Lab & pathology prices at University of Michigan Health
Ann Arbor, MI · every code in this section with a posted price and a Medicare benchmark.
852 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) range across 2 matching MRF lines |
$24–$26.40 | $60–$66 | varies |
| 5 Nucleotidase (83915) | $93.60 | $234 | 8.4× |
| Acetylcholine receptor binding antibody (86041) | $21.20 | $53 | 1.2× |
| Acetylcholinesterase Assay (82013) | $18 | $45 | 1.5× |
| Acetylcholn Rcptr Modlg Antb (86043) | $30 | $75 | 2.5× |
| Acth (82024) | $142 | $355 | 3.7× |
| Actin smooth muscle antibody each (86015) | $23.60 | $59 | 2.0× |
| Acute hepatitis panel (80074) | $217.20 | $543 | 4.6× |
| Acylcarnitines Quant (82017) range across 4 matching MRF lines |
$16.80–$282 | $42–$705 | varies |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $36 | $90 | 0.6× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$14.80–$20.80 | $37–$52 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$9.60–$21.20 | $24–$53 | varies |
| Aldolase (82085) | $44.80 | $112 | 4.6× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$22–$139.20 | $55–$348 | varies |
| Alkaline phosphatase isoenzymes (84080) range across 2 matching MRF lines |
$9.60–$11.20 | $24–$28 | varies |
| Allergen specific ige (86003) range across 314 matching MRF lines |
$2–$69.60 | $5–$174 | varies |
| Allergen specific igg (86001) range across 8 matching MRF lines |
$7.20–$18.40 | $18–$46 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 13 matching MRF lines |
$3.20–$119.20 | $8–$298 | varies |
| Alpha-1-antitrypsin phenotype (82104) range across 2 matching MRF lines |
$14–$14.80 | $35–$37 | varies |
| Alpha-1-antitrypsin total (82103) range across 3 matching MRF lines |
$14–$64.80 | $35–$162 | varies |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $13.60 | $34 | 0.8× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$5.60–$66 | $14–$165 | varies |
| Alt (sgpt) (84460) | $22.40 | $56 | 4.2× |
| Aluminum (82108) | $7.20 | $18 | 0.3× |
| Amikacin trough (80150) | $80 | $200 | 5.3× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$227.20–$248.40 | $568–$621 | varies |
| Amino Acids Quant 2-5 (82136) | $33.60 | $84 | 1.7× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $118 | $295 | 8.3× |
| Aminolevulinic acid (ala) (82135) | $24.40 | $61 | 1.5× |
| Ammonia (82140) range across 3 matching MRF lines |
$7.20–$58.40 | $18–$146 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $147.60 | $369 | 1.5× |
| Amylase urine (82150) range across 5 matching MRF lines |
$4–$28.80 | $10–$72 | varies |
| Ana Titer (86039) range across 2 matching MRF lines |
$54.80–$56.80 | $137–$142 | varies |
| Analysis skeletal muscle (88355) | $176.80 | $442 | 1.0× |
| Anca screen each antibody (86036) range across 2 matching MRF lines |
$17.20–$23.60 | $43–$59 | varies |
| Anca Titer Each Antibody (86037) | $20.80 | $52 | 1.7× |
| Androstanediol Glucuronide (82154) | $58.80 | $147 | 2.0× |
| Androstenedione (82157) range across 2 matching MRF lines |
$30.80–$116.40 | $77–$291 | varies |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$27.60–$59.20 | $69–$148 | varies |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$12–$14.80 | $30–$37 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$10–$36 | $25–$90 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) | $57.60 | $144 | 3.4× |
| Antibody Encephalitis California La Crosse (86651) | $7.20 | $18 | 0.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $58.80 | $147 | 4.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $58.80 | $147 | 3.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$68.40–$85.60 | $171–$214 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) range across 3 matching MRF lines |
$16–$23.20 | $40–$58 | varies |
| Antibody haemophilus influenza (86684) | $10 | $25 | 0.6× |
| Antibody helicobacter pylori (86677) | $46 | $115 | 2.7× |
| Antibody Herpes Smplx Type 1 (86695) | $64.40 | $161 | 4.9× |
| Antibody HIV-1&HIV-2 single result (86703) range across 3 matching MRF lines |
$35.20–$130.80 | $88–$327 | varies |
| Antibody HIV-2 (86702) range across 2 matching MRF lines |
$3.20–$44.80 | $8–$112 | varies |
| Antibody Hla Class I High Definition Panel Qual (86832) range across 3 matching MRF lines |
$100–$652.80 | $250–$1,632 | varies |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $411.60 | $1,029 | 4.3× |
| Antibody Hla Class II Phenotype Panel Qual (86831) range across 2 matching MRF lines |
$60–$400 | $150–$1,000 | varies |
| Antibody htlv/HIV antibody confirmatory test (86689) | $52 | $130 | 2.7× |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$27.20–$130 | $68–$325 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) range across 3 matching MRF lines |
$12.80–$65.60 | $32–$164 | varies |
| Antibody Protozoa Nes (86753) range across 5 matching MRF lines |
$10.80–$134.40 | $27–$336 | varies |
| Antibody Titer (86886) range across 2 matching MRF lines |
$61.20–$66.80 | $153–$167 | varies |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$4–$34 | $10–$85 | varies |
| Antibody; encephalitis, st. louis (86653) | $7.20 | $18 | 0.5× |
| Antibody; influenza virus (86710) | $20 | $50 | 1.5× |
| Antigen typing (86905) range across 2 matching MRF lines |
$118.40–$125.60 | $296–$314 | varies |
| Antinuclear antibodies (86038) range across 4 matching MRF lines |
$5.60–$85.60 | $14–$214 | varies |
| Antistreptolysin o titer (86060) | $57.60 | $144 | 7.9× |
| Antithrombin iii activity (85300) | $227.60 | $569 | 19.2× |
| Antithrombin iii antigen (85301) range across 2 matching MRF lines |
$14.40–$52.40 | $36–$131 | varies |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$10.80–$37.20 | $27–$93 | varies |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) range across 5 matching MRF lines |
$30–$122 | $75–$305 | varies |
| Arsenic (82175) range across 6 matching MRF lines |
$4.80–$32 | $12–$80 | varies |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
$32.40–$34 | $81–$85 | varies |
| Assay activated protein c (85307) | $72.80 | $182 | 4.8× |
| Assay Blood Carbon Dioxide (82374) range across 3 matching MRF lines |
$13.20–$34.40 | $33–$86 | varies |
| Assay Blood Catecholamines (82383) | $127.60 | $319 | 4.4× |
| Assay Nephelometry Not Spec (83883) | $41.20 | $103 | 3.0× |
| Assay of 5-hiaa (83497) range across 2 matching MRF lines |
$26.80–$66.80 | $67–$167 | varies |
| Assay of anti-mullerian hormone (82166) range across 2 matching MRF lines |
$20–$53.60 | $50–$134 | varies |
| Assay of b-hexosaminidase each assay (83080) range across 3 matching MRF lines |
$18.40–$31.60 | $46–$79 | varies |
| Assay of blood/uric acid (84550) | $17.60 | $44 | 3.9× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$2.80–$23.60 | $7–$59 | varies |
| Assay of cpk in blood (82552) | $6.80 | $17 | 0.5× |
| Assay of estrone (82679) | $5.60 | $14 | 0.2× |
| Assay of g6pd enzyme (82955) | $12 | $30 | 1.2× |
| Assay of gammaglobulin igm (82784) range across 9 matching MRF lines |
$6.40–$50.80 | $16–$127 | varies |
| Assay of lactic acid (83605) range across 6 matching MRF lines |
$16–$133.20 | $40–$333 | varies |
| Assay of manganese (83785) range across 4 matching MRF lines |
$12–$55.60 | $30–$139 | varies |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$47.60–$67.60 | $119–$169 | varies |
| Assay of proinsulin (84206) | $12 | $30 | 0.4× |
| Assay of pyruvate (84210) | $59.60 | $149 | 4.1× |
| Assay of semen fructose (82757) | $24.40 | $61 | 1.4× |
| Assay of serotonin (84260) | $12 | $30 | 0.4× |
| Assay of serum potassium (84132) range across 9 matching MRF lines |
$4–$20.80 | $10–$52 | varies |
| Assay of Sialic Acid (84275) | $34 | $85 | 2.5× |
| Assay of sweat sodium (84302) | $15.60 | $39 | 3.2× |
| Assay of urea nitrogen (84520) range across 5 matching MRF lines |
$4–$20.40 | $10–$51 | varies |
| Assay of urine vma (84585) | $82 | $205 | 5.3× |
| Assay of vasoactive intestinal peptide (84586) | $20 | $50 | 0.6× |
| Assay of vitamin b-1 (84425) range across 3 matching MRF lines |
$4.40–$30.40 | $11–$76 | varies |
| Assay Ph Body Fluid Nos (83986) range across 8 matching MRF lines |
$1.60–$32 | $4–$80 | varies |
| Assay Phosphohexose Enzymes (84087) | $156.80 | $392 | 14.6× |
| Assay spec xcp ur&breath ia (82077) | $8 | $20 | 0.5× |
| Asstd Fertilization Microtq > 10 Oocytes (89281) | $1,280.40 | $3,201 | 7.5× |
| Asstd oocyte fert 10 or less (89280) | $1,280.40 | $3,201 | 1.6× |
| Asy carbamazepin 10,11-epxid (80161) | $26 | $65 | 1.4× |
| Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) | $75.20 | $188 | 0.5× |
| Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) | $74.80 | $187 | 0.5× |
| Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) | $74.80 | $187 | 0.5× |
| Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) | $74.80 | $187 | 0.5× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $151.20 | $378 | 0.9× |
| B cells total count (86355) range across 2 matching MRF lines |
$24.80–$74.80 | $62–$187 | varies |
| Babesia microti amp prb (87469) | $33.60 | $84 | 1.0× |
| Bartonella antibody (86611) | $16 | $40 | 1.6× |
| Bcr/abl1 gene major bp (81206) | $308.80 | $772 | 1.9× |
| Bcr/abl1 gene minor bp (81207) | $308.80 | $772 | 2.1× |
| Beta 2 glycoprotein i antibody each (86146) | $19.60 | $49 | 0.8× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$11.20–$42 | $28–$105 | varies |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$21.20–$80.40 | $53–$201 | varies |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $160 | $400 | 1.2× |
| Bile acids total (82239) range across 2 matching MRF lines |
$16–$24.40 | $40–$61 | varies |
| Bilirubin direct (82248) | $11.60 | $29 | 2.3× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$22.40–$22.80 | $56–$57 | varies |
| Bilirubin total transcutaneous (88720) | $28 | $70 | 5.6× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) | $1,058.80 | $2,647 | 6.2× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) | $1,018 | $2,545 | 6.0× |
| Biotinidase (82261) range across 2 matching MRF lines |
$45.60–$198.40 | $114–$496 | varies |
| Bl Smear W/O Diff Wbc Count (85008) | $24.40 | $61 | 7.1× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$18–$19.20 | $45–$48 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $57.60 | $144 | 7.4× |
| Blood count reticulocyte automated (85045) | $28 | $70 | 7.0× |
| Blood count spun microhematocrit (85013) | $19.20 | $48 | 2.7× |
| Blood gas (82803) range across 12 matching MRF lines |
$4.80–$283.60 | $12–$709 | varies |
| Blood gases w/02 saturation (82805) range across 2 matching MRF lines |
$108.40–$109.60 | $271–$274 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $40.80 | $102 | 2.6× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) range across 4 matching MRF lines |
$16.80–$17.20 | $42–$43 | varies |
| Blood Sulfhemoglobin Assay (83060) | $12 | $30 | 1.4× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $118.80 | $297 | 18.7× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$44.40–$45.20 | $111–$113 | varies |
| Bone marrow smear interpretation (85097) | $268 | $670 | 0.3× |
| Bordetella antibody (86615) | $40.80 | $102 | 3.1× |
| Borrelia miyamotoi amp prb (87478) | $33.20 | $83 | 0.9× |
| Braf gene analysis (81210) | $340 | $850 | 1.9× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81212) | $361.20 | $903 | 0.8× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) range across 2 matching MRF lines |
$860.80–$999.60 | $2,152–$2,499 | varies |
| Brca1 brca2 gene analysis full dup/del analysis (81164) | $814.40 | $2,036 | 1.4× |
| Brca1 gene analysis full dup/del analysis (81166) | $1,324.40 | $3,311 | 4.4× |
| Brca1 gene analysis full sequence analysis (81165) | $499.60 | $1,249 | 1.8× |
| Brca1 Gene Analysis Known Familial Variant (81215) | $212.80 | $532 | 0.6× |
| Brca1&2 gen full seq dup/del (81162) range across 3 matching MRF lines |
$894.80–$4,694 | $2,237–$11,735 | varies |
| Brca2 gene analysis full dup/del analysis (81167) | $1,324.40 | $3,311 | 4.7× |
| Brca2 gene analysis full sequence analysis (81216) | $621.20 | $1,553 | 3.4× |
| Brca2 Gene Analysis Known Familial Variant (81217) | $212.80 | $532 | 0.6× |
| Breath Alcohol Test (82075) | $22 | $55 | 0.7× |
| Brucella antibody (86622) range across 2 matching MRF lines |
$8.40–$18 | $21–$45 | varies |
| C-Peptide (84681) | $84.80 | $212 | 4.1× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$2.40–$41.20 | $6–$103 | varies |
| Ca 19-9 (86301) | $38.40 | $96 | 1.8× |
| CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) | $74.80 | $187 | 0.5× |
| Cadmium (82300) range across 4 matching MRF lines |
$6–$16.40 | $15–$41 | varies |
| Caffeine (80155) | $56.80 | $142 | 1.5× |
| Calcitonin (82308) | $5.60 | $14 | 0.2× |
| Calcium ionized (82330) range across 6 matching MRF lines |
$18.80–$43.60 | $47–$109 | varies |
| Calcium total (82310) range across 3 matching MRF lines |
$3.60–$20.40 | $9–$51 | varies |
| Calculus Spectroscopy (82365) | $6 | $15 | 0.5× |
| Calprotectin Fecal (83993) | $79.60 | $199 | 4.1× |
| Calr gene com variants (81219) | $339.60 | $849 | 2.8× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$30–$84.80 | $75–$212 | varies |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$63.60–$90 | $159–$225 | varies |
| Candida antibody (86628) | $16.40 | $41 | 1.4× |
| Carbamazepine free (80157) | $63.20 | $158 | 4.8× |
| Carbamazepine total (80156) | $66.80 | $167 | 4.6× |
| Carbohydrate Deficient Transferrin (82373) | $17.60 | $44 | 1.0× |
| Carboxyhemoglobin (82375) | $44 | $110 | 3.6× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$50–$77.20 | $125–$193 | varies |
| Cardiolipin ab iga (86147) range across 2 matching MRF lines |
$8–$30.80 | $20–$77 | varies |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$10–$22.80 | $25–$57 | varies |
| Carotene (82380) | $4 | $10 | 0.4× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$12–$28 | $30–$70 | varies |
| Catecholamines total urine (82382) | $89.20 | $223 | 3.3× |
| Ccp antibody (86200) range across 2 matching MRF lines |
$5.60–$27.20 | $14–$68 | varies |
| Cell count csf (89051) | $78 | $195 | 13.9× |
| Cell marker study (88182) | $180 | $450 | 3.5× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) range across 5 matching MRF lines |
$44.80–$114.80 | $112–$287 | varies |
| Ceruloplasmin (82390) | $51.60 | $129 | 4.8× |
| Cftr Gene Analysis Known Familial Variants (81221) | $220 | $550 | 2.3× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$902–$1,486.80 | $2,255–$3,717 | varies |
| Cftr gene dup/delet variants (81222) | $660.40 | $1,651 | 1.5× |
| Cftr gene full sequence (81223) | $851.20 | $2,128 | 1.7× |
| Chemiluminescent assay (82397) range across 7 matching MRF lines |
$11.60–$76 | $29–$190 | varies |
| Chg cryopreservation mature oocyte(s) (89337) range across 2 matching MRF lines |
$860.80–$931.20 | $2,152–$2,328 | varies |
| Chimerism w/comp to baseline w/cell selection ea (81268) | $232 | $580 | 0.9× |
| Chlamydia antibody (86631) | $4 | $10 | 0.3× |
| Chlamydia Igm Antibody (86632) | $4 | $10 | 0.3× |
| Chlamydia trachomatis ag if (87270) | $15.60 | $39 | 1.3× |
| Chloride other source (82438) range across 2 matching MRF lines |
$16.40–$167.20 | $41–$418 | varies |
| Chloride Serum (82435) range across 6 matching MRF lines |
$3.20–$16 | $8–$40 | varies |
| Chloride urine (82436) range across 3 matching MRF lines |
$2.40–$23.20 | $6–$58 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$2.40–$18.40 | $6–$46 | varies |
| Cholinesterase Serum (82480) | $10 | $25 | 1.3× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$68.80–$93.60 | $172–$234 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) range across 2 matching MRF lines |
$546.80–$577.20 | $1,367–$1,443 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) range across 2 matching MRF lines |
$162–$313.20 | $405–$783 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $104.40 | $261 | 3.1× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $111.60 | $279 | 0.6× |
| Chrmsm Breakage Synds Score 100 Cll (88249) range across 2 matching MRF lines |
$111.60–$440 | $279–$1,100 | varies |
| Chromium serum (82495) range across 2 matching MRF lines |
$8.80–$15.20 | $22–$38 | varies |
| Chromogenic Substrate Assay (85130) range across 10 matching MRF lines |
$37.60–$316.40 | $94–$791 | varies |
| Chromogranin a (86316) range across 3 matching MRF lines |
$8–$72 | $20–$180 | varies |
| Chromosome Analysis 15-20 (88262) | $566 | $1,415 | 4.5× |
| Chromosome Analysis 20-25 (88264) | $965.20 | $2,413 | 6.7× |
| Chromosome analysis, 5 (88261) | $368.40 | $921 | 1.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
$9.20–$90 | $23–$225 | varies |
| Citric acid urine (82507) range across 3 matching MRF lines |
$13.20–$121.20 | $33–$303 | varies |
| Ckmb (82553) | $58.80 | $147 | 5.1× |
| Clostridium Difficile (87324) | $46.40 | $116 | 3.9× |
| Clot Factor VIII Multimetric (85247) | $22 | $55 | 1.0× |
| Clotting factor xii hageman (85280) | $153.60 | $384 | 7.9× |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
$47.20–$789.60 | $118–$1,974 | varies |
| Cns DNA amp probe type 12-25 (87483) | $328.40 | $821 | 0.8× |
| Coagulation time activated (85347) | $28 | $70 | 6.5× |
| Coccidioides antibody (86635) | $5.60 | $14 | 0.5× |
| Cold agglutinin titer (86157) | $50.40 | $126 | 6.3× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$4.80–$68 | $12–$170 | varies |
| Column Chromotography Quant (82542) range across 29 matching MRF lines |
$18–$135.20 | $45–$338 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $494 | $1,235 | 2.1× |
| Compatibility test antiglob (86922) | $64.40 | $161 | 0.4× |
| Complement Antigen Each Component (86160) range across 12 matching MRF lines |
$6–$100 | $15–$250 | varies |
| Complement Total (Ch50) (86162) range across 3 matching MRF lines |
$90–$92.80 | $225–$232 | varies |
| Complement/Function Activity (86161) range across 8 matching MRF lines |
$19.60–$92.40 | $49–$231 | varies |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $130.80 | $327 | 2.5× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $22 | $55 | 0.6× |
| Coombs direct (86880) range across 2 matching MRF lines |
$27.60–$50.80 | $69–$127 | varies |
| Copper urine (82525) range across 4 matching MRF lines |
$24–$81.60 | $60–$204 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$10–$35.20 | $25–$88 | varies |
| Cortisol saliva (82533) range across 4 matching MRF lines |
$17.20–$91.20 | $43–$228 | varies |
| Creatine (82540) range across 2 matching MRF lines |
$7.60–$12.80 | $19–$32 | varies |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$3.20–$35.20 | $8–$88 | varies |
| Creatinine blood (82565) range across 5 matching MRF lines |
$4–$22.40 | $10–$56 | varies |
| Creatinine Urine (82570) range across 6 matching MRF lines |
$2.40–$19.20 | $6–$48 | varies |
| Crossmatch electronic (86923) | $64.40 | $161 | 0.4× |
| Crossmatch immediate spin (86920) | $68 | $170 | 0.4× |
| Crp High Sensitivity (86141) | $24.80 | $62 | 1.9× |
| Cryoglobulin (82595) range across 2 matching MRF lines |
$37.20–$39.20 | $93–$98 | varies |
| Cryopreservation; embryo(s) (89258) | $542.80 | $1,357 | 0.7× |
| Cryopreservation; sperm (89259) range across 2 matching MRF lines |
$227.60–$473.60 | $569–$1,184 | varies |
| Cryptococcal Antigen (87327) range across 2 matching MRF lines |
$30.80–$79.60 | $77–$199 | varies |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$68–$191.60 | $170–$479 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$16–$45.20 | $40–$113 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$28.80–$33.60 | $72–$84 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $55.20 | $138 | 7.2× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $328.80 | $822 | 1.5× |
| Culture aerobic quant other (87071) range across 3 matching MRF lines |
$73.20–$128.40 | $183–$321 | varies |
| Culture afb (87116) range across 2 matching MRF lines |
$18.40–$59.60 | $46–$149 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$75.20–$80.40 | $188–$201 | varies |
| Culture bacteria anaerobic (87073) | $78 | $195 | 8.1× |
| Culture blood (87040) range across 2 matching MRF lines |
$72.80–$74.80 | $182–$187 | varies |
| Culture chlamydia (87110) | $9.20 | $23 | 0.5× |
| Culture csf (87070) range across 5 matching MRF lines |
$51.60–$96.40 | $129–$241 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$52.40–$54.40 | $131–$136 | varies |
| Culture fungus blood (87103) | $76.40 | $191 | 3.7× |
| Culture oocyte/embryos<4day (89250) | $393.20 | $983 | 2.3× |
| Culture screen only (87081) range across 10 matching MRF lines |
$10–$41.20 | $25–$103 | varies |
| Culture stool (87045) | $68 | $170 | 7.2× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $46.40 | $116 | 9.0× |
| Culture urine (87086) | $15.60 | $39 | 1.9× |
| Cyanide (82600) | $36.80 | $92 | 1.9× |
| Cyclic amp (82030) | $16.80 | $42 | 0.7× |
| Cyclosporine (80158) | $92 | $230 | 5.1× |
| Cystatin C (82610) | $44 | $110 | 2.4× |
| Cytog genom-wid alys hem mal (81195) | $2,843.60 | $7,109 | 1.5× |
| Cytogenetics 10-30 (88273) range across 2 matching MRF lines |
$190.40–$190.80 | $476–$477 | varies |
| Cytogenetics 100-300 (88275) range across 6 matching MRF lines |
$73.20–$540.40 | $183–$1,351 | varies |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 4 matching MRF lines |
$1,019.20–$1,559.20 | $2,548–$3,898 | varies |
| Cytogenomic neo microra alys (81277) range across 3 matching MRF lines |
$1,199.20–$2,462.80 | $2,998–$6,157 | varies |
| Cytomegalovirus igg (86644) range across 4 matching MRF lines |
$52.80–$134.40 | $132–$336 | varies |
| Cytopath Cell Enhance Tech (88112) | $88 | $220 | 1.7× |
| Cytp Concentration Smears & Interpretation (88108) | $44.40 | $111 | 1.2× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $157.20 | $393 | 3.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $164.40 | $411 | 1.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $93.20 | $233 | 2.5× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,188 | $2,970 | 7.0× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $39.60 | $99 | 2.1× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $176.40 | $441 | 3.4× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $109.60 | $274 | 3.8× |
| Deoxycortisol (82634) range across 3 matching MRF lines |
$14–$85.60 | $35–$214 | varies |
| Deoxyribonuclease antibody (86215) | $8 | $20 | 0.6× |
| Desoxycorticosterone (82633) range across 2 matching MRF lines |
$9.60–$32.40 | $24–$81 | varies |
| Detect Agent Nos Dna Amp (87798) range across 28 matching MRF lines |
$6.80–$239.60 | $17–$599 | varies |
| Detect Agent Nos Dna Quant (87799) range across 10 matching MRF lines |
$44–$248 | $110–$620 | varies |
| Detect agnt mult DNA ampli (87801) range across 4 matching MRF lines |
$50–$800 | $125–$2,000 | varies |
| Dgp Antibody Each Ig Class (86258) | $16.80 | $42 | 1.4× |
| Dhea (82626) range across 2 matching MRF lines |
$26.40–$86.40 | $66–$216 | varies |
| Dhea-S (82627) | $86.40 | $216 | 3.9× |
| Digoxin (80162) | $54.80 | $137 | 4.1× |
| Dihydrotestosterone (82642) | $16.40 | $41 | 0.6× |
| Diphtheria antitoxoid (86648) | $10 | $25 | 0.7× |
| Dipropylacetic Acid Free (80165) | $65.20 | $163 | 4.8× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$4.80–$66 | $12–$165 | varies |
| Dna/Rna Sequencing (87153) | $48 | $120 | 0.4× |
| Drug assay acetaminophen (80143) | $83.60 | $209 | 4.5× |
| Drug assay adalimumab (80145) | $68 | $170 | 1.8× |
| Drug Assay Amiodarone (80151) | $8 | $20 | 0.4× |
| Drug Assay Everolimus (80169) | $67.60 | $169 | 4.9× |
| Drug assay felbamate (80167) | $14 | $35 | 0.8× |
| Drug Assay Infliximab (80230) | $70 | $175 | 1.8× |
| Drug Assay Itraconazole (80189) | $16 | $40 | 0.6× |
| Drug Assay Lacosamide (80235) | $38 | $95 | 1.4× |
| Drug Assay Leflunomide (80193) | $12.80 | $32 | 0.3× |
| Drug Assay Posaconazole (80187) | $24 | $60 | 0.9× |
| Drug Assay Vedolizumab (80280) | $68.80 | $172 | 1.8× |
| Drug assay voriconazole (80285) | $20 | $50 | 0.7× |
| Drug Asy Hydroxychloroquine (80220) | $27.20 | $68 | 1.5× |
| Drug Screen Quant Clozapine (80159) range across 2 matching MRF lines |
$6–$70 | $15–$175 | varies |
| Drug Screen Quant Zonisamide (80203) | $79.20 | $198 | 6.0× |
| Drug Screen Quantitative Gabapentin (80171) | $7.60 | $19 | 0.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $54 | $135 | 4.1× |
| Drug Screen Quantitative Levetiracetam (80177) range across 2 matching MRF lines |
$3.60–$79.20 | $9–$198 | varies |
| Drug Screen Quantitative Oxcarbazepine (80183) | $61.20 | $153 | 4.6× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $21.60 | $54 | 1.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 33 matching MRF lines |
$6.80–$91.20 | $17–$228 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$41.20–$84.80 | $103–$212 | varies |
| Ehrlichia antibody (86666) range across 3 matching MRF lines |
$8.80–$10 | $22–$25 | varies |
| El-1 Fecal Quantitative (82653) | $36 | $90 | 1.6× |
| Electrolyte panel (80051) | $39.60 | $99 | 5.6× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$414–$873.20 | $1,035–$2,183 | varies |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
$22.40–$24 | $56–$60 | varies |
| Embryo hatching microtechnique (89253) | $540.80 | $1,352 | 3.2× |
| Encephaltis East Eqne Anbdy (86652) range across 3 matching MRF lines |
$7.20–$12 | $18–$30 | varies |
| Encephaltis West Eqne Antbdy (86654) range across 2 matching MRF lines |
$6.80–$7.20 | $17–$18 | varies |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 4 matching MRF lines |
$13.60–$78.40 | $34–$196 | varies |
| Enterovirus PCR (87498) range across 4 matching MRF lines |
$24–$144 | $60–$360 | varies |
| Enzyme cell activity (82657) range across 14 matching MRF lines |
$31.60–$294.40 | $79–$736 | varies |
| Enzyme histochemistry (88319) range across 2 matching MRF lines |
$300.80–$331.20 | $752–$828 | varies |
| Erythropoietin (82668) | $46 | $115 | 2.4× |
| Estradiol serum (82670) range across 3 matching MRF lines |
$5.60–$99.60 | $14–$249 | varies |
| Estriol (82677) | $7.60 | $19 | 0.3× |
| Estrogen total (82672) | $53.20 | $133 | 2.5× |
| Estrogens fractionated (82671) | $10.80 | $27 | 0.3× |
| Ethosuximide (80168) | $53.60 | $134 | 3.3× |
| Exam Synovial Fluid Crystals (89060) | $36 | $90 | 4.9× |
| Extnd Cul Oocyte/Embryo 4-7 Days (89272) | $427.60 | $1,069 | 0.5× |
| F2 Gene (81240) | $246.40 | $616 | 3.8× |
| Factor ii activity (85210) | $100.40 | $251 | 7.7× |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
$99.60–$805.20 | $249–$2,013 | varies |
| Factor ix activity (85250) range across 2 matching MRF lines |
$118.80–$125.20 | $297–$313 | varies |
| Factor v activity (85220) | $117.60 | $294 | 6.7× |
| Factor v leiden mutation (81241) | $246.40 | $616 | 3.4× |
| Factor vii assay (85230) | $140.80 | $352 | 7.9× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$123.60–$260.80 | $309–$652 | varies |
| Factor X (85260) range across 2 matching MRF lines |
$138.80–$146.80 | $347–$367 | varies |
| Factor xi activity (85270) | $145.60 | $364 | 8.1× |
| Factor xiii screen (85291) | $88.80 | $222 | 9.7× |
| Fat/Lipids Feces Quantitative (82710) | $12 | $30 | 0.7× |
| Fatty acids free (82725) range across 2 matching MRF lines |
$8.40–$36.40 | $21–$91 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $60 | $150 | 3.5× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $24 | $60 | 3.7× |
| Ferritin (82728) range across 2 matching MRF lines |
$18.80–$52 | $47–$130 | varies |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$20.80–$64 | $52–$160 | varies |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $32 | $80 | 0.6× |
| Fetal Fibronectin (82731) | $159.20 | $398 | 2.5× |
| Fetal screen rosette (85461) | $40 | $100 | 4.3× |
| Fibrin Degradation Quant (85379) | $52 | $130 | 5.1× |
| Fibrinogen activity (85384) | $36.40 | $91 | 3.7× |
| Fibrinogen antigen (85385) | $50.40 | $126 | 3.5× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $16.40 | $41 | 1.1× |
| Flecainide level (80181) | $17.20 | $43 | 0.9× |
| Flow cytometry first marker (88184) range across 18 matching MRF lines |
$12–$190 | $22–$475 | varies |
| Flt3 Gene (81245) | $230.80 | $577 | 1.4× |
| Flt3 gene analysis (81246) | $210 | $525 | 2.5× |
| Fluorescent antibody screen (86255) range across 54 matching MRF lines |
$11.60–$200 | $29–$500 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 31 matching MRF lines |
$16–$97.60 | $40–$244 | varies |
| Fmr1 Gene Charac Alleles (81244) range across 2 matching MRF lines |
$372.40–$467.20 | $931–$1,168 | varies |
| Fmr1 gene detection (81243) | $466.80 | $1,167 | 8.2× |
| Folic acid rbc (82747) | $8.80 | $22 | 0.5× |
| Folic Acid Serum (82746) | $45.20 | $113 | 3.1× |
| Follicle Stimulating Hormone (83001) | $79.60 | $199 | 4.3× |
| Francisella tularensis (86668) | $28 | $70 | 2.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $92.80 | $232 | 0.5× |
| Frozen Section (88331) range across 2 matching MRF lines |
$93.60–$98.80 | $234–$247 | varies |
| Fungi Identification Mold (87107) | $48 | $120 | 4.7× |
| Fungi Identification Yeast (87106) | $56.80 | $142 | 5.5× |
| G6pd gene analysis full gene sequence (81249) | $1,753.20 | $4,383 | 2.9× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $15.60 | $39 | 0.7× |
| Galectin-3 (82777) | $41.60 | $104 | 0.9× |
| Gammaglobulin ige (82785) range across 2 matching MRF lines |
$5.20–$74.40 | $13–$186 | varies |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 2 matching MRF lines |
$38.80–$41.60 | $97–$104 | varies |
| Gastrin (82941) | $66 | $165 | 3.7× |
| Gastrin after secretin stim (82938) | $231.60 | $579 | 13.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $325.60 | $814 | 0.8× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,114 | $5,285 | 2.8× |
| Gentamicin (80170) | $84.40 | $211 | 5.2× |
| Ggt (82977) | $35.20 | $88 | 4.9× |
| Giardia antigen (87329) | $45.20 | $113 | 3.8× |
| GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) | $252.40 | $631 | 4.1× |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $373.60 | $934 | 3.7× |
| Gjb6 Gene Analysis Common Variants (81254) | $144.80 | $362 | 4.1× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $57.20 | $143 | 9.5× |
| Glucagon (82943) | $16.80 | $42 | 1.2× |
| Glucose 2 hr pp (82950) | $22 | $55 | 4.6× |
| Glucose Blood Test (82962) range across 4 matching MRF lines |
$14.80–$16.80 | $37–$42 | varies |
| Glucose body fluid (82945) range across 3 matching MRF lines |
$21.60–$27.20 | $54–$68 | varies |
| Glucose Serum (82947) range across 8 matching MRF lines |
$4–$17.60 | $10–$44 | varies |
| Glucose tolerance test (gtt) (82951) | $77.60 | $194 | 6.0× |
| Glutathione (82978) | $60 | $150 | 3.9× |
| Glycated Protein (82985) | $35.60 | $89 | 2.1× |
| Gonadotropin Chorionic Hcg Free Beta Chain (84704) | $14 | $35 | 0.9× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$35.60–$36 | $89–$90 | varies |
| Gonadotropin releasing hormone (83727) | $104 | $260 | 6.1× |
| Growth hormone (83003) | $88.40 | $221 | 5.3× |
| H Pylori (C-13) Breath (83013) range across 2 matching MRF lines |
$41.20–$93.60 | $103–$234 | varies |
| H Pylori Drug Admin (83014) | $172.40 | $431 | 21.9× |
| Haloperidol (80173) | $23.60 | $59 | 1.5× |
| Haptoglobin (83010) | $51.20 | $128 | 4.1× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$4.40–$44.40 | $11–$111 | varies |
| Helicobacter Pylori Stool (87338) | $86.40 | $216 | 6.0× |
| Helminth Antibody (86682) range across 5 matching MRF lines |
$14–$52 | $35–$130 | varies |
| Hematocrit (85014) range across 6 matching MRF lines |
$4–$17.20 | $10–$43 | varies |
| Hemoglobin (85018) range across 3 matching MRF lines |
$22.40–$28 | $56–$70 | varies |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$37.60–$39.60 | $94–$99 | varies |
| Hemoglobin Chromotography (83021) range across 5 matching MRF lines |
$7.20–$57.60 | $18–$144 | varies |
| Hemoglobin electrophoresis (83020) range across 5 matching MRF lines |
$4.80–$50.40 | $12–$126 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $10.80 | $27 | 1.3× |
| Hemoglobin plasma (83051) | $36 | $90 | 4.9× |
| Hemoglobin stability screen (83068) | $18 | $45 | 1.9× |
| Hemolysins&Agglutinins Auto Screen Each (86940) range across 2 matching MRF lines |
$30.40–$30.80 | $76–$77 | varies |
| Hemolysins&Agglutinins Incubated (86941) range across 2 matching MRF lines |
$30.80–$53.20 | $77–$133 | varies |
| Hemosiderin urine (83070) | $8 | $20 | 1.7× |
| Hep a ab igm (86709) | $54.40 | $136 | 4.8× |
| Hepatitis a antibody total (86708) | $46.80 | $117 | 3.8× |
| Hepatitis b core ab total (86704) range across 2 matching MRF lines |
$30.80–$50 | $77–$125 | varies |
| Hepatitis b surface ag quan (87467) | $109.20 | $273 | 4.3× |
| Hepatitis B Surface Antibody (86706) | $51.20 | $128 | 4.8× |
| Hepatitis B Surface Antigen (87340) range across 2 matching MRF lines |
$26.80–$57.20 | $67–$143 | varies |
| Hepatitis Be Antibody (86707) | $58.40 | $146 | 5.0× |
| Hepatitis Be Antigen (87350) | $58.40 | $146 | 5.1× |
| Hepatitis C Antibody (86803) range across 4 matching MRF lines |
$36.80–$134.40 | $92–$336 | varies |
| Hepatitis C Genotype (87902) range across 3 matching MRF lines |
$34.80–$278.80 | $87–$697 | varies |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$53.20–$184 | $133–$460 | varies |
| Hepatitis d quantification (87523) | $280 | $700 | 6.5× |
| Hepatitis Delta Agent Antibody (86692) | $24 | $60 | 1.4× |
| Hereditary brst ca-related gen seq analys 10 gen (81432) range across 2 matching MRF lines |
$946.80–$1,737.60 | $2,367–$4,344 | varies |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) range across 2 matching MRF lines |
$860.80–$1,737.60 | $2,152–$4,344 | varies |
| Herpes simplex type 2 (86696) | $64.40 | $161 | 3.3× |
| Heterophile Antibody Screen (86308) range across 2 matching MRF lines |
$26.40–$40 | $66–$100 | varies |
| Hfe Gene (81256) | $265.20 | $663 | 4.1× |
| Hgb Quantitative Transcutaneous (88738) | $24 | $60 | 4.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $73.60 | $184 | 9.5× |
| Histamine urine (83088) range across 3 matching MRF lines |
$43.20–$67.60 | $108–$169 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$6–$9.20 | $15–$23 | varies |
| Histoplasma antigen urine (87385) range across 2 matching MRF lines |
$42–$51.20 | $105–$128 | varies |
| Hiv Genotype (87901) range across 2 matching MRF lines |
$28.40–$153.60 | $71–$384 | varies |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $7.20 | $18 | 0.3× |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
$3.20–$44.80 | $8–$112 | varies |
| HIV-1 p24 antigen (87390) range across 2 matching MRF lines |
$68–$134.40 | $170–$336 | varies |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $220 | $550 | 2.6× |
| Hla Class I Typing High Resolution Complete (81379) | $1,014.40 | $2,536 | 3.0× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $452 | $1,130 | 2.6× |
| Hla Class I Typing Low Resolution Complete (81372) | $562.40 | $1,406 | 1.4× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $144 | $360 | 1.1× |
| Hla class i&ii antibody qual (86828) range across 2 matching MRF lines |
$399.20–$481.60 | $998–$1,204 | varies |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) range across 2 matching MRF lines |
$298.80–$614.40 | $747–$1,536 | varies |
| Hla class i/ii antibody qual (86829) range across 2 matching MRF lines |
$384.80–$396 | $962–$990 | varies |
| Hla class ii high defin qual (86833) range across 3 matching MRF lines |
$100–$631.60 | $250–$1,579 | varies |
| Hla class ii typing high resolution one locus ea (81382) range across 3 matching MRF lines |
$167.20–$744.40 | $418–$1,861 | varies |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) range across 5 matching MRF lines |
$304–$1,910 | $760–$4,775 | varies |
| Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) | $57.20 | $143 | 1.6× |
| Hla i&li low resolution hla-a -b&-drb1 (81371) | $279.60 | $699 | 0.7× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $416 | $1,040 | 1.9× |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$152–$192 | $380–$480 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) range across 2 matching MRF lines |
$1,078.80–$1,280.40 | $2,697–$3,201 | varies |
| Homocysteine (83090) | $51.20 | $128 | 2.9× |
| Homogenization Tissue (87176) | $16.80 | $42 | 2.9× |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$26.80–$82 | $67–$205 | varies |
| Hpv High-Risk Types (87624) | $84.80 | $212 | 2.4× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $36.80 | $92 | 0.5× |
| Hsv Dna Amp Probe (87529) range across 5 matching MRF lines |
$9.20–$175.60 | $23–$439 | varies |
| Hsv Dna Quant (87530) | $44 | $110 | 1.0× |
| Htlv-I Antibody (86687) | $134.40 | $336 | 14.8× |
| Human Epididymis Protein 4 (86305) range across 2 matching MRF lines |
$16.80–$30 | $42–$75 | varies |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$28.80–$106.80 | $72–$267 | varies |
| Iaad ia shiga-like toxin (87427) | $44.40 | $111 | 3.7× |
| Iaadiadoo trichomonas vaginalis (87808) range across 2 matching MRF lines |
$26–$57.20 | $65–$143 | varies |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) range across 2 matching MRF lines |
$6.80–$20.40 | $17–$51 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) range across 2 matching MRF lines |
$51.20–$156 | $128–$390 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 4 matching MRF lines |
$24–$207.20 | $60–$518 | varies |
| Iadna Cytomegalovirus Quantification (87497) range across 3 matching MRF lines |
$44–$128.80 | $110–$322 | varies |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) range across 2 matching MRF lines |
$6.80–$20.40 | $17–$51 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $126.80 | $317 | 3.0× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $49.60 | $124 | 1.4× |
| Iadna Herpes Virus-6 Quantification (87533) | $44 | $110 | 1.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $143.20 | $358 | 4.1× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $58.40 | $146 | 1.7× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $232 | $580 | 3.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 3 matching MRF lines |
$58–$90 | $145–$225 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $60 | $150 | 1.7× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
$9.20–$90 | $23–$225 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $51.20 | $128 | 1.7× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $24 | $60 | 0.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$198.40–$211.20 | $496–$528 | varies |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $413.20 | $1,033 | 1.6× |
| Idh1 common variants (81120) range across 2 matching MRF lines |
$293.20–$563.60 | $733–$1,409 | varies |
| Idh2 common variants (81121) range across 2 matching MRF lines |
$314–$552.80 | $785–$1,382 | varies |
| Ig Light Chains Free Each (83521) range across 4 matching MRF lines |
$22–$28.40 | $55–$71 | varies |
| Igg subclasses (82787) range across 2 matching MRF lines |
$98.80–$146.40 | $247–$366 | varies |
| Igh gene rearrange amp meth (81261) | $374 | $935 | 1.9× |
| IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster… (81278) | $495.20 | $1,238 | 2.4× |
| Igk rearrangeabn clonal pop (81264) | $819.60 | $2,049 | 4.7× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $165.20 | $413 | 0.5× |
| Immune Complex Assay (86332) | $34.40 | $86 | 1.4× |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
$35.60–$110.80 | $89–$277 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 10 matching MRF lines |
$17.20–$114 | $43–$285 | varies |
| Immunoassay nonantibody (83516) range across 25 matching MRF lines |
$2–$120 | $5–$300 | varies |
| Immunodiffusion Ouchterlony (86331) | $36.40 | $91 | 3.0× |
| Immunofixation electrophoresis (86334) range across 6 matching MRF lines |
$24.80–$100.80 | $62–$252 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) range across 2 matching MRF lines |
$24.80–$256.80 | $62–$642 | varies |
| Immunohistochemistry (88342) | $138.40 | $346 | 0.8× |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$319.60–$426.80 | $799–$1,067 | varies |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | $139.20 | $348 | 2.7× |
| Inhibin A (86336) | $14.40 | $36 | 0.9× |
| Inhibin b (83520) range across 48 matching MRF lines |
$6–$174.40 | $15–$436 | varies |
| Insemination of oocytes (89268) | $340.80 | $852 | 2.0× |
| Insulin antibodies (86337) | $26 | $65 | 1.2× |
| Insulin total (83525) | $52 | $130 | 4.5× |
| Interleukin-6 (83529) range across 2 matching MRF lines |
$7.60–$60 | $19–$150 | varies |
| Intrinsic factor antibody (86340) | $9.20 | $23 | 0.6× |
| Iron (83540) range across 2 matching MRF lines |
$16.80–$24 | $42–$60 | varies |
| Iron Binding Capacity (83550) | $29.60 | $74 | 3.4× |
| Irradiation Blood Product Each Unit (86945) | $48 | $120 | 1.3× |
| Islet cell antibody (86341) range across 13 matching MRF lines |
$11.60–$120 | $29–$300 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $305.20 | $763 | 3.3× |
| Jak2 Gene Trgt Sequence Alys (81279) | $275.60 | $689 | 1.5× |
| Ketosteroids 17 total (83586) | $12.80 | $32 | 1.0× |
| Kit Gene Analysis D816 Variant(S) (81273) | $443.20 | $1,108 | 3.5× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) range across 2 matching MRF lines |
$708–$1,020 | $1,770–$2,550 | varies |
| Koh Prep (87220) range across 3 matching MRF lines |
$20.80–$23.20 | $52–$58 | varies |
| Kras Gene Analysis Additional Variant(S) (81276) | $336.40 | $841 | 1.7× |
| Kras Gene Variants Exon 2 (81275) range across 2 matching MRF lines |
$346–$623.60 | $865–$1,559 | varies |
| Lactate (ld) (ldh) enzyme (83615) | $29.60 | $74 | 4.9× |
| Lactoferrin fecal qualitative (83630) | $40 | $100 | 2.0× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $53.20 | $133 | 2.6× |
| Ldh Isoenzymes (83625) | $9.20 | $23 | 0.7× |
| LDL direct (83721) | $28.80 | $72 | 2.7× |
| Lead (83655) range across 7 matching MRF lines |
$3.20–$74.80 | $8–$187 | varies |
| Legionella antibody (86713) | $8 | $20 | 0.5× |
| Legionella antigen urine (87449) range across 6 matching MRF lines |
$42.80–$75.60 | $107–$189 | varies |
| Leptospira antibody (86720) | $36 | $90 | 2.2× |
| Leukocyte Assessment Fecal (89055) | $6.40 | $16 | 1.5× |
| Leukocyte transfusion (86950) | $1,862 | $4,655 | 11.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $30.80 | $77 | 1.1× |
| Level ii surg pathology grossµscopic exam (88302) | $78 | $195 | 2.1× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $214.40 | $536 | 0.6× |
| Lidocaine (80176) | $71.20 | $178 | 4.8× |
| Lipase (83690) | $34.80 | $87 | 5.1× |
| Lipoprotein A (83695) | $90 | $225 | 6.3× |
| Lipoprotein Bld Quan Part (83704) | $24 | $60 | 0.7× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $6.40 | $16 | 0.6× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $35.60 | $89 | 0.8× |
| Lithium (80178) | $39.60 | $99 | 6.0× |
| Luteinizing Hormone (Lh) (83002) | $70 | $175 | 3.8× |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
$7.20–$32 | $18–$80 | varies |
| Lymphocyte transformation (86353) range across 4 matching MRF lines |
$24.80–$88 | $62–$220 | varies |
| Lysozyme serum (85549) | $8 | $20 | 0.4× |
| M. Genitalium Amp Probe (87563) | $74 | $185 | 2.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 22 matching MRF lines |
$384.80–$1,626.80 | $962–$4,067 | varies |
| Macroscopic exam arthropod (87168) | $33.20 | $83 | 7.8× |
| Macroscopic Exam Parasite (87169) | $20.40 | $51 | 4.7× |
| Magnesium Urine (83735) range across 4 matching MRF lines |
$2.40–$26.80 | $6–$67 | varies |
| Mass Spectrometry Quant (83789) range across 12 matching MRF lines |
$14–$187.20 | $35–$468 | varies |
| MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) | $252.40 | $631 | 2.1× |
| Mecp2 gene dup/delet variant (81304) range across 2 matching MRF lines |
$825.20–$994.80 | $2,063–$2,487 | varies |
| Mecp2 gene full seq (81302) | $736 | $1,840 | 1.4× |
| Mercury urine (83825) range across 4 matching MRF lines |
$4–$11.20 | $10–$28 | varies |
| Methotrexate (80204) | $38.40 | $96 | 1.0× |
| Methylmalonic acid serum (83921) range across 3 matching MRF lines |
$8.40–$29.20 | $21–$73 | varies |
| Mgmt methylation analysis (81287) | $432.40 | $1,081 | 3.5× |
| Microalbumin, quantitative (82043) range across 2 matching MRF lines |
$44.40–$46 | $111–$115 | varies |
| Microbe Suscept Macrobroth (87188) range across 3 matching MRF lines |
$26–$80 | $65–$200 | varies |
| Microsatellite instability (81301) | $498 | $1,245 | 1.4× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$8.80–$55.20 | $22–$138 | varies |
| Mitochondrial Antibody Each (86381) | $27.20 | $68 | 1.1× |
| Mlh1 Gene (81288) range across 2 matching MRF lines |
$410.40–$548.40 | $1,026–$1,371 | varies |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $116.80 | $292 | 0.6× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $116.80 | $292 | 0.2× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) range across 5 matching MRF lines |
$30–$200 | $75–$500 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) range across 6 matching MRF lines |
$32.40–$896 | $81–$2,240 | varies |
| Molecular Pathology Procedure Level 3 (81402) range across 3 matching MRF lines |
$323.60–$977.60 | $809–$2,444 | varies |
| Molecular Pathology Procedure Level 6 (81405) range across 15 matching MRF lines |
$497.20–$1,753.20 | $1,243–$4,383 | varies |
| Mononuclear cell antigen (86356) range across 4 matching MRF lines |
$24.40–$88 | $61–$220 | varies |
| Mopath procedure level 2 (81401) | $977.60 | $2,444 | 7.1× |
| Mopath procedure level 4 (81403) range across 6 matching MRF lines |
$280.40–$494.40 | $701–$1,236 | varies |
| Mopath procedure level 5 (81404) range across 8 matching MRF lines |
$382.80–$3,162 | $957–$7,905 | varies |
| Mopath procedure level 7 (81406) range across 37 matching MRF lines |
$525.60–$1,850.40 | $1,314–$4,626 | varies |
| Mopath procedure level 8 (81407) | $2,910.40 | $7,276 | 3.4× |
| Mopath procedure level 9 (81408) range across 2 matching MRF lines |
$1,306.80–$1,766 | $3,267–$4,415 | varies |
| Mpl gene common variants (81338) | $324.80 | $812 | 2.2× |
| Mrsa Pcr (87641) | $50.40 | $126 | 1.4× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $116.80 | $292 | 0.5× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) range across 2 matching MRF lines |
$202–$1,493.20 | $505–$3,733 | varies |
| Msh2 Gene Analysis Known Familial Variants (81296) | $270.40 | $676 | 0.8× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $116.80 | $292 | 0.5× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $334 | $835 | 0.5× |
| Mucopolysaccharides acid quantitative (83864) range across 2 matching MRF lines |
$60–$114.40 | $150–$286 | varies |
| Mumps antibody (86735) | $52.40 | $131 | 4.0× |
| Muscle-Specific Kinase Antb (86366) | $181.60 | $454 | 9.9× |
| Mycophenolic Acid (80180) | $11.60 | $29 | 0.6× |
| Mycoplasma antibody (86738) range across 2 matching MRF lines |
$8–$18.80 | $20–$47 | varies |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $589.20 | $1,473 | 3.4× |
| Myelin basic protein csf (83873) | $12.80 | $32 | 0.7× |
| Myoglobin urine (83874) | $76.80 | $192 | 5.9× |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$26–$82.80 | $65–$207 | varies |
| Nerve teasing preparations (88362) | $316.80 | $792 | 0.4× |
| Neurofilament light chain (83884) | $344 | $860 | 3.0× |
| Neutralization Test Viral (86382) range across 2 matching MRF lines |
$40.80–$46 | $102–$115 | varies |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $205.20 | $513 | 0.8× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $208.80 | $522 | 1.5× |
| Nfct ds chrnc hcv 6 assays (81596) | $80 | $200 | 1.1× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $198.80 | $497 | 1.5× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $17.20 | $43 | 0.7× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $321.60 | $804 | 0.7× |
| Niacin (84591) range across 2 matching MRF lines |
$63.60–$69.60 | $159–$174 | varies |
| Nickel level (83885) range across 2 matching MRF lines |
$20.80–$29.60 | $52–$74 | varies |
| Nk cells total count (86357) range across 2 matching MRF lines |
$74.80–$115.20 | $187–$288 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $362.80 | $907 | 1.5× |
| Ntrk translocation analysis (81194) range across 2 matching MRF lines |
$1,588.80–$1,839.20 | $3,972–$4,598 | varies |
| Nuclear antigen antibody (86235) range across 27 matching MRF lines |
$2–$56 | $5–$140 | varies |
| Obstetric panel (80081) | $268 | $670 | 3.6× |
| Occult blood feces (82272) | $19.20 | $48 | 4.5× |
| Oligoclonal bands (83916) | $9.20 | $23 | 0.3× |
| Oncoprotein dcp (83951) | $60 | $150 | 0.9× |
| Oocyte identification from follicular fluid (89254) | $317.60 | $794 | 1.9× |
| Organic Acids Qualitative Each Specimen (83919) range across 3 matching MRF lines |
$18–$294.40 | $45–$736 | varies |
| Osmolality serum (83930) range across 2 matching MRF lines |
$46–$47.20 | $115–$118 | varies |
| Osmolality Urine (83935) range across 4 matching MRF lines |
$3.20–$46 | $8–$115 | varies |
| Osmotic fragility rbc incubated (85557) range across 2 matching MRF lines |
$34–$41.60 | $85–$104 | varies |
| Osteocalcin (83937) | $16.40 | $41 | 0.5× |
| Outpatient Global Laboratory, Radiology and Diagnostic Services (89346) | $1,020 | $2,550 | 6.0× |
| Ova and parasites smears (87177) range across 3 matching MRF lines |
$4–$51.20 | $10–$128 | varies |
| Oxalate urine (83945) range across 4 matching MRF lines |
$6–$56.40 | $15–$141 | varies |
| Palb2 gene analysis known familial variant (81308) | $164 | $410 | 0.5× |
| Palb2 gene full gene seq (81307) | $943.20 | $2,358 | 1.4× |
| Parvovirus antibody (86747) | $9.20 | $23 | 0.6× |
| Ph urine (81003) | $10.80 | $27 | 4.8× |
| Phenobarbital Level (80184) | $72.80 | $182 | 4.8× |
| Phenotype Infect Agent Drug (87900) range across 2 matching MRF lines |
$73.20–$141.20 | $183–$353 | varies |
| Phenytoin (Dilantin) (80185) | $70.80 | $177 | 5.3× |
| Phenytoin free (80186) | $62.80 | $157 | 4.6× |
| Phosphatase acid prostatic (84066) | $8 | $20 | 0.8× |
| Phosphatase alkaline (84075) | $21.20 | $53 | 4.1× |
| Phospholipid Neutralization Hexagonal (85598) | $69.20 | $173 | 3.8× |
| Phosphorus Serum (84100) | $20.80 | $52 | 4.4× |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$2.40–$22.40 | $6–$56 | varies |
| Pik3ca gene analysis targeted sequence analysis (81309) | $1,145.20 | $2,863 | 4.2× |
| Pinworm exam (87172) range across 2 matching MRF lines |
$19.60–$48 | $49–$120 | varies |
| Platelet Aggregation (85576) range across 3 matching MRF lines |
$84–$168.40 | $210–$421 | varies |
| Platelet Antibodies (86022) range across 5 matching MRF lines |
$12.40–$445.60 | $31–$1,114 | varies |
| Platelet count automated (85049) | $24.40 | $61 | 5.4× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $608.80 | $1,522 | 2.9× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $116.80 | $292 | 0.6× |
| Pms2 gene full seq analysis (81317) | $116.80 | $292 | 0.2× |
| Pneumcysts jirovecii amp prb (87594) | $126.40 | $316 | 3.6× |
| Pooling blood platelets (86965) | $55.20 | $138 | 0.3× |
| Porphobilinogen Urine Qualitative (84106) | $47.20 | $118 | 8.1× |
| Porphobilinogen, urine; quantitative (84110) | $10.80 | $27 | 1.3× |
| Porphyrins Feces Quantitative (84126) | $49.60 | $124 | 1.3× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $13.60 | $34 | 0.9× |
| Potassium Urine (84133) range across 3 matching MRF lines |
$2–$24.80 | $5–$62 | varies |
| Prealbumin (84134) | $67.60 | $169 | 4.6× |
| Pregnancy-Associated Plasma Protein-A (84163) range across 2 matching MRF lines |
$14–$34 | $35–$85 | varies |
| Pregnenolone (84140) | $10 | $25 | 0.5× |
| Preparation of embryo for transfer (89255) | $312.80 | $782 | 6.0× |
| Primidone (80188) | $5.60 | $14 | 0.3× |
| Procalcitonin (Pct) (84145) | $98.80 | $247 | 3.6× |
| Progesterone (84144) range across 3 matching MRF lines |
$22–$100 | $55–$250 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$11.60–$94.40 | $29–$236 | varies |
| Prostaglandin (84150) range across 2 matching MRF lines |
$17.60–$122 | $44–$305 | varies |
| Protein body fluid (84157) range across 2 matching MRF lines |
$16.80–$30.80 | $42–$77 | varies |
| Protein C Activity (85303) | $89.60 | $224 | 6.5× |
| Protein c antigen (85302) | $104 | $260 | 8.7× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$66.40–$76.80 | $166–$192 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $57.60 | $144 | 5.4× |
| Protein S Free (85306) range across 4 matching MRF lines |
$10–$52.80 | $25–$132 | varies |
| Protein s total (85305) | $8 | $20 | 0.7× |
| Protein total serum (84155) range across 2 matching MRF lines |
$24.80–$29.20 | $62–$73 | varies |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$24.40–$26.40 | $61–$66 | varies |
| Protein Western Blot Test (84182) range across 12 matching MRF lines |
$26–$110 | $65–$275 | varies |
| Protoporphyrin rbc quantitative (84202) | $3.60 | $9 | 0.3× |
| PSA free (84154) | $8 | $20 | 0.4× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) range across 2 matching MRF lines |
$825.20–$994.80 | $2,063–$2,487 | varies |
| Pten Gene Analysis Full Sequence Analysis (81321) | $836.40 | $2,091 | 1.4× |
| Pten gene analysis known familial variant (81322) | $252.80 | $632 | 5.4× |
| Pth Intact (83970) | $133.20 | $333 | 3.2× |
| Pyruvate kinase (84220) | $18 | $45 | 1.9× |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$5.60–$22 | $14–$55 | varies |
| Quantiferon tb gold plus (86480) | $90.80 | $227 | 1.5× |
| Quantitative assay drug (80299) range across 18 matching MRF lines |
$24–$100 | $60–$250 | varies |
| Quantitative Screen Metals (83018) range across 2 matching MRF lines |
$31.20–$116.40 | $78–$291 | varies |
| Quinidine (80194) | $16.80 | $42 | 1.2× |
| Rbc antibody elution (86860) | $64.40 | $161 | 0.4× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$117.60–$132.40 | $294–$331 | varies |
| Rbc antibody screen (86850) | $36.40 | $91 | 3.7× |
| Reagent Strip/Blood Glucose (82948) | $12.40 | $31 | 2.5× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$5.60–$43.20 | $14–$108 | varies |
| Reptilase test (85635) | $50.40 | $126 | 5.1× |
| Resp virus 12-25 targets (87633) | $300.80 | $752 | 0.7× |
| Reticulated Platelet Assay (85055) | $21.20 | $53 | 0.6× |
| Rh (86901) | $20.80 | $52 | 7.0× |
| Rheumatoid factor quant (86431) | $36.80 | $92 | 6.5× |
| Rickettsia antibody (86757) range across 6 matching MRF lines |
$9.20–$41.20 | $23–$103 | varies |
| Ristocetin cofactor (85245) | $112.80 | $282 | 4.9× |
| Rotavirus ag eia (87425) | $18.40 | $46 | 1.5× |
| Rpr qualitative (86592) range across 4 matching MRF lines |
$4–$134.40 | $10–$336 | varies |
| Rubella Antibody (86762) | $31.20 | $78 | 2.2× |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$8–$52.40 | $20–$131 | varies |
| Rufinamide (80210) | $26.40 | $66 | 1.0× |
| Russell Viper Venom Time Diluted (85613) range across 3 matching MRF lines |
$11.60–$78.80 | $29–$197 | varies |
| Salicylate Level (80179) | $83.60 | $209 | 4.5× |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$42.40–$44.40 | $106–$111 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$200.80–$224 | $502–$560 | varies |
| Sedimentation Rate, Automated (85652) | $40.40 | $101 | 15.0× |
| Selenium (84255) range across 2 matching MRF lines |
$6.40–$68.80 | $16–$172 | varies |
| Semen analysis complete (89322) | $150.40 | $376 | 9.7× |
| Sensitivity mic (87186) range across 5 matching MRF lines |
$16–$76.80 | $40–$192 | varies |
| Sex Hormone Binding Globulin (84270) | $18.40 | $46 | 0.8× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$18.80–$25.20 | $47–$63 | varies |
| Silica (84285) | $46 | $115 | 1.8× |
| Sirolimus (80195) | $68.80 | $172 | 5.0× |
| Skin test tuberculosis intradermal (86580) | $22 | $55 | 0.8× |
| Smear acid fast (87206) | $26 | $65 | 4.8× |
| Smear complex stain (87209) range across 2 matching MRF lines |
$8–$51.20 | $20–$128 | varies |
| Smear gram stain (87205) range across 3 matching MRF lines |
$28.80–$30.40 | $72–$76 | varies |
| Smear Special Stain (87207) range across 4 matching MRF lines |
$38.80–$68.80 | $97–$172 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $1,136 | $2,840 | 8.3× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$28.40–$30.80 | $71–$77 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) range across 2 matching MRF lines |
$388.80–$422.40 | $972–$1,056 | varies |
| Sodium Serum (84295) range across 8 matching MRF lines |
$4–$24.80 | $10–$62 | varies |
| Sodium Urine (84300) range across 3 matching MRF lines |
$2.40–$22 | $6–$55 | varies |
| Soluble fibrin monomer (85366) | $57.20 | $143 | 0.7× |
| Soluble Transferrin Receptor (84238) range across 2 matching MRF lines |
$6.40–$55.60 | $16–$139 | varies |
| Somatomedin (84305) range across 2 matching MRF lines |
$6.80–$149.60 | $17–$374 | varies |
| Somatostatin (84307) | $82 | $205 | 4.5× |
| Special Stains Group 1 (88312) | $93.20 | $233 | 1.8× |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$73.20–$132.80 | $183–$332 | varies |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$16–$16.80 | $40–$42 | varies |
| Specimen infect agnt concntj (87015) | $16 | $40 | 2.4× |
| Spectrophotometry (84311) range across 8 matching MRF lines |
$3.60–$127.20 | $9–$318 | varies |
| Sperm identification from aspiration (89257) | $312 | $780 | 6.0× |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $138.40 | $346 | 2.7× |
| Sprm id from tstis tiss frsh/cryoprsrvd (89264) range across 2 matching MRF lines |
$549.60–$557.20 | $1,374–$1,393 | varies |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) range across 2 matching MRF lines |
$192.80–$318.80 | $482–$797 | varies |
| Staph a DNA amp probe (87640) | $50.40 | $126 | 1.4× |
| Stem cells total count (86367) | $289.20 | $723 | 3.7× |
| Storage per Year Embryo (89342) | $1,020 | $2,550 | 6.0× |
| Storage per year sperm/semen (89343) | $1,020 | $2,550 | 6.0× |
| Strep a assay w/optic (87880) range across 4 matching MRF lines |
$32–$78 | $80–$195 | varies |
| Strep a DNA amp probe (87651) | $92 | $230 | 2.6× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $22 | $55 | 0.2× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $42.80 | $107 | 3.7× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) range across 2 matching MRF lines |
$24.40–$140 | $61–$350 | varies |
| Sugars Single Qual (84376) | $17.60 | $44 | 3.2× |
| Sulfate urine (84392) range across 3 matching MRF lines |
$2.40–$20.80 | $6–$52 | varies |
| Surg path level iii (88304) | $83.20 | $208 | 1.6× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$39.92–$511.60 | $99.81–$1,279 | varies |
| Surgical pathology level vi (88309) | $338 | $845 | 0.4× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 3 matching MRF lines |
$5.20–$152.80 | $13–$382 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$31.60–$37.20 | $79–$93 | varies |
| Sweat Collection Iontophoresis (89230) | $125.20 | $313 | 2.4× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$6.40–$36.80 | $16–$92 | varies |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $154.80 | $387 | 3.3× |
| T cells total count (86359) range across 2 matching MRF lines |
$61.60–$80.80 | $154–$202 | varies |
| T3 Free (84481) | $46.40 | $116 | 2.7× |
| T3 reverse (84482) | $4.80 | $12 | 0.3× |
| T3 Total (84480) range across 2 matching MRF lines |
$5.20–$74.80 | $13–$187 | varies |
| T3 Uptake (84479) | $42.40 | $106 | 6.6× |
| T4 Free (84439) range across 3 matching MRF lines |
$4–$74.80 | $10–$187 | varies |
| T4 total (84436) | $41.20 | $103 | 6.0× |
| Tacrolimus (80197) | $93.60 | $234 | 6.8× |
| Tau phosphorylated each (84393) range across 2 matching MRF lines |
$130–$160 | $325–$400 | varies |
| Tert gene targeted seq alys (81345) | $667.20 | $1,668 | 3.6× |
| Testosterone Bioavailable (84410) | $6 | $15 | 0.1× |
| Testosterone total (84403) range across 4 matching MRF lines |
$4–$50 | $10–$125 | varies |
| Testosterone, Free (84402) | $6 | $15 | 0.2× |
| Tetanus antibody (86774) | $10 | $25 | 0.7× |
| Tgsap so/hl 51/< RNA alys (81456) | $2,344 | $5,860 | 0.8× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) range across 3 matching MRF lines |
$1,644.40–$1,839.20 | $4,111–$4,598 | varies |
| Thawing Cryopreserved Oocytes Each Aliquot (89356) | $433.60 | $1,084 | 2.6× |
| Thawing of cryopreserved embryos (89352) range across 2 matching MRF lines |
$218.40–$427.20 | $546–$1,068 | varies |
| Theophylline (80198) | $60.40 | $151 | 4.3× |
| Thiocyanate (84430) | $73.60 | $184 | 6.3× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$27.20–$28.80 | $68–$72 | varies |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$38.40–$88.80 | $96–$222 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$22–$54 | $55–$135 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $70.80 | $177 | 1.4× |
| Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) | $39.60 | $99 | 0.8× |
| Thyroxine binding globulin (84442) | $12 | $30 | 0.8× |
| Tiss cul neo disorders solid tumor (88239) | $1,584.40 | $3,961 | 10.7× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 2 matching MRF lines |
$10.80–$15.60 | $27–$39 | varies |
| Tissue Culture (88233) range across 4 matching MRF lines |
$91.20–$321.60 | $228–$804 | varies |
| Tissue Culture Amniotic Fluid (88235) range across 3 matching MRF lines |
$238.40–$385.60 | $596–$964 | varies |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$470–$994.40 | $1,175–$2,486 | varies |
| Tissue Culture Lymphocyte (88230) range across 3 matching MRF lines |
$80–$1,036 | $200–$2,590 | varies |
| Tobramycin peak (80200) | $78.40 | $196 | 4.9× |
| Topiramate (80201) range across 2 matching MRF lines |
$6–$77.20 | $15–$193 | varies |
| Total Tau (84394) | $160 | $400 | 1.2× |
| Touch prep (88161) | $114 | $285 | 4.0× |
| Toxoplasma ab igm (86778) | $58 | $145 | 4.0× |
| Toxoplasma antibody (86777) | $50.40 | $126 | 3.5× |
| TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Facility (81353) | $429.60 | $1,074 | 1.4× |
| Tp53 gene analysis full gene sequence (81351) range across 2 matching MRF lines |
$894.40–$2,882.40 | $2,236–$7,206 | varies |
| Tp53 gene analysis targeted sequence analysis (81352) | $604 | $1,510 | 1.8× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$19.60–$22.40 | $49–$56 | varies |
| Transferrin (84466) | $50.40 | $126 | 3.9× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,006 | $2,515 | 4.8× |
| Trg gene rearrangement anal (81342) | $374 | $935 | 1.9× |
| Trichinella Antibody (86784) | $16 | $40 | 1.3× |
| Trichomonas Vaginalis Amplif (87661) | $58 | $145 | 1.7× |
| Triglycerides (84478) range across 2 matching MRF lines |
$3.20–$34.80 | $8–$87 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$43.60–$97.60 | $109–$244 | varies |
| Tumor immunohistochem/comput (88361) | $173.60 | $434 | 0.5× |
| Tumor Immunohistochem/Manual (88360) range across 4 matching MRF lines |
$79.60–$170 | $199–$425 | varies |
| Ugt1a1 gene analysis common variants (81350) | $128.80 | $322 | 0.6× |
| Unlisted miscellaneous pathology test (89240) | $226.40 | $566 | 4.4× |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
$2.40–$32.80 | $6–$82 | varies |
| Uric acid other source (84560) range across 3 matching MRF lines |
$2.40–$25.60 | $6–$64 | varies |
| Urinalysis Microscopic Only (81015) range across 2 matching MRF lines |
$11.20–$24.80 | $28–$62 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $4.80 | $12 | 2.2× |
| Urine Pregnancy Test (81025) range across 5 matching MRF lines |
$22.80–$24.40 | $57–$61 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $19.20 | $48 | 6.1× |
| Valproic acid (80164) | $65.60 | $164 | 4.8× |
| Vancomycin (80202) | $82.40 | $206 | 6.1× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$8–$54.40 | $20–$136 | varies |
| Vasopressin (84588) | $36 | $90 | 1.1× |
| Very Long Chain Fatty Acids (82726) range across 2 matching MRF lines |
$22–$66 | $55–$165 | varies |
| Virus antibody nos (86790) range across 8 matching MRF lines |
$6–$60 | $15–$150 | varies |
| Viscosity serum (85810) | $82.80 | $207 | 7.1× |
| Vit D 1 25-Dihydroxy (82652) | $92.80 | $232 | 2.4× |
| Vitamin A (84590) | $32.40 | $81 | 2.8× |
| Vitamin b-12 (82607) | $51.20 | $128 | 3.4× |
| Vitamin B2 (Riboflavin) (84252) | $14 | $35 | 0.7× |
| Vitamin B6 (84207) | $9.20 | $23 | 0.3× |
| Vitamin c (82180) | $10 | $25 | 1.0× |
| Vitamin D 25-Hydroxy (82306) | $40.80 | $102 | 1.4× |
| Vitamin E (84446) | $32.80 | $82 | 2.3× |
| Vitamin K (84597) | $30 | $75 | 2.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 3 matching MRF lines |
$54–$100 | $135–$250 | varies |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $61.20 | $153 | 0.4× |
| Von willebrand factor ag (85246) range across 2 matching MRF lines |
$16–$52 | $40–$130 | varies |
| West nile virus ab igm (86788) | $8.40 | $21 | 0.5× |
| West Nile Virus Antibody (86789) range across 2 matching MRF lines |
$7.20–$18 | $18–$45 | varies |
| Western Blot Test (84181) | $8.40 | $21 | 0.5× |
| Zika Virus Dna/Rna Amp Probe (87662) | $80 | $200 | 1.6× |
| Zika Virus Igm Antibody (86794) | $52 | $130 | 3.1× |
| Zinc (84630) range across 4 matching MRF lines |
$8.40–$80.40 | $21–$201 | 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.