactose urine qual (83633) $4 $16 0.4×
Lamellar Body Count (83664) $13 $52 0.7×
Lead (83655) $24.75 $99 2.0×
Legionella antibody (86713) $69.50 $278 4.5×
Legionella antigen urine (87449)
range across 5 matching MRF lines		 $6.50–$75.50 $26–$302 varies
Legionella DNA probe (87540) $14 $56 0.7×
Legionella pneumophila dfa (87278) $30.75 $123 2.0×
Leptospira antibody (86720) $9.25 $37 0.6×
Leukocyte Assessment Fecal (89055) $21.75 $87 5.1×
Leukocyte Histamine Release (86343) $8.75 $35 0.7×
Leukocyte phagocytosis (86344) $5.75 $23 0.6×
Leukocyte transfusion (86950) $11.75 $47 0.1×
Level I Surg Pathology Gross Examination Only (88300) $12.50 $50 0.5×
Level ii surg pathology gross&microscopic exam (88302) $30.50 $122 0.9×
Level V Surg Pathology Gross&Microscopic Exam (88307) $96 $384 0.3×
Lidocaine (80176) $40.25 $161 2.7×
Lipase (83690) $45.25 $181 6.6×
Lipoprotein A (83695) $9 $36 0.6×
Lipoprotein Bld Quan Part (83704) $21.75 $87 0.6×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $8 $32 0.7×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $16.75 $67 0.5×
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $8.25 $33 0.6×
Lipoprotein-Associated Phospholipase A2 (83698) $23.25 $93 0.5×
Listeria Monocytogenes (86723) $9.25 $37 0.7×
Lithium (80178) $25 $100 3.8×
Luteinizing Hormone (Lh) (83002) $46.25 $185 2.5×
Lyme disease antibody (86618) $78.25 $313 4.6×
Lymphocyte Culture Mixed (86821) $38.25 $153 1.0×
Lymphocytotoxicity Assay (86805) $35.50 $142 0.2×
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) $32.25 $129 0.7×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $104.50 $418 0.7×
M/phmtrc alys ishquant/semiq (88374) $136.50 $546 0.9×
Macroscopic exam arthropod (87168) $3 $12 0.7×
Macroscopic Exam Parasite (87169) $3 $12 0.7×
Magnesium Urine (83735) $25 $100 3.7×
Malate dehydrogenase Facility (83775) $5.25 $21 0.7×
Meat fibers, feces (89160) $2.75 $11 0.6×
Mechanical fragility rbc (85547) $4.75 $19 0.6×
Mercury urine (83825) $34.50 $138 2.1×
Methemalbumin (83857) $7.50 $30 0.7×
Methotrexate (80204) $20.75 $83 0.5×
Methylmalonic acid serum (83921) $19.50 $78 0.9×
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) $61.50 $246 0.7×
Microalbumin, quantitative (82043) $25.75 $103 4.5×
Microbe Suscept Macrobroth (87188) $3.25 $13 0.5×
Microsatellite instability (81301) $187 $748 0.5×
Microsomal Antibodies Each (86376) $36 $144 2.5×
Mitochondrial Antibody Each (86381) $14 $56 0.6×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $108.75 $435 0.5×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $362 $1,448 0.5×
Mog-Igg1 Antb Cba Each (86362) $6.50 $26 0.5×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $18.50 $74 0.5×
Molecular Cytogenetics Dna Probe Each (88271)
range across 8 matching MRF lines		 $11.75–$14.75 $47–$59 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $23.75 $95 0.6×
Molecular Pathology Procedure Level 6 (81405) $161.75 $647 0.5×
Mononuclear cell antigen (86356) $14 $56 0.5×
Mopath procedure level 2 (81401)
range across 2 matching MRF lines		 $73.50–$95.50 $294–$382 varies
Mopath procedure level 4 (81403)
range across 2 matching MRF lines		 $104.25–$145 $417–$580 varies
Mopath procedure level 5 (81404)
range across 2 matching MRF lines		 $87.50–$153.50 $350–$614 varies
Mopath procedure level 7 (81406) $151.75 $607 0.5×
Mopath procedure level 9 (81408) $41.75 $167 0.0×
Morphometric analysis nerve (88356) $148.50 $594 3.0×
Morphometric Analysis Tumor (88358) $39 $156 0.2×
Mpl gene analysis sequence analysis exon 10 (81339) $99.25 $397 0.5×
Mpl gene common variants (81338) $89.50 $358 0.6×
Mrsa Pcr (87641) $29.75 $119 0.8×
Msh2 Gene Analysis Duplication/Deletion Variants (81297)
range across 2 matching MRF lines		 $114.50–$344 $458–$1,376 varies
Msh2 Gene Analysis Full Sequence Analysis (81295) $204.75 $819 0.5×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $127.75 $511 0.5×
Mthfr Gene Analysis Common Variants (81291) $33.50 $134 0.5×
Mucin Clot Body Fluid (83872) $6.50 $26 1.1×
Mucopolysaccharides acid quantitative (83864) $13.50 $54 0.5×
Mumps antibody (86735) $19.25 $77 1.5×
Mycobacteric Identification (87118) $8 $32 0.5×
Mycophenolic Acid (80180) $9.75 $39 0.5×
Mycoplasma antibody (86738) $69.25 $277 5.2×
Myd88 Gene P.Leu265pro Vrnt (81305) $94.25 $377 0.5×
Myelin basic protein csf (83873) $34.75 $139 2.0×
Myoglobin urine (83874) $54 $216 4.2×
Natriuretic peptide (83880) $49 $196 1.2×
Nerve teasing preparations (88362) $139.50 $558 0.2×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $27.75 $111 0.9×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $76.50 $306 0.5×
Nfct ds chrnc hcv 6 assays (81596) $40.75 $163 0.6×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $69 $276 0.5×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $18 $72 0.7×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $328.25 $1,313 0.7×
Niacin (84591) $9 $36 0.5×
Nickel level (83885) $16.75 $67 0.7×
Nk cells total count (86357)
range across 2 matching MRF lines		 $19–$25.50 $76–$102 varies
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $132.50 $530 0.5×
Nuclear antigen antibody (86235)
range across 2 matching MRF lines		 $29.25–$52 $117–$208 varies
Nzym actv blood cells/tiss radact substrate ea (82658) $12.50 $50 0.3×
Obstetric panel (80081) $38.75 $155 0.5×
Occult blood feces (82272) $2.50 $10 0.6×
Occult Blood Other Sources (82271) $10.75 $43 2.0×
Oligoclonal bands (83916) $57.25 $229 2.1×
Oncoprotein Her-2/Neu (83950) $43.50 $174 0.7×
Organic acids urine (83918) $11.50 $46 0.5×
Osmolality serum (83930) $25.25 $101 3.8×
Osmolality Urine (83935) $27.75 $111 4.1×
Osmotic fragility rbc incubated (85557) $9.25 $37 0.7×
Osmotic Fragility RBC Unincubated (85555) $4.75 $19 0.6×
Osteocalcin (83937) $20.25 $81 0.7×
Ova and parasites smears (87177) $38.25 $153 4.3×
Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) $7.25 $29 0.6×
Palb2 gene full gene seq (81307) $362.50 $1,450 0.5×
Pancreatic Elastase Fecal (82656) $8 $32 0.7×
Particle Agglut Antbdy Titr (86406)
range across 2 matching MRF lines		 $5.75–$7.50 $23–$30 varies
Particle Agglutination Screen Each Antibody (86403) $40 $160 3.5×
Parvovirus antibody (86747) $15.50 $62 1.0×
Path Consltj Surg Cytologic Exam Initial Site (88333) $14.50 $58 0.0×
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $24.25 $97 0.5×
Pathology Consultation During Surgery (88329) $26.75 $107 0.5×
Ph urine (81003) $16.25 $65 7.2×
Phenobarbital Level (80184) $42.75 $171 2.8×
Phenotype Infect Agent Drug (87900) $87.75 $351 0.7×
Phenylalanine (84030) $4 $16 0.7×
Phenylketones qual (84035) $2 $8 0.5×
Phenytoin (Dilantin) (80185) $43 $172 3.2×
Phenytoin free (80186) $9.50 $38 0.7×
Phosphatase acid prostatic (84066) $6.75 $27 0.7×
Phosphatase alkaline (84075) $23.75 $95 4.6×
Phosphatidylglycerol (84081) $11.50 $46 0.7×
Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) $4.75 $19 0.5×
Phospholipid Neutralization Hexagonal (85598) $9.75 $39 0.5×
Phosphorus Serum (84100) $20 $80 4.2×
Platelet Aggregation (85576) $14.75 $59 0.6×
Platelet Antibodies (86022) $69.75 $279 3.8×
Platelet count automated (85049) $18.25 $73 4.1×
Platelet neutralization (85597) $12.50 $50 0.7×
Pmp22 Gene Analysis Full Sequence Analysis (81325) $555.50 $2,222 0.7×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $109.25 $437 0.5×
Pms2 gene full seq analysis (81317) $362.50 $1,450 0.5×
Pooling blood platelets (86965) $73.25 $293 0.5×
Porphobilinogen Urine Qualitative (84106) $3 $12 0.5×
Porphobilinogen, urine; quantitative (84110) $14.50 $58 1.7×
Porphyrins Feces Quantitative (84126) $17.50 $70 0.4×
Porphyrins Urine Quantitation & Fractionation (84120) $69.25 $277 4.7×
Porphyrins, urine; qualitative (84119) $6 $24 0.4×
Potassium Urine (84133) $15 $60 3.2×
Pr assay of bradykinin (82286) $5 $20 1.0×
Prealbumin (84134) $45 $180 3.1×
Pregnancy-Associated Plasma Protein-A (84163) $5.75 $23 0.4×
Pregnanediol (84135) $13 $52 0.6×
Pregnanetriol (84138) $13 $52 0.6×
Pregnenolone (84140) $11.25 $45 0.5×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $72.25 $289 0.5×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $16.25 $65 0.3×
Pretx serum rbc antibody identification dilution (86976) $6 $24 0.2×
Primidone (80188) $43 $172 2.6×
Procalcitonin (Pct) (84145) $71.75 $287 2.6×
Progesterone (84144) $56.25 $225 2.7×
Prolactin (84146) $83.25 $333 4.3×
Prostaglandin (84150) $21.75 $87 0.5×
Protein Alys Wstrn Blot I&R Immunological Ea (88372) $15.75 $63 0.6×
Protein body fluid (84157) $2.75 $11 0.7×
Protein C Activity (85303) $48.25 $193 3.5×
Protein c antigen (85302) $40 $160 3.3×
Protein Electrophoresis Urine (84166) $12.25 $49 0.7×
Protein Electrophoretic Fractj&Quantj Serum (84165) $12 $48 1.1×
Protein S Free (85306) $8.50 $34 0.6×
Protein s total (85305) $39.50 $158 3.4×
Protein Total Refractometry Any Src (84160) $3.75 $15 0.7×
Protein total serum (84155) $29.25 $117 8.0×
Protein Total Urine (84156) $29.25 $117 8.0×
Protein Western Blot Test (84182) $15 $60 0.5×
Protein, western blot tissue (88371) $15.25 $61 0.7×
Prothrombin Time Substitution Plasma Frctj Each (85611) $2.75 $11 0.7×
Protoporphyrin rbc quantitative (84202) $33.50 $134 2.3×
Protoporphyrin, RBC; screen Facility (84203) $4.75 $19 0.5×
PSA free (84154) $12 $48 0.7×
Pten Gene Analysis Duplication/Deletion Variant (81323) $160.75 $643 0.5×
Pten Gene Analysis Full Sequence Analysis (81321) $321.50 $1,286 0.5×
Pth Intact (83970) $92.50 $370 2.2×
Pyruvate kinase (84220) $3 $12 0.3×
Q Fever Antibody (86638) $8.50 $34 0.7×
Quantiferon tb gold plus (86480) $70.25 $281 1.1×
Quantitative assay drug (80299) $49.50 $198 2.7×
Quantitative Screen Metals (83018) $24.50 $98 1.1×
Quinidine (80194) $10 $40 0.7×
Quinine (84228) $8.25 $33 0.7×
Rbc antibody elution (86860) $37.25 $149 0.2×
Rbc antibody identification (86870) $136.50 $546 0.4×
Rbc antibody screen (86850) $27.50 $110 2.8×
Rbc pretreatment serum (86978) $25.50 $102 0.5×
Rbc pretx incubatj w/enzymes (86971) $136.50 $546 0.9×
Rbc serum pretx incubj drugs (86975) $16.25 $65 0.0×
Reagent Strip/Blood Glucose (82948) $9.50 $38 1.9×
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $35.50 $142 0.5×
Receptor assay estrogen (84233) $43.50 $174 0.5×
Receptor assay progesterone (84234) $44 $176 0.7×
Renin activity plasma (84244) $72.50 $290 3.3×
Reptilase test (85635) $6.75 $27 0.7×
Resp virus 12-25 targets (87633) $223.50 $894 0.5×
Reticulocyte Count (85046) $4 $16 0.7×
Reticulocyte separation (86972) $14.50 $58 0.1×
Rh (86901)
range across 2 matching MRF lines		 $19–$19.50 $76–$78 varies
Rheumatoid Factor Qualitative (86430) $31 $124 5.0×
Rheumatoid factor quant (86431) $29 $116 5.1×
Rickettsia antibody (86757) $30 $120 1.6×
Ristocetin cofactor (85245) $24.75 $99 1.1×
Rotavirus ag eia (87425) $38.75 $155 3.2×
Rpr qualitative (86592)
range across 2 matching MRF lines		 $19–$34.50 $76–$138 varies
Rsv Assay W/Optic (87807) $6.75 $27 0.5×
Rubella Antibody (86762) $32.75 $131 2.3×
Rubeola antibody (86765) $27.25 $109 2.1×
Russell Viper Venom Time Diluted (85613) $23.25 $93 2.4×
Russell Viper Venon Time Undiluted (85612) $4.25 $17 0.2×
Salmonella antibody (86768) $9.25 $37 0.7×
Sars-Cov-2 Covid-19 Amp Prb (87635) $59 $236 1.1×
Sars-cov-2 COVID-19 antibody (86769) $22.75 $91 0.5×
Sarscov2 & inf a&b amp prb (87636) $76.75 $307 0.5×
Sedimentation rate (85651) $26.75 $107 6.3×
Sedimentation Rate, Automated (85652) $2 $8 0.7×
Selenium (84255) $22.25 $89 0.9×
Semen analysis complete (89322) $10.75 $43 0.7×
Semen analysis motility and count (89310) $6 $24 0.7×
Sensitivity mic (87186) $21.75 $87 2.5×
Serum Bactericidal Titer (87197) $7.75 $31 0.5×
Sex Chromatin Identification Barr Bodies (88130) $10.50 $42 0.6×
Sex Hormone Binding Globulin (84270) $15 $60 0.7×
Sickling of rbc reduction (85660) $13.50 $54 2.5×
Silica (84285) $16.25 $65 0.6×
Sirolimus (80195) $29.25 $117 2.1×
Skin Test Candida (86485) $3.75 $15 0.1×
Skin test unlisted antigen each (86486) $2.75 $11 0.1×
Smear acid fast (87206) $19.25 $77 3.6×
Smear gram stain (87205) $21.75 $87 5.1×
Smear Special Stain (87207) $20.25 $81 3.4×
Smn1 Gene Dos/Deletion Alys (81329) $37.50 $150 0.3×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 2 matching MRF lines		 $18.25–$23 $73–$92 varies
Sodium Serum (84295) $16.25 $65 3.4×
Sodium Urine (84300) $18.50 $74 3.7×
Soluble fibrin monomer (85366) $6 $24 0.1×
Soluble Transferrin Receptor (84238) $24.75 $99 0.7×
Somatomedin (84305) $11.75 $47 0.6×
Somatostatin (84307) $12.50 $50 0.7×
Special Stains Group 1 (88312) $35 $140 0.7×
Special Stains Group 2 (88313) $23.50 $94 0.2×
Specific gravity body fluid (84315) $1.25 $5 0.4×
Specimen infect agnt concntj (87015)
range across 3 matching MRF lines		 $8–$16.25 $32–$65 varies
Spectrophotometry (84311)
range across 3 matching MRF lines		 $4.75–$38.50 $19–$154 varies
Sperm Antibodies (89325) $7.50 $30 0.7×
Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) $13.50 $54 0.7×
Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) $6.75 $27 0.7×
Sperm evaluation; hamster penetration test Facility (89329) $14.50 $58 0.7×
Splitting Blood/Blood Products Each Unit (86985) $4.25 $17 0.0×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $8 $32 0.0×
Stem cells total count (86367) $25.50 $102 0.3×
Stone Analysis (82355) $8.25 $33 0.7×
Stool cultr aerobic bact ea (87046)
range across 3 matching MRF lines		 $5.25–$28 $21–$112 varies
Strep a assay w/optic (87880) $9.25 $37 0.6×
Strep a DNA amp probe (87651) $23.75 $95 0.7×
Strep b DNA amp probe (87653) $23.75 $95 0.7×
Streptokinase, antibody Facility (86590) $6.75 $27 0.5×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $8 $32 0.7×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $4 $16 0.7×
Sugars Multiple Quant (84379) $8 $32 0.7×
Sugars Single Qual (84376) $28 $112 5.1×
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $13.50 $54 0.3×
Surg path level iii (88304) $31.75 $127 0.6×
Surgical pathology level IV (88305) $43.50 $174 0.9×
Surgical pathology level vi (88309) $133.50 $534 0.2×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $11.50 $46 2.4×
Susceptibility Study Antimicrobial Disk Method (87184) $21 $84 2.8×
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $4.25 $17 0.1×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $4.25 $17 0.6×
Sweat Collection Iontophoresis (89230) $2.50 $10 0.1×
Syphilis Test Non-Trep Quant (86593) $3.25 $13 0.7×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $63.50 $254 1.4×
T cells total count (86359) $25.50 $102 0.7×
T3 Free (84481) $37.75 $151 2.2×
T3 reverse (84482) $15.50 $62 1.0×
T3 Total (84480) $49.75 $199 3.5×
T3 Uptake (84479) $32 $128 4.9×
T4 Free (84439) $39.25 $157 4.4×
T4 total (84436) $23.75 $95 3.5×
T4-neonatal (84437) $6.25 $25 1.0×
Tacrolimus (80197) $55.25 $221 4.0×
Tb ag response t-cell susp (86481) $36.25 $145 0.4×
Test for acetone/ketones (82009) $21.75 $87 4.8×
Test for urine cystines (82615) $5.75 $23 0.6×
Testosterone Bioavailable (84410) $106.50 $426 2.1×
Testosterone total (84403) $30 $120 1.2×
Testosterone, Free (84402) $49.50 $198 1.9×
Tetanus antibody (86774) $10 $40 0.7×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $320.50 $1,282 0.5×
Thawing and expansion of frozen cells, each aliquot Facility (88241) $7.25 $29 0.6×
Theophylline (80198) $43 $172 3.0×
Thiopurine methyltransferase (84433) $81 $324 3.7×
Thrombin Time (85670) $19.25 $77 3.3×
Thrombin time titer (85675) $5 $20 0.7×
Thrombomodulin Facility (85337) $7.50 $30 0.4×
Thromboplastin Inhibition Tissue (85705) $6.75 $27 0.7×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $4.75 $19 0.7×
Thyroglobulin (84432) $23.50 $94 1.5×
Thyroglobulin Antibody (86800) $37.25 $149 2.3×
Thyroid Stimulating Immunoglobulin (84445) $33 $132 0.6×
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $34.25 $137 0.7×
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) $45.50 $182 0.7×
Tiss cul neo disorders solid tumor (88239) $43.25 $173 0.3×
Tiss Trnsgltmnase Ea Ig Clas (86364) $6.25 $25 0.5×
Tissue Culture Amniotic Fluid (88235) $43.25 $173 0.3×
Tissue culture bone marrow (88237) $85 $340 0.6×
Tissue Culture Lymphocyte (88230) $43.25 $173 0.4×
Tobramycin peak (80200) $44.50 $178 2.8×
Topiramate (80201) $31.50 $126 2.6×
Touch prep (88161)
range across 2 matching MRF lines		 $19.25–$28 $77–$112 varies
Toxoplasma ab igm (86778) $48.75 $195 3.4×
Toxoplasma antibody (86777) $37.25 $149 2.6×
Tp53 gene analysis full gene sequence (81351) $344 $1,376 0.5×
Tp53 gene analysis targeted sequence analysis (81352) $177 $708 0.5×
Tpmt gene com variants (81335) $87.50 $350 0.5×
Transferase Aspartate Amino Ast Sgot (84450) $33 $132 6.4×
Transferrin (84466) $28.25 $113 2.2×
Trb@ Rearrangement Anal Amplification Method (81340) $112.25 $449 0.5×
Trg gene rearrangement anal (81342) $108.25 $433 0.5×
Trichinella Antibody (86784) $8.75 $35 0.7×
Trichomonas vagin dir probe (87660) $11.25 $45 0.6×
Trichomonas Vaginalis Amplif (87661) $35 $140 1.0×
Triglycerides (84478) $28.25 $113 4.9×
Troponin Quant (84484) $56.75 $227 4.6×
Troponin, qualitative (84512) $5.50 $22 0.5×
Trypsin feces qual (84488) $4 $16 0.5×
Tumor immunohistochem/comput (88361) $56.25 $225 0.2×
Tumor Immunohistochem/Manual (88360) $40.75 $163 0.3×
Ugt1a1 gene analysis common variants (81350) $57.75 $231 0.2×
Unlisted Cytogenetic Study (88299) $114 $456 2.3×
Unlisted Surgical Pathology Procedure (88399) $24.25 $97 0.5×
Unlisted Transfusion Medicine Procedure (86999) $47 $188 1.7×
Urea Nitrogen Clearance (84545) $4.50 $18 0.6×
Urea nitrogen urine (84540) $3.25 $13 0.6×
Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) $2.75 $11 0.5×
Uric acid other source (84560) $28.25 $113 5.6×
Urinalysis Volume Measure (81050) $4.50 $18 1.2×
Urine Bacteria Culture (87088) $31 $124 3.8×
Urine Pregnancy Test (81025) $4.25 $17 0.5×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $23 $92 7.3×
Urobilinogen urine qual (84578) $2.25 $9 0.5×
Urobilinogen, feces, quantitative Facility (84577) $8.75 $35 0.5×
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $5 $20 0.5×
Urobilinogen, urine; semiquantitative Facility (84583) $3.75 $15 0.6×
Valproic acid (80164) $35.75 $143 2.6×
Vancomycin (80202) $44.75 $179 3.3×
Varicella-zoster antibody (86787) $42.75 $171 3.3×
Viral Culture (87252) $104.75 $419 4.0×
Virus antibody nos (86790)
range across 6 matching MRF lines		 $7.25–$29.25 $29–$117 varies
Virus inoculate tissue addl (87253) $14 $56 0.7×
Virus inoculation, shell via (87254) $11 $44 0.6×
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $13.50 $54 0.7×
Viscosity serum (85810) $18.75 $75 1.6×
Vit D 1 25-Dihydroxy (82652) $40.75 $163 1.1×
Vitamin A (84590) $29 $116 2.5×
Vitamin b-12 (82607) $39 $156 2.6×
Vitamin B6 (84207) $42.25 $169 1.5×
Vitamin D 25-Hydroxy (82306) $74.75 $299 2.5×
Vitamin E (84446) $49.50 $198 3.5×
Vitamin K (84597) $21.25 $85 1.5×
Volatiles (84600) $10.75 $43 0.6×
Voltage-Gated Calcium Channel Antibody Each (86596) $10 $40 0.8×
Volume Reduction Blood/Blood Product Each Unit (86960) $5.50 $22 0.0×
Von willebrand factor ag (85246) $34.75 $139 1.5×
Wbc Alkaline Phosphatase Count (85540) $6 $24 0.7×
West nile virus ab igm (86788) $23.75 $95 1.4×
West Nile Virus Antibody (86789) $23 $92 1.6×
Western Blot Test (84181) $11.75 $47 0.7×
Xylose Absorption Test (84620) $8.25 $33 0.6×
Zinc (84630) $23.25 $93 2.0×

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.