Lab & pathology prices at University Medical Center New Orleans

New Orleans, LA · every code in this section with a posted price and a Medicare benchmark.

1299 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $33 $150 2.1×
17-Hydroxypregnenolone (84143)
range across 3 matching MRF lines		 $2.20–$43.12 $10–$196 varies
5 Nucleotidase (83915)
range across 3 matching MRF lines		 $24.42–$25.96 $111–$118 varies
Abl1 gene analysis kinase domain variants (81170) $471.90 $2,145 1.6×
Acetylcholine receptor binding antibody (86041) $16.06 $73 0.9×
Acetylcholine receptor blocking antibody (86042) $18.26 $83 1.0×
Acetylcholinesterase Assay (82013) $25.96 $118 2.1×
Acetylcholn Rcptr Modlg Antb (86043) $11.88 $54 1.0×
Acth (82024)
range across 4 matching MRF lines		 $24.86–$70.62 $113–$321 varies
Acth Stimulation Panel Adrenal Insufficiency (80400) $75.02 $341 2.3×
ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) $200.20 $910 2.3×
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) $180.40 $820 2.3×
Actin smooth muscle antibody each (86015) $12.32 $56 1.0×
Acute hepatitis panel (80074)
range across 2 matching MRF lines		 $56.54–$137.28 $257–$624 varies
Acylcarnitines Quant (82017) $39.16 $178 2.3×
Acylcarnitines; qualitative, each specimen Facility (82016) $32.34 $147 2.0×
Adenovirus antibody (86603) $29.92 $136 2.3×
Afp-l3 fraction isoform & total afp w/ratio (82107) $29.92 $136 0.5×
Agglutinins Febrile Each Antigen (86000) $16.28 $74 2.3×
Albumin Fluid (82042) $12.32 $56 1.6×
Albumin serum (82040) $14.52 $66 2.9×
Aldolase (82085) $22.66 $103 2.3×
Aldosterone Suppression Evaluation Panel (80408) $288.86 $1,313 2.3×
Aldosterone urine (82088) $93.94 $427 2.3×
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines		 $12.32–$43.12 $56–$196 varies
Allergen spec ige qual multiallergen screen (86005) $18.48 $84 2.3×
Allergen specific ige (86003) $10.34 $47 2.0×
Allergen specific igg (86001) $10.12 $46 1.3×
Allg Spec Ige Recomb Ea (86008) $29.92 $136 1.7×
Alpha-1-antitrypsin phenotype (82104) $27.06 $123 1.9×
Alpha-1-antitrypsin total (82103) $31.24 $142 2.3×
Alpha-Fetoprotein Amniotic Fluid (82106) $38.94 $177 2.3×
Alpha-Fetoprotein Serum (82105) $38.94 $177 2.3×
Alt (sgpt) (84460) $12.76 $58 2.4×
Aluminum (82108) $20.02 $91 0.8×
Amikacin trough (80150) $22 $100 1.5×
Amines vaginal fluid qualitative (82120) $9.02 $41 1.5×
Amino Acids 1 Quantitative Each Specimen (82131)
range across 3 matching MRF lines		 $31.68–$55 $144–$250 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $39.16 $178 2.3×
Amino Acids Multiple Qualitative Each Specimen (82128)
range across 3 matching MRF lines		 $32.34–$153.34 $147–$697 varies
Amino Acids Quant 2-5 (82136) $39.16 $178 2.0×
Amino acids; single, qualitative, each specimen Facility (82127) $32.34 $147 2.3×
Aminolevulinic acid (ala) (82135) $38.50 $175 2.3×
Ammonia (82140) $33.66 $153 2.3×
Amniotic fluid protein test on cervicovaginal fluid (84112) $148.28 $674 1.5×
Amniotic fluid scan (82143) $14.52 $66 1.6×
Amylase urine (82150) $19.58 $89 3.0×
Ana Titer (86039) $25.96 $118 2.3×
Anca screen each antibody (86036) $12.98 $59 1.1×
Anca Titer Each Antibody (86037) $12.98 $59 1.1×
Androstanediol Glucuronide (82154) $66.66 $303 2.3×
Androstenedione (82157) $57.64 $262 2.0×
Androsterone (hormone) level (82160) $58.08 $264 2.3×
Angiotensin converting enzyme csf (82164) $33.66 $153 2.3×
Angiotensin II (82163) $47.52 $216 2.3×
Anti-Phospholipid Antibody (86148) $27.06 $123 1.7×
Antibody aspergillus (86606) $35.20 $160 2.3×
Antibody Bacterium Not Elsewhere Specified (86609) $9.90 $45 0.8×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $35.86 $163 2.3×
Antibody Cytomegalovirus Cmv Igm (86645) $39.16 $178 2.3×
Antibody Encephalitis California La Crosse (86651)
range across 7 matching MRF lines		 $25.96–$30.80 $118–$140 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $24.64 $112 1.9×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $35.42 $161 2.3×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $41.14 $187 2.3×
Antibody Fungus Not Elsewhere Specified (86671)
range across 4 matching MRF lines		 $14.52–$14.74 $66–$67 varies
Antibody haemophilus influenza (86684) $36.52 $166 2.3×
Antibody helicobacter pylori (86677) $33.66 $153 2.0×
Antibody Herpes Smplx Non-Specific Type Test (86694) $27.06 $123 1.9×
Antibody Herpes Smplx Type 1 (86695) $36.30 $165 2.8×
Antibody HIV-1&HIV-2 single result (86703) $24.64 $112 1.8×
Antibody HIV-2 (86702) $24.64 $112 1.8×
Antibody Hla Class I High Definition Panel Qual (86832) $291.94 $1,327 0.9×
Antibody Hla Class I Phenotype Panel Qualitative (86830) $185.90 $845 1.9×
Antibody Hla Class II Phenotype Panel Qual (86831) $159.50 $725 1.9×
Antibody htlv/HIV antibody confirmatory test (86689) $36.30 $165 1.9×
Antibody identification leukocyte antibodies (86021) $35.20 $160 2.3×
Antibody Identification Platelet Immunogl Assay (86023) $29.04 $132 2.3×
Antibody john cunningham virus (86711) $33.44 $152 2.0×
Antibody leishmania (86717) $28.60 $130 2.3×
Antibody Lymphocytic Choriomeningitis (86727)
range across 2 matching MRF lines		 $29.92–$56.32 $136–$256 varies
Antibody neisseria meningitidis (86741) $30.80 $140 2.3×
Antibody nocardia (86744) $30.80 $140 1.9×
Antibody plasmodium malaria (86750) $30.80 $140 2.3×
Antibody Protozoa Nes (86753) $23.98 $109 1.9×
Antibody rotavirus (86759) $30.80 $140 1.7×
Antibody Titer (86886) $169.84 $772 32.8×
Antibody Treponema Pallidum (86780) $38.72 $176 2.9×
Antibody yersinia (86793) $26.18 $119 2.0×
Antibody; campylobacter (86625) $30.36 $138 2.3×
Antibody; encephalitis, st. louis (86653)
range across 7 matching MRF lines		 $25.08–$25.96 $114–$118 varies
Antibody; influenza virus (86710) $25.96 $118 1.9×
Antibody; mucormycosis Facility (86732) $30.80 $140 2.1×
Antigen typing (86905)
range across 6 matching MRF lines		 $136.18–$335.28 $619–$1,524 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $193.82 $881 33.9×
Antinomyces antibody (86602) $23.98 $109 2.4×
Antinuclear antibodies (86038) $28.38 $129 2.3×
Antistreptolysin O Screen (86063) $13.64 $62 2.4×
Antistreptolysin o titer (86060) $16.94 $77 2.3×
Antithrombin iii activity (85300) $25.30 $115 2.1×
Antithrombin iii antigen (85301) $23.76 $108 2.2×
Aortic dysfunction/dilation dup/del analysis (81411) $1,336.72 $6,076 1.0×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $498.96 $2,268 1.0×
Apc Gene Analysis Known Familial Variants (81202) $253 $1,150 0.9×
Apc gene dup/delet variants (81203) $253 $1,150 1.3×
Apc gene full sequence (81201) $922.02 $4,191 1.2×
Apolipoprotein a1 (82172) $35.86 $163 1.7×
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $12.98 $59 0.3×
Aquaporin-4 Antb Cba Each (86052) $12.98 $59 1.1×
Aquaporin-4 Antb Elisa (86051) $12.32 $56 1.1×
Arsenic (82175) $35.64 $162 1.9×
Aspa gene analysis common variants (81200) $63.58 $289 1.3×
Aspergillus ag eia (87305) $24.20 $110 2.0×
Assay activated protein c (85307) $33 $150 2.2×
Assay Blood Carbon Dioxide (82374) $11.44 $52 2.3×
Assay Blood Catecholamines (82383) $58.08 $264 2.0×
Assay Duodenal Fluid Trypsin (84485) $17.82 $81 2.5×
Assay myeloperoxidase (83876) $58.52 $266 1.2×
Assay Nephelometry Not Spec (83883)
range across 9 matching MRF lines		 $11–$38.50 $50–$175 varies
Assay of 5-hiaa (83497) $24.42 $111 1.9×
Assay of b-hexosaminidase each assay (83080) $39.16 $178 2.3×
Assay of blood/uric acid (84550) $10.56 $48 2.3×
Assay of calcium in urine (82340)
range across 5 matching MRF lines		 $9.24–$17.82 $42–$81 varies
Assay of corticosterone (82528) $52.14 $237 2.3×
Assay of cpk in blood (82552) $31.24 $142 2.3×
Assay of estrone (82679) $58.08 $264 2.3×
Assay of feces for trypsin (84490) $16.28 $74 1.6×
Assay of g6pd enzyme (82955)
range across 5 matching MRF lines		 $6.38–$22.66 $29–$103 varies
Assay of gammaglobulin igm (82784) $21.78 $99 2.3×
Assay of lactic acid (83605)
range across 12 matching MRF lines		 $27.94–$31.24 $127–$142 varies
Assay of manganese (83785) $49.28 $224 1.8×
Assay of metanephrines (83835) $39.16 $178 2.3×
Assay of phosphatase acid total (84060) $17.38 $79 2.3×
Assay of phosphatase alkaline heat stable (84078) $13.64 $62 1.7×
Assay of proinsulin (84206) $33.44 $152 1.3×
Assay of prostate specific antigen complexed (84152) $42.90 $195 2.3×
Assay of pyruvate (84210) $25.08 $114 1.7×
Assay of semen fructose (82757) $40.04 $182 2.3×
Assay of serotonin (84260) $58.52 $266 1.9×
Assay of serum potassium (84132) $10.56 $48 2.2×
Assay of Sialic Acid (84275) $31.24 $142 2.3×
Assay of sweat sodium (84302) $10.12 $46 2.1×
Assay of transcortin (84449) $33.66 $153 1.9×
Assay of Tyrosine (84510) $24.42 $111 2.3×
Assay of urea nitrogen (84520) $9.46 $43 2.4×
Assay of urine vma (84585) $29.26 $133 1.9×
Assay of vasoactive intestinal peptide (84586) $66.44 $302 1.9×
Assay of vitamin b-1 (84425) $49.28 $224 2.3×
Assay Ph Body Fluid Nos (83986) $8.58 $39 2.4×
Assay Phosphohexose Enzymes (84087) $24.20 $110 2.3×
Assay spec xcp ur&breath ia (82077) $20.68 $94 1.2×
ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative… (81176) $398.86 $1,813 1.6×
Asxl1 gene analysis full gene sequence (81175) $939.84 $4,272 1.4×
Asy carbamazepin 10,11-epxid (80161) $101.86 $463 5.5×
Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) $162.36 $738 1.2×
Atomic Absorption (82190) $18.92 $86 1.2×
Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) $162.36 $738 1.2×
ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles… (81183) $162.36 $738 1.2×
Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) $162.36 $738 1.2×
Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) $162.36 $738 1.2×
Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) $162.36 $738 1.2×
ATXN8OS (ATXN8 opposite strand ºnon-protein coding») (eg, spinocerebellar ataxia) gene analysis, evaluation to detect… (81182) $162.36 $738 1.2×
Autol Bld/Component Collj Storage Predeposited (86890) $75.24 $342 0.5×
Automated Leukocyte Count (85048) $5.72 $26 2.3×
B cells total count (86355) $87.12 $396 2.3×
Babesia microti amp prb (87469) $59.40 $270 1.7×
Bacterial antigens 87802 (87802) $27.94 $127 2.2×
Bartonella antibody (86611) $23.98 $109 2.4×
Bcr/abl1 gene major bp (81206) $147.84 $672 0.9×
Bcr/abl1 gene minor bp (81207) $123.20 $560 0.9×
Beta 2 glycoprotein i antibody each (86146) $27.06 $123 1.1×
Beta hydroxybutyrate (82010) $18.92 $86 2.3×
Beta Lactamase (87185) $11.22 $51 2.4×
Beta-2 Microglobulin (82232) $37.62 $171 2.3×
Beta-amyloid; 1-42 (abeta 42) (82234) $468.60 $2,130 3.6×
Bile acids total (82239) $32.78 $149 1.9×
Bile acids, cholylglycine (82240) $60.94 $277 2.3×
Bilirubin direct (82248) $10.34 $47 2.1×
Bilirubin total (82247) $10.34 $47 2.1×
Bilirubin total transcutaneous (88720) $7.48 $34 1.5×
Bilirubin; feces, qualitative Facility (82252) $10.56 $48 2.3×
Biotinidase (82261)
range across 4 matching MRF lines		 $2.20–$39.16 $10–$178 varies
Bl Smear W/O Diff Wbc Count (85008) $7.48 $34 2.2×
Blastomyces antibody (86612) $29.92 $136 2.3×
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $55.22 $251 1.2×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $64.90 $295 0.4×
Bleeding time test (85002) $9.90 $45 2.1×
Blm Gene (81209) $52.58 $239 1.3×
Blood Count Automated Differential Wbc Count (85004) $14.30 $65 2.2×
Blood Count Manual Cell Count Each (85032) $8.14 $37 1.9×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $8.36 $38 1.6×
Blood Count Red Blood Cell Automated (85041)
range across 2 matching MRF lines		 $6.38–$22.66 $29–$103 varies
Blood count reticulocyte automated (85045) $9.02 $41 2.3×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $5.72 $26 1.5×
Blood count spun microhematocrit (85013) $5.50 $25 0.8×
Blood gas (82803) $35.42 $161 1.4×
Blood gases w/02 saturation (82805) $24.42 $111 0.3×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $24.20 $110 1.5×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $8.14 $37 1.9×
Blood Sulfhemoglobin Assay (83060) $19.58 $89 2.2×
Blood Type Antigen Donor Reagent Serum Each (86902) $335.28 $1,524 52.8×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $20.46 $93 1.3×
Blood typing serologic abo (86900)
range across 2 matching MRF lines		 $5.94–$129.14 $27–$587 varies
Body fluid cell count (89050) $9.24 $42 2.0×
Bone marrow smear interpretation (85097) $437.80 $1,990 0.6×
Bordetella antibody (86615)
range across 2 matching MRF lines		 $16.28–$30.80 $74–$140 varies
Borrelia Antibody (86619) $31.02 $141 2.3×
Braf gene analysis (81210) $73.04 $332 0.4×
Breath Alcohol Test (82075) $22.88 $104 0.8×
Brucella antibody (86622) $20.68 $94 2.3×
Btk Gene Analysis Common Variants (81233) $173.58 $789 1.0×
C diff amplified probe (87493) $80.74 $367 2.2×
C-Peptide (84681)
range across 3 matching MRF lines		 $24.86–$48.18 $113–$219 varies
C-reactive protein (86140) $12.32 $56 2.4×
Ca 19-9 (86301)
range across 6 matching MRF lines		 $48.18–$288.20 $219–$1,310 varies
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) $162.36 $738 1.2×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence… (81185) $1,000.56 $4,548 1.2×
Cadmium (82300) $53.46 $243 2.3×
Caffeine (80155) $69.08 $314 1.8×
Calcitonin (82308) $50.16 $228 1.9×
Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) $185.02 $841 2.3×
Calcium ionized (82330)
range across 3 matching MRF lines		 $22.66–$39.82 $103–$181 varies
Calcium total (82310) $12.10 $55 2.3×
Calcium; after calcium infusion test (82331) $12.32 $56 0.9×
Calculus assay quant (82360) $24.42 $111 1.9×
Calculus Spectroscopy (82365) $29.92 $136 2.3×
Calculus Xray Diffraction (82370) $29.04 $132 2.3×
Calprotectin Fecal (83993)
range across 3 matching MRF lines		 $19.36–$267.30 $88–$1,215 varies
Calr gene com variants (81219) $253 $1,150 2.1×
Cancer Antigen 125 (86304) $48.18 $219 2.3×
Cancer Antigen 27.29 (86300)
range across 4 matching MRF lines		 $48.18–$87.12 $219–$396 varies
Candida antibody (86628) $27.94 $127 2.3×
Candida Dna Dir Probe (87480) $46.20 $210 2.3×
Car Ion Chnnlpath Inc 10 Gns (81413) $1,140.04 $5,182 1.9×
Car Ion Chnnlpath Inc 2 Gns (81414) $691.90 $3,145 1.2×
Carbamazepine free (80157)
range across 2 matching MRF lines		 $18.48–$30.80 $84–$140 varies
Carbamazepine total (80156) $27.06 $123 1.9×
Carbohydrate Deficient Transferrin (82373) $41.36 $188 2.3×
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $14.30 $65 1.0×
Carboxyhemoglobin (82375) $25.30 $115 2.1×
Carcinoembryonic antigen (82378) $43.78 $199 2.3×
Cardiolipin ab iga (86147) $27.06 $123 1.1×
Carnitine Quantitative Each Specimen (82379) $39.16 $178 2.3×
Carotene (82380)
range across 2 matching MRF lines		 $17.82–$51.26 $81–$233 varies
Catecholamines fractionated (82384) $58.52 $266 2.3×
Catecholamines total urine (82382) $39.82 $181 1.5×
Cathepsin-d (82387) $18.04 $82 1.0×
Ccp antibody (86200) $29.92 $136 2.3×
Cebpa Gene Analysis Full Gene Sequence (81218) $253 $1,150 1.0×
Cell count csf (89051)
range across 2 matching MRF lines		 $9.24–$15.18 $42–$69 varies
Cell marker study (88182) $64.02 $291 1.4×
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 5 matching MRF lines		 $79.20–$232.32 $360–$1,056 varies
Ceruloplasmin (82390)
range across 3 matching MRF lines		 $24.86–$28.82 $113–$131 varies
Cftr gene com variants (81220)
range across 10 matching MRF lines		 $150.48–$761.20 $684–$3,460 varies
Cftr gene dup/delet variants (81222) $514.36 $2,338 1.2×
Cftr gene full sequence (81223)
range across 5 matching MRF lines		 $590.04–$950.40 $2,682–$4,320 varies
Chemiluminescent assay (82397) $11 $50 0.8×
Chemotaxis Assay (86155) $36.96 $168 2.3×
Chimerism w/comp to baseline w/cell selection ea (81268) $308.44 $1,402 1.2×
Chimerism w/comp to baseline w/o cell selection (81267) $245.52 $1,116 1.2×
Chlamydia antibody (86631) $27.50 $125 2.3×
Chlamydia Igm Antibody (86632) $29.26 $133 2.3×
Chlamydia trachomatis ag if (87270) $27.94 $127 2.3×
Chloramphenicol level (82415) $29.26 $133 2.3×
Chloride other source (82438) $54.34 $247 10.9×
Chloride Serum (82435) $34.10 $155 7.4×
Chloride urine (82436) $12.10 $55 2.1×
Chlorinated Hydrocarbons Screen (82441) $14.30 $65 2.4×
Cholesterol total (82465) $13.20 $60 3.0×
Cholinesterase rbc (82482) $18.04 $82 1.8×
Cholinesterase Serum (82480) $18.26 $83 2.3×
Chondroitin B sulfate, quantitative Facility (82485) $47.74 $217 2.3×
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) $128.70 $585 2.3×
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) $119.02 $541 2.3×
Chorionic gonadotropin test (84702)
range across 6 matching MRF lines		 $14.96–$35.20 $68–$160 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $413.60 $1,880 2.2×
Chrmsm Analysis Addl Cells Counted Each Study (88285)
range across 3 matching MRF lines		 $15.62–$43.78 $71–$199 varies
Chrmsm Analysis Addl High Resolution Study (88289) $79.42 $361 2.3×
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 3 matching MRF lines		 $15.84–$58.30 $72–$265 varies
Chrmsm Analysis Addl Specialized Banding (88283) $64.24 $292 0.9×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $398.64 $1,812 2.3×
Chrmsm Breakage Baseline Sister 20-25 Cll (88245) $146.96 $668 0.8×
Chrmsm Breakage Synds Score 100 Cll (88249) $398.64 $1,812 2.3×
Chromium serum (82495) $38.50 $175 1.9×
Chromogenic Substrate Assay (85130) $25.30 $115 2.1×
Chromogranin a (86316) $48.18 $219 2.3×
Chromosome analys amniotic (88269)
range across 3 matching MRF lines		 $116.60–$382.58 $530–$1,739 varies
Chromosome Analysis 15-20 (88262) $268.40 $1,220 2.1×
Chromosome Analysis 20-25 (88264) $215.38 $979 1.5×
Chromosome analysis 45 cells (88263) $146.96 $668 1.0×
Chromosome analysis, 5 (88261) $406.34 $1,847 1.5×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $80.74 $367 2.3×
Citric acid urine (82507)
range across 5 matching MRF lines		 $9.90–$64.02 $45–$291 varies
Ckmb (82553) $33.44 $152 2.9×
Clostridium Difficile (87324) $35.20 $160 2.9×
Clot Factor VIII Multimetric (85247) $40.04 $182 1.7×
Clot factor xiii fibrin stab (85290) $30.36 $138 1.9×
Clotting factor viii related antigen (85244) $43.56 $198 2.1×
Clotting factor xii hageman (85280) $30.36 $138 1.6×
Clotting Funct Activity (85397)
range across 7 matching MRF lines		 $42.02–$293.26 $191–$1,333 varies
Clotting hi molec weight kininogen assay (85293) $40.48 $184 2.1×
Clotting prekallikrein assay fletcher fact assay (85292) $40.48 $184 2.1×
Cns DNA amp probe type 12-25 (87483) $303.38 $1,379 0.7×
Coagulation time activated (85347) $6.16 $28 1.4×
Coagulation time other methods (85348) $8.36 $38 1.9×
Coagulation time; Lee and White Facility (85345) $9.46 $43 2.0×
Coccidioides antibody (86635) $26.62 $121 2.3×
Cold agglutinin screen (86156) $15.84 $72 2.0×
Cold agglutinin titer (86157) $18.92 $86 2.3×
Collagen crosslinks (82523) $35.42 $161 1.9×
Column Chromotography Quant (82542)
range across 36 matching MRF lines		 $43.12–$188.10 $196–$855 varies
Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) $1,332.10 $6,055 2.3×
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 5 matching MRF lines		 $94.16–$275.88 $428–$1,254 varies
Compatibility Each Unit Incubation (86921) $153.56 $698 1.0×
Compatibility test antiglob (86922) $193.82 $881 1.3×
Complement Antigen Each Component (86160) $51.48 $234 4.3×
Complement Total (Ch50) (86162) $44.22 $201 2.2×
Complement/Function Activity (86161)
range across 9 matching MRF lines		 $11.88–$247.50 $54–$1,125 varies
Consltj&Reprt Material Requiring Prepj Slides (88323) $64.02 $291 1.4×
Consltj&Reprt Slides Prepared Elsewhere (88321) $40.48 $184 1.2×
Coombs direct (86880) $14.74 $67 2.7×
Copper urine (82525)
range across 6 matching MRF lines		 $28.82–$51.48 $131–$234 varies
Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) $757.68 $3,444 0.9×
Cortisol free (82530) $31.46 $143 1.9×
Cortisol saliva (82533) $37.84 $172 2.3×
Creatine (82540)
range across 4 matching MRF lines		 $5.06–$11 $23–$50 varies
Creatine kinase (CK), (CPK); isoforms Facility (82554) $27.50 $125 2.3×
Creatine kinase total (82550) $19.58 $89 3.0×
Creatinine blood (82565) $12.10 $55 2.4×
Creatinine clearance (82575) $22 $100 2.3×
Creatinine Urine (82570) $12.32 $56 2.4×
Crossmatch electronic (86923) $34.76 $158 0.2×
Crossmatch immediate spin (86920) $193.82 $881 1.3×
Crp High Sensitivity (86141) $29.92 $136 2.3×
Cryofibrinogen (82585) $20.02 $91 1.4×
Cryoglobulin (82595) $15.18 $69 2.3×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $23.98 $109 1.8×
Cryptococcal Antigen (87327) $27.94 $127 2.1×
Cryptococcus ab (86641) $33.44 $152 2.3×
Cryptococcus ag titer (87899) $22 $100 1.4×
Cryptosporidium (87272) $27.94 $127 2.3×
Cryptosporidium ag eia (87328) $35.20 $160 2.5×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $20.02 $91 2.5×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $23.98 $109 3.0×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $16.28 $74 2.1×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $229.46 $1,043 1.1×
Culture aerobic quant other (87071) $22 $100 2.2×
Culture afb (87116)
range across 9 matching MRF lines		 $25.08–$45.10 $114–$205 varies
Culture Anaerobic (87075) $22 $100 2.3×
Culture bacteria anaerobic (87073) $18.26 $83 1.9×
Culture blood (87040) $24.20 $110 2.3×
Culture chlamydia (87110) $37.40 $170 1.9×
Culture csf (87070) $23.76 $108 2.8×
Culture fungus (87102) $24.64 $112 2.9×
Culture fungus blood (87103) $20.02 $91 1.0×
Culture screen only (87081) $15.62 $71 2.4×
Culture stool (87045) $20.02 $91 2.1×
Culture Typing Gas/High Pres Liq Chromatography (87143) $29.04 $132 2.3×
Culture typing if ea antiserum (87140) $51.48 $234 9.2×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $10.12 $46 2.0×
Culture typing other methods (87158) $12.32 $56 1.6×
Culture urine (87086) $18.92 $86 2.3×
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) $20.24 $92 0.7×
Culture, typing; identification by pulse field gel typing Facility (87152) $12.32 $56 1.6×
Cyanide (82600) $36.96 $168 1.9×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $33.22 $151 2.3×
Cyclic amp (82030) $12.32 $56 0.5×
Cyclosporine (80158) $41.36 $188 2.3×
Cyp2c19 gene analysis common variants (81225) $344.74 $1,567 1.2×
Cyp2c9 gene com variants (81227) $233.86 $1,063 1.3×
Cyp2d6 gene com variants (81226) $533.28 $2,424 1.2×
Cyp3a4 gene common variants (81230)
range across 2 matching MRF lines		 $207.02–$229.90 $941–$1,045 varies
Cyp3a5 gene common variants (81231)
range across 2 matching MRF lines		 $207.02–$229.90 $941–$1,045 varies
Cystatin C (82610) $9.24 $42 0.5×
Cytogenetics 10-30 (88273) $74.36 $338 2.1×
Cytogenetics 100-300 (88275) $197.56 $898 3.9×
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 8 matching MRF lines		 $1,287–$1,989.24 $5,850–$9,042 varies
Cytomegalovirus igg (86644)
range across 9 matching MRF lines		 $4.62–$33.44 $21–$152 varies
Cytopath C/V Index Add-On (88155) $14.30 $65 1.0×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $31.68 $144 1.6×
Cytopath Cell Enhance Tech (88112) $39.60 $180 0.8×
Cytopath Fl Nongyn Filter (88106) $39.60 $180 1.5×
Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) $24.64 $112 1.3×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $33.66 $153 1.3×
Cytotoxic Antibody Screen Std (86807) $81.84 $372 1.0×
Cytotoxic pra quick (86808) $68.42 $311 2.3×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $42.90 $195 1.6×
Cytp Concentration Smears & Interpretation (88108) $82.06 $373 2.4×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $68.42 $311 1.4×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $169.84 $772 1.1×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $29.92 $136 0.9×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $263.12 $1,196 1.7×
Cytp Slides C/V Mnl Scr Under Phys (88150) $24.64 $112 1.3×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $24.64 $112 1.3×
Cytp smrs any oth src extnd std > 5 slides (88162) $39.60 $180 0.8×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $21.56 $98 0.8×
Cytp Urine 3-5 Probes Cmptr (88121) $263.12 $1,196 1.7×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $24.86 $113 2.3×
Deoxycortisol (82634) $67.76 $308 2.3×
Deoxyribonuclease antibody (86215) $30.80 $140 2.3×
Desoxycorticosterone (82633) $71.28 $324 2.3×
Detect Agent Nos Dna Amp (87798)
range across 47 matching MRF lines		 $69.08–$356.18 $314–$1,619 varies
Detect Agent Nos Dna Quant (87799)
range across 21 matching MRF lines		 $42.46–$272.36 $193–$1,238 varies
Detect agnt mult DNA ampli (87801) $161.70 $735 2.3×
Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) $165.66 $753 1.0×
Dgp Antibody Each Ig Class (86258) $12.32 $56 1.0×
Dhea (82626) $47.74 $217 1.9×
Dhea-S (82627)
range across 4 matching MRF lines		 $9.46–$51.48 $43–$234 varies
Dibucaine number (82638) $28.60 $130 2.3×
Digoxin (80162) $31.02 $141 2.3×
Digoxin free (80163) $29.92 $136 2.3×
Dihydrotestosterone (82642) $31.02 $141 1.1×
Diphtheria antitoxoid (86648) $35.42 $161 2.3×
Dipropylacetic Acid Free (80165) $30.80 $140 2.3×
Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) $33 $150 1.0×
Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) $283.14 $1,287 2.1×
Dna Antibody Native/Double Stranded (86225) $31.68 $144 2.3×
Dna/Rna Amplified Probe (87150) $80.74 $367 2.3×
DNA/RNA direct probe (87149) $46.20 $210 2.3×
Dna/Rna Sequencing (87153) $265.54 $1,207 2.3×
Dpyd gene common variants (81232) $229.90 $1,045 1.3×
Drug assay acetaminophen (80143) $22.22 $101 1.2×
Drug assay adalimumab (80145)
range across 3 matching MRF lines		 $45.76–$320.54 $208–$1,457 varies
Drug Assay Amiodarone (80151) $101.86 $463 5.5×
Drug Assay Everolimus (80169) $27.06 $123 2.0×
Drug assay felbamate (80167) $101.86 $463 5.5×
Drug Assay Infliximab (80230)
range across 3 matching MRF lines		 $45.76–$320.54 $208–$1,457 varies
Drug Assay Itraconazole (80189) $101.86 $463 3.8×
Drug Assay Lacosamide (80235) $167.20 $760 6.2×
Drug Assay Leflunomide (80193) $101.86 $463 2.6×
Drug Assay Posaconazole (80187) $21.56 $98 0.8×
Drug Assay Vedolizumab (80280) $45.76 $208 1.2×
Drug assay voriconazole (80285) $32.34 $147 1.2×
Drug Asy Hydroxychloroquine (80220) $17.60 $80 0.9×
Drug Screen Quant Clozapine (80159) $41.36 $188 2.1×
Drug Screen Quant Zonisamide (80203) $29.92 $136 2.3×
Drug Screen Quantitative Gabapentin (80171) $24.42 $111 1.1×
Drug Screen Quantitative Lamotrigine (80175) $24.64 $112 1.9×
Drug Screen Quantitative Levetiracetam (80177)
range across 4 matching MRF lines		 $13.20–$24.64 $60–$112 varies
Drug Screen Quantitative Oxcarbazepine (80183) $24.64 $112 1.9×
Drug Screen Quantitative Procainamide Metabolite (80192) $38.94 $177 2.3×
Drug Screen Quantitative Tiagabine (80199) $28.38 $129 1.0×
Drug Test Prsmv Chem Anlyzr (80307)
range across 56 matching MRF lines		 $13.86–$391.82 $63–$1,781 varies
Drug Test Prsmv Dir Opt Obs (80305) $21.56 $98 1.7×
Drug Test Prsmv Instrmnt (80306) $28.82 $131 1.7×
Egfr Gene Analysis Common Variants (81235)
range across 2 matching MRF lines		 $376.64–$383.90 $1,712–$1,745 varies
Ehrlichia antibody (86666) $23.98 $109 2.4×
El-1 Fecal Quantitative (82653) $24.42 $111 1.1×
Electrolyte panel (80051) $16.06 $73 2.3×
Electron Microscopy (88348)
range across 4 matching MRF lines		 $263.12–$745.36 $1,196–$3,388 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664) $82.72 $376 1.3×
Encephaltis East Eqne Anbdy (86652)
range across 7 matching MRF lines		 $25.08–$25.96 $114–$118 varies
Encephaltis West Eqne Antbdy (86654) $25.08 $114 1.9×
Endomysial Antibody Each Immunoglobulin Class (86231) $12.98 $59 1.1×
Enterovirus Antibody (86658)
range across 8 matching MRF lines		 $22–$30.36 $100–$138 varies
Enterovirus PCR (87498) $60.72 $276 1.7×
Enzyme cell activity (82657)
range across 26 matching MRF lines		 $2.20–$70.84 $10–$322 varies
Enzyme histochemistry (88319) $742.72 $3,376 1.0×
Eosinophil Smear (89190) $9.24 $42 1.6×
Erythropoietin (82668) $43.56 $198 2.3×
Estradiol serum (82670) $64.24 $292 2.3×
Estriol (82677) $45.32 $206 1.9×
Estrogen total (82672) $40.70 $185 1.9×
Estrogens fractionated (82671) $60.50 $275 1.9×
Ethosuximide (80168) $37.84 $172 2.3×
Ethylene Glycol (82693)
range across 2 matching MRF lines		 $26.84–$28.60 $122–$130 varies
Euglobulin lysis (85360) $18.26 $83 2.2×
Exam Synovial Fluid Crystals (89060) $17.38 $79 2.4×
F2 Gene (81240)
range across 4 matching MRF lines		 $136.18–$507.54 $619–$2,307 varies
F9 full gene sequence (81238) $801.02 $3,641 1.3×
Factor ii activity (85210) $12.76 $58 1.0×
Factor Inhibitor Test (85335)
range across 7 matching MRF lines		 $27.94–$214.28 $127–$974 varies
Factor ix activity (85250) $70.62 $321 3.7×
Factor v activity (85220) $24.64 $112 1.4×
Factor v leiden mutation (81241) $31.24 $142 0.4×
Factor vii assay (85230) $25.30 $115 1.4×
Factor viii assay (85240) $117.04 $532 6.5×
Factor X (85260) $24.64 $112 1.4×
Factor xi activity (85270) $24.64 $112 1.4×
Factor xiii screen (85291) $15.84 $72 1.7×
Fancc Gene (81242) $52.36 $238 1.4×
Fat differential, feces, quantitative Facility (82715) $39.82 $181 1.7×
Fat stain feces urine/respir secretions (89125) $9.46 $43 1.6×
Fat/Lipids Feces Quantitative (82710) $38.94 $177 2.3×
Fatty acids free (82725)
range across 4 matching MRF lines		 $31.02–$650.76 $141–$2,958 varies
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $16.72 $76 2.2×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $36.96 $168 2.2×
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $21.78 $99 2.1×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $14.30 $65 2.2×
Fecal Fat Qualitative (82705) $9.90 $45 1.9×
Ferritin (82728) $31.46 $143 2.3×
Fetal Chrmoml Aneuploidy (81420)
range across 5 matching MRF lines		 $345.62–$897.16 $1,571–$4,078 varies
Fetal Congenital Abnor Assay Four Anal (81511)
range across 6 matching MRF lines		 $70.62–$181.72 $321–$826 varies
Fetal Congenital Abnor Assay Two Proteins (81508) $67.10 $305 1.2×
Fetal Fibronectin (82731) $120.56 $548 1.9×
Fetal hemoglobin assay qual (83033) $13.86 $63 1.7×
Fetal lung maturity assessment; foam stability test Facility (83662) $43.78 $199 2.3×
Fetal Lung Maturity Fluorescence Polarization (83663) $43.78 $199 2.3×
Fetal screen rosette (85461) $5.72 $26 0.6×
Fibrin degradation products (85362) $11 $50 1.6×
Fibrin Degradation Quant (85379) $21.78 $99 2.1×
Fibrin dgradj products d-dimer qual/semiquan (85378) $12.32 $56 1.3×
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) $21.78 $99 2.1×
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $22 $100 1.8×
Fibrinogen activity (85384) $22.88 $104 2.4×
Fibrinogen antigen (85385) $18.26 $83 1.3×
Fibrinolytic factors and inhibitors; plasmin Facility (85400) $18.92 $86 2.5×
Flecainide level (80181) $101.86 $463 5.5×
Flow cytometry first marker (88184) $366.30 $1,665 1.1×
Flt3 Gene (81245) $158.62 $721 1.0×
Flt3 gene analysis (81246)
range across 3 matching MRF lines		 $158.62–$2,890.80 $721–$13,140 varies
Fluorescent antibody screen (86255)
range across 37 matching MRF lines		 $26.40–$211.64 $120–$962 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 18 matching MRF lines		 $28.38–$118.80 $129–$540 varies
Fluoride serum (82735) $43.12 $196 2.3×
Fmr1 Gene Charac Alleles (81244) $47.52 $216 1.1×
Fmr1 gene detection (81243) $150.92 $686 2.6×
Folic acid rbc (82747)
range across 2 matching MRF lines		 $5.50–$39.82 $25–$181 varies
Folic Acid Serum (82746) $34.10 $155 2.3×
Follicle Stimulating Hormone (83001) $43.12 $196 2.3×
Forensic Cytopathology (88125) $39.60 $180 0.8×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $20.02 $91 0.7×
Francisella tularensis (86668) $24.42 $111 1.7×
Fresh Frozen Plasma Thawing Each Unit (86927) $169.84 $772 1.1×
Frozen blood freeze/thaw (86932) $53.46 $243 1.6×
Frozen Section (88331) $169.84 $772 1.1×
Fungi Identification Mold (87107) $20.68 $94 2.0×
Fungi Identification Yeast (87106) $24.20 $110 2.3×
Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) $162.36 $738 1.2×
Fxn Gene Analysis Full Gene Sequence (81286) $325.16 $1,478 1.2×
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) $74.80 $340 1.3×
G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248) $501.16 $2,278 1.3×
G6pd gene alys cmn variant (81247) $229.90 $1,045 1.3×
G6pd gene analysis full gene sequence (81249) $801.02 $3,641 1.3×
Galactokinase rbc (82759) $49.50 $225 2.3×
Galactose (82760) $26.18 $119 2.3×
Galactose transferase test (82776) $19.80 $90 1.7×
Galactose-1-Phosphate Uridyl Transferase Quan (82775)
range across 3 matching MRF lines		 $2.20–$48.84 $10–$222 varies
Galectin-3 (82777) $29.92 $136 0.7×
Gammaglobulin ige (82785) $38.50 $175 2.3×
Gardner vag DNA dir probe (87510) $46.20 $210 2.3×
Gardner Vag Dna Quant (87512) $96.36 $438 2.3×
Gases Blood O2 Saturation Only Direct Meas (82810) $8.58 $39 0.9×
Gases blood ph only (82800) $18.26 $83 1.7×
Gastric Analy W/Ph Ea Spec (82930) $11 $50 1.6×
Gastrin (82941) $33.66 $153 1.9×
Gastrin after secretin stim (82938) $40.92 $186 2.3×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $549.78 $2,499 1.3×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $49.94 $227 1.1×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $1,013.76 $4,608 1.3×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $3,450.92 $15,686 1.2×
Genet Virus Isolate Hsv (87255)
range across 2 matching MRF lines		 $40.48–$66.66 $184–$303 varies
Genetic Tstg Severe Inh Cond (81443) $3,267.66 $14,853 1.3×
Gentamicin (80170) $27.06 $123 1.7×
Ggt (82977) $21.12 $96 2.9×
Gh suppression panel (80430) $180.62 $821 1.4×
Giardia antigen (87329) $25.96 $118 2.2×
Giardia lamblia antibody (86674) $27.06 $123 1.8×
GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) $119.90 $545 1.9×
Gjb2 Gene Analysis Full Gene Sequence (81252) $119.90 $545 1.2×
Gjb6 Gene Analysis Common Variants (81254) $36.52 $166 1.0×
Gluc-6-phosphate dehydrogenase screen (82960) $14.30 $65 2.4×
Glucagon (82943) $26.62 $121 1.9×
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $106.26 $483 2.3×
Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) $116.60 $530 2.3×
Glucagon tolerance test Facility (82946) $27.06 $123 1.5×
Glucose 2 hr pp (82950) $9.46 $43 2.0×
Glucose Blood Test (82962) $5.50 $25 1.7×
Glucose body fluid (82945) $9.46 $43 2.4×
Glucose Serum (82947)
range across 8 matching MRF lines		 $6.82–$11.22 $31–$51 varies
Glucose tolerance test (gtt) (82951) $29.92 $136 2.3×
Glucosidase beta (82963) $49.50 $225 2.3×
Glutamate dehydrogenase Facility (82965) $18.04 $82 1.4×
Glutathione (82978) $33.22 $151 2.2×
Glutathione reductase, RBC Facility (82979) $16.06 $73 1.7×
Glycated Protein (82985) $35.20 $160 2.1×
Gonadotropin Chorionic Hcg Free Beta Chain (84704)
range across 2 matching MRF lines		 $8.58–$35.20 $39–$160 varies
Gonadotropin Chorionic Qualitative (84703) $17.82 $81 2.4×
Gonadotropin releasing hormone (83727) $39.82 $181 2.3×
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) $341.44 $1,552 2.3×
Growth hormone (83003) $31.02 $141 1.9×
Growth hormone antibody (86277) $36.52 $166 2.3×
Growth Hormone Stimulation Panel (80428) $153.56 $698 2.3×
Gtt-added samples (82952) $9.46 $43 2.4×
H Pylori (C-13) Breath (83013) $67.10 $305 1.0×
H Pylori Drug Admin (83014) $18.26 $83 2.3×
Haloperidol (80173) $27.06 $123 1.7×
Haptoglobin (83010) $29.26 $133 2.3×
Haptoglobin; phenotypes Facility (83012) $39.82 $181 1.5×
HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) $501.16 $2,278 1.3×
Hba1/hba2 full gene sequence (81259) $801.02 $3,641 1.3×
Hba1/Hba2 Gene (81257) $121 $550 1.2×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $270.38 $1,229 1.3×
HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) $501.16 $2,278 1.3×
Hbb duplication/deletion variants (81363) $270.38 $1,229 1.3×
Hbb Full Gene Sequence (81364)
range across 5 matching MRF lines		 $383.90–$433.62 $1,745–$1,971 varies
Hbb Gene Com Variants (81361) $229.90 $1,045 1.3×
Hdl Cholesterol (83718) $19.58 $89 2.4×
Heavy metal qualitative any analytes (83015) $26.40 $120 1.3×
Heinz Bodies Direct (85441) $9.24 $42 2.2×
Heinz Bodies Induced Acetyl Phenylhydrazine (85445) $14.74 $67 2.2×
Helicobacter Pylori Stool (87338) $61.82 $281 4.3×
Helminth Antibody (86682)
range across 9 matching MRF lines		 $24.64–$26.18 $112–$119 varies
Hemagglutination Inhibition (86280) $19.58 $89 2.4×
Hematocrit (85014) $39.82 $181 16.8×
Hemoglobin (85018) $18.26 $83 7.7×
Hemoglobin a1c (83036) $22.66 $103 2.3×
Hemoglobin Chromotography (83021)
range across 8 matching MRF lines		 $2.20–$41.36 $10–$188 varies
Hemoglobin Copper Sulfate Method Non-Automated (83026) $5.72 $26 1.4×
Hemoglobin electrophoresis (83020)
range across 8 matching MRF lines		 $2.20–$29.92 $10–$136 varies
Hemoglobin F Fetal Chemical (83030) $8.36 $38 0.8×
Hemoglobin Methemoglobin Quantitative (83050) $16.94 $77 2.1×
Hemoglobin plasma (83051) $16.94 $77 2.3×
Hemoglobin stability screen (83068) $20.02 $91 2.1×
Hemoglobin Thermolabile (83065) $16.06 $73 1.8×
Hemoglobin urine (83069) $9.46 $43 2.4×
Hemoglobin-Oxygen Affinity (82820) $23.76 $108 1.8×
Hemoglobin; methemoglobin, qualitative Facility (83045) $11.44 $52 1.8×
Hemolysin Acid (85475) $19.58 $89 2.2×
Hemolysins&Agglutinins Auto Screen Each (86940) $17.82 $81 2.0×
Hemolysins&Agglutinins Incubated (86941) $27.50 $125 2.3×
Hemosiderin urine (83070) $11.22 $51 2.4×
Hep a ab igm (86709) $21.56 $98 1.9×
Heparin assay (85520) $18.26 $83 1.4×
Heparin Neutralization (85525) $18.26 $83 1.5×
Heparin-Protamine Tolerance Tst (85530) $30.36 $138 2.3×
Hepatitis a antibody total (86708) $27.06 $123 2.2×
Hepatitis b core ab igm (86705) $22.44 $102 1.9×
Hepatitis b core ab total (86704)
range across 2 matching MRF lines		 $28.38–$29.92 $129–$136 varies
Hepatitis b surface ag quan (87467) $11.22 $51 0.4×
Hepatitis B Surface Antibody (86706) $23.98 $109 2.2×
Hepatitis B Surface Antigen (87340) $24.20 $110 2.3×
Hepatitis Be Antibody (86707)
range across 2 matching MRF lines		 $23.98–$26.62 $109–$121 varies
Hepatitis Be Antigen (87350)
range across 3 matching MRF lines		 $13.86–$26.18 $63–$119 varies
Hepatitis C Antibody (86803) $33.22 $151 2.3×
Hepatitis c antibody confirmatory test (86804) $35.86 $163 2.3×
Hepatitis C Genotype (87902)
range across 5 matching MRF lines		 $382.36–$503.36 $1,738–$2,288 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $69.08 $314 2.0×
Hepatitis C Revrs Trnscrpj (87522) $98.56 $448 2.3×
Hepatitis delta ag (87380) $28.82 $131 1.6×
Hepatitis Delta Agent Antibody (86692)
range across 3 matching MRF lines		 $21.78–$24.42 $99–$111 varies
Hepatitis G Dna Quant (87527) $96.36 $438 2.3×
Hereditary peripheral neuropathy gen seq pnl (81448) $964.04 $4,382 1.6×
Heredtry Nurondcrn Tum Dsrdr (81437) $434.50 $1,975 0.3×
Herpes simplex type 2 (86696) $52.58 $239 2.7×
Heterophile antibodies titer (86309) $15.18 $69 2.3×
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) $17.38 $79 2.4×
Heterophile Antibody Screen (86308) $12.32 $56 2.4×
Hexa gene analysis common variants (81255) $69.08 $314 1.3×
Hfe Gene (81256)
range across 4 matching MRF lines		 $96.14–$207.02 $437–$941 varies
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $10.12 $46 1.3×
Histamine urine (83088) $68.20 $310 2.3×
Histoplasma antibody (86698) $24.64 $112 1.8×
Histoplasma antigen urine (87385) $24.20 $110 1.8×
Hiv Genotype (87901) $503.36 $2,288 2.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $50.38 $229 2.1×
Hiv-1 Antibody (86701) $20.68 $94 2.3×
HIV-1 p24 antigen (87390) $40.70 $185 1.7×
Hiv-1 Quant&Revrse Trnscrpj (87536) $196.02 $891 2.3×
HIV-2 probe&revrse trnscripj (87538)
range across 3 matching MRF lines		 $34.76–$80.74 $158–$367 varies
Hla Class I Typing High Resolution Complete (81379) $625.24 $2,842 1.9×
Hla Class I Typing High Resolution One Locus Ea (81380) $82.94 $377 0.5×
Hla Class I Typing Low Resolution Complete (81372) $477.40 $2,170 1.2×
Hla Class I Typing Low Resolution One Locus Each (81373) $207.90 $945 1.6×
Hla class i&ii antibody qual (86828) $81.84 $372 1.3×
Hla class i/ii antibody qual (86829) $68.42 $311 1.1×
Hla class ii high defin qual (86833) $265.54 $1,207 0.8×
Hla class ii typing high resolution one locus ea (81382) $241.12 $1,096 1.9×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $72.82 $331 0.7×
Hla I Low Resolution One Antigen Equivalent Each (81374) $136.18 $619 1.8×
Hla I Typing 1 Allele Hr (81381) $217.58 $989 1.3×
Hla i&ii high resolution hla-a -b -c and -drb1 (81378) $430.32 $1,956 1.2×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $411.40 $1,870 1.9×
Hla ii type 1 ag equiv lr (81377)
range across 3 matching MRF lines		 $111.32–$171.60 $506–$780 varies
Hla ii typing 1 allele hr (81383) $203.72 $926 1.9×
Hla ii typing 1 locus lr (81376) $144.54 $657 1.2×
Hla Typing a/B/C Multiple Antigens (86813) $133.32 $606 2.3×
Hla Typing Dr/Dq Multiple Antigens (86817) $148.28 $674 1.4×
Hla Typing Dr/Dq Single Antigen (86816) $64.24 $292 2.1×
Hla-b27 (86812) $59.62 $271 2.3×
Homocysteine (83090) $39.16 $178 2.2×
Homogenization Tissue (87176) $13.86 $63 2.4×
Homovanillic acid urine (83150) $44.88 $204 2.0×
Hpa-1 genotyping gene analysis common variant (81105) $201.74 $917 1.7×
Hpa-15 genotyping gene analysis common variant (81112) $201.74 $917 1.7×
Hpa-2 genotyping gene analysis common variant (81106) $201.74 $917 1.7×
Hpa-3 genotyping gene analysis common variant (81107) $201.74 $917 1.7×
Hpa-4 genotyping gene analysis common variant (81108) $201.74 $917 1.7×
Hpa-5 genotyping gene analysis common variant (81109) $201.74 $917 1.7×
Hpa-6 genotyping gene analysis common variant (81110) $201.74 $917 1.7×
Hpa-9 Genotyping (81111) $201.74 $917 1.7×
Hpv High-Risk Types (87624) $78.76 $358 2.2×
Hpv low-risk types (87623) $73.04 $332 2.1×
Hpv sep hi-rsk typ&pool rslt (87626) $69.52 $316 1.0×
Hpv Types 16 & 18 Only (87625) $78.76 $358 1.9×
Hsv Dna Amp Probe (87529) $69.08 $314 2.0×
Hsv Dna Quant (87530) $98.56 $448 2.3×
Htlv-I Antibody (86687) $19.80 $90 2.2×
Htlv-ii antibody (86688) $24.64 $112 1.8×
Htt Gene Detc Abnor Alleles (81271)
range across 2 matching MRF lines		 $135.74–$144.10 $617–$655 varies
Human Epididymis Protein 4 (86305) $48.18 $219 2.3×
Hydroxycorticosteroids 17 (83491) $40.70 $185 2.3×
Hydroxyprogesterone 17-d (83498) $51.26 $233 1.9×
Hydroxyproline free (83500) $52.36 $238 2.3×
Hydroxyproline total (83505) $56.10 $255 2.3×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $53.90 $245 1.2×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301)
range across 3 matching MRF lines		 $14.30–$27.94 $65–$127 varies
Iaad Ia Cytomegalovirus (87332) $27.94 $127 2.3×
Iaad Ia Entamoeba Histolytica Grp (87337) $27.94 $127 2.3×
Iaad Ia Escherichia Coli 0157 (87335) $27.94 $127 2.2×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $19.80 $90 1.9×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $27.94 $127 2.0×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $29.92 $136 0.8×
Iaad ia shiga-like toxin (87427) $21.12 $96 1.8×
Iaad Ia Streptococcus Group A (87430) $27.94 $127 1.7×
Iaadi Bordetella Prtussis/Paraprtussis (87265) $22.88 $104 1.9×
Iaadi herpes smplx virus type 1 (87274) $27.94 $127 2.3×
Iaadi herpes smplx virus type 2 (87273) $27.94 $127 2.3×
Iaadi inffluenza a virus (87276) $51.48 $234 3.2×
Iaadi not otherwise specified each organism (87299) $63.58 $289 3.9×
Iaadi parainfluenza virus each type (87279) $22.22 $101 1.4×
Iaadi pneumocustis carinii (87281) $24.20 $110 2.0×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $27.94 $127 2.3×
Iaadi respiratory synctial virus (87280) $51.48 $234 3.8×
Iaadi Varicella Zoster Virus (87290)
range across 2 matching MRF lines		 $27.94–$51.48 $127–$234 varies
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $59.40 $270 1.7×
Iadna Bartonella Amplified Probe Technique (87471) $80.74 $367 2.3×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $66 $300 1.9×
Iadna Candida Species Amplified Probe Tq (87481) $80.74 $367 2.3×
Iadna chlamydia pneumoniae amplified probe tq (87486) $80.74 $367 2.3×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $46.20 $210 2.0×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 3 matching MRF lines		 $34.76–$66 $158–$300 varies
Iadna Cytomegalovirus Direct Probe Tq (87495) $46.20 $210 1.5×
Iadna Cytomegalovirus Quantification (87497)
range across 3 matching MRF lines		 $98.56–$104.50 $448–$475 varies
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $116.16 $528 1.7×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $59.40 $270 1.7×
Iadna hepatitis b virus amplified probe tq (87516) $80.74 $367 2.3×
Iadna Hepatitis B Virus Quantification (87517) $98.56 $448 2.3×
Iadna Herpes Virus-6 Amplified Probe Tq (87532)
range across 3 matching MRF lines		 $80.74–$113.96 $367–$518 varies
Iadna Herpes Virus-6 Quantification (87533)
range across 4 matching MRF lines		 $96.36–$272.36 $438–$1,238 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 3 matching MRF lines		 $34.76–$86.02 $158–$391 varies
Iadna Hiv-2 Quant & Reverse Transcription (87539) $98.56 $448 1.7×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $80.74 $367 2.3×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564)
range across 2 matching MRF lines		 $74.36–$75.90 $338–$345 varies
Iadna Multiple Organisms Direct Probe Tq (87800) $92.62 $421 2.1×
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $46.20 $210 1.7×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $80.74 $367 1.7×
Iadna Mycobacteria Species Direct Probe Tq (87550) $46.20 $210 2.3×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 6 matching MRF lines		 $49.50–$66 $225–$300 varies
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $46.20 $210 1.7×
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 3 matching MRF lines		 $80.74–$185.46 $367–$843 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $80.74 $367 2.3×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $295.24 $1,342 2.1×
Idh1 common variants (81120) $258.28 $1,174 1.3×
Idh2 common variants (81121) $395.12 $1,796 1.3×
Ifnl3 gene analysis rs12979860 variant (81283) $100.98 $459 1.4×
Ig Light Chains Free Each (83521)
range across 3 matching MRF lines		 $11–$18.26 $50–$83 varies
Igg subclasses (82787) $11.22 $51 1.4×
Igh gene rearrange amp meth (81261) $197.34 $897 1.0×
Igh@ Variable Region Somatic Mutation Analysis (81263)
range across 2 matching MRF lines		 $348.48–$570.24 $1,584–$2,592 varies
Igk rearrangeabn clonal pop (81264) $333.52 $1,516 1.9×
Ikbkap Gene Analysis Common Variants (81260) $59.62 $271 1.5×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $124.74 $567 0.4×
Immune Complex Assay (86332)
range across 5 matching MRF lines		 $52.80–$56.10 $240–$255 varies
Immunfix e-phorsis/urine/csf (86335) $67.98 $309 2.3×
Immunoassay analyte qual/semiqual single step (83518) $11 $50 1.1×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 30 matching MRF lines		 $11–$242.66 $50–$1,103 varies
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $26.62 $121 1.0×
Immunoassay infectious agent (86318) $29.92 $136 1.7×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 13 matching MRF lines		 $34.76–$56.54 $158–$257 varies
Immunoassay nonantibody (83516)
range across 68 matching MRF lines		 $2.20–$94.16 $10–$428 varies
Immunodiffusion Ouchterlony (86331) $27.94 $127 2.3×
Immunoelectrophoresis Other Fluids Concentration (86325) $51.92 $236 2.2×
Immunoelectrophoresis Serum (86320) $51.92 $236 1.7×
Immunofixation electrophoresis (86334) $51.92 $236 2.3×
Immunofluorescence per spec 1st singl antb stain (88346) $335.28 $1,524 2.2×
Immunohistochemistry (88342) $54.56 $248 0.4×
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines		 $64.02–$94.16 $291–$428 varies
In situ hybridization ea multiplex probe stain (88366) $315.04 $1,432 2.0×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) $40.70 $185 1.9×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) $27.94 $127 1.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $27.94 $127 1.9×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) $11 $50 1.0×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $27.94 $127 1.7×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) $27.94 $127 1.3×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) $27.94 $127 0.8×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $27.94 $127 1.7×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) $27.94 $127 1.1×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $27.94 $127 1.9×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $51.48 $234 3.8×
Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) $27.94 $127 2.1×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $51.48 $234 4.2×
Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) $27.94 $127 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) $98.56 $448 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) $46.20 $210 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) $96.36 $438 1.7×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) $46.20 $210 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) $98.56 $448 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) $80.74 $367 1.5×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $80.74 $367 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $46.20 $210 1.5×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $80.74 $367 2.1×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) $46.20 $210 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) $46.20 $210 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $46.20 $210 0.8×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) $46.20 $210 2.1×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) $46.20 $210 2.1×
Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) $96.36 $438 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) $98.56 $448 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) $98.56 $448 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) $98.56 $448 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) $46.20 $210 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) $98.56 $448 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) $46.20 $210 2.3×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) $96.36 $438 2.3×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $118.36 $538 2.3×
Infectious Agent Dna/Rna Vancomycin Resistance (87500) $80.74 $367 2.3×
Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2… (87913) $479.82 $2,181 1.9×
Influenza a/b ag eia (87400) $16.94 $77 1.2×
Influenza assay w/optic (87804) $62.26 $283 3.8×
Influenza DNA amp probe (87502) $196.02 $891 2.0×
Inhibin A (86336) $35.86 $163 2.3×
Inhibin b (83520)
range across 55 matching MRF lines		 $25.96–$40.26 $118–$183 varies
Insitu hybridization manual (88368) $344.52 $1,566 1.1×
Insulin antibodies (86337) $24.42 $111 1.1×
Insulin free (83527) $29.92 $136 2.3×
Insulin tolerance panel growth horm defncy (80435) $237.38 $1,079 2.3×
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) $232.76 $1,058 0.8×
Insulin total (83525) $45.10 $205 3.9×
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) $310.86 $1,413 1.9×
Interleukin-6 (83529) $18.26 $83 1.1×
Intrinsic factor (stomach protein) level (83528) $36.96 $168 1.9×
Intrinsic factor antibody (86340) $35.20 $160 2.3×
Iron (83540) $12.76 $58 2.0×
Iron Binding Capacity (83550) $20.46 $93 2.3×
Iron stain peripheral blood (85536) $14.30 $65 2.1×
Irradiation Blood Product Each Unit (86945) $28.38 $129 0.8×
Islet cell antibody (86341) $45.54 $207 1.9×
Isocitric dehydrogenase (IDH) Facility (83570) $20.46 $93 2.3×
Jak2 gene analysis p.val617phe variant (81270) $140.80 $640 1.5×
Jak2 Gene Trgt Sequence Alys (81279) $219.34 $997 1.2×
Ketosteroids 17 total (83586) $29.48 $134 2.3×
Kit Gene Analysis D816 Variant(S) (81273) $131.34 $597 1.1×
Kit Gene Analysis Targeted Sequence Analysis (81272) $440.22 $2,001 1.3×
Koh Prep (87220) $10.12 $46 2.4×
Kras Gene Analysis Additional Variant(S) (81276) $258.28 $1,174 1.3×
Kras Gene Variants Exon 2 (81275)
range across 2 matching MRF lines		 $228.58–$412.94 $1,039–$1,877 varies
L/s ratio (83661) $50.60 $230 2.3×
Lactate (ld) (ldh) enzyme (83615) $14.30 $65 2.4×
Lactoferrin fecal qualitative (83630) $45.32 $206 2.3×
Lactoferrin Fecal Quantitative (83631) $45.32 $206 2.3×
Lactogen Hpl Human Chorionic Somatomammotropin (83632) $38.50 $175 1.9×
Lactose urine qual (83633) $13.20 $60 1.2×
Lamellar Body Count (83664) $43.78 $199 2.3×
Ldh Isoenzymes (83625) $21.56 $98 1.7×
LDL direct (83721) $20.02 $91 1.9×
Lead (83655) $22.88 $104 1.9×
Legionella antibody (86713) $35.42 $161 2.3×
Legionella antigen urine (87449)
range across 14 matching MRF lines		 $27.94–$292.82 $127–$1,331 varies
Legionella DNA probe (87540) $46.20 $210 2.3×
Legionella pneumophila dfa (87278) $22.88 $104 1.5×
Leptospira antibody (86720) $25.08 $114 1.5×
Leucine Aminopeptidase Lap (83670) $21.56 $98 2.2×
Leukocyte Assessment Fecal (89055) $9.46 $43 2.2×
Leukocyte Histamine Release (86343) $29.04 $132 2.3×
Leukocyte phagocytosis (86344) $18.48 $84 1.8×
Level I Surg Pathology Gross Examination Only (88300) $20.68 $94 0.8×
Level ii surg pathology gross&microscopic exam (88302) $38.72 $176 1.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $366.30 $1,665 1.1×
Lidocaine (80176) $29.48 $134 2.0×
Lipase (83690) $16.06 $73 2.3×
Lipoprotein A (83695) $22.88 $104 1.6×
Lipoprotein Bld Quan Part (83704) $59.40 $270 1.7×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $26.18 $119 2.3×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $57.64 $262 1.7×
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $27.06 $123 2.1×
Lipoprotein-Associated Phospholipase A2 (83698) $43.12 $196 0.9×
Listeria Monocytogenes (86723) $30.80 $140 2.3×
Lithium (80178) $15.62 $71 2.4×
Liver ds alys 3 bmrk srm alg (81517)
range across 2 matching MRF lines		 $174.46–$351.56 $793–$1,598 varies
Luteinizing Hormone (Lh) (83002) $43.12 $196 2.3×
Lyme disease antibody (86618) $39.60 $180 2.3×
Lymphocyte transformation (86353) $113.08 $514 2.3×
Lymphocytotoxicity Assay (86805) $120.78 $549 0.6×
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) $109.34 $497 2.3×
Lysozyme serum (85549) $33 $150 1.8×
M. Genitalium Amp Probe (87563) $41.58 $189 1.2×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) $64.02 $291 1.8×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $302.06 $1,373 2.0×
M/phmtrc alys ishquant/semiq (88374) $160.16 $728 1.0×
Macroscopic exam arthropod (87168) $10.12 $46 2.4×
Macroscopic Exam Parasite (87169)
range across 4 matching MRF lines		 $10.12–$104.06 $46–$473 varies
Magnesium Urine (83735) $19.80 $90 3.0×
Malate dehydrogenase Facility (83775) $17.38 $79 2.4×
Mass Spectrometry Quant (83789)
range across 19 matching MRF lines		 $2.20–$32.78 $10–$149 varies
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $80.74 $367 2.1×
Meat fibers, feces (89160) $8.36 $38 1.7×
Mechanical fragility rbc (85547) $18.48 $84 2.1×
Mecp2 gene full seq (81302) $624.14 $2,837 1.2×
Mercury urine (83825) $31.02 $141 1.9×
Metabolic panel ionized ca (80047)
range across 2 matching MRF lines		 $20.02–$22.66 $91–$103 varies
Methemalbumin (83857) $24.86 $113 2.3×
Methotrexate (80204) $101.86 $463 2.6×
Methylmalonic acid serum (83921) $38.50 $175 1.8×
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) $209.88 $954 2.3×
Mgmt methylation analysis (81287) $251.02 $1,141 2.0×
Microalbumin, quantitative (82043) $13.64 $62 2.4×
Microbe Suscept Macrobroth (87188) $167.20 $760 25.2×
Microsatellite instability (81301) $426.58 $1,939 1.2×
Microsomal Antibodies Each (86376) $33.66 $153 2.3×
Mitochondrial Antibody Each (86381) $27.06 $123 1.1×
Mlh1 Gene (81288) $146.96 $668 0.8×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294)
range across 2 matching MRF lines		 $200.42–$212.74 $911–$967 varies
Mlh1 Gene Analysis Full Sequence Analysis (81292) $514.36 $2,338 0.8×
Mog-Igg1 Antb Cba Each (86362) $12.98 $59 1.1×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $12.98 $59 0.3×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $62.04 $282 1.5×
Molecular Cytogenetics Dna Probe Each (88271) $71.06 $323 3.3×
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $79.86 $363 1.9×
Molecular Pathology Procedure Level 3 (81402) $718.08 $3,264 4.8×
Molecular Pathology Procedure Level 6 (81405) $355.74 $1,617 1.2×
Mononuclear cell antigen (86356) $79.42 $361 3.0×
Mopath procedure level 1 (81400) $328.46 $1,493 5.1×
Mopath procedure level 2 (81401)
range across 9 matching MRF lines		 $162.36–$495 $738–$2,250 varies
Mopath procedure level 4 (81403) $227.70 $1,035 1.2×
Mopath procedure level 5 (81404)
range across 15 matching MRF lines		 $306.68–$325.60 $1,394–$1,480 varies
Mopath procedure level 7 (81406) $444.40 $2,020 1.6×
Mopath procedure level 8 (81407) $1,307.46 $5,943 1.5×
Mopath procedure level 9 (81408)
range across 9 matching MRF lines		 $295.68–$2,363.68 $1,344–$10,744 varies
Morphometric analysis nerve (88356) $64.02 $291 1.4×
Mpl gene common variants (81338) $177.98 $809 1.2×
Mrsa Pcr (87641)
range across 2 matching MRF lines		 $34.76–$41.58 $158–$189 varies
Msh2 Gene Analysis Duplication/Deletion Variants (81297)
range across 2 matching MRF lines		 $211.20–$224.18 $960–$1,019 varies
Msh2 Gene Analysis Full Sequence Analysis (81295) $377.96 $1,718 1.0×
Msh6 Gene Analysis Duplication/Deletion Varia (81300)
range across 2 matching MRF lines		 $235.62–$250.14 $1,071–$1,137 varies
Msh6 Gene Analysis Full Sequence Analysis (81298)
range across 2 matching MRF lines		 $635.36–$674.52 $2,888–$3,066 varies
Mthfr Gene Analysis Common Variants (81291) $127.16 $578 1.9×
Mucin Clot Body Fluid (83872) $11.44 $52 2.0×
Mucopolysaccharides acid quantitative (83864) $45.76 $208 1.6×
Mumps antibody (86735) $25.30 $115 1.9×
Muscle-Specific Kinase Antb (86366) $18.26 $83 1.0×
Mycobacteric Identification (87118) $20.02 $91 1.4×
Mycophenolic Acid (80180) $33.22 $151 1.8×
Mycoplasma antibody (86738) $110.44 $502 8.3×
Mycoplasma culture (87109) $29.04 $132 1.9×
Myd88 Gene P.Leu265pro Vrnt (81305) $234.52 $1,066 1.3×
Myelin basic protein csf (83873) $32.78 $149 1.9×
Myoglobin urine (83874) $29.92 $136 2.3×
Natriuretic peptide (83880) $66.66 $303 1.7×
Neisseria Dir Na Probe (87590) $46.20 $210 1.7×
Neutralization Test Viral (86382) $39.16 $178 2.3×
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86408) $29.92 $136 0.7×
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) $29.92 $136 0.4×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $234.30 $1,065 1.8×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $47.96 $218 1.6×
Nfct Agent Genotype Hepatitis B Virus (87912) $479.82 $2,181 1.9×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $591.80 $2,690 2.3×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513)
range across 2 matching MRF lines		 $86.24–$150.04 $392–$682 varies
Nfct ds chrnc hcv 6 assays (81596) $96.58 $439 1.3×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $296.12 $1,346 2.3×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $60.28 $274 2.3×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $910.80 $4,140 1.9×
Niacin (84591) $28.82 $131 1.7×
Nickel level (83885) $56.54 $257 2.3×
Nitroblue Tetrazolium Dye (86384) $26.40 $120 1.9×
Nk cells total count (86357) $87.12 $396 2.3×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $145.64 $662 0.6×
Nras gene variants exon 2&3 (81311) $395.12 $1,796 1.3×
Nuclear antigen antibody (86235) $27.06 $123 1.5×
Nudt15 Gene Common Variants (81306) $288.42 $1,311 1.0×
Nzym actv blood cells/tiss radact substrate ea (82658) $46.64 $212 1.1×
Occult blood feces (82272) $8.14 $37 1.9×
Occult Blood Other Sources (82271) $9.90 $45 1.9×
Oligoclonal bands (83916) $37.84 $172 1.4×
Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping),… (81520) $4,135.56 $18,798 1.6×
Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing… (81521) $5,168.02 $23,491 1.3×
Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping),… (81541) $5,168.02 $23,491 1.3×
Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing… (81551) $5,168.02 $23,491 2.5×
Oncology Prostate Prob Score (81539) $752.40 $3,420 1.0×
Oncoprotein dcp (83951)
range across 2 matching MRF lines		 $28.60–$178.86 $130–$813 varies
Oncoprotein Her-2/Neu (83950) $148.28 $674 2.3×
Organic Acids Qualitative Each Specimen (83919) $31.24 $142 1.9×
Organic acids urine (83918) $38.50 $175 1.6×
Osmolality serum (83930) $15.62 $71 2.4×
Osmolality Urine (83935) $16.06 $73 2.4×
Osmotic fragility rbc incubated (85557) $28.82 $131 2.2×
Osmotic Fragility RBC Unincubated (85555) $10.12 $46 1.4×
Osteocalcin (83937) $68.64 $312 2.3×
Ova and parasites smears (87177) $20.46 $93 2.3×
Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) $23.76 $108 1.9×
Oxalate urine (83945) $29.92 $136 2.1×
Pancreatic Elastase Fecal (82656) $21.78 $99 1.9×
Particle Agglut Antbdy Titr (86406) $24.64 $112 2.3×
Particle Agglutination Screen Each Antibody (86403) $23.98 $109 2.1×
Parvovirus antibody (86747) $27.94 $127 1.9×
Path Consltj Surg Cytologic Exam Initial Site (88333) $742.72 $3,376 1.0×
Pathology Consultation During Surgery (88329) $21.56 $98 0.4×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $180.84 $822 0.5×
Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) $101.42 $461 2.3×
Ph urine (81003)
range across 10 matching MRF lines		 $2.86–$5.50 $13–$25 varies
Phenobarbital Level (80184)
range across 3 matching MRF lines		 $26.40–$38.94 $120–$177 varies
Phenotype Infect Agent Drug (87900) $299.86 $1,363 2.3×
Phenylalanine (84030) $13.20 $60 2.4×
Phenytoin (Dilantin) (80185) $38.72 $176 2.9×
Phenytoin free (80186) $26.18 $119 1.9×
Phosphatase acid prostatic (84066) $18.48 $84 1.9×
Phosphatase alkaline (84075)
range across 3 matching MRF lines		 $12.32–$43.12 $56–$196 varies
Phosphatidylglycerol (84081) $38.50 $175 2.3×
Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) $15.84 $72 1.7×
Phospholipid Neutralization Hexagonal (85598) $23.98 $109 1.3×
Phosphorus Serum (84100) $11.22 $51 2.4×
Phosphorus urine (84105) $12.32 $56 2.1×
Pinworm exam (87172) $8.36 $38 2.0×
Platelet Aggregation (85576)
range across 8 matching MRF lines		 $45.54–$1,321.10 $207–$6,005 varies
Platelet Antibodies (86022) $42.90 $195 2.3×
Platelet count automated (85049) $9.24 $42 2.1×
Platelet neutralization (85597) $28.82 $131 1.6×
PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F,… (81320) $288.42 $1,311 1.0×
Pml/Raralpha Common Breakpoints Qual/Quant (81315)
range across 3 matching MRF lines		 $220.66–$222.86 $1,003–$1,013 varies
Pmp22 Gene Anal Duplication/Deletion Analysis (81324) $896.50 $4,075 1.2×
Pmp22 Gene Analysis Full Sequence Analysis (81325) $909.92 $4,136 1.2×
Pms2 Gene Analysis Duplication/Deletion Variants (81319)
range across 2 matching MRF lines		 $201.52–$213.84 $916–$972 varies
Pms2 gene full seq analysis (81317)
range across 2 matching MRF lines		 $669.68–$711.04 $3,044–$3,232 varies
Pneumcysts jirovecii amp prb (87594) $34.76 $158 1.0×
Pooling blood platelets (86965) $169.84 $772 1.1×
Porphobilinogen Urine Qualitative (84106) $10.12 $46 1.7×
Porphobilinogen, urine; quantitative (84110) $9.90 $45 1.2×
Porphyrins Feces Quantitative (84126) $58.74 $267 1.5×
Porphyrins Urine Quantitation & Fractionation (84120) $28.38 $129 1.9×
Porphyrins, urine; qualitative (84119) $20.24 $92 1.5×
Potassium Urine (84133) $10.12 $46 2.1×
PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to… (81343) $162.36 $738 1.2×
Pr assay of etiocholanolone (82696) $54.56 $248 2.1×
Prealbumin (84134) $16.28 $74 1.1×
Pregnanediol (84135) $44.22 $201 2.1×
Pregnanetriol (84138) $43.78 $199 2.1×
Pregnenolone (84140)
range across 2 matching MRF lines		 $25.96–$47.96 $118–$218 varies
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $174.02 $791 1.1×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $28.38 $129 0.5×
Pretx serum rbc antibody identification dilution (86976) $28.38 $129 1.1×
Primidone (80188) $38.72 $176 2.3×
Procalcitonin (Pct) (84145)
range across 3 matching MRF lines		 $44.66–$50.16 $203–$228 varies
Progesterone (84144) $48.18 $219 2.3×
Prolactin (84146) $104.50 $475 5.4×
Prostaglandin (84150) $58.08 $264 1.4×
Protein Alys Wstrn Blot I&R Immunological Ea (88372) $52.58 $239 2.0×
Protein body fluid (84157) $9.02 $41 2.3×
Protein C Activity (85303) $34.10 $155 2.5×
Protein c antigen (85302) $25.96 $118 2.2×
Protein Electrophoresis Urine (84166) $9.02 $41 0.5×
Protein Electrophoretic Fractj&Quantj Serum (84165) $24.86 $113 2.3×
Protein S Free (85306) $33 $150 2.2×
Protein s total (85305) $24.86 $113 2.1×
Protein test for diagnosis and monitoring of bladder cancer (86386) $36.96 $168 1.7×
Protein Total Refractometry Any Src (84160) $15.62 $71 2.8×
Protein total serum (84155) $10.12 $46 2.8×
Protein Total Urine (84156)
range across 10 matching MRF lines		 $9.02–$48.18 $41–$219 varies
Protein Western Blot Test (84182) $41.36 $188 1.4×
Protein, western blot tissue (88371) $51.48 $234 2.3×
Prothrombin Time Substitution Plasma Frctj Each (85611) $7.04 $32 1.8×
Protoporphyrin rbc quantitative (84202) $33.22 $151 2.3×
Protoporphyrin, RBC; screen Facility (84203) $20.24 $92 2.1×
PSA free (84154) $35.20 $160 1.9×
Pten Gene Analysis Duplication/Deletion Variant (81323) $315.26 $1,433 1.1×
Pten Gene Analysis Full Sequence Analysis (81321) $709.28 $3,224 1.2×
Pth Intact (83970) $95.04 $432 2.3×
Pyruvate kinase (84220) $22 $100 2.3×
Q Fever Antibody (86638) $28.38 $129 2.3×
Quantiferon tb gold plus (86480) $142.56 $648 2.3×
Quantitative assay drug (80299)
range across 55 matching MRF lines		 $21.56–$150.48 $98–$684 varies
Quantitative Screen Metals (83018)
range across 8 matching MRF lines		 $16.28–$21.78 $74–$99 varies
Quinidine (80194) $33.66 $153 2.3×
Quinine (84228) $27.06 $123 2.3×
Rbc antibody elution (86860) $176.66 $803 1.1×
Rbc antibody identification (86870) $335.28 $1,524 1.0×
Rbc antibody screen (86850) $25.96 $118 2.7×
Rbc pretreatment serum (86978) $38.94 $177 0.7×
Rbc pretx incubatj w/enzymes (86971) $335.28 $1,524 2.2×
Rbc serum pretx incubj drugs (86975) $319.44 $1,452 0.8×
Reagent Strip/Blood Glucose (82948) $7.48 $34 1.5×
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $120.78 $549 1.7×
Receptor assay estrogen (84233) $148.28 $674 1.7×
Receptor assay progesterone (84234) $149.38 $679 2.3×
Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) $303.60 $1,380 1.5×
Renin activity plasma (84244) $50.60 $230 2.3×
Reptilase test (85635)
range across 2 matching MRF lines		 $21.12–$57.64 $96–$262 varies
Resp virus 12-25 targets (87633) $776.60 $3,530 1.9×
Resp Virus 6-11 Targets (87632) $491.04 $2,232 2.3×
Reticulated Platelet Assay (85055) $43.12 $196 1.2×
Reticulocyte Count (85046) $12.32 $56 2.2×
Reticulocyte Count Manual (85044) $9.46 $43 2.2×
Rh (86901)
range across 2 matching MRF lines		 $5.94–$39.82 $27–$181 varies
Rheumatoid Factor Qualitative (86430) $13.42 $61 2.2×
Rheumatoid factor quant (86431) $13.42 $61 2.4×
Rickettsia antibody (86757)
range across 8 matching MRF lines		 $44.88–$45.54 $204–$207 varies
Ristocetin cofactor (85245) $42.02 $191 1.8×
Rotavirus ag eia (87425) $22.88 $104 1.9×
Rpr qualitative (86592) $10.12 $46 2.4×
Rsv ab (86756) $24.42 $111 1.5×
Rsv Assay W/Optic (87807) $22.88 $104 1.7×
Rubella Antibody (86762) $33.44 $152 2.3×
Rubeola antibody (86765)
range across 8 matching MRF lines		 $7.48–$32.12 $34–$146 varies
Rufinamide (80210) $101.86 $463 3.8×
Runx1 gene analysis targeted sequence analysis (81334) $440.22 $2,001 1.3×
Russell Viper Venom Time Diluted (85613) $20.46 $93 2.1×
Russell Viper Venon Time Undiluted (85612) $20.46 $93 1.2×
Salicylate Level (80179) $22.22 $101 1.2×
Salmonella antibody (86768) $30.80 $140 2.3×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines		 $60.72–$112.64 $276–$512 varies
Sars-cov-2 COVID-19 antibody (86769) $50.16 $228 1.2×
Sars-Cov-2 Covid19 W/Optic (87811)
range across 2 matching MRF lines		 $43.34–$46.20 $197–$210 varies
Sarscov2 & inf a&b amp prb (87636) $128.26 $583 0.9×
Sarscov2&inf a&b&rsv amp prb (87637) $94.60 $430 0.7×
Sedimentation rate (85651) $8.14 $37 1.9×
Sedimentation Rate, Automated (85652) $5.94 $27 2.2×
Selenium (84255) $50.16 $228 2.0×
Semen Anal Sperm Detection (89321) $25.96 $118 2.2×
Semen analysis complete (89320) $25.96 $118 2.1×
Semen analysis motility and count (89310) $19.58 $89 2.3×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $19.58 $89 2.0×
Sensitivity mic (87186)
range across 16 matching MRF lines		 $8.58–$230.78 $39–$1,049 varies
Sept9 Methylation Analysis (81327) $119.24 $542 0.6×
Serpina 1 gene (81332) $79.42 $361 1.8×
Serum Bactericidal Titer (87197) $33.66 $153 2.2×
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413) $29.92 $136 0.6×
Sex Chromatin Identification Barr Bodies (88130) $35.20 $160 2.0×
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) $18.48 $84 2.3×
Sex Hormone Binding Globulin (84270) $50.16 $228 2.3×
Shigella Antibody (86771) $30.80 $140 1.3×
Sickling of rbc reduction (85660) $12.10 $55 2.2×
Silica (84285) $54.34 $247 2.2×
Sirolimus (80195) $31.68 $144 2.3×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines		 $10.56–$60.75 $48–$60.75 varies
SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) $229.90 $1,045 1.3×
Smear acid fast (87206) $12.76 $58 2.4×
Smear complex stain (87209)
range across 4 matching MRF lines		 $27.06–$31.24 $123–$142 varies
Smear gram stain (87205) $10.12 $46 2.4×
Smear Special Stain (87207) $11.44 $52 1.9×
Smn1 Gene Dos/Deletion Alys (81329) $183.26 $833 1.3×
Smpd1 Gene Analysis Common Variants (81330) $108.24 $492 2.3×
Smr Prim Src Wet Mount Nfct Agt (87210) $10.12 $46 1.7×
Snrpn/Ube3a Methylation Analysis (81331) $60.50 $275 1.2×
So neo gsap cll fr DNA alys cpy nmbr&mcrstl ins (81463) $3,776.96 $17,168 2.8×
Sodium Serum (84295) $11.22 $51 2.3×
Sodium Urine (84300) $11.22 $51 2.2×
Soluble Transferrin Receptor (84238) $84.04 $382 2.3×
Somatomedin (84305) $34.10 $155 1.6×
Somatostatin (84307) $34.76 $158 1.9×
Special Stains Group 1 (88312) $39.60 $180 0.8×
Special Stains Group 2 (88313) $39.60 $180 0.3×
Specific gravity body fluid (84315) $5.50 $25 1.7×
Specimen infect agnt concntj (87015) $15.84 $72 2.4×
Spectrophotometry (84311) $122.76 $558 15.2×
Sperm Antibodies (89325) $25.96 $118 2.4×
Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) $21.56 $98 2.1×
Sperm evaluation; hamster penetration test Facility (89329) $44.88 $204 2.3×
Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $64.02 $291 1.4×
Splitting Blood/Blood Products Each Unit (86985) $153.56 $698 1.0×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $153.56 $698 1.0×
Staph a DNA amp probe (87640) $34.76 $158 1.0×
Stem cells total count (86367) $87.12 $396 1.1×
Stone Analysis (82355) $26.62 $121 2.3×
Stool cultr aerobic bact ea (87046) $18.92 $86 2.0×
Strep a assay w/optic (87880) $27.94 $127 1.7×
Strep a DNA amp probe (87651) $80.74 $367 2.3×
Strep b DNA amp probe (87653) $41.58 $189 1.2×
Streptokinase, antibody Facility (86590) $13.42 $61 1.1×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $47.74 $217 0.5×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $15.84 $72 1.4×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $13.20 $60 2.4×
Sugars Multiple Quant (84379) $18.92 $86 1.6×
Sugars Single Qual (84376)
range across 2 matching MRF lines		 $13.20–$44 $60–$200 varies
Sugars, chromatographic, TLC or paper chromatography Facility (84375) $45.32 $206 1.2×
Sulfate urine (84392) $11.22 $51 2.0×
Surg path level iii (88304) $60.72 $276 1.3×
Surgical pathology level IV (88305) $68.42 $311 1.4×
Surgical pathology level vi (88309) $662.64 $3,012 0.9×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $11 $50 2.3×
Susceptibility Study Antimicrobial Disk Method (87184) $20.46 $93 2.7×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $13.42 $61 1.8×
Sweat Collection Iontophoresis (89230) $58.96 $268 1.2×
Syphilis Test Non-Trep Quant (86593) $10.34 $47 2.3×
T cells absolute cd4 count (86361) $47.08 $214 1.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $93.06 $423 2.0×
T cells total count (86359) $87.12 $396 2.3×
T3 Free (84481) $22.88 $104 1.4×
T3 reverse (84482) $31.68 $144 2.0×
T3 Total (84480) $15.18 $69 1.1×
T3 Uptake (84479) $11 $50 1.7×
T4 Free (84439)
range across 2 matching MRF lines		 $19.80–$21.12 $90–$96 varies
T4 total (84436) $11.22 $51 1.6×
T4-neonatal (84437)
range across 2 matching MRF lines		 $2.20–$15.18 $10–$69 varies
Tacrolimus (80197) $31.68 $144 2.3×
Tau phosphorylated each (84393) $468.60 $2,130 3.6×
Tb ag response t-cell susp (86481) $172.26 $783 1.7×
Tbp Gene Analysis Eval Detect Abnormal Alleles (81344) $162.36 $738 1.2×
Test for acetone/ketones (82009) $10.56 $48 2.3×
Test for urine cystines (82615) $18.92 $86 2.0×
Testosterone total (84403) $59.62 $271 2.3×
Testosterone, Free (84402) $58.74 $267 2.3×
Tetanus antibody (86774) $22.66 $103 1.5×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $1,037.96 $4,718 1.7×
Thawing and expansion of frozen cells, each aliquot Facility (88241) $23.98 $109 2.0×
Theophylline (80198)
range across 5 matching MRF lines		 $5.06–$33 $23–$150 varies
Thiocyanate (84430) $24.64 $112 2.1×
Thiopurine methyltransferase (84433)
range across 3 matching MRF lines		 $38.94–$193.16 $177–$878 varies
Thrombin Time (85670) $10.34 $47 1.8×
Thrombin time titer (85675) $14.74 $67 2.2×
Thrombomodulin Facility (85337) $22.44 $102 1.3×
Thromboplastin Inhibition Tissue (85705) $14.74 $67 1.5×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $80.74 $367 12.5×
Thyroglobulin (84432) $30.80 $140 1.9×
Thyroglobulin Antibody (86800) $36.96 $168 2.3×
Thyroid Stimulating Immunoglobulin (84445) $42.90 $195 0.8×
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $116.38 $529 2.3×
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) $154.88 $704 2.3×
Thyroxine binding globulin (84442) $30.36 $138 2.1×
Tiss cul neo disorders solid tumor (88239) $146.96 $668 1.0×
Tiss Trnsgltmnase Ea Ig Clas (86364) $12.32 $56 1.1×
Tissue Culture (88233) $146.96 $668 1.0×
Tissue Culture Amniotic Fluid (88235)
range across 4 matching MRF lines		 $105.38–$146.96 $479–$668 varies
Tissue culture bone marrow (88237) $146.96 $668 1.0×
Tissue Culture Lymphocyte (88230) $146.96 $668 1.3×
Tobramycin peak (80200) $27.06 $123 1.7×
Topiramate (80201) $22.44 $102 1.9×
Total Tau (84394) $468.60 $2,130 3.6×
Touch prep (88161) $21.56 $98 0.8×
Toxin/Antitoxin Assay Tissue Culture (87230) $45.54 $207 2.3×
Toxoplasma ab igm (86778) $28.82 $131 2.0×
Toxoplasma antibody (86777) $33.44 $152 2.3×
Tp53 gene analysis full gene sequence (81351) $674.52 $3,066 1.1×
Tp53 gene analysis targeted sequence analysis (81352) $389.62 $1,771 1.2×
Tpmt gene com variants (81335) $229.90 $1,045 1.3×
Transferase Aspartate Amino Ast Sgot (84450) $15.18 $69 2.9×
Transferrin (84466) $29.48 $134 2.3×
Trb@ Rearrangement Anal Amplification Method (81340) $247.94 $1,127 1.2×
Trg gene rearrangement anal (81342) $247.94 $1,127 1.2×
Trichinella Antibody (86784) $11 $50 0.9×
Trichomonas vagin dir probe (87660) $550.44 $2,502 27.5×
Trichomonas Vaginalis Amplif (87661) $58.30 $265 1.7×
Triglycerides (84478) $16.94 $77 3.0×
Troponin Quant (84484)
range across 5 matching MRF lines		 $21.56–$22.88 $98–$104 varies
Troponin, qualitative (84512) $18.04 $82 1.8×
Trypsin feces qual (84488) $16.94 $77 2.3×
Tumor immunohistochem/comput (88361) $335.28 $1,524 1.0×
Tumor Immunohistochem/Manual (88360) $62.04 $282 0.4×
Tyms Gene Analysis Common Variants (81346) $229.90 $1,045 1.3×
Ugt1a1 gene analysis common variants (81350) $276.76 $1,258 1.2×
Unlisted miscellaneous pathology test (89240) $58.74 $267 1.2×
Urea Nitrogen Clearance (84545) $15.62 $71 2.2×
Urea nitrogen urine (84540) $17.82 $81 3.2×
Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) $9.02 $41 1.8×
Uric acid other source (84560) $11.22 $51 2.2×
Urinalysis Microscopic Only (81015) $7.04 $32 2.3×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $5.50 $25 2.5×
Urinalysis Volume Measure (81050) $5.94 $27 1.6×
Urinalysis; 2 or 3 glass test Facility (81020) $9.02 $41 1.9×
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) $31.68 $144 1.1×
Urine Albumin Semiquantitative (82044) $7.04 $32 1.1×
Urine Bacteria Culture (87088) $18.92 $86 2.3×
Urine Pregnancy Test (81025) $14.74 $67 1.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $7.48 $34 2.4×
Urobilinogen urine qual (84578) $8.14 $37 1.8×
Urobilinogen, feces, quantitative Facility (84577) $29.04 $132 1.7×
Urobilinogen, urine; quantitative, timed specimen Facility (84580) $16.72 $76 1.8×
Urobilinogen, urine; semiquantitative Facility (84583) $12.10 $55 2.0×
Valproic acid (80164) $31.46 $143 2.3×
Vancomycin (80202) $30.80 $140 2.3×
Varicella-zoster antibody (86787) $33 $150 2.6×
Vasopressin (84588) $63.80 $290 1.9×
Very Long Chain Fatty Acids (82726) $41.36 $188 2.1×
Viral Culture (87252) $51.48 $234 2.0×
Virus antibody nos (86790)
range across 12 matching MRF lines		 $17.82–$22.44 $81–$102 varies
Virus inoculate tissue addl (87253) $51.48 $234 2.5×
Virus inoculation, shell via (87254)
range across 5 matching MRF lines		 $31.24–$45.10 $142–$205 varies
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $45.10 $205 2.3×
Viscosity serum (85810)
range across 2 matching MRF lines		 $10.34–$20.68 $47–$94 varies
Vit D 1 25-Dihydroxy (82652) $88.88 $404 2.3×
Vitamin A (84590) $33.66 $153 2.9×
Vitamin b-12 (82607) $35.20 $160 2.3×
Vitamin B2 (Riboflavin) (84252) $38.50 $175 1.9×
Vitamin B6 (84207) $33 $150 1.2×
Vitamin c (82180) $16.94 $77 1.7×
Vitamin D 25-Hydroxy (82306) $68.42 $311 2.3×
Vitamin E (84446) $33 $150 2.3×
Vitamin K (84597) $31.68 $144 2.3×
Vkorc1 gene (81355) $118.14 $537 1.3×
Volatiles (84600) $72.82 $331 4.3×
Voltage-Gated Calcium Channel Antibody Each (86596) $19.58 $89 1.6×
Volume Reduction Blood/Blood Product Each Unit (86960) $153.56 $698 1.0×
Von willebrand factor ag (85246) $42.02 $191 1.8×
Wbc Alkaline Phosphatase Count (85540) $15.18 $69 1.8×
West nile virus ab igm (86788)
range across 4 matching MRF lines		 $27.06–$39.16 $123–$178 varies
West Nile Virus Antibody (86789) $27.06 $123 1.9×
Western Blot Test (84181) $39.60 $180 2.3×
Whole Mitochondrial Genome (81460) $1,352.12 $6,146 1.1×
Whole mitochondrial genome analysis panel (81465) $983.40 $4,470 1.1×
Xylose Absorption Test (84620) $27.50 $125 2.1×
Zika Virus Dna/Rna Amp Probe (87662) $85.14 $387 1.7×
Zika Virus Igm Antibody (86794) $28.38 $129 1.7×
Zinc (84630) $26.40 $120 2.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.