Lab & pathology prices at UVA Health Prince William Medical Center
Manassas, VA · every code in this section with a posted price and a Medicare benchmark.
951 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $106.50 | $213 | 4.7× |
| 5 Nucleotidase (83915) | $76 | $152 | 6.8× |
| Abl1 gene analysis kinase domain variants (81170) | $175 | $350 | 0.6× |
| Acetylcholine receptor binding antibody (86041) | $94.50 | $189 | 5.1× |
| Acetylcholine receptor blocking antibody (86042) | $58.50 | $117 | 3.2× |
| Acetylcholinesterase Assay (82013) | $73.50 | $147 | 6.0× |
| Acetylcholn Rcptr Modlg Antb (86043) | $58.50 | $117 | 4.9× |
| Acth (82024) | $350 | $700 | 9.1× |
| Actin smooth muscle antibody each (86015) | $15 | $30 | 1.2× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$744–$767.50 | $1,488–$1,535 | varies |
| Acylcarnitines Quant (82017) | $271.50 | $543 | 16.1× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $45.50 | $91 | 2.8× |
| Adenovirus antibody (86603) | $112.50 | $225 | 8.7× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $496.50 | $993 | 7.7× |
| Agglutinins Febrile Each Antigen (86000) | $136.50 | $273 | 19.6× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$29.50–$43 | $59–$86 | varies |
| Albumin serum (82040) | $53 | $106 | 10.7× |
| Aldolase (82085) | $56.50 | $113 | 5.8× |
| Aldosterone urine (82088) | $367 | $734 | 9.0× |
| Alkaline phosphatase isoenzymes (84080) | $126.50 | $253 | 8.6× |
| Allergen spec ige qual multiallergen screen (86005) | $36 | $72 | 4.5× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$39.50–$41.50 | $79–$83 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$13.50–$53.50 | $27–$107 | varies |
| Allg Spec Ige Recomb Ea (86008) | $145 | $290 | 8.1× |
| Alpha-1-antitrypsin phenotype (82104) | $154.50 | $309 | 10.7× |
| Alpha-1-antitrypsin total (82103) | $144 | $288 | 10.7× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $66.50 | $133 | 3.9× |
| Alpha-Fetoprotein Serum (82105) | $152.50 | $305 | 9.1× |
| Alt (sgpt) (84460) | $53 | $106 | 10.0× |
| Aluminum (82108) | $185 | $370 | 7.3× |
| Amikacin trough (80150) | $71.50 | $143 | 4.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $211 | $422 | 9.2× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $179 | $358 | 10.6× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $145 | $290 | 10.5× |
| Amino Acids Quant 2-5 (82136) | $138 | $276 | 7.0× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $202.50 | $405 | 14.3× |
| Aminolevulinic acid (ala) (82135) | $182 | $364 | 11.1× |
| Ammonia (82140) | $138.50 | $277 | 9.5× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $539 | $1,078 | 5.5× |
| Amylase urine (82150) | $75.50 | $151 | 11.7× |
| Ana Titer (86039) | $81 | $162 | 7.3× |
| Anca screen each antibody (86036) | $67.50 | $135 | 5.6× |
| Anca Titer Each Antibody (86037) | $90.50 | $181 | 7.5× |
| Androstanediol Glucuronide (82154) | $111 | $222 | 3.9× |
| Androstenedione (82157) | $256.50 | $513 | 8.8× |
| Androsterone (hormone) level (82160) | $58 | $116 | 2.3× |
| Angiotensin converting enzyme csf (82164) | $156 | $312 | 10.7× |
| Angiotensin II (82163) | $131.50 | $263 | 6.4× |
| Anti-Phospholipid Antibody (86148) | $50.50 | $101 | 3.1× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$80.50–$120 | $161–$240 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $110.50 | $221 | 8.6× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $154 | $308 | 9.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $147 | $294 | 8.7× |
| Antibody Encephalitis California La Crosse (86651) | $62 | $124 | 4.7× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $49.50 | $99 | 3.8× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $160 | $320 | 10.5× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $172.50 | $345 | 9.5× |
| Antibody Fungus Not Elsewhere Specified (86671) | $131.50 | $263 | 10.7× |
| Antibody haemophilus influenza (86684) | $108.50 | $217 | 6.8× |
| Antibody helicobacter pylori (86677) | $132 | $264 | 7.8× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $127 | $254 | 8.8× |
| Antibody Herpes Smplx Type 1 (86695) | $85 | $170 | 6.4× |
| Antibody HIV-1&HIV-2 single result (86703) | $100 | $200 | 7.3× |
| Antibody HIV-2 (86702) | $167 | $334 | 12.4× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $207.50 | $415 | 0.6× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $174 | $348 | 1.8× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $174 | $348 | 2.1× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $183 | $366 | 9.5× |
| Antibody identification leukocyte antibodies (86021) | $153.50 | $307 | 10.2× |
| Antibody Identification Platelet Immunogl Assay (86023) | $185.50 | $371 | 14.9× |
| Antibody john cunningham virus (86711) | $52 | $104 | 3.1× |
| Antibody leishmania (86717) | $30.50 | $61 | 2.5× |
| Antibody Lymphocytic Choriomeningitis (86727) | $45.50 | $91 | 3.5× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$37–$56 | $74–$112 | varies |
| Antibody Titer (86886) | $66 | $132 | 12.7× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$58–$121 | $116–$242 | varies |
| Antibody yersinia (86793) | $45 | $90 | 3.4× |
| Antibody; campylobacter (86625) | $206 | $412 | 15.7× |
| Antibody; encephalitis, st. louis (86653) | $62 | $124 | 4.7× |
| Antibody; influenza virus (86710) | $93 | $186 | 6.9× |
| Antigen typing (86905) range across 2 matching MRF lines |
$35.50–$87.50 | $71–$175 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$13–$84.50 | $26–$169 | varies |
| Antinuclear antibodies (86038) | $130.50 | $261 | 10.8× |
| Antistreptolysin o titer (86060) | $76.50 | $153 | 10.5× |
| Antithrombin iii activity (85300) | $65 | $130 | 5.5× |
| Antithrombin iii antigen (85301) | $39 | $78 | 3.6× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $1,610 | $3,220 | 3.2× |
| Apolipoprotein a1 (82172) | $142 | $284 | 6.7× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $51 | $102 | 1.4× |
| Aquaporin-4 Antb Cba Each (86052) | $125 | $250 | 10.4× |
| Aquaporin-4 Antb Elisa (86051) | $491 | $982 | 42.6× |
| Arsenic (82175) | $156 | $312 | 8.2× |
| Ashkenazi Jewish Assoc Dis (81412) | $98.50 | $197 | 0.0× |
| Aspergillus ag eia (87305) | $102 | $204 | 8.5× |
| Assay activated protein c (85307) | $93 | $186 | 6.1× |
| Assay Blood Carbon Dioxide (82374) | $32 | $64 | 6.6× |
| Assay Dir Meas Fr Estradiol (82681) | $25.50 | $51 | 0.9× |
| Assay myeloperoxidase (83876) | $27 | $54 | 0.5× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$88–$90.50 | $176–$181 | varies |
| Assay of 5-hiaa (83497) | $104.50 | $209 | 8.1× |
| Assay of b-hexosaminidase each assay (83080) | $276.50 | $553 | 16.4× |
| Assay of blood/uric acid (84550) | $51.50 | $103 | 11.4× |
| Assay of calcium in urine (82340) | $44.50 | $89 | 7.4× |
| Assay of corticosterone (82528) | $186.50 | $373 | 8.3× |
| Assay of cpk in blood (82552) | $111 | $222 | 8.3× |
| Assay of estrone (82679) | $146 | $292 | 5.9× |
| Assay of g6pd enzyme (82955) | $59 | $118 | 6.1× |
| Assay of gammaglobulin igm (82784) | $100.50 | $201 | 10.8× |
| Assay of lactic acid (83605) | $73 | $146 | 6.3× |
| Assay of manganese (83785) | $123 | $246 | 4.6× |
| Assay of metanephrines (83835) | $165 | $330 | 9.7× |
| Assay of phosphatase alkaline heat stable (84078) | $111.50 | $223 | 13.5× |
| Assay of proinsulin (84206) | $111.50 | $223 | 4.2× |
| Assay of pyruvate (84210) | $140 | $280 | 9.7× |
| Assay of serotonin (84260) | $117 | $234 | 3.8× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$36–$47.50 | $72–$95 | varies |
| Assay of sweat sodium (84302) | $66.50 | $133 | 13.7× |
| Assay of transcortin (84449) | $106.50 | $213 | 5.9× |
| Assay of Tyrosine (84510) | $21.50 | $43 | 2.0× |
| Assay of urea nitrogen (84520) | $42 | $84 | 10.6× |
| Assay of urine vma (84585) | $91.50 | $183 | 5.9× |
| Assay of vasoactive intestinal peptide (84586) | $262.50 | $525 | 7.4× |
| Assay of vitamin b-1 (84425) | $227.50 | $455 | 10.7× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$13.50–$27.50 | $27–$55 | varies |
| Assay Phosphohexose Enzymes (84087) | $62 | $124 | 5.8× |
| Asy carbamazepin 10,11-epxid (80161) | $18.50 | $37 | 1.0× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $779 | $1,558 | 0.9× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $398 | $796 | 2.3× |
| Automated Leukocyte Count (85048) | $16.50 | $33 | 6.5× |
| B cells total count (86355) range across 2 matching MRF lines |
$166.50–$278.50 | $333–$557 | varies |
| Babesia microti amp prb (87469) | $25.50 | $51 | 0.7× |
| Bartonella antibody (86611) | $54.50 | $109 | 5.4× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$173–$245.50 | $346–$491 | varies |
| Bcr/abl1 gene minor bp (81207) | $74 | $148 | 0.5× |
| Bcr/Abl1 Gene Other Bp (81208) | $113 | $226 | 0.5× |
| Beta 2 glycoprotein i antibody each (86146) | $200.50 | $401 | 7.9× |
| Beta hydroxybutyrate (82010) | $73.50 | $147 | 9.0× |
| Beta Lactamase (87185) | $47.50 | $95 | 10.0× |
| Beta-2 Microglobulin (82232) | $91.50 | $183 | 5.7× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $8 | $16 | 0.1× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $40.50 | $81 | 0.3× |
| Bile acids total (82239) | $118 | $236 | 6.9× |
| Bilirubin direct (82248) | $52.50 | $105 | 10.5× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$41–$58 | $82–$116 | varies |
| Bilirubin total transcutaneous (88720) | $22 | $44 | 4.4× |
| Biotinidase (82261) | $77 | $154 | 4.6× |
| Blastomyces antibody (86612) | $47.50 | $95 | 3.7× |
| Bld Typing Serologic Rh Phnt (86906) | $54.50 | $109 | 7.0× |
| Blood Count Automated Differential Wbc Count (85004) | $53.50 | $107 | 8.3× |
| Blood Count Manual Cell Count Each (85032) | $45 | $90 | 10.4× |
| Blood Count Red Blood Cell Automated (85041) | $48.50 | $97 | 16.1× |
| Blood count reticulocyte automated (85045) | $38.50 | $77 | 9.6× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $64.50 | $129 | 17.0× |
| Blood count spun microhematocrit (85013) | $36 | $72 | 5.1× |
| Blood gas (82803) | $133 | $266 | 5.1× |
| Blood gases w/02 saturation (82805) | $46 | $92 | 0.6× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $43 | $86 | 2.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $42 | $84 | 9.6× |
| Blood Sulfhemoglobin Assay (83060) | $16.50 | $33 | 1.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $87.50 | $175 | 13.8× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$23.50–$64.50 | $47–$129 | varies |
| Body fluid cell count (89050) | $83 | $166 | 17.6× |
| Bone marrow smear interpretation (85097) | $399 | $798 | 0.5× |
| Bordetella antibody (86615) | $73.50 | $147 | 5.6× |
| Borrelia miyamotoi amp prb (87478) | $25.50 | $51 | 0.7× |
| Braf gene analysis (81210) | $282.50 | $565 | 1.6× |
| Brucella antibody (86622) | $46.50 | $93 | 5.2× |
| C diff amplified probe (87493) | $211.50 | $423 | 5.7× |
| C-Peptide (84681) | $111 | $222 | 5.3× |
| C-reactive protein (86140) | $68.50 | $137 | 13.2× |
| Ca 19-9 (86301) | $186 | $372 | 8.9× |
| Cadmium (82300) | $155.50 | $311 | 6.6× |
| Caffeine (80155) | $24.50 | $49 | 0.6× |
| Calcitonin (82308) | $226 | $452 | 8.4× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$102.50–$109.50 | $205–$219 | varies |
| Calcium total (82310) | $36 | $72 | 7.0× |
| Calculus Spectroscopy (82365) | $50 | $100 | 3.9× |
| Calprotectin Fecal (83993) | $202.50 | $405 | 10.3× |
| Calr gene com variants (81219) | $1,066 | $2,132 | 8.8× |
| Cancer Antigen 125 (86304) | $144 | $288 | 6.9× |
| Cancer Antigen 27.29 (86300) | $108 | $216 | 5.2× |
| Candida antibody (86628) | $45.50 | $91 | 3.8× |
| Candida Dna Dir Probe (87480) | $59 | $118 | 2.9× |
| Car Ion Chnnlpath Inc 2 Gns (81414) | $794.50 | $1,589 | 1.4× |
| Carbamazepine free (80157) | $108.50 | $217 | 8.2× |
| Carbamazepine total (80156) | $108 | $216 | 7.4× |
| Carbohydrate Deficient Transferrin (82373) | $238 | $476 | 13.2× |
| Carboxyhemoglobin (82375) | $94 | $188 | 7.6× |
| Carcinoembryonic antigen (82378) | $149 | $298 | 7.9× |
| Cardiolipin ab iga (86147) | $230 | $460 | 9.0× |
| Carnitine Quantitative Each Specimen (82379) | $167.50 | $335 | 9.9× |
| Carotene (82380) | $46.50 | $93 | 5.0× |
| Catecholamines fractionated (82384) | $191.50 | $383 | 7.6× |
| Ccp antibody (86200) | $119.50 | $239 | 9.2× |
| Cell count csf (89051) | $51 | $102 | 9.1× |
| Cell enumeration & id (86152) | $462 | $924 | 1.8× |
| Cell marker study (88182) | $398.50 | $797 | 7.4× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $303.50 | $607 | 2.2× |
| Ceruloplasmin (82390) | $95.50 | $191 | 8.9× |
| Cftr Gene Analysis Known Familial Variants (81221) | $282.50 | $565 | 2.9× |
| Cftr gene com variants (81220) | $166 | $332 | 0.3× |
| Cftr gene dup/delet variants (81222) | $96.50 | $193 | 0.2× |
| Chemiluminescent assay (82397) | $153.50 | $307 | 10.9× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $307.50 | $615 | 1.5× |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$19–$46.50 | $38–$93 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$19–$72.50 | $38–$145 | varies |
| Chloride other source (82438) | $51.50 | $103 | 10.3× |
| Chloride Serum (82435) | $24 | $48 | 5.2× |
| Chloride urine (82436) | $27 | $54 | 4.7× |
| Chlorinated Hydrocarbons Screen (82441) | $41.50 | $83 | 6.9× |
| Cholesterol total (82465) | $46.50 | $93 | 10.7× |
| Cholinesterase rbc (82482) | $72.50 | $145 | 7.4× |
| Cholinesterase Serum (82480) | $34 | $68 | 4.3× |
| Chondroitin B sulfate, quantitative Facility (82485) | $150.50 | $301 | 7.3× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$388.50–$487 | $777–$974 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $124 | $248 | 4.6× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $91.50 | $183 | 2.7× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $155 | $310 | 4.6× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $968.50 | $1,937 | 5.6× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $748.50 | $1,497 | 4.3× |
| Chromium serum (82495) | $100 | $200 | 4.9× |
| Chromogenic Substrate Assay (85130) | $255 | $510 | 21.4× |
| Chromogranin a (86316) | $128 | $256 | 6.2× |
| Chromosome analys amniotic (88269) | $366.50 | $733 | 2.1× |
| Chromosome Analysis 15-20 (88262) | $785.50 | $1,571 | 6.3× |
| Chromosome Analysis 20-25 (88264) | $1,042 | $2,084 | 7.2× |
| Chromosome analysis 45 cells (88263) | $1,390 | $2,780 | 9.2× |
| Chromosome analysis, 5 (88261) | $674.50 | $1,349 | 2.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $130.50 | $261 | 3.7× |
| Citric acid urine (82507) | $114 | $228 | 4.1× |
| Ckmb (82553) | $111.50 | $223 | 9.7× |
| Clostridium Difficile (87324) | $128 | $256 | 10.7× |
| Clot Factor VIII Multimetric (85247) | $203 | $406 | 8.8× |
| Clot factor xiii fibrin stab (85290) | $131.50 | $263 | 8.0× |
| Clotting factor xii hageman (85280) | $77.50 | $155 | 4.0× |
| Clotting Funct Activity (85397) | $104.50 | $209 | 3.4× |
| Clotting hi molec weight kininogen assay (85293) | $227.50 | $455 | 12.0× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $158.50 | $317 | 8.4× |
| Cns DNA amp probe type 12-25 (87483) | $980 | $1,960 | 2.4× |
| Coagulation time activated (85347) | $49 | $98 | 11.4× |
| Coccidioides antibody (86635) | $38.50 | $77 | 3.4× |
| Cold agglutinin screen (86156) | $41.50 | $83 | 5.1× |
| Cold agglutinin titer (86157) range across 2 matching MRF lines |
$14–$50 | $28–$100 | varies |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$30.50–$95.50 | $61–$191 | varies |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$132.50–$179.50 | $265–$359 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $490 | $980 | 2.1× |
| Compatibility Each Unit Incubation (86921) | $130 | $260 | 0.7× |
| Compatibility test antiglob (86922) | $111.50 | $223 | 0.6× |
| Complement Antigen Each Component (86160) | $216 | $432 | 18.0× |
| Complement Total (Ch50) (86162) | $182.50 | $365 | 9.0× |
| Complement/Function Activity (86161) | $130.50 | $261 | 10.9× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $142 | $284 | 2.6× |
| Coombs direct (86880) range across 2 matching MRF lines |
$23–$48 | $46–$96 | varies |
| Copper urine (82525) | $133 | $266 | 10.7× |
| Cortisol free (82530) | $124 | $248 | 7.4× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$76.50–$148 | $153–$296 | varies |
| Creatine (82540) | $117 | $234 | 25.2× |
| Creatine kinase total (82550) | $34.50 | $69 | 5.3× |
| Creatinine blood (82565) | $55 | $110 | 10.7× |
| Creatinine clearance (82575) | $50.50 | $101 | 5.3× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$35.50–$75 | $71–$150 | varies |
| Crossmatch electronic (86923) | $132 | $264 | 0.7× |
| Crossmatch immediate spin (86920) | $111.50 | $223 | 0.6× |
| Crp High Sensitivity (86141) | $138.50 | $277 | 10.7× |
| Cryofibrinogen (82585) | $13.50 | $27 | 1.0× |
| Cryoglobulin (82595) | $48 | $96 | 7.4× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $482 | $964 | 36.9× |
| Cryptococcus ag titer (87899) | $89.50 | $179 | 5.6× |
| Cryptosporidium (87272) | $97 | $194 | 8.1× |
| Cryptosporidium ag eia (87328) | $67.50 | $135 | 4.9× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $53 | $106 | 6.6× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $71.50 | $143 | 8.8× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $121.50 | $243 | 15.8× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $475 | $950 | 2.2× |
| Culture aerobic quant other (87071) | $189 | $378 | 19.1× |
| Culture afb (87116) | $91 | $182 | 8.4× |
| Culture Anaerobic (87075) | $50.50 | $101 | 5.3× |
| Culture blood (87040) | $65.50 | $131 | 6.3× |
| Culture chlamydia (87110) | $84 | $168 | 4.3× |
| Culture csf (87070) | $50.50 | $101 | 5.9× |
| Culture fungus (87102) | $81.50 | $163 | 9.7× |
| Culture fungus blood (87103) | $8 | $16 | 0.4× |
| Culture screen only (87081) | $80 | $160 | 12.1× |
| Culture stool (87045) | $115 | $230 | 12.2× |
| Culture typing if ea antiserum (87140) | $44 | $88 | 7.9× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $22 | $44 | 4.2× |
| Culture typing other methods (87158) | $43.50 | $87 | 5.6× |
| Culture urine (87086) range across 2 matching MRF lines |
$676.50–$690 | $1,353–$1,380 | varies |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $129 | $258 | 16.7× |
| Cyanide (82600) | $174 | $348 | 9.0× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $63 | $126 | 4.4× |
| Cyclosporine (80158) | $96 | $192 | 5.3× |
| Cyp2c19 gene analysis common variants (81225) range across 2 matching MRF lines |
$262.50–$280 | $525–$560 | varies |
| Cyp3a5 gene common variants (81231) | $261 | $522 | 1.5× |
| Cystatin C (82610) | $156.50 | $313 | 8.5× |
| Cytogenetics 10-30 (88273) | $363 | $726 | 10.4× |
| Cytogenetics 100-300 (88275) | $226 | $452 | 4.4× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $609 | $1,218 | 0.5× |
| Cytomegalovirus igg (86644) | $154 | $308 | 10.7× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $84 | $168 | 4.1× |
| Cytopath Cell Enhance Tech (88112) | $189 | $378 | 3.5× |
| Cytp Concentration Smears & Interpretation (88108) | $140.50 | $281 | 3.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $161.50 | $323 | 3.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $239.50 | $479 | 1.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $62.50 | $125 | 1.6× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $610.50 | $1,221 | 3.5× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $55.50 | $111 | 3.0× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $55 | $110 | 3.0× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $95 | $190 | 3.2× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $354.50 | $709 | 2.0× |
| Deoxycortisol (82634) | $89.50 | $179 | 3.1× |
| Deoxyribonuclease antibody (86215) | $99 | $198 | 7.5× |
| Desoxycorticosterone (82633) | $105.50 | $211 | 3.4× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$18.50–$185.50 | $37–$371 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$71–$521.50 | $142–$1,043 | varies |
| Detect agnt mult DNA ampli (87801) | $398.50 | $797 | 5.7× |
| Dgp Antibody Each Ig Class (86258) | $121.50 | $243 | 10.1× |
| Dhea (82626) | $196.50 | $393 | 7.8× |
| Dhea-S (82627) | $166.50 | $333 | 7.5× |
| Dibucaine number (82638) | $59 | $118 | 4.8× |
| Digoxin (80162) | $91.50 | $183 | 6.9× |
| Digoxin free (80163) | $96.50 | $193 | 7.3× |
| Dihydrotestosterone (82642) | $286 | $572 | 9.8× |
| Diphtheria antitoxoid (86648) | $149.50 | $299 | 9.8× |
| Dipropylacetic Acid Free (80165) | $82 | $164 | 6.1× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $80 | $160 | 2.3× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $583.50 | $1,167 | 4.3× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$9.50–$148 | $19–$296 | varies |
| Dna/Rna Amplified Probe (87150) | $111.50 | $223 | 3.2× |
| DNA/RNA direct probe (87149) | $225 | $450 | 11.2× |
| Dna/Rna Sequencing (87153) | $208.50 | $417 | 1.8× |
| Drug assay acetaminophen (80143) | $109 | $218 | 5.8× |
| Drug assay adalimumab (80145) | $197.50 | $395 | 5.1× |
| Drug Assay Amiodarone (80151) | $16 | $32 | 0.9× |
| Drug Assay Everolimus (80169) | $85.50 | $171 | 6.2× |
| Drug assay felbamate (80167) | $39.50 | $79 | 2.1× |
| Drug Assay Infliximab (80230) | $74.50 | $149 | 1.9× |
| Drug Assay Itraconazole (80189) | $77 | $154 | 2.8× |
| Drug Assay Lacosamide (80235) | $357.50 | $715 | 13.2× |
| Drug Assay Leflunomide (80193) | $25 | $50 | 0.6× |
| Drug Assay Posaconazole (80187) | $23 | $46 | 0.8× |
| Drug Assay Vedolizumab (80280) | $267 | $534 | 6.9× |
| Drug assay voriconazole (80285) | $85 | $170 | 3.1× |
| Drug Asy Hydroxychloroquine (80220) | $207 | $414 | 11.1× |
| Drug Screen Quant Clozapine (80159) | $64.50 | $129 | 3.2× |
| Drug Screen Quant Zonisamide (80203) | $117 | $234 | 8.8× |
| Drug Screen Quantitative Gabapentin (80171) | $46 | $92 | 2.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $142 | $284 | 10.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $116.50 | $233 | 8.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $142 | $284 | 10.7× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $85.50 | $171 | 5.1× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 2 matching MRF lines |
$875–$997 | $1,750–$1,994 | varies |
| Egfr Gene Analysis Common Variants (81235) | $601.50 | $1,203 | 1.9× |
| Ehrlichia antibody (86666) | $68.50 | $137 | 6.7× |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$87–$165.50 | $174–$331 | varies |
| Electrolyte panel (80051) | $97.50 | $195 | 13.9× |
| Electron Microscopy (88348) | $873.50 | $1,747 | 1.0× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $154 | $308 | 2.5× |
| Encephaltis East Eqne Anbdy (86652) | $69 | $138 | 5.2× |
| Encephaltis West Eqne Antbdy (86654) | $59.50 | $119 | 4.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $45.50 | $91 | 3.8× |
| Enterovirus Antibody (86658) | $50.50 | $101 | 3.9× |
| Enterovirus PCR (87498) | $231 | $462 | 6.6× |
| Enzyme cell activity (82657) | $159 | $318 | 7.2× |
| Enzyme histochemistry (88319) | $259.50 | $519 | 0.3× |
| Erythropoietin (82668) | $99 | $198 | 5.3× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$188–$278.50 | $376–$557 | varies |
| Estriol (82677) | $190.50 | $381 | 7.9× |
| Estrogen total (82672) | $26.50 | $53 | 1.2× |
| Estrogens fractionated (82671) | $106.50 | $213 | 3.3× |
| Ethosuximide (80168) | $96.50 | $193 | 5.9× |
| Ethylene Glycol (82693) | $93 | $186 | 6.2× |
| Exam Synovial Fluid Crystals (89060) | $65.50 | $131 | 8.9× |
| F2 Gene (81240) | $44 | $88 | 0.7× |
| Factor ii activity (85210) | $87.50 | $175 | 6.7× |
| Factor Inhibitor Test (85335) | $295.50 | $591 | 23.0× |
| Factor ix activity (85250) | $101 | $202 | 5.3× |
| Factor v activity (85220) | $174 | $348 | 9.9× |
| Factor v leiden mutation (81241) | $138 | $276 | 1.9× |
| Factor vii assay (85230) | $106 | $212 | 5.9× |
| Factor viii assay (85240) | $129 | $258 | 7.2× |
| Factor X (85260) | $128.50 | $257 | 7.2× |
| Factor xi activity (85270) | $174 | $348 | 9.7× |
| Factor xiii screen (85291) | $88 | $176 | 9.7× |
| Fat/Lipids Feces Quantitative (82710) | $111.50 | $223 | 6.6× |
| Fatty acids free (82725) | $41 | $82 | 2.2× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $124.50 | $249 | 16.1× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $187.50 | $375 | 10.9× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $143.50 | $287 | 22.0× |
| Fecal Fat Qualitative (82705) | $23.50 | $47 | 4.6× |
| Ferritin (82728) | $123 | $246 | 9.0× |
| Fetal Chrmoml Aneuploidy (81420) | $271 | $542 | 0.4× |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$126–$311 | $252–$622 | varies |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $34 | $68 | 0.6× |
| Fetal Fibronectin (82731) | $247.50 | $495 | 3.8× |
| Fetal screen rosette (85461) | $51 | $102 | 5.4× |
| Fibrin degradation products (85362) | $83 | $166 | 12.0× |
| Fibrin Degradation Quant (85379) | $113.50 | $227 | 11.1× |
| Fibrinogen activity (85384) | $116 | $232 | 11.9× |
| Fibrinogen antigen (85385) | $161 | $322 | 11.1× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $95 | $190 | 6.1× |
| Flecainide level (80181) | $52.50 | $105 | 2.8× |
| Flow cytometry first marker (88184) | $207.50 | $415 | 0.6× |
| Fluorescent antibody screen (86255) range across 13 matching MRF lines |
$75–$254.50 | $150–$509 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 6 matching MRF lines |
$52.50–$73 | $105–$146 | varies |
| Fluoride serum (82735) | $208.50 | $417 | 11.2× |
| Fmr1 Gene Charac Alleles (81244) | $118.50 | $237 | 2.6× |
| Fmr1 gene detection (81243) | $303 | $606 | 5.3× |
| Folic acid rbc (82747) | $142 | $284 | 8.0× |
| Folic Acid Serum (82746) | $158 | $316 | 10.7× |
| Follicle Stimulating Hormone (83001) | $169.50 | $339 | 9.1× |
| Francisella tularensis (86668) | $66 | $132 | 4.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $130 | $260 | 0.7× |
| Frozen Section (88331) | $192.50 | $385 | 1.1× |
| Fungi Identification Mold (87107) | $76 | $152 | 7.4× |
| Fungi Identification Yeast (87106) | $85 | $170 | 8.2× |
| G6pd gene analysis full gene sequence (81249) | $531.50 | $1,063 | 0.9× |
| Galactose (82760) | $45 | $90 | 4.0× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $97.50 | $195 | 4.6× |
| Galectin-3 (82777) | $40.50 | $81 | 0.9× |
| Gammaglobulin ige (82785) | $100 | $200 | 6.1× |
| Gardner vag DNA dir probe (87510) | $59 | $118 | 2.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $24.50 | $49 | 2.5× |
| Gases blood ph only (82800) | $47.50 | $95 | 4.3× |
| Gastrin (82941) | $135 | $270 | 7.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $833 | $1,666 | 2.0× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 3 matching MRF lines |
$1,853–$2,110 | $3,706–$4,220 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,591.50 | $3,183 | 0.5× |
| Genet Virus Isolate Hsv (87255) | $162 | $324 | 4.8× |
| Gentamicin (80170) | $61 | $122 | 3.7× |
| Ggt (82977) | $76.50 | $153 | 10.6× |
| Giardia antigen (87329) | $66 | $132 | 5.5× |
| Giardia lamblia antibody (86674) | $110.50 | $221 | 7.5× |
| Glucagon (82943) | $124.50 | $249 | 8.7× |
| Glucose 2 hr pp (82950) | $34 | $68 | 7.2× |
| Glucose Blood Test (82962) | $10.50 | $21 | 3.2× |
| Glucose body fluid (82945) | $21.50 | $43 | 5.5× |
| Glucose Serum (82947) | $805 | $1,610 | 204.8× |
| Glucose tolerance test (gtt) (82951) | $66 | $132 | 5.1× |
| Glucosidase beta (82963) | $91.50 | $183 | 4.3× |
| Glutathione (82978) | $30 | $60 | 1.9× |
| Glycated Protein (82985) | $106.50 | $213 | 6.4× |
| Gonadotropin Chorionic Qualitative (84703) | $80.50 | $161 | 10.7× |
| Gonadotropin releasing hormone (83727) | $191 | $382 | 11.1× |
| Growth hormone (83003) | $62 | $124 | 3.7× |
| Gtt-added samples (82952) | $21.50 | $43 | 5.5× |
| H Pylori (C-13) Breath (83013) | $167 | $334 | 2.5× |
| H Pylori Drug Admin (83014) | $39.50 | $79 | 5.0× |
| H pylri clrthmcn rst amp prb (87513) | $52.50 | $105 | 1.5× |
| Haloperidol (80173) | $42.50 | $85 | 2.7× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$91–$105.50 | $182–$211 | varies |
| Hba1/hba2 full gene sequence (81259) | $523 | $1,046 | 0.9× |
| Hba1/Hba2 Gene (81257) | $162 | $324 | 1.6× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $292.50 | $585 | 1.4× |
| Hbb duplication/deletion variants (81363) | $257.50 | $515 | 1.3× |
| Hbb Full Gene Sequence (81364) | $447 | $894 | 1.4× |
| Hdl Cholesterol (83718) | $42 | $84 | 5.1× |
| Helicobacter Pylori Stool (87338) | $86.50 | $173 | 6.0× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$185–$195.50 | $370–$391 | varies |
| Hematocrit (85014) | $23 | $46 | 9.7× |
| Hemoglobin (85018) | $12 | $24 | 5.1× |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$692.50–$693 | $1,385–$1,386 | varies |
| Hemoglobin Chromotography (83021) | $112.50 | $225 | 6.2× |
| Hemoglobin electrophoresis (83020) | $37 | $74 | 2.9× |
| Hemoglobin Methemoglobin Quantitative (83050) | $82.50 | $165 | 10.1× |
| Hemoglobin plasma (83051) | $42 | $84 | 5.7× |
| Hemoglobin stability screen (83068) | $93 | $186 | 9.8× |
| Hemoglobin-Oxygen Affinity (82820) | $189 | $378 | 14.2× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $28 | $56 | 3.2× |
| Hemosiderin urine (83070) | $25.50 | $51 | 5.4× |
| Hep a ab igm (86709) | $119.50 | $239 | 10.6× |
| Heparin assay (85520) | $62.50 | $125 | 4.8× |
| Heparin Neutralization (85525) | $117.50 | $235 | 9.9× |
| Hepatitis a antibody total (86708) | $168 | $336 | 13.6× |
| Hepatitis b core ab igm (86705) | $99 | $198 | 8.4× |
| Hepatitis b core ab total (86704) | $122.50 | $245 | 10.2× |
| Hepatitis b surface ag quan (87467) | $190.50 | $381 | 7.5× |
| Hepatitis B Surface Antibody (86706) | $70.50 | $141 | 6.6× |
| Hepatitis B Surface Antigen (87340) | $110.50 | $221 | 10.7× |
| Hepatitis Be Antibody (86707) | $122.50 | $245 | 10.6× |
| Hepatitis Be Antigen (87350) | $122.50 | $245 | 10.6× |
| Hepatitis C Antibody (86803) | $121.50 | $243 | 8.5× |
| Hepatitis c antibody confirmatory test (86804) | $198 | $396 | 12.8× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$104–$916 | $208–$1,832 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $366.50 | $733 | 10.4× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$105–$285 | $210–$570 | varies |
| Hepatitis Delta Agent Antibody (86692) | $92.50 | $185 | 5.4× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $1,837.50 | $3,675 | 3.1× |
| Herpes simplex type 2 (86696) | $96 | $192 | 5.0× |
| Heterophile Antibody Screen (86308) | $75 | $150 | 14.5× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$108.50–$229 | $217–$458 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $85 | $170 | 11.0× |
| Histamine urine (83088) | $126.50 | $253 | 4.3× |
| Histoplasma antibody (86698) | $37.50 | $75 | 2.7× |
| Histoplasma antigen urine (87385) | $219 | $438 | 16.5× |
| Hiv Genotype (87901) | $1,231 | $2,462 | 4.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $181 | $362 | 7.5× |
| Hiv-1 Antibody (86701) | $136 | $272 | 15.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $745.50 | $1,491 | 8.8× |
| HIV-2 probe&revrse trnscripj (87538) | $40 | $80 | 1.1× |
| Hla Class I Typing High Resolution Complete (81379) | $754.50 | $1,509 | 2.2× |
| Hla Class I Typing Low Resolution Complete (81372) | $177.50 | $355 | 0.4× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $252 | $504 | 2.0× |
| Hla class i&ii antibody qual (86828) | $82 | $164 | 1.3× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $1,073.50 | $2,147 | 2.7× |
| Hla class ii high defin qual (86833) | $207.50 | $415 | 0.6× |
| Hla class ii typing high resolution one locus ea (81382) | $133 | $266 | 1.1× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $591.50 | $1,183 | 5.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $21 | $42 | 0.3× |
| Hla I Typing 1 Allele Hr (81381) range across 2 matching MRF lines |
$136.50–$329 | $273–$658 | varies |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $406 | $812 | 1.2× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $66 | $132 | 0.3× |
| Hla ii type 1 ag equiv lr (81377) | $510.50 | $1,021 | 5.4× |
| Hla ii typing 1 allele hr (81383) | $283.50 | $567 | 2.6× |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$40.50–$207.50 | $81–$415 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) | $770 | $1,540 | 13.3× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $481 | $962 | 4.5× |
| Hla-b27 (86812) | $143.50 | $287 | 5.6× |
| Homocysteine (83090) | $98 | $196 | 5.5× |
| Homogenization Tissue (87176) | $34.50 | $69 | 5.9× |
| Homovanillic acid urine (83150) | $90 | $180 | 4.0× |
| Hpa-1 genotyping gene analysis common variant (81105) | $64 | $128 | 0.5× |
| Hpa-15 genotyping gene analysis common variant (81112) | $40.50 | $81 | 0.3× |
| Hpa-2 genotyping gene analysis common variant (81106) | $40.50 | $81 | 0.3× |
| Hpa-3 genotyping gene analysis common variant (81107) | $40.50 | $81 | 0.3× |
| Hpa-4 genotyping gene analysis common variant (81108) | $40.50 | $81 | 0.3× |
| Hpa-5 genotyping gene analysis common variant (81109) | $40.50 | $81 | 0.3× |
| Hpa-6 genotyping gene analysis common variant (81110) | $40.50 | $81 | 0.3× |
| Hpa-9 Genotyping (81111) | $40.50 | $81 | 0.3× |
| Hpv High-Risk Types (87624) | $161.50 | $323 | 4.6× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $31.50 | $63 | 0.4× |
| Hpv Types 16 & 18 Only (87625) | $325 | $650 | 8.0× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$73–$155 | $146–$310 | varies |
| Hsv Dna Quant (87530) | $114.50 | $229 | 2.7× |
| Htlv-I Antibody (86687) | $78 | $156 | 8.6× |
| Htt Gene Detc Abnor Alleles (81271) | $251.50 | $503 | 1.8× |
| Human Epididymis Protein 4 (86305) | $175.50 | $351 | 8.4× |
| Hydroxycorticosteroids 17 (83491) | $151 | $302 | 8.4× |
| Hydroxyprogesterone 17-d (83498) | $105 | $210 | 3.9× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $61 | $122 | 5.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $80.50 | $161 | 7.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $20 | $40 | 0.6× |
| Iaad ia shiga-like toxin (87427) | $75.50 | $151 | 6.3× |
| Iaad Ia Streptococcus Group A (87430) | $83.50 | $167 | 5.0× |
| Iaadi inffluenza a virus (87276) | $85 | $170 | 5.3× |
| Iaadi pneumocustis carinii (87281) | $79 | $158 | 6.6× |
| Iaadi Varicella Zoster Virus (87290) | $95 | $190 | 7.1× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $25.50 | $51 | 0.7× |
| Iadna Bartonella Amplified Probe Technique (87471) | $1,412.50 | $2,825 | 40.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$34–$234 | $68–$468 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $345.50 | $691 | 9.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $103.50 | $207 | 2.9× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 3 matching MRF lines |
$63–$145.50 | $126–$291 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $216 | $432 | 5.0× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $266.50 | $533 | 3.8× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $25.50 | $51 | 0.7× |
| Iadna hepatitis b virus amplified probe tq (87516) | $159.50 | $319 | 4.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $220 | $440 | 5.1× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $234.50 | $469 | 6.7× |
| Iadna Herpes Virus-6 Quantification (87533) | $125.50 | $251 | 3.0× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $351 | $702 | 10.0× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $98.50 | $197 | 2.8× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $213.50 | $427 | 2.8× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $53.50 | $107 | 2.0× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $178 | $356 | 3.7× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $40.50 | $81 | 2.0× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $105 | $210 | 2.5× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $67.50 | $135 | 2.5× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $555.50 | $1,111 | 15.8× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $130.50 | $261 | 3.7× |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $207 | $414 | 6.9× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $46 | $92 | 0.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $809.50 | $1,619 | 5.7× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $344 | $688 | 1.3× |
| Ibmfs sequence analysis panel at least 30 genes (81441) | $2,278.50 | $4,557 | 0.9× |
| Idh1 common variants (81120) | $279.50 | $559 | 1.4× |
| Idh2 common variants (81121) | $316.50 | $633 | 1.1× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $224 | $448 | 3.1× |
| Ig Light Chains Free Each (83521) | $87.50 | $175 | 5.1× |
| Igg subclasses (82787) | $86 | $172 | 10.7× |
| Igh gene rearrange amp meth (81261) | $484.50 | $969 | 2.4× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $300 | $600 | 0.8× |
| Immune Complex Assay (86332) | $217 | $434 | 8.9× |
| Immunfix e-phorsis/urine/csf (86335) | $133.50 | $267 | 4.5× |
| Immunoassay analyte qual/semiqual single step (83518) | $223.50 | $447 | 23.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$147.50–$218.50 | $295–$437 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $107 | $214 | 7.1× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$7.50–$125 | $15–$250 | varies |
| Immunodiffusion not elsewhere specified (86329) | $118.50 | $237 | 8.4× |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$42–$44 | $84–$88 | varies |
| Immunofixation electrophoresis (86334) | $165 | $330 | 7.4× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $197.50 | $395 | 1.1× |
| Immunohistochemistry (88342) range across 2 matching MRF lines |
$235–$266 | $470–$532 | varies |
| In situ hybridization 1st probe stain (88365) | $276.50 | $553 | 1.6× |
| In situ hybridization ea multiplex probe stain (88366) | $281.50 | $563 | 1.6× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) | $32.50 | $65 | 1.5× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $85 | $170 | 6.9× |
| Influenza assay w/optic (87804) | $83 | $166 | 5.0× |
| Influenza DNA amp probe (87502) | $357.50 | $715 | 3.7× |
| Inhibin A (86336) | $134.50 | $269 | 8.6× |
| Inhibin b (83520) range across 12 matching MRF lines |
$37–$567.50 | $74–$1,135 | varies |
| Insitu hybridization manual (88368) | $246 | $492 | 0.7× |
| Insulin antibodies (86337) | $138.50 | $277 | 6.5× |
| Insulin free (83527) | $107 | $214 | 8.3× |
| Insulin total (83525) | $122 | $244 | 10.7× |
| Intrinsic factor antibody (86340) | $87 | $174 | 5.8× |
| Iron (83540) | $79 | $158 | 12.2× |
| Iron Binding Capacity (83550) | $119 | $238 | 13.6× |
| Irradiation Blood Product Each Unit (86945) | $64.50 | $129 | 1.7× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$58–$105 | $116–$210 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$230–$311 | $460–$622 | varies |
| Ketosteroids 17 total (83586) | $19.50 | $39 | 1.5× |
| Kit Gene Analysis D816 Variant(S) (81273) | $742.50 | $1,485 | 5.9× |
| Koh Prep (87220) | $35.50 | $71 | 8.3× |
| Kras Gene Analysis Additional Variant(S) (81276) | $292.50 | $585 | 1.5× |
| Kras Gene Variants Exon 2 (81275) | $324 | $648 | 1.7× |
| Lactate (ld) (ldh) enzyme (83615) | $51 | $102 | 8.4× |
| Lactoferrin fecal qualitative (83630) | $116.50 | $233 | 5.9× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $180 | $360 | 8.9× |
| Lamellar Body Count (83664) | $44.50 | $89 | 2.3× |
| Ldh Isoenzymes (83625) | $112 | $224 | 8.8× |
| LDL direct (83721) | $102.50 | $205 | 9.8× |
| Lead (83655) | $64.50 | $129 | 5.3× |
| Legionella antibody (86713) | $82 | $164 | 5.4× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$98–$215.50 | $196–$431 | varies |
| Legionella pneumophila dfa (87278) | $85 | $170 | 5.4× |
| Leptospira antibody (86720) | $121.50 | $243 | 7.5× |
| Leukocyte Assessment Fecal (89055) | $23 | $46 | 5.4× |
| Leukocyte Histamine Release (86343) | $53.50 | $107 | 4.3× |
| Level I Surg Pathology Gross Examination Only (88300) | $130.50 | $261 | 4.4× |
| Level ii surg pathology grossµscopic exam (88302) | $138 | $276 | 3.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $426 | $852 | 1.1× |
| Lidocaine (80176) | $214.50 | $429 | 14.6× |
| Lipase (83690) | $98 | $196 | 14.2× |
| Lipoprotein A (83695) | $123 | $246 | 8.6× |
| Lipoprotein Bld Quan Part (83704) | $119.50 | $239 | 3.5× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $94.50 | $189 | 8.4× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $165.50 | $331 | 4.9× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $174 | $348 | 3.8× |
| Lithium (80178) | $78 | $156 | 11.8× |
| Liver ds alys 3 bmrk srm alg (81517) | $281.50 | $563 | 1.6× |
| Luteinizing Hormone (Lh) (83002) | $198 | $396 | 10.7× |
| Lyme disease antibody (86618) | $170.50 | $341 | 10.0× |
| Lymphocyte Culture Mixed (86821) | $217.50 | $435 | 5.9× |
| Lymphocyte transformation (86353) range across 5 matching MRF lines |
$213–$305 | $426–$610 | varies |
| Lymphocytotoxicity Assay (86805) | $502 | $1,004 | 2.6× |
| Lysozyme serum (85549) | $121.50 | $243 | 6.5× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $126.50 | $253 | 3.6× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $344.50 | $689 | 2.0× |
| Macroscopic Exam Parasite (87169) | $26.50 | $53 | 6.1× |
| Magnesium Urine (83735) | $63.50 | $127 | 9.5× |
| Mass Spectrometry Quant (83789) | $194.50 | $389 | 8.1× |
| Mercury urine (83825) | $134.50 | $269 | 8.3× |
| Metabolic panel ionized ca (80047) | $157 | $314 | 11.4× |
| Methotrexate (80204) | $52.50 | $105 | 1.4× |
| Methylmalonic acid serum (83921) | $160 | $320 | 7.5× |
| Mgmt methylation analysis (81287) | $608.50 | $1,217 | 4.9× |
| Microalbumin, quantitative (82043) | $65.50 | $131 | 11.3× |
| Microbe Suscept Macrobroth (87188) | $130.50 | $261 | 19.7× |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) | $40 | $80 | 1.8× |
| Microsatellite instability (81301) | $288 | $576 | 0.8× |
| Microsomal Antibodies Each (86376) | $132.50 | $265 | 9.1× |
| Mitochondrial Antibody Each (86381) | $164 | $328 | 6.4× |
| Mlh1 Gene (81288) | $420.50 | $841 | 2.2× |
| Mog-Igg1 Antb Cba Each (86362) | $222 | $444 | 18.4× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $95 | $190 | 2.3× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$117–$143.50 | $234–$287 | varies |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $220 | $440 | 5.2× |
| Mononuclear cell antigen (86356) | $64 | $128 | 2.4× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$170–$339 | $340–$678 | varies |
| Mopath procedure level 4 (81403) | $250.50 | $501 | 1.4× |
| Mopath procedure level 7 (81406) | $1,465.50 | $2,931 | 5.2× |
| Morphometric analysis nerve (88356) | $79 | $158 | 1.5× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $230 | $460 | 1.2× |
| Mthfr Gene Analysis Common Variants (81291) | $124.50 | $249 | 1.9× |
| Mucopolysaccharides acid quantitative (83864) | $250 | $500 | 8.8× |
| Mumps antibody (86735) | $69 | $138 | 5.3× |
| Muscle-Specific Kinase Antb (86366) | $404.50 | $809 | 22.0× |
| Mycobacteric Identification (87118) | $111 | $222 | 7.6× |
| Mycophenolic Acid (80180) | $123 | $246 | 6.8× |
| Mycoplasma antibody (86738) | $140.50 | $281 | 10.6× |
| Mycoplasma culture (87109) | $195 | $390 | 12.7× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $313 | $626 | 1.8× |
| Myelin basic protein csf (83873) | $118 | $236 | 6.9× |
| Myoglobin urine (83874) | $114 | $228 | 8.8× |
| Natriuretic peptide (83880) | $522.50 | $1,045 | 13.3× |
| Neurofilament light chain (83884) | $602 | $1,204 | 5.2× |
| Neutralization Test Viral (86382) | $145 | $290 | 8.6× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $176.50 | $353 | 1.4× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $61 | $122 | 2.1× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $588.50 | $1,177 | 2.3× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $756.50 | $1,513 | 2.9× |
| Nfct ds bv&vaginitis DNA alg (81515) | $195 | $390 | 0.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $171.50 | $343 | 2.4× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $255.50 | $511 | 2.0× |
| Niacin (84591) | $89.50 | $179 | 5.2× |
| Nk cells total count (86357) | $278.50 | $557 | 7.4× |
| Noonan Spectrum Disorders (81442) | $1,507 | $3,014 | 0.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $475.50 | $951 | 1.9× |
| Nras gene variants exon 2&3 (81311) | $367 | $734 | 1.2× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$157–$178.50 | $314–$357 | varies |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $360 | $720 | 8.2× |
| Occult blood feces (82272) | $28.50 | $57 | 6.7× |
| Oligoclonal bands (83916) | $134.50 | $269 | 4.9× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $214.50 | $429 | 0.8× |
| Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed… (81542) range across 2 matching MRF lines |
$1,995–$2,793 | $3,990–$5,586 | varies |
| Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3… (81552) likely a partial charge, not the full procedure |
$914.50 | $1,829 | 0.1× |
| Oncology breast mrna gene expression 21 genes (81519) | $3,650 | $7,300 | 0.9× |
| Oncoprotein dcp (83951) | $122 | $244 | 1.9× |
| Organic Acids Qualitative Each Specimen (83919) | $272.50 | $545 | 16.6× |
| Osmolality serum (83930) | $59.50 | $119 | 9.0× |
| Osmolality Urine (83935) | $62.50 | $125 | 9.2× |
| Osmotic fragility rbc incubated (85557) | $88.50 | $177 | 6.6× |
| Osteocalcin (83937) | $103 | $206 | 3.5× |
| Ova and parasites smears (87177) | $95.50 | $191 | 10.7× |
| Oxalate urine (83945) | $66.50 | $133 | 4.6× |
| Pancreatic Elastase Fecal (82656) | $613.50 | $1,227 | 53.2× |
| Particle Agglut Antbdy Titr (86406) | $147 | $294 | 13.8× |
| Particle Agglutination Screen Each Antibody (86403) | $76 | $152 | 6.6× |
| Parvovirus antibody (86747) | $71.50 | $143 | 4.8× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $139.50 | $279 | 0.2× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $780.50 | $1,561 | 2.4× |
| Ph urine (81003) | $19.50 | $39 | 8.7× |
| Phenobarbital Level (80184) | $94 | $188 | 6.1× |
| Phenotype Infect Agent Drug (87900) range across 2 matching MRF lines |
$405.50–$450.50 | $811–$901 | varies |
| Phenylalanine (84030) | $21.50 | $43 | 3.9× |
| Phenylketones qual (84035) | $48.50 | $97 | 12.2× |
| Phenytoin (Dilantin) (80185) | $90.50 | $181 | 6.8× |
| Phenytoin free (80186) | $105.50 | $211 | 7.7× |
| Phosphatase acid prostatic (84066) | $52 | $104 | 5.4× |
| Phosphatase alkaline (84075) | $56 | $112 | 10.8× |
| Phospholipid Neutralization Hexagonal (85598) | $213.50 | $427 | 11.9× |
| Phosphorus Serum (84100) | $51 | $102 | 10.8× |
| Phosphorus urine (84105) | $51.50 | $103 | 8.9× |
| Pinworm exam (87172) | $47.50 | $95 | 11.1× |
| Platelet Aggregation (85576) | $132.50 | $265 | 5.3× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$122–$122.50 | $244–$245 | varies |
| Platelet count automated (85049) | $53 | $106 | 11.8× |
| Platelet neutralization (85597) | $189.50 | $379 | 10.5× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $567 | $1,134 | 2.7× |
| Pneumcysts jirovecii amp prb (87594) | $108.50 | $217 | 3.1× |
| Pooling blood platelets (86965) | $216 | $432 | 1.2× |
| Porphobilinogen Urine Qualitative (84106) | $59.50 | $119 | 10.2× |
| Porphobilinogen, urine; quantitative (84110) | $92 | $184 | 10.9× |
| Porphyrins Feces Quantitative (84126) | $148.50 | $297 | 3.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $63 | $126 | 4.3× |
| Potassium Urine (84133) | $22 | $44 | 4.7× |
| Prealbumin (84134) | $132.50 | $265 | 9.1× |
| Pregnancy-Associated Plasma Protein-A (84163) | $83.50 | $167 | 5.5× |
| Pregnenolone (84140) | $97 | $194 | 4.7× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $45 | $90 | 0.7× |
| Pretx serum rbc antibody identification dilution (86976) | $27.50 | $55 | 0.9× |
| Primidone (80188) | $53 | $106 | 3.2× |
| Procalcitonin (Pct) (84145) | $133 | $266 | 4.9× |
| Progesterone (84144) | $186 | $372 | 8.9× |
| Prolactin (84146) | $208.50 | $417 | 10.8× |
| Prostaglandin (84150) | $178.50 | $357 | 4.3× |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) | $167 | $334 | 6.4× |
| Protein body fluid (84157) | $21 | $42 | 5.3× |
| Protein C Activity (85303) | $107.50 | $215 | 7.8× |
| Protein c antigen (85302) | $64 | $128 | 5.3× |
| Protein Electrophoresis Urine (84166) | $169.50 | $339 | 9.5× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $115 | $230 | 10.7× |
| Protein S Free (85306) | $114 | $228 | 7.4× |
| Protein s total (85305) | $66 | $132 | 5.7× |
| Protein Total Refractometry Any Src (84160) | $12 | $24 | 2.1× |
| Protein total serum (84155) | $39 | $78 | 10.6× |
| Protein Total Urine (84156) | $23 | $46 | 6.3× |
| Protein Western Blot Test (84182) range across 4 matching MRF lines |
$126–$172 | $252–$344 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $33 | $66 | 8.4× |
| Protoporphyrin rbc quantitative (84202) | $105 | $210 | 7.3× |
| PSA free (84154) | $150.50 | $301 | 8.2× |
| Pth Intact (83970) | $220 | $440 | 5.3× |
| Pyruvate kinase (84220) | $138 | $276 | 14.6× |
| Q Fever Antibody (86638) | $75.50 | $151 | 6.2× |
| Quantiferon tb gold plus (86480) | $268.50 | $537 | 4.3× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$44.50–$196 | $89–$392 | varies |
| Quantitative Screen Metals (83018) | $69 | $138 | 3.1× |
| Quinidine (80194) | $151.50 | $303 | 10.4× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$78–$87 | $156–$174 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$122–$162 | $244–$324 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$82.50–$100.50 | $165–$201 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$70–$90 | $140–$180 | varies |
| Renin activity plasma (84244) | $198 | $396 | 9.0× |
| Reptilase test (85635) | $70 | $140 | 7.1× |
| Resp virus 12-25 targets (87633) | $970 | $1,940 | 2.3× |
| Reticulated Platelet Assay (85055) | $202.50 | $405 | 5.7× |
| Reticulocyte Count (85046) | $55.50 | $111 | 10.0× |
| Reticulocyte separation (86972) | $107 | $214 | 0.6× |
| Rh (86901) range across 2 matching MRF lines |
$19–$49.50 | $38–$99 | varies |
| Rheumatoid factor quant (86431) | $53.50 | $107 | 9.4× |
| Rickettsia antibody (86757) | $155 | $310 | 8.0× |
| Ristocetin cofactor (85245) | $186 | $372 | 8.1× |
| Rotavirus ag eia (87425) | $89.50 | $179 | 7.5× |
| Rpr qualitative (86592) | $44 | $88 | 10.3× |
| Rubella Antibody (86762) | $65 | $130 | 4.5× |
| Rubeola antibody (86765) | $68.50 | $137 | 5.3× |
| Rufinamide (80210) | $72.50 | $145 | 2.7× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$53.50–$103.50 | $107–$207 | varies |
| Russell Viper Venon Time Undiluted (85612) | $96.50 | $193 | 5.5× |
| Rx metab gen seq alys pnl 6 (81418) | $1,102.50 | $2,205 | 1.2× |
| Salicylate Level (80179) | $119 | $238 | 6.4× |
| Salmonella antibody (86768) | $301 | $602 | 22.8× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $65 | $130 | 1.3× |
| Sars-cov-2 COVID-19 antibody (86769) | $43.50 | $87 | 1.0× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $28 | $56 | 0.7× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $229.50 | $459 | 1.6× |
| Sedimentation Rate, Automated (85652) | $35.50 | $71 | 13.1× |
| Selenium (84255) | $230 | $460 | 9.0× |
| Semen Anal Sperm Detection (89321) | $84.50 | $169 | 7.0× |
| Semen analysis complete (89320) | $150 | $300 | 12.2× |
| Semen analysis motility and count (89310) | $37 | $74 | 4.3× |
| Sensitivity mic (87186) | $86 | $172 | 9.9× |
| Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413) | $24.50 | $49 | 0.5× |
| Sex Hormone Binding Globulin (84270) | $191 | $382 | 8.8× |
| Sickling of rbc reduction (85660) | $69 | $138 | 12.5× |
| Sirolimus (80195) | $73 | $146 | 5.3× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$16.50–$35.39 | $33–$58.99 | varies |
| Smear acid fast (87206) | $62.50 | $125 | 11.6× |
| Smear complex stain (87209) | $121.50 | $243 | 6.8× |
| Smear gram stain (87205) | $52.50 | $105 | 12.3× |
| Smear Special Stain (87207) | $58.50 | $117 | 9.8× |
| Smn1 Gene Analysis Full Gene Sequence (81336) | $474 | $948 | 1.6× |
| Smn1 Gene Dos/Deletion Alys (81329) | $272 | $544 | 2.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $30.50 | $61 | 5.2× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$25.50–$43 | $51–$86 | varies |
| Sodium Urine (84300) | $29 | $58 | 5.7× |
| Soluble fibrin monomer (85366) | $112.50 | $225 | 1.4× |
| Soluble Transferrin Receptor (84238) | $169.50 | $339 | 4.6× |
| Somatomedin (84305) | $195 | $390 | 9.2× |
| Somatostatin (84307) | $135.50 | $271 | 7.4× |
| Special Stains Group 1 (88312) | $178 | $356 | 3.3× |
| Special Stains Group 2 (88313) | $178 | $356 | 1.3× |
| Specific gravity body fluid (84315) | $18.50 | $37 | 5.6× |
| Specimen infect agnt concntj (87015) | $40.50 | $81 | 6.1× |
| Spectrophotometry (84311) | $53 | $106 | 6.5× |
| Splitting Blood/Blood Products Each Unit (86985) | $84 | $168 | 0.5× |
| Stool cultr aerobic bact ea (87046) | $49.50 | $99 | 5.2× |
| Strep a assay w/optic (87880) | $37 | $74 | 2.2× |
| Strep a DNA amp probe (87651) | $37 | $74 | 1.1× |
| Strep b DNA amp probe (87653) | $293 | $586 | 8.3× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $50.50 | $101 | 0.5× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $35.50 | $71 | 3.1× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $85.50 | $171 | 15.5× |
| Sugars Single Qual (84376) | $54.50 | $109 | 9.9× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $140 | $280 | 3.6× |
| Sulfate urine (84392) | $37 | $74 | 6.7× |
| Surg path level iii (88304) | $279.50 | $559 | 5.2× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$161–$270 | $322–$540 | varies |
| Surgical pathology level vi (88309) | $451.50 | $903 | 0.5× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $45 | $90 | 9.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $61 | $122 | 8.2× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $106 | $212 | 2.6× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $92.50 | $185 | 12.7× |
| Sweat Collection Iontophoresis (89230) | $177.50 | $355 | 3.3× |
| Syphilis Test Non-Trep Quant (86593) | $27.50 | $55 | 6.2× |
| T cells absolute cd4 count (86361) | $338.50 | $677 | 12.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 2 matching MRF lines |
$198–$347.50 | $396–$695 | varies |
| T cells total count (86359) range across 2 matching MRF lines |
$138.50–$278.50 | $277–$557 | varies |
| T3 Free (84481) | $151.50 | $303 | 8.9× |
| T3 reverse (84482) range across 2 matching MRF lines |
$32–$92 | $64–$184 | varies |
| T3 Total (84480) | $125.50 | $251 | 8.9× |
| T3 Uptake (84479) | $72.50 | $145 | 11.2× |
| T4 Free (84439) | $96 | $192 | 10.6× |
| T4 total (84436) | $73.50 | $147 | 10.7× |
| Tacrolimus (80197) | $200.50 | $401 | 14.6× |
| Tau phosphorylated each (84393) | $40.50 | $81 | 0.3× |
| Tb ag response t-cell susp (86481) | $211 | $422 | 2.1× |
| Tert gene targeted seq alys (81345) | $455.50 | $911 | 2.5× |
| Test for acetone/ketones (82009) | $60 | $120 | 13.3× |
| Test for urine cystines (82615) | $61.50 | $123 | 6.4× |
| Testosterone Bioavailable (84410) | $150.50 | $301 | 2.9× |
| Testosterone total (84403) range across 2 matching MRF lines |
$13.50–$228.50 | $27–$457 | varies |
| Testosterone, Free (84402) | $272 | $544 | 10.7× |
| Tetanus antibody (86774) | $129.50 | $259 | 8.8× |
| Tgsap so/hl 51/< RNA alys (81456) | $14,700 | $29,400 | 5.0× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,337.50 | $2,675 | 2.2× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) | $202.50 | $405 | 16.7× |
| Theophylline (80198) | $80.50 | $161 | 5.7× |
| Thiopurine methyltransferase (84433) | $106 | $212 | 4.8× |
| Thrombin Time (85670) | $65 | $130 | 11.3× |
| Thromboplastin Inhibition Tissue (85705) | $138 | $276 | 14.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $77 | $154 | 11.9× |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$10.50–$119.50 | $21–$239 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$10.50–$144 | $21–$288 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $294 | $588 | 5.8× |
| Thyroxine binding globulin (84442) | $52.50 | $105 | 3.6× |
| Tiss cul neo disorders solid tumor (88239) | $478.50 | $957 | 3.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $128 | $256 | 11.1× |
| Tissue Culture (88233) | $452 | $904 | 3.2× |
| Tissue Culture Amniotic Fluid (88235) | $409 | $818 | 2.7× |
| Tissue culture bone marrow (88237) | $508 | $1,016 | 3.5× |
| Tissue Culture Lymphocyte (88230) range across 2 matching MRF lines |
$357.50–$680 | $715–$1,360 | varies |
| Tobramycin peak (80200) | $85.50 | $171 | 5.3× |
| Topiramate (80201) | $107 | $214 | 9.0× |
| Total Tau (84394) | $40.50 | $81 | 0.3× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $11.50 | $23 | 0.6× |
| Toxoplasma ab igm (86778) | $83.50 | $167 | 5.8× |
| Toxoplasma antibody (86777) | $100 | $200 | 6.9× |
| Tp53 gene analysis full gene sequence (81351) | $1,080.50 | $2,161 | 1.7× |
| Tp53 gene analysis targeted sequence analysis (81352) | $295.50 | $591 | 0.9× |
| Tpmt gene com variants (81335) | $188 | $376 | 1.1× |
| Transferase Aspartate Amino Ast Sgot (84450) | $50.50 | $101 | 9.7× |
| Transferrin (84466) | $137 | $274 | 10.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $550.50 | $1,101 | 2.6× |
| Trg gene rearrangement anal (81342) | $333.50 | $667 | 1.7× |
| Trichinella Antibody (86784) | $73 | $146 | 5.8× |
| Trichomonas vagin dir probe (87660) | $59 | $118 | 2.9× |
| Trichomonas Vaginalis Amplif (87661) | $136.50 | $273 | 3.9× |
| Triglycerides (84478) | $62 | $124 | 10.8× |
| Troponin Quant (84484) | $52.50 | $105 | 4.2× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$224.50–$330 | $449–$660 | varies |
| Ugt1a1 gene analysis common variants (81350) | $660.50 | $1,321 | 2.8× |
| Unlisted Surgical Pathology Procedure (88399) | $259.50 | $519 | 4.8× |
| Urea Nitrogen Clearance (84545) | $41 | $82 | 5.7× |
| Urea nitrogen urine (84540) | $34.50 | $69 | 6.2× |
| Uric acid other source (84560) | $31.50 | $63 | 6.2× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $29.50 | $59 | 13.6× |
| Urine Bacteria Culture (87088) | $75.50 | $151 | 9.3× |
| Urine Pregnancy Test (81025) | $107.50 | $215 | 12.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $20 | $40 | 6.3× |
| Valproic acid (80164) | $95 | $190 | 7.0× |
| Vancomycin (80202) | $133.50 | $267 | 9.9× |
| Varicella-zoster antibody (86787) | $101 | $202 | 7.8× |
| Vasopressin (84588) | $172.50 | $345 | 5.1× |
| Very Long Chain Fatty Acids (82726) | $226 | $452 | 11.4× |
| Viral Culture (87252) | $217.50 | $435 | 8.3× |
| Virus antibody nos (86790) | $130.50 | $261 | 10.1× |
| Virus inoculate tissue addl (87253) | $130 | $260 | 6.4× |
| Virus inoculation, shell via (87254) | $159 | $318 | 8.1× |
| Viscosity serum (85810) range across 2 matching MRF lines |
$44–$86.50 | $88–$173 | varies |
| Vit D 1 25-Dihydroxy (82652) | $201.50 | $403 | 5.2× |
| Vitamin A (84590) | $106 | $212 | 9.1× |
| Vitamin b-12 (82607) | $161 | $322 | 10.7× |
| Vitamin B2 (Riboflavin) (84252) | $215.50 | $431 | 10.6× |
| Vitamin B6 (84207) | $150.50 | $301 | 5.4× |
| Vitamin c (82180) | $100.50 | $201 | 10.2× |
| Vitamin D 25-Hydroxy (82306) range across 3 matching MRF lines |
$989.50–$1,777.50 | $1,979–$3,555 | varies |
| Vitamin E (84446) | $116 | $232 | 8.2× |
| Vitamin K (84597) | $209 | $418 | 15.2× |
| Volatiles (84600) | $83 | $166 | 4.9× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $55.50 | $111 | 4.6× |
| Von willebrand factor ag (85246) | $223.50 | $447 | 9.7× |
| West nile virus ab igm (86788) | $74 | $148 | 4.4× |
| West Nile Virus Antibody (86789) | $62 | $124 | 4.3× |
| Western Blot Test (84181) | $212 | $424 | 12.4× |
| Whole mitochondrial genome analysis panel (81465) | $1,170 | $2,340 | 1.3× |
| Xm Archive Tissue Molec Anal (88363) | $91 | $182 | 3.0× |
| Zika Virus Dna/Rna Amp Probe (87662) | $127 | $254 | 2.5× |
| Zika Virus Igm Antibody (86794) | $83 | $166 | 4.9× |
| Zinc (84630) | $121.50 | $243 | 10.7× |
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.