Lab & pathology prices at University of Michigan Health - Sparrow Eaton
Charlotte, MI · every code in this section with a posted price and a Medicare benchmark.
424 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $29.65 | $118.61 | 1.3× |
| Abl1 gene analysis kinase domain variants (81170) | $390 | $1,560 | 1.3× |
| Acetylcholine receptor binding antibody (86041) | $23.92 | $95.68 | 1.3× |
| Acetylcholine receptor blocking antibody (86042) | $23.92 | $95.68 | 1.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $15.67 | $62.66 | 1.3× |
| Acute hepatitis panel (80074) | $61.92 | $247.68 | 1.3× |
| Acylcarnitines Quant (82017) | $21.93 | $87.72 | 1.3× |
| Adenovirus antibody (86603) | $16.73 | $66.92 | 1.3× |
| Albumin Fluid (82042) | $10.12 | $40.46 | 1.3× |
| Albumin serum (82040) | $6.44 | $25.74 | 1.3× |
| Allergen specific ige (86003) | $6.79 | $27.14 | 1.3× |
| Allg Spec Ige Recomb Ea (86008) | $23.31 | $93.24 | 1.3× |
| Alpha-1-antitrypsin total (82103) | $17.47 | $69.89 | 1.3× |
| Alt (sgpt) (84460) | $6.89 | $27.56 | 1.3× |
| Analysis skeletal muscle (88355) range across 3 matching MRF lines |
$62–$142 | $124–$284 | varies |
| Anca Titer Each Antibody (86037) | $15.67 | $62.66 | 1.3× |
| Anti-Phospholipid Antibody (86148) | $20.89 | $83.56 | 1.3× |
| Antibody aspergillus (86606) | $19.57 | $78.26 | 1.3× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $16.75 | $66.98 | 1.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $20.14 | $80.55 | 1.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $21.91 | $87.62 | 1.3× |
| Antibody Encephalitis California La Crosse (86651) | $17.15 | $68.59 | 1.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $17.06 | $68.22 | 1.3× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $19.88 | $79.51 | 1.3× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $23.58 | $94.33 | 1.3× |
| Antibody Fungus Not Elsewhere Specified (86671) | $15.93 | $63.70 | 1.3× |
| Antibody Herpes Smplx Type 1 (86695) | $17.15 | $68.59 | 1.3× |
| Antibody Protozoa Nes (86753) | $16.11 | $64.43 | 1.3× |
| Antibody; encephalitis, st. louis (86653) | $17.15 | $68.59 | 1.3× |
| Antigen typing (86905) | $4.98 | $19.92 | 1.3× |
| Antinomyces antibody (86602) | $13.24 | $52.94 | 1.3× |
| Antithrombin iii antigen (85301) | $14.05 | $56.21 | 1.3× |
| Apolipoprotein a1 (82172) | $27.42 | $109.67 | 1.3× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $49.05 | $196.20 | 1.3× |
| Aquaporin-4 Antb Cba Each (86052) | $15.67 | $62.66 | 1.3× |
| Aquaporin-4 Antb Elisa (86051) | $14.99 | $59.96 | 1.3× |
| Arsenic (82175) | $24.66 | $98.64 | 1.3× |
| Assay Dir Meas Fr Estradiol (82681) | $36.32 | $145.29 | 1.3× |
| Assay Nephelometry Not Spec (83883) | $17.68 | $70.72 | 1.3× |
| Assay of 5-hiaa (83497) | $16.77 | $67.08 | 1.3× |
| Assay of estrone (82679) | $32.44 | $129.74 | 1.3× |
| Assay of g6pd enzyme (82955) | $12.61 | $50.44 | 1.3× |
| Assay of lactic acid (83605) | $15.04 | $60.16 | 1.3× |
| Assay of proinsulin (84206) | $34.70 | $138.79 | 1.3× |
| Assay of transcortin (84449) | $23.40 | $93.60 | 1.3× |
| Assay of urea nitrogen (84520) | $5.14 | $20.54 | 1.3× |
| Assay of vitamin b-1 (84425) | $27.60 | $110.40 | 1.3× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$1.25–$4.66 | $3–$18.62 | varies |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $1,092.85 | $4,371.38 | 1.3× |
| Bcr/abl1 gene major bp (81206) | $213.15 | $852.59 | 1.3× |
| Bcr/abl1 gene minor bp (81207) | $188.29 | $753.17 | 1.3× |
| Bcr/Abl1 Gene Other Bp (81208) | $279.01 | $1,116.02 | 1.3× |
| Beta 2 glycoprotein i antibody each (86146) | $33.09 | $132.34 | 1.3× |
| Beta hydroxybutyrate (82010) range across 4 matching MRF lines |
$2.50–$10.62 | $10–$42.48 | varies |
| Beta-2 Microglobulin (82232) | $21.04 | $84.14 | 1.3× |
| Bilirubin total (82247) range across 3 matching MRF lines |
$1.50–$6.53 | $6–$26.10 | varies |
| Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) range across 2 matching MRF lines |
$47.50–$52.50 | $95–$105 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) range across 2 matching MRF lines |
$48–$52.50 | $96–$105 | varies |
| Blood Count Red Blood Cell Automated (85041) | $3.93 | $15.70 | 1.3× |
| Blood gas (82803) | $33.89 | $135.56 | 1.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $10 | $20 | 0.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 2 matching MRF lines |
$1.25–$1.50 | $5–$6 | varies |
| Blood typing serologic abo (86900) | $1.50 | $3 | 0.5× |
| Bone marrow smear interpretation (85097) range across 2 matching MRF lines |
$46.50–$69 | $93–$138 | varies |
| Bordetella antibody (86615) | $17.15 | $68.59 | 1.3× |
| Braf gene analysis (81210) | $82 | $164 | 0.5× |
| Breath Alcohol Test (82075) | $14 | $28 | 0.5× |
| C diff amplified probe (87493) | $48.45 | $193.80 | 1.3× |
| Cadmium (82300) | $30.73 | $122.93 | 1.3× |
| Caffeine (80155) | $50.14 | $200.56 | 1.3× |
| Calculus assay quant (82360) | $6 | $12 | 0.5× |
| Calculus Spectroscopy (82365) | $16.77 | $67.08 | 1.3× |
| Calprotectin Fecal (83993) | $25.52 | $102.08 | 1.3× |
| Calr gene com variants (81219) | $158.12 | $632.48 | 1.3× |
| Carboxyhemoglobin (82375) | $16.02 | $64.06 | 1.3× |
| Carotene (82380) | $11.99 | $47.94 | 1.3× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $314.47 | $1,257.88 | 1.3× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $176.62 | $706.47 | 1.3× |
| Cftr gene dup/delet variants (81222) | $565.59 | $2,262.36 | 1.3× |
| Cftr gene full sequence (81223) | $648.70 | $2,594.80 | 1.3× |
| Chemiluminescent assay (82397) | $18.36 | $73.42 | 1.3× |
| Chlamydia antibody (86631) | $15.37 | $61.46 | 1.3× |
| Chlamydia Igm Antibody (86632) | $16.49 | $65.94 | 1.3× |
| Cholesterol total (82465) | $5.66 | $22.62 | 1.3× |
| Cholinesterase Serum (82480) | $10.23 | $40.92 | 1.3× |
| Chromogenic Substrate Assay (85130) | $15.46 | $61.83 | 1.3× |
| Chromosome Analysis 15-20 (88262) | $163.14 | $652.55 | 1.3× |
| Chromosome Analysis 20-25 (88264) | $187.99 | $751.97 | 1.3× |
| Clot Factor VIII Multimetric (85247) | $29.82 | $119.29 | 1.3× |
| Clot factor xiii fibrin stab (85290) | $21.24 | $84.97 | 1.3× |
| Clotting Funct Activity (85397) | $40.12 | $160.47 | 1.3× |
| Coagulation time activated (85347) | $2 | $4 | 0.5× |
| Coagulation time other methods (85348) | $2 | $4 | 0.4× |
| Cold agglutinin titer (86157) | $10.48 | $41.91 | 1.3× |
| Column Chromotography Quant (82542) | $31.32 | $125.27 | 1.3× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $302.99 | $1,211.96 | 1.3× |
| Consltj Compre Review Reprt Referred Matrl (88325) range across 2 matching MRF lines |
$132.50–$156.50 | $265–$313 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $62.69 | $250.74 | 1.2× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) range across 2 matching MRF lines |
$81.50–$96.50 | $163–$193 | varies |
| Cortisol free (82530) | $21.72 | $86.89 | 1.3× |
| Cortisol saliva (82533) | $21.19 | $84.76 | 1.3× |
| Creatinine blood (82565) | $6.66 | $26.62 | 1.3× |
| Creatinine Urine (82570) range across 5 matching MRF lines |
$1.50–$6.74 | $6–$26.94 | varies |
| Crossmatch immediate spin (86920) | $3 | $6 | 0.0× |
| Crp High Sensitivity (86141) | $16.84 | $67.34 | 1.3× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $3.50 | $7 | 0.5× |
| Culture blood (87040) | $13.42 | $53.66 | 1.3× |
| Culture chlamydia (87110) | $9 | $18 | 0.5× |
| Culture screen only (87081) | $3 | $6 | 0.5× |
| Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) | $12.50 | $25 | 0.5× |
| Cyp3a4 gene common variants (81230) | $227.25 | $909.01 | 1.3× |
| Cyp3a5 gene common variants (81231) | $227.25 | $909.01 | 1.3× |
| Cystatin C (82610) | $24.08 | $96.30 | 1.3× |
| Cytogenetics 100-300 (88275) | $66.55 | $266.19 | 1.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,508 | $6,032 | 1.3× |
| Cytomegalovirus igg (86644) | $18.71 | $74.83 | 1.3× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $9.50 | $19 | 0.5× |
| Cytopath Cell Enhance Tech (88112) range across 3 matching MRF lines |
$26.50–$67.50 | $53–$135 | varies |
| Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician… (88148) | $8.50 | $17 | 0.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $12.50 | $25 | 0.5× |
| Cytp Concentration Smears & Interpretation (88108) range across 3 matching MRF lines |
$21.50–$70 | $43–$140 | varies |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) range across 3 matching MRF lines |
$67–$171 | $134–$342 | varies |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) range across 3 matching MRF lines |
$22–$56.50 | $44–$113 | varies |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 3 matching MRF lines |
$27–$80 | $54–$160 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $8.50 | $17 | 0.5× |
| Cytp smrs any oth src extnd std > 5 slides (88162) range across 3 matching MRF lines |
$38–$132 | $76–$264 | varies |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $36.88 | $147.52 | 1.3× |
| Cytp Urine 3-5 Probes Cmptr (88121) range across 3 matching MRF lines |
$47–$405 | $94–$810 | varies |
| Deoxycortisol (82634) | $38.07 | $152.26 | 1.3× |
| Deoxyribonuclease antibody (86215) | $17.23 | $68.90 | 1.3× |
| Desoxycorticosterone (82633) | $40.28 | $161.10 | 1.3× |
| Detect Agent Nos Dna Amp (87798) | $45.62 | $182.47 | 1.3× |
| Detect Agent Nos Dna Quant (87799) | $55.69 | $222.77 | 1.3× |
| Detect agnt mult DNA ampli (87801) | $91.26 | $365.04 | 1.3× |
| Dihydrotestosterone (82642) | $38.07 | $152.26 | 1.3× |
| Dipropylacetic Acid Free (80165) | $17.60 | $70.41 | 1.3× |
| Dna Antibody Native/Double Stranded (86225) | $17.86 | $71.45 | 1.3× |
| Dna/Rna Amplified Probe (87150) | $45.62 | $182.47 | 1.3× |
| DNA/RNA direct probe (87149) | $26.07 | $104.26 | 1.3× |
| Dna/Rna Sequencing (87153) | $149.97 | $599.87 | 1.3× |
| Drug assay adalimumab (80145) | $50.14 | $200.56 | 1.3× |
| Drug Assay Amiodarone (80151) | $24.23 | $96.93 | 1.3× |
| Drug assay felbamate (80167) | $24.23 | $96.93 | 1.3× |
| Drug Assay Infliximab (80230) | $50.14 | $200.56 | 1.3× |
| Drug Assay Itraconazole (80189) | $35.24 | $140.97 | 1.3× |
| Drug Assay Lacosamide (80235) | $35.24 | $140.97 | 1.3× |
| Drug Assay Leflunomide (80193) | $50.14 | $200.56 | 1.3× |
| Drug Assay Posaconazole (80187) | $35.24 | $140.97 | 1.3× |
| Drug Assay Vedolizumab (80280) | $50.14 | $200.56 | 1.3× |
| Drug assay voriconazole (80285) | $35.24 | $140.97 | 1.3× |
| Drug Asy Hydroxychloroquine (80220) | $24.23 | $96.93 | 1.3× |
| Drug Test Prsmv Chem Anlyzr (80307) | $80.78 | $323.13 | 1.3× |
| Drug Test Prsmv Dir Opt Obs (80305) | $6 | $12 | 0.5× |
| Ehrlichia antibody (86666) | $13.24 | $52.94 | 1.3× |
| El-1 Fecal Quantitative (82653) | $29.86 | $119.44 | 1.3× |
| Electrolyte panel (80051) | $9.11 | $36.45 | 1.3× |
| Electron Microscopy (88348) range across 3 matching MRF lines |
$75–$491.50 | $150–$983 | varies |
| Encephaltis East Eqne Anbdy (86652) | $17.15 | $68.59 | 1.3× |
| Encephaltis West Eqne Antbdy (86654) | $17.15 | $68.59 | 1.3× |
| Enterovirus PCR (87498) | $45.62 | $182.47 | 1.3× |
| Enzyme cell activity (82657) | $28.82 | $115.28 | 1.3× |
| Enzyme histochemistry (88319) range across 3 matching MRF lines |
$26–$135 | $52–$270 | varies |
| Estradiol serum (82670) | $36.32 | $145.29 | 1.3× |
| Ethosuximide (80168) | $21.24 | $84.97 | 1.3× |
| Euglobulin lysis (85360) | $10.93 | $43.73 | 1.3× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$17.50–$21 | $35–$42 | varies |
| F2 Gene (81240) | $85.40 | $341.59 | 1.3× |
| Factor ix activity (85250) | $24.75 | $99.01 | 1.3× |
| Factor v leiden mutation (81241) | $95.38 | $381.52 | 1.3× |
| Factor viii assay (85240) | $23.27 | $93.08 | 1.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $22.35 | $89.39 | 1.3× |
| Ferritin (82728) | $17.72 | $70.88 | 1.3× |
| Fetal Fibronectin (82731) | $30 | $60 | 0.5× |
| Fibrin Degradation Quant (85379) | $13.24 | $52.94 | 1.3× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $20.13 | $80.50 | 1.3× |
| Flow cytometry first marker (88184) | $445.23 | $1,780.90 | 1.2× |
| Flt3 Gene (81245) | $77.50 | $155 | 0.5× |
| Flt3 gene analysis (81246) | $39 | $78 | 0.5× |
| Fluorescent antibody screen (86255) | $15.67 | $62.66 | 1.3× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $15.67 | $62.66 | 1.3× |
| Fmr1 Gene Charac Alleles (81244) | $58.36 | $233.43 | 1.3× |
| Fmr1 gene detection (81243) | $74.15 | $296.61 | 1.3× |
| Francisella tularensis (86668) | $18.41 | $73.63 | 1.3× |
| Frozen Section (88331) range across 3 matching MRF lines |
$40.50–$100.50 | $81–$201 | varies |
| Gardner vag DNA dir probe (87510) | $26.07 | $104.26 | 1.3× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $541.82 | $2,167.26 | 1.3× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $987.39 | $3,949.56 | 1.3× |
| Genome Sequence Analysis (81425) unusually low: confirm this is the full procedure |
$2,358.50 | $4,717 | 0.5× |
| Genome sequence analysis each comparator genome (81426) | $1,270.50 | $2,541 | 0.5× |
| Ggt (82977) | $9.36 | $37.44 | 1.3× |
| Glucose Blood Test (82962) range across 2 matching MRF lines |
$6.75 | $4–$27 | 2.1× |
| Glucose Serum (82947) range across 3 matching MRF lines |
$1.25–$5.11 | $5–$20.44 | varies |
| Glutathione (82978) | $20.09 | $80.34 | 1.3× |
| Gonadotropin Chorionic Qualitative (84703) | $11 | $44 | 1.5× |
| Gonadotropin releasing hormone (83727) | $22.35 | $89.39 | 1.3× |
| Haptoglobin (83010) | $16.36 | $65.42 | 1.3× |
| Hba1/hba2 full gene sequence (81259) | $780 | $3,120 | 1.3× |
| Hba1/Hba2 Gene (81257) | $132.94 | $531.75 | 1.3× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $263.12 | $1,052.48 | 1.3× |
| Hbb duplication/deletion variants (81363) | $263.12 | $1,052.48 | 1.3× |
| Hbb Full Gene Sequence (81364) | $421.96 | $1,687.82 | 1.3× |
| Helicobacter Pylori Stool (87338) | $18.70 | $74.78 | 1.3× |
| Helminth Antibody (86682) | $16.91 | $67.65 | 1.3× |
| Hematocrit (85014) | $1.50 | $3 | 0.6× |
| Hemoglobin (85018) | $8.25 | $33 | 3.5× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$3–$4.50 | $12–$18 | varies |
| Hemoglobin Chromotography (83021) | $23.48 | $93.91 | 1.3× |
| Hemoglobin electrophoresis (83020) | $16.73 | $66.92 | 1.3× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) range across 2 matching MRF lines |
$2.25–$3 | $9–$12 | varies |
| Hepatitis a antibody total (86708) | $16.11 | $64.43 | 1.3× |
| Hepatitis Be Antibody (86707) | $15.04 | $60.16 | 1.3× |
| Hepatitis Be Antigen (87350) | $14.99 | $59.96 | 1.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $16.50 | $33 | 0.5× |
| Hepatitis Delta Agent Antibody (86692) | $22.31 | $89.23 | 1.3× |
| Herpes simplex type 2 (86696) | $25.16 | $100.62 | 1.3× |
| Heterophile Antibody Screen (86308) | $1.50 | $6 | 0.3× |
| Hfe Gene (81256) | $84.97 | $339.87 | 1.3× |
| Histamine urine (83088) | $38.39 | $153.56 | 1.3× |
| Hla Class I Typing Low Resolution Complete (81372) | $524.67 | $2,098.67 | 1.3× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $165.66 | $662.64 | 1.3× |
| Hla I Typing 1 Allele Hr (81381) | $220.87 | $883.48 | 1.3× |
| Hla ii type 1 ag equiv lr (81377) | $123.16 | $492.65 | 1.3× |
| Hla ii typing 1 locus lr (81376) | $158.89 | $635.54 | 1.3× |
| Hla-b27 (86812) | $33.55 | $134.21 | 1.3× |
| Hpv High-Risk Types (87624) | $45.62 | $182.47 | 1.3× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $91.26 | $365.04 | 1.3× |
| Hsv Dna Amp Probe (87529) | $45.62 | $182.47 | 1.3× |
| Htt Gene Detc Abnor Alleles (81271) | $178.10 | $712.40 | 1.3× |
| Hydroxyprogesterone 17-d (83498) | $35.32 | $141.28 | 1.3× |
| Iadna Bartonella Amplified Probe Technique (87471) | $45.62 | $182.47 | 1.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $45.62 | $182.47 | 1.3× |
| Iadna Candida Species Amplified Probe Tq (87481) | $45.62 | $182.47 | 1.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $45.62 | $182.47 | 1.3× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $45.62 | $182.47 | 1.3× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $45.62 | $182.47 | 1.3× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $45.62 | $182.47 | 1.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $16.50 | $33 | 0.5× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $66.70 | $266.81 | 1.3× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $185.42 | $741.68 | 1.3× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $341.89 | $1,367.55 | 1.3× |
| Ig Light Chains Free Each (83521) | $22.45 | $89.80 | 1.3× |
| Igh gene rearrange amp meth (81261) | $257.39 | $1,029.55 | 1.3× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) range across 3 matching MRF lines |
$37.50–$172 | $75–$344 | varies |
| Immune Complex Assay (86332) | $31.68 | $126.72 | 1.3× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$17.50–$31.50 | $35–$63 | varies |
| Immunoassay analyte qual/semiqual single step (83518) | $4.50 | $9 | 0.5× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $23.92 | $95.68 | 1.3× |
| Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) | $12 | $24 | 0.5× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $19.49 | $77.95 | 1.3× |
| Immunoassay nonantibody (83516) | $14.99 | $59.96 | 1.3× |
| Immunodiffusion Ouchterlony (86331) | $15.58 | $62.30 | 1.3× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$17.50–$28 | $35–$56 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 3 matching MRF lines |
$34.50–$144 | $69–$288 | varies |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$33.50–$112 | $67–$224 | varies |
| In situ hybridization 1st probe stain (88365) range across 3 matching MRF lines |
$41.50–$174 | $83–$348 | varies |
| In situ hybridization ea multiplex probe stain (88366) range across 3 matching MRF lines |
$59.50–$267.50 | $119–$535 | varies |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) | $16.50 | $33 | 0.5× |
| Influenza assay w/optic (87804) range across 2 matching MRF lines |
$5–$5.25 | $20–$21 | varies |
| Inhibin b (83520) | $22.45 | $89.80 | 1.3× |
| Insitu hybridization auto (88367) range across 3 matching MRF lines |
$32–$109 | $64–$218 | varies |
| Insitu hybridization manual (88368) range across 3 matching MRF lines |
$41–$149 | $82–$298 | varies |
| Insulin total (83525) | $14.86 | $59.44 | 1.3× |
| Iron (83540) | $3 | $6 | 0.5× |
| Islet cell antibody (86341) | $30.64 | $122.56 | 1.3× |
| Jak2 gene analysis p.val617phe variant (81270) | $119.16 | $476.63 | 1.3× |
| Jak2 Gene Trgt Sequence Alys (81279) | $240.76 | $963.04 | 1.3× |
| Kit Gene Analysis D816 Variant(S) (81273) | $162.33 | $649.32 | 1.3× |
| Koh Prep (87220) | $1.25 | $5 | 0.3× |
| Lactoferrin Fecal Quantitative (83631) | $25.52 | $102.08 | 1.3× |
| Lead (83655) | $3.50 | $14 | 0.3× |
| Legionella antigen urine (87449) | $15.58 | $62.30 | 1.3× |
| Leptospira antibody (86720) | $21.06 | $84.24 | 1.3× |
| Leukocyte Histamine Release (86343) | $16.20 | $64.79 | 1.3× |
| Level I Surg Pathology Gross Examination Only (88300) range across 3 matching MRF lines |
$4.50–$16.50 | $9–$33 | varies |
| Level ii surg pathology grossµscopic exam (88302) range across 3 matching MRF lines |
$6.50–$33.50 | $13–$67 | varies |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 3 matching MRF lines |
$79–$286.50 | $158–$573 | varies |
| Lipoprotein A (83695) | $18.62 | $74.46 | 1.3× |
| Lipoprotein Bld Quan Part (83704) | $44.45 | $177.79 | 1.3× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $60.20 | $240.81 | 1.3× |
| Liver ds alys 3 bmrk srm alg (81517) | $229.05 | $916.19 | 1.3× |
| Lyme disease antibody (86618) | $22.14 | $88.56 | 1.3× |
| Lymphocyte transformation (86353) | $63.74 | $254.96 | 1.3× |
| Lysozyme serum (85549) | $24.38 | $97.50 | 1.3× |
| M. Genitalium Amp Probe (87563) | $45.62 | $182.47 | 1.3× |
| M/phmtrc alys ishquant/semiq (88374) range across 3 matching MRF lines |
$40.50–$272 | $81–$544 | varies |
| Magnesium Urine (83735) | $8.71 | $34.84 | 1.3× |
| Mercury urine (83825) | $21.14 | $84.55 | 1.3× |
| Metabolic panel ionized ca (80047) | $2.50 | $10 | 0.2× |
| Microalbumin, quantitative (82043) | $1.75 | $7 | 0.3× |
| Mlh1 Gene (81288) | $250.02 | $1,000.06 | 1.3× |
| Mog-Igg1 Antb Cba Each (86362) | $15.67 | $62.66 | 1.3× |
| Molecular Cytogenetics Dna Probe Each (88271) | $27.85 | $111.38 | 1.3× |
| Molecular Pathology Procedure Level 6 (81405) | $391.76 | $1,567.02 | 1.3× |
| Mononuclear cell antigen (86356) | $34.82 | $139.26 | 1.3× |
| Mopath procedure level 1 (81400) | $83.15 | $332.59 | 1.3× |
| Mopath procedure level 2 (81401) | $178.10 | $712.40 | 1.3× |
| Mopath procedure level 4 (81403) | $240.76 | $963.04 | 1.3× |
| Mopath procedure level 5 (81404) | $357.28 | $1,429.12 | 1.3× |
| Mopath procedure level 7 (81406) | $367.75 | $1,470.98 | 1.3× |
| Mopath procedure level 8 (81407) | $1,100.15 | $4,400.60 | 1.3× |
| Morphometric analysis nerve (88356) range across 3 matching MRF lines |
$117.50–$235.50 | $235–$471 | varies |
| Mpl gene common variants (81338) | $195.43 | $781.72 | 1.3× |
| Msh2 Gene Analysis Known Familial Variants (81296) | $439.05 | $1,756.20 | 1.3× |
| Msh6 Gene Known Variants (81299) | $400.40 | $1,601.60 | 1.3× |
| Mumps antibody (86735) | $16.97 | $67.86 | 1.3× |
| Muscle-Specific Kinase Antb (86366) | $23.92 | $95.68 | 1.3× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $228.02 | $912.08 | 1.3× |
| Natriuretic peptide (83880) | $51.04 | $204.15 | 1.3× |
| Nerve teasing preparations (88362) range across 3 matching MRF lines |
$107–$230 | $214–$460 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $160.36 | $641.45 | 1.2× |
| Nfct Ds Bv&Vaginitis Dna Alg (81514) | $341.89 | $1,367.55 | 1.3× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $167.35 | $669.40 | 1.3× |
| Niacin (84591) | $22.18 | $88.71 | 1.3× |
| Nk cells total count (86357) | $49.05 | $196.20 | 1.3× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $320.48 | $1,281.90 | 1.3× |
| Nuclear antigen antibody (86235) | $23.31 | $93.24 | 1.3× |
| Nudt15 Gene Common Variants (81306) | $378.77 | $1,515.07 | 1.3× |
| Occult blood feces (82272) | $9 | $36 | 2.1× |
| Occult Blood Other Sources (82271) | $1.75 | $7 | 0.3× |
| Oligoclonal bands (83916) | $13 | $26 | 0.5× |
| Osmotic Fragility RBC Unincubated (85555) | $9.71 | $38.84 | 1.3× |
| Ova and parasites smears (87177) | $11.57 | $46.28 | 1.3× |
| Particle Agglutination Screen Each Antibody (86403) | $5.50 | $11 | 0.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) range across 3 matching MRF lines |
$31.50–$91 | $63–$182 | varies |
| Pathology Consultation During Surgery (88329) range across 2 matching MRF lines |
$34.50–$54.50 | $69–$109 | varies |
| Ph urine (81003) range across 3 matching MRF lines |
$2.93 | $3–$11.70 | 1.3× |
| Phenotype Infect Agent Drug (87900) | $169.46 | $677.82 | 1.3× |
| Phospholipid Neutralization Hexagonal (85598) | $23.38 | $93.50 | 1.3× |
| Pinworm exam (87172) | $2 | $4 | 0.5× |
| Platelet Aggregation (85576) range across 2 matching MRF lines |
$17.50–$29.50 | $35–$59 | varies |
| Platelet Antibodies (86022) | $23.88 | $95.52 | 1.3× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $269.50 | $1,078.01 | 1.3× |
| Porphobilinogen, urine; quantitative (84110) | $10.97 | $43.89 | 1.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $19.12 | $76.49 | 1.3× |
| Pregnancy-Associated Plasma Protein-A (84163) | $19.57 | $78.26 | 1.3× |
| Pregnenolone (84140) | $26.87 | $107.48 | 1.3× |
| Progesterone (84144) | $27.12 | $108.47 | 1.3× |
| Prolactin (84146) | $25.20 | $100.78 | 1.3× |
| Prostaglandin (84150) | $54.30 | $217.20 | 1.3× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$17.50–$26 | $35–$52 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 2 matching MRF lines |
$17.50–$22.50 | $35–$45 | varies |
| Protein S Free (85306) | $19.92 | $79.66 | 1.3× |
| Protein Western Blot Test (84182) | $37.97 | $151.89 | 1.3× |
| Pyruvate kinase (84220) | $12.27 | $49.09 | 1.3× |
| Q Fever Antibody (86638) | $15.76 | $63.02 | 1.3× |
| Quantitative assay drug (80299) | $24.23 | $96.93 | 1.3× |
| Rbc antibody screen (86850) | $4.50 | $9 | 0.5× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$6.55–$7 | $26.21–$28 | varies |
| Resp virus 12-25 targets (87633) | $541.82 | $2,167.26 | 1.3× |
| Rh (86901) | $1.50 | $3 | 0.5× |
| Ristocetin cofactor (85245) | $29.82 | $119.29 | 1.3× |
| Rpr qualitative (86592) | $5.55 | $22.20 | 1.3× |
| Rsv Assay W/Optic (87807) | $4 | $16 | 0.3× |
| Rubella Antibody (86762) | $18.71 | $74.83 | 1.3× |
| Rubeola antibody (86765) | $16.75 | $66.98 | 1.3× |
| Rufinamide (80210) | $35.24 | $140.97 | 1.3× |
| Russell Viper Venom Time Diluted (85613) | $12.46 | $49.82 | 1.3× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $66.70 | $266.81 | 1.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $54.77 | $219.08 | 1.3× |
| Sarscov2 & inf a&b amp prb (87636) | $67 | $134 | 0.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $185.42 | $741.68 | 1.3× |
| Semen Anal Sperm Detection (89321) | $5.50 | $11 | 0.5× |
| Semen analysis motility and count (89310) | $4 | $8 | 0.5× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $4.50 | $9 | 0.5× |
| Sex Hormone Binding Globulin (84270) | $28.25 | $113 | 1.3× |
| Skin Test Candida (86485) | $3 | $6 | 0.1× |
| Skin test tuberculosis intradermal (86580) | $7.25 | $29 | 0.3× |
| Smear complex stain (87209) | $23.38 | $93.50 | 1.3× |
| Smear gram stain (87205) | $2 | $4 | 0.5× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$17.50–$20.50 | $35–$41 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $178.10 | $712.40 | 1.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $15.75 | $63 | 2.7× |
| Snrpn/Ube3a Methylation Analysis (81331) | $66.39 | $265.56 | 1.3× |
| Special Stains Group 1 (88312) range across 3 matching MRF lines |
$25.50–$111.50 | $51–$223 | varies |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$11.50–$82 | $23–$164 | varies |
| Spectrophotometry (84311) | $10.53 | $42.12 | 1.3× |
| Sprm id from tstis tiss frsh/cryoprsrvd (89264) | $11.50 | $23 | 0.2× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$5.25–$12.75 | $21–$51 | varies |
| Streptokinase, antibody Facility (86590) | $3.75 | $15 | 0.3× |
| Sugars Single Qual (84376) | $7.15 | $28.60 | 1.3× |
| Surg path level iii (88304) range across 3 matching MRF lines |
$11–$42.50 | $22–$85 | varies |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$31.50–$65.50 | $63–$131 | varies |
| Surgical pathology level vi (88309) range across 3 matching MRF lines |
$139–$427.50 | $278–$855 | varies |
| Syphilis Test Non-Trep Quant (86593) | $5.72 | $22.88 | 1.3× |
| T3 Uptake (84479) | $8.41 | $33.64 | 1.3× |
| T4 Free (84439) | $11.73 | $46.90 | 1.3× |
| Tb ag response t-cell susp (86481) | $130 | $520 | 1.3× |
| Testosterone total (84403) | $33.55 | $134.21 | 1.3× |
| Testosterone, Free (84402) | $33.11 | $132.44 | 1.3× |
| Thrombin Time (85670) | $7.50 | $30 | 1.3× |
| Thromboplastin Inhibition Tissue (85705) | $12.52 | $50.08 | 1.3× |
| Thyroxine binding globulin (84442) | $19.22 | $76.86 | 1.3× |
| Tissue culture bone marrow (88237) | $186.88 | $747.50 | 1.3× |
| Tissue Culture Lymphocyte (88230) | $151.44 | $605.75 | 1.3× |
| Touch prep (88161) range across 3 matching MRF lines |
$24.50–$84 | $49–$168 | varies |
| Toxoplasma antibody (86777) | $18.71 | $74.83 | 1.3× |
| Tp53 gene analysis targeted sequence analysis (81352) | $428.36 | $1,713.45 | 1.3× |
| Tpmt gene com variants (81335) range across 2 matching MRF lines |
$227.25–$378.77 | $909.01–$1,515.07 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $6.74 | $26.94 | 1.3× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $271.60 | $1,086.38 | 1.3× |
| Trg gene rearrangement anal (81342) | $261.95 | $1,047.80 | 1.3× |
| Trichomonas vagin dir probe (87660) | $26.07 | $104.26 | 1.3× |
| Trichomonas Vaginalis Amplif (87661) | $45.62 | $182.47 | 1.3× |
| Triglycerides (84478) | $7.46 | $29.85 | 1.3× |
| Troponin Quant (84484) | $16.21 | $64.84 | 1.3× |
| Tumor immunohistochem/comput (88361) range across 3 matching MRF lines |
$41.50–$115.50 | $83–$231 | varies |
| Tumor Immunohistochem/Manual (88360) range across 3 matching MRF lines |
$40–$119 | $80–$238 | varies |
| Urea nitrogen urine (84540) | $7.23 | $28.91 | 1.3× |
| Urine Albumin Semiquantitative (82044) | $2 | $8 | 0.3× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$2.75–$11.19 | $11–$44.77 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $4 | — |
| Vancomycin (80202) | $17.60 | $70.41 | 1.3× |
| Varicella-zoster antibody (86787) | $16.75 | $66.98 | 1.3× |
| Very Long Chain Fatty Acids (82726) | $25.68 | $102.70 | 1.3× |
| Virus antibody nos (86790) | $16.75 | $66.98 | 1.3× |
| Viscosity serum (85810) | $15.17 | $60.68 | 1.3× |
| Vit D 1 25-Dihydroxy (82652) | $50.05 | $200.20 | 1.3× |
| Vitamin A (84590) | $15.09 | $60.37 | 1.3× |
| Vitamin D 25-Hydroxy (82306) | $38.48 | $153.92 | 1.3× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $15.67 | $62.66 | 1.3× |
| Von willebrand factor ag (85246) | $29.82 | $119.29 | 1.3× |
| West Nile Virus Antibody (86789) | $18.71 | $74.83 | 1.3× |
| Western Blot Test (84181) | $22.14 | $88.56 | 1.3× |
| Xm Archive Tissue Molec Anal (88363) range across 2 matching MRF lines |
$18.50–$23.50 | $37–$47 | varies |
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.