Lab & pathology prices at UVA Health University Medical Center
Charlottesville, VA · every code in this section with a posted price and a Medicare benchmark.
949 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $127.80 | $213 | 5.6× |
| 5 Nucleotidase (83915) | $60.60 | $101 | 5.4× |
| Abl1 gene analysis kinase domain variants (81170) | $546 | $910 | 1.8× |
| Acetylcholine receptor binding antibody (86041) | $113.40 | $189 | 6.2× |
| Acetylcholine receptor blocking antibody (86042) | $70.20 | $117 | 3.8× |
| Acetylcholinesterase Assay (82013) | $88.20 | $147 | 7.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $70.20 | $117 | 5.8× |
| Acth (82024) | $230.40 | $384 | 6.0× |
| Actin smooth muscle antibody each (86015) | $9 | $15 | 0.7× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$1,098–$1,689.60 | $1,830–$2,816 | varies |
| Acylcarnitines Quant (82017) | $319.20 | $532 | 18.9× |
| Acylcarnitines; qualitative, each specimen Facility (82016) | $54.60 | $91 | 3.3× |
| Adenovirus antibody (86603) | $135 | $225 | 10.5× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $254.40 | $424 | 3.9× |
| Agglutinins Febrile Each Antigen (86000) | $163.80 | $273 | 23.5× |
| Albumin Fluid (82042) | $38.40 | $64 | 4.9× |
| Albumin serum (82040) | $55.20 | $92 | 11.2× |
| Aldolase (82085) | $67.20 | $112 | 6.9× |
| Aldosterone urine (82088) | $199.20 | $332 | 4.9× |
| Alkaline phosphatase isoenzymes (84080) | $107.40 | $179 | 7.3× |
| Allergen spec ige qual multiallergen screen (86005) | $81 | $135 | 10.2× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$27.60–$39 | $46–$65 | varies |
| Allergen specific igg (86001) range across 2 matching MRF lines |
$16.20–$64.20 | $27–$107 | varies |
| Allg Spec Ige Recomb Ea (86008) | $52.80 | $88 | 2.9× |
| Alpha-1-antitrypsin phenotype (82104) | $99 | $165 | 6.8× |
| Alpha-1-antitrypsin total (82103) | $111 | $185 | 8.3× |
| Alpha-Fetoprotein Amniotic Fluid (82106) | $79.80 | $133 | 4.7× |
| Alpha-Fetoprotein Serum (82105) | $102 | $170 | 6.1× |
| Alt (sgpt) (84460) | $34.80 | $58 | 6.6× |
| Aluminum (82108) | $222 | $370 | 8.7× |
| Amikacin trough (80150) | $85.80 | $143 | 5.7× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $253.20 | $422 | 11.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $433.20 | $722 | 25.7× |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $174 | $290 | 12.5× |
| Amino Acids Quant 2-5 (82136) | $165.60 | $276 | 8.4× |
| Amino acids; single, qualitative, each specimen Facility (82127) | $243 | $405 | 17.1× |
| Aminolevulinic acid (ala) (82135) | $218.40 | $364 | 13.3× |
| Ammonia (82140) | $174 | $290 | 11.9× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $355.20 | $592 | 3.6× |
| Amylase urine (82150) | $74.40 | $124 | 11.5× |
| Ana Titer (86039) | $97.20 | $162 | 8.7× |
| Anca screen each antibody (86036) | $81 | $135 | 6.7× |
| Anca Titer Each Antibody (86037) | $59.40 | $99 | 4.9× |
| Androstanediol Glucuronide (82154) | $133.20 | $222 | 4.6× |
| Androstenedione (82157) | $148.20 | $247 | 5.1× |
| Androsterone (hormone) level (82160) | $69.60 | $116 | 2.7× |
| Angiotensin converting enzyme csf (82164) | $118.20 | $197 | 8.1× |
| Angiotensin II (82163) | $157.80 | $263 | 7.7× |
| Anti-Phospholipid Antibody (86148) | $79.80 | $133 | 5.0× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$78.60–$91.80 | $131–$153 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $132.60 | $221 | 10.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $154.20 | $257 | 10.0× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $104.40 | $174 | 6.2× |
| Antibody Encephalitis California La Crosse (86651) | $74.40 | $124 | 5.6× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $90 | $150 | 6.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $87 | $145 | 5.7× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $142.20 | $237 | 7.8× |
| Antibody Fungus Not Elsewhere Specified (86671) | $157.80 | $263 | 12.9× |
| Antibody haemophilus influenza (86684) | $130.20 | $217 | 8.2× |
| Antibody helicobacter pylori (86677) | $95.40 | $159 | 5.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $126.60 | $211 | 8.8× |
| Antibody Herpes Smplx Type 1 (86695) | $96.60 | $161 | 7.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $120 | $200 | 8.8× |
| Antibody HIV-2 (86702) | $142.80 | $238 | 10.6× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $249 | $415 | 0.8× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $208.80 | $348 | 2.2× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $208.80 | $348 | 2.6× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $219.60 | $366 | 11.3× |
| Antibody identification leukocyte antibodies (86021) | $184.20 | $307 | 12.2× |
| Antibody Identification Platelet Immunogl Assay (86023) | $222.60 | $371 | 17.9× |
| Antibody john cunningham virus (86711) | $148.20 | $247 | 8.8× |
| Antibody leishmania (86717) | $36.60 | $61 | 3.0× |
| Antibody Lymphocytic Choriomeningitis (86727) | $54.60 | $91 | 4.2× |
| Antibody Protozoa Nes (86753) range across 2 matching MRF lines |
$44.40–$74.40 | $74–$124 | varies |
| Antibody Titer (86886) | $120.60 | $201 | 23.3× |
| Antibody Treponema Pallidum (86780) | $66.60 | $111 | 5.0× |
| Antibody yersinia (86793) | $54 | $90 | 4.1× |
| Antibody; campylobacter (86625) | $247.20 | $412 | 18.8× |
| Antibody; encephalitis, st. louis (86653) | $74.40 | $124 | 5.6× |
| Antibody; influenza virus (86710) | $111.60 | $186 | 8.2× |
| Antigen typing (86905) range across 2 matching MRF lines |
$42.60–$79.20 | $71–$132 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) range across 2 matching MRF lines |
$15.60–$79.80 | $26–$133 | varies |
| Antinuclear antibodies (86038) | $109.80 | $183 | 9.1× |
| Antistreptolysin o titer (86060) | $63.60 | $106 | 8.7× |
| Antithrombin iii activity (85300) | $243 | $405 | 20.5× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $1,932 | $3,220 | 3.8× |
| Apolipoprotein a1 (82172) | $88.80 | $148 | 4.2× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $61.20 | $102 | 1.6× |
| Aquaporin-4 Antb Cba Each (86052) | $150 | $250 | 12.4× |
| Aquaporin-4 Antb Elisa (86051) | $589.20 | $982 | 51.1× |
| Arsenic (82175) | $174 | $290 | 9.2× |
| Ashkenazi Jewish Assoc Dis (81412) | $118.20 | $197 | 0.0× |
| Aspergillus ag eia (87305) | $370.20 | $617 | 30.9× |
| Assay activated protein c (85307) | $269.40 | $449 | 17.6× |
| Assay Blood Carbon Dioxide (82374) | $38.40 | $64 | 7.9× |
| Assay Dir Meas Fr Estradiol (82681) | $30.60 | $51 | 1.1× |
| Assay myeloperoxidase (83876) | $43.20 | $72 | 0.8× |
| Assay Nephelometry Not Spec (83883) | $108 | $180 | 7.9× |
| Assay of 5-hiaa (83497) | $92.40 | $154 | 7.2× |
| Assay of b-hexosaminidase each assay (83080) | $331.80 | $553 | 19.7× |
| Assay of blood/uric acid (84550) | $45.60 | $76 | 10.1× |
| Assay of calcium in urine (82340) | $43.20 | $72 | 7.2× |
| Assay of corticosterone (82528) | $223.80 | $373 | 9.9× |
| Assay of cpk in blood (82552) | $70.20 | $117 | 5.2× |
| Assay of estrone (82679) | $129 | $215 | 5.2× |
| Assay of g6pd enzyme (82955) | $61.20 | $102 | 6.3× |
| Assay of gammaglobulin igm (82784) | $78.60 | $131 | 8.5× |
| Assay of lactic acid (83605) | $135 | $225 | 11.7× |
| Assay of manganese (83785) | $147.60 | $246 | 5.5× |
| Assay of metanephrines (83835) | $144 | $240 | 8.5× |
| Assay of phosphatase alkaline heat stable (84078) | $133.80 | $223 | 16.2× |
| Assay of proinsulin (84206) | $184.20 | $307 | 6.9× |
| Assay of pyruvate (84210) | $168 | $280 | 11.6× |
| Assay of serotonin (84260) | $156.60 | $261 | 5.1× |
| Assay of serum potassium (84132) | $57 | $95 | 12.0× |
| Assay of sweat sodium (84302) | $79.80 | $133 | 16.4× |
| Assay of transcortin (84449) | $127.80 | $213 | 7.1× |
| Assay of Tyrosine (84510) | $25.80 | $43 | 2.4× |
| Assay of urea nitrogen (84520) | $33 | $55 | 8.4× |
| Assay of urine vma (84585) | $109.80 | $183 | 7.1× |
| Assay of vasoactive intestinal peptide (84586) | $201 | $335 | 5.7× |
| Assay of vitamin b-1 (84425) | $161.40 | $269 | 7.6× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$16.20–$29.40 | $27–$49 | varies |
| Assay Phosphohexose Enzymes (84087) | $74.40 | $124 | 6.9× |
| Asy carbamazepin 10,11-epxid (80161) | $22.20 | $37 | 1.2× |
| Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) | $934.80 | $1,558 | 1.1× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $477.60 | $796 | 2.8× |
| Automated Leukocyte Count (85048) | $32.40 | $54 | 12.8× |
| B cells total count (86355) | $199.80 | $333 | 5.3× |
| Babesia microti amp prb (87469) | $30.60 | $51 | 0.9× |
| Bartonella antibody (86611) | $122.40 | $204 | 12.0× |
| Bcr/abl1 gene major bp (81206) | $420.60 | $701 | 2.6× |
| Bcr/abl1 gene minor bp (81207) | $461.40 | $769 | 3.2× |
| Bcr/Abl1 Gene Other Bp (81208) | $135.60 | $226 | 0.6× |
| Beta 2 glycoprotein i antibody each (86146) | $116.40 | $194 | 4.6× |
| Beta hydroxybutyrate (82010) | $112.80 | $188 | 13.8× |
| Beta Lactamase (87185) | $60.60 | $101 | 12.8× |
| Beta-2 Microglobulin (82232) | $106.20 | $177 | 6.6× |
| Beta-amyloid 1-40 (abeta 40) (82233) | $9.60 | $16 | 0.1× |
| Beta-amyloid; 1-42 (abeta 42) (82234) | $48.60 | $81 | 0.4× |
| Bile acids total (82239) | $127.20 | $212 | 7.4× |
| Bilirubin direct (82248) | $58.80 | $98 | 11.7× |
| Bilirubin total (82247) | $54 | $90 | 10.8× |
| Bilirubin total transcutaneous (88720) | $18 | $30 | 3.6× |
| Biotinidase (82261) | $92.40 | $154 | 5.5× |
| Blastomyces antibody (86612) | $122.40 | $204 | 9.5× |
| Bld Typing Serologic Rh Phnt (86906) | $65.40 | $109 | 8.4× |
| Blood Count Automated Differential Wbc Count (85004) | $64.20 | $107 | 9.9× |
| Blood Count Manual Cell Count Each (85032) | $54 | $90 | 12.5× |
| Blood Count Red Blood Cell Automated (85041) | $32.40 | $54 | 10.7× |
| Blood count reticulocyte automated (85045) | $45.60 | $76 | 11.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $73.20 | $122 | 19.3× |
| Blood count spun microhematocrit (85013) | $43.20 | $72 | 6.2× |
| Blood gas (82803) | $247.80 | $413 | 9.5× |
| Blood gases w/02 saturation (82805) | $131.40 | $219 | 1.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $64.20 | $107 | 4.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $50.40 | $84 | 11.5× |
| Blood Sulfhemoglobin Assay (83060) | $19.80 | $33 | 2.3× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $69.60 | $116 | 11.0× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$28.20–$115.20 | $47–$192 | varies |
| Body fluid cell count (89050) | $99.60 | $166 | 21.1× |
| Bone marrow smear interpretation (85097) | $315 | $525 | 0.4× |
| Bordetella antibody (86615) | $88.20 | $147 | 6.7× |
| Borrelia miyamotoi amp prb (87478) | $30.60 | $51 | 0.9× |
| Braf gene analysis (81210) | $339 | $565 | 1.9× |
| Brucella antibody (86622) | $55.80 | $93 | 6.2× |
| C diff amplified probe (87493) | $163.20 | $272 | 4.4× |
| C-Peptide (84681) | $116.40 | $194 | 5.6× |
| C-reactive protein (86140) | $55.20 | $92 | 10.7× |
| Ca 19-9 (86301) | $123.60 | $206 | 5.9× |
| Cadmium (82300) | $114.60 | $191 | 4.8× |
| Caffeine (80155) | $29.40 | $49 | 0.8× |
| Calcitonin (82308) | $167.40 | $279 | 6.2× |
| Calcium ionized (82330) | $196.20 | $327 | 14.3× |
| Calcium total (82310) | $36 | $60 | 7.0× |
| Calculus Spectroscopy (82365) | $60 | $100 | 4.7× |
| Calprotectin Fecal (83993) | $254.40 | $424 | 13.0× |
| Calr gene com variants (81219) | $307.20 | $512 | 2.5× |
| Cancer Antigen 125 (86304) | $136.20 | $227 | 6.5× |
| Cancer Antigen 27.29 (86300) | $141 | $235 | 6.8× |
| Candida antibody (86628) | $70.80 | $118 | 5.9× |
| Candida Dna Dir Probe (87480) | $70.80 | $118 | 3.5× |
| Car Ion Chnnlpath Inc 2 Gns (81414) | $953.40 | $1,589 | 1.6× |
| Carbamazepine free (80157) | $85.20 | $142 | 6.4× |
| Carbamazepine total (80156) | $84 | $140 | 5.8× |
| Carbohydrate Deficient Transferrin (82373) | $285.60 | $476 | 15.8× |
| Carboxyhemoglobin (82375) | $127.80 | $213 | 10.4× |
| Carcinoembryonic antigen (82378) | $138 | $230 | 7.3× |
| Cardiolipin ab iga (86147) | $134.40 | $224 | 5.3× |
| Carnitine Quantitative Each Specimen (82379) | $349.80 | $583 | 20.7× |
| Carotene (82380) | $55.80 | $93 | 6.1× |
| Catecholamines fractionated (82384) | $163.20 | $272 | 6.5× |
| Ccp antibody (86200) | $85.80 | $143 | 6.6× |
| Cell count csf (89051) | $92.40 | $154 | 16.5× |
| Cell enumeration & id (86152) | $554.40 | $924 | 2.2× |
| Cell marker study (88182) | $478.20 | $797 | 9.1× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $364.20 | $607 | 2.7× |
| Ceruloplasmin (82390) | $78.60 | $131 | 7.3× |
| Cftr Gene Analysis Known Familial Variants (81221) | $339 | $565 | 3.5× |
| Cftr gene com variants (81220) | $199.20 | $332 | 0.4× |
| Cftr gene dup/delet variants (81222) | $115.80 | $193 | 0.3× |
| Chemiluminescent assay (82397) | $132.60 | $221 | 9.4× |
| Chimerism w/comp to baseline w/o cell selection (81267) | $369 | $615 | 1.8× |
| Chlamydia antibody (86631) range across 2 matching MRF lines |
$22.80–$55.80 | $38–$93 | varies |
| Chlamydia Igm Antibody (86632) range across 2 matching MRF lines |
$22.80–$87 | $38–$145 | varies |
| Chloride other source (82438) | $61.80 | $103 | 12.4× |
| Chloride Serum (82435) | $73.80 | $123 | 16.0× |
| Chloride urine (82436) | $33 | $55 | 5.7× |
| Chlorinated Hydrocarbons Screen (82441) | $49.80 | $83 | 8.3× |
| Cholesterol total (82465) | $38.40 | $64 | 8.8× |
| Cholinesterase rbc (82482) | $87 | $145 | 8.9× |
| Cholinesterase Serum (82480) | $97.80 | $163 | 12.4× |
| Chondroitin B sulfate, quantitative Facility (82485) | $180.60 | $301 | 8.7× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$388.80–$403.20 | $648–$672 | varies |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $148.80 | $248 | 5.5× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $140.40 | $234 | 4.1× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $186 | $310 | 5.6× |
| Chrmsm Breakage Baseline Sister 20-25 Cll (88245) | $1,162.20 | $1,937 | 6.7× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $898.20 | $1,497 | 5.2× |
| Chromium serum (82495) | $192 | $320 | 9.5× |
| Chromogenic Substrate Assay (85130) | $306 | $510 | 25.7× |
| Chromogranin a (86316) | $136.20 | $227 | 6.5× |
| Chromosome analys amniotic (88269) | $439.80 | $733 | 2.5× |
| Chromosome Analysis 15-20 (88262) | $604.80 | $1,008 | 4.8× |
| Chromosome Analysis 20-25 (88264) | $1,250.40 | $2,084 | 8.6× |
| Chromosome analysis 45 cells (88263) | $1,668 | $2,780 | 11.1× |
| Chromosome analysis, 5 (88261) | $809.40 | $1,349 | 3.1× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $148.20 | $247 | 4.2× |
| Citric acid urine (82507) | $136.80 | $228 | 4.9× |
| Ckmb (82553) | $93.60 | $156 | 8.1× |
| Clostridium Difficile (87324) | $114 | $190 | 9.5× |
| Clot Factor VIII Multimetric (85247) | $219 | $365 | 9.5× |
| Clot factor xiii fibrin stab (85290) | $157.80 | $263 | 9.7× |
| Clotting factor xii hageman (85280) | $192 | $320 | 9.9× |
| Clotting Funct Activity (85397) | $310.20 | $517 | 10.1× |
| Clotting hi molec weight kininogen assay (85293) | $273 | $455 | 14.4× |
| Clotting prekallikrein assay fletcher fact assay (85292) | $190.20 | $317 | 10.0× |
| Cns DNA amp probe type 12-25 (87483) | $1,176 | $1,960 | 2.8× |
| Coagulation time activated (85347) | $97.20 | $162 | 22.7× |
| Coccidioides antibody (86635) | $88.20 | $147 | 7.7× |
| Cold agglutinin screen (86156) | $64.20 | $107 | 8.0× |
| Cold agglutinin titer (86157) | $39.60 | $66 | 4.9× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$36.60–$162 | $61–$270 | varies |
| Column Chromotography Quant (82542) | $215.40 | $359 | 8.9× |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $588 | $980 | 2.5× |
| Compatibility Each Unit Incubation (86921) | $156 | $260 | 0.9× |
| Compatibility test antiglob (86922) | $133.80 | $223 | 0.8× |
| Complement Antigen Each Component (86160) | $84.60 | $141 | 7.1× |
| Complement Total (Ch50) (86162) | $240 | $400 | 11.8× |
| Complement/Function Activity (86161) | $76.80 | $128 | 6.4× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $170.40 | $284 | 3.3× |
| Coombs direct (86880) range across 2 matching MRF lines |
$27.60–$97.80 | $46–$163 | varies |
| Copper urine (82525) | $74.40 | $124 | 6.0× |
| Cortisol free (82530) | $110.40 | $184 | 6.6× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$91.80–$126 | $153–$210 | varies |
| Creatine (82540) | $140.40 | $234 | 30.3× |
| Creatine kinase total (82550) | $58.20 | $97 | 8.9× |
| Creatinine blood (82565) | $48.60 | $81 | 9.5× |
| Creatinine clearance (82575) | $82.80 | $138 | 8.8× |
| Creatinine Urine (82570) | $42.60 | $71 | 8.2× |
| Crossmatch electronic (86923) | $188.40 | $314 | 1.1× |
| Crossmatch immediate spin (86920) | $140.40 | $234 | 0.8× |
| Crp High Sensitivity (86141) | $66.60 | $111 | 5.1× |
| Cryofibrinogen (82585) | $16.20 | $27 | 1.1× |
| Cryoglobulin (82595) | $63.60 | $106 | 9.8× |
| Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) | $578.40 | $964 | 44.3× |
| Cryptococcus ag titer (87899) | $66.60 | $111 | 4.1× |
| Cryptosporidium (87272) | $116.40 | $194 | 9.7× |
| Cryptosporidium ag eia (87328) | $84 | $140 | 6.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $58.20 | $97 | 7.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $136.80 | $228 | 16.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $67.20 | $112 | 8.7× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $570 | $950 | 2.6× |
| Culture aerobic quant other (87071) | $277.20 | $462 | 28.0× |
| Culture afb (87116) | $109.20 | $182 | 10.1× |
| Culture Anaerobic (87075) | $211.20 | $352 | 22.3× |
| Culture blood (87040) | $180.60 | $301 | 17.5× |
| Culture chlamydia (87110) | $100.80 | $168 | 5.1× |
| Culture csf (87070) | $177 | $295 | 20.5× |
| Culture fungus (87102) | $195.60 | $326 | 23.3× |
| Culture fungus blood (87103) | $9.60 | $16 | 0.5× |
| Culture screen only (87081) | $60 | $100 | 9.0× |
| Culture stool (87045) | $13.20 | $22 | 1.4× |
| Culture typing if ea antiserum (87140) | $52.80 | $88 | 9.5× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $34.80 | $58 | 6.7× |
| Culture typing other methods (87158) | $52.20 | $87 | 6.7× |
| Culture urine (87086) range across 4 matching MRF lines |
$271.80–$1,446 | $453–$2,410 | varies |
| Culture, typing; identification by pulse field gel typing Facility (87152) | $154.80 | $258 | 20.0× |
| Cyanide (82600) | $208.80 | $348 | 10.8× |
| Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) | $75.60 | $126 | 5.3× |
| Cyclosporine (80158) | $127.80 | $213 | 7.1× |
| Cyp2c19 gene analysis common variants (81225) range across 2 matching MRF lines |
$315–$336 | $525–$560 | varies |
| Cyp3a5 gene common variants (81231) | $313.20 | $522 | 1.8× |
| Cystatin C (82610) | $99.60 | $166 | 5.4× |
| Cytogenetics 10-30 (88273) | $435.60 | $726 | 12.5× |
| Cytogenetics 100-300 (88275) | $285 | $475 | 5.6× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $1,723.20 | $2,872 | 1.5× |
| Cytomegalovirus igg (86644) | $100.80 | $168 | 7.0× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $100.80 | $168 | 5.0× |
| Cytopath Cell Enhance Tech (88112) | $211.80 | $353 | 4.1× |
| Cytp Concentration Smears & Interpretation (88108) | $187.80 | $313 | 5.0× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $157.80 | $263 | 3.0× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $180.60 | $301 | 1.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $75 | $125 | 2.0× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $732.60 | $1,221 | 4.3× |
| Cytp Slides C/V Mnl Scr Under Phys (88150) | $66.60 | $111 | 3.6× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $66 | $110 | 3.6× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $114 | $190 | 3.9× |
| Cytp Urine 3-5 Probes Cmptr (88121) | $425.40 | $709 | 2.5× |
| Deoxycortisol (82634) | $107.40 | $179 | 3.7× |
| Deoxyribonuclease antibody (86215) | $88.80 | $148 | 6.7× |
| Desoxycorticosterone (82633) | $126.60 | $211 | 4.1× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$31.80–$274.80 | $53–$458 | varies |
| Detect Agent Nos Dna Quant (87799) range across 5 matching MRF lines |
$85.20–$625.80 | $142–$1,043 | varies |
| Detect agnt mult DNA ampli (87801) | $521.40 | $869 | 7.4× |
| Dgp Antibody Each Ig Class (86258) | $172.20 | $287 | 14.3× |
| Dhea (82626) | $133.20 | $222 | 5.3× |
| Dhea-S (82627) | $129 | $215 | 5.8× |
| Dibucaine number (82638) | $70.80 | $118 | 5.8× |
| Digoxin (80162) | $78 | $130 | 5.9× |
| Digoxin free (80163) | $115.80 | $193 | 8.7× |
| Dihydrotestosterone (82642) | $208.20 | $347 | 7.1× |
| Diphtheria antitoxoid (86648) | $179.40 | $299 | 11.8× |
| Dipropylacetic Acid Free (80165) | $98.40 | $164 | 7.3× |
| Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) | $96 | $160 | 2.8× |
| Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) | $700.20 | $1,167 | 5.1× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$11.40–$116.40 | $19–$194 | varies |
| Dna/Rna Amplified Probe (87150) | $219 | $365 | 6.2× |
| DNA/RNA direct probe (87149) | $270 | $450 | 13.5× |
| Dna/Rna Sequencing (87153) | $362.40 | $604 | 3.1× |
| Drug assay acetaminophen (80143) | $120.60 | $201 | 6.5× |
| Drug assay adalimumab (80145) | $237 | $395 | 6.1× |
| Drug Assay Amiodarone (80151) | $19.20 | $32 | 1.0× |
| Drug Assay Everolimus (80169) | $130.80 | $218 | 9.5× |
| Drug assay felbamate (80167) | $47.40 | $79 | 2.5× |
| Drug Assay Infliximab (80230) | $208.80 | $348 | 5.4× |
| Drug Assay Itraconazole (80189) | $92.40 | $154 | 3.4× |
| Drug Assay Lacosamide (80235) | $91.20 | $152 | 3.4× |
| Drug Assay Leflunomide (80193) | $30 | $50 | 0.8× |
| Drug Assay Posaconazole (80187) | $102 | $170 | 3.8× |
| Drug Assay Vedolizumab (80280) | $320.40 | $534 | 8.3× |
| Drug assay voriconazole (80285) | $102 | $170 | 3.8× |
| Drug Asy Hydroxychloroquine (80220) | $248.40 | $414 | 13.3× |
| Drug Screen Quant Clozapine (80159) | $97.20 | $162 | 4.8× |
| Drug Screen Quant Zonisamide (80203) | $76.80 | $128 | 5.8× |
| Drug Screen Quantitative Gabapentin (80171) | $42 | $70 | 1.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $60.60 | $101 | 4.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $60.60 | $101 | 4.6× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $54.60 | $91 | 4.1× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $102.60 | $171 | 6.1× |
| Drug Test Prsmv Chem Anlyzr (80307) | $118.20 | $197 | 1.9× |
| Egfr Gene Analysis Common Variants (81235) | $721.80 | $1,203 | 2.2× |
| Ehrlichia antibody (86666) | $67.20 | $112 | 6.6× |
| El-1 Fecal Quantitative (82653) range across 2 matching MRF lines |
$116.40–$198.60 | $194–$331 | varies |
| Electrolyte panel (80051) | $130.80 | $218 | 18.7× |
| Electron Microscopy (88348) | $1,048.20 | $1,747 | 1.3× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $184.80 | $308 | 3.0× |
| Encephaltis East Eqne Anbdy (86652) | $82.80 | $138 | 6.3× |
| Encephaltis West Eqne Antbdy (86654) | $71.40 | $119 | 5.4× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $49.80 | $83 | 4.1× |
| Enterovirus Antibody (86658) | $84 | $140 | 6.4× |
| Enterovirus PCR (87498) | $340.20 | $567 | 9.7× |
| Enzyme cell activity (82657) | $213 | $355 | 9.6× |
| Enzyme histochemistry (88319) | $311.40 | $519 | 0.4× |
| Erythropoietin (82668) | $127.20 | $212 | 6.8× |
| Estradiol serum (82670) | $198.60 | $331 | 7.1× |
| Estriol (82677) | $118.20 | $197 | 4.9× |
| Estrogen total (82672) | $15.60 | $26 | 0.7× |
| Estrogens fractionated (82671) | $127.80 | $213 | 4.0× |
| Ethosuximide (80168) | $115.80 | $193 | 7.1× |
| Ethylene Glycol (82693) | $111.60 | $186 | 7.5× |
| Exam Synovial Fluid Crystals (89060) | $59.40 | $99 | 8.1× |
| F2 Gene (81240) | $212.40 | $354 | 3.2× |
| Factor ii activity (85210) | $105 | $175 | 8.1× |
| Factor Inhibitor Test (85335) | $354.60 | $591 | 27.6× |
| Factor ix activity (85250) | $190.80 | $318 | 10.0× |
| Factor v activity (85220) | $167.40 | $279 | 9.5× |
| Factor v leiden mutation (81241) | $193.80 | $323 | 2.6× |
| Factor vii assay (85230) | $207 | $345 | 11.6× |
| Factor viii assay (85240) | $171.60 | $286 | 9.6× |
| Factor X (85260) | $189 | $315 | 10.6× |
| Factor xi activity (85270) | $171.60 | $286 | 9.6× |
| Factor xiii screen (85291) | $105.60 | $176 | 11.6× |
| Fat/Lipids Feces Quantitative (82710) | $133.80 | $223 | 8.0× |
| Fatty acids free (82725) | $76.80 | $128 | 4.1× |
| Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) | $149.40 | $249 | 19.4× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $225 | $375 | 13.1× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $172.20 | $287 | 26.4× |
| Fecal Fat Qualitative (82705) | $15.60 | $26 | 3.1× |
| Ferritin (82728) | $78 | $130 | 5.7× |
| Fetal Chrmoml Aneuploidy (81420) | $325.20 | $542 | 0.4× |
| Fetal Congenital Abnor Assay Four Anal (81511) range across 2 matching MRF lines |
$151.20–$373.20 | $252–$622 | varies |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $40.80 | $68 | 0.8× |
| Fetal Fibronectin (82731) | $778.20 | $1,297 | 12.1× |
| Fetal screen rosette (85461) | $106.20 | $177 | 11.3× |
| Fibrin degradation products (85362) | $97.20 | $162 | 14.1× |
| Fibrin Degradation Quant (85379) | $150 | $250 | 14.7× |
| Fibrinogen activity (85384) | $168.60 | $281 | 17.3× |
| Fibrinogen antigen (85385) | $193.20 | $322 | 13.4× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $114 | $190 | 7.4× |
| Flecainide level (80181) | $63 | $105 | 3.4× |
| Flow cytometry first marker (88184) | $227.40 | $379 | 0.6× |
| Fluorescent antibody screen (86255) range across 13 matching MRF lines |
$90–$305.40 | $150–$509 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 6 matching MRF lines |
$63–$110.40 | $105–$184 | varies |
| Fluoride serum (82735) | $250.20 | $417 | 13.5× |
| Fmr1 Gene Charac Alleles (81244) | $142.20 | $237 | 3.2× |
| Fmr1 gene detection (81243) | $363.60 | $606 | 6.4× |
| Folic acid rbc (82747) | $110.40 | $184 | 6.3× |
| Folic Acid Serum (82746) | $90.60 | $151 | 6.2× |
| Follicle Stimulating Hormone (83001) | $105 | $175 | 5.7× |
| Francisella tularensis (86668) | $79.20 | $132 | 5.6× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $95.40 | $159 | 0.6× |
| Frozen Section (88331) | $163.80 | $273 | 1.0× |
| Fungi Identification Mold (87107) | $91.20 | $152 | 8.8× |
| Fungi Identification Yeast (87106) | $102 | $170 | 9.9× |
| G6pd gene analysis full gene sequence (81249) | $637.80 | $1,063 | 1.1× |
| Galactose (82760) | $54 | $90 | 4.8× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $117 | $195 | 5.6× |
| Galectin-3 (82777) | $48.60 | $81 | 1.1× |
| Gammaglobulin ige (82785) | $85.80 | $143 | 5.2× |
| Gardner vag DNA dir probe (87510) | $70.80 | $118 | 3.5× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $85.80 | $143 | 8.8× |
| Gases blood ph only (82800) | $57 | $95 | 5.2× |
| Gastrin (82941) | $116.40 | $194 | 6.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $999.60 | $1,666 | 2.4× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) range across 3 matching MRF lines |
$2,223.60–$2,532 | $3,706–$4,220 | varies |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) | $1,909.80 | $3,183 | 0.7× |
| Genet Virus Isolate Hsv (87255) | $12.60 | $21 | 0.4× |
| Gentamicin (80170) | $233.40 | $389 | 14.2× |
| Ggt (82977) | $57 | $95 | 7.9× |
| Giardia antigen (87329) | $95.40 | $159 | 8.0× |
| Giardia lamblia antibody (86674) | $132.60 | $221 | 9.0× |
| Glucagon (82943) | $149.40 | $249 | 10.5× |
| Glucose 2 hr pp (82950) | $34.20 | $57 | 7.2× |
| Glucose Blood Test (82962) | $55.20 | $92 | 16.8× |
| Glucose body fluid (82945) | $87.60 | $146 | 22.3× |
| Glucose Serum (82947) range across 2 matching MRF lines |
$23,831.25–$23,858.24 | $39,718.75–$39,763.74 | varies |
| Glucose tolerance test (gtt) (82951) | $79.20 | $132 | 6.2× |
| Glucosidase beta (82963) | $109.80 | $183 | 5.1× |
| Glutathione (82978) | $36 | $60 | 2.3× |
| Glycated Protein (82985) | $73.20 | $122 | 4.4× |
| Gonadotropin Chorionic Qualitative (84703) | $59.40 | $99 | 7.9× |
| Gonadotropin releasing hormone (83727) | $229.20 | $382 | 13.3× |
| Growth hormone (83003) | $102.60 | $171 | 6.2× |
| Gtt-added samples (82952) | $25.80 | $43 | 6.6× |
| H Pylori (C-13) Breath (83013) | $200.40 | $334 | 3.0× |
| H Pylori Drug Admin (83014) | $47.40 | $79 | 6.0× |
| H pylri clrthmcn rst amp prb (87513) | $63 | $105 | 1.8× |
| Haloperidol (80173) | $111 | $185 | 7.0× |
| Haptoglobin (83010) | $126.60 | $211 | 10.1× |
| Hba1/hba2 full gene sequence (81259) | $627.60 | $1,046 | 1.0× |
| Hba1/Hba2 Gene (81257) | $360.60 | $601 | 3.5× |
| Hba1/Hba2 Gene Dup/Del Vrnts (81269) | $351 | $585 | 1.7× |
| Hbb duplication/deletion variants (81363) | $309 | $515 | 1.5× |
| Hbb Full Gene Sequence (81364) | $536.40 | $894 | 1.7× |
| Hdl Cholesterol (83718) | $50.40 | $84 | 6.2× |
| Helicobacter Pylori Stool (87338) | $181.20 | $302 | 12.6× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$108–$222 | $180–$370 | varies |
| Hematocrit (85014) | $25.20 | $42 | 10.6× |
| Hemoglobin (85018) | $40.20 | $67 | 17.0× |
| Hemoglobin a1c (83036) range across 3 matching MRF lines |
$508.80–$2,242.80 | $848–$3,738 | varies |
| Hemoglobin Chromotography (83021) | $135 | $225 | 7.5× |
| Hemoglobin electrophoresis (83020) | $100.80 | $168 | 7.8× |
| Hemoglobin Methemoglobin Quantitative (83050) | $99 | $165 | 12.1× |
| Hemoglobin plasma (83051) | $120 | $200 | 16.4× |
| Hemoglobin stability screen (83068) | $111.60 | $186 | 11.8× |
| Hemoglobin-Oxygen Affinity (82820) | $226.80 | $378 | 17.0× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $33.60 | $56 | 3.8× |
| Hemosiderin urine (83070) | $30.60 | $51 | 6.4× |
| Hep a ab igm (86709) | $102.60 | $171 | 9.1× |
| Heparin assay (85520) | $205.80 | $343 | 15.7× |
| Heparin Neutralization (85525) | $141 | $235 | 11.9× |
| Hepatitis a antibody total (86708) | $137.40 | $229 | 11.1× |
| Hepatitis b core ab igm (86705) | $93.60 | $156 | 8.0× |
| Hepatitis b core ab total (86704) | $76.80 | $128 | 6.4× |
| Hepatitis b surface ag quan (87467) | $228.60 | $381 | 9.0× |
| Hepatitis B Surface Antibody (86706) | $84.60 | $141 | 7.9× |
| Hepatitis B Surface Antigen (87340) | $63 | $105 | 6.1× |
| Hepatitis Be Antibody (86707) | $88.20 | $147 | 7.6× |
| Hepatitis Be Antigen (87350) | $76.80 | $128 | 6.7× |
| Hepatitis C Antibody (86803) | $82.20 | $137 | 5.8× |
| Hepatitis c antibody confirmatory test (86804) | $237.60 | $396 | 15.3× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$124.80–$677.40 | $208–$1,129 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $212.40 | $354 | 6.1× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$126–$293.40 | $210–$489 | varies |
| Hepatitis Delta Agent Antibody (86692) | $111 | $185 | 6.5× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $2,205 | $3,675 | 3.8× |
| Herpes simplex type 2 (86696) | $98.40 | $164 | 5.1× |
| Heterophile Antibody Screen (86308) | $115.20 | $192 | 22.2× |
| Hfe Gene (81256) | $274.80 | $458 | 4.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $187.20 | $312 | 24.2× |
| Histamine urine (83088) | $194.40 | $324 | 6.6× |
| Histoplasma antibody (86698) | $78.60 | $131 | 5.7× |
| Histoplasma antigen urine (87385) | $262.80 | $438 | 19.8× |
| Hiv Genotype (87901) | $1,477.20 | $2,462 | 5.7× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $149.40 | $249 | 6.2× |
| Hiv-1 Antibody (86701) | $116.40 | $194 | 13.1× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $352.80 | $588 | 4.1× |
| HIV-2 probe&revrse trnscripj (87538) | $114 | $190 | 3.2× |
| Hla Class I Typing High Resolution Complete (81379) | $905.40 | $1,509 | 2.7× |
| Hla Class I Typing Low Resolution Complete (81372) | $213 | $355 | 0.5× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $302.40 | $504 | 2.4× |
| Hla class i&ii antibody qual (86828) | $234.60 | $391 | 3.7× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $1,288.20 | $2,147 | 3.2× |
| Hla class ii high defin qual (86833) | $249 | $415 | 0.8× |
| Hla class ii typing high resolution one locus ea (81382) | $159.60 | $266 | 1.3× |
| Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) | $709.80 | $1,183 | 6.5× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $25.20 | $42 | 0.3× |
| Hla I Typing 1 Allele Hr (81381) range across 2 matching MRF lines |
$163.80–$394.80 | $273–$658 | varies |
| Hla i&ii high resolution hla-a -b -c and -drb1 (81378) | $487.20 | $812 | 1.4× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $79.20 | $132 | 0.4× |
| Hla ii typing 1 allele hr (81383) | $340.20 | $567 | 3.1× |
| Hla ii typing 1 locus lr (81376) range across 2 matching MRF lines |
$48.60–$249 | $81–$415 | varies |
| Hla Typing a/B/C Multiple Antigens (86813) | $924 | $1,540 | 15.9× |
| Hla Typing Dr/Dq Multiple Antigens (86817) | $577.20 | $962 | 5.4× |
| Hla-b27 (86812) | $172.20 | $287 | 6.7× |
| Homocysteine (83090) | $141.60 | $236 | 7.9× |
| Homogenization Tissue (87176) | $63 | $105 | 10.7× |
| Homovanillic acid urine (83150) | $108 | $180 | 4.8× |
| Hpa-1 genotyping gene analysis common variant (81105) | $48.60 | $81 | 0.4× |
| Hpa-15 genotyping gene analysis common variant (81112) | $48.60 | $81 | 0.4× |
| Hpa-2 genotyping gene analysis common variant (81106) | $48.60 | $81 | 0.4× |
| Hpa-3 genotyping gene analysis common variant (81107) | $48.60 | $81 | 0.4× |
| Hpa-4 genotyping gene analysis common variant (81108) | $48.60 | $81 | 0.4× |
| Hpa-5 genotyping gene analysis common variant (81109) | $48.60 | $81 | 0.4× |
| Hpa-6 genotyping gene analysis common variant (81110) | $48.60 | $81 | 0.4× |
| Hpa-9 Genotyping (81111) | $48.60 | $81 | 0.4× |
| Hpv High-Risk Types (87624) | $193.80 | $323 | 5.5× |
| Hpv sep hi-rsk typ&pool rslt (87626) | $37.80 | $63 | 0.5× |
| Hpv Types 16 & 18 Only (87625) | $390 | $650 | 9.6× |
| Hsv Dna Amp Probe (87529) range across 3 matching MRF lines |
$87.60–$276 | $146–$460 | varies |
| Hsv Dna Quant (87530) | $137.40 | $229 | 3.2× |
| Htlv-I Antibody (86687) | $93.60 | $156 | 10.3× |
| Htt Gene Detc Abnor Alleles (81271) | $301.80 | $503 | 2.2× |
| Human Epididymis Protein 4 (86305) | $210.60 | $351 | 10.1× |
| Hydroxycorticosteroids 17 (83491) | $181.20 | $302 | 10.1× |
| Hydroxyprogesterone 17-d (83498) | $131.40 | $219 | 4.8× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $73.20 | $122 | 6.1× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $96.60 | $161 | 9.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $24 | $40 | 0.7× |
| Iaad ia shiga-like toxin (87427) | $90.60 | $151 | 7.6× |
| Iaad Ia Streptococcus Group A (87430) | $115.80 | $193 | 6.9× |
| Iaadi inffluenza a virus (87276) | $102 | $170 | 6.3× |
| Iaadi pneumocustis carinii (87281) | $214.20 | $357 | 17.9× |
| Iaadi Varicella Zoster Virus (87290) | $114 | $190 | 8.5× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $30.60 | $51 | 0.9× |
| Iadna Bartonella Amplified Probe Technique (87471) | $1,695 | $2,825 | 48.3× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) range across 2 matching MRF lines |
$40.80–$381 | $68–$635 | varies |
| Iadna Candida Species Amplified Probe Tq (87481) | $414.60 | $691 | 11.8× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $446.40 | $744 | 12.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 3 matching MRF lines |
$79.20–$343.80 | $132–$573 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $283.80 | $473 | 6.6× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $319.80 | $533 | 4.6× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $30.60 | $51 | 0.9× |
| Iadna hepatitis b virus amplified probe tq (87516) | $191.40 | $319 | 5.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $324.60 | $541 | 7.6× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $287.40 | $479 | 8.2× |
| Iadna Herpes Virus-6 Quantification (87533) | $339.60 | $566 | 8.1× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $197.40 | $329 | 5.6× |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $118.20 | $197 | 3.4× |
| Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) | $256.20 | $427 | 3.3× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $64.20 | $107 | 2.4× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $213.60 | $356 | 4.4× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $48.60 | $81 | 2.4× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $179.40 | $299 | 4.3× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $81 | $135 | 3.0× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 2 matching MRF lines |
$306.60–$511.20 | $511–$852 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $148.20 | $247 | 4.2× |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $248.40 | $414 | 8.3× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $277.80 | $463 | 5.4× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $262.20 | $437 | 1.8× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $412.80 | $688 | 1.6× |
| Ibmfs sequence analysis panel at least 30 genes (81441) | $2,734.20 | $4,557 | 1.1× |
| Idh1 common variants (81120) | $335.40 | $559 | 1.7× |
| Idh2 common variants (81121) | $379.80 | $633 | 1.3× |
| Ifnl3 gene analysis rs12979860 variant (81283) | $268.80 | $448 | 3.7× |
| Ig Light Chains Free Each (83521) | $52.20 | $87 | 3.0× |
| Igg subclasses (82787) | $97.80 | $163 | 12.2× |
| Igh gene rearrange amp meth (81261) | $581.40 | $969 | 2.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $219.60 | $366 | 0.6× |
| Immune Complex Assay (86332) | $260.40 | $434 | 10.7× |
| Immunfix e-phorsis/urine/csf (86335) | $147 | $245 | 5.0× |
| Immunoassay analyte qual/semiqual single step (83518) | $268.20 | $447 | 27.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$163.80–$436.80 | $273–$728 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $103.20 | $172 | 6.9× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$14.40–$132.60 | $24–$221 | varies |
| Immunodiffusion not elsewhere specified (86329) | $142.20 | $237 | 10.1× |
| Immunodiffusion Ouchterlony (86331) range across 2 matching MRF lines |
$50.40–$52.80 | $84–$88 | varies |
| Immunofixation electrophoresis (86334) | $133.80 | $223 | 6.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $237 | $395 | 1.4× |
| Immunohistochemistry (88342) | $184.20 | $307 | 1.1× |
| In situ hybridization 1st probe stain (88365) | $352.20 | $587 | 2.1× |
| In situ hybridization ea multiplex probe stain (88366) | $337.80 | $563 | 2.0× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) | $39 | $65 | 1.8× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $102 | $170 | 8.3× |
| Influenza assay w/optic (87804) | $99.60 | $166 | 6.0× |
| Influenza DNA amp probe (87502) | $236.40 | $394 | 2.5× |
| Inhibin A (86336) | $108.60 | $181 | 7.0× |
| Inhibin b (83520) range across 12 matching MRF lines |
$44.40–$681 | $74–$1,135 | varies |
| Insitu hybridization manual (88368) | $417 | $695 | 1.2× |
| Insulin antibodies (86337) | $168.60 | $281 | 7.9× |
| Insulin free (83527) | $128.40 | $214 | 9.9× |
| Insulin total (83525) | $66.60 | $111 | 5.8× |
| Intrinsic factor antibody (86340) | $100.80 | $168 | 6.7× |
| Iron (83540) | $58.20 | $97 | 9.0× |
| Iron Binding Capacity (83550) | $66.60 | $111 | 7.6× |
| Irradiation Blood Product Each Unit (86945) | $159 | $265 | 4.2× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$69.60–$234 | $116–$390 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$265.80–$276 | $443–$460 | varies |
| Ketosteroids 17 total (83586) | $23.40 | $39 | 1.8× |
| Kit Gene Analysis D816 Variant(S) (81273) | $891 | $1,485 | 7.1× |
| Koh Prep (87220) | $42.60 | $71 | 10.0× |
| Kras Gene Analysis Additional Variant(S) (81276) | $351 | $585 | 1.8× |
| Kras Gene Variants Exon 2 (81275) | $388.80 | $648 | 2.0× |
| Lactate (ld) (ldh) enzyme (83615) | $51 | $85 | 8.4× |
| Lactoferrin fecal qualitative (83630) | $102 | $170 | 5.2× |
| Lactogen Hpl Human Chorionic Somatomammotropin (83632) | $216 | $360 | 10.7× |
| Lamellar Body Count (83664) | $53.40 | $89 | 2.8× |
| Ldh Isoenzymes (83625) | $80.40 | $134 | 6.3× |
| LDL direct (83721) | $67.20 | $112 | 6.4× |
| Lead (83655) | $71.40 | $119 | 5.9× |
| Legionella antibody (86713) | $98.40 | $164 | 6.4× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$223.80–$258.60 | $373–$431 | varies |
| Legionella pneumophila dfa (87278) | $102 | $170 | 6.5× |
| Leptospira antibody (86720) | $145.80 | $243 | 9.0× |
| Leukocyte Assessment Fecal (89055) | $29.40 | $49 | 6.9× |
| Leukocyte Histamine Release (86343) | $64.20 | $107 | 5.2× |
| Level I Surg Pathology Gross Examination Only (88300) | $96 | $160 | 3.3× |
| Level ii surg pathology grossµscopic exam (88302) | $127.20 | $212 | 3.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $386.40 | $644 | 1.1× |
| Lidocaine (80176) | $257.40 | $429 | 17.5× |
| Lipase (83690) | $123 | $205 | 17.9× |
| Lipoprotein A (83695) | $110.40 | $184 | 7.7× |
| Lipoprotein Bld Quan Part (83704) | $143.40 | $239 | 4.2× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $113.40 | $189 | 10.1× |
| Lipoprotein Blood High Resoltj&Quantj Subclass (83701) | $198.60 | $331 | 5.9× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $208.80 | $348 | 4.5× |
| Lithium (80178) | $66.60 | $111 | 10.1× |
| Liver ds alys 3 bmrk srm alg (81517) | $337.80 | $563 | 1.9× |
| Luteinizing Hormone (Lh) (83002) | $117 | $195 | 6.3× |
| Lyme disease antibody (86618) | $118.20 | $197 | 6.9× |
| Lymphocyte Culture Mixed (86821) | $261 | $435 | 7.1× |
| Lymphocyte transformation (86353) range across 5 matching MRF lines |
$255.60–$366 | $426–$610 | varies |
| Lymphocytotoxicity Assay (86805) | $602.40 | $1,004 | 3.2× |
| Lysozyme serum (85549) | $96 | $160 | 5.1× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $151.80 | $253 | 4.3× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $413.40 | $689 | 2.4× |
| Macroscopic Exam Parasite (87169) | $31.80 | $53 | 7.4× |
| Magnesium Urine (83735) | $75 | $125 | 11.2× |
| Mass Spectrometry Quant (83789) | $160.80 | $268 | 6.7× |
| Mercury urine (83825) | $88.20 | $147 | 5.4× |
| Metabolic panel ionized ca (80047) | $188.40 | $314 | 13.7× |
| Methotrexate (80204) | $232.20 | $387 | 6.0× |
| Methylmalonic acid serum (83921) | $124.80 | $208 | 5.9× |
| Mgmt methylation analysis (81287) | $730.20 | $1,217 | 5.9× |
| Microalbumin, quantitative (82043) | $72 | $120 | 12.5× |
| Microbe Suscept Macrobroth (87188) | $156.60 | $261 | 23.6× |
| Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity Facility (83861) | $48 | $80 | 2.1× |
| Microsatellite instability (81301) | $345.60 | $576 | 1.0× |
| Microsomal Antibodies Each (86376) | $86.40 | $144 | 5.9× |
| Mitochondrial Antibody Each (86381) | $198.60 | $331 | 7.8× |
| Mlh1 Gene (81288) | $504.60 | $841 | 2.6× |
| Mog-Igg1 Antb Cba Each (86362) | $266.40 | $444 | 22.1× |
| Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) | $114 | $190 | 2.8× |
| Molecular Cytogenetics Dna Probe Each (88271) | $172.20 | $287 | 8.0× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $264 | $440 | 6.2× |
| Mononuclear cell antigen (86356) | $85.80 | $143 | 3.2× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$204–$406.80 | $340–$678 | varies |
| Mopath procedure level 4 (81403) | $544.80 | $908 | 2.9× |
| Mopath procedure level 7 (81406) | $1,758.60 | $2,931 | 6.2× |
| Morphometric analysis nerve (88356) | $94.80 | $158 | 1.8× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $276 | $460 | 1.5× |
| Mthfr Gene Analysis Common Variants (81291) | $204.60 | $341 | 3.1× |
| Mucopolysaccharides acid quantitative (83864) | $300 | $500 | 10.5× |
| Mumps antibody (86735) | $70.80 | $118 | 5.4× |
| Muscle-Specific Kinase Antb (86366) | $485.40 | $809 | 26.4× |
| Mycobacteric Identification (87118) | $133.20 | $222 | 9.1× |
| Mycophenolic Acid (80180) | $147.60 | $246 | 8.2× |
| Mycoplasma antibody (86738) | $95.40 | $159 | 7.2× |
| Mycoplasma culture (87109) | $107.40 | $179 | 7.0× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $375.60 | $626 | 2.1× |
| Myelin basic protein csf (83873) | $171 | $285 | 9.9× |
| Myoglobin urine (83874) | $79.20 | $132 | 6.1× |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$817.80–$853.20 | $1,363–$1,422 | varies |
| Neurofilament light chain (83884) | $722.40 | $1,204 | 6.2× |
| Neutralization Test Viral (86382) | $174 | $290 | 10.3× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $211.80 | $353 | 1.7× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $73.20 | $122 | 2.5× |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $706.20 | $1,177 | 2.7× |
| Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) | $907.80 | $1,513 | 3.5× |
| Nfct ds bv&vaginitis DNA alg (81515) | $234 | $390 | 0.9× |
| Nfct ds chrnc hcv 6 assays (81596) | $321.60 | $536 | 4.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $306.60 | $511 | 2.4× |
| Niacin (84591) | $107.40 | $179 | 6.3× |
| Nk cells total count (86357) | $145.80 | $243 | 3.9× |
| Noonan Spectrum Disorders (81442) | $1,808.40 | $3,014 | 0.8× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $570.60 | $951 | 2.3× |
| Nras gene variants exon 2&3 (81311) | $440.40 | $734 | 1.5× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$22.80–$96 | $38–$160 | varies |
| Nzym actv blood cells/tiss radact substrate ea (82658) | $432 | $720 | 9.8× |
| Occult blood feces (82272) | $27.60 | $46 | 6.5× |
| Oligoclonal bands (83916) | $130.20 | $217 | 4.8× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $257.40 | $429 | 1.0× |
| Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed… (81542) range across 2 matching MRF lines |
$2,394–$3,351.60 | $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 |
$1,097.40 | $1,829 | 0.1× |
| Oncology breast mrna gene expression 21 genes (81519) | $4,380 | $7,300 | 1.1× |
| Oncoprotein dcp (83951) | $146.40 | $244 | 2.3× |
| Organic Acids Qualitative Each Specimen (83919) | $580.20 | $967 | 35.3× |
| Osmolality serum (83930) | $113.40 | $189 | 17.2× |
| Osmolality Urine (83935) | $66 | $110 | 9.7× |
| Osmotic fragility rbc incubated (85557) | $106.20 | $177 | 7.9× |
| Osteocalcin (83937) | $123.60 | $206 | 4.1× |
| Ova and parasites smears (87177) | $60 | $100 | 6.7× |
| Oxalate urine (83945) | $79.80 | $133 | 5.5× |
| Pancreatic Elastase Fecal (82656) | $404.40 | $674 | 35.1× |
| Particle Agglut Antbdy Titr (86406) | $176.40 | $294 | 16.6× |
| Particle Agglutination Screen Each Antibody (86403) | $91.20 | $152 | 7.9× |
| Parvovirus antibody (86747) | $184.20 | $307 | 12.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $167.40 | $279 | 0.2× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $936.60 | $1,561 | 2.8× |
| Ph urine (81003) | $52.80 | $88 | 23.5× |
| Phenobarbital Level (80184) | $168 | $280 | 11.0× |
| Phenotype Infect Agent Drug (87900) range across 2 matching MRF lines |
$486.60–$540.60 | $811–$901 | varies |
| Phenylalanine (84030) | $25.80 | $43 | 4.7× |
| Phenylketones qual (84035) | $58.20 | $97 | 14.6× |
| Phenytoin (Dilantin) (80185) | $143.40 | $239 | 10.8× |
| Phenytoin free (80186) | $166.80 | $278 | 12.1× |
| Phosphatase acid prostatic (84066) | $62.40 | $104 | 6.5× |
| Phosphatase alkaline (84075) | $67.80 | $113 | 13.1× |
| Phospholipid Neutralization Hexagonal (85598) | $116.40 | $194 | 6.5× |
| Phosphorus Serum (84100) | $52.20 | $87 | 11.0× |
| Phosphorus urine (84105) | $61.80 | $103 | 10.7× |
| Pinworm exam (87172) | $57 | $95 | 13.3× |
| Platelet Aggregation (85576) | $159 | $265 | 6.4× |
| Platelet Antibodies (86022) | $249.60 | $416 | 13.6× |
| Platelet count automated (85049) | $69.60 | $116 | 15.5× |
| Platelet neutralization (85597) | $104.40 | $174 | 5.8× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $680.40 | $1,134 | 3.3× |
| Pneumcysts jirovecii amp prb (87594) | $130.20 | $217 | 3.7× |
| Pooling blood platelets (86965) | $168.60 | $281 | 1.0× |
| Porphobilinogen Urine Qualitative (84106) | $71.40 | $119 | 12.3× |
| Porphobilinogen, urine; quantitative (84110) | $110.40 | $184 | 13.1× |
| Porphyrins Feces Quantitative (84126) | $178.20 | $297 | 4.6× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $164.40 | $274 | 11.2× |
| Potassium Urine (84133) | $42 | $70 | 8.9× |
| Prealbumin (84134) | $109.80 | $183 | 7.5× |
| Pregnancy-Associated Plasma Protein-A (84163) | $100.20 | $167 | 6.7× |
| Pregnenolone (84140) | $82.20 | $137 | 4.0× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $54 | $90 | 0.9× |
| Pretx serum rbc antibody identification dilution (86976) | $33 | $55 | 1.1× |
| Primidone (80188) | $63.60 | $106 | 3.8× |
| Procalcitonin (Pct) (84145) | $181.80 | $303 | 6.7× |
| Progesterone (84144) | $112.80 | $188 | 5.4× |
| Prolactin (84146) | $112.80 | $188 | 5.8× |
| Prostaglandin (84150) | $282.60 | $471 | 6.8× |
| Protein Alys Wstrn Blot I&R Immunological Ea (88372) | $200.40 | $334 | 7.6× |
| Protein body fluid (84157) | $93.60 | $156 | 23.4× |
| Protein C Activity (85303) | $132.60 | $221 | 9.6× |
| Protein c antigen (85302) | $28.80 | $48 | 2.4× |
| Protein Electrophoresis Urine (84166) | $108.60 | $181 | 6.1× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $79.20 | $132 | 7.4× |
| Protein S Free (85306) | $125.40 | $209 | 8.2× |
| Protein s total (85305) | $148.20 | $247 | 12.8× |
| Protein Total Refractometry Any Src (84160) | $14.40 | $24 | 2.6× |
| Protein total serum (84155) | $39.60 | $66 | 10.8× |
| Protein Total Urine (84156) | $38.40 | $64 | 10.5× |
| Protein Western Blot Test (84182) range across 4 matching MRF lines |
$151.20–$206.40 | $252–$344 | varies |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $70.20 | $117 | 17.8× |
| Protoporphyrin rbc quantitative (84202) | $126 | $210 | 8.8× |
| PSA free (84154) | $109.20 | $182 | 5.9× |
| Pth Intact (83970) | $239.40 | $399 | 5.8× |
| Pyruvate kinase (84220) | $165.60 | $276 | 17.5× |
| Q Fever Antibody (86638) | $90.60 | $151 | 7.5× |
| Quantiferon tb gold plus (86480) | $340.80 | $568 | 5.5× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$53.40–$221.40 | $89–$369 | varies |
| Quantitative Screen Metals (83018) | $145.20 | $242 | 6.6× |
| Quinidine (80194) | $181.80 | $303 | 12.5× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$93.60–$198.60 | $156–$331 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$83.40–$211.20 | $139–$352 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$48–$129 | $80–$215 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$108–$183 | $180–$305 | varies |
| Renin activity plasma (84244) | $128.40 | $214 | 5.8× |
| Reptilase test (85635) | $84 | $140 | 8.5× |
| Resp virus 12-25 targets (87633) | $1,125.60 | $1,876 | 2.7× |
| Reticulated Platelet Assay (85055) | $243 | $405 | 6.8× |
| Reticulocyte Count (85046) | $66.60 | $111 | 12.0× |
| Reticulocyte separation (86972) | $128.40 | $214 | 0.8× |
| Rh (86901) range across 2 matching MRF lines |
$22.80–$84 | $38–$140 | varies |
| Rheumatoid factor quant (86431) | $45 | $75 | 7.9× |
| Rickettsia antibody (86757) | $145.80 | $243 | 7.5× |
| Ristocetin cofactor (85245) | $167.40 | $279 | 7.3× |
| Rotavirus ag eia (87425) | $107.40 | $179 | 9.0× |
| Rpr qualitative (86592) | $45.60 | $76 | 10.7× |
| Rubella Antibody (86762) | $99.60 | $166 | 6.9× |
| Rubeola antibody (86765) | $93.60 | $156 | 7.3× |
| Rufinamide (80210) | $87 | $145 | 3.2× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$64.20–$123.60 | $107–$206 | varies |
| Russell Viper Venon Time Undiluted (85612) | $115.80 | $193 | 6.6× |
| Rx metab gen seq alys pnl 6 (81418) | $1,323 | $2,205 | 1.4× |
| Salicylate Level (80179) | $120.60 | $201 | 6.5× |
| Salmonella antibody (86768) | $361.20 | $602 | 27.4× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $76.20 | $127 | 1.5× |
| Sars-cov-2 COVID-19 antibody (86769) | $33 | $55 | 0.8× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $33.60 | $56 | 0.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $229.80 | $383 | 1.6× |
| Sedimentation Rate, Automated (85652) | $34.80 | $58 | 12.9× |
| Selenium (84255) | $199.20 | $332 | 7.8× |
| Semen Anal Sperm Detection (89321) | $101.40 | $169 | 8.4× |
| Semen analysis complete (89320) | $180 | $300 | 14.6× |
| Semen analysis motility and count (89310) | $44.40 | $74 | 5.2× |
| Sensitivity mic (87186) | $82.20 | $137 | 9.5× |
| Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413) | $29.40 | $49 | 0.6× |
| Sex Hormone Binding Globulin (84270) | $102 | $170 | 4.7× |
| Sickling of rbc reduction (85660) | $83.40 | $139 | 15.1× |
| Sirolimus (80195) | $160.80 | $268 | 11.7× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$19.80–$37.85 | $33–$63.08 | varies |
| Smear acid fast (87206) | $54 | $90 | 10.0× |
| Smear complex stain (87209) | $73.20 | $122 | 4.1× |
| Smear gram stain (87205) | $84 | $140 | 19.7× |
| Smear Special Stain (87207) | $82.20 | $137 | 13.7× |
| Smn1 Gene Analysis Full Gene Sequence (81336) | $568.80 | $948 | 1.9× |
| Smn1 Gene Dos/Deletion Alys (81329) | $326.40 | $544 | 2.4× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $49.20 | $82 | 8.5× |
| Sodium Serum (84295) | $55.80 | $93 | 11.6× |
| Sodium Urine (84300) | $41.40 | $69 | 8.2× |
| Soluble fibrin monomer (85366) | $135 | $225 | 1.7× |
| Soluble Transferrin Receptor (84238) | $203.40 | $339 | 5.6× |
| Somatomedin (84305) | $147.60 | $246 | 6.9× |
| Somatostatin (84307) | $162.60 | $271 | 8.9× |
| Special Stains Group 1 (88312) | $124.20 | $207 | 2.4× |
| Special Stains Group 2 (88313) | $174.60 | $291 | 1.3× |
| Specific gravity body fluid (84315) | $22.20 | $37 | 6.8× |
| Specimen infect agnt concntj (87015) | $37.20 | $62 | 5.6× |
| Spectrophotometry (84311) | $138.60 | $231 | 17.1× |
| Splitting Blood/Blood Products Each Unit (86985) | $175.80 | $293 | 1.0× |
| Stool cultr aerobic bact ea (87046) | $35.40 | $59 | 3.8× |
| Strep a assay w/optic (87880) | $44.40 | $74 | 2.7× |
| Strep a DNA amp probe (87651) | $44.40 | $74 | 1.3× |
| Strep b DNA amp probe (87653) | $351.60 | $586 | 10.0× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $60.60 | $101 | 0.7× |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $101.40 | $169 | 8.8× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) | $102.60 | $171 | 18.7× |
| Sugars Single Qual (84376) | $65.40 | $109 | 11.9× |
| Sugars, chromatographic, TLC or paper chromatography Facility (84375) | $168 | $280 | 4.3× |
| Sulfate urine (84392) | $44.40 | $74 | 8.1× |
| Surg path level iii (88304) | $121.20 | $202 | 2.3× |
| Surgical pathology level IV (88305) | $193.20 | $322 | 3.7× |
| Surgical pathology level vi (88309) | $602.40 | $1,004 | 0.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $54 | $90 | 11.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $64.80 | $108 | 8.7× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $127.20 | $212 | 3.2× |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) | $111 | $185 | 15.2× |
| Sweat Collection Iontophoresis (89230) | $213 | $355 | 4.1× |
| Syphilis Test Non-Trep Quant (86593) | $50.40 | $84 | 11.5× |
| T cells absolute cd4 count (86361) | $148.80 | $248 | 5.6× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $217.80 | $363 | 4.6× |
| T cells total count (86359) | $166.20 | $277 | 4.4× |
| T3 Free (84481) | $109.20 | $182 | 6.4× |
| T3 reverse (84482) range across 2 matching MRF lines |
$38.40–$178.20 | $64–$297 | varies |
| T3 Total (84480) | $96 | $160 | 6.8× |
| T3 Uptake (84479) | $77.40 | $129 | 12.0× |
| T4 Free (84439) | $64.20 | $107 | 7.1× |
| T4 total (84436) | $54 | $90 | 7.9× |
| Tacrolimus (80197) | $150.60 | $251 | 11.0× |
| Tau phosphorylated each (84393) | $48.60 | $81 | 0.4× |
| Tb ag response t-cell susp (86481) | $253.20 | $422 | 2.5× |
| Tert gene targeted seq alys (81345) | $546.60 | $911 | 3.0× |
| Test for acetone/ketones (82009) | $72 | $120 | 15.9× |
| Test for urine cystines (82615) | $73.80 | $123 | 7.7× |
| Testosterone Bioavailable (84410) | $152.40 | $254 | 3.0× |
| Testosterone total (84403) range across 2 matching MRF lines |
$16.20–$126 | $27–$210 | varies |
| Testosterone, Free (84402) | $142.80 | $238 | 5.6× |
| Tetanus antibody (86774) | $155.40 | $259 | 10.5× |
| Tgsap so/hl 51/< RNA alys (81456) | $17,640 | $29,400 | 6.0× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $1,605 | $2,675 | 2.7× |
| Thawing and expansion of frozen cells, each aliquot Facility (88241) | $243 | $405 | 20.1× |
| Theophylline (80198) | $106.20 | $177 | 7.5× |
| Thiopurine methyltransferase (84433) | $127.20 | $212 | 5.7× |
| Thrombin Time (85670) | $40.20 | $67 | 7.0× |
| Thromboplastin Inhibition Tissue (85705) | $108 | $180 | 11.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $59.40 | $99 | 9.2× |
| Thyroglobulin (84432) range across 3 matching MRF lines |
$12.60–$117 | $21–$195 | varies |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$12.60–$101.40 | $21–$169 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $315 | $525 | 6.2× |
| Thyroxine binding globulin (84442) | $99 | $165 | 6.7× |
| Tiss cul neo disorders solid tumor (88239) | $574.20 | $957 | 3.9× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $172.20 | $287 | 14.9× |
| Tissue Culture (88233) | $542.40 | $904 | 3.9× |
| Tissue Culture Amniotic Fluid (88235) | $490.80 | $818 | 3.3× |
| Tissue culture bone marrow (88237) | $696 | $1,160 | 4.8× |
| Tissue Culture Lymphocyte (88230) | $552 | $920 | 4.7× |
| Tobramycin peak (80200) | $135.60 | $226 | 8.4× |
| Topiramate (80201) | $205.20 | $342 | 17.2× |
| Total Tau (84394) | $48.60 | $81 | 0.4× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $13.80 | $23 | 0.7× |
| Toxoplasma ab igm (86778) | $100.20 | $167 | 7.0× |
| Toxoplasma antibody (86777) | $120 | $200 | 8.3× |
| Tp53 gene analysis full gene sequence (81351) | $1,296.60 | $2,161 | 2.0× |
| Tp53 gene analysis targeted sequence analysis (81352) | $354.60 | $591 | 1.1× |
| Tpmt gene com variants (81335) | $225.60 | $376 | 1.3× |
| Transferase Aspartate Amino Ast Sgot (84450) | $39.60 | $66 | 7.6× |
| Transferrin (84466) | $73.20 | $122 | 5.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $660.60 | $1,101 | 3.2× |
| Trg gene rearrangement anal (81342) | $400.20 | $667 | 2.0× |
| Trichinella Antibody (86784) | $87.60 | $146 | 7.0× |
| Trichomonas vagin dir probe (87660) | $70.80 | $118 | 3.5× |
| Trichomonas Vaginalis Amplif (87661) | $130.80 | $218 | 3.7× |
| Triglycerides (84478) | $57 | $95 | 9.9× |
| Troponin Quant (84484) | $234.60 | $391 | 18.8× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$269.40–$277.80 | $449–$463 | varies |
| Ugt1a1 gene analysis common variants (81350) | $792.60 | $1,321 | 3.4× |
| Unlisted Surgical Pathology Procedure (88399) | $311.40 | $519 | 6.0× |
| Urea Nitrogen Clearance (84545) | $49.20 | $82 | 6.8× |
| Urea nitrogen urine (84540) | $42.60 | $71 | 7.7× |
| Uric acid other source (84560) | $37.80 | $63 | 7.4× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $35.40 | $59 | 16.3× |
| Urine Bacteria Culture (87088) | $90.60 | $151 | 11.2× |
| Urine Pregnancy Test (81025) | $130.20 | $217 | 15.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $73.20 | $122 | 23.1× |
| Valproic acid (80164) | $102.60 | $171 | 7.6× |
| Vancomycin (80202) | $177.60 | $296 | 13.1× |
| Varicella-zoster antibody (86787) | $104.40 | $174 | 8.1× |
| Vasopressin (84588) | $207 | $345 | 6.1× |
| Very Long Chain Fatty Acids (82726) | $271.20 | $452 | 13.7× |
| Viral Culture (87252) | $175.20 | $292 | 6.7× |
| Virus antibody nos (86790) | $100.80 | $168 | 7.8× |
| Virus inoculate tissue addl (87253) | $156 | $260 | 7.7× |
| Virus inoculation, shell via (87254) | $177 | $295 | 9.0× |
| Viscosity serum (85810) range across 2 matching MRF lines |
$52.80–$103.80 | $88–$173 | varies |
| Vit D 1 25-Dihydroxy (82652) | $211.20 | $352 | 5.5× |
| Vitamin A (84590) | $88.80 | $148 | 7.6× |
| Vitamin b-12 (82607) | $91.80 | $153 | 6.1× |
| Vitamin B2 (Riboflavin) (84252) | $258.60 | $431 | 12.8× |
| Vitamin B6 (84207) | $167.40 | $279 | 6.0× |
| Vitamin c (82180) | $84.60 | $141 | 8.6× |
| Vitamin D 25-Hydroxy (82306) range across 4 matching MRF lines |
$793.80–$1,756.80 | $1,323–$2,928 | varies |
| Vitamin E (84446) | $96 | $160 | 6.8× |
| Vitamin K (84597) | $250.80 | $418 | 18.3× |
| Volatiles (84600) | $99.60 | $166 | 5.8× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $66.60 | $111 | 5.5× |
| Von willebrand factor ag (85246) | $171.60 | $286 | 7.5× |
| West nile virus ab igm (86788) | $88.80 | $148 | 5.3× |
| West Nile Virus Antibody (86789) | $74.40 | $124 | 5.2× |
| Western Blot Test (84181) | $254.40 | $424 | 14.9× |
| Whole mitochondrial genome analysis panel (81465) | $1,404 | $2,340 | 1.5× |
| Xm Archive Tissue Molec Anal (88363) | $19.80 | $33 | 0.7× |
| Zika Virus Dna/Rna Amp Probe (87662) | $152.40 | $254 | 3.0× |
| Zika Virus Igm Antibody (86794) | $99.60 | $166 | 5.9× |
| Zinc (84630) | $76.20 | $127 | 6.7× |
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.