Lab & pathology prices at University of Iowa Health Care Medical Center
Iowa City, IA · every code in this section with a posted price and a Medicare benchmark.
879 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $67.90 | $97 | 3.0× |
| 5 Nucleotidase (83915) range across 3 matching MRF lines |
$52.50–$1,050 | $75–$1,500 | varies |
| Abl1 gene analysis kinase domain variants (81170) range across 2 matching MRF lines |
$1,050–$1,685.60 | $1,500–$2,408 | varies |
| Acetylcholinesterase Assay (82013) | $105 | $150 | 8.5× |
| Acth (82024) | $270.20 | $386 | 7.0× |
| Acute hepatitis panel (80074) | $512.40 | $732 | 10.8× |
| Acylcarnitines Quant (82017) range across 3 matching MRF lines |
$91–$816.20 | $130–$1,166 | varies |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $47.60 | $68 | 2.9× |
| Adenovirus antibody (86603) | $83.30 | $119 | 6.5× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $315 | $450 | 4.9× |
| Agglutinins Febrile Each Antigen (86000) | $77.70 | $111 | 11.1× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$52.50–$60.20 | $75–$86 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$50.40–$52.50 | $72–$75 | varies |
| Aldolase (82085) | $52.50 | $75 | 5.4× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$65.10–$209.30 | $93–$299 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$52.50–$123.90 | $75–$177 | varies |
| Allergen spec ige qual multiallergen screen (86005) | $52.50 | $75 | 6.6× |
| Allergen specific ige (86003) range across 12 matching MRF lines |
$52.50–$98.70 | $75–$141 | varies |
| Allergen specific igg (86001) | $59.50 | $85 | 7.6× |
| Allg Spec Ige Recomb Ea (86008) range across 6 matching MRF lines |
$52.50–$148.40 | $75–$212 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $52.50 | $75 | 3.6× |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$52.50–$141.40 | $75–$202 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $94.50 | $135 | 5.6× |
| Alpha-Fetoprotein Serum (82105) range across 4 matching MRF lines |
$57.40–$144.90 | $82–$207 | varies |
| Alt (sgpt) (84460) range across 3 matching MRF lines |
$52.50–$60.20 | $75–$86 | varies |
| Aluminum (82108) | $52.50 | $75 | 2.1× |
| Amikacin trough (80150) | $185.50 | $265 | 12.3× |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 5 matching MRF lines |
$63–$913.50 | $90–$1,305 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$261.10–$379.40 | $373–$542 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $47.60 | $68 | 3.4× |
| Amino Acids Quant 2-5 (82136) range across 2 matching MRF lines |
$111.30–$116.20 | $159–$166 | varies |
| Amino acids; single, qualitative, each specimen Facility (82127) | $210 | $300 | 14.8× |
| Aminolevulinic acid (ala) (82135) | $207.90 | $297 | 12.6× |
| Ammonia (82140) range across 4 matching MRF lines |
$52.50–$410.90 | $75–$587 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $382.20 | $546 | 3.9× |
| Amniotic fluid scan (82143) | $86.80 | $124 | 9.3× |
| Amylase urine (82150) range across 5 matching MRF lines |
$44.10–$66.50 | $63–$95 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$52.50–$217 | $75–$310 | varies |
| Androstenedione (82157) | $126 | $180 | 4.3× |
| Angiotensin converting enzyme csf (82164) range across 4 matching MRF lines |
$52.50–$378 | $75–$540 | varies |
| Antibody aspergillus (86606) range across 8 matching MRF lines |
$52.50–$109.20 | $75–$156 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$52.50–$78.40 | $75–$112 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 4 matching MRF lines |
$107.10–$294 | $153–$420 | varies |
| Antibody Encephalitis California La Crosse (86651) range across 2 matching MRF lines |
$52.50–$73.50 | $75–$105 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $52.50 | $75 | 4.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) range across 2 matching MRF lines |
$52.50–$151.20 | $75–$216 | varies |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$52.50–$151.20 | $75–$216 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$107.80–$128.10 | $154–$183 | varies |
| Antibody helicobacter pylori (86677) range across 3 matching MRF lines |
$52.50–$93.80 | $75–$134 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $52.50 | $75 | 3.6× |
| Antibody Herpes Smplx Type 1 (86695) | $127.40 | $182 | 9.7× |
| Antibody HIV-1&HIV-2 single result (86703) range across 4 matching MRF lines |
$52.50–$389.20 | $75–$556 | varies |
| Antibody HIV-2 (86702) range across 5 matching MRF lines |
$95.20–$144.20 | $136–$206 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 13 matching MRF lines |
$464.80–$1,747.20 | $664–$2,496 | varies |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $420 | $600 | 5.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 9 matching MRF lines |
$82.60–$459.90 | $118–$657 | varies |
| Antibody identification leukocyte antibodies (86021) range across 11 matching MRF lines |
$97.30–$354.90 | $139–$507 | varies |
| Antibody john cunningham virus (86711) | $1,869 | $2,670 | 110.7× |
| Antibody Lymphocytic Choriomeningitis (86727) | $52.50 | $75 | 4.1× |
| Antibody neisseria meningitidis (86741) range across 2 matching MRF lines |
$89.60–$98.70 | $128–$141 | varies |
| Antibody Protozoa Nes (86753) range across 7 matching MRF lines |
$52.50–$1,225 | $75–$1,750 | varies |
| Antibody Titer (86886) | $297.50 | $425 | 57.4× |
| Antibody Treponema Pallidum (86780) range across 8 matching MRF lines |
$52.50–$88.20 | $75–$126 | varies |
| Antibody; encephalitis, st. louis (86653) range across 2 matching MRF lines |
$52.50–$73.50 | $75–$105 | varies |
| Antigen typing (86905) range across 3 matching MRF lines |
$56–$267.40 | $80–$382 | varies |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$52.50–$181.30 | $75–$259 | varies |
| Antistreptolysin o titer (86060) | $52.50 | $75 | 7.2× |
| Antithrombin iii activity (85300) | $230.30 | $329 | 19.4× |
| Apolipoprotein a1 (82172) range across 4 matching MRF lines |
$52.50–$164.50 | $75–$235 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 2 matching MRF lines |
$277.90–$356.30 | $397–$509 | varies |
| Arsenic (82175) range across 5 matching MRF lines |
$52.50–$192.50 | $75–$275 | varies |
| Aspergillus ag eia (87305) | $119.70 | $171 | 10.0× |
| Assay Blood Carbon Dioxide (82374) range across 3 matching MRF lines |
$34.30–$56.70 | $49–$81 | varies |
| Assay Blood Catecholamines (82383) | $47.60 | $68 | 1.6× |
| Assay Nephelometry Not Spec (83883) range across 4 matching MRF lines |
$94.50–$273 | $135–$390 | varies |
| Assay of 5-hiaa (83497) | $140.70 | $201 | 10.9× |
| Assay of anti-mullerian hormone (82166) | $100.80 | $144 | 2.6× |
| Assay of b-hexosaminidase each assay (83080) | $328.30 | $469 | 19.5× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$47.60–$49.70 | $68–$71 | varies |
| Assay of calcium in urine (82340) range across 5 matching MRF lines |
$52.50–$77 | $75–$110 | varies |
| Assay of corticosterone (82528) | $47.60 | $68 | 2.1× |
| Assay of estrone (82679) | $67.20 | $96 | 2.7× |
| Assay of g6pd enzyme (82955) range across 3 matching MRF lines |
$52.50–$210 | $75–$300 | varies |
| Assay of gammaglobulin igm (82784) range across 9 matching MRF lines |
$52.50–$97.30 | $75–$139 | varies |
| Assay of lactic acid (83605) range across 10 matching MRF lines |
$47.60–$133 | $68–$190 | varies |
| Assay of manganese (83785) | $52.50 | $75 | 2.0× |
| Assay of metanephrines (83835) range across 3 matching MRF lines |
$52.50–$63.70 | $75–$91 | varies |
| Assay of phosphatase acid total (84060) | $270.90 | $387 | 35.5× |
| Assay of proinsulin (84206) | $65.80 | $94 | 2.5× |
| Assay of pyruvate (84210) range across 3 matching MRF lines |
$47.60–$107.80 | $68–$154 | varies |
| Assay of serotonin (84260) range across 2 matching MRF lines |
$47.60–$84 | $68–$120 | varies |
| Assay of serum potassium (84132) | $49.70 | $71 | 10.4× |
| Assay of sweat sodium (84302) | $50.40 | $72 | 10.4× |
| Assay of Tyrosine (84510) | $47.60 | $68 | 4.5× |
| Assay of urea nitrogen (84520) | $52.50 | $75 | 13.3× |
| Assay of urine vma (84585) | $52.50 | $75 | 3.4× |
| Assay of vasoactive intestinal peptide (84586) | $109.90 | $157 | 3.1× |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$47.60–$52.50 | $68–$75 | varies |
| Assay Ph Body Fluid Nos (83986) range across 7 matching MRF lines |
$44.80–$63 | $64–$90 | varies |
| Assay Phosphohexose Enzymes (84087) range across 2 matching MRF lines |
$193.90–$210 | $277–$300 | varies |
| Asstd Fertilization Microtq > 10 Oocytes (89281) | $1,425.90 | $2,037 | 8.7× |
| Asstd oocyte fert 10 or less (89280) | $1,121.40 | $1,602 | 1.4× |
| Asxl1 gene analysis full gene sequence (81175) | $1,284.50 | $1,835 | 1.9× |
| Asy carbamazepin 10,11-epxid (80161) | $52.50 | $75 | 2.8× |
| Autol Bld/Component Collj Storage Predeposited (86890) range across 2 matching MRF lines |
$1,152.20–$1,318.10 | $1,646–$1,883 | varies |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$31.50–$44.80 | $45–$64 | varies |
| B cells total count (86355) | $100.80 | $144 | 2.7× |
| Bartonella antibody (86611) | $52.50 | $75 | 5.2× |
| Bcr/abl1 gene major bp (81206) | $986.30 | $1,409 | 6.0× |
| Beta 2 glycoprotein i antibody each (86146) range across 4 matching MRF lines |
$205.10–$302.40 | $293–$432 | varies |
| Beta hydroxybutyrate (82010) | $81.90 | $117 | 10.0× |
| Beta Lactamase (87185) | $102.20 | $146 | 21.5× |
| Beta-2 Microglobulin (82232) range across 3 matching MRF lines |
$52.50–$142.80 | $75–$204 | varies |
| Bile acids total (82239) range across 3 matching MRF lines |
$47.60–$112.70 | $68–$161 | varies |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$35.70–$50.40 | $51–$72 | varies |
| Bilirubin total (82247) range across 5 matching MRF lines |
$35.70–$57.40 | $51–$82 | varies |
| Bilirubin total transcutaneous (88720) | $53.20 | $76 | 10.6× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) | $2,251.20 | $3,216 | 13.7× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) | $1,908.20 | $2,726 | 11.7× |
| Biotinidase (82261) | $52.50 | $75 | 3.1× |
| Bl Smear W/O Diff Wbc Count (85008) | $50.40 | $72 | 14.7× |
| Blastomyces antibody (86612) | $52.50 | $75 | 4.1× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | $368.90 | $527 | 72.8× |
| Blood count reticulocyte automated (85045) | $66.50 | $95 | 16.7× |
| Blood count spun microhematocrit (85013) | $42.70 | $61 | 6.1× |
| Blood gas (82803) | $144.20 | $206 | 5.5× |
| Blood gases w/02 saturation (82805) | $198.10 | $283 | 2.5× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$126–$170.80 | $180–$244 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $60.90 | $87 | 13.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $267.40 | $382 | 42.1× |
| Blood typing serologic abo (86900) range across 5 matching MRF lines |
$50.40–$231 | $72–$330 | varies |
| Body fluid cell count (89050) | $94.50 | $135 | 20.0× |
| Bone marrow smear interpretation (85097) | $546 | $780 | 0.7× |
| Bordetella antibody (86615) range across 4 matching MRF lines |
$52.50–$65.80 | $75–$94 | varies |
| Braf gene analysis (81210) range across 4 matching MRF lines |
$415.80–$1,121.40 | $594–$1,602 | varies |
| Brucella antibody (86622) range across 2 matching MRF lines |
$52.50–$95.20 | $75–$136 | varies |
| C diff amplified probe (87493) | $240.10 | $343 | 6.4× |
| C-Peptide (84681) | $134.40 | $192 | 6.5× |
| C-reactive protein (86140) range across 4 matching MRF lines |
$41.30–$65.10 | $59–$93 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$123.20–$172.20 | $176–$246 | varies |
| Cadmium (82300) range across 2 matching MRF lines |
$52.50–$101.50 | $75–$145 | varies |
| Caffeine (80155) | $67.90 | $97 | 1.8× |
| Calcitonin (82308) | $54.60 | $78 | 2.0× |
| Calcium ionized (82330) range across 6 matching MRF lines |
$52.50–$119.70 | $75–$171 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$52.50–$60.20 | $75–$86 | varies |
| Calculus Spectroscopy (82365) | $58.80 | $84 | 4.6× |
| Calprotectin Fecal (83993) | $147 | $210 | 7.5× |
| Calr gene com variants (81219) | $508.90 | $727 | 4.2× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$158.90–$200.20 | $227–$286 | varies |
| Cancer Antigen 27.29 (86300) | $52.50 | $75 | 2.5× |
| Candida antibody (86628) | $33.60 | $48 | 2.8× |
| Candida Dna Dir Probe (87480) | $165.90 | $237 | 8.3× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$52.50–$161 | $75–$230 | varies |
| Carbohydrate Deficient Transferrin (82373) | $95.90 | $137 | 5.3× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$88.90–$127.40 | $127–$182 | varies |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$110.60–$167.30 | $158–$239 | varies |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$125.30–$286.30 | $179–$409 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 3 matching MRF lines |
$47.60–$123.90 | $68–$177 | varies |
| Carotene (82380) | $52.50 | $75 | 5.7× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$55.30–$63 | $79–$90 | varies |
| Ccp antibody (86200) | $75.60 | $108 | 5.8× |
| Cebpa Gene Analysis Full Gene Sequence (81218) range across 2 matching MRF lines |
$988.40–$1,482.60 | $1,412–$2,118 | varies |
| Cell count csf (89051) range across 4 matching MRF lines |
$79.10–$165.90 | $113–$237 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 5 matching MRF lines |
$74.20–$756 | $106–$1,080 | varies |
| Ceruloplasmin (82390) | $102.20 | $146 | 9.5× |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | $1,090.60 | $1,558 | 6.5× |
| Cftr gene com variants (81220) range across 3 matching MRF lines |
$151.20–$426.30 | $216–$609 | varies |
| Cftr gene dup/delet variants (81222) | $1,090.60 | $1,558 | 2.5× |
| Cftr gene full sequence (81223) | $1,090.60 | $1,558 | 2.2× |
| Chemiluminescent assay (82397) range across 10 matching MRF lines |
$52.50–$415.10 | $75–$593 | varies |
| Chg cryopreservation mature oocyte(s) (89337) | $968.80 | $1,384 | 5.9× |
| Chimerism w/comp to baseline w/cell selection ea (81268) range across 7 matching MRF lines |
$210–$992.60 | $300–$1,418 | varies |
| Chimerism w/comp to baseline w/o cell selection (81267) range across 2 matching MRF lines |
$262.50–$1,101.10 | $375–$1,573 | varies |
| Chloride other source (82438) range across 2 matching MRF lines |
$36.40–$138.60 | $52–$198 | varies |
| Chloride Serum (82435) | $59.50 | $85 | 12.9× |
| Chloride urine (82436) range across 4 matching MRF lines |
$36.40–$52.50 | $52–$75 | varies |
| Cholesterol total (82465) range across 3 matching MRF lines |
$47.60–$49.70 | $68–$71 | varies |
| Cholinesterase rbc (82482) range across 2 matching MRF lines |
$52.50–$102.90 | $75–$147 | varies |
| Cholinesterase Serum (82480) | $52.50 | $75 | 6.7× |
| Chorionic gonadotropin test (84702) range across 5 matching MRF lines |
$52.50–$131.60 | $75–$188 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) range across 5 matching MRF lines |
$546.70–$1,121.40 | $781–$1,602 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) range across 2 matching MRF lines |
$256.90–$284.20 | $367–$406 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 3 matching MRF lines |
$119.70–$156.80 | $171–$224 | varies |
| Chrmsm Analysis Addl Specialized Banding (88283) range across 3 matching MRF lines |
$344.40–$474.60 | $492–$678 | varies |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) range across 2 matching MRF lines |
$786.10–$891.80 | $1,123–$1,274 | varies |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) range across 2 matching MRF lines |
$807.80–$877.10 | $1,154–$1,253 | varies |
| Chromium serum (82495) | $52.50 | $75 | 2.6× |
| Chromogenic Substrate Assay (85130) range across 4 matching MRF lines |
$82.60–$265.30 | $118–$379 | varies |
| Chromogranin a (86316) range across 3 matching MRF lines |
$88.90–$451.50 | $127–$645 | varies |
| Chromosome Analysis 15-20 (88262) range across 8 matching MRF lines |
$563.50–$883.40 | $805–$1,262 | varies |
| Chromosome Analysis 20-25 (88264) range across 2 matching MRF lines |
$767.20–$928.90 | $1,096–$1,327 | varies |
| Chromosome analysis, 5 (88261) range across 3 matching MRF lines |
$351.40–$1,102.50 | $502–$1,575 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 6 matching MRF lines |
$46.20–$299.60 | $66–$428 | varies |
| Citric acid urine (82507) range across 6 matching MRF lines |
$47.60–$326.20 | $68–$466 | varies |
| Ckmb (82553) | $52.50 | $75 | 4.5× |
| Clostridium Difficile (87324) | $88.90 | $127 | 7.4× |
| Clot Factor VIII Multimetric (85247) | $151.20 | $216 | 6.6× |
| Clot factor xiii fibrin stab (85290) | $315 | $450 | 19.3× |
| Clotting factor xii hageman (85280) range across 2 matching MRF lines |
$102.20–$161 | $146–$230 | varies |
| Clotting Funct Activity (85397) range across 3 matching MRF lines |
$446.60–$840 | $638–$1,200 | varies |
| Cns DNA amp probe type 12-25 (87483) | $1,184.40 | $1,692 | 2.8× |
| Coagulation time activated (85347) range across 4 matching MRF lines |
$97.30–$262.50 | $139–$375 | varies |
| Coccidioides antibody (86635) | $52.50 | $75 | 4.6× |
| Cold agglutinin titer (86157) | $259.70 | $371 | 32.2× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$63.70–$291.90 | $91–$417 | varies |
| Column Chromotography Quant (82542) range across 47 matching MRF lines |
$47.60–$735 | $68–$1,050 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) range across 3 matching MRF lines |
$367.50–$730.80 | $525–$1,044 | varies |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $483.70 | $691 | 1.6× |
| Compatibility test antiglob (86922) | $263.20 | $376 | 1.6× |
| Complement Antigen Each Component (86160) range across 26 matching MRF lines |
$52.50–$392.70 | $75–$561 | varies |
| Complement Total (Ch50) (86162) range across 2 matching MRF lines |
$52.50–$385.70 | $75–$551 | varies |
| Complement/Function Activity (86161) range across 15 matching MRF lines |
$60.90–$672 | $87–$960 | varies |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 4 matching MRF lines |
$156.80–$471.10 | $224–$673 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) range across 4 matching MRF lines |
$248.50–$427.70 | $355–$611 | varies |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $310.10 | $443 | 8.6× |
| Coombs direct (86880) | $135.80 | $194 | 25.2× |
| Copper urine (82525) range across 3 matching MRF lines |
$52.50–$273 | $75–$390 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$52.50–$142.10 | $75–$203 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$47.60–$153.30 | $68–$219 | varies |
| Creatine (82540) | $47.60 | $68 | 10.3× |
| Creatine kinase total (82550) range across 3 matching MRF lines |
$44.10–$65.80 | $63–$94 | varies |
| Creatinine blood (82565) range across 4 matching MRF lines |
$47.60–$50.40 | $68–$72 | varies |
| Creatinine clearance (82575) | $100.10 | $143 | 10.6× |
| Creatinine Urine (82570) range across 15 matching MRF lines |
$33.60–$130.20 | $48–$186 | varies |
| Crossmatch electronic (86923) range across 3 matching MRF lines |
$142.80–$230.30 | $204–$329 | varies |
| Crossmatch immediate spin (86920) | $230.30 | $329 | 1.4× |
| Crp High Sensitivity (86141) | $151.20 | $216 | 11.7× |
| Cryoglobulin (82595) | $52.50 | $75 | 8.1× |
| Cryopreservation, reproductive tissue, testicular (89335) | $165.90 | $237 | 3.3× |
| Cryopreservation; embryo(s) (89258) | $906.50 | $1,295 | 1.2× |
| Cryopreservation; sperm (89259) | $137.90 | $197 | 0.8× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) range across 6 matching MRF lines |
$52.50–$388.50 | $75–$555 | varies |
| Cryptococcus ag titer (87899) | $95.20 | $136 | 5.9× |
| Cryptosporidium ag eia (87328) | $95.20 | $136 | 6.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 6 matching MRF lines |
$35–$119.70 | $50–$171 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$93.10–$114.80 | $133–$164 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $1,006.60 | $1,438 | 4.6× |
| Culture aerobic quant other (87071) | $126 | $180 | 12.7× |
| Culture afb (87116) range across 2 matching MRF lines |
$148.40–$211.40 | $212–$302 | varies |
| Culture Anaerobic (87075) | $170.10 | $243 | 18.0× |
| Culture blood (87040) | $167.30 | $239 | 16.2× |
| Culture chlamydia (87110) | $78.40 | $112 | 4.0× |
| Culture csf (87070) | $126.70 | $181 | 14.7× |
| Culture fungus (87102) | $113.40 | $162 | 13.5× |
| Culture fungus blood (87103) | $364 | $520 | 17.8× |
| Culture oocyte/embryos<4day (89250) range across 2 matching MRF lines |
$206.50–$1,297.80 | $295–$1,854 | varies |
| Culture screen only (87081) range across 8 matching MRF lines |
$86.10–$122.50 | $123–$175 | varies |
| Culture stool (87045) | $84.70 | $121 | 9.0× |
| Culture typing if ea antiserum (87140) | $52.50 | $75 | 9.4× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$33.60–$159.60 | $48–$228 | varies |
| Culture urine (87086) | $135.80 | $194 | 16.8× |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $79.10 | $113 | 10.2× |
| Cyanide (82600) | $113.40 | $162 | 5.8× |
| Cyclosporine (80158) | $196.70 | $281 | 10.9× |
| Cyp2c9 gene com variants (81227) | $231 | $330 | 1.3× |
| Cystatin C (82610) | $91.70 | $131 | 5.0× |
| Cytogenetics 10-30 (88273) range across 11 matching MRF lines |
$326.90–$467.60 | $467–$668 | varies |
| Cytogenetics 100-300 (88275) range across 75 matching MRF lines |
$52.50–$532 | $75–$760 | varies |
| Cytogenom Const Microarray Copy Number Variants (81228) | $2,291.80 | $3,274 | 2.5× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 5 matching MRF lines |
$1,337.70–$3,082.10 | $1,911–$4,403 | varies |
| Cytogenomic neo microra alys (81277) | $3,220 | $4,600 | 2.8× |
| Cytomegalovirus igg (86644) range across 7 matching MRF lines |
$52.50–$294 | $75–$420 | varies |
| Cytopath C/V Index Add-On (88155) | $237.30 | $339 | 16.2× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $221.20 | $316 | 10.9× |
| Cytopath Cell Enhance Tech (88112) | $445.20 | $636 | 8.9× |
| Cytotoxic pra quick (86808) | $222.60 | $318 | 7.5× |
| Cytp Concentration Smears & Interpretation (88108) range across 3 matching MRF lines |
$208.60–$336.70 | $298–$481 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 5 matching MRF lines |
$207.90–$328.30 | $297–$469 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $223.30 | $319 | 1.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $204.40 | $292 | 5.7× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,174.60 | $1,678 | 7.2× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $94.50 | $135 | 5.1× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $283.50 | $405 | 5.7× |
| Deoxycortisol (82634) | $67.90 | $97 | 2.3× |
| Deoxyribonuclease antibody (86215) | $52.50 | $75 | 4.0× |
| Desoxycorticosterone (82633) | $323.40 | $462 | 10.4× |
| Detect Agent Nos Dna Amp (87798) range across 34 matching MRF lines |
$65.10–$1,071 | $93–$1,530 | varies |
| Detect Agent Nos Dna Quant (87799) range across 16 matching MRF lines |
$180.60–$703.50 | $258–$1,005 | varies |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
$293.30–$945.70 | $419–$1,351 | varies |
| Dgp Antibody Each Ig Class (86258) | $52.50 | $75 | 4.4× |
| Dhea (82626) | $107.10 | $153 | 4.2× |
| Dhea-S (82627) | $212.10 | $303 | 9.5× |
| Digoxin (80162) | $147.70 | $211 | 11.1× |
| Dihydrotestosterone (82642) | $84 | $120 | 2.9× |
| Dipropylacetic Acid Free (80165) | $71.40 | $102 | 5.3× |
| Dmd Duplication/Deletion Analysis (81161) | $840 | $1,200 | 3.0× |
| DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded… (81239) | $620.90 | $887 | 2.3× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $525 | $750 | 3.8× |
| Dna Antibody Native/Double Stranded (86225) | $91 | $130 | 6.6× |
| Dna/Rna Amplified Probe (87150) | $201.60 | $288 | 5.7× |
| Dna/Rna Sequencing (87153) | $606.20 | $866 | 5.3× |
| Drug assay adalimumab (80145) | $415.10 | $593 | 10.8× |
| Drug Assay Amiodarone (80151) | $52.50 | $75 | 2.8× |
| Drug Assay Everolimus (80169) | $132.30 | $189 | 9.6× |
| Drug assay felbamate (80167) | $52.50 | $75 | 2.8× |
| Drug Assay Infliximab (80230) range across 3 matching MRF lines |
$415.10–$625.10 | $593–$893 | varies |
| Drug Assay Itraconazole (80189) | $84.70 | $121 | 3.1× |
| Drug Assay Lacosamide (80235) | $262.50 | $375 | 9.7× |
| Drug Assay Leflunomide (80193) | $199.50 | $285 | 5.2× |
| Drug Assay Posaconazole (80187) | $168 | $240 | 6.2× |
| Drug Assay Vedolizumab (80280) | $275.10 | $393 | 7.1× |
| Drug assay voriconazole (80285) | $126.70 | $181 | 4.7× |
| Drug Screen Quant Clozapine (80159) | $52.50 | $75 | 2.6× |
| Drug Screen Quant Zonisamide (80203) | $92.40 | $132 | 7.0× |
| Drug Screen Quantitative Gabapentin (80171) | $52.50 | $75 | 2.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $112 | $160 | 8.5× |
| Drug Screen Quantitative Levetiracetam (80177) | $112 | $160 | 8.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $77.70 | $111 | 5.9× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $81.90 | $117 | 4.9× |
| Drug Screen Quantitative Tiagabine (80199) | $159.60 | $228 | 5.9× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 11 matching MRF lines |
$115.50–$346.50 | $165–$495 | varies |
| Drug Test Prsmv Instrmnt (80306) | $480.90 | $687 | 28.1× |
| Egfr Gene Analysis Common Variants (81235) | $1,033.20 | $1,476 | 3.2× |
| Ehrlichia antibody (86666) range across 7 matching MRF lines |
$52.50–$168 | $75–$240 | varies |
| Electrolyte panel (80051) | $198.80 | $284 | 28.4× |
| Electron Microscopy (88348) range across 8 matching MRF lines |
$1,978.90–$2,393.30 | $2,827–$3,419 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 4 matching MRF lines |
$54.60–$420 | $78–$600 | varies |
| Encephaltis East Eqne Anbdy (86652) range across 2 matching MRF lines |
$52.50–$73.50 | $75–$105 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$52.50–$73.50 | $75–$105 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$56–$88.20 | $80–$126 | varies |
| Enterovirus Antibody (86658) range across 9 matching MRF lines |
$52.50–$95.90 | $75–$137 | varies |
| Enterovirus PCR (87498) range across 3 matching MRF lines |
$137.90–$308.70 | $197–$441 | varies |
| Enzyme cell activity (82657) range across 17 matching MRF lines |
$190.40–$747.60 | $272–$1,068 | varies |
| Enzyme histochemistry (88319) | $653.10 | $933 | 0.8× |
| Eosinophil Smear (89190) | $84.70 | $121 | 14.6× |
| Erythropoietin (82668) range across 2 matching MRF lines |
$52.50–$456.40 | $75–$652 | varies |
| Estradiol serum (82670) range across 3 matching MRF lines |
$70.70–$218.40 | $101–$312 | varies |
| Estriol (82677) | $74.20 | $106 | 3.1× |
| Ethosuximide (80168) | $52.50 | $75 | 3.2× |
| Ethylene Glycol (82693) | $167.30 | $239 | 11.2× |
| Exam Synovial Fluid Crystals (89060) range across 3 matching MRF lines |
$53.90–$294 | $77–$420 | varies |
| Exome Sequence Analysis (81415) | $5,285.70 | $7,551 | 1.1× |
| Exome sequence analysis each comparator exome (81416) likely a partial charge, not the full procedure |
$1,761.90 | $2,517 | 0.1× |
| Extnd Cul Oocyte/Embryo 4-7 Days (89272) | $434 | $620 | 0.6× |
| Ezh2 Gene Analysis Common Variants (81237) | $751.80 | $1,074 | 4.3× |
| F2 Gene (81240) | $286.30 | $409 | 4.4× |
| Factor ii activity (85210) | $230.30 | $329 | 17.7× |
| Factor Inhibitor Test (85335) range across 21 matching MRF lines |
$348.60–$1,929.20 | $498–$2,756 | varies |
| Factor ix activity (85250) | $242.90 | $347 | 12.8× |
| Factor v activity (85220) | $230.30 | $329 | 13.0× |
| Factor v leiden mutation (81241) | $286.30 | $409 | 3.9× |
| Factor vii assay (85230) | $242.90 | $347 | 13.6× |
| Factor viii assay (85240) range across 4 matching MRF lines |
$269.50–$1,129.10 | $385–$1,613 | varies |
| Factor X (85260) | $230.30 | $329 | 12.9× |
| Factor xi activity (85270) range across 2 matching MRF lines |
$108.50–$161 | $155–$230 | varies |
| Factor xiii screen (85291) | $275.10 | $393 | 30.2× |
| Fat/Lipids Feces Quantitative (82710) | $61.60 | $88 | 3.7× |
| Fatty acids free (82725) range across 3 matching MRF lines |
$47.60–$247.80 | $68–$354 | varies |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $84 | $120 | 10.9× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $121.80 | $174 | 7.1× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $52.50 | $75 | 8.0× |
| Fecal Fat Qualitative (82705) | $52.50 | $75 | 10.3× |
| Ferritin (82728) | $152.60 | $218 | 11.2× |
| Fetal Fibronectin (82731) | $589.40 | $842 | 9.2× |
| Fetal hemoglobin assay qual (83033) | $58.10 | $83 | 7.3× |
| Fibrin degradation products (85362) | $93.10 | $133 | 13.5× |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) | $205.10 | $293 | 20.1× |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$95.20–$262.50 | $136–$375 | varies |
| Fibrinogen antigen (85385) | $87.50 | $125 | 6.1× |
| Flecainide level (80181) | $52.50 | $75 | 2.8× |
| Flow cytometry first marker (88184) range across 14 matching MRF lines |
$100.80–$894.60 | $144–$1,278 | varies |
| Flt3 Gene (81245) range across 2 matching MRF lines |
$291.20–$598.50 | $416–$855 | varies |
| Flt3 gene analysis (81246) range across 2 matching MRF lines |
$459.90–$668.50 | $657–$955 | varies |
| Fluorescent antibody screen (86255) range across 102 matching MRF lines |
$10.84–$1,260 | $15.48–$1,800 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 73 matching MRF lines |
$52.50–$504 | $75–$720 | varies |
| Fluoride serum (82735) | $226.80 | $324 | 12.2× |
| Fmr1 Gene Charac Alleles (81244) | $746.90 | $1,067 | 16.6× |
| Fmr1 gene detection (81243) | $483.70 | $691 | 8.5× |
| Folic acid rbc (82747) | $52.50 | $75 | 3.0× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$47.60–$127.40 | $68–$182 | varies |
| Follicle Stimulating Hormone (83001) | $161 | $230 | 8.7× |
| Francisella tularensis (86668) | $52.50 | $75 | 3.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $224 | $320 | 1.4× |
| Frozen Section (88331) | $254.10 | $363 | 1.6× |
| Fungi Identification Mold (87107) | $143.50 | $205 | 13.9× |
| Fungi Identification Yeast (87106) range across 4 matching MRF lines |
$47.60–$147.70 | $68–$211 | varies |
| Galactokinase rbc (82759) | $264.60 | $378 | 12.3× |
| Galactose (82760) | $47.60 | $68 | 4.3× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $85.40 | $122 | 4.1× |
| Gammaglobulin ige (82785) range across 3 matching MRF lines |
$52.50–$144.90 | $75–$207 | varies |
| Gardner vag DNA dir probe (87510) | $165.90 | $237 | 8.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $59.50 | $85 | 6.1× |
| Gases blood ph only (82800) | $79.10 | $113 | 7.2× |
| Gastrin (82941) range across 2 matching MRF lines |
$52.50–$82.60 | $75–$118 | varies |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
$789.60–$892.50 | $1,128–$1,275 | varies |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 3 matching MRF lines |
$1,039.50–$1,484 | $1,485–$2,120 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$1,924.30–$4,620 | $2,749–$6,600 | varies |
| Gentamicin (80170) | $165.90 | $237 | 10.1× |
| Ggt (82977) range across 3 matching MRF lines |
$52.50–$72.80 | $75–$104 | varies |
| Giardia antigen (87329) | $95.20 | $136 | 7.9× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $373.80 | $534 | 3.7× |
| Gjb6 Gene Analysis Common Variants (81254) | $373.80 | $534 | 10.7× |
| Glucagon (82943) range across 2 matching MRF lines |
$52.50–$94.50 | $75–$135 | varies |
| Glucose 2 hr pp (82950) | $35.70 | $51 | 7.5× |
| Glucose Blood Test (82962) | $45.50 | $65 | 13.9× |
| Glucose body fluid (82945) range across 5 matching MRF lines |
$30.10–$293.30 | $43–$419 | varies |
| Glucose Serum (82947) range across 8 matching MRF lines |
$44.10–$47.60 | $63–$68 | varies |
| Glucose tolerance test (gtt) (82951) | $122.50 | $175 | 9.5× |
| Glutathione (82978) range across 3 matching MRF lines |
$47.60–$396.20 | $68–$566 | varies |
| Glycated Protein (82985) | $52.50 | $75 | 3.1× |
| Gonadotropin Chorionic Qualitative (84703) | $96.60 | $138 | 12.8× |
| Growth hormone (83003) range across 2 matching MRF lines |
$165.90–$312.20 | $237–$446 | varies |
| Growth Stimulation Gene 2 (83006) range across 4 matching MRF lines |
$443.10–$831.60 | $633–$1,188 | varies |
| Gtt-added samples (82952) | $53.20 | $76 | 13.6× |
| H Pylori (C-13) Breath (83013) | $147 | $210 | 2.2× |
| H Pylori Drug Admin (83014) | $102.20 | $146 | 13.0× |
| Haloperidol (80173) | $67.20 | $96 | 4.3× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$119.70–$148.40 | $171–$212 | varies |
| Hba1/hba2 full gene sequence (81259) | $987 | $1,410 | 1.6× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $987 | $1,410 | 4.9× |
| Hbb duplication/deletion variants (81363) | $1,050 | $1,500 | 5.2× |
| Hbb Full Gene Sequence (81364) | $1,050 | $1,500 | 3.2× |
| Hdl Cholesterol (83718) | $91.70 | $131 | 11.2× |
| Hearing Loss Dup/Del Analysis (81431) | $630 | $900 | 0.9× |
| Hearing Loss Genomic Sequence Analysis 60 Genes (81430) | $1,750 | $2,500 | 1.1× |
| Heavy metal qualitative any analytes (83015) | $156.80 | $224 | 7.5× |
| Helicobacter Pylori Stool (87338) range across 2 matching MRF lines |
$121.10–$516.60 | $173–$738 | varies |
| Helminth Antibody (86682) range across 6 matching MRF lines |
$52.50–$397.60 | $75–$568 | varies |
| Hematocrit (85014) | $42.70 | $61 | 18.0× |
| Hemoglobin (85018) | $42.70 | $61 | 18.0× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$110.60–$116.90 | $158–$167 | varies |
| Hemoglobin electrophoresis (83020) | $84 | $120 | 6.5× |
| Hemoglobin Methemoglobin Quantitative (83050) | $107.10 | $153 | 13.1× |
| Hemoglobin plasma (83051) | $72.80 | $104 | 10.0× |
| Hemoglobin-Oxygen Affinity (82820) | $405.30 | $579 | 30.4× |
| Hemolysins&Agglutinins Incubated (86941) | $265.30 | $379 | 21.9× |
| Hemosiderin urine (83070) | $44.80 | $64 | 9.4× |
| Hep a ab igm (86709) | $136.50 | $195 | 12.1× |
| Heparin assay (85520) range across 3 matching MRF lines |
$168–$185.50 | $240–$265 | varies |
| Heparin Neutralization (85525) range across 4 matching MRF lines |
$94.50–$262.50 | $135–$375 | varies |
| Hepatitis a antibody total (86708) | $136.50 | $195 | 11.0× |
| Hepatitis b core ab igm (86705) | $102.20 | $146 | 8.7× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$52.50–$147 | $75–$210 | varies |
| Hepatitis B Surface Antibody (86706) | $135.10 | $193 | 12.6× |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$52.50–$255.50 | $75–$365 | varies |
| Hepatitis Be Antibody (86707) | $52.50 | $75 | 4.5× |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
$52.50–$70.70 | $75–$101 | varies |
| Hepatitis C Antibody (86803) range across 5 matching MRF lines |
$52.50–$171.50 | $75–$245 | varies |
| Hepatitis c antibody confirmatory test (86804) | $237.30 | $339 | 15.3× |
| Hepatitis C Genotype (87902) range across 4 matching MRF lines |
$557.90–$2,046.10 | $797–$2,923 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $52.50 | $75 | 1.5× |
| Hepatitis C Revrs Trnscrpj (87522) range across 3 matching MRF lines |
$208.60–$359.10 | $298–$513 | varies |
| Hepatitis delta ag (87380) | $147 | $210 | 8.0× |
| Hepatitis Delta Agent Antibody (86692) | $52.50 | $75 | 3.1× |
| Herpes simplex type 2 (86696) | $127.40 | $182 | 6.6× |
| Heterophile Antibody Screen (86308) | $74.90 | $107 | 14.5× |
| Hfe Gene (81256) | $869.40 | $1,242 | 13.3× |
| Hgb Quantitative Transcutaneous (88738) | $32.20 | $46 | 6.4× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $403.20 | $576 | 52.2× |
| Histamine urine (83088) range across 4 matching MRF lines |
$64.40–$240.80 | $92–$344 | varies |
| Histoplasma antibody (86698) | $52.50 | $75 | 3.8× |
| Histoplasma antigen urine (87385) | $199.50 | $285 | 15.1× |
| Hiv Genotype (87901) range across 4 matching MRF lines |
$294–$1,001.70 | $420–$1,431 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 3 matching MRF lines |
$108.50–$155.40 | $155–$222 | varies |
| Hiv-1 Antibody (86701) range across 4 matching MRF lines |
$60.20–$119.70 | $86–$171 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 4 matching MRF lines |
$182–$633.50 | $260–$905 | varies |
| Hla Class I Typing High Resolution Complete (81379) range across 5 matching MRF lines |
$472.50–$2,407.30 | $675–$3,439 | varies |
| Hla Class I Typing High Resolution One Locus Ea (81380) range across 12 matching MRF lines |
$157.50–$1,454.60 | $225–$2,078 | varies |
| Hla Class I Typing Low Resolution Complete (81372) | $1,885.10 | $2,693 | 4.7× |
| Hla Class I Typing Low Resolution One Locus Each (81373) range across 15 matching MRF lines |
$42–$2,115.40 | $60–$3,022 | varies |
| Hla class i&ii antibody qual (86828) range across 4 matching MRF lines |
$173.60–$527.10 | $248–$753 | varies |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $1,456 | $2,080 | 3.6× |
| Hla class ii high defin qual (86833) range across 13 matching MRF lines |
$464.80–$1,747.20 | $664–$2,496 | varies |
| Hla class ii typing high resolution one locus ea (81382) range across 25 matching MRF lines |
$167.30–$1,454.60 | $239–$2,078 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) range across 9 matching MRF lines |
$787.50–$2,008.30 | $1,125–$2,869 | varies |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) range across 6 matching MRF lines |
$103.60–$997.50 | $148–$1,425 | varies |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $386.40 | $552 | 5.2× |
| Hla I Typing 1 Allele Hr (81381) range across 3 matching MRF lines |
$336–$772.10 | $480–$1,103 | varies |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $1,885.10 | $2,693 | 8.5× |
| Hla ii typing 1 locus lr (81376) range across 9 matching MRF lines |
$157.50–$2,115.40 | $225–$3,022 | varies |
| Hla-b27 (86812) | $73.50 | $105 | 2.8× |
| Homocysteine (83090) | $165.90 | $237 | 9.3× |
| Homogenization Tissue (87176) | $108.50 | $155 | 18.5× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$47.60–$52.50 | $68–$75 | varies |
| Hpv High-Risk Types (87624) range across 4 matching MRF lines |
$100.80–$524.30 | $144–$749 | varies |
| Hpv low-risk types (87623) | $289.80 | $414 | 8.3× |
| Hsv Dna Amp Probe (87529) range across 5 matching MRF lines |
$96.60–$460.60 | $138–$658 | varies |
| Hsv Dna Quant (87530) | $406 | $580 | 9.5× |
| Htlv-I Antibody (86687) | $52.50 | $75 | 5.8× |
| Htlv-ii antibody (86688) | $52.50 | $75 | 3.8× |
| Htt Gene Analysis Characterization Alleles (81274) | $394.10 | $563 | 1.4× |
| Htt Gene Detc Abnor Alleles (81271) | $298.20 | $426 | 2.2× |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$158.90–$378 | $227–$540 | varies |
| Hydroxyprogesterone 17-d (83498) | $52.50 | $75 | 1.9× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $52.50 | $75 | 4.4× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $52.50 | $75 | 4.4× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 3 matching MRF lines |
$64.40–$669.90 | $92–$957 | varies |
| Iaad ia shiga-like toxin (87427) | $95.20 | $136 | 7.9× |
| Iaadi pneumocustis carinii (87281) | $301 | $430 | 25.1× |
| Iaadiadoo trichomonas vaginalis (87808) | $94.50 | $135 | 6.2× |
| Iadna Bartonella Amplified Probe Technique (87471) | $514.50 | $735 | 14.7× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $214.20 | $306 | 6.1× |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$73.50–$367.50 | $105–$525 | varies |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $388.50 | $555 | 11.1× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 5 matching MRF lines |
$140.70–$565.60 | $201–$808 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 5 matching MRF lines |
$220.50–$358.40 | $315–$512 | varies |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) range across 2 matching MRF lines |
$286.30–$548.10 | $409–$783 | varies |
| Iadna hepatitis b virus amplified probe tq (87516) | $52.50 | $75 | 1.5× |
| Iadna Hepatitis B Virus Quantification (87517) range across 2 matching MRF lines |
$223.30–$336.70 | $319–$481 | varies |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $527.80 | $754 | 15.0× |
| Iadna Herpes Virus-6 Quantification (87533) | $443.10 | $633 | 10.6× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 4 matching MRF lines |
$52.50–$679 | $75–$970 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $126.70 | $181 | 3.6× |
| Iadna Multiple Organisms Direct Probe Tq (87800) range across 2 matching MRF lines |
$108.50–$149.10 | $155–$213 | varies |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $343.70 | $491 | 12.6× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $642.60 | $918 | 13.3× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $195.30 | $279 | 9.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$278.60–$425.60 | $398–$608 | varies |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $343.70 | $491 | 12.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 3 matching MRF lines |
$182–$931.70 | $260–$1,331 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 5 matching MRF lines |
$46.20–$299.60 | $66–$428 | varies |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $483 | $690 | 3.4× |
| Idh1 common variants (81120) | $558.60 | $798 | 2.9× |
| Idh2 common variants (81121) | $688.80 | $984 | 2.3× |
| Ig Light Chains Free Each (83521) | $280.70 | $401 | 16.3× |
| Igg subclasses (82787) | $52.50 | $75 | 6.5× |
| Igh gene rearrange amp meth (81261) | $1,287.30 | $1,839 | 6.5× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $976.50 | $1,395 | 3.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $314.30 | $449 | 0.9× |
| Immune Complex Assay (86332) | $327.60 | $468 | 13.4× |
| Immunfix e-phorsis/urine/csf (86335) range across 3 matching MRF lines |
$56.70–$372.40 | $81–$532 | varies |
| Immunoassay analyte qual/semiqual single step (83518) | $913.50 | $1,305 | 94.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 31 matching MRF lines |
$52.50–$1,137.50 | $75–$1,625 | varies |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $130.20 | $186 | 5.1× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 6 matching MRF lines |
$52.50–$81.20 | $75–$116 | varies |
| Immunoassay nonantibody (83516) range across 46 matching MRF lines |
$52.50–$714 | $75–$1,020 | varies |
| Immunodiffusion Ouchterlony (86331) range across 10 matching MRF lines |
$52.50–$135.10 | $75–$193 | varies |
| Immunofixation electrophoresis (86334) range across 5 matching MRF lines |
$52.50–$372.40 | $75–$532 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 6 matching MRF lines |
$65.10–$538.30 | $93–$769 | varies |
| Immunohistochemistry (88342) range across 7 matching MRF lines |
$185.50–$577.50 | $265–$825 | varies |
| In situ hybridization 1st probe stain (88365) range across 14 matching MRF lines |
$113.40–$2,830.10 | $162–$4,043 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $1,050 | $1,500 | 6.4× |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) range across 4 matching MRF lines |
$283.50–$332.50 | $405–$475 | varies |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $296.10 | $423 | 8.4× |
| Influenza a/b ag eia (87400) | $212.10 | $303 | 15.0× |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
$308.70–$418.60 | $441–$598 | varies |
| Inhibin A (86336) range across 3 matching MRF lines |
$52.50–$65.10 | $75–$93 | varies |
| Inhibin b (83520) range across 65 matching MRF lines |
$44.80–$1,050 | $64–$1,500 | varies |
| Insemination of oocytes (89268) | $165.20 | $236 | 1.0× |
| Insitu hybridization manual (88368) range across 6 matching MRF lines |
$282.10–$977.20 | $403–$1,396 | varies |
| Insulin antibodies (86337) | $87.50 | $125 | 4.1× |
| Insulin free (83527) | $52.50 | $75 | 4.1× |
| Insulin total (83525) range across 4 matching MRF lines |
$52.50–$108.50 | $75–$155 | varies |
| Interleukin-6 (83529) | $109.90 | $157 | 6.4× |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$54.60–$79.10 | $78–$113 | varies |
| Iron (83540) range across 3 matching MRF lines |
$60.90–$217 | $87–$310 | varies |
| Iron Binding Capacity (83550) | $74.20 | $106 | 8.5× |
| Irradiation Blood Product Each Unit (86945) | $181.30 | $259 | 5.0× |
| Islet cell antibody (86341) range across 6 matching MRF lines |
$52.50–$390.60 | $75–$558 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $370.30 | $529 | 4.0× |
| Jak2 Gene Trgt Sequence Alys (81279) range across 2 matching MRF lines |
$381.50–$551.60 | $545–$788 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) | $588 | $840 | 4.7× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) range across 2 matching MRF lines |
$1,209.60–$1,610.70 | $1,728–$2,301 | varies |
| Koh Prep (87220) | $102.20 | $146 | 23.9× |
| Kras Gene Analysis Additional Variant(S) (81276) range across 2 matching MRF lines |
$415.80–$992.60 | $594–$1,418 | varies |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$603.40–$730.80 | $862–$1,044 | varies |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$52.50–$63 | $75–$90 | varies |
| Lactoferrin fecal qualitative (83630) | $63 | $90 | 3.2× |
| Lamellar Body Count (83664) | $116.20 | $166 | 6.0× |
| Ldh Isoenzymes (83625) | $52.50 | $75 | 4.1× |
| LDL direct (83721) | $152.60 | $218 | 14.5× |
| Lead (83655) range across 5 matching MRF lines |
$52.50–$79.10 | $75–$113 | varies |
| Legionella antigen urine (87449) range across 6 matching MRF lines |
$186.90–$344.40 | $267–$492 | varies |
| Legionella pneumophila dfa (87278) range across 2 matching MRF lines |
$52.50–$61.60 | $75–$88 | varies |
| Leptospira antibody (86720) | $93.80 | $134 | 5.8× |
| Leukocyte Histamine Release (86343) | $144.90 | $207 | 11.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $119 | $170 | 4.3× |
| Level ii surg pathology grossµscopic exam (88302) range across 3 matching MRF lines |
$183.40–$261.80 | $262–$374 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $610.40 | $872 | 1.8× |
| Lidocaine (80176) | $108.50 | $155 | 7.4× |
| Lipase (83690) | $74.90 | $107 | 10.9× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $34.30 | $49 | 3.0× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $102.90 | $147 | 3.0× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $262.50 | $375 | 5.7× |
| Lithium (80178) | $86.80 | $124 | 13.1× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$54.60–$161 | $78–$230 | varies |
| Lyme disease antibody (86618) range across 7 matching MRF lines |
$52.50–$115.50 | $75–$165 | varies |
| Lymphocyte Culture Mixed (86821) | $714 | $1,020 | 19.5× |
| Lymphocyte transformation (86353) range across 7 matching MRF lines |
$79.80–$684.60 | $114–$978 | varies |
| Lysozyme serum (85549) | $52.50 | $75 | 2.8× |
| M. Genitalium Amp Probe (87563) range across 2 matching MRF lines |
$101.50–$228.20 | $145–$326 | varies |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 5 matching MRF lines |
$669.90–$1,750 | $957–$2,500 | varies |
| Macroscopic exam arthropod (87168) | $42.70 | $61 | 10.0× |
| Magnesium Urine (83735) range across 7 matching MRF lines |
$48.30–$77.70 | $69–$111 | varies |
| Mass Spectrometry Quant (83789) range across 9 matching MRF lines |
$47.60–$430.50 | $68–$615 | varies |
| Mecp2 gene dup/delet variant (81304) | $635.60 | $908 | 4.2× |
| Mecp2 gene full seq (81302) | $1,750 | $2,500 | 3.3× |
| Mercury urine (83825) | $52.50 | $75 | 3.2× |
| Methylmalonic acid serum (83921) range across 5 matching MRF lines |
$73.50–$130.20 | $105–$186 | varies |
| Mgmt methylation analysis (81287) | $514.50 | $735 | 4.1× |
| Microalbumin, quantitative (82043) | $99.40 | $142 | 17.2× |
| Microsatellite instability (81301) | $1,003.80 | $1,434 | 2.9× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$52.50–$217 | $75–$310 | varies |
| Mlh1 Gene (81288) | $305.20 | $436 | 1.6× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $281.40 | $402 | 7.5× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) range across 2 matching MRF lines |
$410.20–$453.60 | $586–$648 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 86 matching MRF lines |
$52.50–$445.20 | $75–$636 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 7 matching MRF lines |
$149.10–$421.40 | $213–$602 | varies |
| Molecular Pathology Procedure Level 3 (81402) range across 2 matching MRF lines |
$623.70–$1,148.70 | $891–$1,641 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 10 matching MRF lines |
$560.70–$2,464 | $801–$3,520 | varies |
| Mononuclear cell antigen (86356) | $93.80 | $134 | 3.5× |
| Mopath procedure level 1 (81400) range across 10 matching MRF lines |
$134.40–$1,102.50 | $192–$1,575 | varies |
| Mopath procedure level 2 (81401) range across 9 matching MRF lines |
$287.70–$1,137.50 | $411–$1,625 | varies |
| Mopath procedure level 4 (81403) range across 17 matching MRF lines |
$262.50–$1,186.50 | $375–$1,695 | varies |
| Mopath procedure level 5 (81404) range across 11 matching MRF lines |
$612.50–$2,545.90 | $875–$3,637 | varies |
| Mopath procedure level 7 (81406) range across 10 matching MRF lines |
$783.30–$4,393.20 | $1,119–$6,276 | varies |
| Mopath procedure level 8 (81407) range across 2 matching MRF lines |
$787.50–$4,459.70 | $1,125–$6,371 | varies |
| Mopath procedure level 9 (81408) range across 7 matching MRF lines |
$787.50–$9,084.60 | $1,125–$12,978 | varies |
| Mrsa Pcr (87641) | $277.20 | $396 | 7.9× |
| Mthfr Gene Analysis Common Variants (81291) | $402.50 | $575 | 6.2× |
| Mucopolysaccharides acid quantitative (83864) range across 2 matching MRF lines |
$243.60–$609 | $348–$870 | varies |
| Mumps antibody (86735) range across 4 matching MRF lines |
$52.50–$113.40 | $75–$162 | varies |
| Mycobacteric Identification (87118) | $147.70 | $211 | 10.1× |
| Mycophenolic Acid (80180) | $56 | $80 | 3.1× |
| Mycoplasma antibody (86738) | $52.50 | $75 | 4.0× |
| Mycoplasma culture (87109) range across 4 matching MRF lines |
$102.90–$312.20 | $147–$446 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $424.90 | $607 | 2.4× |
| Myelin basic protein csf (83873) | $52.50 | $75 | 3.1× |
| Myoglobin urine (83874) range across 4 matching MRF lines |
$52.50–$153.30 | $75–$219 | varies |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$214.20–$298.90 | $306–$427 | varies |
| Nerve teasing preparations (88362) | $1,148.70 | $1,641 | 1.5× |
| Neutralization Test Viral (86382) | $193.20 | $276 | 11.4× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $625.10 | $893 | 2.4× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $1,216.60 | $1,738 | 4.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $367.50 | $525 | 5.1× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) range across 4 matching MRF lines |
$294–$1,050 | $420–$1,500 | varies |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $81.20 | $116 | 3.1× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $1,269.10 | $1,813 | 2.6× |
| Niacin (84591) | $168 | $240 | 9.8× |
| Nitroblue Tetrazolium Dye (86384) | $381.50 | $545 | 28.0× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) range across 2 matching MRF lines |
$476–$754.60 | $680–$1,078 | varies |
| Nras gene variants exon 2&3 (81311) range across 2 matching MRF lines |
$415.80–$992.60 | $594–$1,418 | varies |
| Ntrk translocation analysis (81194) | $627.90 | $897 | 1.2× |
| Nuclear antigen antibody (86235) range across 12 matching MRF lines |
$53.90–$303.80 | $77–$434 | varies |
| Nudt15 Gene Common Variants (81306) | $367.50 | $525 | 1.3× |
| Nzym actv blood cells/tiss radact substrate ea (82658) range across 3 matching MRF lines |
$281.40–$683.20 | $402–$976 | varies |
| Occult blood feces (82272) | $42 | $60 | 9.9× |
| Occult Blood Other Sources (82271) range across 2 matching MRF lines |
$39.20–$42 | $56–$60 | varies |
| Oligoclonal bands (83916) | $52.50 | $75 | 1.9× |
| Oncology Prostate Prob Score (81539) | $1,076.60 | $1,538 | 1.4× |
| Oncoprotein dcp (83951) | $285.60 | $408 | 4.4× |
| Oocyte identification from follicular fluid (89254) | $1,068.90 | $1,527 | 6.5× |
| Organic Acids Qualitative Each Specimen (83919) range across 2 matching MRF lines |
$47.60–$104.30 | $68–$149 | varies |
| Osmolality serum (83930) range across 3 matching MRF lines |
$48.30–$69.30 | $69–$99 | varies |
| Osmolality Urine (83935) range across 2 matching MRF lines |
$52.50–$69.30 | $75–$99 | varies |
| Osmotic Fragility RBC Unincubated (85555) | $144.90 | $207 | 19.4× |
| Osteocalcin (83937) | $91.70 | $131 | 3.1× |
| Outpatient Global Laboratory, Radiology and Diagnostic Services (89346) | $446.60 | $638 | 2.7× |
| Ova and parasites smears (87177) range across 3 matching MRF lines |
$52.50–$360.50 | $75–$515 | varies |
| Oxalate urine (83945) range across 5 matching MRF lines |
$47.60–$149.10 | $68–$213 | varies |
| Pancreatic Elastase Fecal (82656) | $543.90 | $777 | 47.2× |
| Particle Agglut Antbdy Titr (86406) range across 2 matching MRF lines |
$52.50–$179.90 | $75–$257 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 3 matching MRF lines |
$52.50–$196 | $75–$280 | varies |
| Parvovirus antibody (86747) | $52.50 | $75 | 3.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $607.60 | $868 | 0.8× |
| Pathology Consultation During Surgery (88329) | $172.20 | $246 | 3.0× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $876.40 | $1,252 | 2.7× |
| Ph urine (81003) | $49.70 | $71 | 22.1× |
| Phenobarbital Level (80184) | $52.50 | $75 | 3.4× |
| Phenotype Infect Agent Drug (87900) range across 3 matching MRF lines |
$294–$557.90 | $420–$797 | varies |
| Phenylketones qual (84035) | $47.60 | $68 | 12.0× |
| Phenytoin (Dilantin) (80185) | $147.70 | $211 | 11.1× |
| Phenytoin free (80186) | $112 | $160 | 8.1× |
| Phosphatase acid prostatic (84066) | $52.50 | $75 | 5.4× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$35.70–$53.20 | $51–$76 | varies |
| Phosphatidylglycerol (84081) | $175.70 | $251 | 10.6× |
| Phospholipid Neutralization Hexagonal (85598) | $33.60 | $48 | 1.9× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$35.70–$50.40 | $51–$72 | varies |
| Phosphorus urine (84105) range across 6 matching MRF lines |
$36.40–$68.60 | $52–$98 | varies |
| Pik3ca gene analysis targeted sequence analysis (81309) | $811.30 | $1,159 | 3.0× |
| Pinworm exam (87172) | $54.60 | $78 | 12.8× |
| Platelet Aggregation (85576) range across 14 matching MRF lines |
$144.90–$357 | $207–$510 | varies |
| Platelet Antibodies (86022) range across 10 matching MRF lines |
$105–$646.10 | $150–$923 | varies |
| Platelet count automated (85049) | $60.90 | $87 | 13.6× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) range across 2 matching MRF lines |
$735–$941.50 | $1,050–$1,345 | varies |
| Pooling blood platelets (86965) | $211.40 | $302 | 1.3× |
| Porphobilinogen Urine Qualitative (84106) | $94.50 | $135 | 16.2× |
| Porphobilinogen, urine; quantitative (84110) | $65.10 | $93 | 7.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $86.10 | $123 | 5.9× |
| Potassium Urine (84133) range across 5 matching MRF lines |
$35.70–$52.50 | $51–$75 | varies |
| Prealbumin (84134) | $134.40 | $192 | 9.2× |
| Pregnancy-Associated Plasma Protein-A (84163) | $52.50 | $75 | 3.5× |
| Preparation of embryo for transfer (89255) | $193.90 | $277 | 3.9× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $138.60 | $198 | 0.8× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 3 matching MRF lines |
$128.80–$667.80 | $184–$954 | varies |
| Primidone (80188) | $52.50 | $75 | 3.2× |
| Procalcitonin (Pct) (84145) | $196.70 | $281 | 7.2× |
| Progesterone (84144) | $209.30 | $299 | 10.0× |
| Prolactin (84146) | $168 | $240 | 8.7× |
| Prostaglandin (84150) range across 4 matching MRF lines |
$93.10–$651 | $133–$930 | varies |
| Protein body fluid (84157) | $47.60 | $68 | 11.9× |
| Protein C Activity (85303) | $226.80 | $324 | 16.4× |
| Protein Electrophoresis Urine (84166) | $175.70 | $251 | 9.9× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $168 | $240 | 15.6× |
| Protein S Free (85306) range across 3 matching MRF lines |
$80.50–$226.80 | $115–$324 | varies |
| Protein total serum (84155) range across 3 matching MRF lines |
$44.10–$95.90 | $63–$137 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$44.10–$56.70 | $63–$81 | varies |
| Protein Western Blot Test (84182) range across 25 matching MRF lines |
$65.10–$787.50 | $93–$1,125 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $81.20 | $116 | 20.6× |
| Protoporphyrin rbc quantitative (84202) | $123.20 | $176 | 8.6× |
| PSA free (84154) | $181.30 | $259 | 9.9× |
| Pth Intact (83970) | $265.30 | $379 | 6.4× |
| Pyruvate kinase (84220) range across 3 matching MRF lines |
$88.20–$210 | $126–$300 | varies |
| Q Fever Antibody (86638) range across 6 matching MRF lines |
$69.30–$151.20 | $99–$216 | varies |
| Quantiferon tb gold plus (86480) range across 4 matching MRF lines |
$124.60–$501.20 | $178–$716 | varies |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$167.30–$399 | $239–$570 | varies |
| Quantitative Screen Metals (83018) range across 5 matching MRF lines |
$52.50–$249.20 | $75–$356 | varies |
| Quinidine (80194) | $52.50 | $75 | 3.6× |
| Rbc antibody elution (86860) | $393.40 | $562 | 2.4× |
| Rbc antibody identification (86870) range across 7 matching MRF lines |
$275.10–$393.40 | $393–$562 | varies |
| Rbc antibody screen (86850) range across 3 matching MRF lines |
$130.20–$393.40 | $186–$562 | varies |
| Rbc pretreatment serum (86978) | $378 | $540 | 6.7× |
| Renin activity plasma (84244) | $52.50 | $75 | 2.4× |
| Reptilase test (85635) | $186.20 | $266 | 18.9× |
| Resp Virus 6-11 Targets (87632) | $1,110.90 | $1,587 | 5.1× |
| Reticulated Platelet Assay (85055) | $205.10 | $293 | 5.7× |
| Reticulocyte Count (85046) | $71.40 | $102 | 12.8× |
| Rh (86901) range across 5 matching MRF lines |
$28–$231 | $40–$330 | varies |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$73.50–$209.30 | $105–$299 | varies |
| Rickettsia antibody (86757) | $52.50 | $75 | 2.7× |
| Ristocetin cofactor (85245) | $366.80 | $524 | 16.0× |
| Rotavirus ag eia (87425) | $168 | $240 | 14.0× |
| Rpr qualitative (86592) range across 5 matching MRF lines |
$36.40–$52.50 | $52–$75 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$103.60–$151.20 | $148–$216 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$52.50–$112 | $75–$160 | varies |
| Runx1 gene analysis targeted sequence analysis (81334) | $984.20 | $1,406 | 3.0× |
| Russell Viper Venom Time Diluted (85613) | $127.40 | $182 | 13.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$133–$407.40 | $190–$582 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 6 matching MRF lines |
$110.60–$210 | $158–$300 | varies |
| Sarscov2 & inf a&b amp prb (87636) | $177.80 | $254 | 1.2× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $407.40 | $582 | 2.9× |
| Sedimentation Rate, Automated (85652) range across 3 matching MRF lines |
$46.90–$77.70 | $67–$111 | varies |
| Selenium (84255) | $52.50 | $75 | 2.1× |
| Semen Anal Sperm Detection (89321) | $104.30 | $149 | 8.7× |
| Semen analysis complete (89322) range across 4 matching MRF lines |
$69.30–$297.50 | $99–$425 | varies |
| Semen analysis complete (89320) | $161 | $230 | 13.1× |
| Semen analysis motility and count (89310) range across 2 matching MRF lines |
$79.10–$81.90 | $113–$117 | varies |
| Sensitivity mic (87186) range across 5 matching MRF lines |
$169.40–$364 | $242–$520 | varies |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$56–$165.20 | $80–$236 | varies |
| Sickling of rbc reduction (85660) | $94.50 | $135 | 17.2× |
| Sirolimus (80195) range across 2 matching MRF lines |
$121.10–$142.80 | $173–$204 | varies |
| Skin Test Candida (86485) | $84 | $120 | 3.0× |
| Skin test tuberculosis intradermal (86580) | $95.90 | $137 | 3.4× |
| Skin test unlisted antigen each (86486) | $77.70 | $111 | 2.8× |
| Smear acid fast (87206) | $114.10 | $163 | 21.2× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$52.50–$75.60 | $75–$108 | varies |
| Smear gram stain (87205) | $102.20 | $146 | 23.9× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$52.50–$94.50 | $75–$135 | varies |
| Smn1 Gene Analysis Full Gene Sequence (81336) | $1,428 | $2,040 | 4.7× |
| Smn1 Gene Dos/Deletion Alys (81329) range across 2 matching MRF lines |
$500.50–$630 | $715–$900 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $84.70 | $121 | 14.6× |
| Snrpn/Ube3a Methylation Analysis (81331) | $508.20 | $726 | 10.0× |
| So neo gsap DNA aly cpy nmbrµsatellite ins (81458) | $1,148.70 | $1,641 | 1.1× |
| So neo gsap DNA/DNA&RNA (81459) | $1,145.90 | $1,637 | 0.4× |
| Sodium Serum (84295) | $49.70 | $71 | 10.3× |
| Sodium Urine (84300) range across 6 matching MRF lines |
$35.70–$63 | $51–$90 | varies |
| Soluble Transferrin Receptor (84238) range across 3 matching MRF lines |
$52.50–$1,151.50 | $75–$1,645 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$73.50–$178.50 | $105–$255 | varies |
| Somatostatin (84307) | $303.80 | $434 | 16.6× |
| Special Stains Group 1 (88312) range across 14 matching MRF lines |
$373.80–$418.60 | $534–$598 | varies |
| Special Stains Group 2 (88313) range across 48 matching MRF lines |
$227.50–$427.70 | $325–$611 | varies |
| Specific gravity body fluid (84315) | $37.10 | $53 | 11.3× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$45.50–$105.70 | $65–$151 | varies |
| Spectrophotometry (84311) range across 4 matching MRF lines |
$67.20–$323.40 | $96–$462 | varies |
| Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) | $77 | $110 | 3.9× |
| Sperm identification from aspiration (89257) | $415.80 | $594 | 8.3× |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $245 | $350 | 4.9× |
| Splitting Blood/Blood Products Each Unit (86985) | $151.90 | $217 | 0.9× |
| Sprm id from tstis tiss frsh/cryoprsrvd (89264) | $699.30 | $999 | 14.0× |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) range across 7 matching MRF lines |
$330.40–$511 | $472–$730 | varies |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | $249.90 | $357 | 1.5× |
| Stem cells total count (86367) | $262.50 | $375 | 3.4× |
| Stool cultr aerobic bact ea (87046) range across 4 matching MRF lines |
$44.10–$79.10 | $63–$113 | varies |
| Storage (per year); reproductive tissue, testicular/ovarian Facility Physician Professional Component (89344) | $206.50 | $295 | 1.3× |
| Storage per Year Embryo (89342) | $421.40 | $602 | 2.6× |
| Storage per year sperm/semen (89343) | $267.40 | $382 | 1.6× |
| Strep a assay w/optic (87880) | $126.70 | $181 | 7.7× |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$197.40–$266.70 | $282–$381 | varies |
| Strep b DNA amp probe (87653) | $266.70 | $381 | 7.6× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $235.90 | $337 | 20.5× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $47.60 | $68 | 8.7× |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$52.50–$133.70 | $75–$191 | varies |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $225.40 | $322 | 5.8× |
| Sulfate urine (84392) | $52.50 | $75 | 9.6× |
| Surg path level iii (88304) | $270.20 | $386 | 5.4× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$294–$367.50 | $420–$525 | varies |
| Surgical pathology level vi (88309) range across 2 matching MRF lines |
$559.30–$756 | $799–$1,080 | varies |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $63 | $90 | 13.3× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $87.50 | $125 | 11.7× |
| Sweat Collection Iontophoresis (89230) | $763 | $1,090 | 15.2× |
| Syphilis Test Non-Trep Quant (86593) | $52.50 | $75 | 11.9× |
| T cells absolute cd4 count (86361) | $294 | $420 | 11.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $310.80 | $444 | 6.6× |
| T cells total count (86359) range across 2 matching MRF lines |
$100.80–$294 | $144–$420 | varies |
| T3 Free (84481) | $161 | $230 | 9.5× |
| T3 reverse (84482) | $52.50 | $75 | 3.3× |
| T3 Total (84480) | $141.40 | $202 | 10.0× |
| T4 Free (84439) range across 2 matching MRF lines |
$82.60–$134.40 | $118–$192 | varies |
| T4 total (84436) | $77.70 | $111 | 11.3× |
| Tacrolimus (80197) | $149.10 | $213 | 10.9× |
| Tau phosphorylated each (84393) | $1,050 | $1,500 | 8.1× |
| Tb ag response t-cell susp (86481) | $214.90 | $307 | 2.1× |
| Testosterone total (84403) range across 3 matching MRF lines |
$56.70–$160.30 | $81–$229 | varies |
| Testosterone, Free (84402) | $13.30 | $19 | 0.5× |
| Tgsap so/hl 51/< RNA alys (81456) | $1,320.90 | $1,887 | 0.5× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 7 matching MRF lines |
$635.60–$1,860.60 | $908–$2,658 | varies |
| Thaw cryoprsvrd reprod tiss (89354) | $156.80 | $224 | 1.0× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) range across 2 matching MRF lines |
$170.80–$188.30 | $244–$269 | varies |
| Thawing Cryopreserved Oocytes Each Aliquot (89356) | $157.50 | $225 | 1.0× |
| Thawing Cryopresrved Sperm (89353) | $86.10 | $123 | 1.7× |
| Thawing of cryopreserved embryos (89352) | $180.60 | $258 | 1.1× |
| Theophylline (80198) | $164.50 | $235 | 11.6× |
| Thiocyanate (84430) | $155.40 | $222 | 13.4× |
| Thrombin Time (85670) | $66.50 | $95 | 11.5× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$69.30–$98.70 | $99–$141 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$52.50–$55.30 | $75–$79 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$52.50–$181.30 | $75–$259 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $82.60 | $118 | 1.6× |
| Thyroxine binding globulin (84442) | $52.50 | $75 | 3.6× |
| Tiss cul neo disorders solid tumor (88239) range across 2 matching MRF lines |
$678.30–$919.10 | $969–$1,313 | varies |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $93.80 | $134 | 8.1× |
| Tissue Culture (88233) range across 8 matching MRF lines |
$579.60–$938 | $828–$1,340 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 9 matching MRF lines |
$521.50–$1,136.10 | $745–$1,623 | varies |
| Tissue culture bone marrow (88237) range across 5 matching MRF lines |
$274.40–$892.50 | $392–$1,275 | varies |
| Tissue Culture Lymphocyte (88230) range across 6 matching MRF lines |
$369.60–$749 | $528–$1,070 | varies |
| Tobramycin peak (80200) | $175 | $250 | 10.8× |
| Touch prep (88161) | $277.20 | $396 | 10.0× |
| Toxoplasma ab igm (86778) range across 3 matching MRF lines |
$52.50–$268.80 | $75–$384 | varies |
| Toxoplasma antibody (86777) range across 2 matching MRF lines |
$111.30–$268.80 | $159–$384 | varies |
| Tp53 gene analysis full gene sequence (81351) | $667.10 | $953 | 1.0× |
| Tpmt gene com variants (81335) | $367.50 | $525 | 2.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $50.40 | $72 | 9.7× |
| Transferrin (84466) | $88.20 | $126 | 6.9× |
| Trg gene rearrangement anal (81342) | $1,036.70 | $1,481 | 5.1× |
| Trichinella Antibody (86784) | $93.80 | $134 | 7.5× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$145.60–$198.80 | $208–$284 | varies |
| Triglycerides (84478) | $60.20 | $86 | 10.5× |
| Troponin Quant (84484) range across 3 matching MRF lines |
$114.80–$268.10 | $164–$383 | varies |
| Tumor immunohistochem/comput (88361) | $368.20 | $526 | 1.1× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$199.50–$286.30 | $285–$409 | varies |
| Ugt1a1 gene analysis common variants (81350) | $625.80 | $894 | 2.7× |
| Unlisted miscellaneous pathology test (89240) | $225.40 | $322 | 4.5× |
| Unlisted Transfusion Medicine Procedure (86999) range across 6 matching MRF lines |
$170.80–$4,855.20 | $244–$6,936 | varies |
| Urea nitrogen urine (84540) range across 5 matching MRF lines |
$50.40–$63 | $72–$90 | varies |
| Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) | $47.60 | $68 | 9.3× |
| Uric acid other source (84560) range across 5 matching MRF lines |
$49.70–$52.50 | $71–$75 | varies |
| Urinalysis Microscopic Only (81015) | $40.60 | $58 | 13.3× |
| Urinalysis Volume Measure (81050) range across 3 matching MRF lines |
$27.30–$63 | $39–$90 | varies |
| Urine Bacteria Culture (87088) | $101.50 | $145 | 12.5× |
| Urine Pregnancy Test (81025) | $34.30 | $49 | 4.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $67.20 | $96 | 21.2× |
| Valproic acid (80164) range across 2 matching MRF lines |
$65.10–$147.70 | $93–$211 | varies |
| Vancomycin (80202) | $147.70 | $211 | 10.9× |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
$52.50–$104.30 | $75–$149 | varies |
| Vasopressin (84588) range across 2 matching MRF lines |
$70.70–$168 | $101–$240 | varies |
| Very Long Chain Fatty Acids (82726) range across 3 matching MRF lines |
$47.60–$346.50 | $68–$495 | varies |
| Viral Culture (87252) | $165.20 | $236 | 6.3× |
| Virus antibody nos (86790) range across 10 matching MRF lines |
$52.50–$117.60 | $75–$168 | varies |
| Virus inoculate tissue addl (87253) | $91.88 | $131.25 | 4.5× |
| Virus inoculation, shell via (87254) | $119.70 | $171 | 6.1× |
| Viscosity serum (85810) | $52.50 | $75 | 4.5× |
| Vit D 1 25-Dihydroxy (82652) | $67.20 | $96 | 1.7× |
| Vitamin A (84590) range across 2 matching MRF lines |
$47.60–$52.50 | $68–$75 | varies |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$71.40–$151.90 | $102–$217 | varies |
| Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines |
$47.60–$373.80 | $68–$534 | varies |
| Vitamin B6 (84207) range across 2 matching MRF lines |
$47.60–$52.50 | $68–$75 | varies |
| Vitamin c (82180) range across 2 matching MRF lines |
$47.60–$58.10 | $68–$83 | varies |
| Vitamin D 25-Hydroxy (82306) | $207.90 | $297 | 7.0× |
| Vitamin E (84446) range across 2 matching MRF lines |
$47.60–$52.50 | $68–$75 | varies |
| Vitamin K (84597) | $123.90 | $177 | 9.0× |
| Vkorc1 gene (81355) | $231 | $330 | 2.6× |
| Volatiles (84600) | $197.40 | $282 | 11.5× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $182 | $260 | 1.1× |
| Von willebrand factor ag (85246) | $247.80 | $354 | 10.8× |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$52.50–$72.80 | $75–$104 | varies |
| West Nile Virus Antibody (86789) | $72.80 | $104 | 5.1× |
| Western Blot Test (84181) | $1,347.50 | $1,925 | 79.1× |
| Xylose Absorption Test (84620) | $102.20 | $146 | 7.9× |
| Zinc (84630) | $52.50 | $75 | 4.6× |
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.