Lab & pathology prices at Van Wert Hospital

Van Wert, OH · every code in this section with a posted price and a Medicare benchmark.

1000 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $111.80 $172 4.9×
5 Nucleotidase (83915) $39.65 $61 3.6×
Abl1 gene analysis kinase domain variants (81170) $750.75 $1,155 2.5×
Acetylcholine receptor binding antibody (86041) $81.25 $125 4.4×
Acetylcholinesterase Assay (82013) $331.50 $510 27.0×
Acetylcholn Rcptr Modlg Antb (86043) $182.65 $281 15.2×
Acth (82024) $95.55 $147 2.5×
Acth Stimulation Panel Adrenal Insufficiency (80400) $352.30 $542 10.8×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines
$36.40–$191.10 $56–$294 varies
Acute hepatitis panel (80074) $117 $180 2.5×
Acylcarnitines Quant (82017) $182.65 $281 10.8×
Adenovirus antibody (86603) $137.15 $211 10.7×
Afp-l3 fraction isoform & total afp w/ratio (82107) $299.65 $461 4.7×
Agglutinins Febrile Each Antigen (86000) $46.80 $72 6.7×
Albumin Fluid (82042) $58.50 $90 7.5×
Albumin serum (82040) $12.35 $19 2.5×
Aldolase (82085) $24.05 $37 2.5×
Aldosterone urine (82088) $100.10 $154 2.5×
Alkaline phosphatase isoenzymes (84080) $36.40 $56 2.5×
Allergen specific ige (86003) $23.40 $36 4.5×
Allergen specific igg (86001) $128.05 $197 16.4×
Allg Spec Ige Recomb Ea (86008)
range across 2 matching MRF lines
$12.35–$304.85 $19–$469 varies
Alpha-1-antitrypsin phenotype (82104) $85.15 $131 5.9×
Alpha-1-antitrypsin total (82103) $32.50 $50 2.4×
Alpha-Fetoprotein Amniotic Fluid (82106) $112.45 $173 6.6×
Alpha-Fetoprotein Serum (82105) $41.60 $64 2.5×
Alt (sgpt) (84460) $14.95 $23 2.8×
Aluminum (82108) $92.30 $142 3.6×
Amikacin trough (80150) $76.70 $118 5.1×
Amino Acids 1 Quantitative Each Specimen (82131) $68.25 $105 3.0×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $283.40 $436 16.8×
Amino Acids Quant 2-5 (82136) $159.90 $246 8.2×
Aminolevulinic acid (ala) (82135) $54.60 $84 3.3×
Ammonia (82140) $35.75 $55 2.5×
Amniotic fluid protein test on cervicovaginal fluid (84112) $191.10 $294 1.9×
Amylase urine (82150)
range across 2 matching MRF lines
$15.60–$19.50 $24–$30 varies
Ana Titer (86039) $51.35 $79 4.6×
Anca screen each antibody (86036)
range across 2 matching MRF lines
$48.10–$161.20 $74–$248 varies
Anca Titer Each Antibody (86037)
range across 2 matching MRF lines
$45.50–$152.75 $70–$235 varies
Androstenedione (82157) $105.30 $162 3.6×
Angiotensin converting enzyme csf (82164)
range across 2 matching MRF lines
$35.75–$44.20 $55–$68 varies
Anti-Phospholipid Antibody (86148) $107.90 $166 6.7×
Antibody aspergillus (86606) $68.90 $106 4.6×
Antibody Bacterium Not Elsewhere Specified (86609) $176.15 $271 13.7×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $157.30 $242 10.2×
Antibody Cytomegalovirus Cmv Igm (86645) $78 $120 4.6×
Antibody Encephalitis California La Crosse (86651) $104 $160 7.9×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $59.80 $92 4.6×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $92.30 $142 6.0×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $83.85 $129 4.6×
Antibody Fungus Not Elsewhere Specified (86671) $57.20 $88 4.7×
Antibody haemophilus influenza (86684) $107.25 $165 6.8×
Antibody helicobacter pylori (86677) $67.60 $104 4.0×
Antibody Herpes Smplx Non-Specific Type Test (86694) $65.65 $101 4.6×
Antibody Herpes Smplx Type 1 (86695) $61.75 $95 4.7×
Antibody HIV-1&HIV-2 single result (86703)
range across 2 matching MRF lines
$132.60–$165.75 $204–$255 varies
Antibody HIV-2 (86702) $78 $120 5.8×
Antibody Hla Class I High Definition Panel Qual (86832) $1,249.30 $1,922 3.9×
Antibody htlv/HIV antibody confirmatory test (86689) $217.10 $334 11.2×
Antibody identification leukocyte antibodies (86021) $102.70 $158 6.8×
Antibody Identification Platelet Immunogl Assay (86023) $83.85 $129 6.7×
Antibody john cunningham virus (86711) $3,831.10 $5,894 226.8×
Antibody leishmania (86717) $94.90 $146 7.7×
Antibody Lymphocytic Choriomeningitis (86727) $280.15 $431 21.8×
Antibody plasmodium malaria (86750) $29.90 $46 2.3×
Antibody Protozoa Nes (86753) $94.25 $145 7.6×
Antibody Titer (86886) $73.45 $113 14.2×
Antibody Treponema Pallidum (86780) $61.75 $95 4.7×
Antibody yersinia (86793) $89.70 $138 6.8×
Antibody; campylobacter (86625) $61.10 $94 4.7×
Antibody; encephalitis, st. louis (86653) $92.30 $142 7.0×
Antibody; influenza virus (86710) $98.15 $151 7.2×
Antigen typing (86905) $429 $660 112.0×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $256.75 $395 44.9×
Antinuclear antibodies (86038) $55.25 $85 4.6×
Antistreptolysin o titer (86060) $33.15 $51 4.5×
Antithrombin iii activity (85300) $28.60 $44 2.4×
Antithrombin iii antigen (85301) $71.50 $110 6.6×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $6,117.80 $9,412 12.1×
Apc Gene Analysis Known Familial Variants (81202) $744.90 $1,146 2.7×
Apc gene full sequence (81201) $2,835.95 $4,363 3.6×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$65.65–$99.45 $101–$153 varies
Aqaprn-4 Antb Flo Cytmtry Ea (86053) $480.35 $739 12.7×
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81204) $583.70 $898 4.3×
AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene… (81174) $1,136.20 $1,748 6.1×
Arsenic (82175) $46.80 $72 2.5×
Ashkenazi Jewish Assoc Dis (81412) $975 $1,500 0.4×
Aspa gene analysis common variants (81200) $403.65 $621 8.5×
Aspergillus ag eia (87305) $109.85 $169 9.2×
Assay activated protein c (85307) $37.70 $58 2.5×
Assay Blood Carbon Dioxide (82374) $11.70 $18 2.4×
Assay Dir Meas Fr Estradiol (82681)
range across 2 matching MRF lines
$358.80–$706.55 $552–$1,087 varies
Assay myeloperoxidase (83876) $186.55 $287 3.7×
Assay Nephelometry Not Spec (83883) $33.80 $52 2.5×
Assay of 5-hiaa (83497) $68.25 $105 5.3×
Assay of anti-mullerian hormone (82166) $107.25 $165 2.8×
Assay of b-hexosaminidase each assay (83080)
range across 3 matching MRF lines
$107.90–$627.25 $166–$965 varies
Assay of blood/uric acid (84550) $11.05 $17 2.4×
Assay of calcium in urine (82340) $14.95 $23 2.5×
Assay of corticosterone (82528) $53.95 $83 2.4×
Assay of cpk in blood (82552) $32.50 $50 2.4×
Assay of estrone (82679) $89.70 $138 3.6×
Assay of g6pd enzyme (82955) $26 $40 2.7×
Assay of gammaglobulin igm (82784) $27.95 $43 3.0×
Assay of lactic acid (83605) $92.30 $142 8.0×
Assay of manganese (83785) $27.95 $43 1.0×
Assay of metanephrines (83835) $41.60 $64 2.5×
Assay of procainamide (80190) $79.30 $122 1.3×
Assay of proinsulin (84206) $66.30 $102 2.5×
Assay of pyruvate (84210)
range across 2 matching MRF lines
$50.05–$120.90 $77–$186 varies
Assay of semen fructose (82757) $53.95 $83 3.1×
Assay of serotonin (84260) $137.80 $212 4.4×
Assay of serum potassium (84132) $11.05 $17 2.3×
Assay of sweat sodium (84302) $239.20 $368 49.2×
Assay of transcortin (84449) $534.95 $823 29.7×
Assay of Tyrosine (84510) $209.95 $323 19.8×
Assay of urea nitrogen (84520) $20.15 $31 5.1×
Assay of urine vma (84585) $38.35 $59 2.5×
Assay of vasoactive intestinal peptide (84586) $194.35 $299 5.5×
Assay of vitamin b-1 (84425) $52.65 $81 2.5×
Assay Ph Body Fluid Nos (83986)
range across 2 matching MRF lines
$8.45–$13.65 $13–$21 varies
Assay Phosphohexose Enzymes (84087) $506.35 $779 47.2×
Assay spec xcp ur&breath ia (82077) $177.45 $273 10.3×
Asy carbamazepin 10,11-epxid (80161) $44.85 $69 2.4×
Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) $1,535.95 $2,363 11.2×
Atxn1 Gene Analysis Eval Detect Abnormal Alleles (81178) $870.35 $1,339 6.4×
Atxn2 Gene Analysis Eval Detect Abnormal Alleles (81179) $870.35 $1,339 6.4×
Atxn3 Gene Analysis Eval Detect Abnormal Alleles (81180) $870.35 $1,339 6.4×
Atxn7 Gene Analysis Eval Detect Abnormal Alleles (81181) $311.35 $479 2.3×
Autoimmune rheumatoid arthrts analys 12 biomrkrs (81490) $3,244.80 $4,992 3.9×
Autol Bld/Component Collj Storage Predeposited (86890) $100.10 $154 0.6×
Autol bld/component collj storage salvage (86891) $2,738.45 $4,213 3.3×
Automated Leukocyte Count (85048) $6.50 $10 2.6×
B cells total count (86355) $135.85 $209 3.6×
Babesia microti amp prb (87469) $148.20 $228 4.2×
Bartonella antibody (86611) $46.80 $72 4.6×
Bcr/abl1 gene major bp (81206) $408.20 $628 2.5×
Bcr/abl1 gene minor bp (81207) $421.85 $649 2.9×
Bcr/Abl1 Gene Other Bp (81208) $685.10 $1,054 3.2×
Beta 2 glycoprotein i antibody each (86146) $150.80 $232 5.9×
Beta hydroxybutyrate (82010) $98.15 $151 12.0×
Beta Lactamase (87185)
range across 2 matching MRF lines
$46.15–$57.20 $71–$88 varies
Beta-2 Microglobulin (82232) $39.65 $61 2.5×
Beta-amyloid; 1-42 (abeta 42) (82234) $570.70 $878 4.4×
Bile acids total (82239) $42.25 $65 2.5×
Bilirubin direct (82248) $12.35 $19 2.5×
Bilirubin total (82247) $12.35 $19 2.5×
Bilirubin total transcutaneous (88720) $12.35 $19 2.5×
Biotinidase (82261) $53.30 $82 3.2×
Bl Smear W/O Diff Wbc Count (85008) $5.20 $8 1.5×
Blastomyces antibody (86612) $85.80 $132 6.7×
Bld Typing Serologic Rh Phnt (86906) $111.80 $172 14.4×
Blm Gene (81209) $880.75 $1,355 22.4×
Blood Count Manual Cell Count Each (85032) $104 $160 24.1×
Blood count reticulocyte automated (85045) $10.40 $16 2.6×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $15.60 $24 4.1×
Blood count spun microhematocrit (85013) $40.95 $63 5.9×
Blood gas (82803) $51.35 $79 2.0×
Blood gases w/02 saturation (82805) $91.65 $141 1.2×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $66.95 $103 4.2×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $33.80 $52 7.7×
Blood Sulfhemoglobin Assay (83060) $76.70 $118 8.7×
Blood Type Antigen Donor Reagent Serum Each (86902) $429 $660 67.6×
Blood Typing Antigen Screen Patient Serum/Unit (86904) $324.35 $499 19.9×
Blood typing serologic abo (86900) $109.20 $168 36.5×
Body fluid cell count (89050) $168.35 $259 35.7×
Bordetella antibody (86615) $61.75 $95 4.7×
Borrelia miyamotoi amp prb (87478) $928.20 $1,428 26.5×
Braf gene analysis (81210)
range across 2 matching MRF lines
$1,179.75–$2,578.55 $1,815–$3,967 varies
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (81163) $2,730 $4,200 5.8×
Brca1 Gene Analysis Known Familial Variant (81215) $1,058.85 $1,629 2.8×
Brca2 Gene Analysis Known Familial Variant (81217) $1,058.85 $1,629 2.8×
Brucella antibody (86622) $59.80 $92 6.7×
C diff amplified probe (87493) $107.25 $165 2.9×
C-Peptide (84681) $51.35 $79 2.5×
C-reactive protein (86140)
range across 2 matching MRF lines
$67.60–$196.30 $104–$302 varies
Ca 19-9 (86301)
range across 2 matching MRF lines
$39–$41.60 $60–$64 varies
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to… (81184) $1,331.20 $2,048 9.7×
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial… (81186) $744.90 $1,146 4.0×
Cadmium (82300)
range across 2 matching MRF lines
$73.45–$163.15 $113–$251 varies
Caffeine (80155) $83.85 $129 2.2×
Calcitonin (82308) $65.65 $101 2.5×
Calcium ionized (82330) $33.80 $52 2.5×
Calcium total (82310) $12.35 $19 2.4×
Calculus Spectroscopy (82365) $31.85 $49 2.5×
Calprotectin Fecal (83993) $60.45 $93 3.1×
Calr gene com variants (81219) $203.45 $313 1.7×
Cancer Antigen 125 (86304) $96.85 $149 4.7×
Cancer Antigen 27.29 (86300) $96.85 $149 4.7×
Candida antibody (86628) $133.25 $205 11.1×
Candida Dna Dir Probe (87480) $61.75 $95 3.1×
Carbamazepine free (80157) $60.45 $93 4.6×
Carbamazepine total (80156) $35.75 $55 2.5×
Carbohydrate Deficient Transferrin (82373) $102.05 $157 5.7×
Carboxyhemoglobin (82375) $30.55 $47 2.5×
Carcinoembryonic antigen (82378) $46.80 $72 2.5×
Cardiolipin ab iga (86147) $117 $180 4.6×
Carnitine Quantitative Each Specimen (82379) $48.10 $74 2.9×
Carotene (82380) $37.70 $58 4.1×
Catecholamines fractionated (82384) $62.40 $96 2.5×
Ccp antibody (86200) $59.80 $92 4.6×
Cebpa Gene Analysis Full Gene Sequence (81218) $1,024.40 $1,576 4.2×
Cell count csf (89051) $13 $20 2.3×
Cell enumeration & id (86152) $1,274 $1,960 5.1×
Cell marker study (88182) $122.85 $189 2.3×
Cellular Function Assay Stimul&Detect Biomarke (86352) $276.25 $425 2.0×
Ceruloplasmin (82390) $26.65 $41 2.5×
Cftr Gene Analysis Known Familial Variants (81221) $744.90 $1,146 7.7×
Cftr gene com variants (81220) $233.35 $359 0.4×
Cftr gene dup/delet variants (81222) $1,209 $1,860 2.8×
Cftr gene full sequence (81223) $2,852.20 $4,388 5.7×
Chemiluminescent assay (82397) $136.50 $210 9.7×
Chlamydia antibody (86631) $118.30 $182 10.0×
Chlamydia Igm Antibody (86632) $104.65 $161 8.3×
Chloride other source (82438)
range across 2 matching MRF lines
$22.75–$46.80 $35–$72 varies
Chloride Serum (82435) $11.05 $17 2.4×
Chloride urine (82436) $12.35 $19 2.1×
Chlorinated Hydrocarbons Screen (82441) $96.85 $149 16.1×
Cholesterol total (82465) $11.05 $17 2.5×
Cholinesterase rbc (82482) $48.75 $75 5.0×
Cholinesterase Serum (82480) $20.80 $32 2.6×
Chorionic gonadotropin test (84702) $36.40 $56 2.4×
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $1,452.75 $2,235 7.7×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $68.90 $106 2.6×
Chrmsm Analysis Addl High Resolution Study (88289) $124.15 $191 3.6×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $90.35 $139 2.7×
Chrmsm Analysis Addl Specialized Banding (88283) $39 $60 0.6×
Chrmsm Breakage Synds Score 100 Cll (88249) $854.75 $1,315 4.9×
Chromium serum (82495) $37.70 $58 1.9×
Chromogenic Substrate Assay (85130) $22.10 $34 1.9×
Chromogranin a (86316) $96.85 $149 4.7×
Chromosome analys amniotic (88269) $409.50 $630 2.4×
Chromosome Analysis 15-20 (88262) $306.15 $471 2.4×
Chromosome Analysis 20-25 (88264) $457.60 $704 3.2×
Chromosome analysis, 5 (88261) $1,262.95 $1,943 4.8×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$94.25–$107.25 $145–$165 varies
Citric acid urine (82507) $100.10 $154 3.6×
Ckmb (82553) $53.95 $83 4.7×
Clostridium Difficile (87324) $68.90 $106 5.8×
Clot Factor VIII Multimetric (85247) $124.15 $191 5.4×
Clot factor xiii fibrin stab (85290) $538.85 $829 33.0×
Clotting factor xii hageman (85280) $158.60 $244 8.2×
Clotting Funct Activity (85397)
range across 3 matching MRF lines
$53.95–$950.30 $83–$1,462 varies
Cnbp Gene Analysis Eval Detect Abnormal Alleles (81187) $3,129.10 $4,814 22.8×
Cns DNA amp probe type 12-25 (87483) $981.50 $1,510 2.4×
Coagulation time activated (85347) $416 $640 97.2×
Coccidioides antibody (86635) $104 $160 9.1×
Cold agglutinin titer (86157) $113.10 $174 14.0×
Collagen crosslinks (82523) $61.75 $95 3.3×
Column Chromotography Quant (82542) $47.45 $73 2.0×
Comparative Anal Str Markers Patient&Comp Spec (81265) $1,278.55 $1,967 5.5×
Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg, additional cord blood… (81266) $421.20 $648 1.4×
Compatibility Each Unit Incubation (86921) $14.95 $23 0.1×
Compatibility test antiglob (86922) $85.15 $131 0.5×
Complement Antigen Each Component (86160) $55.25 $85 4.6×
Complement Fixation Tests Each Antigen (86171) $182 $280 18.2×
Complement Total (Ch50) (86162) $93.60 $144 4.6×
Complement/Function Activity (86161) $55.25 $85 4.6×
Consltj Compre Review Reprt Referred Matrl (88325) $220.35 $339 1.3×
Consltj&Reprt Material Requiring Prepj Slides (88323)
range across 2 matching MRF lines
$336.70–$487.50 $518–$750 varies
Coombs direct (86880) $63.05 $97 11.7×
Copper urine (82525) $30.55 $47 2.5×
Cortisol free (82530) $41.60 $64 2.5×
Cortisol saliva (82533) $39.65 $61 2.4×
Creatine (82540) $42.25 $65 9.1×
Creatine kinase total (82550) $16.25 $25 2.5×
Creatinine blood (82565) $26 $40 5.1×
Creatinine clearance (82575) $23.40 $36 2.5×
Creatinine Urine (82570) $13 $20 2.5×
Crossmatch electronic (86923) $65 $100 0.4×
Crossmatch immediate spin (86920) $256.75 $395 1.5×
Crp High Sensitivity (86141) $59.80 $92 4.6×
Cryofibrinogen (82585) $98.15 $151 6.9×
Cryoglobulin (82595) $15.60 $24 2.4×
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $168.35 $259 12.9×
Cryptococcus ag titer (87899) $39.65 $61 2.5×
Cryptosporidium ag eia (87328) $37.70 $58 2.7×
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s) Facility (81190) $744.90 $1,146 4.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $24.70 $38 3.1×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 3 matching MRF lines
$83.85–$243.75 $129–$375 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $386.10 $594 50.1×
Cul Typ ID Bld Pthgn 6+ Trgt (87154)
range across 2 matching MRF lines
$582.40–$1,544.40 $896–$2,376 varies
Culture aerobic quant other (87071) $260 $400 26.3×
Culture afb (87116) $33.15 $51 3.1×
Culture Anaerobic (87075) $29.25 $45 3.1×
Culture blood (87040) $81.90 $126 7.9×
Culture chlamydia (87110) $88.40 $136 4.5×
Culture csf (87070) $88.40 $136 10.3×
Culture fungus (87102) $25.35 $39 3.0×
Culture fungus blood (87103) $325 $500 15.9×
Culture screen only (87081) $20.15 $31 3.0×
Culture stool (87045) $29.25 $45 3.1×
Culture typing if ea antiserum (87140) $32.50 $50 5.8×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $46.15 $71 8.9×
Culture urine (87086) $38.35 $59 4.8×
Cyanide (82600) $68.90 $106 3.6×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $381.55 $587 26.6×
Cyclic amp (82030) $162.50 $250 6.3×
Cyclosporine (80158) $55.25 $85 3.1×
Cyp2c19 gene analysis common variants (81225) $1,071.85 $1,649 3.7×
Cyp2c9 gene com variants (81227) $1,450.15 $2,231 8.3×
Cyp2d6 gene com variants (81226) $510.25 $785 1.1×
Cyp3a4 gene common variants (81230) $1,218.10 $1,874 7.0×
Cyp3a5 gene common variants (81231) $1,422.20 $2,188 8.1×
Cystatin C (82610) $50.05 $77 2.7×
Cytogenetics 10-30 (88273) $70.20 $108 2.0×
Cytogenetics 100-300 (88275)
range across 2 matching MRF lines
$111.80–$437.45 $172–$673 varies
Cytogenom Const Microarray Copy Number Variants (81228) $4,333.55 $6,667 4.8×
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 2 matching MRF lines
$3,801.20–$5,796.70 $5,848–$8,918 varies
Cytogenomic neo microra alys (81277)
range across 2 matching MRF lines
$3,973.45–$5,781.10 $6,113–$8,894 varies
Cytomegalovirus igg (86644) $65.65 $101 4.6×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $133.25 $205 6.6×
Cytopath Cell Enhance Tech (88112) $76.70 $118 1.4×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $97.50 $150 3.7×
Cytp Concentration Smears & Interpretation (88108) $118.30 $182 3.1×
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 2 matching MRF lines
$166.40–$9,750 $256–$15,000 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $217.10 $334 1.2×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $241.15 $371 6.3×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $716.30 $1,102 4.1×
Deoxycortisol (82634) $81.90 $126 2.8×
Deoxyribonuclease antibody (86215) $42.90 $66 3.2×
Desoxycorticosterone (82633)
range across 3 matching MRF lines
$44.85–$712.40 $69–$1,096 varies
Detect Agent Nos Dna Amp (87798) $107.25 $165 3.1×
Detect Agent Nos Dna Quant (87799) $131.30 $202 3.1×
Detect agnt mult DNA ampli (87801) $172.90 $266 2.5×
Dgp Antibody Each Ig Class (86258) $48.75 $75 4.0×
Dhea (82626) $62.40 $96 2.5×
Dhea-S (82627) $54.60 $84 2.5×
Dibucaine number (82638) $115.70 $178 9.4×
Digoxin (80162) $32.50 $50 2.4×
Digoxin free (80163) $532.35 $819 40.1×
Dihydrotestosterone (82642) $29.90 $46 1.0×
Diphtheria antitoxoid (86648) $118.30 $182 7.8×
Dipropylacetic Acid Free (80165) $70.20 $108 5.2×
Dmd Duplication/Deletion Analysis (81161) $2,295.80 $3,532 8.2×
Dmpk Gene Analysis Eval Detect Abnormal Alleles (81234) $1,933.10 $2,974 14.1×
Dna Antibody Native/Double Stranded (86225) $63.70 $98 4.6×
Dna Antibody Single Stranded (86226) $175.50 $270 14.5×
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines
$31.85–$152.75 $49–$235 varies
DNA/RNA direct probe (87149) $175.50 $270 8.8×
Dna/Rna Sequencing (87153) $247.65 $381 2.1×
Dpyd gene common variants (81232) $1,340.30 $2,062 7.7×
Drug assay acetaminophen (80143) $109.85 $169 5.9×
Drug assay adalimumab (80145) $768.30 $1,182 19.9×
Drug Assay Amiodarone (80151) $42.90 $66 2.3×
Drug Assay Everolimus (80169) $42.25 $65 3.1×
Drug assay felbamate (80167) $77.35 $119 4.1×
Drug Assay Infliximab (80230) $170.30 $262 4.4×
Drug Assay Itraconazole (80189) $87.75 $135 3.2×
Drug Assay Lacosamide (80235) $167.05 $257 6.2×
Drug Assay Leflunomide (80193) $68.90 $106 1.8×
Drug Assay Posaconazole (80187) $130 $200 4.8×
Drug Assay Vedolizumab (80280) $538.20 $828 14.0×
Drug assay voriconazole (80285) $150.15 $231 5.5×
Drug Asy Hydroxychloroquine (80220) $475.15 $731 25.5×
Drug Screen Quant Clozapine (80159) $57.20 $88 2.8×
Drug Screen Quant Zonisamide (80203) $53.30 $82 4.0×
Drug Screen Quantitative Gabapentin (80171) $129.35 $199 6.0×
Drug Screen Quantitative Lamotrigine (80175) $40.30 $62 3.0×
Drug Screen Quantitative Levetiracetam (80177) $40.30 $62 3.0×
Drug Screen Quantitative Oxcarbazepine (80183) $40.30 $62 3.0×
Drug Screen Quantitative Procainamide Metabolite (80192) $78.65 $121 4.7×
Drug Screen Quantitative Tiagabine (80199) $159.90 $246 5.9×
Drug Test Prsmv Chem Anlyzr (80307) $178.75 $275 2.9×
Drug Test Prsmv Dir Opt Obs (80305) $376.35 $579 29.9×
Egfr Gene Analysis Common Variants (81235) $1,501.50 $2,310 4.6×
Ehrlichia antibody (86666) $104.65 $161 10.3×
El-1 Fecal Quantitative (82653) $215.15 $331 9.4×
Electrolyte panel (80051) $31.85 $49 4.5×
Electron Microscopy (88348) $1,478.10 $2,274 1.8×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $113.75 $175 1.8×
Encephaltis East Eqne Anbdy (86652) $92.30 $142 7.0×
Encephaltis West Eqne Antbdy (86654) $92.30 $142 7.0×
Endomysial Antibody Each Immunoglobulin Class (86231)
range across 2 matching MRF lines
$61.10–$292.50 $94–$450 varies
Enterovirus Antibody (86658) $150.80 $232 11.6×
Enterovirus PCR (87498)
range across 2 matching MRF lines
$70.20–$88.40 $108–$136 varies
Enzyme cell activity (82657) $74.10 $114 3.3×
Enzyme histochemistry (88319) $343.20 $528 0.4×
Eosinophil Smear (89190) $18.85 $29 3.3×
Erythropoietin (82668) $46.15 $71 2.5×
Estradiol serum (82670) $68.90 $106 2.5×
Estriol (82677) $92.30 $142 3.8×
Ethosuximide (80168) $70.85 $109 4.3×
Ethylene Glycol (82693) $230.75 $355 15.5×
Euglobulin lysis (85360) $59.15 $91 7.0×
Exam Synovial Fluid Crystals (89060) $18.20 $28 2.5×
Exome Sequence Analysis (81415) $10,336.30 $15,902 2.2×
F2 Gene (81240) $131.30 $202 2.0×
F9 full gene sequence (81238) $4,462.25 $6,865 7.4×
Factor ii activity (85210) $1,434.55 $2,207 110.5×
Factor Inhibitor Test (85335)
range across 2 matching MRF lines
$664.30–$1,307.15 $1,022–$2,011 varies
Factor ix activity (85250) $46.80 $72 2.5×
Factor v activity (85220) $1,266.20 $1,948 71.7×
Factor v leiden mutation (81241) $150.15 $231 2.0×
Factor vii assay (85230) $812.50 $1,250 45.4×
Factor viii assay (85240) $33.15 $51 1.9×
Factor X (85260) $43.55 $67 2.4×
Factor xi activity (85270) $43.55 $67 2.4×
Factor xiii screen (85291) $1,214.20 $1,868 133.3×
Fancc Gene (81242) $880.75 $1,355 24.1×
Fat stain feces urine/respir secretions (89125) $38.35 $59 6.5×
Fat/Lipids Feces Quantitative (82710) $14.95 $23 0.9×
Fatty acids free (82725)
range across 2 matching MRF lines
$67.60–$177.45 $104–$273 varies
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $117 $180 15.2×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $148.20 $228 8.6×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $89.70 $138 13.7×
Ferritin (82728)
range across 2 matching MRF lines
$30.55–$33.80 $47–$52 varies
Fetal Chrmoml Aneuploidy (81420) $1,512.55 $2,327 2.0×
Fetal Congenital Abnor Assay Four Anal (81511) $366.60 $564 2.4×
Fetal Fibronectin (82731) $155.35 $239 2.4×
Fetal screen rosette (85461) $18.85 $29 2.0×
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines
$24.70–$33.15 $38–$51 varies
Fibrinogen activity (85384) $20.80 $32 2.1×
Fibrinogen antigen (85385) $152.10 $234 10.5×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $78.65 $121 5.1×
Flecainide level (80181) $67.60 $104 3.6×
Flow cytometry first marker (88184)
range across 3 matching MRF lines
$243.75–$536.25 $375–$825 varies
Flt3 Gene (81245) $1,116.70 $1,718 6.7×
Flt3 gene analysis (81246) $565.50 $870 6.8×
Fluorescent antibody screen (86255) $55.25 $85 4.6×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $55.25 $85 4.6×
Fluoride serum (82735) $178.75 $275 9.6×
Fmr1 Gene Charac Alleles (81244) $89.05 $137 2.0×
Fmr1 gene detection (81243) $536.25 $825 9.4×
Folic acid rbc (82747) $62.40 $96 3.5×
Folic Acid Serum (82746) $31.85 $49 2.2×
Follicle Stimulating Hormone (83001) $45.50 $70 2.4×
Francisella tularensis (86668) $70.85 $109 5.0×
Frozen Section (88331) $321.10 $494 1.8×
Fungi Identification Mold (87107) $107.25 $165 10.4×
Fungi Identification Yeast (87106) $122.20 $188 11.8×
FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s) Facility (81289) $1,136.20 $1,748 6.1×
Fxn Gene Analysis Eval Detect Abnormal Alleles (81284) $1,713.40 $2,636 12.5×
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) $104.65 $161 1.8×
G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)… (81248) $5,685.55 $8,747 15.2×
G6pd gene analysis full gene sequence (81249) $2,443.35 $3,759 4.1×
Galactose (82760) $134.55 $207 12.0×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $90.35 $139 4.3×
Galectin-3 (82777) $241.15 $371 5.4×
Gammaglobulin ige (82785) $40.30 $62 2.4×
Gardner vag DNA dir probe (87510) $61.75 $95 3.1×
Gases Blood O2 Saturation Only Direct Meas (82810) $144.95 $223 14.8×
Gases blood ph only (82800) $22.10 $34 2.0×
Gastrin (82941) $63.05 $97 3.6×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507)
range across 2 matching MRF lines
$924.30–$1,281.15 $1,422–$1,971 varies
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $737.10 $1,134 15.6×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450)
range across 2 matching MRF lines
$4,665.05–$5,684.25 $7,177–$8,745 varies
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $8,365.50 $12,870 2.9×
Genet Virus Isolate Hsv (87255) $234.65 $361 6.9×
Genetic Tstg Severe Inh Cond (81443) $9,636.90 $14,826 3.9×
Gentamicin (80170) $50.05 $77 3.1×
Ggt (82977) $18.20 $28 2.5×
Giardia antigen (87329) $37.70 $58 3.1×
Giardia lamblia antibody (86674) $100.10 $154 6.8×
GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) $744.90 $1,146 12.1×
Gjb2 Gene Analysis Full Gene Sequence (81252) $906.75 $1,395 9.0×
Gjb6 Gene Analysis Common Variants (81254) $750.10 $1,154 21.4×
Glucagon (82943) $84.50 $130 5.9×
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $206.70 $318 4.5×
Glucose 2 hr pp (82950) $11.70 $18 2.5×
Glucose body fluid (82945) $9.10 $14 2.3×
Glucose Serum (82947) $21.45 $33 5.5×
Glucose tolerance test (gtt) (82951) $39.65 $61 3.1×
Glucosidase beta (82963) $1,069.90 $1,646 49.8×
Glutathione (82978) $729.30 $1,122 47.2×
Glycated Protein (82985) $30.55 $47 1.8×
Gonadotropin Chorionic Qualitative (84703) $18.20 $28 2.4×
Gonadotropin releasing hormone (83727) $630.50 $970 36.7×
Growth hormone (83003) $82.55 $127 5.0×
Growth Hormone Stimulation Panel (80428) $908.70 $1,398 13.6×
Gtt-added samples (82952) $24.70 $38 6.3×
H Pylori (C-13) Breath (83013) $162.50 $250 2.4×
H pylri clrthmcn rst amp prb (87513) $185.25 $285 5.3×
Haloperidol (80173) $122.20 $188 7.7×
Haptoglobin (83010) $39 $60 3.1×
HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease),… (81258) $744.90 $1,146 2.0×
Hba1/hba2 full gene sequence (81259) $1,089.40 $1,676 1.8×
Hba1/Hba2 Gene (81257) $536.25 $825 5.2×
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $697.45 $1,073 3.4×
HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)… (81362) $744.90 $1,146 2.0×
Hbb duplication/deletion variants (81363) $750.75 $1,155 3.7×
Hbb Full Gene Sequence (81364) $646.75 $995 2.0×
Hdl Cholesterol (83718) $20.15 $31 2.5×
Hearing Loss Dup/Del Analysis (81431) $1,964.30 $3,022 2.9×
Hearing Loss Genomic Sequence Analysis 60 Genes (81430) $4,694.30 $7,222 2.9×
Heinz Bodies Direct (85441) $61.75 $95 14.7×
Helicobacter Pylori Stool (87338) $44.20 $68 3.1×
Helminth Antibody (86682) $52 $80 4.0×
Hematocrit (85014) $5.20 $8 2.2×
Hemoglobin (85018) $20.15 $31 8.5×
Hemoglobin a1c (83036) $33.15 $51 3.4×
Hemoglobin Chromotography (83021) $44.20 $68 2.4×
Hemoglobin electrophoresis (83020) $26 $40 2.0×
Hemoglobin Methemoglobin Quantitative (83050) $164.45 $253 20.1×
Hemoglobin plasma (83051) $63.05 $97 8.6×
Hemoglobin stability screen (83068) $105.30 $162 11.1×
Hemosiderin urine (83070) $39.65 $61 8.3×
Hep a ab igm (86709) $51.35 $79 4.6×
Heparin assay (85520) $31.85 $49 2.4×
Hepatitis a antibody total (86708) $57.20 $88 4.6×
Hepatitis b core ab igm (86705) $54.60 $84 4.6×
Hepatitis b core ab total (86704) $55.25 $85 4.6×
Hepatitis b surface ag quan (87467) $610.35 $939 24.1×
Hepatitis B Surface Antibody (86706) $49.40 $76 4.6×
Hepatitis B Surface Antigen (87340) $32.50 $50 3.1×
Hepatitis Be Antibody (86707) $52.65 $81 4.6×
Hepatitis Be Antigen (87350) $35.10 $54 3.0×
Hepatitis C Antibody (86803) $65.65 $101 4.6×
Hepatitis c antibody confirmatory test (86804) $286.65 $441 18.5×
Hepatitis C Genotype (87902) $790.40 $1,216 3.1×
Hepatitis C Revrs Trnscrpj (87522) $131.30 $202 3.1×
Hepatitis delta ag (87380) $48.75 $75 2.7×
Hepatitis Delta Agent Antibody (86692) $260.65 $401 15.2×
Hereditary brst ca-related gen seq analys 10 gen (81432) $9,007.05 $13,857 6.9×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $978.90 $1,506 0.8×
Hereditary peripheral neuropathy gen seq pnl (81448) $6,117.80 $9,412 10.5×
Heredtry Nurondcrn Tum Dsrdr (81437) $6,853.60 $10,544 5.3×
Herpes simplex type 2 (86696) $89.70 $138 4.6×
Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney Facility (86310) $40.30 $62 5.5×
Heterophile Antibody Screen (86308) $23.40 $36 4.5×
Hexa gene analysis common variants (81255) $655.85 $1,009 12.7×
Hfe Gene (81256) $161.20 $248 2.5×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $18.85 $29 2.4×
Histamine urine (83088) $366.60 $564 12.4×
Histoplasma antibody (86698)
range across 2 matching MRF lines
$85.80–$107.25 $132–$165 varies
Histoplasma antigen urine (87385) $174.85 $269 13.2×
Hiv Genotype (87901) $971.75 $1,495 3.8×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $74.10 $114 3.1×
Hiv-1 Antibody (86701) $132.60 $204 14.9×
Hiv-1 Quant&Revrse Trnscrpj (87536) $261.30 $402 3.1×
HIV-2 probe&revrse trnscripj (87538) $388.70 $598 11.1×
Hla Class I Typing High Resolution One Locus Ea (81380) $1,221.35 $1,879 6.9×
Hla Class I Typing Low Resolution Complete (81372) $384.80 $592 1.0×
Hla Class I Typing Low Resolution One Locus Each (81373) $457.60 $704 3.6×
Hla class ii high defin qual (86833) $1,136.85 $1,749 3.5×
Hla class ii typing high resolution one locus ea (81382) $1,001 $1,540 8.1×
Hla I Low Resolution One Antigen Equivalent Each (81374) $419.25 $645 5.6×
Hla I Typing 1 Allele Hr (81381) $375.70 $578 2.2×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $274.30 $422 1.2×
Hla ii typing 1 allele hr (81383) $162.50 $250 1.5×
Hla ii typing 1 locus lr (81376) $235.30 $362 1.9×
Hla-b27 (86812) $118.30 $182 4.6×
Homocysteine (83090) $41.60 $64 2.3×
Homogenization Tissue (87176) $48.75 $75 8.3×
Homovanillic acid urine (83150) $69.55 $107 3.1×
Hpa-1 genotyping gene analysis common variant (81105)
range across 2 matching MRF lines
$124.80–$148.20 $192–$228 varies
Hpa-15 genotyping gene analysis common variant (81112)
range across 2 matching MRF lines
$124.80–$148.20 $192–$228 varies
Hpa-2 genotyping gene analysis common variant (81106)
range across 2 matching MRF lines
$124.80–$148.20 $192–$228 varies
Hpa-3 genotyping gene analysis common variant (81107)
range across 2 matching MRF lines
$124.80–$148.20 $192–$228 varies
Hpa-4 genotyping gene analysis common variant (81108)
range across 2 matching MRF lines
$124.80–$148.20 $192–$228 varies
Hpa-5 genotyping gene analysis common variant (81109)
range across 2 matching MRF lines
$124.80–$148.20 $192–$228 varies
Hpa-6 genotyping gene analysis common variant (81110)
range across 2 matching MRF lines
$124.80–$148.20 $192–$228 varies
Hpa-9 Genotyping (81111)
range across 2 matching MRF lines
$124.80–$148.20 $192–$228 varies
Hpv High-Risk Types (87624) $107.25 $165 3.1×
Hpv sep hi-rsk typ&pool rslt (87626) $81.90 $126 1.2×
Hpv Types 16 & 18 Only (87625) $57.85 $89 1.4×
Hsv Dna Amp Probe (87529) $107.25 $165 3.1×
Hsv Dna Quant (87530) $265.20 $408 6.2×
Htlv-I Antibody (86687) $91 $140 10.0×
Htt Gene Detc Abnor Alleles (81271) $536.25 $825 3.9×
Human Epididymis Protein 4 (86305) $250.90 $386 12.1×
Hydroxycorticosteroids 17 (83491) $103.35 $159 5.8×
Hydroxyprogesterone 17-d (83498) $66.95 $103 2.5×
Iaad Ia Entamoeba Histolytica Grp (87337) $37.70 $58 3.1×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $32.50 $50 3.1×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $37.70 $58 2.7×
Iaadi pneumocustis carinii (87281) $254.80 $392 21.3×
Iaadi respiratory synctial virus (87280) $226.85 $349 16.9×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $45.50 $70 1.3×
Iadna Bartonella Amplified Probe Technique (87471) $182 $280 5.2×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $162.50 $250 4.6×
Iadna Candida Species Amplified Probe Tq (87481) $107.90 $166 3.1×
Iadna chlamydia pneumoniae amplified probe tq (87486) $140.40 $216 4.0×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $38.35 $59 1.7×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $107.25 $165 3.1×
Iadna Cytomegalovirus Quantification (87497) $360.10 $554 8.4×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $194.35 $299 2.8×
Iadna ehrlichia chaffeensis amplified probe tq (87484) $45.50 $70 1.3×
Iadna Hepatitis B Virus Quantification (87517) $131.30 $202 3.1×
Iadna Herpes Virus-6 Amplified Probe Tq (87532)
range across 2 matching MRF lines
$70.20–$165.10 $108–$254 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $122.20 $188 3.5×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $107.25 $165 1.4×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $668.20 $1,028 13.9×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 2 matching MRF lines
$282.75–$356.85 $435–$549 varies
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 2 matching MRF lines
$37.70–$306.80 $58–$472 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$85.80–$107.25 $132–$165 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $234 $360 4.6×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $236.60 $364 1.7×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $668.20 $1,028 2.5×
Idh1 common variants (81120) $889.85 $1,369 4.6×
Idh2 common variants (81121) $1,126.45 $1,733 3.8×
Ig Light Chains Free Each (83521)
range across 2 matching MRF lines
$143–$367.90 $220–$566 varies
Igg subclasses (82787) $24.05 $37 3.0×
Igh gene rearrange amp meth (81261) $817.70 $1,258 4.1×
Igh@ Variable Region Somatic Mutation Analysis (81263) $1,370.20 $2,108 4.7×
Igk rearrangeabn clonal pop (81264) $817.70 $1,258 4.7×
Ikbkap Gene Analysis Common Variants (81260) $880.75 $1,355 22.4×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $363.35 $559 1.0×
Immune Complex Assay (86332) $113.10 $174 4.6×
Immunfix e-phorsis/urine/csf (86335) $135.20 $208 4.6×
Immunoassay Analyte Quant Radioimmunoassay (83519) $36.40 $56 2.0×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $55.25 $85 3.7×
Immunoassay nonantibody (83516) $27.95 $43 2.4×
Immunodiffusion Ouchterlony (86331) $55.25 $85 4.6×
Immunofixation electrophoresis (86334) $102.70 $158 4.6×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines
$143.65–$146.90 $221–$226 varies
Immunohistochemistry (88342) $429 $660 2.5×
In situ hybridization 1st probe stain (88365)
range across 3 matching MRF lines
$431.60–$490.75 $664–$755 varies
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) $90.35 $139 6.3×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) $217.10 $334 10.8×
Influenza a/b ag eia (87400) $37.70 $58 2.7×
Influenza assay w/optic (87804) $118.30 $182 7.1×
Influenza DNA amp probe (87502) $156.65 $241 1.6×
Inherited Cardmypthy 5 Gns (81439) $7,354.10 $11,314 12.6×
Inhibin A (86336) $71.50 $110 4.6×
Inhibin b (83520) $34.45 $53 2.0×
Insitu hybridization auto (88367) $890.50 $1,370 2.4×
Insitu hybridization manual (88368) $445.25 $685 1.2×
Insulin antibodies (86337) $144.30 $222 6.7×
Insulin free (83527) $127.40 $196 9.8×
Insulin total (83525) $33.15 $51 2.9×
Interleukin-6 (83529) $196.95 $303 11.4×
Intrinsic factor antibody (86340) $126.10 $194 8.4×
Iron (83540)
range across 2 matching MRF lines
$15.60–$18.20 $24–$28 varies
Iron Binding Capacity (83550) $16.90 $26 1.9×
Islet cell antibody (86341) $91 $140 3.9×
Jak2 gene analysis p.val617phe variant (81270) $153.40 $236 1.7×
Jak2 Gene Trgt Sequence Alys (81279) $583.05 $897 3.1×
Ketosteroids 17 total (83586) $112.45 $173 8.8×
Kit Gene Analysis D816 Variant(S) (81273) $1,064.05 $1,637 8.5×
Kit Gene Analysis Targeted Sequence Analysis (81272) $2,226.90 $3,426 6.8×
Kras Gene Variants Exon 2 (81275) $2,598.05 $3,997 13.4×
L/s ratio (83661) $534.95 $823 24.3×
Lactate (ld) (ldh) enzyme (83615) $14.95 $23 2.5×
Lactoferrin fecal qualitative (83630) $36.40 $56 1.8×
Lactoferrin Fecal Quantitative (83631) $557.05 $857 28.4×
Lactogen Hpl Human Chorionic Somatomammotropin (83632) $337.35 $519 16.7×
Lamellar Body Count (83664) $87.10 $134 4.5×
Ldh Isoenzymes (83625) $121.55 $187 9.5×
LDL direct (83721) $27.95 $43 2.7×
Lead (83655) $29.90 $46 2.5×
Legionella antibody (86713) $70.85 $109 4.6×
Legionella antigen urine (87449) $37.70 $58 3.1×
Legionella pneumophila dfa (87278) $38.35 $59 2.5×
Leptospira antibody (86720) $89.70 $138 5.5×
Leukocyte Histamine Release (86343)
range across 2 matching MRF lines
$354.25–$366.60 $545–$564 varies
Level I Surg Pathology Gross Examination Only (88300) $35.10 $54 1.2×
Level ii surg pathology gross&microscopic exam (88302) $118.30 $182 3.1×
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines
$471.90–$536.25 $726–$825 varies
Lidocaine (80176) $66.30 $102 4.5×
Lipase (83690) $72.80 $112 10.6×
Lipoprotein A (83695) $11.70 $18 0.8×
Lipoprotein Bld Quan Part (83704) $57.20 $88 1.7×
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $133.25 $205 11.8×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $116.35 $179 3.4×
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $73.45 $113 5.8×
Lipoprotein-Associated Phospholipase A2 (83698) $401.70 $618 8.7×
Listeria Monocytogenes (86723) $193.70 $298 14.7×
Lithium (80178) $20.15 $31 3.0×
Luteinizing Hormone (Lh) (83002) $45.50 $70 2.5×
Lyme disease antibody (86618) $78.65 $121 4.6×
Lymphocyte transformation (86353) $325 $500 6.6×
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) $1,396.20 $2,148 29.3×
Lysozyme serum (85549) $46.15 $71 2.5×
M. Genitalium Amp Probe (87563) $157.95 $243 4.5×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $481.65 $741 2.8×
M/phmtrc alys ishquant/semiq (88374) $1,812.85 $2,789 10.4×
Macroscopic exam arthropod (87168) $54.60 $84 12.8×
Macroscopic Exam Parasite (87169) $105.30 $162 24.4×
Magnesium Urine (83735) $37.70 $58 5.6×
Mass Spectrometry Quant (83789) $208.65 $321 8.7×
Mcoln1 Mucolipin1 Gene Analysis Common Variants (81290) $919.75 $1,415 23.4×
MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant Facility (81303) $744.90 $1,146 6.2×
Mercury urine (83825) $39.65 $61 2.4×
Metabolic panel ionized ca (80047) $57.20 $88 4.2×
Methotrexate (80204) $920.40 $1,416 23.9×
Methylmalonic acid serum (83921) $42.25 $65 2.0×
Mgmt methylation analysis (81287) $986.70 $1,518 7.9×
Microalbumin, quantitative (82043) $16.25 $25 2.8×
Microbe Suscept Macrobroth (87188) $404.30 $622 60.9×
Microsatellite instability (81301) $2,416.70 $3,718 6.9×
Microsomal Antibodies Each (86376) $67.60 $104 4.6×
Mitochondrial Antibody Each (86381) $161.20 $248 6.3×
Mlh1 Gene (81288) $945.75 $1,455 4.9×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $1,895.40 $2,916 2.8×
Mlh1 Gene Analysis Known Familial Variants (81293) $419.90 $646 1.3×
Mog-Igg1 Antb Cba Each (86362) $1,667.25 $2,565 138.4×
Mog-Igg1 Antb Flo Cytmtry Ea (86363) $1,157.65 $1,781 30.7×
Molecular Cytogenetics Dna Probe Each (88271)
range across 3 matching MRF lines
$252.20–$778.70 $388–$1,198 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $70.20 $108 1.7×
Molecular Pathology Procedure Level 3 (81402) $495.95 $763 3.3×
Molecular Pathology Procedure Level 6 (81405)
range across 3 matching MRF lines
$1,658.80–$6,242.60 $2,552–$9,604 varies
Mononuclear cell antigen (86356)
range across 3 matching MRF lines
$197.60–$328.90 $304–$506 varies
Mopath procedure level 1 (81400) $284.70 $438 4.5×
Mopath procedure level 2 (81401)
range across 2 matching MRF lines
$436.80–$1,661.40 $672–$2,556 varies
Mopath procedure level 4 (81403) $310.05 $477 1.7×
Mopath procedure level 5 (81404) $2,273.70 $3,498 8.3×
Mopath procedure level 7 (81406) $1,954.55 $3,007 6.9×
Mopath procedure level 8 (81407) $2,390.05 $3,677 2.8×
Mopath procedure level 9 (81408) $7,002.45 $10,773 3.5×
Mpl gene analysis sequence analysis exon 10 (81339) $625.95 $963 3.4×
Mrsa Pcr (87641) $107.25 $165 3.1×
Msh2 Gene Analysis Full Sequence Analysis (81295) $1,895.40 $2,916 5.0×
Msh2 Gene Analysis Known Familial Variants (81296) $744.90 $1,146 2.2×
Msh6 Gene Analysis Full Sequence Analysis (81298)
range across 2 matching MRF lines
$1,468.35–$1,842.10 $2,259–$2,834 varies
Msh6 Gene Known Variants (81299) $744.90 $1,146 2.4×
Mthfr Gene Analysis Common Variants (81291) $111.80 $172 1.7×
Mucopolysaccharides acid quantitative (83864) $1,008.80 $1,552 35.4×
Mumps antibody (86735) $59.80 $92 4.6×
Muscle-Specific Kinase Antb (86366) $1,340.30 $2,062 72.8×
Mycobacteric Identification (87118)
range across 2 matching MRF lines
$146.90–$189.15 $226–$291 varies
Mycophenolic Acid (80180) $55.25 $85 3.1×
Mycoplasma antibody (86738) $115.70 $178 8.7×
Mycoplasma culture (87109) $46.80 $72 3.0×
Myd88 Gene P.Leu265pro Vrnt (81305) $965.25 $1,485 5.5×
Myoglobin urine (83874) $85.15 $131 6.6×
Natriuretic peptide (83880) $221.65 $341 5.6×
Neisseria Dir Na Probe (87590) $90.35 $139 3.4×
Neutralization Test Viral (86382) $293.80 $452 17.4×
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) $643.50 $990 8.1×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $365.30 $562 2.8×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $64.35 $99 2.2×
Nfct Agent Genotype Hepatitis B Virus (87912) $922.35 $1,419 3.6×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $1,331.20 $2,048 5.2×
Nfct ds chrnc hcv 6 assays (81596) $504.40 $776 7.0×
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $855.40 $1,316 6.6×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $97.50 $150 3.7×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $1,844.70 $2,838 3.8×
Niacin (84591) $34.45 $53 2.0×
Nickel level (83885) $40.95 $63 1.7×
Nk cells total count (86357) $169.65 $261 4.5×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $1,094.60 $1,684 4.4×
Nras gene variants exon 2&3 (81311) $963.95 $1,483 3.3×
Ntrk translocation analysis (81194) $3,434.60 $5,284 6.6×
Nuclear antigen antibody (86235) $81.90 $126 4.6×
Nuclear Mitochondrial 100 Gene Genomic Seq (81440) $7,314.45 $11,253 2.2×
Nzym actv blood cells/tiss radact substrate ea (82658) $522.60 $804 11.9×
Occult blood feces (82272) $8.45 $13 2.0×
Occult Blood Other Sources (82271) $11.05 $17 2.1×
Oligoclonal bands (83916) $72.80 $112 2.7×
Oncoprotein dcp (83951) $390 $600 6.1×
Organic Acids Qualitative Each Specimen (83919) $105.30 $162 6.4×
Organic acids urine (83918) $83.85 $129 3.6×
Osmolality serum (83930) $20.15 $31 3.0×
Osmolality Urine (83935)
range across 2 matching MRF lines
$16.25–$20.15 $25–$31 varies
Osmotic fragility rbc incubated (85557) $186.55 $287 14.0×
Osteocalcin (83937) $107.90 $166 3.6×
Ova and parasites smears (87177) $27.30 $42 3.1×
Oxalate urine (83945) $80.60 $124 5.6×
Palb2 gene analysis known familial variant (81308) $1,136.20 $1,748 3.8×
Pancreatic Elastase Fecal (82656) $226.20 $348 19.6×
Particle Agglut Antbdy Titr (86406) $169 $260 15.9×
Particle Agglutination Screen Each Antibody (86403) $98.15 $151 8.5×
Parvovirus antibody (86747) $100.75 $155 6.7×
Path Consltj Surg Cytologic Exam Initial Site (88333) $690.30 $1,062 0.8×
Pathology Consultation During Surgery (88329) $202.80 $312 3.3×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $1,574.30 $2,422 4.8×
Ph urine (81003) $22.10 $34 9.8×
Phenobarbital Level (80184) $30.55 $47 2.0×
Phenotype Infect Agent Drug (87900) $493.35 $759 3.8×
Phenylalanine (84030) $230.75 $355 42.0×
Phenytoin (Dilantin) (80185) $32.50 $50 2.5×
Phenytoin free (80186) $33.80 $52 2.5×
Phosphatase acid prostatic (84066) $54.60 $84 5.7×
Phosphatase alkaline (84075) $12.35 $19 2.4×
Phosphatidylglycerol (84081) $158.60 $244 9.6×
Phospholipid Neutralization Hexagonal (85598) $98.80 $152 5.5×
Phosphorus Serum (84100) $11.70 $18 2.5×
Phosphorus urine (84105) $27.95 $43 4.8×
Pik3ca gene analysis targeted sequence analysis (81309) $3,997.50 $6,150 14.5×
Pinworm exam (87172) $29.25 $45 6.9×
Platelet Aggregation (85576) $83.85 $129 3.4×
Platelet Antibodies (86022) $213.20 $328 11.6×
Platelet count automated (85049) $11.05 $17 2.5×
Platelet neutralization (85597) $464.75 $715 25.8×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $1,001 $1,540 4.8×
PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) $744.90 $1,146 16.0×
Pmp22 Gene Anal Duplication/Deletion Analysis (81324) $1,230.45 $1,893 1.6×
Pms2 Gene Analysis Duplication/Deletion Variants (81319)
range across 2 matching MRF lines
$437.45–$1,114.75 $673–$1,715 varies
Pms2 gene analysis known familial variants (81318) $1,058.85 $1,629 3.2×
Pms2 gene full seq analysis (81317) $2,122.90 $3,266 3.1×
Pneumcysts jirovecii amp prb (87594) $273 $420 7.8×
Pooling blood platelets (86965) $91.65 $141 0.5×
Porphobilinogen Urine Qualitative (84106) $109.85 $169 18.9×
Porphobilinogen, urine; quantitative (84110) $30.55 $47 3.6×
Porphyrins Feces Quantitative (84126) $235.30 $362 6.0×
Porphyrins Urine Quantitation & Fractionation (84120) $66.95 $103 4.6×
Potassium Urine (84133) $11.05 $17 2.3×
Prealbumin (84134) $35.75 $55 2.5×
Pregnenolone (84140) $64.35 $99 3.1×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $251.55 $387 1.4×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $45.50 $70 0.8×
Pretx serum rbc antibody identification dilution (86976) $294.45 $453 9.9×
Primidone (80188) $65.65 $101 4.0×
Procalcitonin (Pct) (84145) $65.65 $101 2.4×
Progesterone (84144) $51.35 $79 2.5×
Prolactin (84146) $47.45 $73 2.4×
Prostaglandin (84150)
range across 3 matching MRF lines
$149.50–$1,138.15 $230–$1,751 varies
Protein body fluid (84157) $9.10 $14 2.3×
Protein C Activity (85303) $26 $40 1.9×
Protein c antigen (85302) $29.90 $46 2.5×
Protein Electrophoresis Urine (84166)
range across 2 matching MRF lines
$156–$256.10 $240–$394 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 2 matching MRF lines
$26.65–$213.85 $41–$329 varies
Protein S Free (85306) $44.85 $69 2.9×
Protein s total (85305) $28.60 $44 2.5×
Protein total serum (84155) $9.10 $14 2.5×
Protein Total Urine (84156) $16.25 $25 4.4×
Protein Western Blot Test (84182) $54.60 $84 1.9×
Prothrombin Time Substitution Plasma Frctj Each (85611) $34.45 $53 8.7×
Protoporphyrin rbc quantitative (84202) $51.35 $79 3.6×
Protoporphyrin, RBC; screen Facility (84203) $395.85 $609 40.6×
PSA free (84154) $45.50 $70 2.5×
Pten gene analysis known familial variant (81322) $744.90 $1,146 16.0×
Pth Intact (83970) $101.40 $156 2.5×
Pyruvate kinase (84220) $96.85 $149 10.3×
Q Fever Antibody (86638) $83.85 $129 6.9×
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines
$223.60–$279.50 $344–$430 varies
Quantitative assay drug (80299) $37.70 $58 2.0×
Quantitative Screen Metals (83018) $40.95 $63 1.9×
Quinidine (80194) $64.35 $99 4.4×
Rbc antibody elution (86860) $94.25 $145 0.5×
Rbc antibody identification (86870) $429 $660 1.2×
Rbc antibody screen (86850) $58.50 $90 6.0×
Rbc pretreatment serum (86978) $85.15 $131 1.4×
Rbc pretx incubatj w/enzymes (86971) $29.90 $46 0.2×
Rbc serum pretx incubj drugs (86975) $159.25 $245 0.3×
Renin activity plasma (84244) $53.95 $83 2.5×
Reptilase test (85635) $46.15 $71 4.7×
Resp virus 12-25 targets (87633) $592.80 $912 1.4×
Resp Virus 6-11 Targets (87632) $302.90 $466 1.4×
Reticulocyte separation (86972) $312.65 $481 1.8×
Rh (86901) $40.30 $62 13.5×
Rheumatoid Factor Qualitative (86430) $52 $80 8.5×
Rheumatoid factor quant (86431) $26 $40 4.6×
Rickettsia antibody (86757) $130 $200 6.7×
Ristocetin cofactor (85245) $56.55 $87 2.5×
Rotavirus ag eia (87425) $67.60 $104 5.6×
Rpr qualitative (86592) $18.85 $29 4.4×
Rubella Antibody (86762) $65.65 $101 4.6×
Rubeola antibody (86765) $59.80 $92 4.6×
Rufinamide (80210) $87.75 $135 3.2×
Russell Viper Venom Time Diluted (85613) $23.40 $36 2.4×
Rx metab gen seq alys pnl 6 (81418) $3,530.80 $5,432 3.9×
Salicylate Level (80179) $113.75 $175 6.1×
Salmonella antibody (86768) $89.70 $138 6.8×
Sars-Cov-2 Covid-19 Amp Prb (87635) $126.10 $194 2.5×
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines
$75.40–$117 $116–$180 varies
Sarscov2 & inf a&b amp prb (87636) $236.60 $364 1.7×
Sarscov2&inf a&b&rsv amp prb (87637) $271.70 $418 1.9×
Sedimentation rate (85651) $8.45 $13 2.0×
Sedimentation Rate, Automated (85652) $61.10 $94 22.6×
Selenium (84255) $62.40 $96 2.4×
Semen analysis complete (89322) $261.30 $402 16.9×
Semen analysis complete (89320) $119.60 $184 9.7×
Semen analysis motility and count (89310)
range across 2 matching MRF lines
$38.35–$274.95 $59–$423 varies
Sensitivity mic (87186) $39 $60 4.5×
Serpina 1 gene (81332) $199.55 $307 4.6×
Sex Hormone Binding Globulin (84270) $81.90 $126 3.8×
SF3B1 (splicing factor º3b» subunit B1) (eg, myelodysplastic syndrome/acute myeloid leukemia) gene analysis, common… (81347) $603.85 $929 3.1×
Sickling of rbc reduction (85660) $26 $40 4.7×
Silica (84285) $480.35 $739 19.1×
Sirolimus (80195) $33.80 $52 2.5×
Skin test tuberculosis intradermal (86580) $83.85 $129 2.8×
SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis,… (81328) $1,218.10 $1,874 7.0×
Smear acid fast (87206) $16.25 $25 3.0×
Smear complex stain (87209)
range across 2 matching MRF lines
$68.25–$78 $105–$120 varies
Smear gram stain (87205) $13 $20 3.0×
Smear Special Stain (87207) $88.40 $136 14.8×
Smn1 Gen Nown Famil Seq Vrnt (81337) $1,058.85 $1,629 5.7×
Smn1 Gene Analysis Full Gene Sequence (81336) $1,495 $2,300 5.0×
Smn1 Gene Dos/Deletion Alys (81329) $858 $1,320 6.3×
Smpd1 Gene Analysis Common Variants (81330) $880.75 $1,355 18.7×
Smr Prim Src Wet Mount Nfct Agt (87210) $14.30 $22 2.5×
Snrpn/Ube3a Methylation Analysis (81331) $746.85 $1,149 14.6×
So neo gsap cll fr DNA alys cpy nmbr&mcrstl ins (81463) $7,020 $10,800 5.2×
So neo gsap DNA mcrstl ins (81457)
range across 2 matching MRF lines
$3,900–$7,410 $6,000–$11,400 varies
So neo gsap DNA/DNA&RNA (81459) $9,360 $14,400 3.1×
Sodium Serum (84295) $11.70 $18 2.4×
Sodium Urine (84300) $11.70 $18 2.3×
Soluble fibrin monomer (85366) $334.10 $514 4.2×
Soluble Transferrin Receptor (84238) $89.70 $138 2.5×
Somatomedin (84305) $52.65 $81 2.5×
Somatostatin (84307) $417.95 $643 22.9×
Special Stains Group 1 (88312) $219.70 $338 4.1×
Special Stains Group 2 (88313) $118.30 $182 0.9×
Specimen infect agnt concntj (87015) $53.30 $82 8.0×
Spectrophotometry (84311) $261.95 $403 32.3×
Sperm Antibodies (89325) $304.20 $468 28.5×
Splitting Blood/Blood Products Each Unit (86985) $214.50 $330 1.2×
Staph a DNA amp probe (87640) $107.25 $165 3.1×
Stem cells total count (86367) $326.30 $502 4.2×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$69.55–$101.40 $107–$156 varies
Strep a assay w/optic (87880) $40.30 $62 2.4×
Strep a DNA amp probe (87651)
range across 3 matching MRF lines
$84.50–$96.85 $130–$149 varies
Strep b DNA amp probe (87653) $78 $120 2.2×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $228.15 $351 19.8×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $193.05 $297 35.1×
Sugars Single Qual (84376) $13 $20 2.4×
Sulfate urine (84392) $104 $160 18.9×
Surg path level iii (88304) $133.25 $205 2.5×
Surgical pathology level IV (88305) $166.40 $256 3.1×
Surgical pathology level vi (88309) $969.15 $1,491 1.2×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $74.75 $115 15.7×
Syphilis Test Non-Trep Quant (86593) $29.25 $45 6.6×
T cells absolute cd4 count (86361) $122.85 $189 4.6×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $211.90 $326 4.5×
T cells total count (86359) $169.65 $261 4.5×
T3 Free (84481) $41.60 $64 2.5×
T3 reverse (84482) $89.05 $137 5.7×
T3 Total (84480) $35.10 $54 2.5×
T3 Uptake (84479) $42.90 $66 6.6×
T4 Free (84439)
range across 2 matching MRF lines
$37.05–$65 $57–$100 varies
T4 total (84436) $16.90 $26 2.5×
Tacrolimus (80197) $33.80 $52 2.5×
Tau phosphorylated each (84393) $975 $1,500 7.6×
Tb ag response t-cell susp (86481) $176.15 $271 1.8×
Tert gene targeted seq alys (81345) $1,784.25 $2,745 9.6×
Test for acetone/ketones (82009) $11.05 $17 2.4×
Testosterone Bioavailable (84410) $88.40 $136 1.7×
Testosterone total (84403) $63.05 $97 2.4×
Testosterone, Free (84402) $62.40 $96 2.4×
Tetanus antibody (86774) $118.30 $182 8.0×
Tgsap so/hl 51/< RNA alys (81456) $6,119.75 $9,415 2.1×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $4,832.75 $7,435 8.1×
Theophylline (80198) $62.40 $96 4.4×
Thiocyanate (84430) $132.60 $204 11.4×
Thiopurine methyltransferase (84433) $263.25 $405 11.9×
Thrombin Time (85670) $96.85 $149 16.8×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $35.10 $54 5.4×
Thyroglobulin (84432) $39.65 $61 2.5×
Thyroglobulin Antibody (86800) $72.80 $112 4.6×
Thyroid Stimulating Immunoglobulin (84445) $124.80 $192 2.5×
Thyroxine binding globulin (84442) $116.35 $179 7.9×
Tiss cul neo disorders solid tumor (88239) $2,077.40 $3,196 14.1×
Tiss Trnsgltmnase Ea Ig Clas (86364) $46.15 $71 4.0×
Tissue Culture (88233) $345.80 $532 2.5×
Tissue Culture Amniotic Fluid (88235) $530.40 $816 3.5×
Tissue culture bone marrow (88237) $454.35 $699 3.2×
Tissue Culture Lymphocyte (88230) $286.65 $441 2.5×
Tobramycin peak (80200) $39.65 $61 2.5×
Topiramate (80201) $37.05 $57 3.1×
Total Tau (84394) $975 $1,500 7.6×
Touch prep (88161) $1,471.60 $2,264 49.5×
Toxin/Antitoxin Assay Tissue Culture (87230) $53.30 $82 2.7×
Toxoplasma ab igm (86778) $126.10 $194 8.8×
Toxoplasma antibody (86777) $126.10 $194 8.8×
TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; known familial variant Facility (81353) $972.40 $1,496 3.2×
Tp53 gene analysis full gene sequence (81351) $1,577.55 $2,427 2.5×
Tp53 gene analysis targeted sequence analysis (81352) $1,387.10 $2,134 4.2×
Tpmt gene com variants (81335) $358.80 $552 2.1×
Transferase Aspartate Amino Ast Sgot (84450) $14.95 $23 2.9×
Transferrin (84466) $31.20 $48 2.4×
Trb@ Rearrangement Anal Amplification Method (81340)
range across 2 matching MRF lines
$298.35–$3,485.95 $459–$5,363 varies
Trg gene rearrangement anal (81342) $298.35 $459 1.5×
Trichinella Antibody (86784) $148.20 $228 11.8×
Trichomonas vagin dir probe (87660) $61.75 $95 3.1×
Trichomonas Vaginalis Amplif (87661)
range across 2 matching MRF lines
$85.80–$107.25 $132–$165 varies
Triglycerides (84478)
range across 2 matching MRF lines
$14.30–$55.90 $22–$86 varies
Troponin Quant (84484) $85.80 $132 6.9×
Tumor immunohistochem/comput (88361) $451.10 $694 1.2×
Tumor Immunohistochem/Manual (88360) $536.25 $825 3.1×
Ugt1a1 gene analysis common variants (81350) $1,976 $3,040 8.4×
Unlisted reproductive medicine lab procedure (89398) $152.10 $234 2.8×
Urea Nitrogen Clearance (84545) $42.25 $65 5.9×
Urea nitrogen urine (84540) $24.05 $37 4.3×
Uric acid other source (84560) $27.95 $43 5.5×
Urinalysis Microscopic Only (81015) $7.80 $12 2.6×
Urinalysis Volume Measure (81050) $12.35 $19 3.4×
Urine Bacteria Culture (87088) $29.25 $45 3.6×
Urine Pregnancy Test (81025) $16.90 $26 2.0×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $20.15 $31 6.4×
Valproic acid (80164) $33.80 $52 2.5×
Vancomycin (80202) $33.80 $52 2.5×
Varicella-zoster antibody (86787) $59.80 $92 4.6×
Vasopressin (84588) $122.85 $189 3.6×
Very Long Chain Fatty Acids (82726) $127.40 $196 6.5×
Viral Culture (87252) $80.60 $124 3.1×
Virus antibody nos (86790) $182.65 $281 14.2×
Virus inoculate tissue addl (87253) $91 $140 4.5×
Virus inoculation, shell via (87254) $48.10 $74 2.5×
Viscosity serum (85810) $28.60 $44 2.5×
Vit D 1 25-Dihydroxy (82652) $94.25 $145 2.4×
Vitamin A (84590) $28.60 $44 2.5×
Vitamin b-12 (82607) $31.20 $48 2.1×
Vitamin B2 (Riboflavin) (84252) $50.05 $77 2.5×
Vitamin B6 (84207) $68.90 $106 2.5×
Vitamin c (82180) $64.35 $99 6.5×
Vitamin D 25-Hydroxy (82306) $72.80 $112 2.5×
Vitamin E (84446) $35.10 $54 2.5×
Vitamin K (84597) $33.80 $52 2.5×
Volatiles (84600) $57.85 $89 3.4×
Voltage-Gated Calcium Channel Antibody Each (86596) $630.50 $970 52.3×
Von willebrand factor ag (85246) $56.55 $87 2.5×
West nile virus ab igm (86788) $78 $120 4.6×
West Nile Virus Antibody (86789) $65.65 $101 4.6×
Western Blot Test (84181) $337.35 $519 19.8×
Whole mitochondrial genome analysis panel (81465) $2,059.85 $3,169 2.2×
Zika Virus Dna/Rna Amp Probe (87662) $523.90 $806 10.2×
Zika Virus Igm Antibody (86794) $240.50 $370 14.3×
Zinc (84630) $27.95 $43 2.5×

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.