Lab & pathology prices at Upstate University Hospital
Syracuse, NY · every code in this section with a posted price and a Medicare benchmark.
890 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 |
— | $252–$261 | — |
| 5 Nucleotidase (83915) | — | $150 | — |
| Acetylcholine receptor binding antibody (86041) | — | $39 | — |
| Acetylcholine receptor blocking antibody (86042) | — | $1,419 | — |
| Acetylcholinesterase Assay (82013) | — | $354 | — |
| Acetylcholn Rcptr Modlg Antb (86043) range across 2 matching MRF lines |
— | $101–$316 | — |
| Acth (82024) | — | $207 | — |
| Actin smooth muscle antibody each (86015) | — | $53 | — |
| Acute hepatitis panel (80074) | — | $216 | — |
| Acylcarnitines Quant (82017) range across 4 matching MRF lines |
— | $468–$1,452 | — |
| Adenovirus antibody (86603) range across 2 matching MRF lines |
— | $67–$215 | — |
| Agglutinins Febrile Each Antigen (86000) | — | $150 | — |
| Albumin Fluid (82042) | — | $119 | — |
| Albumin serum (82040) | — | $100 | — |
| Aldolase (82085) | — | $119 | — |
| Aldosterone urine (82088) range across 2 matching MRF lines |
— | $171–$437 | — |
| Alkaline phosphatase isoenzymes (84080) | — | $316 | — |
| Allergen specific ige (86003) range across 15 matching MRF lines |
— | $35–$122 | — |
| Allg Spec Ige Recomb Ea (86008) range across 3 matching MRF lines |
— | $29–$87 | — |
| Alpha-1-antitrypsin phenotype (82104) | — | $216 | — |
| Alpha-1-antitrypsin total (82103) range across 2 matching MRF lines |
— | $207–$240 | — |
| Alpha-Fetoprotein Amniotic Fluid (82106) | — | $384 | — |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
— | $173–$495 | — |
| Alt (sgpt) (84460) | — | $155 | — |
| Aluminum (82108) | — | $317 | — |
| Amikacin trough (80150) range across 3 matching MRF lines |
— | $74–$304 | — |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | — | $627 | — |
| Aminolevulinic acid (ala) (82135) range across 2 matching MRF lines |
— | $252–$542 | — |
| Ammonia (82140) | — | $430 | — |
| Amniotic fluid scan (82143) | — | $240 | — |
| Amylase urine (82150) | — | $119 | — |
| Ana Titer (86039) | — | $57 | — |
| Anca screen each antibody (86036) | — | $1,055 | — |
| Anca Titer Each Antibody (86037) | — | $64 | — |
| Androstanediol Glucuronide (82154) | — | $811 | — |
| Androstenedione (82157) | — | $218 | — |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
— | $287–$799 | — |
| Angiotensin II (82163) | — | $1,757 | — |
| Anti-Phospholipid Antibody (86148) | — | $569 | — |
| Antibody aspergillus (86606) | — | $137 | — |
| Antibody Bacterium Not Elsewhere Specified (86609) | — | $46 | — |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
— | $91–$880 | — |
| Antibody Cytomegalovirus Cmv Igm (86645) | — | $207 | — |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | — | $279 | — |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | — | $209 | — |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
— | $119–$437 | — |
| Antibody Fungus Not Elsewhere Specified (86671) | — | $1,079 | — |
| Antibody haemophilus influenza (86684) | — | $497 | — |
| Antibody helicobacter pylori (86677) | — | $301 | — |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 4 matching MRF lines |
— | $182–$316 | — |
| Antibody Herpes Smplx Type 1 (86695) | — | $209 | — |
| Antibody HIV-1&HIV-2 single result (86703) | — | $248 | — |
| Antibody HIV-2 (86702) | — | $118 | — |
| Antibody Hla Class I High Definition Panel Qual (86832) | — | $374 | — |
| Antibody Hla Class II Phenotype Panel Qual (86831) | — | $452 | — |
| Antibody hla class ii semiquantitative panel (86835) | — | $435 | — |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 3 matching MRF lines |
— | $361–$471 | — |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
— | $301–$1,461 | — |
| Antibody Identification Platelet Immunogl Assay (86023) | — | $1,075 | — |
| Antibody john cunningham virus (86711) | — | $1,260 | — |
| Antibody Lymphocytic Choriomeningitis (86727) | — | $494 | — |
| Antibody nocardia (86744) | — | $71 | — |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
— | $107–$761 | — |
| Antibody Titer (86886) range across 2 matching MRF lines |
— | $494–$564 | — |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
— | $61–$208 | — |
| Antibody; campylobacter (86625) | — | $1,195 | — |
| Antibody; influenza virus (86710) | — | $264 | — |
| Antigen typing (86905) | — | $650 | — |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | — | $385 | — |
| Antinomyces antibody (86602) | — | $56 | — |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
— | $55–$76 | — |
| Antistreptolysin o titer (86060) | — | $240 | — |
| Antithrombin iii activity (85300) | — | $779 | — |
| Antithrombin iii antigen (85301) | — | $229 | — |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
— | $41–$56 | — |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | — | $170 | — |
| Arsenic (82175) | — | $228 | — |
| Aspergillus ag eia (87305) range across 2 matching MRF lines |
— | $722–$1,852 | — |
| Assay activated protein c (85307) | — | $537 | — |
| Assay Blood Carbon Dioxide (82374) | — | $144 | — |
| Assay Blood Catecholamines (82383) | — | $537 | — |
| Assay myeloperoxidase (83876) | — | $131 | — |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
— | $253–$872 | — |
| Assay of 5-hiaa (83497) | — | $177 | — |
| Assay of anti-mullerian hormone (82166) | — | $207 | — |
| Assay of b-hexosaminidase each assay (83080) | — | $1,786 | — |
| Assay of blood/uric acid (84550) | — | $119 | — |
| Assay of calcium in urine (82340) | — | $207 | — |
| Assay of cpk in blood (82552) | — | $161 | — |
| Assay of estrone (82679) | — | $341 | — |
| Assay of feces for trypsin (84490) | — | $407 | — |
| Assay of g6pd enzyme (82955) range across 2 matching MRF lines |
— | $121–$300 | — |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
— | $121–$386 | — |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
— | $190–$809 | — |
| Assay of manganese (83785) | — | $156 | — |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
— | $215–$536 | — |
| Assay of phosphatase acid total (84060) | — | $261 | — |
| Assay of proinsulin (84206) | — | $220 | — |
| Assay of prostate specific antigen complexed (84152) | — | $220 | — |
| Assay of pyruvate (84210) range across 3 matching MRF lines |
— | $237–$484 | — |
| Assay of semen fructose (82757) | — | $627 | — |
| Assay of serotonin (84260) | — | $515 | — |
| Assay of serum potassium (84132) | — | $89 | — |
| Assay of Sialic Acid (84275) | — | $182 | — |
| Assay of sweat sodium (84302) range across 2 matching MRF lines |
— | $108–$268 | — |
| Assay of Tyrosine (84510) | — | $303 | — |
| Assay of urea nitrogen (84520) | — | $119 | — |
| Assay of urine vma (84585) | — | $133 | — |
| Assay of vasoactive intestinal peptide (84586) range across 2 matching MRF lines |
— | $80–$253 | — |
| Assay of vitamin b-1 (84425) | — | $177 | — |
| Assay Ph Body Fluid Nos (83986) range across 5 matching MRF lines |
— | $41–$94 | — |
| Asy carbamazepin 10,11-epxid (80161) | — | $597 | — |
| Autol Bld/Component Collj Storage Predeposited (86890) | — | $600 | — |
| Autol bld/component collj storage salvage (86891) | — | $3,812 | — |
| Automated Leukocyte Count (85048) | — | $111 | — |
| B cells total count (86355) | — | $266 | — |
| Babesia microti amp prb (87469) | — | $86 | — |
| Bartonella antibody (86611) | — | $275 | — |
| Bcr/abl1 gene major bp (81206) | — | $1,253 | — |
| Bcr/abl1 gene minor bp (81207) | — | $1,200 | — |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
— | $47–$461 | — |
| Beta hydroxybutyrate (82010) range across 4 matching MRF lines |
— | $94–$1,048 | — |
| Beta Lactamase (87185) range across 2 matching MRF lines |
— | $19–$63 | — |
| Beta-2 Microglobulin (82232) range across 3 matching MRF lines |
— | $32–$239 | — |
| Beta-amyloid; 1-42 (abeta 42) (82234) | — | $712 | — |
| Bile acids total (82239) | — | $142 | — |
| Bilirubin direct (82248) | — | $133 | — |
| Bilirubin total (82247) | — | $100 | — |
| Blastomyces antibody (86612) | — | $288 | — |
| Bld Typing Serologic Rh Phnt (86906) | — | $422 | — |
| Bleeding time test (85002) | — | $111 | — |
| Blood Count Manual Cell Count Each (85032) | — | $129 | — |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) | — | $136 | — |
| Blood Count Red Blood Cell Automated (85041) | — | $121 | — |
| Blood count reticulocyte automated (85045) | — | $142 | — |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | — | $111 | — |
| Blood gas (82803) range across 4 matching MRF lines |
— | $58–$484 | — |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
— | $63–$74 | — |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | — | $41 | — |
| Blood Type Antigen Donor Reagent Serum Each (86902) | — | $244 | — |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | — | $560 | — |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
— | $64–$142 | — |
| Body fluid cell count (89050) | — | $122 | — |
| Bordetella antibody (86615) range across 3 matching MRF lines |
— | $136–$629 | — |
| Borrelia miyamotoi amp prb (87478) | — | $86 | — |
| Braf gene analysis (81210) range across 3 matching MRF lines |
— | $561–$1,659 | — |
| Brucella antibody (86622) | — | $150 | — |
| C diff amplified probe (87493) | — | $331 | — |
| C-Peptide (84681) | — | $150 | — |
| C-reactive protein (86140) range across 2 matching MRF lines |
— | $106–$334 | — |
| Ca 19-9 (86301) | — | $188 | — |
| Cadmium (82300) | — | $190 | — |
| Caffeine (80155) | — | $220 | — |
| Calcitonin (82308) | — | $304 | — |
| Calcium ionized (82330) | — | $157 | — |
| Calcium total (82310) range across 2 matching MRF lines |
— | $119–$158 | — |
| Calculus assay quant (82360) | — | $133 | — |
| Calculus Spectroscopy (82365) | — | $69 | — |
| Calprotectin Fecal (83993) | — | $87 | — |
| Calr gene com variants (81219) | — | $360 | — |
| Cancer Antigen 125 (86304) | — | $597 | — |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
— | $165–$597 | — |
| Candida antibody (86628) | — | $1,055 | — |
| Candida Dna Dir Probe (87480) | — | $196 | — |
| Carbamazepine total (80156) | — | $484 | — |
| Carbohydrate Deficient Transferrin (82373) | — | $337 | — |
| Carboxyhemoglobin (82375) | — | $240 | — |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
— | $451–$484 | — |
| Cardiolipin ab iga (86147) range across 3 matching MRF lines |
— | $45–$231 | — |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
— | $220–$487 | — |
| Carotene (82380) | — | $208 | — |
| Catecholamines fractionated (82384) | — | $276 | — |
| Ccp antibody (86200) | — | $464 | — |
| Cell count csf (89051) | — | $142 | — |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | — | $252 | — |
| Ceruloplasmin (82390) | — | $240 | — |
| Cftr Gene Analysis Intron 8 Poly-T Analysis (81224) | — | $144 | — |
| Cftr gene com variants (81220) | — | $1,679 | — |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
— | $41–$524 | — |
| Chimerism w/comp to baseline w/cell selection ea (81268) | — | $1,037 | — |
| Chimerism w/comp to baseline w/o cell selection (81267) | — | $2,307 | — |
| Chlamydia antibody (86631) | — | $173 | — |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
— | $92–$150 | — |
| Chlmy trch&neisra gonor mult (87494) | — | $714 | — |
| Chloramphenicol level (82415) | — | $322 | — |
| Chloride other source (82438) range across 2 matching MRF lines |
— | $98–$287 | — |
| Chloride Serum (82435) | — | $119 | — |
| Chloride urine (82436) | — | $119 | — |
| Chlorinated Hydrocarbons Screen (82441) | — | $119 | — |
| Cholesterol total (82465) | — | $141 | — |
| Cholinesterase rbc (82482) | — | $158 | — |
| Cholinesterase Serum (82480) | — | $150 | — |
| Chorionic gonadotropin test (84702) | — | $373 | — |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | — | $355 | — |
| Chrmsm Analysis Addl High Resolution Study (88289) | — | $1,547 | — |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 3 matching MRF lines |
— | $293–$1,195 | — |
| Chrmsm Analysis Addl Specialized Banding (88283) | — | $1,141 | — |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | — | $2,265 | — |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | — | $2,372 | — |
| Chrmsm Breakage Synds Score 100 Cll (88249) | — | $2,265 | — |
| Chromium serum (82495) | — | $317 | — |
| Chromogranin a (86316) range across 3 matching MRF lines |
— | $358–$866 | — |
| Chromosome analys amniotic (88269) | — | $1,505 | — |
| Chromosome Analysis 15-20 (88262) range across 7 matching MRF lines |
— | $1,432–$2,780 | — |
| Chromosome Analysis 20-25 (88264) range across 6 matching MRF lines |
— | $570–$2,405 | — |
| Chromosome analysis 45 cells (88263) | — | $1,199 | — |
| Chromosome analysis, 5 (88261) | — | $779 | — |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 4 matching MRF lines |
— | $91–$627 | — |
| Citric acid urine (82507) range across 2 matching MRF lines |
— | $276–$746 | — |
| Ckmb (82553) | — | $188 | — |
| Clostridium Difficile (87324) | — | $81 | — |
| Clot Factor VIII Multimetric (85247) | — | $855 | — |
| Clot lysis time, whole blood dilution Facility (85175) | — | $98 | — |
| Clot retraction (85170) | — | $108 | — |
| Clotting factor xii hageman (85280) | — | $821 | — |
| Clotting Funct Activity (85397) range across 2 matching MRF lines |
— | $483–$537 | — |
| Clotting hi molec weight kininogen assay (85293) | — | $262 | — |
| Clotting prekallikrein assay fletcher fact assay (85292) | — | $767 | — |
| Cns DNA amp probe type 12-25 (87483) | — | $718 | — |
| Coagulation time activated (85347) range across 2 matching MRF lines |
— | $100–$807 | — |
| Coccidioides antibody (86635) range across 3 matching MRF lines |
— | $74–$476 | — |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
— | $119–$215 | — |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
— | $443–$689 | — |
| Column Chromotography Quant (82542) range across 5 matching MRF lines |
— | $207–$1,645 | — |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | — | $600 | — |
| Compatibility Each Unit Incubation (86921) | — | $234 | — |
| Compatibility test antiglob (86922) | — | $182 | — |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
— | $144–$728 | — |
| Complement Total (Ch50) (86162) | — | $136 | — |
| Complement/Function Activity (86161) | — | $264 | — |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | — | $564 | — |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | — | $89 | — |
| Coombs direct (86880) | — | $289 | — |
| Copper urine (82525) range across 2 matching MRF lines |
— | $130–$196 | — |
| Cortisol free (82530) range across 2 matching MRF lines |
— | $177–$518 | — |
| Cortisol saliva (82533) | — | $292 | — |
| Creatine (82540) | — | $131 | — |
| Creatine kinase total (82550) | — | $141 | — |
| Creatinine blood (82565) | — | $182 | — |
| Creatinine clearance (82575) | — | $293 | — |
| Creatinine Urine (82570) | — | $119 | — |
| Crossmatch electronic (86923) | — | $295 | — |
| Crossmatch immediate spin (86920) | — | $304 | — |
| Crp High Sensitivity (86141) | — | $237 | — |
| Cryoglobulin (82595) | — | $94 | — |
| Cryopreservation, reproductive tissue, testicular (89335) | — | $266 | — |
| Cryopreservation; sperm (89259) | — | $266 | — |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | — | $715 | — |
| Cryptococcus ab (86641) | — | $761 | — |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
— | $81–$113 | — |
| Cryptosporidium (87272) | — | $287 | — |
| Cryptosporidium ag eia (87328) | — | $262 | — |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
— | $173–$254 | — |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | — | $173 | — |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | — | $231 | — |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | — | $552 | — |
| Culture aerobic quant other (87071) range across 2 matching MRF lines |
— | $103–$268 | — |
| Culture afb (87116) range across 2 matching MRF lines |
— | $207–$422 | — |
| Culture Anaerobic (87075) | — | $182 | — |
| Culture bacteria anaerobic (87073) | — | $276 | — |
| Culture blood (87040) range across 4 matching MRF lines |
— | $144–$389 | — |
| Culture chlamydia (87110) | — | $119 | — |
| Culture csf (87070) range across 11 matching MRF lines |
— | $45–$597 | — |
| Culture fungus (87102) range across 3 matching MRF lines |
— | $37–$231 | — |
| Culture fungus blood (87103) range across 2 matching MRF lines |
— | $231–$276 | — |
| Culture screen only (87081) range across 5 matching MRF lines |
— | $28–$331 | — |
| Culture stool (87045) | — | $207 | — |
| Culture typing if ea antiserum (87140) | — | $209 | — |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | — | $119 | — |
| Culture typing other methods (87158) | — | $209 | — |
| Culture urine (87086) range across 2 matching MRF lines |
— | $261–$276 | — |
| Culture, typing; identification by pulse field gel typing Facility (87152) range across 3 matching MRF lines |
— | $515–$1,114 | — |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | — | $237 | — |
| Cyclic amp (82030) | — | $261 | — |
| Cyclosporine (80158) | — | $317 | — |
| Cystatin C (82610) | — | $155 | — |
| Cytogenetics 10-30 (88273) | — | $596 | — |
| Cytogenetics 100-300 (88275) range across 2 matching MRF lines |
— | $325–$623 | — |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | — | $7,160 | — |
| Cytogenomic neo microra alys (81277) | — | $7,160 | — |
| Cytomegalovirus igg (86644) range across 2 matching MRF lines |
— | $64–$173 | — |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | — | $215 | — |
| Cytopath Cell Enhance Tech (88112) range across 2 matching MRF lines |
— | $146–$461 | — |
| Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) | — | $216 | — |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | — | $244 | — |
| Cytp Concentration Smears & Interpretation (88108) | — | $437 | — |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | — | $400 | — |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | — | $306 | — |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 3 matching MRF lines |
— | $208–$821 | — |
| Cytp smrs any oth src extnd std > 5 slides (88162) | — | $178 | — |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | — | $316 | — |
| Deoxycortisol (82634) | — | $196 | — |
| Deoxyribonuclease antibody (86215) range across 2 matching MRF lines |
— | $122–$240 | — |
| Desoxycorticosterone (82633) | — | $230 | — |
| Detect Agent Nos Dna Amp (87798) range across 15 matching MRF lines |
— | $64–$2,978 | — |
| Detect Agent Nos Dna Quant (87799) range across 4 matching MRF lines |
— | $135–$1,153 | — |
| Detect agnt mult DNA ampli (87801) range across 5 matching MRF lines |
— | $64–$1,928 | — |
| Dgp Antibody Each Ig Class (86258) | — | $319 | — |
| Dhea (82626) | — | $196 | — |
| Dhea-S (82627) | — | $287 | — |
| Dibucaine number (82638) | — | $422 | — |
| Digoxin (80162) | — | $307 | — |
| Diphtheria antitoxoid (86648) | — | $430 | — |
| Dipropylacetic Acid Free (80165) | — | $627 | — |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
— | $111–$323 | — |
| Dna Antibody Single Stranded (86226) | — | $234 | — |
| Dna/Rna Amplified Probe (87150) range across 2 matching MRF lines |
— | $147–$537 | — |
| DNA/RNA direct probe (87149) range across 3 matching MRF lines |
— | $122–$585 | — |
| Dna/Rna Sequencing (87153) | — | $464 | — |
| Drug assay adalimumab (80145) | — | $495 | — |
| Drug Assay Amiodarone (80151) | — | $92 | — |
| Drug Assay Everolimus (80169) range across 2 matching MRF lines |
— | $240–$322 | — |
| Drug assay felbamate (80167) | — | $191 | — |
| Drug Assay Infliximab (80230) | — | $403 | — |
| Drug Assay Itraconazole (80189) | — | $311 | — |
| Drug Assay Lacosamide (80235) | — | $60 | — |
| Drug Assay Leflunomide (80193) | — | $161 | — |
| Drug Assay Posaconazole (80187) | — | $1,272 | — |
| Drug Assay Vedolizumab (80280) | — | $398 | — |
| Drug assay voriconazole (80285) | — | $311 | — |
| Drug Screen Quant Clozapine (80159) | — | $172 | — |
| Drug Screen Quant Zonisamide (80203) | — | $448 | — |
| Drug Screen Quantitative Gabapentin (80171) | — | $277 | — |
| Drug Screen Quantitative Lamotrigine (80175) | — | $238 | — |
| Drug Screen Quantitative Levetiracetam (80177) | — | $407 | — |
| Drug Screen Quantitative Oxcarbazepine (80183) | — | $220 | — |
| Drug Screen Quantitative Procainamide Metabolite (80192) | — | $464 | — |
| Drug Screen Quantitative Tiagabine (80199) | — | $660 | — |
| Drug Test Prsmv Chem Anlyzr (80307) range across 16 matching MRF lines |
— | $8–$750 | — |
| Egfr Gene Analysis Common Variants (81235) | — | $1,020 | — |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
— | $277–$500 | — |
| El-1 Fecal Quantitative (82653) | — | $2,385 | — |
| Electrolyte panel (80051) | — | $144 | — |
| Electron Microscopy (88348) range across 2 matching MRF lines |
— | $1,162–$1,437 | — |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) range across 2 matching MRF lines |
— | $165–$264 | — |
| Endomysial Antibody Each Immunoglobulin Class (86231) | — | $39 | — |
| Enterovirus Antibody (86658) range across 3 matching MRF lines |
— | $119–$277 | — |
| Enterovirus PCR (87498) | — | $1,014 | — |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
— | $201–$1,091 | — |
| Enzyme histochemistry (88319) | — | $904 | — |
| Eosinophil Smear (89190) | — | $131 | — |
| Erythropoietin (82668) | — | $317 | — |
| Estradiol serum (82670) range across 2 matching MRF lines |
— | $209–$430 | — |
| Estriol (82677) | — | $171 | — |
| Estrogen total (82672) | — | $336 | — |
| Estrogens fractionated (82671) | — | $304 | — |
| Ethosuximide (80168) | — | $150 | — |
| Ethylene Glycol (82693) | — | $1,480 | — |
| Euglobulin lysis (85360) | — | $231 | — |
| Exam Synovial Fluid Crystals (89060) | — | $119 | — |
| F2 Gene (81240) | — | $810 | — |
| Factor ii activity (85210) range across 2 matching MRF lines |
— | $596–$1,221 | — |
| Factor Inhibitor Test (85335) range across 5 matching MRF lines |
— | $474–$836 | — |
| Factor ix activity (85250) | — | $1,345 | — |
| Factor v activity (85220) | — | $1,045 | — |
| Factor v leiden mutation (81241) | — | $810 | — |
| Factor vii assay (85230) | — | $1,221 | — |
| Factor viii assay (85240) | — | $563 | — |
| Factor X (85260) | — | $1,273 | — |
| Factor xi activity (85270) | — | $1,273 | — |
| Factor xiii screen (85291) | — | $144 | — |
| Fat stain feces urine/respir secretions (89125) | — | $85 | — |
| Fat/Lipids Feces Quantitative (82710) | — | $532 | — |
| Fatty acids free (82725) range across 2 matching MRF lines |
— | $229–$820 | — |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | — | $407 | — |
| Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) | — | $229 | — |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | — | $1,371 | — |
| Fecal Fat Qualitative (82705) | — | $188 | — |
| Ferritin (82728) | — | $354 | — |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 3 matching MRF lines |
— | $133–$1,056 | — |
| Fetal Congenital Abnor Assay Two Proteins (81508) | — | $276 | — |
| Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG ºany form»), utilizing maternal… (81510) | — | $165 | — |
| Fetal Fibronectin (82731) | — | $855 | — |
| Fetal hemoglobin assay qual (83033) | — | $103 | — |
| Fetal screen rosette (85461) | — | $142 | — |
| Fibrin Degradation Quant (85379) | — | $293 | — |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | — | $150 | — |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
— | $180–$708 | — |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | — | $55 | — |
| Flecainide level (80181) | — | $64 | — |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
— | $412–$1,221 | — |
| Flt3 Gene (81245) range across 2 matching MRF lines |
— | $437–$969 | — |
| Flt3 gene analysis (81246) | — | $641 | — |
| Fluorescent antibody screen (86255) range across 50 matching MRF lines |
— | $55–$1,386 | — |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 53 matching MRF lines |
— | $92–$1,021 | — |
| Fmr1 gene detection (81243) range across 2 matching MRF lines |
— | $1,052–$1,859 | — |
| Folic acid rbc (82747) | — | $331 | — |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
— | $354–$844 | — |
| Follicle Stimulating Hormone (83001) | — | $424 | — |
| Francisella tularensis (86668) range across 2 matching MRF lines |
— | $121–$397 | — |
| Fresh Frozen Plasma Thawing Each Unit (86927) | — | $334 | — |
| Frozen Section (88331) | — | $150 | — |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
— | $85–$122 | — |
| Fungi Identification Yeast (87106) | — | $122 | — |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | — | $596 | — |
| Gammaglobulin ige (82785) | — | $209 | — |
| Gardner vag DNA dir probe (87510) | — | $196 | — |
| Gases Blood O2 Saturation Only Direct Meas (82810) | — | $484 | — |
| Gases blood ph only (82800) | — | $484 | — |
| Gastric Analy W/Ph Ea Spec (82930) | — | $131 | — |
| Gastrin (82941) | — | $158 | — |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) range across 2 matching MRF lines |
— | $691–$1,307 | — |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 2 matching MRF lines |
— | $760–$2,400 | — |
| Genet Virus Isolate Hsv (87255) | — | $494 | — |
| Gentamicin (80170) | — | $304 | — |
| Ggt (82977) | — | $122 | — |
| Giardia antigen (87329) | — | $322 | — |
| Giardia lamblia antibody (86674) | — | $980 | — |
| Gluc-6-phosphate dehydrogenase screen (82960) | — | $253 | — |
| Glucagon (82943) | — | $408 | — |
| Glucose 2 hr pp (82950) range across 2 matching MRF lines |
— | $108–$131 | — |
| Glucose Blood Test (82962) | — | $111 | — |
| Glucose body fluid (82945) | — | $119 | — |
| Glucose Serum (82947) range across 2 matching MRF lines |
— | $63–$89 | — |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
— | $129–$495 | — |
| Glutathione reductase, RBC Facility (82979) | — | $144 | — |
| Glycated Protein (82985) | — | $134 | — |
| Gonadotropin Chorionic Qualitative (84703) | — | $144 | — |
| Growth hormone (83003) | — | $424 | — |
| Gtt-added samples (82952) | — | $31 | — |
| Haloperidol (80173) | — | $317 | — |
| Haptoglobin (83010) range across 2 matching MRF lines |
— | $228–$240 | — |
| Hdl Cholesterol (83718) | — | $237 | — |
| Heinz Bodies Direct (85441) | — | $146 | — |
| Heinz Bodies Induced Acetyl Phenylhydrazine (85445) | — | $220 | — |
| Helicobacter Pylori Stool (87338) | — | $384 | — |
| Helminth Antibody (86682) range across 5 matching MRF lines |
— | $91–$963 | — |
| Hematocrit (85014) | — | $71 | — |
| Hemoglobin (85018) | — | $71 | — |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
— | $26–$134 | — |
| Hemoglobin Chromotography (83021) | — | $397 | — |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
— | $397–$581 | — |
| Hemoglobin F Fetal Chemical (83030) | — | $231 | — |
| Hemoglobin Methemoglobin Quantitative (83050) | — | $188 | — |
| Hemoglobin plasma (83051) | — | $389 | — |
| Hemoglobin stability screen (83068) | — | $165 | — |
| Hemolysin Acid (85475) | — | $371 | — |
| Hemolysins&Agglutinins Auto Screen Each (86940) range across 2 matching MRF lines |
— | $111–$383 | — |
| Hemosiderin urine (83070) | — | $111 | — |
| Hep a ab igm (86709) | — | $57 | — |
| Heparin assay (85520) | — | $617 | — |
| Heparin Neutralization (85525) | — | $209 | — |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
— | $57–$210 | — |
| Hepatitis b core ab igm (86705) | — | $61 | — |
| Hepatitis b core ab total (86704) | — | $47 | — |
| Hepatitis B Surface Antibody (86706) | — | $45 | — |
| Hepatitis B Surface Antigen (87340) | — | $31 | — |
| Hepatitis Be Antibody (86707) | — | $210 | — |
| Hepatitis Be Antigen (87350) range across 2 matching MRF lines |
— | $121–$240 | — |
| Hepatitis C Antibody (86803) | — | $46 | — |
| Hepatitis c antibody confirmatory test (86804) | — | $734 | — |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
— | $412–$2,286 | — |
| Hepatitis C Probe&Rvrs Trnsc (87521) | — | $795 | — |
| Hepatitis C Revrs Trnscrpj (87522) range across 5 matching MRF lines |
— | $141–$2,097 | — |
| Hepatitis delta ag (87380) | — | $596 | — |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
— | $82–$325 | — |
| Herpes simplex type 2 (86696) | — | $293 | — |
| Heterophile Antibody Screen (86308) | — | $279 | — |
| Hfe Gene (81256) | — | $1,200 | — |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
— | $293–$530 | — |
| Histamine urine (83088) | — | $409 | — |
| Histoplasma antibody (86698) | — | $158 | — |
| Histoplasma antigen urine (87385) range across 3 matching MRF lines |
— | $242–$1,241 | — |
| Hiv Antigen W/Hiv Antibodies (87806) | — | $172 | — |
| Hiv Genotype (87901) | — | $3,729 | — |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
— | $64–$331 | — |
| Hiv-1 Antibody (86701) range across 2 matching MRF lines |
— | $317–$413 | — |
| HIV-1 p24 antigen (87390) | — | $124 | — |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
— | $295–$1,431 | — |
| HIV-2 probe&revrse trnscripj (87538) range across 2 matching MRF lines |
— | $57–$252 | — |
| Hla class i semiquant panel (86834) | — | $435 | — |
| Hla Class I Typing Low Resolution Complete (81372) range across 2 matching MRF lines |
— | $855–$1,320 | — |
| Hla Class I Typing Low Resolution One Locus Each (81373) | — | $917 | — |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) range across 2 matching MRF lines |
— | $1,000–$1,791 | — |
| Hla class ii high defin qual (86833) | — | $374 | — |
| Hla class ii typing high resolution one locus ea (81382) | — | $504 | — |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | — | $388 | — |
| Hla I Low Resolution One Antigen Equivalent Each (81374) range across 3 matching MRF lines |
— | $545–$594 | — |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) range across 2 matching MRF lines |
— | $855–$1,320 | — |
| Hla Typing a/B/C Multiple Antigens (86813) range across 5 matching MRF lines |
— | $278–$1,452 | — |
| Hla Typing Dr/Dq Multiple Antigens (86817) | — | $2,467 | — |
| Hla-b27 (86812) | — | $899 | — |
| Homocysteine (83090) range across 2 matching MRF lines |
— | $136–$355 | — |
| Homogenization Tissue (87176) | — | $100 | — |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
— | $133–$524 | — |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
— | $279–$537 | — |
| Hpv sep hi-rsk typ&pool rslt (87626) | — | $537 | — |
| Hpv Types 16 & 18 Only (87625) | — | $350 | — |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
— | $301–$617 | — |
| Htlv-I Antibody (86687) | — | $113 | — |
| Htlv-ii antibody (86688) | — | $183 | — |
| Hydroxycorticosteroids 17 (83491) | — | $372 | — |
| Hydroxyprogesterone 17-d (83498) | — | $124 | — |
| Hydroxyproline total (83505) | — | $493 | — |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 2 matching MRF lines |
— | $196–$670 | — |
| Iaadi giardia (87269) | — | $287 | — |
| Iaadi not otherwise specified each organism (87299) | — | $529 | — |
| Iaadi pneumocustis carinii (87281) | — | $337 | — |
| Iaadi Varicella Zoster Virus (87290) | — | $551 | — |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | — | $86 | — |
| Iadna Bartonella Amplified Probe Technique (87471) | — | $362 | — |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
— | $454–$620 | — |
| Iadna Candida Species Amplified Probe Tq (87481) | — | $412 | — |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | — | $26 | — |
| Iadna Chlamydia Trachomatis Direct Probe Tq (87490) | — | $196 | — |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 4 matching MRF lines |
— | $233–$2,146 | — |
| Iadna Cytomegalovirus Direct Probe Tq (87495) | — | $2,162 | — |
| Iadna Cytomegalovirus Quantification (87497) range across 5 matching MRF lines |
— | $151–$1,634 | — |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | — | $202 | — |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | — | $86 | — |
| Iadna Hepatitis B Virus Quantification (87517) | — | $1,597 | — |
| Iadna Herpes Virus-6 Quantification (87533) | — | $1,146 | — |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
— | $57–$1,202 | — |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | — | $676 | — |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | — | $971 | — |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 4 matching MRF lines |
— | $229–$1,431 | — |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | — | $588 | — |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 3 matching MRF lines |
— | $91–$518 | — |
| Iadna Nos Direct Probe Tq Each Organism (87797) | — | $371 | — |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | — | $173 | — |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | — | $1,013 | — |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | — | $1,234 | — |
| Idh1 common variants (81120) | — | $910 | — |
| Idh2 common variants (81121) | — | $910 | — |
| Ig Light Chains Free Each (83521) | — | $171 | — |
| Igg subclasses (82787) | — | $319 | — |
| Igh gene rearrange amp meth (81261) | — | $1,642 | — |
| Igk rearrangeabn clonal pop (81264) range across 2 matching MRF lines |
— | $266–$582 | — |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | — | $240 | — |
| Immune Complex Assay (86332) | — | $266 | — |
| Immunfix e-phorsis/urine/csf (86335) range across 2 matching MRF lines |
— | $337–$674 | — |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 10 matching MRF lines |
— | $208–$2,041 | — |
| Immunoassay infectious agent (86318) | — | $45 | — |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 8 matching MRF lines |
— | $19–$542 | — |
| Immunoassay nonantibody (83516) range across 17 matching MRF lines |
— | $58–$1,386 | — |
| Immunodiffusion not elsewhere specified (86329) range across 2 matching MRF lines |
— | $322–$407 | — |
| Immunodiffusion Ouchterlony (86331) | — | $162 | — |
| Immunoelectrophoresis Other Fluids Concentration (86325) | — | $494 | — |
| Immunoelectrophoresis Serum (86320) | — | $1,321 | — |
| Immunofixation electrophoresis (86334) | — | $337 | — |
| Immunofluorescence per spec 1st singl antb stain (88346) | — | $564 | — |
| Immunohistochemistry (88342) | — | $264 | — |
| In situ hybridization 1st probe stain (88365) | — | $1,473 | — |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) | — | $129 | — |
| Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) | — | $455 | — |
| Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) | — | $220 | — |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) | — | $103 | — |
| Infectious Agent Dna/Rna Influenza Ea Type (87501) | — | $146 | — |
| Influenza assay w/optic (87804) | — | $208 | — |
| Influenza DNA amp probe (87502) range across 3 matching MRF lines |
— | $134–$425 | — |
| Inhibin A (86336) range across 3 matching MRF lines |
— | $172–$576 | — |
| Inhibin b (83520) range across 16 matching MRF lines |
— | $89–$1,311 | — |
| Insitu hybridization auto (88367) | — | $560 | — |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
— | $1,290–$1,473 | — |
| Insulin antibodies (86337) | — | $317 | — |
| Insulin free (83527) | — | $200 | — |
| Insulin total (83525) | — | $150 | — |
| Interleukin-6 (83529) | — | $57 | — |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
— | $26–$237 | — |
| Iron (83540) range across 3 matching MRF lines |
— | $141–$1,246 | — |
| Iron Binding Capacity (83550) | — | $107 | — |
| Irradiation Blood Product Each Unit (86945) | — | $130 | — |
| Islet cell antibody (86341) range across 5 matching MRF lines |
— | $171–$727 | — |
| Jak2 gene analysis p.val617phe variant (81270) | — | $831 | — |
| Jak2 Gene Trgt Sequence Alys (81279) | — | $434 | — |
| Jt spc pthgn&rx rsist gen26+ (87627) | — | $1,088 | — |
| Ketosteroids 17 total (83586) | — | $195 | — |
| Koh Prep (87220) | — | $191 | — |
| Kras Gene Variants Exon 2 (81275) | — | $1,728 | — |
| L/s ratio (83661) | — | $1,122 | — |
| Lactate (ld) (ldh) enzyme (83615) | — | $188 | — |
| Lactoferrin fecal qualitative (83630) range across 2 matching MRF lines |
— | $124–$229 | — |
| Lactoferrin Fecal Quantitative (83631) | — | $547 | — |
| Ldh Isoenzymes (83625) | — | $316 | — |
| LDL direct (83721) | — | $231 | — |
| Lead (83655) range across 2 matching MRF lines |
— | $119–$240 | — |
| Legionella antibody (86713) | — | $142 | — |
| Legionella antigen urine (87449) range across 6 matching MRF lines |
— | $111–$922 | — |
| Legionella pneumophila dfa (87278) | — | $319 | — |
| Leptospira antibody (86720) | — | $207 | — |
| Leukocyte Assessment Fecal (89055) | — | $98 | — |
| Level I Surg Pathology Gross Examination Only (88300) range across 2 matching MRF lines |
— | $144–$173 | — |
| Level ii surg pathology grossµscopic exam (88302) | — | $384 | — |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | — | $833 | — |
| Lidocaine (80176) | — | $317 | — |
| Lipase (83690) range across 2 matching MRF lines |
— | $231–$317 | — |
| Lipoprotein A (83695) | — | $195 | — |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | — | $266 | — |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | — | $348 | — |
| Lithium (80178) | — | $188 | — |
| Luteinizing Hormone (Lh) (83002) | — | $425 | — |
| Lyme disease antibody (86618) range across 4 matching MRF lines |
— | $36–$464 | — |
| Lymphocyte transformation (86353) | — | $1,519 | — |
| Lymphocytotoxicity Assay (86805) range across 2 matching MRF lines |
— | $950–$4,417 | — |
| Lysozyme serum (85549) | — | $240 | — |
| M. Genitalium Amp Probe (87563) | — | $76 | — |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
— | $376–$1,473 | — |
| Macroscopic exam arthropod (87168) range across 3 matching MRF lines |
— | $101–$600 | — |
| Macroscopic Exam Parasite (87169) | — | $92 | — |
| Magnesium Urine (83735) | — | $188 | — |
| Mass Spectrometry Quant (83789) range across 2 matching MRF lines |
— | $484–$821 | — |
| Meat fibers, feces (89160) | — | $84 | — |
| Mercury urine (83825) range across 2 matching MRF lines |
— | $337–$384 | — |
| Metabolic panel ionized ca (80047) | — | $143 | — |
| Methemalbumin (83857) | — | $471 | — |
| Methotrexate (80204) | — | $795 | — |
| Methylmalonic acid serum (83921) range across 4 matching MRF lines |
— | $69–$1,110 | — |
| Microalbumin, quantitative (82043) | — | $237 | — |
| Microbe Suscept Macrobroth (87188) | — | $101 | — |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
— | $251–$293 | — |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | — | $170 | — |
| Molecular Cytogenetics Dna Probe Each (88271) | — | $323 | — |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | — | $584 | — |
| Mononuclear cell antigen (86356) range across 2 matching MRF lines |
— | $156–$349 | — |
| Mpl gene analysis sequence analysis exon 10 (81339) | — | $262 | — |
| Mrsa Pcr (87641) | — | $161 | — |
| Mthfr Gene Analysis Common Variants (81291) | — | $888 | — |
| Mucin Clot Body Fluid (83872) | — | $262 | — |
| Mucopolysaccharides acid quantitative (83864) range across 2 matching MRF lines |
— | $848–$1,162 | — |
| Mumps antibody (86735) range across 2 matching MRF lines |
— | $133–$301 | — |
| Mycobacteric Identification (87118) range across 4 matching MRF lines |
— | $98–$537 | — |
| Mycophenolic Acid (80180) | — | $371 | — |
| Mycoplasma antibody (86738) | — | $264 | — |
| Mycoplasma culture (87109) | — | $529 | — |
| Myd88 Gene P.Leu265pro Vrnt (81305) | — | $650 | — |
| Myelin basic protein csf (83873) | — | $220 | — |
| Myoglobin urine (83874) | — | $257 | — |
| Natriuretic peptide (83880) | — | $355 | — |
| Neisseria Dir Na Probe (87590) | — | $195 | — |
| Nerve teasing preparations (88362) | — | $956 | — |
| Neutralization Test Viral (86382) | — | $537 | — |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | — | $630 | — |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | — | $134 | — |
| Nfct Agent Genotype Hepatitis B Virus (87912) | — | $1,242 | — |
| Nfct ds chrnc hcv 6 assays (81596) | — | $677 | — |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | — | $350 | — |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | — | $341 | — |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) range across 3 matching MRF lines |
— | $2,994–$8,103 | — |
| Niacin (84591) | — | $679 | — |
| Nk cells total count (86357) | — | $266 | — |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) range across 2 matching MRF lines |
— | $427–$629 | — |
| Nras gene variants exon 2&3 (81311) | — | $1,056 | — |
| Nuclear antigen antibody (86235) range across 5 matching MRF lines |
— | $113–$306 | — |
| Nzym actv blood cells/tiss radact substrate ea (82658) | — | $1,013 | — |
| Occult blood feces (82272) | — | $147 | — |
| Occult Blood Other Sources (82271) | — | $43 | — |
| Oligoclonal bands (83916) range across 2 matching MRF lines |
— | $266–$287 | — |
| Organic Acids Qualitative Each Specimen (83919) | — | $222 | — |
| Organic acids urine (83918) | — | $815 | — |
| Osmolality serum (83930) | — | $229 | — |
| Osmolality Urine (83935) | — | $144 | — |
| Osmotic fragility rbc incubated (85557) range across 2 matching MRF lines |
— | $386–$784 | — |
| Osmotic Fragility RBC Unincubated (85555) | — | $386 | — |
| Osteocalcin (83937) range across 2 matching MRF lines |
— | $288–$290 | — |
| Ova and parasites smears (87177) | — | $277 | — |
| Oxalate urine (83945) | — | $155 | — |
| Particle Agglut Antbdy Titr (86406) | — | $307 | — |
| Particle Agglutination Screen Each Antibody (86403) range across 5 matching MRF lines |
— | $98–$384 | — |
| Parvovirus antibody (86747) | — | $551 | — |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | — | $904 | — |
| Ph urine (81003) range across 2 matching MRF lines |
— | $43–$77 | — |
| Phenobarbital Level (80184) range across 2 matching MRF lines |
— | $266–$354 | — |
| Phenotype Infect Agent Drug (87900) range across 2 matching MRF lines |
— | $447–$1,223 | — |
| Phenylalanine (84030) | — | $303 | — |
| Phenytoin (Dilantin) (80185) | — | $355 | — |
| Phenytoin free (80186) | — | $361 | — |
| Phosphatase acid prostatic (84066) | — | $131 | — |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
— | $108–$252 | — |
| Phosphatidylglycerol (84081) | — | $800 | — |
| Phospholipid Neutralization Hexagonal (85598) | — | $524 | — |
| Phosphorus Serum (84100) | — | $133 | — |
| Phosphorus urine (84105) | — | $134 | — |
| Pinworm exam (87172) | — | $101 | — |
| Platelet Aggregation (85576) range across 7 matching MRF lines |
— | $210–$1,645 | — |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
— | $715–$968 | — |
| Platelet count automated (85049) | — | $158 | — |
| Platelet neutralization (85597) | — | $484 | — |
| Pneumcysts jirovecii amp prb (87594) | — | $409 | — |
| Pooling blood platelets (86965) | — | $322 | — |
| Porphobilinogen Urine Qualitative (84106) | — | $288 | — |
| Porphobilinogen, urine; quantitative (84110) range across 2 matching MRF lines |
— | $157–$293 | — |
| Porphyrins Feces Quantitative (84126) | — | $495 | — |
| Porphyrins Urine Quantitation & Fractionation (84120) range across 2 matching MRF lines |
— | $215–$1,170 | — |
| Potassium Urine (84133) | — | $119 | — |
| Prealbumin (84134) | — | $229 | — |
| Pregnancy-Associated Plasma Protein-A (84163) | — | $208 | — |
| Pregnanetriol (84138) | — | $421 | — |
| Pregnenolone (84140) | — | $156 | — |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | — | $355 | — |
| Pretx serum rbc antibody identification dilution (86976) | — | $231 | — |
| Primidone (80188) | — | $215 | — |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
— | $174–$1,220 | — |
| Progesterone (84144) | — | $220 | — |
| Prolactin (84146) | — | $385 | — |
| Prostaglandin (84150) | — | $2,059 | — |
| Protein body fluid (84157) | — | $119 | — |
| Protein C Activity (85303) | — | $1,055 | — |
| Protein c antigen (85302) | — | $795 | — |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
— | $188–$337 | — |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | — | $188 | — |
| Protein S Free (85306) range across 2 matching MRF lines |
— | $316–$834 | — |
| Protein s total (85305) range across 2 matching MRF lines |
— | $298–$857 | — |
| Protein test for diagnosis and monitoring of bladder cancer (86386) | — | $464 | — |
| Protein total serum (84155) | — | $119 | — |
| Protein Total Urine (84156) | — | $141 | — |
| Protein Western Blot Test (84182) range across 19 matching MRF lines |
— | $276–$1,418 | — |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | — | $119 | — |
| Protoporphyrin rbc quantitative (84202) | — | $224 | — |
| PSA free (84154) | — | $288 | — |
| Pth Intact (83970) | — | $515 | — |
| Pyruvate kinase (84220) | — | $1,348 | — |
| Q Fever Antibody (86638) range across 3 matching MRF lines |
— | $124–$262 | — |
| Quantiferon tb gold plus (86480) range across 4 matching MRF lines |
— | $96–$340 | — |
| Quantitative assay drug (80299) range across 17 matching MRF lines |
— | $124–$1,099 | — |
| Quantitative Screen Metals (83018) range across 3 matching MRF lines |
— | $130–$471 | — |
| Quinidine (80194) range across 2 matching MRF lines |
— | $262–$421 | — |
| Rbc antibody elution (86860) | — | $708 | — |
| Rbc antibody identification (86870) range across 5 matching MRF lines |
— | $37–$1,558 | — |
| Rbc antibody screen (86850) | — | $156 | — |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
— | $264–$487 | — |
| Rbc pretx incubatj w/enzymes (86971) | — | $385 | — |
| Rbc serum pretx incubj drugs (86975) | — | $481 | — |
| Reagent Strip/Blood Glucose (82948) | — | $165 | — |
| Receptor assay progesterone (84234) | — | $866 | — |
| Renin activity plasma (84244) | — | $119 | — |
| Reptilase test (85635) | — | $229 | — |
| Resp virus 12-25 targets (87633) | — | $554 | — |
| Resp Virus 6-11 Targets (87632) | — | $1,535 | — |
| Reticulocyte Count Manual (85044) | — | $119 | — |
| Reticulocyte separation (86972) | — | $1,109 | — |
| Rh (86901) range across 2 matching MRF lines |
— | $64–$207 | — |
| Rheumatoid Factor Qualitative (86430) | — | $141 | — |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
— | $150–$188 | — |
| Rickettsia antibody (86757) | — | $178 | — |
| Ristocetin cofactor (85245) | — | $518 | — |
| Rpr qualitative (86592) range across 2 matching MRF lines |
— | $64–$119 | — |
| Rsv ab (86756) | — | $178 | — |
| Rubella Antibody (86762) range across 3 matching MRF lines |
— | $58–$261 | — |
| Rubeola antibody (86765) range across 3 matching MRF lines |
— | $57–$750 | — |
| Rufinamide (80210) | — | $295 | — |
| Russell Viper Venom Time Diluted (85613) | — | $296 | — |
| Russell Viper Venon Time Undiluted (85612) | — | $493 | — |
| Salmonella antibody (86768) | — | $715 | — |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
— | $138–$184 | — |
| Sars-cov-2 COVID-19 antibody (86769) | — | $98 | — |
| Sarscov2 & inf a&b amp prb (87636) | — | $304 | — |
| Sarscov2&inf a&b&rsv amp prb (87637) | — | $304 | — |
| Sedimentation rate (85651) | — | $101 | — |
| Sedimentation Rate, Automated (85652) | — | $119 | — |
| Selenium (84255) | — | $349 | — |
| Semen Anal Sperm Detection (89321) | — | $233 | — |
| Semen analysis complete (89320) range across 2 matching MRF lines |
— | $466–$1,495 | — |
| Semen analysis motility and count (89310) range across 3 matching MRF lines |
— | $333–$971 | — |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | — | $414 | — |
| Sensitivity mic (87186) range across 2 matching MRF lines |
— | $228–$444 | — |
| Serum Bactericidal Titer (87197) | — | $464 | — |
| Sex Hormone Binding Globulin (84270) | — | $156 | — |
| Sickling of rbc reduction (85660) | — | $348 | — |
| Sirolimus (80195) | — | $354 | — |
| Skin test tuberculosis intradermal (86580) | — | $174 | — |
| Smear acid fast (87206) | — | $92 | — |
| Smear complex stain (87209) | — | $287 | — |
| Smear gram stain (87205) | — | $92 | — |
| Smear Special Stain (87207) | — | $276 | — |
| Smn1 Gene Dos/Deletion Alys (81329) | — | $358 | — |
| Smr Prim Src Wet Mount Nfct Agt (87210) | — | $111 | — |
| Sodium Serum (84295) | — | $81 | — |
| Sodium Urine (84300) | — | $119 | — |
| Soluble Transferrin Receptor (84238) | — | $549 | — |
| Somatomedin (84305) range across 2 matching MRF lines |
— | $188–$366 | — |
| Special Stains Group 1 (88312) | — | $287 | — |
| Special Stains Group 2 (88313) | — | $287 | — |
| Specific gravity body fluid (84315) | — | $43 | — |
| Specimen infect agnt concntj (87015) range across 3 matching MRF lines |
— | $43–$103 | — |
| Spectrophotometry (84311) range across 6 matching MRF lines |
— | $173–$747 | — |
| Sperm Antibodies (89325) | — | $266 | — |
| Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)… (89331) | — | $399 | — |
| Sperm evaluation; hamster penetration test Facility (89329) | — | $2,999 | — |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | — | $333 | — |
| Splitting Blood/Blood Products Each Unit (86985) | — | $385 | — |
| Sprm id from tstis tiss frsh/cryoprsrvd (89264) | — | $354 | — |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) range across 2 matching MRF lines |
— | $399–$1,202 | — |
| Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) | — | $1,059 | — |
| Staph a DNA amp probe (87640) | — | $161 | — |
| Stem cells total count (86367) | — | $584 | — |
| Stool cultr aerobic bact ea (87046) range across 2 matching MRF lines |
— | $31–$77 | — |
| Storage (per year); reproductive tissue, testicular/ovarian Facility Physician Professional Component (89344) | — | $266 | — |
| Storage per year sperm/semen (89343) | — | $266 | — |
| Strep a assay w/optic (87880) | — | $63 | — |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
— | $100–$142 | — |
| Strep b DNA amp probe (87653) range across 3 matching MRF lines |
— | $205–$572 | — |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | — | $161 | — |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | — | $1,327 | — |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
— | $77–$570 | — |
| Sulfate urine (84392) | — | $195 | — |
| Surg path level iii (88304) range across 2 matching MRF lines |
— | $422–$517 | — |
| Surgical pathology level IV (88305) range across 7 matching MRF lines |
— | $466–$597 | — |
| Surgical pathology level vi (88309) | — | $1,381 | — |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | — | $257 | — |
| Susceptibility Study Antimicrobial Disk Method (87184) | — | $122 | — |
| Sweat Collection Iontophoresis (89230) | — | $237 | — |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
— | $67–$136 | — |
| T cells absolute cd4 count (86361) | — | $591 | — |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | — | $438 | — |
| T cells total count (86359) | — | $542 | — |
| T3 Free (84481) | — | $158 | — |
| T3 reverse (84482) | — | $208 | — |
| T3 Total (84480) | — | $484 | — |
| T3 Uptake (84479) | — | $119 | — |
| T4 Free (84439) range across 2 matching MRF lines |
— | $189–$430 | — |
| T4 total (84436) | — | $277 | — |
| Tacrolimus (80197) | — | $317 | — |
| Tau phosphorylated each (84393) | — | $712 | — |
| Test for urine cystines (82615) | — | $122 | — |
| Testosterone Bioavailable (84410) range across 2 matching MRF lines |
— | $320–$785 | — |
| Testosterone total (84403) range across 3 matching MRF lines |
— | $117–$290 | — |
| Testosterone, Free (84402) | — | $332 | — |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) range across 2 matching MRF lines |
— | $319–$1,029 | — |
| Theophylline (80198) | — | $425 | — |
| Thiocyanate (84430) | — | $476 | — |
| Thiopurine methyltransferase (84433) | — | $180 | — |
| Thrombin Time (85670) | — | $133 | — |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | — | $119 | — |
| Thyroglobulin (84432) range across 4 matching MRF lines |
— | $41–$381 | — |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
— | $45–$437 | — |
| Thyroid Stimulating Immunoglobulin (84445) | — | $497 | — |
| Thyroxine binding globulin (84442) | — | $264 | — |
| Tiss cul neo disorders solid tumor (88239) range across 3 matching MRF lines |
— | $678–$1,339 | — |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | — | $319 | — |
| Tissue Culture (88233) range across 7 matching MRF lines |
— | $404–$3,661 | — |
| Tissue Culture Amniotic Fluid (88235) range across 3 matching MRF lines |
— | $761–$1,432 | — |
| Tissue culture bone marrow (88237) range across 4 matching MRF lines |
— | $759–$1,825 | — |
| Tissue Culture Lymphocyte (88230) range across 6 matching MRF lines |
— | $1,144–$1,740 | — |
| Tobramycin peak (80200) | — | $266 | — |
| Topiramate (80201) | — | $253 | — |
| Total Tau (84394) | — | $712 | — |
| Touch prep (88161) | — | $322 | — |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
— | $136–$463 | — |
| Toxoplasma antibody (86777) | — | $301 | — |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
— | $42–$144 | — |
| Transferrin (84466) | — | $254 | — |
| Trg gene rearrangement anal (81342) | — | $1,642 | — |
| Trichinella Antibody (86784) | — | $585 | — |
| Trichomonas vagin dir probe (87660) | — | $180 | — |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
— | $91–$421 | — |
| Triglycerides (84478) range across 2 matching MRF lines |
— | $95–$141 | — |
| Troponin Quant (84484) | — | $264 | — |
| Trypsin feces qual (84488) | — | $254 | — |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
— | $471–$730 | — |
| Unlisted miscellaneous pathology test (89240) range across 2 matching MRF lines |
— | $532–$561 | — |
| Unlisted Surgical Pathology Procedure (88399) range across 5 matching MRF lines |
— | $73–$171 | — |
| Unlisted Transfusion Medicine Procedure (86999) | — | $2,518 | — |
| Urea Nitrogen Clearance (84545) | — | $293 | — |
| Urea nitrogen urine (84540) range across 2 matching MRF lines |
— | $94–$304 | — |
| Uric acid other source (84560) | — | $101 | — |
| Urinalysis Microscopic Only (81015) | — | $84 | — |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) range across 2 matching MRF lines |
— | $45–$85 | — |
| Urinalysis Volume Measure (81050) | — | $84 | — |
| Urine Bacteria Culture (87088) | — | $264 | — |
| Urine Pregnancy Test (81025) | — | $189 | — |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | — | $119 | — |
| Urobilinogen, feces, quantitative Facility (84577) | — | $629 | — |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | — | $195 | — |
| Valproic acid (80164) | — | $293 | — |
| Vancomycin (80202) | — | $253 | — |
| Varicella-zoster antibody (86787) range across 4 matching MRF lines |
— | $158–$394 | — |
| Vasopressin (84588) | — | $266 | — |
| Very Long Chain Fatty Acids (82726) | — | $2,059 | — |
| Viral Culture (87252) range across 5 matching MRF lines |
— | $231–$855 | — |
| Virus antibody nos (86790) range across 3 matching MRF lines |
— | $64–$537 | — |
| Virus inoculate tissue addl (87253) range across 2 matching MRF lines |
— | $100–$331 | — |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
— | $64–$173 | — |
| Viscosity serum (85810) | — | $276 | — |
| Vit D 1 25-Dihydroxy (82652) | — | $261 | — |
| Vitamin A (84590) | — | $162 | — |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
— | $39–$440 | — |
| Vitamin B2 (Riboflavin) (84252) range across 2 matching MRF lines |
— | $40–$372 | — |
| Vitamin B6 (84207) | — | $240 | — |
| Vitamin c (82180) | — | $173 | — |
| Vitamin D 25-Hydroxy (82306) | — | $584 | — |
| Vitamin E (84446) | — | $165 | — |
| Vitamin K (84597) | — | $421 | — |
| Volatiles (84600) | — | $1,141 | — |
| Von willebrand factor ag (85246) | — | $389 | — |
| Wbc Alkaline Phosphatase Count (85540) | — | $307 | — |
| West nile virus ab igm (86788) | — | $182 | — |
| West Nile Virus Antibody (86789) | — | $463 | — |
| Western Blot Test (84181) range across 2 matching MRF lines |
— | $163–$2,148 | — |
| Zika Virus Dna/Rna Amp Probe (87662) | — | $500 | — |
| Zinc (84630) | — | $208 | — |
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.