Lab & pathology prices at University Hospitals Samaritan Medical Center
Ashland, OH · every code in this section with a posted price and a Medicare benchmark.
869 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $112.50 | $150 | 4.9× |
| 5 Nucleotidase (83915) range across 2 matching MRF lines |
$141–$252.75 | $188–$337 | varies |
| Abl1 gene analysis kinase domain variants (81170) | $364.50 | $486 | 1.2× |
| Acetylcholine receptor blocking antibody (86042) | $357.75 | $477 | 19.4× |
| Acetylcholn Rcptr Modlg Antb (86043) | $489 | $652 | 40.6× |
| Acth (82024) | $129.75 | $173 | 3.4× |
| 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) | $414.75 | $553 | 4.8× |
| ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) | $404.25 | $539 | 5.2× |
| Actin smooth muscle antibody each (86015) | $135 | $180 | 11.2× |
| Acute hepatitis panel (80074) | $409.50 | $546 | 8.6× |
| Acylcarnitines Quant (82017) | $98.25 | $131 | 5.8× |
| Adenovirus antibody (86603) | $49.50 | $66 | 3.8× |
| Agglutinins Febrile Each Antigen (86000) | $76.50 | $102 | 11.0× |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$24.75–$29.25 | $33–$39 | varies |
| Albumin serum (82040) | $35.25 | $47 | 7.1× |
| Aldolase (82085) | $55.50 | $74 | 5.7× |
| Aldosterone Suppression Evaluation Panel (80408) | $621 | $828 | 4.9× |
| Aldosterone urine (82088) | $193.50 | $258 | 4.7× |
| Alkaline phosphatase isoenzymes (84080) | $153.75 | $205 | 10.4× |
| Allergen specific ige (86003) range across 20 matching MRF lines |
$24–$82.50 | $32–$110 | varies |
| Allergen specific igg (86001) range across 4 matching MRF lines |
$28.50–$45 | $38–$60 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
$56.25–$113.25 | $75–$151 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $66.75 | $89 | 4.6× |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
$124.50–$276 | $166–$368 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $36 | $48 | 2.1× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$67.50–$138.75 | $90–$185 | varies |
| Alt (sgpt) (84460) | $48 | $64 | 9.1× |
| Aluminum (82108) | $150 | $200 | 5.9× |
| Amikacin trough (80150) | $186 | $248 | 12.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $171.75 | $229 | 7.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$201–$399 | $268–$532 | varies |
| Amino Acids Quant 2-5 (82136) range across 2 matching MRF lines |
$127.50–$239.25 | $170–$319 | varies |
| Aminolevulinic acid (ala) (82135) | $511.50 | $682 | 31.1× |
| Ammonia (82140) range across 2 matching MRF lines |
$52.50–$123 | $70–$164 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $83.25 | $111 | 0.8× |
| Amylase urine (82150) range across 2 matching MRF lines |
$104.25–$120.75 | $139–$161 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$47.25–$81.75 | $63–$109 | varies |
| Anca screen each antibody (86036) | $117 | $156 | 9.7× |
| Androstenedione (82157) | $195.75 | $261 | 6.7× |
| Angiotensin converting enzyme csf (82164) | $56.25 | $75 | 3.9× |
| Anti-Phospholipid Antibody (86148) | $62.25 | $83 | 3.9× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$66–$77.25 | $88–$103 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $118.50 | $158 | 9.2× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $148.50 | $198 | 9.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $113.25 | $151 | 6.7× |
| Antibody Encephalitis California La Crosse (86651) | $122.25 | $163 | 9.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $105 | $140 | 8.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $124.50 | $166 | 8.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$34.50–$106.50 | $46–$142 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $44.25 | $59 | 3.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $131.25 | $175 | 9.1× |
| Antibody Herpes Smplx Type 1 (86695) | $102.75 | $137 | 7.8× |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$75–$99.75 | $100–$133 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 2 matching MRF lines |
$292.50–$551.25 | $390–$735 | varies |
| Antibody hla class ii semiquantitative panel (86835) | $534 | $712 | 1.7× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $289.50 | $386 | 15.0× |
| Antibody identification leukocyte antibodies (86021) | $202.50 | $270 | 13.5× |
| Antibody Identification Platelet Immunogl Assay (86023) | $231.75 | $309 | 18.6× |
| Antibody leishmania (86717) | $182.25 | $243 | 14.9× |
| Antibody Lymphocytic Choriomeningitis (86727) | $159 | $212 | 12.4× |
| Antibody neisseria meningitidis (86741) | $433.50 | $578 | 32.9× |
| Antibody Protozoa Nes (86753) range across 4 matching MRF lines |
$77.25–$126 | $103–$168 | varies |
| Antibody Titer (86886) range across 2 matching MRF lines |
$134.25–$186.75 | $179–$249 | varies |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$69–$122.25 | $92–$163 | varies |
| Antibody; encephalitis, st. louis (86653) | $122.25 | $163 | 9.3× |
| Antigen typing (86905) | $328.50 | $438 | 85.8× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $214.50 | $286 | 37.5× |
| Antinuclear antibodies (86038) | $97.50 | $130 | 8.1× |
| Antistreptolysin o titer (86060) | $84.75 | $113 | 11.6× |
| Antithrombin iii activity (85300) | $222.75 | $297 | 18.8× |
| Antithrombin iii antigen (85301) | $73.50 | $98 | 6.8× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$45.75–$115.50 | $61–$154 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $405.75 | $541 | 10.8× |
| 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–$170.25 | $41–$227 | varies |
| Aspergillus ag eia (87305) | $252.75 | $337 | 21.1× |
| Assay activated protein c (85307) | $125.25 | $167 | 8.2× |
| Assay Blood Carbon Dioxide (82374) | $104.25 | $139 | 21.4× |
| Assay Dir Meas Fr Estradiol (82681) | $281.25 | $375 | 10.1× |
| Assay Duodenal Fluid Trypsin (84485) | $195 | $260 | 27.1× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$69–$149.25 | $92–$199 | varies |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$96–$98.25 | $128–$131 | 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) | $41.25 | $55 | 9.1× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$33.75–$63 | $45–$84 | varies |
| Assay of cpk in blood (82552) | $47.25 | $63 | 3.5× |
| Assay of estrone (82679) | $110.25 | $147 | 4.4× |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
$41.25–$252.75 | $55–$337 | varies |
| Assay of gammaglobulin igm (82784) range across 7 matching MRF lines |
$42.75–$144 | $57–$192 | varies |
| Assay of lactic acid (83605) | $164.25 | $219 | 14.2× |
| Assay of manganese (83785) | $117 | $156 | 4.4× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$102–$556.50 | $136–$742 | varies |
| Assay of phosphatase acid total (84060) | $62.25 | $83 | 8.1× |
| Assay of phosphatase alkaline heat stable (84078) | $63 | $84 | 7.6× |
| Assay of proinsulin (84206) | $147.75 | $197 | 5.5× |
| Assay of pyruvate (84210) | $97.50 | $130 | 6.7× |
| Assay of serotonin (84260) | $209.25 | $279 | 6.8× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$47.25–$73.50 | $63–$98 | varies |
| Assay of Sialic Acid (84275) | $342 | $456 | 25.4× |
| Assay of sweat sodium (84302) | $86.25 | $115 | 17.7× |
| Assay of transcortin (84449) | $141 | $188 | 7.8× |
| Assay of urea nitrogen (84520) | $38.25 | $51 | 9.7× |
| Assay of urine vma (84585) | $104.25 | $139 | 6.7× |
| Assay of vasoactive intestinal peptide (84586) | $234.75 | $313 | 6.6× |
| Assay of vitamin b-1 (84425) | $75.75 | $101 | 3.6× |
| Assay Ph Body Fluid Nos (83986) range across 4 matching MRF lines |
$24.75–$85.50 | $33–$114 | varies |
| Assay Phosphohexose Enzymes (84087) | $252.75 | $337 | 23.6× |
| Assay spec xcp ur&breath ia (82077) | $60.75 | $81 | 3.5× |
| Asy carbamazepin 10,11-epxid (80161) | $129 | $172 | 6.9× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $802.50 | $1,070 | 1.0× |
| Automated Leukocyte Count (85048) | $38.25 | $51 | 15.1× |
| B cells total count (86355) | $84.75 | $113 | 2.2× |
| Babesia microti amp prb (87469) | $105 | $140 | 3.0× |
| Bartonella antibody (86611) | $66.75 | $89 | 6.6× |
| Bcr/abl1 gene major bp (81206) | $239.25 | $319 | 1.5× |
| Bcr/abl1 gene minor bp (81207) | $239.25 | $319 | 1.7× |
| Beta 2 glycoprotein i antibody each (86146) | $133.50 | $178 | 5.2× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$141–$285.75 | $188–$381 | varies |
| Beta Lactamase (87185) | $22.50 | $30 | 4.7× |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$27.75–$84.75 | $37–$113 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $504 | $672 | 3.9× |
| Bile acids total (82239) | $111 | $148 | 6.5× |
| Bilirubin direct (82248) | $39 | $52 | 7.8× |
| Bilirubin total (82247) | $36.75 | $49 | 7.3× |
| Bilirubin total transcutaneous (88720) | $38.25 | $51 | 7.6× |
| Biotinidase (82261) | $298.50 | $398 | 17.7× |
| Bl Smear W/O Diff Wbc Count (85008) | $170.25 | $227 | 49.6× |
| Blastomyces antibody (86612) | $189.75 | $253 | 14.7× |
| Bld Typing Serologic Rh Phnt (86906) | $53.25 | $71 | 6.9× |
| Blood Count Red Blood Cell Automated (85041) | $33 | $44 | 10.9× |
| Blood count reticulocyte automated (85045) | $28.50 | $38 | 7.1× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $129.75 | $173 | 34.1× |
| Blood gas (82803) | $161.25 | $215 | 6.2× |
| Blood gases w/02 saturation (82805) | $161.25 | $215 | 2.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $46.50 | $62 | 2.9× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $26.25 | $35 | 6.0× |
| Blood Sulfhemoglobin Assay (83060) | $132.75 | $177 | 15.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $322.50 | $430 | 50.8× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$156.75–$186.75 | $209–$249 | varies |
| Body fluid cell count (89050) | $65.25 | $87 | 13.8× |
| Bordetella antibody (86615) | $122.25 | $163 | 9.3× |
| Braf gene analysis (81210) | $189 | $252 | 1.1× |
| Breath Alcohol Test (82075) | $105 | $140 | 3.5× |
| Brucella antibody (86622) | $210.75 | $281 | 23.6× |
| Btk Gene Analysis Common Variants (81233) | $383.25 | $511 | 2.2× |
| C diff amplified probe (87493) | $202.50 | $270 | 5.4× |
| C-Peptide (84681) | $101.25 | $135 | 4.9× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$99.75–$126 | $133–$168 | varies |
| Ca 19-9 (86301) | $121.50 | $162 | 5.8× |
| 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 |
$47.25–$50.25 | $63–$67 | varies |
| Caffeine (80155) | $42 | $56 | 1.1× |
| Calcitonin (82308) | $77.25 | $103 | 2.9× |
| Calcium ionized (82330) | $75.75 | $101 | 5.5× |
| Calcium total (82310) | $36.75 | $49 | 7.1× |
| Calculus Spectroscopy (82365) | $64.50 | $86 | 5.0× |
| Calprotectin Fecal (83993) | $261 | $348 | 13.3× |
| Cancer Antigen 125 (86304) | $87 | $116 | 4.2× |
| Cancer Antigen 27.29 (86300) | $65.25 | $87 | 3.1× |
| Candida antibody (86628) | $132.75 | $177 | 11.1× |
| Carbamazepine free (80157) | $100.50 | $134 | 7.6× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$78.75–$104.25 | $105–$139 | varies |
| Carbohydrate Deficient Transferrin (82373) | $144.75 | $193 | 8.0× |
| Carboxyhemoglobin (82375) | $77.25 | $103 | 6.3× |
| Carcinoembryonic antigen (82378) | $128.25 | $171 | 6.8× |
| Cardiolipin ab iga (86147) | $211.50 | $282 | 8.3× |
| Carnitine Quantitative Each Specimen (82379) | $78.75 | $105 | 4.7× |
| Carotene (82380) | $66 | $88 | 7.2× |
| Catecholamines fractionated (82384) | $87 | $116 | 3.4× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$47.25–$178.50 | $63–$238 | varies |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $328.50 | $438 | 1.4× |
| Cell count csf (89051) | $106.50 | $142 | 19.0× |
| Cell marker study (88182) | $1,170 | $1,560 | 23.1× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 6 matching MRF lines |
$261–$949.50 | $348–$1,266 | varies |
| Ceruloplasmin (82390) | $93 | $124 | 8.7× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $285.75 | $381 | 1.7× |
| Cftr gene com variants (81220) | $1,046.25 | $1,395 | 1.9× |
| Cftr gene dup/delet variants (81222) | $918 | $1,224 | 2.1× |
| Cftr gene full sequence (81223) range across 2 matching MRF lines |
$1,188–$6,271.50 | $1,584–$8,362 | varies |
| Chemiluminescent assay (82397) range across 8 matching MRF lines |
$36.75–$377.25 | $49–$503 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $524.25 | $699 | 2.0× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $951.75 | $1,269 | 4.6× |
| Chlamydia antibody (86631) | $114.75 | $153 | 9.7× |
| Chlamydia Igm Antibody (86632) | $82.50 | $110 | 6.5× |
| Chloride other source (82438) range across 2 matching MRF lines |
$67.50–$90.75 | $90–$121 | varies |
| Chloride Serum (82435) | $30 | $40 | 6.5× |
| Chloride urine (82436) range across 2 matching MRF lines |
$27–$42.75 | $36–$57 | varies |
| Chlorinated Hydrocarbons Screen (82441) | $225 | $300 | 37.4× |
| Cholesterol total (82465) | $45.75 | $61 | 10.5× |
| Cholinesterase rbc (82482) | $119.25 | $159 | 12.2× |
| Cholinesterase Serum (82480) | $94.50 | $126 | 12.0× |
| Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) | $324.75 | $433 | 5.8× |
| Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) | $306 | $408 | 5.9× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$88.50–$145.50 | $118–$194 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) range across 2 matching MRF lines |
$416.25–$642 | $555–$856 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $105.75 | $141 | 3.9× |
| Chrmsm Analysis Addl High Resolution Study (88289) range across 2 matching MRF lines |
$79.50–$140.25 | $106–$187 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 7 matching MRF lines |
$56.25–$210.75 | $75–$281 | 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) | $89.25 | $119 | 4.4× |
| 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–$175.50 | $114–$234 | varies |
| Chromosome Analysis 15-20 (88262) range across 2 matching MRF lines |
$336–$1,092.75 | $448–$1,457 | varies |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$336–$345.75 | $448–$461 | varies |
| Chromosome analysis 45 cells (88263) | $1,692.75 | $2,257 | 11.3× |
| Chromosome analysis, 5 (88261) range across 2 matching MRF lines |
$393.75–$955.50 | $525–$1,274 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $186 | $248 | 5.3× |
| Citric acid urine (82507) | $162.75 | $217 | 5.9× |
| Ckmb (82553) | $93.75 | $125 | 8.1× |
| Clostridium Difficile (87324) | $203.25 | $271 | 17.0× |
| Clot Factor VIII Multimetric (85247) | $378.75 | $505 | 16.5× |
| Clot factor xiii fibrin stab (85290) | $292.50 | $390 | 17.9× |
| Clotting factor xii hageman (85280) | $220.50 | $294 | 11.4× |
| Clotting Funct Activity (85397) range across 3 matching MRF lines |
$207–$911.25 | $276–$1,215 | varies |
| Clotting hi molec weight kininogen assay (85293) | $335.25 | $447 | 17.7× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $335.25 | $447 | 17.7× |
| Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) | $2,587.50 | $3,450 | 18.9× |
| Cns DNA amp probe type 12-25 (87483) | $836.25 | $1,115 | 2.0× |
| Coagulation time activated (85347) range across 2 matching MRF lines |
$21–$63.75 | $28–$85 | varies |
| Coccidioides antibody (86635) | $128.25 | $171 | 11.2× |
| Cold agglutinin titer (86157) | $119.25 | $159 | 14.8× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$132.75–$148.50 | $177–$198 | varies |
| Column Chromotography Quant (82542) range across 23 matching MRF lines |
$92.25–$1,213.50 | $123–$1,618 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 3 matching MRF lines |
$519.75–$1,270.50 | $693–$1,694 | varies |
| Compatibility test antiglob (86922) | $125.25 | $167 | 0.8× |
| Complement Antigen Each Component (86160) range across 8 matching MRF lines |
$87–$489 | $116–$652 | varies |
| Complement Total (Ch50) (86162) | $171.75 | $229 | 8.5× |
| Complement/Function Activity (86161) range across 2 matching MRF lines |
$105–$132.75 | $140–$177 | varies |
| Coombs direct (86880) | $97.50 | $130 | 18.1× |
| Copper urine (82525) range across 2 matching MRF lines |
$120–$174.75 | $160–$233 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$55.50–$131.25 | $74–$175 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$79.50–$162 | $106–$216 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$45.75–$52.50 | $61–$70 | varies |
| Creatine kinase total (82550) | $60.75 | $81 | 9.3× |
| Creatinine blood (82565) range across 2 matching MRF lines |
$39.75–$44.25 | $53–$59 | varies |
| Creatinine clearance (82575) | $151.50 | $202 | 16.0× |
| Creatinine Urine (82570) range across 10 matching MRF lines |
$6.75–$51.75 | $9–$69 | varies |
| Crossmatch electronic (86923) | $317.25 | $423 | 1.9× |
| Crossmatch immediate spin (86920) | $293.25 | $391 | 1.8× |
| Crp High Sensitivity (86141) | $99 | $132 | 7.6× |
| Cryofibrinogen (82585) | $40.50 | $54 | 2.9× |
| Cryoglobulin (82595) | $120 | $160 | 18.5× |
| Cryptococcal Antigen (87327) | $60.75 | $81 | 4.5× |
| Cryptococcus ab (86641) | $184.50 | $246 | 12.8× |
| Cryptococcus ag titer (87899) | $153.75 | $205 | 9.6× |
| Cryptosporidium ag eia (87328) | $69 | $92 | 5.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$63.75–$81 | $85–$108 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $90.75 | $121 | 11.8× |
| 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) | $82.50 | $110 | 8.3× |
| Culture afb (87116) | $159 | $212 | 14.7× |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$78–$182.25 | $104–$243 | varies |
| Culture blood (87040) | $135.75 | $181 | 13.2× |
| Culture chlamydia (87110) | $90.75 | $121 | 4.6× |
| Culture csf (87070) range across 2 matching MRF lines |
$120.75–$126 | $161–$168 | varies |
| Culture fungus (87102) | $130.50 | $174 | 15.5× |
| Culture fungus blood (87103) | $128.25 | $171 | 6.3× |
| Culture screen only (87081) | $108 | $144 | 16.3× |
| Culture stool (87045) | $70.50 | $94 | 7.5× |
| Culture urine (87086) | $65.25 | $87 | 8.1× |
| Cyanide (82600) | $170.25 | $227 | 8.8× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $60.75 | $81 | 4.2× |
| Cyclic amp (82030) | $246.75 | $329 | 9.6× |
| Cyclosporine (80158) | $96 | $128 | 5.3× |
| 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–$61.50 | $49–$82 | 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 |
$218.25–$330.75 | $291–$441 | varies |
| Cytogenetics 100-300 (88275) range across 46 matching MRF lines |
$109.50–$566.25 | $146–$755 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$1,222.50–$1,242 | $1,630–$1,656 | varies |
| Cytomegalovirus igg (86644) | $100.50 | $134 | 7.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $195.75 | $261 | 9.7× |
| Cytopath Cell Enhance Tech (88112) | $240.75 | $321 | 4.8× |
| Cytotoxic pra quick (86808) range across 2 matching MRF lines |
$128.25–$363.75 | $171–$485 | varies |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $153 | $204 | 5.7× |
| Cytp Concentration Smears & Interpretation (88108) | $67.50 | $90 | 1.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $163.50 | $218 | 3.2× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $141 | $188 | 0.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $111 | $148 | 3.1× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $168.75 | $225 | 9.1× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $82.50 | $110 | 2.9× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $907.50 | $1,210 | 5.5× |
| Deoxycortisol (82634) | $141.75 | $189 | 4.8× |
| Deoxyribonuclease antibody (86215) | $82.50 | $110 | 6.2× |
| Desoxycorticosterone (82633) | $84 | $112 | 2.7× |
| 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 |
$231.75–$1,008.75 | $309–$1,345 | varies |
| Detect agnt mult DNA ampli (87801) range across 5 matching MRF lines |
$164.25–$1,973.25 | $219–$2,631 | varies |
| Dgp Antibody Each Ig Class (86258) | $30 | $40 | 2.5× |
| Dhea (82626) | $191.25 | $255 | 7.6× |
| Dhea-S (82627) | $204 | $272 | 9.2× |
| Dibucaine number (82638) | $122.25 | $163 | 10.0× |
| Digoxin (80162) | $104.25 | $139 | 7.9× |
| Digoxin free (80163) | $27 | $36 | 2.0× |
| Dihydrotestosterone (82642) | $122.25 | $163 | 4.2× |
| 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) | $442.50 | $590 | 3.2× |
| Dna Antibody Native/Double Stranded (86225) | $135.75 | $181 | 9.9× |
| DNA/RNA direct probe (87149) | $108 | $144 | 5.4× |
| Dpyd gene common variants (81232) | $354 | $472 | 2.0× |
| Drug assay acetaminophen (80143) | $180 | $240 | 9.7× |
| Drug assay adalimumab (80145) range across 2 matching MRF lines |
$654.75–$2,744.25 | $873–$3,659 | varies |
| Drug Assay Amiodarone (80151) | $72.75 | $97 | 3.9× |
| Drug Assay Everolimus (80169) | $245.25 | $327 | 17.9× |
| Drug assay felbamate (80167) | $75 | $100 | 4.0× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$563.25–$2,965.50 | $751–$3,954 | varies |
| Drug Assay Itraconazole (80189) | $120.75 | $161 | 4.5× |
| Drug Assay Lacosamide (80235) | $183 | $244 | 6.8× |
| 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) | $64.50 | $86 | 3.2× |
| Drug Screen Quant Zonisamide (80203) | $207.75 | $277 | 15.7× |
| Drug Screen Quantitative Gabapentin (80171) | $109.50 | $146 | 5.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $125.25 | $167 | 9.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $155.25 | $207 | 11.7× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $151.50 | $202 | 11.4× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $63 | $84 | 3.8× |
| Drug Screen Quantitative Tiagabine (80199) | $188.25 | $251 | 6.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 25 matching MRF lines |
$7.50–$539.25 | $10–$719 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $45 | $60 | 3.6× |
| Ehrlichia antibody (86666) | $131.25 | $175 | 12.9× |
| El-1 Fecal Quantitative (82653) | $104.25 | $139 | 4.5× |
| Electrolyte panel (80051) | $61.50 | $82 | 8.8× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$992.25–$2,127.75 | $1,323–$2,837 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $301.50 | $402 | 4.9× |
| Encephaltis East Eqne Anbdy (86652) | $122.25 | $163 | 9.3× |
| Encephaltis West Eqne Antbdy (86654) | $122.25 | $163 | 9.3× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $230.25 | $307 | 19.0× |
| Enterovirus Antibody (86658) range across 15 matching MRF lines |
$84–$178.50 | $112–$238 | varies |
| Enterovirus PCR (87498) | $500.25 | $667 | 14.3× |
| Enzyme cell activity (82657) range across 10 matching MRF lines |
$128.25–$1,265.25 | $171–$1,687 | varies |
| Enzyme histochemistry (88319) range across 3 matching MRF lines |
$771–$772.50 | $1,028–$1,030 | varies |
| Eosinophil Smear (89190) | $37.50 | $50 | 6.5× |
| Erythropoietin (82668) | $99.75 | $133 | 5.3× |
| Estradiol serum (82670) | $162 | $216 | 5.8× |
| Estriol (82677) | $138 | $184 | 5.7× |
| Ethosuximide (80168) | $123.75 | $165 | 7.6× |
| Ethylene Glycol (82693) | $63.75 | $85 | 4.3× |
| Exam Synovial Fluid Crystals (89060) | $39.75 | $53 | 5.4× |
| Exome Sequence Analysis (81415) | $7,002 | $9,336 | 1.5× |
| Exome sequence analysis each comparator exome (81416) | $7,002 | $9,336 | 0.6× |
| Ezh2 Gene Analysis Common Variants (81237) | $328.50 | $438 | 1.9× |
| F2 Gene (81240) | $333.75 | $445 | 5.1× |
| Factor ii activity (85210) | $171 | $228 | 13.2× |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
$178.50–$405.75 | $238–$541 | varies |
| Factor ix activity (85250) | $186.75 | $249 | 9.8× |
| Factor v activity (85220) | $189 | $252 | 10.7× |
| Factor v leiden mutation (81241) | $426 | $568 | 5.8× |
| Factor vii assay (85230) | $150 | $200 | 8.4× |
| Factor viii assay (85240) | $201.75 | $269 | 11.3× |
| Factor X (85260) | $191.25 | $255 | 10.7× |
| Factor xi activity (85270) | $201 | $268 | 11.2× |
| Factor xiii screen (85291) | $39 | $52 | 4.3× |
| Fat stain feces urine/respir secretions (89125) | $39.75 | $53 | 6.8× |
| Fat/Lipids Feces Quantitative (82710) | $33.75 | $45 | 2.0× |
| Fatty acids free (82725) | $108.75 | $145 | 5.8× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $84 | $112 | 10.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $567.75 | $757 | 33.0× |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | $335.25 | $447 | 32.9× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $416.25 | $555 | 63.7× |
| Ferritin (82728) range across 2 matching MRF lines |
$124.50–$242.25 | $166–$323 | varies |
| Fetal hemoglobin assay qual (83033) | $43.50 | $58 | 5.4× |
| Fetal screen rosette (85461) | $128.25 | $171 | 13.7× |
| Fibrin degradation products (85362) | $184.50 | $246 | 26.8× |
| Fibrin Degradation Quant (85379) | $77.25 | $103 | 7.6× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$45–$50.25 | $60–$67 | varies |
| Fibrinogen antigen (85385) | $168.75 | $225 | 11.7× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) range across 2 matching MRF lines |
$55.50–$72 | $74–$96 | varies |
| Flecainide level (80181) | $54.75 | $73 | 2.9× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$181.50–$270.75 | $242–$361 | varies |
| Flt3 Gene (81245) | $177 | $236 | 1.1× |
| 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–$324.75 | $69–$433 | varies |
| Fluoride serum (82735) | $241.50 | $322 | 13.0× |
| Fmr1 gene detection (81243) | $264.75 | $353 | 4.6× |
| Folic acid rbc (82747) | $52.50 | $70 | 3.0× |
| Folic Acid Serum (82746) | $135.75 | $181 | 9.2× |
| Follicle Stimulating Hormone (83001) | $147 | $196 | 7.9× |
| Francisella tularensis (86668) | $47.25 | $63 | 3.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $240.75 | $321 | 1.5× |
| Frozen Section (88331) | $126 | $168 | 0.8× |
| Fungi Identification Mold (87107) | $66 | $88 | 6.4× |
| Fungi Identification Yeast (87106) | $46.50 | $62 | 4.5× |
| Galactose (82760) | $307.50 | $410 | 27.5× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $85.50 | $114 | 4.1× |
| Galectin-3 (82777) range across 2 matching MRF lines |
$227.25–$280.50 | $303–$374 | varies |
| Gammaglobulin ige (82785) | $117 | $156 | 7.1× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $106.50 | $142 | 10.9× |
| Gastrin (82941) | $99.75 | $133 | 5.7× |
| Gastrin after secretin stim (82938) | $106.50 | $142 | 6.0× |
| 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 |
$681.75–$1,708.50 | $909–$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) | $120 | $160 | 7.3× |
| Ggt (82977) | $57 | $76 | 7.9× |
| Gh suppression panel (80430) | $261.75 | $349 | 2.0× |
| Giardia antigen (87329) | $90 | $120 | 7.5× |
| Giardia lamblia antibody (86674) | $114 | $152 | 7.7× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $57.75 | $77 | 9.5× |
| Glucagon (82943) | $52.50 | $70 | 3.7× |
| Glucose 2 hr pp (82950) | $86.25 | $115 | 18.2× |
| Glucose Blood Test (82962) | $30 | $40 | 9.1× |
| Glucose body fluid (82945) range across 2 matching MRF lines |
$4.50–$59.25 | $6–$79 | varies |
| Glucose Serum (82947) range across 2 matching MRF lines |
$37.50–$45 | $50–$60 | varies |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$141–$147 | $188–$196 | 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 |
$46.50–$61.50 | $62–$82 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $60.75 | $81 | 8.1× |
| Gonadotropin releasing hormone (83727) | $602.25 | $803 | 35.0× |
| Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) | $973.50 | $1,298 | 6.6× |
| Growth hormone (83003) | $114 | $152 | 6.8× |
| 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) | $44.25 | $59 | 11.3× |
| H Pylori (C-13) Breath (83013) | $342 | $456 | 5.1× |
| Haloperidol (80173) | $72.75 | $97 | 4.6× |
| Haptoglobin (83010) | $83.25 | $111 | 6.6× |
| 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) | $63.75 | $85 | 7.8× |
| Helminth Antibody (86682) range across 5 matching MRF lines |
$40.50–$120.75 | $54–$161 | varies |
| Hematocrit (85014) | $33 | $44 | 13.9× |
| Hemoglobin (85018) | $28.50 | $38 | 12.0× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$88.50–$89.25 | $118–$119 | varies |
| Hemoglobin Chromotography (83021) range across 4 matching MRF lines |
$87–$252.75 | $116–$337 | varies |
| Hemoglobin electrophoresis (83020) range across 5 matching MRF lines |
$231–$506.25 | $308–$675 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$52.50–$132.75 | $70–$177 | varies |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
$47.25–$187.50 | $63–$250 | varies |
| Hemoglobin stability screen (83068) | $252.75 | $337 | 26.7× |
| Hemosiderin urine (83070) | $45 | $60 | 9.5× |
| Hep a ab igm (86709) | $82.50 | $110 | 7.3× |
| Heparin assay (85520) | $134.25 | $179 | 10.3× |
| Heparin Neutralization (85525) range across 2 matching MRF lines |
$177.75–$187.50 | $237–$250 | varies |
| Hepatitis a antibody total (86708) | $90 | $120 | 7.3× |
| Hepatitis b core ab igm (86705) | $131.25 | $175 | 11.2× |
| Hepatitis b core ab total (86704) | $78.75 | $105 | 6.5× |
| Hepatitis B Surface Antibody (86706) | $81 | $108 | 7.5× |
| Hepatitis B Surface Antigen (87340) | $48 | $64 | 4.6× |
| Hepatitis Be Antibody (86707) | $67.50 | $90 | 5.8× |
| Hepatitis Be Antigen (87350) | $60.75 | $81 | 5.3× |
| Hepatitis C Antibody (86803) | $105.75 | $141 | 7.4× |
| Hepatitis c antibody confirmatory test (86804) | $596.25 | $795 | 38.5× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$862.50–$900.75 | $1,150–$1,201 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $254.25 | $339 | 7.2× |
| Hepatitis C Revrs Trnscrpj (87522) | $934.50 | $1,246 | 21.8× |
| Hepatitis d quantification (87523) | $1,161.75 | $1,549 | 27.1× |
| Hepatitis delta ag (87380) | $136.50 | $182 | 7.4× |
| Hepatitis Delta Agent Antibody (86692) | $177 | $236 | 10.3× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) | $1,755 | $2,340 | 1.3× |
| Herpes simplex type 2 (86696) | $66 | $88 | 3.4× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$63–$99.75 | $84–$133 | varies |
| Hfe Gene (81256) range across 2 matching MRF lines |
$123–$153.75 | $164–$205 | varies |
| Histamine urine (83088) | $140.25 | $187 | 4.7× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$76.50–$161.25 | $102–$215 | varies |
| Histoplasma antigen urine (87385) | $354 | $472 | 26.7× |
| Hiv Genotype (87901) | $603.75 | $805 | 2.3× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $60.75 | $81 | 2.5× |
| Hiv-1 Antibody (86701) | $274.50 | $366 | 30.9× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $680.25 | $907 | 8.0× |
| Hla class i semiquant panel (86834) | $502.50 | $670 | 1.4× |
| Hla Class I Typing High Resolution Complete (81379) | $386.25 | $515 | 1.2× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $150 | $200 | 0.8× |
| 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 |
$292.50–$471 | $390–$628 | varies |
| Hla class ii typing high resolution one locus ea (81382) range across 4 matching MRF lines |
$126–$637.50 | $168–$850 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $342.75 | $457 | 3.1× |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $145.50 | $194 | 4.0× |
| 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 |
$108–$201.75 | $144–$269 | varies |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $365.25 | $487 | 0.9× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $186.75 | $249 | 0.8× |
| Hla ii typing 1 allele hr (81383) range across 3 matching MRF lines |
$93–$126 | $124–$168 | varies |
| Hla ii typing 1 locus lr (81376) | $333 | $444 | 2.7× |
| Homocysteine (83090) | $72 | $96 | 4.0× |
| Homovanillic acid urine (83150) | $166.50 | $222 | 7.4× |
| 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) | $247.50 | $330 | 7.1× |
| 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 |
$101.25–$310.50 | $135–$414 | varies |
| Hsv Dna Quant (87530) | $225.75 | $301 | 5.3× |
| 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) | $117.75 | $157 | 4.3× |
| 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) | $660.75 | $881 | 18.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $535.50 | $714 | 15.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $501 | $668 | 14.3× |
| Iadna Cytomegalovirus Quantification (87497) | $433.50 | $578 | 10.1× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $60 | $80 | 0.9× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $105 | $140 | 3.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $305.25 | $407 | 7.1× |
| Iadna Herpes Virus-6 Quantification (87533) | $469.50 | $626 | 11.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $202.50 | $270 | 5.8× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $236.25 | $315 | 6.7× |
| 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) | $115.50 | $154 | 2.6× |
| 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) | $670.50 | $894 | 16.1× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$180–$535.50 | $240–$714 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $186 | $248 | 5.3× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $180 | $240 | 3.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 3 matching MRF lines |
$193.50–$358.50 | $258–$478 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $255 | $340 | 1.0× |
| Ig Light Chains Free Each (83521) | $115.50 | $154 | 6.7× |
| Igg subclasses (82787) | $159 | $212 | 19.8× |
| Igh gene rearrange amp meth (81261) | $305.25 | $407 | 1.5× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) range across 2 matching MRF lines |
$605.25–$607.50 | $807–$810 | varies |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $291 | $388 | 0.8× |
| Immune Complex Assay (86332) | $60 | $80 | 2.5× |
| Immunfix e-phorsis/urine/csf (86335) | $345 | $460 | 11.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 19 matching MRF lines |
$54–$1,768.50 | $72–$2,358 | varies |
| Immunoassay infectious agent (86318) | $48 | $64 | 2.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 5 matching MRF lines |
$57–$108.75 | $76–$145 | 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 |
$130.50–$170.25 | $174–$227 | varies |
| Immunodiffusion Ouchterlony (86331) range across 6 matching MRF lines |
$39.75–$77.25 | $53–$103 | varies |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $128.25 | $171 | 5.5× |
| Immunoelectrophoresis Serum (86320) | $178.50 | $238 | 6.0× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$101.25–$237.75 | $135–$317 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$153–$407.25 | $204–$543 | varies |
| Immunohistochemistry (88342) | $312 | $416 | 1.9× |
| In situ hybridization 1st probe stain (88365) | $492.75 | $657 | 3.0× |
| In situ hybridization ea multiplex probe stain (88366) | $907.50 | $1,210 | 5.5× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $134.25 | $179 | 1.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) | $386.25 | $515 | 9.0× |
| Influenza assay w/optic (87804) | $109.50 | $146 | 6.6× |
| Influenza DNA amp probe (87502) | $228.75 | $305 | 2.4× |
| Inhibin A (86336) | $267.75 | $357 | 17.2× |
| Inhibin b (83520) range across 48 matching MRF lines |
$44.25–$1,192.50 | $59–$1,590 | varies |
| Insitu hybridization manual (88368) | $585.75 | $781 | 1.7× |
| Insulin antibodies (86337) | $77.25 | $103 | 3.6× |
| Insulin free (83527) | $39 | $52 | 3.0× |
| Insulin tolerance panel growth horm defncy (80435) | $209.25 | $279 | 2.0× |
| Insulin total (83525) | $81.75 | $109 | 7.2× |
| Interleukin-6 (83529) | $45 | $60 | 2.6× |
| Intrinsic factor antibody (86340) | $57 | $76 | 3.8× |
| Iron (83540) range across 2 matching MRF lines |
$54–$309 | $72–$412 | varies |
| Iron Binding Capacity (83550) | $72.75 | $97 | 8.3× |
| Irradiation Blood Product Each Unit (86945) | $138.75 | $185 | 3.8× |
| Islet cell antibody (86341) range across 5 matching MRF lines |
$114.75–$615.75 | $153–$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× |
| Lactate (ld) (ldh) enzyme (83615) range across 2 matching MRF lines |
$45.75–$52.50 | $61–$70 | varies |
| Lactoferrin fecal qualitative (83630) | $33.75 | $45 | 1.7× |
| Ldh Isoenzymes (83625) | $93.75 | $125 | 7.3× |
| LDL direct (83721) | $75 | $100 | 7.1× |
| Lead (83655) | $79.50 | $106 | 6.6× |
| Legionella antibody (86713) | $73.50 | $98 | 4.8× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$105–$303 | $140–$404 | varies |
| Legionella pneumophila dfa (87278) | $60.75 | $81 | 3.9× |
| Leptospira antibody (86720) | $60.75 | $81 | 3.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $96.75 | $129 | 3.4× |
| Level ii surg pathology grossµscopic exam (88302) | $168.75 | $225 | 4.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $472.50 | $630 | 1.4× |
| Lidocaine (80176) | $63.75 | $85 | 4.3× |
| Lipase (83690) | $127.50 | $170 | 18.5× |
| Lipoprotein A (83695) | $132.75 | $177 | 9.3× |
| Lipoprotein Bld Quan Part (83704) | $175.50 | $234 | 5.1× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $45.75 | $61 | 4.1× |
| Lithium (80178) | $69.75 | $93 | 10.6× |
| 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) | $96.75 | $129 | 5.2× |
| Lyme disease antibody (86618) | $102.75 | $137 | 6.0× |
| Lymphocyte transformation (86353) range across 7 matching MRF lines |
$126–$858.75 | $168–$1,145 | varies |
| Lysozyme serum (85549) | $69 | $92 | 3.7× |
| 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 | 2.6× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$33.75–$78 | $45–$104 | varies |
| Mass Spectrometry Quant (83789) range across 3 matching MRF lines |
$57–$411.75 | $76–$549 | varies |
| Meat fibers, feces (89160) | $33 | $44 | 6.8× |
| Mechanical fragility rbc (85547) | $277.50 | $370 | 32.3× |
| Mercury urine (83825) range across 3 matching MRF lines |
$73.50–$99 | $98–$132 | varies |
| Metabolic panel ionized ca (80047) | $132.75 | $177 | 9.7× |
| Methotrexate (80204) | $54.75 | $73 | 1.4× |
| Methylmalonic acid serum (83921) range across 4 matching MRF lines |
$42.75–$375.75 | $57–$501 | varies |
| Mgmt methylation analysis (81287) | $189 | $252 | 1.5× |
| Microalbumin, quantitative (82043) | $47.25 | $63 | 8.2× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$84.75–$122.25 | $113–$163 | varies |
| Mitochondrial Antibody Each (86381) | $123 | $164 | 4.8× |
| Mlh1 Gene (81288) | $292.50 | $390 | 1.5× |
| Mog-Igg1 Antb Cba Each (86362) | $355.50 | $474 | 29.5× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $665.25 | $887 | 17.6× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 49 matching MRF lines |
$56.25–$1,133.25 | $75–$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) | $873.75 | $1,165 | 13.7× |
| 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 5 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) | $147 | $196 | 4.2× |
| Mthfr Gene Analysis Common Variants (81291) | $852 | $1,136 | 13.0× |
| Mucopolysaccharides acid quantitative (83864) | $1,138.50 | $1,518 | 39.9× |
| Mumps antibody (86735) range across 2 matching MRF lines |
$138–$147 | $184–$196 | varies |
| Muscle-Specific Kinase Antb (86366) | $1,833 | $2,444 | 99.6× |
| Mycobacteric Identification (87118) | $84.75 | $113 | 5.8× |
| Mycophenolic Acid (80180) | $418.50 | $558 | 23.2× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$88.50–$112.50 | $118–$150 | varies |
| Mycoplasma culture (87109) | $130.50 | $174 | 8.5× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $370.50 | $494 | 2.1× |
| Myelin basic protein csf (83873) | $96.75 | $129 | 5.6× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$81–$129.75 | $108–$173 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$142.50–$273 | $190–$364 | varies |
| Neutralization Test Viral (86382) | $105 | $140 | 6.2× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $436.50 | $582 | 3.4× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $1,863 | $2,484 | 7.2× |
| 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) | $57.75 | $77 | 2.4× |
| 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) | $270 | $360 | 1.1× |
| 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) | $752.25 | $1,003 | 17.1× |
| Occult Blood Other Sources (82271) | $16.50 | $22 | 3.1× |
| Oligoclonal bands (83916) | $78 | $104 | 2.8× |
| Oncology Prostate Prob Score (81539) | $1,623.75 | $2,165 | 2.1× |
| Oncoprotein dcp (83951) | $537 | $716 | 8.3× |
| Oncoprotein Her-2/Neu (83950) | $141.75 | $189 | 2.2× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$86.25–$457.50 | $115–$610 | varies |
| Osmolality serum (83930) | $52.50 | $70 | 7.9× |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$48–$59.25 | $64–$79 | 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) | $117 | $156 | 3.9× |
| Ova and parasites smears (87177) | $36 | $48 | 4.0× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$70.50–$163.50 | $94–$218 | varies |
| Particle Agglut Antbdy Titr (86406) | $147 | $196 | 13.8× |
| Particle Agglutination Screen Each Antibody (86403) | $52.50 | $70 | 4.5× |
| Parvovirus antibody (86747) | $123 | $164 | 8.2× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,059.75 | $1,413 | 1.4× |
| Pathology Consultation During Surgery (88329) | $141.75 | $189 | 2.5× |
| 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) | $49.50 | $66 | 22.0× |
| Phenobarbital Level (80184) | $105 | $140 | 6.9× |
| Phenotype Infect Agent Drug (87900) range across 2 matching MRF lines |
$305.25–$378 | $407–$504 | varies |
| Phenylalanine (84030) | $128.25 | $171 | 23.3× |
| Phenytoin (Dilantin) (80185) | $102 | $136 | 7.7× |
| Phenytoin free (80186) | $92.25 | $123 | 6.7× |
| Phosphatase acid prostatic (84066) | $75.75 | $101 | 7.8× |
| Phosphatase alkaline (84075) | $38.25 | $51 | 7.4× |
| Phospholipid Neutralization Hexagonal (85598) | $195 | $260 | 10.8× |
| Phosphorus Serum (84100) | $45 | $60 | 9.5× |
| Phosphorus urine (84105) range across 2 matching MRF lines |
$30–$97.50 | $40–$130 | varies |
| Pinworm exam (87172) | $24.75 | $33 | 5.8× |
| Platelet Aggregation (85576) range across 5 matching MRF lines |
$78.75–$171 | $105–$228 | varies |
| Platelet Antibodies (86022) range across 5 matching MRF lines |
$165–$694.50 | $220–$926 | varies |
| Platelet count automated (85049) | $25.50 | $34 | 5.7× |
| Platelet neutralization (85597) | $195 | $260 | 10.8× |
| 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) | $130.50 | $174 | 0.8× |
| Porphobilinogen, urine; quantitative (84110) | $118.50 | $158 | 14.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $447 | $596 | 30.4× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$43.50–$76.50 | $58–$102 | varies |
| Prealbumin (84134) | $114 | $152 | 7.8× |
| Pregnancy-Associated Plasma Protein-A (84163) | $216 | $288 | 14.4× |
| Pregnenolone (84140) | $101.25 | $135 | 4.9× |
| Primidone (80188) | $108.75 | $145 | 6.6× |
| Procalcitonin (Pct) (84145) | $79.50 | $106 | 2.9× |
| Progesterone (84144) | $75 | $100 | 3.6× |
| Prolactin (84146) | $127.50 | $170 | 6.6× |
| Prostaglandin (84150) range across 2 matching MRF lines |
$87–$93.75 | $116–$125 | varies |
| Protein body fluid (84157) range across 3 matching MRF lines |
$58.50–$81.75 | $78–$109 | varies |
| Protein C Activity (85303) | $90 | $120 | 6.5× |
| Protein c antigen (85302) | $122.25 | $163 | 10.2× |
| Protein Electrophoresis Urine (84166) | $69 | $92 | 3.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $60.75 | $81 | 5.7× |
| Protein S Free (85306) range across 2 matching MRF lines |
$98.25–$167.25 | $131–$223 | varies |
| Protein s total (85305) | $156 | $208 | 13.4× |
| Protein total serum (84155) | $35.25 | $47 | 9.6× |
| Protein Total Urine (84156) | $51.75 | $69 | 14.1× |
| Protein Western Blot Test (84182) range across 13 matching MRF lines |
$39–$676.50 | $52–$902 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $50.25 | $67 | 12.8× |
| Protoporphyrin rbc quantitative (84202) | $51.75 | $69 | 3.6× |
| PSA free (84154) | $90.75 | $121 | 4.9× |
| Pth Intact (83970) range across 2 matching MRF lines |
$398.25–$500.25 | $531–$667 | varies |
| Pyruvate kinase (84220) range across 2 matching MRF lines |
$144.75–$252.75 | $193–$337 | varies |
| Q Fever Antibody (86638) | $90.75 | $121 | 7.5× |
| Quantitative assay drug (80299) range across 23 matching MRF lines |
$34.50–$476.25 | $46–$635 | varies |
| Quantitative Screen Metals (83018) range across 5 matching MRF lines |
$143.25–$248.25 | $191–$331 | varies |
| Rbc antibody elution (86860) | $147.75 | $197 | 0.9× |
| Rbc antibody identification (86870) | $277.50 | $370 | 0.8× |
| Rbc antibody screen (86850) | $102.75 | $137 | 10.5× |
| Rbc pretreatment serum (86978) | $128.25 | $171 | 2.2× |
| Rbc pretx incubatj w/enzymes (86971) | $312 | $416 | 1.9× |
| Reagent Strip/Blood Glucose (82948) | $19.50 | $26 | 3.9× |
| Renin activity plasma (84244) | $117 | $156 | 5.3× |
| Reptilase test (85635) | $81.75 | $109 | 8.3× |
| Resp virus 12-25 targets (87633) | $812.25 | $1,083 | 1.9× |
| Resp Virus 6-11 Targets (87632) | $844.50 | $1,126 | 3.9× |
| Reticulated Platelet Assay (85055) | $57.75 | $77 | 1.6× |
| Rh (86901) range across 2 matching MRF lines |
$54.75–$126 | $73–$168 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$47.25–$100.50 | $63–$134 | varies |
| Rickettsia antibody (86757) | $109.50 | $146 | 5.7× |
| Ristocetin cofactor (85245) | $305.25 | $407 | 13.3× |
| Rotavirus ag eia (87425) | $130.50 | $174 | 10.9× |
| Rpr qualitative (86592) | $51.75 | $69 | 12.1× |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$21.75–$83.25 | $29–$111 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$81.75–$166.50 | $109–$222 | varies |
| Rufinamide (80210) | $135.75 | $181 | 5.0× |
| Russell Viper Venom Time Diluted (85613) | $81 | $108 | 8.5× |
| Salicylate Level (80179) | $175.50 | $234 | 9.4× |
| 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) | $39 | $52 | 14.4× |
| Selenium (84255) | $122.25 | $163 | 4.8× |
| Sensitivity mic (87186) | $81.75 | $109 | 9.5× |
| Sex Hormone Binding Globulin (84270) | $111 | $148 | 5.1× |
| Sickling of rbc reduction (85660) | $102.75 | $137 | 18.6× |
| Sirolimus (80195) | $173.25 | $231 | 12.6× |
| Skin test tuberculosis intradermal (86580) | $57.75 | $77 | 2.1× |
| Smear acid fast (87206) | $83.25 | $111 | 15.4× |
| Smear complex stain (87209) | $36 | $48 | 2.0× |
| Smear gram stain (87205) | $60.75 | $81 | 14.2× |
| Smear Special Stain (87207) | $42.75 | $57 | 7.1× |
| Smn1 Gene Dos/Deletion Alys (81329) | $241.50 | $322 | 1.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $77.25 | $103 | 13.3× |
| 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 |
$910.50–$1,137 | $1,214–$1,516 | varies |
| Sodium Serum (84295) | $44.25 | $59 | 9.2× |
| Sodium Urine (84300) range across 2 matching MRF lines |
$27–$47.25 | $36–$63 | varies |
| Soluble Transferrin Receptor (84238) | $114 | $152 | 3.1× |
| Somatomedin (84305) | $100.50 | $134 | 4.7× |
| Somatostatin (84307) | $450 | $600 | 24.6× |
| Special Stains Group 1 (88312) | $81 | $108 | 1.6× |
| Special Stains Group 2 (88313) range across 2 matching MRF lines |
$59.25–$131.25 | $79–$175 | varies |
| Specimen infect agnt concntj (87015) | $27.75 | $37 | 4.2× |
| Spectrophotometry (84311) range across 4 matching MRF lines |
$47.25–$249.75 | $63–$333 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $471.75 | $629 | 2.9× |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $337.50 | $450 | 2.0× |
| Staph a DNA amp probe (87640) | $135 | $180 | 3.8× |
| Stem cells total count (86367) | $102.75 | $137 | 1.3× |
| Strep a assay w/optic (87880) | $150 | $200 | 9.1× |
| Strep a DNA amp probe (87651) | $78.75 | $105 | 2.2× |
| 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) | $39.75 | $53 | 7.2× |
| Sulfate urine (84392) | $44.25 | $59 | 8.1× |
| Surg path level iii (88304) | $182.25 | $243 | 3.6× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$63–$184.50 | $84–$246 | varies |
| Surgical pathology level vi (88309) | $996.75 | $1,329 | 1.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$56.25–$134.25 | $75–$179 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $60.75 | $81 | 8.1× |
| Syphilis Test Non-Trep Quant (86593) | $70.50 | $94 | 16.0× |
| T cells total count (86359) range across 2 matching MRF lines |
$64.50–$108 | $86–$144 | varies |
| T3 Free (84481) | $46.50 | $62 | 2.7× |
| T3 reverse (84482) | $46.50 | $62 | 3.0× |
| T3 Total (84480) | $46.50 | $62 | 3.3× |
| T3 Uptake (84479) | $81.75 | $109 | 12.6× |
| T4 Free (84439) | $78 | $104 | 8.6× |
| T4 total (84436) | $81 | $108 | 11.8× |
| Tacrolimus (80197) | $128.25 | $171 | 9.3× |
| Tau phosphorylated each (84393) | $504 | $672 | 3.9× |
| Tb ag response t-cell susp (86481) | $357.75 | $477 | 3.6× |
| Tert gene targeted seq alys (81345) | $347.25 | $463 | 1.9× |
| Testosterone total (84403) | $175.50 | $234 | 6.8× |
| Testosterone, Free (84402) | $93.75 | $125 | 3.7× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 2 matching MRF lines |
$947.25–$1,182.75 | $1,263–$1,577 | varies |
| Theophylline (80198) | $96 | $128 | 6.8× |
| Thiocyanate (84430) | $239.25 | $319 | 20.6× |
| Thrombin Time (85670) | $88.50 | $118 | 15.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $58.50 | $78 | 9.0× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$97.50–$665.25 | $130–$887 | varies |
| Thyroglobulin Antibody (86800) | $168.75 | $225 | 10.6× |
| Thyroid Stimulating Immunoglobulin (84445) | $279 | $372 | 5.5× |
| Thyroxine binding globulin (84442) | $46.50 | $62 | 3.1× |
| Tiss cul neo disorders solid tumor (88239) | $773.25 | $1,031 | 5.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$30–$33 | $40–$44 | varies |
| Tissue Culture (88233) range across 3 matching MRF lines |
$318.75–$1,056.75 | $425–$1,409 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 3 matching MRF lines |
$338.25–$6,844.50 | $451–$9,126 | varies |
| Tissue culture bone marrow (88237) range across 3 matching MRF lines |
$426.75–$903.75 | $569–$1,205 | varies |
| Tissue Culture Lymphocyte (88230) range across 3 matching MRF lines |
$316.50–$519 | $422–$692 | varies |
| Tobramycin peak (80200) | $88.50 | $118 | 5.5× |
| Topiramate (80201) | $267 | $356 | 22.4× |
| Total Tau (84394) | $504 | $672 | 3.9× |
| Toxin/Antitoxin Assay Tissue Culture (87230) range across 2 matching MRF lines |
$45.75–$47.25 | $61–$63 | varies |
| Toxoplasma ab igm (86778) | $93 | $124 | 6.5× |
| Toxoplasma antibody (86777) | $51.75 | $69 | 3.6× |
| Tpmt gene com variants (81335) | $782.25 | $1,043 | 4.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $41.25 | $55 | 8.0× |
| Transferrin (84466) | $98.25 | $131 | 7.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $501.75 | $669 | 2.4× |
| Trg gene rearrangement anal (81342) range across 2 matching MRF lines |
$407.25–$732 | $543–$976 | varies |
| Trichinella Antibody (86784) | $125.25 | $167 | 10.0× |
| Trichomonas Vaginalis Amplif (87661) | $108.75 | $145 | 3.1× |
| Triglycerides (84478) | $59.25 | $79 | 10.3× |
| Troponin Quant (84484) | $147 | $196 | 11.8× |
| Tumor immunohistochem/comput (88361) | $398.25 | $531 | 1.1× |
| Tumor Immunohistochem/Manual (88360) | $398.25 | $531 | 2.4× |
| Ugt1a1 gene analysis common variants (81350) | $438.75 | $585 | 1.9× |
| Unlisted miscellaneous pathology test (89240) | $1,014 | $1,352 | 20.1× |
| Urea Nitrogen Clearance (84545) | $57 | $76 | 7.9× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$17.25–$39.75 | $23–$53 | varies |
| Uric acid other source (84560) range across 2 matching MRF lines |
$26.25–$35.25 | $35–$47 | varies |
| Urinalysis Volume Measure (81050) | $23.25 | $31 | 6.4× |
| Urine Pregnancy Test (81025) | $41.25 | $55 | 4.8× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $27 | $36 | 8.5× |
| Valproic acid (80164) | $117 | $156 | 8.6× |
| Vancomycin (80202) | $110.25 | $147 | 8.1× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$97.50–$99 | $130–$132 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$225–$663.75 | $300–$885 | varies |
| Very Long Chain Fatty Acids (82726) | $342.75 | $457 | 17.4× |
| Viral Culture (87252) | $113.25 | $151 | 4.3× |
| Virus antibody nos (86790) range across 8 matching MRF lines |
$47.25–$423 | $63–$564 | varies |
| Virus inoculation, shell via (87254) | $48 | $64 | 2.5× |
| Viscosity serum (85810) | $112.50 | $150 | 9.6× |
| Vit D 1 25-Dihydroxy (82652) | $153 | $204 | 4.0× |
| Vitamin A (84590) | $69 | $92 | 5.9× |
| Vitamin b-12 (82607) | $54.75 | $73 | 3.6× |
| Vitamin B2 (Riboflavin) (84252) | $77.25 | $103 | 3.8× |
| Vitamin B6 (84207) | $81.75 | $109 | 2.9× |
| Vitamin c (82180) | $26.25 | $35 | 2.7× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$171.75–$174.75 | $229–$233 | varies |
| Vitamin E (84446) | $34.50 | $46 | 2.4× |
| Vitamin K (84597) | $317.25 | $423 | 23.1× |
| Volatiles (84600) range across 4 matching MRF lines |
$163.50–$858 | $218–$1,144 | varies |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $365.25 | $487 | 30.3× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $301.50 | $402 | 1.8× |
| Von willebrand factor ag (85246) | $114.75 | $153 | 5.0× |
| West nile virus ab igm (86788) | $150 | $200 | 8.9× |
| West Nile Virus Antibody (86789) | $150 | $200 | 10.4× |
| Western Blot Test (84181) range across 2 matching MRF lines |
$265.50–$542.25 | $354–$723 | varies |
| Xm Archive Tissue Molec Anal (88363) | $40.50 | $54 | 1.4× |
| Zika Virus Dna/Rna Amp Probe (87662) | $197.25 | $263 | 3.8× |
| Zika Virus Igm Antibody (86794) | $114.75 | $153 | 6.8× |
| Zinc (84630) | $90 | $120 | 7.9× |
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.