Lab & pathology prices at UT Health San Antonio Multispecialty & Research Ho
San Antonio, TX · every code in this section with a posted price and a Medicare benchmark.
680 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $45 | $75 | 2.0× |
| 5 Nucleotidase (83915) | $22.20 | $37 | 2.0× |
| Abl1 gene analysis kinase domain variants (81170) | $585 | $975 | 2.0× |
| Acetylcholine receptor binding antibody (86041) | $36 | $60 | 2.0× |
| Acetylcholine receptor blocking antibody (86042) | $36 | $60 | 2.0× |
| Acetylcholn Rcptr Modlg Antb (86043) | $24 | $40 | 2.0× |
| Acth (82024) | $75.60 | $126 | 2.0× |
| Actin smooth muscle antibody each (86015) | $24 | $40 | 2.0× |
| Acute hepatitis panel (80074) | $93 | $155 | 2.0× |
| Albumin Fluid (82042) | $15.60 | $26 | 2.0× |
| Albumin serum (82040) | $10.20 | $17 | 2.1× |
| Aldolase (82085) | $19.20 | $32 | 2.0× |
| Aldosterone urine (82088) | $79.80 | $133 | 2.0× |
| Alkaline phosphatase isoenzymes (84080) | $29.40 | $49 | 2.0× |
| Allergen spec ige qual multiallergen screen (86005) | $15.60 | $26 | 2.0× |
| Allergen specific ige (86003) | $10.20 | $17 | 2.0× |
| Alpha-1-antitrypsin phenotype (82104) | $28.20 | $47 | 2.0× |
| Alpha-1-antitrypsin total (82103) | $6.60 | $11 | 0.5× |
| Alpha-Fetoprotein Serum (82105) | $33 | $55 | 2.0× |
| Alt (sgpt) (84460) | $10.80 | $18 | 2.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $33 | $55 | 2.0× |
| Aminolevulinic acid (ala) (82135) | $32.40 | $54 | 2.0× |
| Ammonia (82140) | $28.80 | $48 | 2.0× |
| Amylase urine (82150) | $13.20 | $22 | 2.0× |
| Ana Titer (86039) | $22.20 | $37 | 2.0× |
| Anca screen each antibody (86036) | $24 | $40 | 2.0× |
| Androstenedione (82157) | $57.60 | $96 | 2.0× |
| Angiotensin converting enzyme csf (82164) | $28.80 | $48 | 2.0× |
| Antibody aspergillus (86606) | $29.40 | $49 | 2.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $30.60 | $51 | 2.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $33 | $55 | 2.0× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $25.80 | $43 | 2.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $30 | $50 | 2.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $35.40 | $59 | 2.0× |
| Antibody Fungus Not Elsewhere Specified (86671) | $24 | $40 | 2.0× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $28.20 | $47 | 2.0× |
| Antibody Herpes Smplx Type 1 (86695) | $25.80 | $43 | 2.0× |
| Antibody HIV-2 (86702) | $26.40 | $44 | 2.0× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $631.80 | $1,053 | 2.0× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $37.80 | $63 | 2.0× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$8.40–$24.60 | $14–$41 | varies |
| Antibody Titer (86886) | $317.40 | $529 | 61.3× |
| Antibody Treponema Pallidum (86780) | $26.40 | $44 | 2.0× |
| Antigen typing (86905) | $668.40 | $1,114 | 174.5× |
| Antinuclear antibodies (86038) | $24 | $40 | 2.0× |
| Antistreptolysin o titer (86060) | $14.40 | $24 | 2.0× |
| Antithrombin iii activity (85300) | $23.40 | $39 | 2.0× |
| Antithrombin iii antigen (85301) | $21.60 | $36 | 2.0× |
| Apolipoprotein a1 (82172) | $41.40 | $69 | 2.0× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $73.80 | $123 | 2.0× |
| Aquaporin-4 Antb Cba Each (86052) | $24 | $40 | 2.0× |
| Arsenic (82175) | $37.20 | $62 | 2.0× |
| Aspergillus ag eia (87305) | $23.40 | $39 | 2.0× |
| Assay activated protein c (85307) | $30 | $50 | 2.0× |
| Assay Blood Carbon Dioxide (82374) | $9.60 | $16 | 2.0× |
| Assay of 5-hiaa (83497) | $25.20 | $42 | 2.0× |
| Assay of anti-mullerian hormone (82166) | $75.60 | $126 | 2.0× |
| Assay of blood/uric acid (84550) | $9 | $15 | 2.0× |
| Assay of calcium in urine (82340) | $12 | $20 | 2.0× |
| Assay of cpk in blood (82552) | $26.40 | $44 | 2.0× |
| Assay of estrone (82679) | $49.20 | $82 | 2.0× |
| Assay of g6pd enzyme (82955) | $19.20 | $32 | 2.0× |
| Assay of gammaglobulin igm (82784) | $18.60 | $31 | 2.0× |
| Assay of lactic acid (83605) | $22.80 | $38 | 2.0× |
| Assay of manganese (83785) | $52.20 | $87 | 2.0× |
| Assay of metanephrines (83835) | $33.60 | $56 | 2.0× |
| Assay of proinsulin (84206) | $52.20 | $87 | 2.0× |
| Assay of serotonin (84260) | $60.60 | $101 | 2.0× |
| Assay of serum potassium (84132) | $9.60 | $16 | 2.0× |
| Assay of sweat sodium (84302) | $9.60 | $16 | 2.0× |
| Assay of urea nitrogen (84520) | $7.80 | $13 | 2.0× |
| Assay of vitamin b-1 (84425) | $41.40 | $69 | 2.0× |
| Assay Ph Body Fluid Nos (83986) | $7.20 | $12 | 2.0× |
| Assay spec xcp ur&breath ia (82077) | $34.20 | $57 | 2.0× |
| Asstd Fertilization Microtq > 10 Oocytes (89281) | $317.40 | $529 | 1.9× |
| Asstd oocyte fert 10 or less (89280) | $1,597.80 | $2,663 | 2.0× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $317.40 | $529 | 1.9× |
| B cells total count (86355) | $73.80 | $123 | 2.0× |
| Babesia microti amp prb (87469) | $69 | $115 | 2.0× |
| Bartonella antibody (86611) | $20.40 | $34 | 2.0× |
| Bcr/abl1 gene major bp (81206) | $319.80 | $533 | 2.0× |
| Bcr/abl1 gene minor bp (81207) | $282.60 | $471 | 2.0× |
| Bcr/Abl1 Gene Other Bp (81208) | $377.40 | $629 | 1.8× |
| Beta 2 glycoprotein i antibody each (86146) | $49.80 | $83 | 2.0× |
| Beta hydroxybutyrate (82010) | $16.20 | $27 | 2.0× |
| Beta Lactamase (87185) | $9.60 | $16 | 2.0× |
| Bilirubin direct (82248) | $10.20 | $17 | 2.0× |
| Bilirubin total (82247) | $10.20 | $17 | 2.0× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5… (89291) | $317.40 | $529 | 1.9× |
| Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); less than or… (89290) | $317.40 | $529 | 1.9× |
| Blastomyces antibody (86612) | $25.20 | $42 | 2.0× |
| Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) | $97.80 | $163 | 1.9× |
| Blood count reticulocyte automated (85045) | $7.80 | $13 | 2.0× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $7.80 | $13 | 2.1× |
| Blood gas (82803) | $51 | $85 | 2.0× |
| Blood gases w/02 saturation (82805) | $154.20 | $257 | 2.0× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $31.20 | $52 | 2.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $668.40 | $1,114 | 105.3× |
| Blood typing serologic abo (86900) | $237.60 | $396 | 79.5× |
| Body fluid cell count (89050) | $9.60 | $16 | 2.0× |
| Bone marrow smear interpretation (85097) | $1,597.80 | $2,663 | 2.0× |
| Braf gene analysis (81210) | $342.60 | $571 | 2.0× |
| Brca1&2 gen full seq dup/del (81162) | $3,558.60 | $5,931 | 2.0× |
| Breath Alcohol Test (82075) | $58.80 | $98 | 2.0× |
| Brucella antibody (86622) | $18 | $30 | 2.0× |
| C diff amplified probe (87493) | $73.20 | $122 | 2.0× |
| C-Peptide (84681) | $40.80 | $68 | 2.0× |
| C-reactive protein (86140) | $10.20 | $17 | 2.0× |
| Ca 19-9 (86301) | $40.80 | $68 | 2.0× |
| Cadmium (82300) | $46.20 | $77 | 2.0× |
| Caffeine (80155) | $75.60 | $126 | 2.0× |
| Calcitonin (82308) | $52.80 | $88 | 2.0× |
| Calcium ionized (82330) | $27 | $45 | 2.0× |
| Calcium total (82310) | $10.20 | $17 | 2.0× |
| Calculus Spectroscopy (82365) | $25.20 | $42 | 2.0× |
| Calprotectin Fecal (83993) | $38.40 | $64 | 2.0× |
| Calr gene com variants (81219) | $237.60 | $396 | 2.0× |
| Cancer Antigen 125 (86304) | $40.80 | $68 | 2.0× |
| Cancer Antigen 27.29 (86300) | $40.80 | $68 | 2.0× |
| Carbamazepine total (80156) | $28.80 | $48 | 2.0× |
| Carboxyhemoglobin (82375) | $24.60 | $41 | 2.0× |
| Carcinoembryonic antigen (82378) | $37.20 | $62 | 2.0× |
| Cardiolipin ab iga (86147) | $49.80 | $83 | 2.0× |
| Carnitine Quantitative Each Specimen (82379) | $33 | $55 | 2.0× |
| Catecholamines fractionated (82384) | $49.80 | $83 | 2.0× |
| Ccp antibody (86200) | $25.80 | $43 | 2.0× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $472.20 | $787 | 2.0× |
| Cell count csf (89051) | $11.40 | $19 | 2.0× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $265.20 | $442 | 2.0× |
| Ceruloplasmin (82390) | $21 | $35 | 2.0× |
| Cftr gene com variants (81220) | $1,085.40 | $1,809 | 2.0× |
| Chg cryopreservation mature oocyte(s) (89337) | $317.40 | $529 | 1.9× |
| Chlamydia antibody (86631) | $23.40 | $39 | 2.0× |
| Chloride other source (82438) | $10.20 | $17 | 2.0× |
| Chloride Serum (82435) | $9 | $15 | 2.0× |
| Chloride urine (82436) | $11.40 | $19 | 2.0× |
| Cholesterol total (82465) | $9 | $15 | 2.1× |
| Chorionic gonadotropin test (84702) | $29.40 | $49 | 2.0× |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $367.80 | $613 | 2.0× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $65.40 | $109 | 2.0× |
| Chrmsm Analysis Addl Specialized Banding (88283) | $133.80 | $223 | 2.0× |
| Chromium serum (82495) | $39.60 | $66 | 2.0× |
| Chromogenic Substrate Assay (85130) | $23.40 | $39 | 2.0× |
| Chromogranin a (86316) | $40.80 | $68 | 2.0× |
| Chromosome analys amniotic (88269) | $339 | $565 | 2.0× |
| Chromosome Analysis 15-20 (88262) | $244.80 | $408 | 2.0× |
| Chromosome Analysis 20-25 (88264) | $282 | $470 | 2.0× |
| Chromosome analysis 45 cells (88263) | $293.40 | $489 | 2.0× |
| Chromosome analysis, 5 (88261) | $516 | $860 | 2.0× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $69 | $115 | 2.0× |
| Ckmb (82553) | $22.80 | $38 | 2.0× |
| Clostridium Difficile (87324) | $23.40 | $39 | 2.0× |
| Clot Factor VIII Multimetric (85247) | $45 | $75 | 2.0× |
| Clot factor xiii fibrin stab (85290) | $32.40 | $54 | 2.0× |
| Clotting factor xii hageman (85280) | $37.80 | $63 | 2.0× |
| Clotting Funct Activity (85397) | $60.60 | $101 | 2.0× |
| Cns DNA amp probe type 12-25 (87483) | $813 | $1,355 | 2.0× |
| Coagulation time activated (85347) | $8.40 | $14 | 2.0× |
| Coccidioides antibody (86635) | $22.80 | $38 | 2.0× |
| Cold agglutinin titer (86157) | $16.20 | $27 | 2.0× |
| Collagen crosslinks (82523) | $36.60 | $61 | 2.0× |
| Column Chromotography Quant (82542) | $47.40 | $79 | 2.0× |
| Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) | $594.60 | $991 | 2.0× |
| Compatibility test antiglob (86922) | $317.40 | $529 | 1.9× |
| Complement Antigen Each Component (86160) | $23.40 | $39 | 2.0× |
| Complement Total (Ch50) (86162) | $40.20 | $67 | 2.0× |
| Complement/Function Activity (86161) | $23.40 | $39 | 2.0× |
| Coombs direct (86880) | $114 | $190 | 21.2× |
| Copper urine (82525) | $24.60 | $41 | 2.0× |
| Cortisol free (82530) | $33 | $55 | 2.0× |
| Cortisol saliva (82533) | $31.80 | $53 | 2.0× |
| Creatine (82540) | $9.60 | $16 | 2.1× |
| Creatine kinase total (82550) | $13.20 | $22 | 2.0× |
| Creatinine blood (82565) | $10.20 | $17 | 2.0× |
| Creatinine clearance (82575) | $18.60 | $31 | 2.0× |
| Creatinine Urine (82570) | $10.20 | $17 | 2.0× |
| Crossmatch electronic (86923) | $317.40 | $529 | 1.9× |
| Crossmatch immediate spin (86920) | $317.40 | $529 | 1.9× |
| Crp High Sensitivity (86141) | $25.80 | $43 | 2.0× |
| Cryoglobulin (82595) | $13.20 | $22 | 2.0× |
| Cryopreservation, reproductive tissue, testicular (89335) | $100.80 | $168 | 1.9× |
| Cryopreservation; embryo(s) (89258) | $1,597.80 | $2,663 | 2.0× |
| Cryopreservation; sperm (89259) | $317.40 | $529 | 1.9× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $25.80 | $43 | 2.0× |
| Cryptococcal Antigen (87327) | $26.40 | $44 | 2.0× |
| Cryptococcus ag titer (87899) | $31.80 | $53 | 2.0× |
| Cryptosporidium ag eia (87328) | $27 | $45 | 2.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 4 matching MRF lines |
$9–$60 | $15–$100 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $16.20 | $27 | 2.0× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $15.60 | $26 | 2.0× |
| Culture afb (87116) range across 2 matching MRF lines |
$21.60–$22.20 | $36–$37 | varies |
| Culture Anaerobic (87075) | $18.60 | $31 | 2.0× |
| Culture blood (87040) | $20.40 | $34 | 2.0× |
| Culture csf (87070) | $17.40 | $29 | 2.0× |
| Culture fungus (87102) | $16.80 | $28 | 2.0× |
| Culture fungus blood (87103) | $40.20 | $67 | 2.0× |
| Culture of oocyte(s)/embryo(s), less than 4 days; with co-culture of oocyte(s)/embryos (89251) | $25.20 | $42 | 0.1× |
| Culture oocyte/embryos<4day (89250) | $317.40 | $529 | 1.9× |
| Culture screen only (87081) | $13.20 | $22 | 2.0× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) range across 4 matching MRF lines |
$24.60–$91.80 | $41–$153 | varies |
| Culture typing if ea antiserum (87140) | $11.40 | $19 | 2.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $10.20 | $17 | 2.0× |
| Culture typing other methods (87158) | $15.60 | $26 | 2.0× |
| Culture urine (87086) | $16.20 | $27 | 2.0× |
| Cyclosporine (80158) | $35.40 | $59 | 2.0× |
| Cytogenetics 10-30 (88273) | $68.40 | $114 | 2.0× |
| Cytogenetics 100-300 (88275) | $100.20 | $167 | 2.0× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $2,262 | $3,770 | 2.0× |
| Cytogenomic neo microra alys (81277) | $2,262.60 | $3,771 | 2.0× |
| Cytomegalovirus igg (86644) | $28.20 | $47 | 2.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $39.60 | $66 | 2.0× |
| Cytopath Cell Enhance Tech (88112) | $100.80 | $168 | 1.9× |
| Cytp Concentration Smears & Interpretation (88108) | $70.20 | $117 | 1.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $100.80 | $168 | 1.9× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $317.40 | $529 | 1.9× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $72 | $120 | 1.9× |
| Detect Agent Nos Dna Amp (87798) | $69 | $115 | 2.0× |
| Detect Agent Nos Dna Quant (87799) | $84 | $140 | 2.0× |
| Detect agnt mult DNA ampli (87801) | $137.40 | $229 | 2.0× |
| Dgp Antibody Each Ig Class (86258) | $24 | $40 | 2.0× |
| Dhea (82626) | $49.80 | $83 | 2.0× |
| Dhea-S (82627) | $43.80 | $73 | 2.0× |
| Digoxin (80162) | $26.40 | $44 | 2.0× |
| Dipropylacetic Acid Free (80165) | $27 | $45 | 2.0× |
| Dna Antibody Native/Double Stranded (86225) | $27 | $45 | 2.0× |
| Dna/Rna Amplified Probe (87150) | $69 | $115 | 2.0× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$39.60–$55.80 | $66–$93 | varies |
| Dna/Rna Sequencing (87153) range across 5 matching MRF lines |
$180–$225 | $300–$375 | varies |
| Dpyd gene common variants (81232) | $341.40 | $569 | 2.0× |
| Drug assay acetaminophen (80143) | $36.60 | $61 | 2.0× |
| Drug assay felbamate (80167) | $36.60 | $61 | 2.0× |
| Drug Assay Itraconazole (80189) | $53.40 | $89 | 2.0× |
| Drug Assay Lacosamide (80235) | $53.40 | $89 | 2.0× |
| Drug Assay Posaconazole (80187) | $53.40 | $89 | 2.0× |
| Drug assay voriconazole (80285) | $53.40 | $89 | 2.0× |
| Drug Screen Quant Zonisamide (80203) | $26.40 | $44 | 2.0× |
| Drug Screen Quantitative Gabapentin (80171) | $44.40 | $74 | 2.0× |
| Drug Screen Quantitative Lamotrigine (80175) | $26.40 | $44 | 2.0× |
| Drug Screen Quantitative Levetiracetam (80177) | $26.40 | $44 | 2.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $26.40 | $44 | 2.0× |
| Drug Screen Quantitative Tiagabine (80199) | $53.40 | $89 | 2.0× |
| Drug Test Prsmv Chem Anlyzr (80307) | $121.20 | $202 | 2.0× |
| Drug Test Prsmv Dir Opt Obs (80305) | $24.60 | $41 | 2.0× |
| Ehrlichia antibody (86666) | $20.40 | $34 | 2.0× |
| El-1 Fecal Quantitative (82653) | $45 | $75 | 2.0× |
| Electrolyte panel (80051) | $21 | $35 | 3.0× |
| Electron Microscopy (88348) | $1,597.80 | $2,663 | 2.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $37.20 | $62 | 0.6× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $24 | $40 | 2.0× |
| Enterovirus PCR (87498) | $69 | $115 | 2.0× |
| Enzyme cell activity (82657) | $43.80 | $73 | 2.0× |
| Erythropoietin (82668) | $120 | $200 | 6.4× |
| Estradiol serum (82670) | $54.60 | $91 | 2.0× |
| Estrogens fractionated (82671) | $63 | $105 | 2.0× |
| Ethosuximide (80168) | $32.40 | $54 | 2.0× |
| Exam Synovial Fluid Crystals (89060) | $14.40 | $24 | 2.0× |
| Extnd Cul Oocyte/Embryo 4-7 Days (89272) | $1,597.80 | $2,663 | 2.0× |
| F2 Gene (81240) | $128.40 | $214 | 2.0× |
| Factor ii activity (85210) | $25.80 | $43 | 2.0× |
| Factor Inhibitor Test (85335) range across 3 matching MRF lines |
$25.20–$36.60 | $42–$61 | varies |
| Factor ix activity (85250) | $37.20 | $62 | 2.0× |
| Factor v activity (85220) | $34.80 | $58 | 2.0× |
| Factor v leiden mutation (81241) | $143.40 | $239 | 2.0× |
| Factor vii assay (85230) | $35.40 | $59 | 2.0× |
| Factor viii assay (85240) | $35.40 | $59 | 2.0× |
| Factor X (85260) | $35.40 | $59 | 2.0× |
| Factor xi activity (85270) | $35.40 | $59 | 2.0× |
| Factor xiii screen (85291) | $18 | $30 | 2.0× |
| Fecal Fat Qualitative (82705) | $10.20 | $17 | 2.0× |
| Ferritin (82728) | $27 | $45 | 2.0× |
| Fetal Congenital Abnor Assay Four Anal (81511) | $299.40 | $499 | 2.0× |
| Fetal hemoglobin assay qual (83033) | $15.60 | $26 | 2.0× |
| Fibrin Degradation Quant (85379) | $20.40 | $34 | 2.0× |
| Fibrinogen activity (85384) | $19.20 | $32 | 2.0× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $30.60 | $51 | 2.0× |
| Flecainide level (80181) | $36.60 | $61 | 2.0× |
| Flow cytometry first marker (88184) | $668.40 | $1,114 | 1.9× |
| Flt3 Gene (81245) | $322.80 | $538 | 2.0× |
| Flt3 gene analysis (81246) | $162 | $270 | 2.0× |
| Fluorescent antibody screen (86255) | $24 | $40 | 2.0× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $24 | $40 | 2.0× |
| Fmr1 Gene Charac Alleles (81244) | $87.60 | $146 | 2.0× |
| Fmr1 gene detection (81243) | $111.60 | $186 | 2.0× |
| Folic acid rbc (82747) | $34.80 | $58 | 2.0× |
| Folic Acid Serum (82746) | $28.80 | $48 | 2.0× |
| Follicle Stimulating Hormone (83001) | $36.60 | $61 | 2.0× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $317.40 | $529 | 1.9× |
| Frozen Blood Each Unit Thawing (86931) | $317.40 | $529 | 1.9× |
| Frozen blood freeze/thaw (86932) | $75 | $125 | 2.0× |
| Frozen Section (88331) | $317.40 | $529 | 1.9× |
| Fungi Identification Mold (87107) | $20.40 | $34 | 2.0× |
| Fungi Identification Yeast (87106) | $20.40 | $34 | 2.0× |
| Gammaglobulin ige (82785) | $32.40 | $54 | 2.0× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $19.20 | $32 | 2.0× |
| Gastrin (82941) | $34.80 | $58 | 2.0× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $813 | $1,355 | 2.0× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,481.40 | $2,469 | 2.0× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $5,693.40 | $9,489 | 2.0× |
| Genet Virus Isolate Hsv (87255) | $66.60 | $111 | 2.0× |
| Genetic Tstg Severe Inh Cond (81443) | $4,774.80 | $7,958 | 2.0× |
| Gentamicin (80170) | $32.40 | $54 | 2.0× |
| Ggt (82977) | $14.40 | $24 | 2.0× |
| Giardia antigen (87329) | $23.40 | $39 | 2.0× |
| Glucose 2 hr pp (82950) | $9.60 | $16 | 2.0× |
| Glucose body fluid (82945) | $7.80 | $13 | 2.0× |
| Glucose Serum (82947) | $7.80 | $13 | 2.0× |
| Glucose tolerance test (gtt) (82951) | $25.20 | $42 | 2.0× |
| Glycated Protein (82985) | $33 | $55 | 2.0× |
| Gonadotropin Chorionic Qualitative (84703) | $15 | $25 | 2.0× |
| Growth hormone (83003) | $33 | $55 | 2.0× |
| Gtt-added samples (82952) | $7.80 | $13 | 2.0× |
| H Pylori (C-13) Breath (83013) | $131.40 | $219 | 2.0× |
| Haptoglobin (83010) | $24.60 | $41 | 2.0× |
| Hba1/hba2 full gene sequence (81259) | $1,170 | $1,950 | 2.0× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $394.80 | $658 | 2.0× |
| Hbb duplication/deletion variants (81363) | $394.80 | $658 | 2.0× |
| Hbb Full Gene Sequence (81364) | $633 | $1,055 | 2.0× |
| Hdl Cholesterol (83718) | $16.20 | $27 | 2.0× |
| Helicobacter Pylori Stool (87338) | $28.20 | $47 | 2.0× |
| Helminth Antibody (86682) | $25.80 | $43 | 2.0× |
| Hematocrit (85014) | $4.80 | $8 | 2.0× |
| Hemoglobin (85018) | $4.80 | $8 | 2.0× |
| Hemoglobin a1c (83036) | $19.20 | $32 | 2.0× |
| Hemoglobin Chromotography (83021) | $35.40 | $59 | 2.0× |
| Hemoglobin electrophoresis (83020) | $25.20 | $42 | 2.0× |
| Hemoglobin Methemoglobin Quantitative (83050) | $16.20 | $27 | 2.0× |
| Hemoglobin plasma (83051) | $14.40 | $24 | 2.0× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $17.40 | $29 | 2.0× |
| Hemosiderin urine (83070) | $9.60 | $16 | 2.0× |
| Hep a ab igm (86709) | $22.20 | $37 | 2.0× |
| Heparin assay (85520) | $25.80 | $43 | 2.0× |
| Heparin Neutralization (85525) | $23.40 | $39 | 2.0× |
| Hepatitis a antibody total (86708) | $24.60 | $41 | 2.0× |
| Hepatitis b core ab igm (86705) | $23.40 | $39 | 2.0× |
| Hepatitis b core ab total (86704) | $24 | $40 | 2.0× |
| Hepatitis B Surface Antibody (86706) | $21 | $35 | 2.0× |
| Hepatitis B Surface Antigen (87340) | $20.40 | $34 | 2.0× |
| Hepatitis C Antibody (86803) | $28.20 | $47 | 2.0× |
| Hepatitis C Genotype (87902) | $502.20 | $837 | 2.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $84 | $140 | 2.0× |
| Herpes simplex type 2 (86696) | $37.80 | $63 | 2.0× |
| Hfe Gene (81256) | $127.80 | $213 | 2.0× |
| Histamine urine (83088) | $57.60 | $96 | 2.0× |
| Histoplasma antibody (86698) | $27 | $45 | 2.0× |
| Histoplasma antigen urine (87385) | $26.40 | $44 | 2.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $47.40 | $79 | 2.0× |
| Hiv-1 Antibody (86701) | $17.40 | $29 | 2.0× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $166.20 | $277 | 2.0× |
| HIV-2 probe&revrse trnscripj (87538) | $69 | $115 | 2.0× |
| Hla Class I Typing High Resolution Complete (81379) | $654 | $1,090 | 2.0× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $249 | $415 | 2.0× |
| Hla class i&ii antibody qual (86828) | $125.40 | $209 | 2.0× |
| Hla class ii high defin qual (86833) | $635.40 | $1,059 | 2.0× |
| Hla class ii typing high resolution one locus ea (81382) | $241.20 | $402 | 2.0× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $145.20 | $242 | 2.0× |
| Hla ii typing 1 locus lr (81376) | $238.80 | $398 | 2.0× |
| Hla-b27 (86812) | $50.40 | $84 | 2.0× |
| Homocysteine (83090) | $35.40 | $59 | 2.0× |
| Homogenization Tissue (87176) | $12 | $20 | 2.0× |
| Hpv High-Risk Types (87624) | $69 | $115 | 2.0× |
| Hpv Types 16 & 18 Only (87625) | $79.20 | $132 | 2.0× |
| Hsv Dna Amp Probe (87529) | $69 | $115 | 2.0× |
| Htlv-I Antibody (86687) | $18 | $30 | 2.0× |
| Htlv-ii antibody (86688) | $27.60 | $46 | 2.0× |
| Human Epididymis Protein 4 (86305) | $40.80 | $68 | 2.0× |
| Hydroxyprogesterone 17-d (83498) | $53.40 | $89 | 2.0× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $23.40 | $39 | 2.0× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $20.40 | $34 | 2.0× |
| Iaadi pneumocustis carinii (87281) | $23.40 | $39 | 2.0× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $69 | $115 | 2.0× |
| Iadna Candida Species Amplified Probe Tq (87481) | $69 | $115 | 2.0× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $69 | $115 | 2.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $93 | $155 | 2.7× |
| Iadna Cytomegalovirus Quantification (87497) | $84 | $140 | 2.0× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $69 | $115 | 2.0× |
| Iadna Hepatitis B Virus Quantification (87517) | $84 | $140 | 2.0× |
| Iadna Herpes Virus-6 Quantification (87533) | $81.60 | $136 | 2.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $69 | $115 | 2.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $81.60 | $136 | 2.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $69 | $115 | 2.0× |
| Idh1 common variants (81120) | $377.40 | $629 | 2.0× |
| Idh2 common variants (81121) | $377.40 | $629 | 1.3× |
| Ig Light Chains Free Each (83521) | $34.20 | $57 | 2.0× |
| Igg subclasses (82787) | $16.20 | $27 | 2.0× |
| Igh gene rearrange amp meth (81261) | $386.40 | $644 | 2.0× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $574.80 | $958 | 2.0× |
| Igk rearrangeabn clonal pop (81264) | $337.20 | $562 | 2.0× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $669.60 | $1,116 | 1.9× |
| Immunfix e-phorsis/urine/csf (86335) | $57.60 | $96 | 2.0× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $36 | $60 | 2.0× |
| Immunoassay infectious agent (86318) | $35.40 | $59 | 2.0× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $29.40 | $49 | 2.0× |
| Immunoassay nonantibody (83516) | $22.80 | $38 | 2.0× |
| Immunodiffusion Ouchterlony (86331) | $23.40 | $39 | 2.0× |
| Immunofixation electrophoresis (86334) | $43.80 | $73 | 2.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $317.40 | $529 | 1.9× |
| Immunohistochemistry (88342) | $317.40 | $529 | 1.9× |
| In situ hybridization 1st probe stain (88365) | $318.60 | $531 | 1.9× |
| In situ hybridization ea multiplex probe stain (88366) | $317.40 | $529 | 1.9× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) | $137.40 | $229 | 2.0× |
| Infectious Agent Dna/Rna Vancomycin Resistance (87500) | $69 | $115 | 2.0× |
| Influenza assay w/optic (87804) | $32.40 | $54 | 2.0× |
| Inhibin b (83520) | $34.20 | $57 | 2.0× |
| Insemination of oocytes (89268) | $317.40 | $529 | 1.9× |
| Insulin antibodies (86337) | $42 | $70 | 2.0× |
| Insulin total (83525) | $22.80 | $38 | 2.0× |
| Interleukin-6 (83529) | $34.20 | $57 | 2.0× |
| Intrinsic factor antibody (86340) | $30 | $50 | 2.0× |
| Iron (83540) | $13.20 | $22 | 2.0× |
| Iron Binding Capacity (83550) | $17.40 | $29 | 2.0× |
| Irradiation Blood Product Each Unit (86945) | $75 | $125 | 2.0× |
| Islet cell antibody (86341) | $46.20 | $77 | 2.0× |
| Jak2 gene analysis p.val617phe variant (81270) | $178.80 | $298 | 2.0× |
| Jak2 Gene Trgt Sequence Alys (81279) | $361.20 | $602 | 2.0× |
| Kit Gene Analysis D816 Variant(S) (81273) | $243.60 | $406 | 2.0× |
| Koh Prep (87220) | $8.40 | $14 | 2.0× |
| Lactate (ld) (ldh) enzyme (83615) | $12 | $20 | 2.0× |
| Lactoferrin fecal qualitative (83630) | $39 | $65 | 2.0× |
| Ldh Isoenzymes (83625) | $25.20 | $42 | 2.0× |
| LDL direct (83721) | $21 | $35 | 2.0× |
| Lead (83655) | $24 | $40 | 2.0× |
| Legionella antigen urine (87449) | $23.40 | $39 | 2.0× |
| Leptospira antibody (86720) | $31.80 | $53 | 2.0× |
| Leukocyte Histamine Release (86343) | $96 | $160 | 7.7× |
| Level I Surg Pathology Gross Examination Only (88300) | $55.80 | $93 | 1.9× |
| Level ii surg pathology grossµscopic exam (88302) | $55.80 | $93 | 1.5× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $668.40 | $1,114 | 1.9× |
| Lipase (83690) | $13.80 | $23 | 2.0× |
| Lipoprotein A (83695) | $28.20 | $47 | 2.0× |
| Lithium (80178) | $13.20 | $22 | 2.0× |
| Luteinizing Hormone (Lh) (83002) | $36.60 | $61 | 2.0× |
| Lyme disease antibody (86618) | $33.60 | $56 | 2.0× |
| Lymphocyte transformation (86353) | $96 | $160 | 2.0× |
| Lysozyme serum (85549) | $36.60 | $61 | 2.0× |
| M. Genitalium Amp Probe (87563) | $69 | $115 | 2.0× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $317.40 | $529 | 1.9× |
| M/phmtrc alys ishquant/semiq (88374) | $125.40 | $209 | 0.7× |
| Magnesium Urine (83735) | $13.20 | $22 | 2.0× |
| Mass Spectrometry Quant (83789) | $47.40 | $79 | 2.0× |
| Mercury urine (83825) | $31.80 | $53 | 2.0× |
| Metabolic panel ionized ca (80047) | $27 | $45 | 2.0× |
| Methylmalonic acid serum (83921) | $41.40 | $69 | 2.0× |
| Mgmt methylation analysis (81287) | $243.60 | $406 | 2.0× |
| Microalbumin, quantitative (82043) | $11.40 | $19 | 2.0× |
| Microbe Suscept Macrobroth (87188) | $13.20 | $22 | 2.0× |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) | $44.40 | $74 | 2.0× |
| Microsomal Antibodies Each (86376) | $28.80 | $48 | 2.0× |
| Mitochondrial Antibody Each (86381) | $49.80 | $83 | 2.0× |
| Mog-Igg1 Antb Cba Each (86362) | $24 | $40 | 2.0× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $73.80 | $123 | 2.0× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $79.80 | $133 | 2.0× |
| Molecular Cytogenetics Dna Probe Each (88271) | $42 | $70 | 2.0× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $82.80 | $138 | 2.0× |
| Molecular Pathology Procedure Level 6 (81405) | $588 | $980 | 2.0× |
| Mononuclear cell antigen (86356) | $52.80 | $88 | 2.0× |
| Mopath procedure level 2 (81401) | $267.60 | $446 | 2.0× |
| Mopath procedure level 4 (81403) | $361.20 | $602 | 2.0× |
| Mopath procedure level 5 (81404) | $536.40 | $894 | 2.0× |
| Mopath procedure level 7 (81406) | $552 | $920 | 2.0× |
| Mopath procedure level 9 (81408) | $3,900 | $6,500 | 2.0× |
| Mpl gene common variants (81338) | $293.40 | $489 | 2.0× |
| Mrsa Pcr (87641) | $69 | $115 | 2.0× |
| Mthfr Gene Analysis Common Variants (81291) | $127.80 | $213 | 2.0× |
| Mumps antibody (86735) | $25.80 | $43 | 2.0× |
| Muscle-Specific Kinase Antb (86366) | $36 | $60 | 2.0× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$28.80–$90.60 | $48–$151 | varies |
| Myoglobin urine (83874) | $25.20 | $42 | 2.0× |
| Natriuretic peptide (83880) | $76.80 | $128 | 2.0× |
| Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) | $278.40 | $464 | 2.0× |
| Niacin (84591) | $33.60 | $56 | 2.0× |
| Nk cells total count (86357) | $73.80 | $123 | 2.0× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $481.20 | $802 | 2.0× |
| Nuclear antigen antibody (86235) | $35.40 | $59 | 2.0× |
| Nudt15 Gene Common Variants (81306) | $568.20 | $947 | 2.0× |
| Occult blood feces (82272) | $8.40 | $14 | 2.0× |
| Oligoclonal bands (83916) | $54 | $90 | 2.0× |
| Oocyte identification from follicular fluid (89254) | $317.40 | $529 | 1.9× |
| Organic acids urine (83918) | $46.20 | $77 | 2.0× |
| Osmolality serum (83930) | $13.20 | $22 | 2.0× |
| Osmolality Urine (83935) | $13.80 | $23 | 2.0× |
| Osteocalcin (83937) | $58.80 | $98 | 2.0× |
| Outpatient Global Laboratory, Radiology and Diagnostic Services (89346) | $317.40 | $529 | 1.9× |
| Ova and parasites smears (87177) | $17.40 | $29 | 2.0× |
| Palb2 gene full gene seq (81307) | $1,319.40 | $2,199 | 2.0× |
| Parvovirus antibody (86747) | $29.40 | $49 | 2.0× |
| Path Clin Consltj Mod 21-40 (80504) | $317.40 | $529 | 1.9× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,597.80 | $2,663 | 2.0× |
| Pathology Clinical Consultation Hi Mdm 41-60 Min (80505) | $317.40 | $529 | 1.9× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $100.80 | $168 | 1.9× |
| Ph urine (81003) | $4.80 | $8 | 2.1× |
| Phenobarbital Level (80184) | $30 | $50 | 2.0× |
| Phenytoin (Dilantin) (80185) | $26.40 | $44 | 2.0× |
| Phenytoin free (80186) | $27 | $45 | 2.0× |
| Phosphatase alkaline (84075) | $10.20 | $17 | 2.0× |
| Phospholipid Neutralization Hexagonal (85598) | $35.40 | $59 | 2.0× |
| Phosphorus Serum (84100) | $9.60 | $16 | 2.0× |
| Phosphorus urine (84105) | $11.40 | $19 | 2.0× |
| Platelet Aggregation (85576) | $48.60 | $81 | 2.0× |
| Platelet Antibodies (86022) | $36 | $60 | 2.0× |
| Platelet count automated (85049) | $9 | $15 | 2.0× |
| Platelet neutralization (85597) | $35.40 | $59 | 2.0× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $404.40 | $674 | 2.0× |
| Pneumcysts jirovecii amp prb (87594) | $70.20 | $117 | 2.0× |
| Pooling blood platelets (86965) | $317.40 | $529 | 1.9× |
| Porphobilinogen, urine; quantitative (84110) | $16.80 | $28 | 2.0× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $28.80 | $48 | 2.0× |
| Potassium Urine (84133) | $9.60 | $16 | 2.0× |
| Prealbumin (84134) | $28.80 | $48 | 2.0× |
| Preparation of embryo for transfer (89255) | $100.80 | $168 | 1.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $114 | $190 | 1.9× |
| Primidone (80188) | $32.40 | $54 | 2.0× |
| Procalcitonin (Pct) (84145) | $53.40 | $89 | 2.0× |
| Progesterone (84144) | $40.80 | $68 | 2.0× |
| Prolactin (84146) | $37.80 | $63 | 2.0× |
| Protein body fluid (84157) | $7.80 | $13 | 2.0× |
| Protein C Activity (85303) | $22.80 | $38 | 1.6× |
| Protein c antigen (85302) | $24 | $40 | 2.0× |
| Protein Electrophoresis Urine (84166) | $34.80 | $58 | 2.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $21 | $35 | 2.0× |
| Protein S Free (85306) | $30 | $50 | 2.0× |
| Protein s total (85305) | $22.80 | $38 | 2.0× |
| Protein total serum (84155) | $7.20 | $12 | 2.0× |
| Protein Total Urine (84156) | $7.20 | $12 | 2.0× |
| Protein Western Blot Test (84182) | $57 | $95 | 2.0× |
| Protoporphyrin rbc quantitative (84202) | $28.20 | $47 | 2.0× |
| PSA free (84154) | $36 | $60 | 2.0× |
| Pth Intact (83970) | $81 | $135 | 2.0× |
| Pyruvate kinase (84220) | $18.60 | $31 | 2.0× |
| Q Fever Antibody (86638) | $24 | $40 | 2.0× |
| Quantiferon tb gold plus (86480) | $121.20 | $202 | 2.0× |
| Quantitative assay drug (80299) | $36.60 | $61 | 2.0× |
| Quantitative Screen Metals (83018) | $43.20 | $72 | 2.0× |
| Rbc antibody elution (86860) | $317.40 | $529 | 1.9× |
| Rbc antibody identification (86870) | $668.40 | $1,114 | 1.9× |
| Rbc antibody screen (86850) | $100.80 | $168 | 10.3× |
| Rbc pretreatment serum (86978) | $114 | $190 | 1.9× |
| Rbc pretx incubatj w/enzymes (86971) | $317.40 | $529 | 1.9× |
| Renin activity plasma (84244) | $43.20 | $72 | 2.0× |
| Reptilase test (85635) | $19.80 | $33 | 2.0× |
| Resp virus 12-25 targets (87633) | $813 | $1,355 | 2.0× |
| Reticulated Platelet Assay (85055) | $70.20 | $117 | 2.0× |
| Reticulocyte Count (85046) | $11.40 | $19 | 2.0× |
| Rh (86901) | $75 | $125 | 25.1× |
| Rheumatoid factor quant (86431) | $11.40 | $19 | 2.0× |
| Rickettsia antibody (86757) | $37.80 | $63 | 2.0× |
| Ristocetin cofactor (85245) | $45 | $75 | 2.0× |
| Rpr qualitative (86592) | $8.40 | $14 | 2.0× |
| Rubella Antibody (86762) | $28.20 | $47 | 2.0× |
| Rubeola antibody (86765) | $25.20 | $42 | 2.0× |
| Rufinamide (80210) | $53.40 | $89 | 2.0× |
| Russell Viper Venom Time Diluted (85613) | $19.20 | $32 | 2.0× |
| Salicylate Level (80179) | $36.60 | $61 | 2.0× |
| Salmonella antibody (86768) | $25.80 | $43 | 2.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $100.20 | $167 | 2.0× |
| Sars-cov-2 COVID-19 antibody (86769) | $82.20 | $137 | 2.0× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $81 | $135 | 2.0× |
| Sarscov2 & inf a&b amp prb (87636) | $278.40 | $464 | 2.0× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $278.40 | $464 | 2.0× |
| Sedimentation Rate, Automated (85652) | $5.40 | $9 | 2.0× |
| Selenium (84255) | $49.80 | $83 | 2.0× |
| Semen Anal Sperm Detection (89321) | $24 | $40 | 2.0× |
| Semen analysis complete (89322) | $30.60 | $51 | 2.0× |
| Semen analysis complete (89320) | $24.60 | $41 | 2.0× |
| Sensitivity mic (87186) range across 16 matching MRF lines |
$17.40–$300 | $29–$500 | varies |
| Serpina 1 gene (81332) | $85.20 | $142 | 2.0× |
| Sex Hormone Binding Globulin (84270) | $42.60 | $71 | 2.0× |
| Sickling of rbc reduction (85660) | $10.80 | $18 | 2.0× |
| Sirolimus (80195) | $27 | $45 | 2.0× |
| Smear acid fast (87206) | $8.40 | $14 | 1.6× |
| Smear complex stain (87209) | $35.40 | $59 | 2.0× |
| Smear gram stain (87205) | $8.40 | $14 | 2.0× |
| Smear Special Stain (87207) | $12 | $20 | 2.0× |
| Smn1 Gene Dos/Deletion Alys (81329) | $267.60 | $446 | 2.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $11.40 | $19 | 2.0× |
| Snrpn/Ube3a Methylation Analysis (81331) | $99.60 | $166 | 2.0× |
| Sodium Serum (84295) | $9.60 | $16 | 2.0× |
| Sodium Urine (84300) | $10.20 | $17 | 2.0× |
| Soluble Transferrin Receptor (84238) | $71.40 | $119 | 2.0× |
| Somatomedin (84305) | $42 | $70 | 2.0× |
| Special Stains Group 1 (88312) | $100.80 | $168 | 1.9× |
| Special Stains Group 2 (88313) | $114 | $190 | 0.9× |
| Specific gravity body fluid (84315) | $6.60 | $11 | 2.0× |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
$4.20–$13.20 | $7–$22 | varies |
| Spectrophotometry (84311) | $16.20 | $27 | 2.0× |
| Sperm identification from aspiration (89257) | $100.80 | $168 | 1.9× |
| Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) | $100.80 | $168 | 1.9× |
| Splitting Blood/Blood Products Each Unit (86985) | $317.40 | $529 | 1.9× |
| Sprm id from tstis tiss frsh/cryoprsrvd (89264) | $100.80 | $168 | 1.9× |
| Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) | $100.80 | $168 | 1.9× |
| Staph a DNA amp probe (87640) | $69 | $115 | 2.0× |
| Storage (per year); reproductive tissue, testicular/ovarian Facility Physician Professional Component (89344) | $317.40 | $529 | 1.9× |
| Storage per Year Embryo (89342) | $313.80 | $523 | 1.8× |
| Storage per year sperm/semen (89343) | $317.40 | $529 | 1.9× |
| Strep a assay w/optic (87880) | $32.40 | $54 | 2.0× |
| Strep a DNA amp probe (87651) | $69 | $115 | 2.0× |
| Strep b DNA amp probe (87653) | $69 | $115 | 2.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $71.40 | $119 | 0.8× |
| Surg path level iii (88304) | $100.80 | $168 | 1.9× |
| Surgical pathology level IV (88305) | $100.80 | $168 | 1.9× |
| Surgical pathology level vi (88309) | $1,597.80 | $2,663 | 2.0× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $9 | $15 | 1.9× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$9–$15 | $15–$25 | varies |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $80.40 | $134 | 2.0× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 12 matching MRF lines |
$21–$300 | $35–$500 | varies |
| Syphilis Test Non-Trep Quant (86593) | $9 | $15 | 2.0× |
| T cells absolute cd4 count (86361) | $52.80 | $88 | 2.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $91.80 | $153 | 2.0× |
| T cells total count (86359) | $73.80 | $123 | 2.0× |
| T3 Free (84481) | $33.60 | $56 | 2.0× |
| T3 reverse (84482) | $31.20 | $52 | 2.0× |
| T3 Total (84480) | $28.20 | $47 | 2.0× |
| T3 Uptake (84479) | $13.20 | $22 | 2.0× |
| T4 Free (84439) | $18 | $30 | 2.0× |
| T4 total (84436) | $13.80 | $23 | 2.0× |
| Tacrolimus (80197) | $27 | $45 | 2.0× |
| Tau phosphorylated each (84393) | $337.80 | $563 | 2.6× |
| Testosterone total (84403) | $50.40 | $84 | 2.0× |
| Testosterone, Free (84402) | $49.80 | $83 | 2.0× |
| Tgsap so/hl 51/< RNA alys (81456) | $5,693.40 | $9,489 | 2.0× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) | $24 | $40 | 2.0× |
| Thawing Cryopreserved Oocytes Each Aliquot (89356) | $317.40 | $529 | 1.9× |
| Thawing Cryopresrved Sperm (89353) | $100.80 | $168 | 1.9× |
| Thawing of cryopreserved embryos (89352) | $317.40 | $529 | 1.9× |
| Thrombin Time (85670) | $11.40 | $19 | 2.0× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $13.20 | $22 | 2.0× |
| Thyroglobulin (84432) | $31.80 | $53 | 2.0× |
| Thyroglobulin Antibody (86800) | $31.20 | $52 | 2.0× |
| Thyroid Stimulating Immunoglobulin (84445) | $99.60 | $166 | 2.0× |
| Tiss cul neo disorders solid tumor (88239) | $288 | $480 | 2.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $22.80 | $38 | 2.0× |
| Tissue Culture (88233) | $274.80 | $458 | 2.0× |
| Tissue Culture Amniotic Fluid (88235) | $293.40 | $489 | 2.0× |
| Tissue culture bone marrow (88237) | $280.80 | $468 | 2.0× |
| Tissue Culture Lymphocyte (88230) | $227.40 | $379 | 2.0× |
| Tobramycin peak (80200) | $31.80 | $53 | 2.0× |
| Topiramate (80201) | $23.40 | $39 | 2.0× |
| Toxoplasma ab igm (86778) | $28.20 | $47 | 2.0× |
| Toxoplasma antibody (86777) | $28.20 | $47 | 2.0× |
| Tp53 gene analysis full gene sequence (81351) | $1,252.20 | $2,087 | 2.0× |
| Tp53 gene analysis targeted sequence analysis (81352) | $642.60 | $1,071 | 2.0× |
| Tpmt gene com variants (81335) | $341.40 | $569 | 2.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $10.20 | $17 | 2.0× |
| Transferrin (84466) | $25.20 | $42 | 2.0× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $407.40 | $679 | 2.0× |
| Trg gene rearrangement anal (81342) | $393 | $655 | 2.0× |
| Trichomonas Vaginalis Amplif (87661) | $69 | $115 | 2.0× |
| Triglycerides (84478) | $11.40 | $19 | 2.0× |
| Troponin Quant (84484) | $24.60 | $41 | 2.0× |
| Tumor Immunohistochem/Manual (88360) | $317.40 | $529 | 1.9× |
| Ugt1a1 gene analysis common variants (81350) | $456.60 | $761 | 2.0× |
| Unlisted reproductive medicine lab procedure (89398) | $97.80 | $163 | 1.9× |
| Urea nitrogen urine (84540) | $11.40 | $19 | 2.1× |
| Uric acid other source (84560) | $10.20 | $17 | 2.0× |
| Urinalysis Microscopic Only (81015) | $6 | $10 | 2.0× |
| Urinalysis Volume Measure (81050) | $7.20 | $12 | 2.0× |
| Urine Albumin Semiquantitative (82044) | $12.60 | $21 | 2.0× |
| Urine Bacteria Culture (87088) | $16.20 | $27 | 2.0× |
| Urine Pregnancy Test (81025) | $16.80 | $28 | 2.0× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $6.60 | $11 | 2.1× |
| Valproic acid (80164) | $27 | $45 | 2.0× |
| Vancomycin (80202) | $27 | $45 | 2.0× |
| Varicella-zoster antibody (86787) | $25.20 | $42 | 2.0× |
| Very Long Chain Fatty Acids (82726) | $39 | $65 | 2.0× |
| Viral Culture (87252) | $51 | $85 | 2.0× |
| Virus antibody nos (86790) | $25.20 | $42 | 2.0× |
| Viscosity serum (85810) | $22.80 | $38 | 2.0× |
| Vit D 1 25-Dihydroxy (82652) | $75.60 | $126 | 2.0× |
| Vitamin A (84590) | $22.80 | $38 | 2.0× |
| Vitamin b-12 (82607) | $30 | $50 | 2.0× |
| Vitamin B6 (84207) | $55.20 | $92 | 2.0× |
| Vitamin D 25-Hydroxy (82306) | $58.20 | $97 | 2.0× |
| Vitamin E (84446) | $28.20 | $47 | 2.0× |
| Vitamin K (84597) | $27 | $45 | 2.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $24 | $40 | 2.0× |
| Volume Reduction Blood/Blood Product Each Unit (86960) | $317.40 | $529 | 1.9× |
| Von willebrand factor ag (85246) | $45 | $75 | 2.0× |
| West nile virus ab igm (86788) | $33 | $55 | 2.0× |
| West Nile Virus Antibody (86789) | $28.20 | $47 | 2.0× |
| Zika Virus Dna/Rna Amp Probe (87662) | $100.20 | $167 | 2.0× |
| Zinc (84630) | $22.80 | $38 | 2.0× |
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.