Lab & pathology prices at West Jefferson Medical Center

Marrero, LA · every code in this section with a posted price and a Medicare benchmark.

1245 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143)
range across 3 matching MRF lines		 $1.60–$49.76 $10–$311 varies
5 Nucleotidase (83915)
range across 4 matching MRF lines		 $21.76–$24.64 $136–$154 varies
Abl1 gene analysis kinase domain variants (81170) $250.72 $1,567 0.8×
Acetylcholine receptor binding antibody (86041) $8.16 $51 0.4×
Acetylcholine receptor blocking antibody (86042) $8.16 $51 0.4×
Acetylcholinesterase Assay (82013) $6.72 $42 0.5×
Acetylcholn Rcptr Modlg Antb (86043) $5.28 $33 0.4×
Acth (82024)
range across 5 matching MRF lines		 $21.92–$64.16 $137–$401 varies
Acth Stimulation Panel Adrenal Insufficiency (80400) $51.84 $324 1.6×
ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17… (80402) $137.76 $861 1.6×
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol… (80406) $124.16 $776 1.6×
Actin smooth muscle antibody each (86015)
range across 2 matching MRF lines		 $5.60–$16.32 $35–$102 varies
Acute hepatitis panel (80074)
range across 3 matching MRF lines		 $53.44–$151.52 $334–$947 varies
Acylcarnitines Quant (82017) $70.24 $439 4.2×
Acylcarnitines; qualitative, each specimen Facility (82016) $22.08 $138 1.3×
Adenovirus antibody (86603)
range across 4 matching MRF lines		 $14.88–$32.80 $93–$205 varies
Afp-l3 fraction isoform & total afp w/ratio (82107)
range across 3 matching MRF lines		 $32.96–$122.24 $206–$764 varies
Agglutinins Febrile Each Antigen (86000) $76.64 $479 11.0×
Albumin Fluid (82042)
range across 6 matching MRF lines		 $18.08–$18.40 $113–$115 varies
Albumin serum (82040) $12.96 $81 2.6×
Aldolase (82085)
range across 3 matching MRF lines		 $11.68–$31.84 $73–$199 varies
Aldosterone Suppression Evaluation Panel (80408) $198.72 $1,242 1.6×
Aldosterone urine (82088)
range across 5 matching MRF lines		 $23.20–$89.44 $145–$559 varies
Alkaline phosphatase isoenzymes (84080)
range across 3 matching MRF lines		 $17.44–$42.72 $109–$267 varies
Allergen spec ige qual multiallergen screen (86005) $33.44 $209 4.2×
Allergen specific ige (86003)
range across 13 matching MRF lines		 $11.04–$12.96 $69–$81 varies
Allergen specific igg (86001)
range across 2 matching MRF lines		 $3.84–$4.64 $24–$29 varies
Allg Spec Ige Recomb Ea (86008)
range across 4 matching MRF lines		 $9.76–$14.72 $61–$92 varies
Alpha-1-antitrypsin phenotype (82104)
range across 3 matching MRF lines		 $7.36–$44.64 $46–$279 varies
Alpha-1-antitrypsin total (82103)
range across 3 matching MRF lines		 $13.60–$36 $85–$225 varies
Alpha-Fetoprotein Amniotic Fluid (82106) $28 $175 1.6×
Alpha-Fetoprotein Serum (82105)
range across 9 matching MRF lines		 $57.60–$133.92 $360–$837 varies
Alt (sgpt) (84460)
range across 3 matching MRF lines		 $19.36–$25.12 $121–$157 varies
Aluminum (82108)
range across 4 matching MRF lines		 $15.84–$27.20 $99–$170 varies
Amikacin trough (80150) $25.60 $160 1.7×
Amines vaginal fluid qualitative (82120) $6.08 $38 1.0×
Amino Acids 1 Quantitative Each Specimen (82131)
range across 4 matching MRF lines		 $24.48–$35.84 $153–$224 varies
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139)
range across 6 matching MRF lines		 $41.28–$161.92 $258–$1,012 varies
Amino Acids Multiple Qualitative Each Specimen (82128) $22.08 $138 1.6×
Amino Acids Quant 2-5 (82136)
range across 2 matching MRF lines		 $10.88–$26.72 $68–$167 varies
Amino acids; single, qualitative, each specimen Facility (82127) $22.08 $138 1.6×
Aminolevulinic acid (ala) (82135) $19.68 $123 1.2×
Ammonia (82140) $32.64 $204 2.2×
Amniotic fluid protein test on cervicovaginal fluid (84112) $28.96 $181 0.3×
Amniotic fluid scan (82143) $7.84 $49 0.8×
Amylase urine (82150)
range across 15 matching MRF lines		 $29.28–$126.56 $183–$791 varies
Ana Titer (86039)
range across 5 matching MRF lines		 $6.08–$34.40 $38–$215 varies
Analysis skeletal muscle (88355) $105.92 $662 0.7×
Anca screen each antibody (86036) $5.92 $37 0.5×
Anca Titer Each Antibody (86037) $5.92 $37 0.5×
Androstanediol Glucuronide (82154) $44.48 $278 1.5×
Androstenedione (82157) $17.92 $112 0.6×
Androsterone (hormone) level (82160) $39.68 $248 1.6×
Angiotensin converting enzyme csf (82164)
range across 6 matching MRF lines		 $17.44–$33.44 $109–$209 varies
Angiotensin II (82163) $32.64 $204 1.6×
Anti-Phospholipid Antibody (86148) $32.16 $201 2.0×
Antibody aspergillus (86606)
range across 7 matching MRF lines		 $16–$56.64 $100–$354 varies
Antibody Bacterium Not Elsewhere Specified (86609)
range across 2 matching MRF lines		 $16–$17.28 $100–$108 varies
Antibody Borrelia Burgdorferi Confirmatory Tst (86617)
range across 6 matching MRF lines		 $4.80–$38.72 $30–$242 varies
Antibody Cytomegalovirus Cmv Igm (86645)
range across 5 matching MRF lines		 $42.08–$96.96 $263–$606 varies
Antibody Encephalitis California La Crosse (86651)
range across 7 matching MRF lines		 $12.80–$17.76 $80–$111 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663)
range across 4 matching MRF lines		 $33.60–$63.36 $210–$396 varies
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 6 matching MRF lines		 $12.16–$28.16 $76–$176 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $48.16 $301 2.7×
Antibody Fungus Not Elsewhere Specified (86671)
range across 5 matching MRF lines		 $5.92–$24.16 $37–$151 varies
Antibody haemophilus influenza (86684)
range across 2 matching MRF lines		 $7.04–$20.96 $44–$131 varies
Antibody helicobacter pylori (86677) $54.72 $342 3.2×
Antibody Herpes Smplx Non-Specific Type Test (86694)
range across 12 matching MRF lines		 $23.20–$30.56 $145–$191 varies
Antibody Herpes Smplx Type 1 (86695)
range across 4 matching MRF lines		 $23.52–$93.28 $147–$583 varies
Antibody HIV-1&HIV-2 single result (86703)
range across 4 matching MRF lines		 $49.76–$50.08 $311–$313 varies
Antibody HIV-2 (86702)
range across 5 matching MRF lines		 $32.96–$44.32 $206–$277 varies
Antibody Hla Class I High Definition Panel Qual (86832) $200.96 $1,256 0.6×
Antibody Hla Class I Phenotype Panel Qualitative (86830) $127.84 $799 1.3×
Antibody Hla Class II Phenotype Panel Qual (86831) $109.60 $685 1.3×
Antibody htlv/HIV antibody confirmatory test (86689) $68.32 $427 3.5×
Antibody identification leukocyte antibodies (86021)
range across 5 matching MRF lines		 $8.96–$122.72 $56–$767 varies
Antibody Identification Platelet Immunogl Assay (86023)
range across 4 matching MRF lines		 $64.32–$99.52 $402–$622 varies
Antibody john cunningham virus (86711) $23.04 $144 1.4×
Antibody leishmania (86717) $19.52 $122 1.6×
Antibody Lymphocytic Choriomeningitis (86727)
range across 2 matching MRF lines		 $17.44–$25.12 $109–$157 varies
Antibody neisseria meningitidis (86741) $60.16 $376 4.6×
Antibody nocardia (86744) $20.96 $131 1.3×
Antibody plasmodium malaria (86750) $51.52 $322 3.9×
Antibody Protozoa Nes (86753)
range across 8 matching MRF lines		 $4.80–$36.16 $30–$226 varies
Antibody Titer (86886) $38.24 $239 7.4×
Antibody Treponema Pallidum (86780)
range across 9 matching MRF lines		 $28–$66.40 $175–$415 varies
Antibody yersinia (86793) $17.92 $112 1.4×
Antibody; encephalitis, st. louis (86653)
range across 7 matching MRF lines		 $12.80–$18.08 $80–$113 varies
Antibody; influenza virus (86710) $17.76 $111 1.3×
Antibody; mucormycosis Facility (86732) $20.96 $131 1.4×
Antigen typing (86905)
range across 6 matching MRF lines		 $60.48–$148.80 $378–$930 varies
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $40 $250 7.0×
Antinomyces antibody (86602) $16.32 $102 1.6×
Antinuclear antibodies (86038)
range across 6 matching MRF lines		 $6.56–$55.68 $41–$348 varies
Antistreptolysin O Screen (86063) $53.12 $332 9.2×
Antistreptolysin o titer (86060)
range across 4 matching MRF lines		 $33.76–$62.08 $211–$388 varies
Antithrombin iii activity (85300)
range across 4 matching MRF lines		 $20.80–$54.56 $130–$341 varies
Antithrombin iii antigen (85301)
range across 3 matching MRF lines		 $4.80–$62.40 $30–$390 varies
Aortic dysfunction/dilation dup/del analysis (81411) $594.08 $3,713 0.4×
Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) $221.76 $1,386 0.4×
Apc Gene Analysis Known Familial Variants (81202) $173.92 $1,087 0.6×
Apc gene dup/delet variants (81203) $173.92 $1,087 0.9×
Apc gene full sequence (81201) $364.96 $2,281 0.5×
Apolipoprotein a1 (82172)
range across 5 matching MRF lines		 $51.52–$52.96 $322–$331 varies
Aquaporin-4 Antb Cba Each (86052) $5.92 $37 0.5×
Aquaporin-4 Antb Elisa (86051) $5.60 $35 0.5×
Arsenic (82175)
range across 5 matching MRF lines		 $15.84–$49.60 $99–$310 varies
Aspergillus ag eia (87305)
range across 6 matching MRF lines		 $65.60–$75.84 $410–$474 varies
Assay activated protein c (85307)
range across 3 matching MRF lines		 $15.84–$53.76 $99–$336 varies
Assay Blood Carbon Dioxide (82374)
range across 4 matching MRF lines		 $21.44–$64.16 $134–$401 varies
Assay Duodenal Fluid Trypsin (84485) $12 $75 1.7×
Assay myeloperoxidase (83876) $33.44 $209 0.7×
Assay Nephelometry Not Spec (83883)
range across 10 matching MRF lines		 $11.20–$23.04 $70–$144 varies
Assay of 5-hiaa (83497)
range across 4 matching MRF lines		 $15.84–$32.64 $99–$204 varies
Assay of anti-mullerian hormone (82166) $21.28 $133 0.6×
Assay of b-hexosaminidase each assay (83080) $26.72 $167 1.6×
Assay of blood/uric acid (84550) $16.64 $104 3.7×
Assay of calcium in urine (82340)
range across 6 matching MRF lines		 $15.52–$49.76 $97–$311 varies
Assay of corticosterone (82528) $35.84 $224 1.6×
Assay of cpk in blood (82552)
range across 3 matching MRF lines		 $2.72–$39.68 $17–$248 varies
Assay of estrone (82679)
range across 2 matching MRF lines		 $18.72–$70.56 $117–$441 varies
Assay of feces for trypsin (84490) $11.36 $71 1.1×
Assay of g6pd enzyme (82955)
range across 5 matching MRF lines		 $4.48–$33.44 $28–$209 varies
Assay of gammaglobulin igm (82784)
range across 35 matching MRF lines		 $16.16–$44.16 $101–$276 varies
Assay of lactic acid (83605)
range across 12 matching MRF lines		 $3.20–$36 $20–$225 varies
Assay of manganese (83785) $34.56 $216 1.3×
Assay of metanephrines (83835)
range across 8 matching MRF lines		 $27.68–$51.84 $173–$324 varies
Assay of phosphatase acid total (84060) $16.16 $101 2.1×
Assay of phosphatase alkaline heat stable (84078) $9.44 $59 1.1×
Assay of proinsulin (84206)
range across 3 matching MRF lines		 $20.80–$61.12 $130–$382 varies
Assay of prostate specific antigen complexed (84152) $29.28 $183 1.6×
Assay of pyruvate (84210) $29.44 $184 2.0×
Assay of semen fructose (82757) $27.68 $173 1.6×
Assay of serotonin (84260)
range across 6 matching MRF lines		 $29.12–$51.52 $182–$322 varies
Assay of serum potassium (84132) $12 $75 2.5×
Assay of Sialic Acid (84275) $32.80 $205 2.4×
Assay of sweat sodium (84302)
range across 4 matching MRF lines		 $2.56–$21.92 $16–$137 varies
Assay of transcortin (84449) $31.20 $195 1.7×
Assay of Tyrosine (84510) $16.64 $104 1.6×
Assay of urea nitrogen (84520) $19.36 $121 4.9×
Assay of urine vma (84585)
range across 5 matching MRF lines		 $15.68–$41.28 $98–$258 varies
Assay of vasoactive intestinal peptide (84586)
range across 4 matching MRF lines		 $23.52–$83.20 $147–$520 varies
Assay of vitamin b-1 (84425)
range across 4 matching MRF lines		 $19.68–$48.96 $123–$306 varies
Assay Ph Body Fluid Nos (83986)
range across 7 matching MRF lines		 $15.04–$21.76 $94–$136 varies
Assay Phosphohexose Enzymes (84087) $106.72 $667 9.9×
Assay spec xcp ur&breath ia (82077) $8.32 $52 0.5×
Asy carbamazepin 10,11-epxid (80161) $40.32 $252 2.2×
Atn1 Gene Analysis Eval Detect Abnormal Alleles (81177) $75.68 $473 0.6×
Atomic Absorption (82190) $12.96 $81 0.8×
Autol Bld/Component Collj Storage Predeposited (86890) $53.44 $334 0.3×
Automated Leukocyte Count (85048) $22.88 $143 9.0×
B cells total count (86355) $44.96 $281 1.2×
Bacterial antigens 87802 (87802) $19.20 $120 1.5×
Bartonella antibody (86611)
range across 4 matching MRF lines		 $13.12–$24 $82–$150 varies
Bcr/abl1 gene major bp (81206) $155.04 $969 0.9×
Bcr/abl1 gene minor bp (81207) $121.76 $761 0.8×
Bcr/Abl1 Gene Other Bp (81208) $107.52 $672 0.5×
Beta 2 glycoprotein i antibody each (86146)
range across 10 matching MRF lines		 $11.20–$35.52 $70–$222 varies
Beta hydroxybutyrate (82010) $26.88 $168 3.3×
Beta Lactamase (87185) $7.84 $49 1.7×
Beta-2 Microglobulin (82232)
range across 3 matching MRF lines		 $25.28–$38.08 $158–$238 varies
Bile acids total (82239) $49.76 $311 2.9×
Bile acids, cholylglycine (82240) $42.08 $263 1.6×
Bilirubin direct (82248) $19.68 $123 3.9×
Bilirubin total (82247) $20.32 $127 4.0×
Bilirubin total transcutaneous (88720) $5.60 $35 1.1×
Bilirubin; feces, qualitative Facility (82252) $7.20 $45 1.6×
Biotinidase (82261)
range across 4 matching MRF lines		 $1.60–$81.92 $10–$512 varies
Bl Smear W/O Diff Wbc Count (85008) $5.12 $32 1.5×
Blastomyces antibody (86612)
range across 3 matching MRF lines		 $14.24–$22.56 $89–$141 varies
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $28 $175 0.2×
Bld Typing Serologic Rh Phnt (86906) $12.64 $79 1.6×
Blood Count Automated Differential Wbc Count (85004)
range across 4 matching MRF lines		 $5.28–$9.76 $33–$61 varies
Blood Count Manual Cell Count Each (85032) $5.28 $33 1.2×
Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) $5.60 $35 1.1×
Blood Count Red Blood Cell Automated (85041)
range across 3 matching MRF lines		 $4.48–$33.44 $28–$209 varies
Blood count reticulocyte automated (85045) $13.44 $84 3.4×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $5.28 $33 1.4×
Blood count spun microhematocrit (85013) $8.48 $53 1.2×
Blood gas (82803) $55.04 $344 2.1×
Blood gases w/02 saturation (82805) $78.24 $489 1.0×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $9.44 $59 0.6×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $12.64 $79 2.9×
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 26 matching MRF lines		 $57.28–$149.76 $358–$936 varies
Blood typing serologic abo (86900)
range across 3 matching MRF lines		 $2.56–$59.04 $16–$369 varies
Body fluid cell count (89050) $35.52 $222 7.5×
Bone marrow smear interpretation (85097) $307.20 $1,920 0.4×
Bordetella antibody (86615) $92.32 $577 7.0×
Borrelia Antibody (86619) $21.28 $133 1.6×
Braf gene analysis (81210)
range across 7 matching MRF lines		 $50.24–$90.40 $314–$565 varies
Brca1&2 gen full seq dup/del (81162) $2,111.20 $13,195 1.2×
Breath Alcohol Test (82075)
range across 6 matching MRF lines		 $16.64–$17.28 $104–$108 varies
Brucella antibody (86622)
range across 3 matching MRF lines		 $12.32–$51.84 $77–$324 varies
C diff amplified probe (87493) $54.24 $339 1.5×
C-Peptide (84681)
range across 4 matching MRF lines		 $14.24–$26.72 $89–$167 varies
C-reactive protein (86140) $25.28 $158 4.9×
Ca 19-9 (86301)
range across 7 matching MRF lines		 $19.20–$128 $120–$800 varies
Cadmium (82300) $36.80 $230 1.6×
Caffeine (80155) $44.80 $280 1.2×
Calcitonin (82308)
range across 3 matching MRF lines		 $20.80–$45.44 $130–$284 varies
Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)… (80410) $86.08 $538 1.1×
Calcium ionized (82330)
range across 4 matching MRF lines		 $29.28–$113.44 $183–$709 varies
Calcium total (82310)
range across 4 matching MRF lines		 $15.52–$37.76 $97–$236 varies
Calcium; after calcium infusion test (82331) $8.48 $53 0.6×
Calculus assay quant (82360) $32.80 $205 2.5×
Calculus Spectroscopy (82365)
range across 3 matching MRF lines		 $2.08–$37.60 $13–$235 varies
Calculus Xray Diffraction (82370) $20 $125 1.6×
Calprotectin Fecal (83993)
range across 4 matching MRF lines		 $19.68–$99.84 $123–$624 varies
Calr gene com variants (81219) $126.08 $788 1.0×
Cancer Antigen 125 (86304) $72.16 $451 3.5×
Cancer Antigen 27.29 (86300)
range across 6 matching MRF lines		 $19.20–$44.16 $120–$276 varies
Candida antibody (86628) $27.68 $173 2.3×
Candida Dna Dir Probe (87480) $24.64 $154 1.2×
Carbamazepine free (80157) $30.72 $192 2.3×
Carbamazepine total (80156) $43.52 $272 3.0×
Carbohydrate Deficient Transferrin (82373)
range across 4 matching MRF lines		 $69.92–$80.64 $437–$504 varies
Carbon monoxide, (carboxyhemoglobin); qualitative (82376) $9.76 $61 0.7×
Carboxyhemoglobin (82375)
range across 4 matching MRF lines		 $27.20–$102.72 $170–$642 varies
Carcinoembryonic antigen (82378)
range across 6 matching MRF lines		 $53.60–$92.80 $335–$580 varies
Cardiolipin ab iga (86147)
range across 11 matching MRF lines		 $18.56–$51.84 $116–$324 varies
Carnitine Quantitative Each Specimen (82379) $80.16 $501 4.8×
Carotene (82380)
range across 3 matching MRF lines		 $33.60–$56.48 $210–$353 varies
Catecholamines fractionated (82384)
range across 6 matching MRF lines		 $25.44–$66.08 $159–$413 varies
Catecholamines total urine (82382) $34.88 $218 1.3×
Cathepsin-d (82387) $12.32 $77 0.7×
Ccp antibody (86200)
range across 6 matching MRF lines		 $12.16–$36.64 $76–$229 varies
Cebpa Gene Analysis Full Gene Sequence (81218) $343.52 $2,147 1.4×
Cell count csf (89051)
range across 3 matching MRF lines		 $35.52–$73.92 $222–$462 varies
Cell marker study (88182) $91.04 $569 1.9×
Cellular Function Assay Stimul&Detect Biomarke (86352)
range across 5 matching MRF lines		 $35.20–$138.08 $220–$863 varies
Ceruloplasmin (82390)
range across 4 matching MRF lines		 $12.64–$33.76 $79–$211 varies
Cftr gene com variants (81220)
range across 12 matching MRF lines		 $31.36–$237.44 $196–$1,484 varies
Cftr gene dup/delet variants (81222) $203.68 $1,273 0.5×
Cftr gene full sequence (81223)
range across 4 matching MRF lines		 $263.36–$348.16 $1,646–$2,176 varies
Chemiluminescent assay (82397)
range across 20 matching MRF lines		 $42.08–$61.44 $263–$384 varies
Chemotaxis Assay (86155) $25.28 $158 1.6×
Chimerism w/comp to baseline w/cell selection ea (81268) $137.92 $862 0.5×
Chimerism w/comp to baseline w/o cell selection (81267) $318.72 $1,992 1.5×
Chlamydia antibody (86631)
range across 8 matching MRF lines		 $6.56–$26.72 $41–$167 varies
Chlamydia Igm Antibody (86632)
range across 5 matching MRF lines		 $12.16–$23.84 $76–$149 varies
Chlamydia trachomatis ag if (87270) $28 $175 2.3×
Chloramphenicol level (82415) $28 $175 2.2×
Chloride other source (82438)
range across 8 matching MRF lines		 $23.36–$73.76 $146–$461 varies
Chloride Serum (82435) $9.76 $61 2.1×
Chloride urine (82436) $27.52 $172 4.8×
Cholesterol total (82465) $29.12 $182 6.7×
Cholinesterase rbc (82482) $16.96 $106 1.7×
Cholinesterase Serum (82480)
range across 3 matching MRF lines		 $14.56–$15.84 $91–$99 varies
Chondroitin B sulfate, quantitative Facility (82485) $32.80 $205 1.6×
Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total… (80415) $88.48 $553 1.6×
Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone… (80414) $81.92 $512 1.6×
Chorionic gonadotropin test (84702)
range across 7 matching MRF lines		 $48.64–$129.12 $304–$807 varies
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $235.68 $1,473 1.2×
Chrmsm Analysis Addl Cells Counted Each Study (88285)
range across 3 matching MRF lines		 $6.88–$48.64 $43–$304 varies
Chrmsm Analysis Addl High Resolution Study (88289) $60.48 $378 1.8×
Chrmsm Analysis Addl Karyotyp Each Study (88280)
range across 3 matching MRF lines		 $7.04–$56.96 $44–$356 varies
Chrmsm Analysis Addl Specialized Banding (88283) $44.32 $277 0.6×
Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) $274.24 $1,714 1.6×
Chrmsm Breakage Baseline Sister 20-25 Cll (88245) $101.28 $633 0.6×
Chrmsm Breakage Synds Score 100 Cll (88249) $274.24 $1,714 1.6×
Chromium serum (82495) $31.04 $194 1.5×
Chromogenic Substrate Assay (85130) $17.60 $110 1.5×
Chromogranin a (86316)
range across 10 matching MRF lines		 $28.64–$57.12 $179–$357 varies
Chromosome analys amniotic (88269)
range across 3 matching MRF lines		 $51.84–$722.40 $324–$4,515 varies
Chromosome Analysis 15-20 (88262) $205.76 $1,286 1.6×
Chromosome Analysis 20-25 (88264) $158.72 $992 1.1×
Chromosome analysis 45 cells (88263)
range across 3 matching MRF lines		 $79.52–$205.12 $497–$1,282 varies
Chromosome analysis, 5 (88261) $320 $2,000 1.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 11 matching MRF lines		 $2.72–$111.36 $17–$696 varies
Citric acid urine (82507)
range across 6 matching MRF lines		 $4.48–$49.60 $28–$310 varies
Ckmb (82553) $38.88 $243 3.4×
Clostridium Difficile (87324) $48 $300 4.0×
Clot Factor VIII Multimetric (85247)
range across 4 matching MRF lines		 $26.56–$88.64 $166–$554 varies
Clot factor xiii fibrin stab (85290) $85.12 $532 5.2×
Clot retraction (85170) $8.96 $56 0.5×
Clotting factor xii hageman (85280) $57.92 $362 3.0×
Clotting Funct Activity (85397)
range across 8 matching MRF lines		 $33.92–$57.44 $212–$359 varies
Clotting hi molec weight kininogen assay (85293) $83.20 $520 4.4×
Clotting prekallikrein assay fletcher fact assay (85292) $10.40 $65 0.5×
Cns DNA amp probe type 12-25 (87483) $244.48 $1,528 0.6×
Coagulation time activated (85347) $33.76 $211 7.9×
Coagulation time other methods (85348) $5.60 $35 1.2×
Coagulation time; Lee and White Facility (85345) $6.56 $41 1.4×
Coccidioides antibody (86635)
range across 3 matching MRF lines		 $19.20–$28.32 $120–$177 varies
Cold agglutinin screen (86156) $11.04 $69 1.4×
Cold agglutinin titer (86157)
range across 3 matching MRF lines		 $14.24–$29.12 $89–$182 varies
Collagen crosslinks (82523)
range across 8 matching MRF lines		 $25.76–$39.04 $161–$244 varies
Column Chromotography Quant (82542)
range across 40 matching MRF lines		 $18.24–$100.48 $114–$628 varies
Combined rapid anterior pituitary evaluation panel this panel must include the following: adrenocorticotropic hormone… (80418) $916.80 $5,730 1.6×
Comparative Anal Str Markers Patient&Comp Spec (81265)
range across 6 matching MRF lines		 $41.76–$109.12 $261–$682 varies
Compatibility Each Unit Incubation (86921) $69.92 $437 0.4×
Compatibility test antiglob (86922)
range across 2 matching MRF lines		 $57.28–$74.08 $358–$463 varies
Complement Antigen Each Component (86160)
range across 30 matching MRF lines		 $7.04–$50.08 $44–$313 varies
Complement Total (Ch50) (86162)
range across 3 matching MRF lines		 $13.76–$54.08 $86–$338 varies
Complement/Function Activity (86161)
range across 9 matching MRF lines		 $48.80–$62.40 $305–$390 varies
Consltj Compre Review Reprt Referred Matrl (88325) $50.40 $315 0.3×
Consltj&Reprt Material Requiring Prepj Slides (88323)
range across 2 matching MRF lines		 $84.64–$114.72 $529–$717 varies
Consltj&Reprt Slides Prepared Elsewhere (88321) $18.40 $115 0.5×
Coombs direct (86880)
range across 3 matching MRF lines		 $17.76–$36.48 $111–$228 varies
Copper urine (82525)
range across 7 matching MRF lines		 $14.40–$40.96 $90–$256 varies
Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6)… (80412) $521.44 $3,259 0.7×
Cortisol free (82530)
range across 5 matching MRF lines		 $48–$54.88 $300–$343 varies
Cortisol saliva (82533)
range across 11 matching MRF lines		 $17.60–$62.72 $110–$392 varies
Creatine (82540) $7.52 $47 1.6×
Creatine kinase (CK), (CPK); isoforms Facility (82554) $18.72 $117 1.6×
Creatine kinase total (82550)
range across 3 matching MRF lines		 $23.36–$59.68 $146–$373 varies
Creatinine blood (82565)
range across 6 matching MRF lines		 $20.16–$45.12 $126–$282 varies
Creatinine clearance (82575)
range across 2 matching MRF lines		 $39.04–$99.04 $244–$619 varies
Creatinine Urine (82570)
range across 17 matching MRF lines		 $20–$45.12 $125–$282 varies
Crossmatch electronic (86923)
range across 2 matching MRF lines		 $36.64–$69.12 $229–$432 varies
Crossmatch immediate spin (86920) $60 $375 0.4×
Crp High Sensitivity (86141) $25.28 $158 2.0×
Cryofibrinogen (82585) $21.28 $133 1.5×
Cryoglobulin (82595)
range across 3 matching MRF lines		 $11.20–$30.56 $70–$191 varies
Cryoprsrv Frzing&Storage Cells Ea Cell Line (88240) $16.32 $102 1.2×
Cryptococcal Antigen (87327) $47.04 $294 3.5×
Cryptococcus ag titer (87899)
range across 9 matching MRF lines		 $6.08–$38.08 $38–$238 varies
Cryptosporidium (87272) $19.20 $120 1.6×
Cryptosporidium ag eia (87328) $24.96 $156 1.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 6 matching MRF lines		 $19.36–$56.48 $121–$353 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 3 matching MRF lines		 $14.88–$37.44 $93–$234 varies
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $20.16 $126 2.6×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $102.08 $638 0.5×
Culture aerobic quant other (87071) $52.16 $326 5.3×
Culture afb (87116)
range across 10 matching MRF lines		 $44.32–$123.20 $277–$770 varies
Culture Anaerobic (87075) $48.80 $305 5.2×
Culture bacteria anaerobic (87073) $12.64 $79 1.3×
Culture blood (87040) $40.64 $254 3.9×
Culture chlamydia (87110)
range across 4 matching MRF lines		 $4–$50.56 $25–$316 varies
Culture csf (87070)
range across 25 matching MRF lines		 $40.64–$150.88 $254–$943 varies
Culture fungus (87102) $38.88 $243 4.6×
Culture fungus blood (87103) $52 $325 2.5×
Culture screen only (87081)
range across 9 matching MRF lines		 $35.84–$129.44 $224–$809 varies
Culture stool (87045) $38.88 $243 4.1×
Culture Typing Gas/High Pres Liq Chromatography (87143) $29.28 $183 2.3×
Culture typing if ea antiserum (87140) $60.16 $376 10.8×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 4 matching MRF lines		 $5.92–$6.88 $37–$43 varies
Culture typing other methods (87158) $33.44 $209 4.3×
Culture urine (87086)
range across 2 matching MRF lines		 $36–$100.32 $225–$627 varies
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) $13.92 $87 0.5×
Culture, typing; identification by pulse field gel typing Facility (87152) $8.48 $53 1.1×
Cyanide (82600)
range across 2 matching MRF lines		 $23.52–$27.52 $147–$172 varies
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $31.84 $199 2.2×
Cyclic amp (82030) $20 $125 0.8×
Cyclosporine (80158)
range across 4 matching MRF lines		 $75.36–$136.64 $471–$854 varies
Cyp2c19 gene analysis common variants (81225) $179.84 $1,124 0.6×
Cyp2c9 gene com variants (81227) $81.92 $512 0.5×
Cyp2d6 gene com variants (81226) $209.60 $1,310 0.5×
Cystatin C (82610)
range across 4 matching MRF lines		 $5.44–$36.80 $34–$230 varies
Cytogenetics 10-30 (88273)
range across 4 matching MRF lines		 $54.24–$71.52 $339–$447 varies
Cytogenetics 100-300 (88275)
range across 7 matching MRF lines		 $81.92–$95.36 $512–$596 varies
Cytogenom Const Microarray Copy Number&Snp Var (81229)
range across 8 matching MRF lines		 $572–$1,142.56 $3,575–$7,141 varies
Cytomegalovirus igg (86644)
range across 10 matching MRF lines		 $12–$89.44 $75–$559 varies
Cytopath C/V Index Add-On (88155) $7.04 $44 0.5×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines		 $24.80–$49.60 $155–$310 varies
Cytopath Cell Enhance Tech (88112) $43.68 $273 0.9×
Cytopath Fl Nongyn Filter (88106) $42.08 $263 1.5×
Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer… (88174) $23.20 $145 0.9×
Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician… (88165) $16.96 $106 0.4×
Cytotoxic Antibody Screen Std (86807) $93.12 $582 1.2×
Cytotoxic pra quick (86808) $47.20 $295 1.6×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $30.88 $193 1.2×
Cytp Concentration Smears & Interpretation (88108) $28.48 $178 0.8×
Cytp Eval Fine Needle Aspirate Interp & Report (88173)
range across 2 matching MRF lines		 $52.96–$102.88 $331–$643 varies
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 2 matching MRF lines		 $60.48–$62.40 $378–$390 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104)
range across 4 matching MRF lines		 $32.16–$40.16 $201–$251 varies
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $193.76 $1,211 1.2×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $16.96 $106 0.9×
Cytp smrs any oth src extnd std > 5 slides (88162) $116.16 $726 2.4×
Cytp Smrs Any Oth Src Scr&Interpj (88160)
range across 2 matching MRF lines		 $12–$85.44 $75–$534 varies
Cytp Urine 3-5 Probes Cmptr (88121) $181.12 $1,132 1.1×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $8 $50 0.7×
Deoxycortisol (82634)
range across 4 matching MRF lines		 $21.28–$58.56 $133–$366 varies
Deoxyribonuclease antibody (86215) $41.12 $257 3.1×
Desoxycorticosterone (82633)
range across 2 matching MRF lines		 $51.04–$75.04 $319–$469 varies
Detect Agent Nos Dna Amp (87798)
range across 51 matching MRF lines		 $12.96–$158.24 $81–$989 varies
Detect Agent Nos Dna Quant (87799)
range across 23 matching MRF lines		 $45.44–$116.16 $284–$726 varies
Detect agnt mult DNA ampli (87801)
range across 5 matching MRF lines		 $77.44–$103.20 $484–$645 varies
Dexamethasone suppression panel, 48 hour This panel must include the following: Free cortisol, urine (82530 x 2)… (80420) $114.08 $713 0.7×
Dgp Antibody Each Ig Class (86258) $5.60 $35 0.5×
Dhea (82626) $56.80 $355 2.2×
Dhea-S (82627)
range across 5 matching MRF lines		 $16–$58.24 $100–$364 varies
Dibucaine number (82638) $16.80 $105 1.4×
Digoxin (80162) $26.40 $165 2.0×
Digoxin free (80163) $20.64 $129 1.6×
Dihydrotestosterone (82642)
range across 3 matching MRF lines		 $13.92–$23.04 $87–$144 varies
Diphtheria antitoxoid (86648)
range across 2 matching MRF lines		 $18.08–$20.32 $113–$127 varies
Dipropylacetic Acid Free (80165)
range across 2 matching MRF lines		 $20.96–$30.56 $131–$191 varies
Dir Meas Lipoprotein Small Dense Ldl Cholesterol (83722) $39.04 $244 1.1×
Dna Antibody Native/Double Stranded (86225)
range across 6 matching MRF lines		 $8.96–$31.52 $56–$197 varies
Dna/Rna Amplified Probe (87150)
range across 2 matching MRF lines		 $8.96–$52.96 $56–$331 varies
DNA/RNA direct probe (87149)
range across 4 matching MRF lines		 $18.40–$48.96 $115–$306 varies
Dna/Rna Sequencing (87153) $62.08 $388 0.5×
Dpyd gene common variants (81232) $124.80 $780 0.7×
Drug assay acetaminophen (80143) $8.96 $56 0.5×
Drug assay adalimumab (80145) $126.88 $793 3.3×
Drug Assay Amiodarone (80151) $40.32 $252 2.2×
Drug Assay Everolimus (80169)
range across 4 matching MRF lines		 $63.84–$68 $399–$425 varies
Drug assay felbamate (80167) $40.32 $252 2.2×
Drug Assay Infliximab (80230) $126.88 $793 3.3×
Drug Assay Itraconazole (80189) $40.32 $252 1.5×
Drug Assay Lacosamide (80235) $66.08 $413 2.4×
Drug Assay Leflunomide (80193) $40.32 $252 1.0×
Drug Assay Posaconazole (80187) $12.32 $77 0.5×
Drug Assay Vedolizumab (80280) $54.56 $341 1.4×
Drug assay voriconazole (80285) $34.24 $214 1.3×
Drug Screen Quant Clozapine (80159)
range across 3 matching MRF lines		 $14.24–$46.24 $89–$289 varies
Drug Screen Quant Zonisamide (80203)
range across 3 matching MRF lines		 $30.72–$59.04 $192–$369 varies
Drug Screen Quantitative Gabapentin (80171)
range across 4 matching MRF lines		 $39.20–$67.36 $245–$421 varies
Drug Screen Quantitative Lamotrigine (80175)
range across 3 matching MRF lines		 $44.80–$67.36 $280–$421 varies
Drug Screen Quantitative Levetiracetam (80177)
range across 4 matching MRF lines		 $36.48–$44.80 $228–$280 varies
Drug Screen Quantitative Oxcarbazepine (80183)
range across 3 matching MRF lines		 $23.04–$44.80 $144–$280 varies
Drug Screen Quantitative Procainamide Metabolite (80192)
range across 4 matching MRF lines		 $8.96–$62.56 $56–$391 varies
Drug Screen Quantitative Tiagabine (80199) $34.40 $215 1.3×
Drug Test Prsmv Chem Anlyzr (80307)
range across 58 matching MRF lines		 $10.08–$174.08 $63–$1,088 varies
Drug Test Prsmv Dir Opt Obs (80305)
range across 2 matching MRF lines		 $3.36–$9.92 $21–$62 varies
Drug Test Prsmv Instrmnt (80306) $19.68 $123 1.1×
Egfr Gene Analysis Common Variants (81235) $259.36 $1,621 0.8×
Ehrlichia antibody (86666)
range across 5 matching MRF lines		 $5.76–$47.36 $36–$296 varies
El-1 Fecal Quantitative (82653) $11.04 $69 0.5×
Electrolyte panel (80051) $45.60 $285 6.5×
Electron Microscopy (88348)
range across 5 matching MRF lines		 $204.80–$797.12 $1,280–$4,982 varies
Electrophoretic Test - Immunofixation Electrophoresis (82664) $40.32 $252 0.7×
Encephaltis East Eqne Anbdy (86652)
range across 7 matching MRF lines		 $12.80–$17.92 $80–$112 varies
Encephaltis West Eqne Antbdy (86654)
range across 7 matching MRF lines		 $15.04–$17.44 $94–$109 varies
Endomysial Antibody Each Immunoglobulin Class (86231) $5.92 $37 0.5×
Enterovirus Antibody (86658)
range across 9 matching MRF lines		 $12.16–$33.12 $76–$207 varies
Enterovirus PCR (87498)
range across 3 matching MRF lines		 $100.80–$107.04 $630–$669 varies
Enzyme cell activity (82657)
range across 26 matching MRF lines		 $1.60–$82.72 $10–$517 varies
Enzyme histochemistry (88319) $307.20 $1,920 0.4×
Eosinophil Smear (89190) $17.76 $111 3.1×
Erythropoietin (82668)
range across 3 matching MRF lines		 $21.92–$44.32 $137–$277 varies
Estradiol serum (82670)
range across 6 matching MRF lines		 $78.72–$90.56 $492–$566 varies
Estriol (82677)
range across 5 matching MRF lines		 $28.32–$35.36 $177–$221 varies
Estrogen total (82672)
range across 2 matching MRF lines		 $28.32–$44.32 $177–$277 varies
Estrogens fractionated (82671) $85.12 $532 2.6×
Ethosuximide (80168)
range across 4 matching MRF lines		 $13.44–$34.56 $84–$216 varies
Ethylene Glycol (82693)
range across 3 matching MRF lines		 $13.28–$40.32 $83–$252 varies
Euglobulin lysis (85360) $25.12 $157 3.0×
Exam Synovial Fluid Crystals (89060) $18.40 $115 2.5×
F2 Gene (81240)
range across 4 matching MRF lines		 $11.04–$88.48 $69–$553 varies
Factor ii activity (85210) $63.52 $397 4.9×
Factor Inhibitor Test (85335) $77.44 $484 6.0×
Factor ix activity (85250) $83.36 $521 4.4×
Factor v activity (85220)
range across 5 matching MRF lines		 $20.80–$65.28 $130–$408 varies
Factor v leiden mutation (81241)
range across 4 matching MRF lines		 $10.08–$88.48 $63–$553 varies
Factor vii assay (85230)
range across 4 matching MRF lines		 $23.68–$61.60 $148–$385 varies
Factor viii assay (85240)
range across 7 matching MRF lines		 $73.44–$97.28 $459–$608 varies
Factor X (85260)
range across 3 matching MRF lines		 $22.88–$68.64 $143–$429 varies
Factor xi activity (85270) $62.56 $391 3.5×
Factor xiii screen (85291) $11.04 $69 1.2×
Fancc Gene (81242)
range across 3 matching MRF lines		 $24.96–$36 $156–$225 varies
Fat differential, feces, quantitative Facility (82715) $27.52 $172 1.2×
Fat/Lipids Feces Quantitative (82710) $52.32 $327 3.1×
Fatty acids free (82725)
range across 4 matching MRF lines		 $34.40–$289.28 $215–$1,808 varies
Fbrnlyc Factors&Inhibitors Alpha-2 Antiplasmin (85410) $11.52 $72 1.5×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415)
range across 2 matching MRF lines		 $38.72–$59.68 $242–$373 varies
Fbrnlyc Factors&Inhibitors Plsmng Agic Assay (85421) $14.88 $93 1.5×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $56.16 $351 8.6×
Fecal Fat Qualitative (82705)
range across 5 matching MRF lines		 $9.92–$23.36 $62–$146 varies
Ferritin (82728) $31.04 $194 2.3×
Fetal Aneuploidy Trisom Risk (81507) $765.44 $4,784 1.0×
Fetal Chrmoml Aneuploidy (81420)
range across 4 matching MRF lines		 $153.60–$523.36 $960–$3,271 varies
Fetal Chrmoml Microdeltj (81422) $610.40 $3,815 0.8×
Fetal Congenital Abnor Assay Four Anal (81511) $119.68 $748 0.8×
Fetal Congenital Abnor Assay Two Proteins (81508) $46.08 $288 0.8×
Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA)… (81512) $38.40 $240 0.6×
Fetal Fibronectin (82731) $94.56 $591 1.5×
Fetal hemoglobin assay qual (83033) $6.08 $38 0.8×
Fetal lung maturity assessment; foam stability test Facility (83662) $30.08 $188 1.6×
Fetal Lung Maturity Fluorescence Polarization (83663) $28.64 $179 1.5×
Fetal screen rosette (85461) $23.68 $148 2.5×
Fibrin degradation products (85362) $43.36 $271 6.3×
Fibrin Degradation Quant (85379) $26.56 $166 2.6×
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) $14.88 $93 1.5×
Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative Facility (85370) $15.04 $94 1.2×
Fibrinogen activity (85384) $33.44 $209 3.4×
Fibrinogen antigen (85385) $12.64 $79 0.9×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $126.24 $789 8.2×
Flecainide level (80181)
range across 2 matching MRF lines		 $26.24–$40.32 $164–$252 varies
Flow cytometry first marker (88184)
range across 10 matching MRF lines		 $55.52–$60.32 $347–$377 varies
Flt3 Gene (81245) $133.76 $836 0.8×
Flt3 gene analysis (81246)
range across 3 matching MRF lines		 $133.76–$1,284.80 $836–$8,030 varies
Fluorescent antibody screen (86255)
range across 43 matching MRF lines		 $37.44–$66.24 $234–$414 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 19 matching MRF lines		 $3.84–$39.04 $24–$244 varies
Fluoride serum (82735) $8.80 $55 0.5×
Fmr1 Gene Charac Alleles (81244)
range across 2 matching MRF lines		 $21.12–$22.56 $132–$141 varies
Fmr1 gene detection (81243)
range across 6 matching MRF lines		 $209.60–$223.04 $1,310–$1,394 varies
Folic acid rbc (82747)
range across 3 matching MRF lines		 $10.24–$37.12 $64–$232 varies
Folic Acid Serum (82746) $35.52 $222 2.4×
Follicle Stimulating Hormone (83001)
range across 6 matching MRF lines		 $60.80–$62.72 $380–$392 varies
Forensic Cytopathology (88125) $26.88 $168 0.5×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $13.44 $84 0.5×
Francisella tularensis (86668)
range across 2 matching MRF lines		 $17.44–$24.48 $109–$153 varies
Fresh Frozen Plasma Thawing Each Unit (86927) $38.88 $243 0.2×
Frozen Blood Each Unit Freezing (86930) $180.16 $1,126 1.1×
Frozen blood freeze/thaw (86932) $36.64 $229 1.0×
Frozen Section (88331) $38.72 $242 0.2×
Fungi Identification Mold (87107)
range across 4 matching MRF lines		 $15.52–$29.92 $97–$187 varies
Fungi Identification Yeast (87106)
range across 3 matching MRF lines		 $20.16–$36.32 $126–$227 varies
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene… (81250) $51.52 $322 0.9×
Galactokinase rbc (82759) $34.08 $213 1.6×
Galactose (82760) $17.92 $112 1.6×
Galactose transferase test (82776) $13.28 $83 1.1×
Galactose-1-Phosphate Uridyl Transferase Quan (82775)
range across 3 matching MRF lines		 $1.60–$58.56 $10–$366 varies
Galectin-3 (82777) $20.64 $129 0.5×
Gammaglobulin ige (82785)
range across 5 matching MRF lines		 $49.28–$92 $308–$575 varies
Gardner vag DNA dir probe (87510)
range across 3 matching MRF lines		 $24.64–$48 $154–$300 varies
Gardner Vag Dna Quant (87512)
range across 2 matching MRF lines		 $24.96–$54.24 $156–$339 varies
Gases Blood O2 Saturation Only Direct Meas (82810) $8.80 $55 0.9×
Gases blood ph only (82800) $54.24 $339 4.9×
Gastric Analy W/Ph Ea Spec (82930) $7.52 $47 1.1×
Gastrin (82941)
range across 3 matching MRF lines		 $17.44–$35.52 $109–$222 varies
Gastrin after secretin stim (82938) $28.16 $176 1.6×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $256.80 $1,605 0.6×
Gba Glucosidase/Beta/Acid Anal Comm Variants (81251) $34.24 $214 0.7×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $630.56 $3,941 0.8×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455)
range across 5 matching MRF lines		 $1,540–$1,611.68 $9,625–$10,073 varies
Genet Virus Isolate Hsv (87255)
range across 3 matching MRF lines		 $45.92–$79.36 $287–$496 varies
Genetic Tstg Severe Inh Cond (81443) $1,145.60 $7,160 0.5×
Gentamicin (80170) $46.08 $288 2.8×
Ggt (82977)
range across 3 matching MRF lines		 $22.88–$29.60 $143–$185 varies
Gh suppression panel (80430) $124.32 $777 1.0×
Giardia antigen (87329)
range across 5 matching MRF lines		 $19.20–$81.60 $120–$510 varies
GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial… (81253) $176.80 $1,105 2.9×
Gjb2 Gene Analysis Full Gene Sequence (81252) $227.68 $1,423 2.3×
Gjb6 Gene Analysis Common Variants (81254) $163.20 $1,020 4.7×
Gluc-6-phosphate dehydrogenase screen (82960) $9.76 $61 1.6×
Glucagon (82943)
range across 3 matching MRF lines		 $17.60–$47.84 $110–$299 varies
Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)… (80422) $73.12 $457 1.6×
Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated… (80424) $80.16 $501 1.6×
Glucagon tolerance test Facility (82946) $18.56 $116 1.0×
Glucose 2 hr pp (82950)
range across 4 matching MRF lines		 $13.76–$38.72 $86–$242 varies
Glucose Blood Test (82962) $3.84 $24 1.2×
Glucose body fluid (82945) $21.28 $133 5.4×
Glucose Serum (82947)
range across 12 matching MRF lines		 $15.84–$52.64 $99–$329 varies
Glucose tolerance test (gtt) (82951)
range across 5 matching MRF lines		 $42.56–$51.36 $266–$321 varies
Glucosidase beta (82963) $34.08 $213 1.6×
Glutamate dehydrogenase Facility (82965) $12.32 $77 0.9×
Glutathione (82978) $22.88 $143 1.5×
Glycated Protein (82985)
range across 5 matching MRF lines		 $13.76–$23.20 $86–$145 varies
Gonadotropin Chorionic Hcg Free Beta Chain (84704)
range across 2 matching MRF lines		 $3.52–$24 $22–$150 varies
Gonadotropin Chorionic Qualitative (84703) $43.04 $269 5.7×
Gonadotropin releasing hormone (83727) $27.52 $172 1.6×
Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone… (80426) $234.88 $1,468 1.6×
Growth hormone (83003)
range across 3 matching MRF lines		 $19.52–$38.08 $122–$238 varies
Growth hormone antibody (86277) $25.12 $157 1.6×
Growth Hormone Stimulation Panel (80428) $105.92 $662 1.6×
Gtt-added samples (82952) $8 $50 2.0×
H Pylori (C-13) Breath (83013)
range across 4 matching MRF lines		 $37.44–$106.56 $234–$666 varies
H Pylori Drug Admin (83014) $12.64 $79 1.6×
Haloperidol (80173) $25.76 $161 1.6×
Haptoglobin (83010)
range across 6 matching MRF lines		 $11.04–$46.72 $69–$292 varies
Haptoglobin; phenotypes Facility (83012) $27.52 $172 1.0×
Hba1/Hba2 Gene (81257)
range across 5 matching MRF lines		 $97.92–$137.60 $612–$860 varies
Hba1/Hba2 Gene Dup/Del Vrnts (81269) $106.88 $668 0.5×
Hbb duplication/deletion variants (81363) $94.88 $593 0.5×
Hbb Full Gene Sequence (81364) $152 $950 0.5×
Hbb Gene Com Variants (81361) $92.48 $578 0.5×
Hdl Cholesterol (83718) $41.12 $257 5.0×
Heavy metal qualitative any analytes (83015) $18.08 $113 0.9×
Helicobacter Pylori Stool (87338)
range across 3 matching MRF lines		 $38.56–$52 $241–$325 varies
Helminth Antibody (86682)
range across 11 matching MRF lines		 $28.96–$52.80 $181–$330 varies
Hemagglutination Inhibition (86280) $13.12 $82 1.6×
Hematocrit (85014)
range across 5 matching MRF lines		 $10.24–$36.96 $64–$231 varies
Hemoglobin (85018)
range across 6 matching MRF lines		 $3.52–$33.28 $22–$208 varies
Hemoglobin a1c (83036)
range across 6 matching MRF lines		 $32.80–$74.24 $205–$464 varies
Hemoglobin Chromotography (83021)
range across 9 matching MRF lines		 $1.60–$37.76 $10–$236 varies
Hemoglobin Copper Sulfate Method Non-Automated (83026) $3.84 $24 1.0×
Hemoglobin electrophoresis (83020)
range across 9 matching MRF lines		 $1.60–$121.12 $10–$757 varies
Hemoglobin Methemoglobin Quantitative (83050) $30.72 $192 3.7×
Hemoglobin plasma (83051)
range across 2 matching MRF lines		 $4.16–$19.68 $26–$123 varies
Hemoglobin quan tc per day carboxyhemoglobin (88740) $5.60 $35 0.6×
Hemoglobin stability screen (83068) $13.44 $84 1.4×
Hemoglobin Thermolabile (83065) $11.20 $70 1.2×
Hemoglobin urine (83069) $6.56 $41 1.7×
Hemoglobin, quantitative, transcutaneous, per day; methemoglobin Facility (88741) $5.60 $35 0.6×
Hemoglobin-Oxygen Affinity (82820) $16 $100 1.2×
Hemoglobin; methemoglobin, qualitative Facility (83045) $8 $50 1.2×
Hemolysins&Agglutinins Auto Screen Each (86940) $12 $75 1.4×
Hemosiderin urine (83070) $11.04 $69 2.3×
Hep a ab igm (86709)
range across 4 matching MRF lines		 $14.24–$51.84 $89–$324 varies
Heparin assay (85520) $21.76 $136 1.7×
Heparin Neutralization (85525) $24 $150 2.0×
Heparin-Protamine Tolerance Tst (85530) $20.80 $130 1.6×
Hepatitis a antibody total (86708)
range across 3 matching MRF lines		 $10.88–$24.80 $68–$155 varies
Hepatitis b core ab igm (86705)
range across 4 matching MRF lines		 $20.96–$47.04 $131–$294 varies
Hepatitis b core ab total (86704)
range across 3 matching MRF lines		 $21.92–$58.40 $137–$365 varies
Hepatitis b surface ag quan (87467) $4.96 $31 0.2×
Hepatitis B Surface Antibody (86706)
range across 2 matching MRF lines		 $24–$33.60 $150–$210 varies
Hepatitis B Surface Antigen (87340)
range across 4 matching MRF lines		 $40.32–$56.32 $252–$352 varies
Hepatitis Be Antibody (86707)
range across 3 matching MRF lines		 $14.40–$24 $90–$150 varies
Hepatitis Be Antigen (87350)
range across 4 matching MRF lines		 $13.76–$25.44 $86–$159 varies
Hepatitis C Antibody (86803)
range across 6 matching MRF lines		 $13.60–$56.32 $85–$352 varies
Hepatitis c antibody confirmatory test (86804) $116.16 $726 7.5×
Hepatitis C Genotype (87902)
range across 6 matching MRF lines		 $134.56–$243.84 $841–$1,524 varies
Hepatitis C Probe&Rvrs Trnsc (87521) $96 $600 2.7×
Hepatitis C Revrs Trnscrpj (87522)
range across 3 matching MRF lines		 $127.84–$393.28 $799–$2,458 varies
Hepatitis delta ag (87380) $65.76 $411 3.6×
Hepatitis Delta Agent Antibody (86692)
range across 3 matching MRF lines		 $9.76–$50.24 $61–$314 varies
Hepatitis G Dna Quant (87527) $66.08 $413 1.6×
Hereditary brst ca-related gen seq analys 10 gen (81432) $371.68 $2,323 0.3×
Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) $273.76 $1,711 0.2×
Herpes simplex type 2 (86696)
range across 5 matching MRF lines		 $31.04–$45.28 $194–$283 varies
Heterophile antibodies titer (86309) $10.24 $64 1.6×
Heterophile Antibody Screen (86308) $33.92 $212 6.5×
Hexa gene analysis common variants (81255) $49.44 $309 1.0×
Hfe Gene (81256)
range across 5 matching MRF lines		 $62.40–$117.76 $390–$736 varies
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $33.92 $212 4.4×
Histamine urine (83088)
range across 3 matching MRF lines		 $46.08–$100.64 $288–$629 varies
Histoplasma antibody (86698)
range across 3 matching MRF lines		 $20.48–$28.96 $128–$181 varies
Histoplasma antigen urine (87385)
range across 6 matching MRF lines		 $52–$73.44 $325–$459 varies
Hiv Genotype (87901)
range across 4 matching MRF lines		 $227.04–$244.64 $1,419–$1,529 varies
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389)
range across 8 matching MRF lines		 $36.48–$149.60 $228–$935 varies
Hiv-1 Antibody (86701)
range across 5 matching MRF lines		 $41.92–$59.04 $262–$369 varies
HIV-1 p24 antigen (87390) $38.40 $240 1.6×
Hiv-1 Quant&Revrse Trnscrpj (87536)
range across 4 matching MRF lines		 $124.64–$311.84 $779–$1,949 varies
HIV-2 probe&revrse trnscripj (87538)
range across 3 matching MRF lines		 $15.52–$55.52 $97–$347 varies
Hla Class I Typing High Resolution Complete (81379) $430.24 $2,689 1.3×
Hla Class I Typing High Resolution One Locus Ea (81380) $229.60 $1,435 1.3×
Hla Class I Typing Low Resolution Complete (81372) $235.68 $1,473 0.6×
Hla Class I Typing Low Resolution One Locus Each (81373)
range across 3 matching MRF lines		 $142.88–$152 $893–$950 varies
Hla class i&ii antibody qual (86828) $56.16 $351 0.9×
Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) $78.24 $489 0.2×
Hla class i/ii antibody qual (86829) $47.20 $295 0.7×
Hla class ii high defin qual (86833) $182.72 $1,142 0.6×
Hla class ii typing high resolution one locus ea (81382) $213.76 $1,336 1.7×
Hla Crossmatch Noncytotoxic 1st Serum/Dilution (86825) $116.48 $728 1.1×
Hla Crossmatch Noncytotoxic Addl Serum/Dilution (86826) $47.52 $297 1.3×
Hla I Low Resolution One Antigen Equivalent Each (81374) $117.44 $734 1.6×
Hla I Typing 1 Allele Hr (81381) $159.68 $998 0.9×
Hla i&ii high resolution hla-a -b -c and -drb1 (81378) $109.44 $684 0.3×
Hla i&li low resolution hla-a -b&-drb1 (81371) $223.36 $1,396 0.6×
Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) $283.36 $1,771 1.3×
Hla ii type 1 ag equiv lr (81377)
range across 3 matching MRF lines		 $49.44–$118.08 $309–$738 varies
Hla ii typing 1 allele hr (81383) $197.76 $1,236 1.8×
Hla ii typing 1 locus lr (81376) $170.72 $1,067 1.4×
Hla Typing a/B/C Multiple Antigens (86813) $495.68 $3,098 8.5×
Hla Typing Dr/Dq Multiple Antigens (86817) $774.40 $4,840 7.3×
Hla Typing Dr/Dq Single Antigen (86816) $44.32 $277 1.5×
Hla-b27 (86812)
range across 2 matching MRF lines		 $57.92–$102.56 $362–$641 varies
Homocysteine (83090)
range across 3 matching MRF lines		 $43.04–$53.44 $269–$334 varies
Homogenization Tissue (87176) $12.80 $80 2.2×
Homovanillic acid urine (83150) $30.88 $193 1.4×
Hpa-1 genotyping gene analysis common variant (81105)
range across 2 matching MRF lines		 $57.44–$73.12 $359–$457 varies
Hpa-15 genotyping gene analysis common variant (81112) $57.44 $359 0.5×
Hpa-2 genotyping gene analysis common variant (81106) $57.44 $359 0.5×
Hpa-3 genotyping gene analysis common variant (81107) $57.44 $359 0.5×
Hpa-4 genotyping gene analysis common variant (81108) $57.44 $359 0.5×
Hpa-5 genotyping gene analysis common variant (81109) $57.44 $359 0.5×
Hpa-6 genotyping gene analysis common variant (81110) $57.44 $359 0.5×
Hpa-9 Genotyping (81111) $57.44 $359 0.5×
Hpv High-Risk Types (87624)
range across 6 matching MRF lines		 $36.48–$46.88 $228–$293 varies
Hpv low-risk types (87623) $44.48 $278 1.3×
Hpv Types 16 & 18 Only (87625)
range across 2 matching MRF lines		 $22.40–$54.08 $140–$338 varies
Hsv Dna Amp Probe (87529)
range across 7 matching MRF lines		 $11.36–$75.04 $71–$469 varies
Hsv Dna Quant (87530) $21.60 $135 0.5×
Htlv-I Antibody (86687)
range across 3 matching MRF lines		 $8.96–$13.92 $56–$87 varies
Htlv-ii antibody (86688)
range across 2 matching MRF lines		 $8.96–$16.96 $56–$106 varies
Htt Gene Detc Abnor Alleles (81271) $64.16 $401 0.5×
Human Epididymis Protein 4 (86305) $16 $100 0.8×
Hydroxycorticosteroids 17 (83491) $29.92 $187 1.7×
Hydroxyprogesterone 17-d (83498)
range across 3 matching MRF lines		 $56.48–$99.84 $353–$624 varies
Hydroxyproline free (83500) $36 $225 1.6×
Hydroxyproline total (83505) $27.84 $174 1.1×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $24 $150 0.5×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301)
range across 3 matching MRF lines		 $21.76–$27.84 $136–$174 varies
Iaad Ia Cytomegalovirus (87332) $19.20 $120 1.6×
Iaad Ia Entamoeba Histolytica Grp (87337) $28 $175 2.3×
Iaad Ia Escherichia Coli 0157 (87335) $19.20 $120 1.5×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $34.40 $215 3.3×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $7.36 $46 0.5×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $13.28 $83 0.4×
Iaad ia shiga-like toxin (87427) $23.68 $148 2.0×
Iaad Ia Streptococcus Group A (87430)
range across 2 matching MRF lines		 $37.12–$46.24 $232–$289 varies
Iaadi Bordetella Prtussis/Paraprtussis (87265) $10.88 $68 0.9×
Iaadi herpes smplx virus type 1 (87274) $23.36 $146 1.9×
Iaadi herpes smplx virus type 2 (87273) $24.64 $154 2.1×
Iaadi inffluenza a virus (87276) $60.16 $376 3.7×
Iaadi not otherwise specified each organism (87299) $37.28 $233 2.3×
Iaadi parainfluenza virus each type (87279) $60.16 $376 3.7×
Iaadi pneumocustis carinii (87281) $44 $275 3.7×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $34.24 $214 2.9×
Iaadi respiratory synctial virus (87280)
range across 3 matching MRF lines		 $23.36–$60.16 $146–$376 varies
Iaadi Varicella Zoster Virus (87290)
range across 3 matching MRF lines		 $22.56–$60.16 $141–$376 varies
Iadna Bartonella Amplified Probe Technique (87471)
range across 2 matching MRF lines		 $81.12–$95.20 $507–$595 varies
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476)
range across 5 matching MRF lines		 $27.68–$103.84 $173–$649 varies
Iadna Candida Species Amplified Probe Tq (87481)
range across 6 matching MRF lines		 $7.36–$26.72 $46–$167 varies
Iadna chlamydia pneumoniae amplified probe tq (87486) $14.56 $91 0.4×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $31.84 $199 1.4×
Iadna Cytomegalovirus Amplified Probe Tq (87496)
range across 4 matching MRF lines		 $11.36–$78.88 $71–$493 varies
Iadna Cytomegalovirus Direct Probe Tq (87495) $31.84 $199 1.1×
Iadna Cytomegalovirus Quantification (87497)
range across 4 matching MRF lines		 $118.40–$125.92 $740–$787 varies
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $33.12 $207 0.5×
Iadna hepatitis b virus amplified probe tq (87516) $63.84 $399 1.8×
Iadna Hepatitis B Virus Quantification (87517)
range across 3 matching MRF lines		 $68.64–$108.32 $429–$677 varies
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $55.52 $347 1.6×
Iadna Herpes Virus-6 Quantification (87533)
range across 4 matching MRF lines		 $116.64–$120.96 $729–$756 varies
Iadna HIV-1 amplified probe & reverse transcrpj (87535)
range across 4 matching MRF lines		 $15.52–$98.72 $97–$617 varies
Iadna Hiv-2 Quant & Reverse Transcription (87539) $67.84 $424 1.2×
Iadna Legionella Pneumophila Amplified Probe Tq (87541) $55.52 $347 1.6×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564)
range across 2 matching MRF lines		 $33.12–$33.76 $207–$211 varies
Iadna Multiple Organisms Direct Probe Tq (87800) $45.92 $287 1.1×
Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) $31.84 $199 1.2×
Iadna Mycobacteria Species Amplified Probe Tq (87551) $55.52 $347 1.2×
Iadna Mycobacteria Species Direct Probe Tq (87550) $31.84 $199 1.6×
Iadna Mycobacteria Tuberculosis Amp Prb (87556)
range across 7 matching MRF lines		 $12.96–$88.64 $81–$554 varies
Iadna Mycobacteria Tuberculosis Dir Prb (87555) $31.84 $199 1.2×
Iadna mycoplsm pneumoniae amplified probe tq (87581)
range across 3 matching MRF lines		 $79.68–$82.40 $498–$515 varies
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 9 matching MRF lines		 $2.88–$39.68 $18–$248 varies
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $145.12 $907 1.0×
Idh2 common variants (81121) $210.08 $1,313 0.7×
Ig Light Chains Free Each (83521)
range across 3 matching MRF lines		 $8.32–$23.04 $52–$144 varies
Igg subclasses (82787)
range across 5 matching MRF lines		 $14.40–$56.96 $90–$356 varies
Igh gene rearrange amp meth (81261) $136 $850 0.7×
Igh@ Variable Region Somatic Mutation Analysis (81263)
range across 3 matching MRF lines		 $293.60–$316.48 $1,835–$1,978 varies
Igk rearrangeabn clonal pop (81264) $229.60 $1,435 1.3×
Ikbkap Gene Analysis Common Variants (81260) $41.12 $257 1.0×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $87.68 $548 0.3×
Immune Complex Assay (86332)
range across 6 matching MRF lines		 $16.32–$61.12 $102–$382 varies
Immunfix e-phorsis/urine/csf (86335)
range across 7 matching MRF lines		 $4.80–$56.80 $30–$355 varies
Immunoassay analyte qual/semiqual single step (83518) $7.52 $47 0.8×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 36 matching MRF lines		 $6.88–$70.24 $43–$439 varies
Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen) Facility (86294) $18.40 $115 0.7×
Immunoassay infectious agent (86318) $20.64 $129 1.1×
Immunoassay Infectious Agent Antibody Quan Nos (86317)
range across 15 matching MRF lines		 $27.68–$194.56 $173–$1,216 varies
Immunoassay nonantibody (83516)
range across 71 matching MRF lines		 $1.60–$45.28 $10–$283 varies
Immunodiffusion not elsewhere specified (86329) $9.44 $59 0.7×
Immunodiffusion Ouchterlony (86331) $21.92 $137 1.8×
Immunoelectrophoresis Other Fluids Concentration (86325) $54.72 $342 2.4×
Immunofixation electrophoresis (86334)
range across 7 matching MRF lines		 $23.20–$73.12 $145–$457 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 7 matching MRF lines		 $29.12–$83.84 $182–$524 varies
Immunohistochemistry (88342)
range across 2 matching MRF lines		 $44.32–$643.68 $277–$4,023 varies
In situ hybridization 1st probe stain (88365) $106.40 $665 0.7×
In situ hybridization ea multiplex probe stain (88366) $393.60 $2,460 2.5×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87391) $28 $175 1.3×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) $19.20 $120 1.2×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $19.20 $120 1.3×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87451) $7.52 $47 0.7×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87339) $19.20 $120 1.2×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus Facility (87809) $19.20 $120 0.9×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Chlamydia trachomatis… (87810) $19.20 $120 0.5×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $19.20 $120 1.2×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Neisseria gonorrhoeae… (87850) $19.20 $120 0.8×
Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260)
range across 2 matching MRF lines		 $26.24–$98.56 $164–$616 varies
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $60.16 $376 4.5×
Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)… (87267) $19.20 $120 1.4×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $60.16 $376 4.9×
Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum Facility (87285) $19.20 $120 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification… (87472) $67.84 $424 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique Facility (87475) $31.84 $199 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification Facility (87482) $66.08 $413 1.2×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique Facility (87485) $31.84 $199 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification Facility (87487) $67.84 $424 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification Facility (87492) $55.52 $347 1.0×
Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) $55.52 $347 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique Facility (87520) $31.84 $199 1.0×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique Facility (87526) $55.52 $347 1.4×
Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique Facility (87525) $31.84 $199 1.1×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique Facility (87528) $31.84 $199 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $31.84 $199 0.5×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique Facility (87534) $31.84 $199 1.5×
Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique Facility (87537) $31.84 $199 1.5×
Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification Facility (87542) $66.08 $413 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification Facility (87562) $67.84 $424 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification Facility (87552) $67.84 $424 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification Facility (87557) $67.84 $424 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique Facility (87580) $31.84 $199 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification Facility (87592) $67.84 $424 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique Facility (87650) $31.84 $199 1.6×
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification Facility (87652) $66.08 $413 1.6×
Infectious Agent Dna/Rna Influenza Ea Type (87501) $81.60 $510 1.6×
Infectious Agent Dna/Rna Vancomycin Resistance (87500) $55.52 $347 1.6×
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $13.44 $84 1.1×
Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2… (87913) $238.24 $1,489 0.9×
Influenza a/b ag eia (87400) $7.52 $47 0.5×
Influenza assay w/optic (87804)
range across 5 matching MRF lines		 $9.12–$23.36 $57–$146 varies
Influenza DNA amp probe (87502) $78.24 $489 0.8×
Inhibin A (86336)
range across 5 matching MRF lines		 $35.36–$37.28 $221–$233 varies
Inhibin b (83520)
range across 59 matching MRF lines		 $17.92–$116.80 $112–$730 varies
Insitu hybridization auto (88367) $124.48 $778 0.4×
Insitu hybridization manual (88368)
range across 2 matching MRF lines		 $117.76–$182.40 $736–$1,140 varies
Insulin antibodies (86337)
range across 3 matching MRF lines		 $30.40–$50.88 $190–$318 varies
Insulin free (83527)
range across 3 matching MRF lines		 $7.20–$33.60 $45–$210 varies
Insulin tolerance panel growth horm defncy (80435) $163.20 $1,020 1.6×
Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose… (80434) $160.16 $1,001 0.6×
Insulin total (83525)
range across 8 matching MRF lines		 $11.68–$26.08 $73–$163 varies
Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x… (80432) $213.76 $1,336 1.3×
Interleukin-6 (83529) $8.32 $52 0.5×
Intrinsic factor (stomach protein) level (83528) $25.28 $158 1.3×
Intrinsic factor antibody (86340)
range across 3 matching MRF lines		 $8.16–$40.64 $51–$254 varies
Iron (83540) $20.80 $130 3.2×
Iron Binding Capacity (83550) $18.56 $116 2.1×
Iron stain peripheral blood (85536) $9.76 $61 1.4×
Irradiation Blood Product Each Unit (86945) $28.96 $181 0.8×
Islet cell antibody (86341)
range across 13 matching MRF lines		 $10.40–$42.88 $65–$268 varies
Isocitric dehydrogenase (IDH) Facility (83570) $14.24 $89 1.6×
Jak2 gene analysis p.val617phe variant (81270)
range across 7 matching MRF lines		 $20.80–$125.92 $130–$787 varies
Jak2 Gene Trgt Sequence Alys (81279) $86.88 $543 0.5×
Ketosteroids 17 total (83586) $15.36 $96 1.2×
Kit Gene Analysis Targeted Sequence Analysis (81272) $181.92 $1,137 0.6×
Koh Prep (87220)
range across 2 matching MRF lines		 $14.40–$23.04 $90–$144 varies
Kras Gene Analysis Additional Variant(S) (81276) $191.52 $1,197 1.0×
Kras Gene Variants Exon 2 (81275)
range across 3 matching MRF lines		 $163.84–$284 $1,024–$1,775 varies
L/s ratio (83661) $11.36 $71 0.5×
Lactate (ld) (ldh) enzyme (83615)
range across 8 matching MRF lines		 $19.52–$55.20 $122–$345 varies
Lactoferrin fecal qualitative (83630) $30.08 $188 1.5×
Lactoferrin Fecal Quantitative (83631) $31.20 $195 1.6×
Lactogen Hpl Human Chorionic Somatomammotropin (83632) $26.24 $164 1.3×
Lactose urine qual (83633) $8.80 $55 0.8×
Lamellar Body Count (83664) $26.72 $167 1.4×
Ldh Isoenzymes (83625)
range across 4 matching MRF lines		 $15.68–$32.48 $98–$203 varies
LDL direct (83721)
range across 4 matching MRF lines		 $23.84–$30.40 $149–$190 varies
Lead (83655)
range across 11 matching MRF lines		 $11.68–$35.52 $73–$222 varies
Legionella antibody (86713)
range across 7 matching MRF lines		 $13.12–$47.36 $82–$296 varies
Legionella antigen urine (87449)
range across 17 matching MRF lines		 $38.40–$56 $240–$350 varies
Legionella DNA probe (87540) $31.84 $199 1.6×
Legionella pneumophila dfa (87278)
range across 4 matching MRF lines		 $27.04–$34.40 $169–$215 varies
Leptospira antibody (86720) $42.40 $265 2.6×
Leucine Aminopeptidase Lap (83670) $14.72 $92 1.5×
Leukocyte Assessment Fecal (89055) $24.96 $156 5.8×
Leukocyte Histamine Release (86343) $20 $125 1.6×
Leukocyte phagocytosis (86344) $12.80 $80 1.2×
Leukocyte transfusion (86950) $55.36 $346 0.3×
Level I Surg Pathology Gross Examination Only (88300) $28 $175 1.0×
Level ii surg pathology gross&microscopic exam (88302)
range across 2 matching MRF lines		 $44.80–$54.08 $280–$338 varies
Level V Surg Pathology Gross&Microscopic Exam (88307)
range across 2 matching MRF lines		 $129.12–$223.04 $807–$1,394 varies
Lidocaine (80176) $34.56 $216 2.4×
Lipase (83690) $29.28 $183 4.2×
Lipoprotein A (83695)
range across 3 matching MRF lines		 $30.56–$47.52 $191–$297 varies
Lipoprotein Bld Quan Part (83704)
range across 3 matching MRF lines		 $19.52–$76.32 $122–$477 varies
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $35.84 $224 3.2×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $37.12 $232 1.1×
Lipoprotein, direct measurement; VLDL cholesterol Facility (83719) $18.56 $116 1.5×
Lipoprotein-Associated Phospholipase A2 (83698) $20.80 $130 0.4×
Listeria Monocytogenes (86723) $20.96 $131 1.6×
Lithium (80178) $30.88 $193 4.7×
Liver ds alys 3 bmrk srm alg (81517)
range across 2 matching MRF lines		 $77.60–$156.16 $485–$976 varies
Luteinizing Hormone (Lh) (83002)
range across 5 matching MRF lines		 $58.72–$60 $367–$375 varies
Lyme disease antibody (86618)
range across 4 matching MRF lines		 $13.12–$41.12 $82–$257 varies
Lymphocyte transformation (86353) $113.28 $708 2.3×
Lymphocytotoxicity Assay (86805) $83.04 $519 0.4×
Lymphocytotoxicity assay, visual crossmatch; without titration Facility (86806) $75.20 $470 1.6×
Lysozyme serum (85549)
range across 3 matching MRF lines		 $14.40–$34.88 $90–$218 varies
M. Genitalium Amp Probe (87563) $16.64 $104 0.5×
M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) $41.28 $258 1.2×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $207.68 $1,298 1.3×
M/phmtrc alys ishquant/semiq (88374) $143.68 $898 0.9×
Macroscopic exam arthropod (87168) $10.08 $63 2.4×
Macroscopic Exam Parasite (87169)
range across 3 matching MRF lines		 $13.12–$46.24 $82–$289 varies
Magnesium Urine (83735)
range across 8 matching MRF lines		 $21.44–$73.92 $134–$462 varies
Malate dehydrogenase Facility (83775) $11.84 $74 1.6×
Mass Spectrometry Quant (83789)
range across 19 matching MRF lines		 $1.60–$49.12 $10–$307 varies
Mechanical fragility rbc (85547) $12.80 $80 1.5×
Mecp2 gene full seq (81302) $342.24 $2,139 0.6×
Mercury urine (83825)
range across 5 matching MRF lines		 $12.64–$48.64 $79–$304 varies
Metabolic panel ionized ca (80047)
range across 2 matching MRF lines		 $29.28–$87.20 $183–$545 varies
Methemalbumin (83857) $17.12 $107 1.6×
Methotrexate (80204) $40.32 $252 1.0×
Methylmalonic acid serum (83921)
range across 6 matching MRF lines		 $20.80–$59.52 $130–$372 varies
Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) Facility (80436) $144.32 $902 1.6×
Mgmt methylation analysis (81287) $172.80 $1,080 1.4×
Microalbumin, quantitative (82043)
range across 4 matching MRF lines		 $19.20–$36.32 $120–$227 varies
Microbe Suscept Macrobroth (87188) $32.80 $205 4.9×
Microsatellite instability (81301) $293.92 $1,837 0.8×
Microsomal Antibodies Each (86376)
range across 9 matching MRF lines		 $15.68–$43.68 $98–$273 varies
Mitochondrial Antibody Each (86381)
range across 3 matching MRF lines		 $12–$15.84 $75–$99 varies
Mlh1 Gene (81288) $101.28 $633 0.5×
Mlh1 Gene Analysis Duplication/Deletion Variants (81294) $145.12 $907 0.7×
Mlh1 Gene Analysis Full Sequence Analysis (81292) $491.68 $3,073 0.7×
Mog-Igg1 Antb Cba Each (86362) $5.92 $37 0.5×
Molecular Cytogenetics Chrmoml Ish 3-5 Cells (88272) $42.56 $266 1.0×
Molecular Cytogenetics Dna Probe Each (88271)
range across 14 matching MRF lines		 $52.96–$64.48 $331–$403 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $55.20 $345 1.3×
Molecular Pathology Procedure Level 3 (81402) $133.44 $834 0.9×
Molecular Pathology Procedure Level 6 (81405)
range across 12 matching MRF lines		 $254.40–$573.12 $1,590–$3,582 varies
Mononuclear cell antigen (86356) $55.04 $344 2.1×
Mopath procedure level 1 (81400) $142.08 $888 2.2×
Mopath procedure level 2 (81401)
range across 10 matching MRF lines		 $172–$196.64 $1,075–$1,229 varies
Mopath procedure level 4 (81403) $99.36 $621 0.5×
Mopath procedure level 5 (81404)
range across 15 matching MRF lines		 $44–$305.44 $275–$1,909 varies
Mopath procedure level 7 (81406) $719.04 $4,494 2.5×
Mopath procedure level 8 (81407) $760.16 $4,751 0.9×
Mopath procedure level 9 (81408)
range across 9 matching MRF lines		 $131.36–$1,370.56 $821–$8,566 varies
Morphometric Analysis Tumor (88358) $84.16 $526 0.5×
Mpl gene analysis sequence analysis exon 10 (81339) $102.24 $639 0.6×
Mpl gene common variants (81338) $70.56 $441 0.5×
Mrsa Pcr (87641) $16.64 $104 0.5×
Msh2 Gene Analysis Duplication/Deletion Variants (81297) $115.52 $722 0.5×
Msh2 Gene Analysis Full Sequence Analysis (81295) $168 $1,050 0.4×
Msh6 Gene Analysis Duplication/Deletion Varia (81300) $123.04 $769 0.5×
Msh6 Gene Analysis Full Sequence Analysis (81298)
range across 2 matching MRF lines		 $282.40–$300.48 $1,765–$1,878 varies
Mthfr Gene Analysis Common Variants (81291)
range across 4 matching MRF lines		 $21.92–$107.36 $137–$671 varies
Mucopolysaccharides acid quantitative (83864) $84.64 $529 3.0×
Mumps antibody (86735)
range across 7 matching MRF lines		 $15.68–$40.96 $98–$256 varies
Muscle-Specific Kinase Antb (86366) $8.16 $51 0.4×
Mycobacteric Identification (87118) $17.76 $111 1.2×
Mycophenolic Acid (80180) $34.40 $215 1.9×
Mycoplasma antibody (86738)
range across 9 matching MRF lines		 $12.64–$55.04 $79–$344 varies
Mycoplasma culture (87109)
range across 2 matching MRF lines		 $31.04–$36.16 $194–$226 varies
Myd88 Gene P.Leu265pro Vrnt (81305)
range across 2 matching MRF lines		 $96.96–$105.12 $606–$657 varies
Myelin basic protein csf (83873)
range across 3 matching MRF lines		 $23.20–$47.04 $145–$294 varies
Myoglobin urine (83874)
range across 6 matching MRF lines		 $26.24–$99.52 $164–$622 varies
Natriuretic peptide (83880) $53.60 $335 1.4×
Neisseria Dir Na Probe (87590) $18.72 $117 0.7×
Neutralization Test Viral (86382) $24.80 $155 1.5×
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86408) $13.28 $83 0.3×
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) $13.28 $83 0.2×
Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) $76.96 $481 0.6×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $32.96 $206 1.1×
Nfct Agent Genotype Hepatitis B Virus (87912) $238.24 $1,489 0.9×
Nfct Agt Genotype Nucleic Acid Cytomegalovirus (87910) $95.36 $596 0.4×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513)
range across 3 matching MRF lines		 $66.88–$78.88 $418–$493 varies
Nfct Ds Bv&Vaginitis Dna Alg (81514) $115.68 $723 0.4×
Nfct ds chrnc hcv 6 assays (81596)
range across 3 matching MRF lines		 $38.40–$136.16 $240–$851 varies
Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) $181.92 $1,137 1.4×
Nfct phexyp resist tiss cul HIV ea addl drug (87904) $53.28 $333 2.0×
Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) $407.52 $2,547 0.8×
Niacin (84591) $61.60 $385 3.6×
Nickel level (83885) $30.72 $192 1.3×
Nitroblue Tetrazolium Dye (86384) $18.08 $113 1.3×
Nk cells total count (86357)
range across 3 matching MRF lines		 $31.20–$117.76 $195–$736 varies
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $243.20 $1,520 1.0×
Nras gene variants exon 2&3 (81311) $227.20 $1,420 0.8×
Nuclear antigen antibody (86235)
range across 41 matching MRF lines		 $3.20–$42.56 $20–$266 varies
Obstetric panel (80081) $110.08 $688 1.5×
Occult blood feces (82272) $12.32 $77 2.9×
Occult Blood Other Sources (82271) $5.76 $36 1.1×
Oligoclonal bands (83916)
range across 5 matching MRF lines		 $20.32–$56.48 $127–$353 varies
Oncology Prostate Prob Score (81539) $458.24 $2,864 0.6×
Oncoprotein dcp (83951)
range across 2 matching MRF lines		 $55.20–$71.68 $345–$448 varies
Oncoprotein Her-2/Neu (83950) $80.48 $503 1.2×
Organic Acids Qualitative Each Specimen (83919) $21.44 $134 1.3×
Organic acids urine (83918) $115.68 $723 4.9×
Osmolality serum (83930) $50.24 $314 7.6×
Osmolality Urine (83935) $19.52 $122 2.9×
Osmotic fragility rbc incubated (85557)
range across 3 matching MRF lines		 $11.36–$44 $71–$275 varies
Osmotic Fragility RBC Unincubated (85555)
range across 5 matching MRF lines		 $42.40–$66.08 $265–$413 varies
Osteocalcin (83937) $44.32 $277 1.5×
Ova and parasites smears (87177)
range across 3 matching MRF lines		 $36.80–$36.96 $230–$231 varies
Ovulation tests, by visual color comparison methods for human luteinizing hormone (84830) $16 $100 1.3×
Oxalate urine (83945)
range across 5 matching MRF lines		 $21.92–$25.76 $137–$161 varies
Pancreatic Elastase Fecal (82656) $14.88 $93 1.3×
Particle Agglut Antbdy Titr (86406) $16.96 $106 1.6×
Particle Agglutination Screen Each Antibody (86403)
range across 10 matching MRF lines		 $17.44–$92.96 $109–$581 varies
Parvovirus antibody (86747)
range across 6 matching MRF lines		 $21.92–$92.64 $137–$579 varies
Path Consltj Surg Cytologic Exam Initial Site (88333)
range across 2 matching MRF lines		 $276.32–$331.68 $1,727–$2,073 varies
Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) $28.48 $178 0.6×
Pathology Consultation During Surgery (88329)
range across 2 matching MRF lines		 $19.20–$55.04 $120–$344 varies
Pca3/Klk3 Prostate Specific Antigen Ratio (81313) $307.36 $1,921 1.2×
Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)… (80417) $69.76 $436 1.6×
Ph urine (81003) $14.72 $92 6.5×
Phenobarbital Level (80184)
range across 5 matching MRF lines		 $37.12–$100.16 $232–$626 varies
Phenotype Infect Agent Drug (87900) $156.48 $978 1.2×
Phenylalanine (84030)
range across 2 matching MRF lines		 $16.64–$26.08 $104–$163 varies
Phenylketones qual (84035) $13.12 $82 3.3×
Phenytoin (Dilantin) (80185) $29.60 $185 2.2×
Phenytoin free (80186)
range across 3 matching MRF lines		 $29.60–$39.52 $185–$247 varies
Phosphatase acid prostatic (84066) $14.24 $89 1.5×
Phosphatase alkaline (84075)
range across 4 matching MRF lines		 $19.52–$72 $122–$450 varies
Phosphatidylglycerol (84081) $22.88 $143 1.4×
Phosphogluconate, 6-, dehydrogenase, RBC Facility (84085) $11.04 $69 1.2×
Phospholipid Neutralization Hexagonal (85598)
range across 3 matching MRF lines		 $12.80–$45.92 $80–$287 varies
Phosphorus Serum (84100) $17.92 $112 3.8×
Phosphorus urine (84105) $12.96 $81 2.2×
Pik3ca gene analysis targeted sequence analysis (81309) $145.12 $907 0.5×
Pinworm exam (87172) $20.80 $130 4.9×
Platelet Aggregation (85576)
range across 12 matching MRF lines		 $50.40–$104.80 $315–$655 varies
Platelet Antibodies (86022)
range across 12 matching MRF lines		 $9.92–$81.28 $62–$508 varies
Platelet count automated (85049) $35.68 $223 8.0×
Platelet neutralization (85597)
range across 4 matching MRF lines		 $7.84–$28.96 $49–$181 varies
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $152 $950 0.7×
PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure… (81326) $195.04 $1,219 4.2×
Pmp22 Gene Anal Duplication/Deletion Analysis (81324) $400.16 $2,501 0.5×
Pmp22 Gene Analysis Full Sequence Analysis (81325) $183.04 $1,144 0.2×
Pms2 Gene Analysis Duplication/Deletion Variants (81319) $109.44 $684 0.5×
Pms2 gene full seq analysis (81317)
range across 2 matching MRF lines		 $297.60–$316.64 $1,860–$1,979 varies
Pneumcysts jirovecii amp prb (87594) $15.52 $97 0.4×
Pooling blood platelets (86965) $56.48 $353 0.4×
Porphobilinogen, urine; quantitative (84110)
range across 4 matching MRF lines		 $23.52–$28.96 $147–$181 varies
Porphyrins Feces Quantitative (84126) $64 $400 1.6×
Porphyrins Urine Quantitation & Fractionation (84120) $47.84 $299 3.3×
Potassium Urine (84133) $16.32 $102 3.5×
Pr assay of etiocholanolone (82696) $37.44 $234 1.4×
Prealbumin (84134) $26.08 $163 1.8×
Pregnancy-Associated Plasma Protein-A (84163) $26.24 $164 1.7×
Pregnanediol (84135) $30.40 $190 1.4×
Pregnanetriol (84138) $126.56 $791 6.0×
Pregnenolone (84140) $37.44 $234 1.8×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $41.60 $260 0.3×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $31.36 $196 0.6×
Pretx serum rbc antibody identification dilution (86976) $19.36 $121 0.7×
Primidone (80188) $29.12 $182 1.8×
Procalcitonin (Pct) (84145) $52.96 $331 1.9×
Progesterone (84144) $48.80 $305 2.3×
Prolactin (84146)
range across 5 matching MRF lines		 $76.48–$80.80 $478–$505 varies
Prostaglandin (84150)
range across 2 matching MRF lines		 $68.64–$77.92 $429–$487 varies
Protein Alys Wstrn Blot I&R Immunological Ea (88372) $36.16 $226 1.4×
Protein body fluid (84157)
range across 6 matching MRF lines		 $20.16–$20.32 $126–$127 varies
Protein C Activity (85303)
range across 3 matching MRF lines		 $20.80–$81.92 $130–$512 varies
Protein c antigen (85302)
range across 3 matching MRF lines		 $7.20–$77.76 $45–$486 varies
Protein Electrophoresis Urine (84166)
range across 9 matching MRF lines		 $4.80–$36.64 $30–$229 varies
Protein Electrophoretic Fractj&Quantj Serum (84165)
range across 6 matching MRF lines		 $5.12–$42.56 $32–$266 varies
Protein S Free (85306)
range across 7 matching MRF lines		 $69.76–$176.80 $436–$1,105 varies
Protein s total (85305) $77.76 $486 6.7×
Protein test for diagnosis and monitoring of bladder cancer (86386) $25.28 $158 1.2×
Protein Total Refractometry Any Src (84160)
range across 3 matching MRF lines		 $10.08–$11.52 $63–$72 varies
Protein total serum (84155)
range across 5 matching MRF lines		 $20.16–$78.24 $126–$489 varies
Protein Total Urine (84156)
range across 13 matching MRF lines		 $19.36–$54.56 $121–$341 varies
Protein Western Blot Test (84182)
range across 7 matching MRF lines		 $64–$90.24 $400–$564 varies
Protein, western blot tissue (88371) $35.52 $222 1.6×
Prothrombin Time Substitution Plasma Frctj Each (85611) $26.08 $163 6.6×
Protoporphyrin rbc quantitative (84202) $28.16 $176 2.0×
Protoporphyrin, RBC; screen Facility (84203) $13.92 $87 1.4×
PSA free (84154)
range across 4 matching MRF lines		 $27.68–$40.64 $173–$254 varies
Pten Gene Analysis Duplication/Deletion Variant (81323) $158.40 $990 0.5×
Pten Gene Analysis Full Sequence Analysis (81321) $316.64 $1,979 0.5×
Pten gene analysis known familial variant (81322) $146.08 $913 3.1×
Pth Intact (83970) $53.76 $336 1.3×
Pyruvate kinase (84220) $36.48 $228 3.9×
Q Fever Antibody (86638)
range across 2 matching MRF lines		 $6.08–$29.12 $38–$182 varies
Quantiferon tb gold plus (86480)
range across 4 matching MRF lines		 $11.20–$79.84 $70–$499 varies
Quantitative assay drug (80299)
range across 56 matching MRF lines		 $35.20–$77.44 $220–$484 varies
Quantitative Screen Metals (83018)
range across 8 matching MRF lines		 $100.16–$106.56 $626–$666 varies
Quinidine (80194) $20 $125 1.4×
Quinine (84228) $18.56 $116 1.6×
Rbc antibody elution (86860)
range across 2 matching MRF lines		 $49.28–$53.12 $308–$332 varies
Rbc antibody identification (86870)
range across 7 matching MRF lines		 $62.24–$216 $389–$1,350 varies
Rbc antibody screen (86850)
range across 3 matching MRF lines		 $22.88–$57.76 $143–$361 varies
Rbc pretreatment serum (86978) $48.64 $304 0.9×
Rbc pretx incubatj w/enzymes (86971) $149.76 $936 0.9×
Rbc serum pretx incubj drugs (86975) $126.72 $792 0.3×
Reagent Strip/Blood Glucose (82948) $8.64 $54 1.7×
Receptor Assay Endocrine Oth/Thn Estrgn/Progst (84235) $83.04 $519 1.2×
Receptor assay estrogen (84233) $116.32 $727 1.3×
Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6) Facility (80416) $208.96 $1,306 1.0×
Renin activity plasma (84244)
range across 3 matching MRF lines		 $16.32–$54.08 $102–$338 varies
Reptilase test (85635)
range across 2 matching MRF lines		 $27.68–$60.16 $173–$376 varies
Resp virus 12-25 targets (87633) $239.04 $1,494 0.6×
Reticulated Platelet Assay (85055) $29.44 $184 0.8×
Reticulocyte Count (85046) $20.16 $126 3.6×
Reticulocyte Count Manual (85044)
range across 3 matching MRF lines		 $13.12–$17.44 $82–$109 varies
Rh (86901)
range across 3 matching MRF lines		 $2.56–$24.48 $16–$153 varies
Rheumatoid Factor Qualitative (86430) $26.40 $165 4.3×
Rheumatoid factor quant (86431)
range across 3 matching MRF lines		 $10.08–$29.60 $63–$185 varies
Rickettsia antibody (86757)
range across 8 matching MRF lines		 $20.16–$42.08 $126–$263 varies
Ristocetin cofactor (85245)
range across 5 matching MRF lines		 $77.60–$82.24 $485–$514 varies
Rotavirus ag eia (87425)
range across 4 matching MRF lines		 $26.56–$71.20 $166–$445 varies
Rpr qualitative (86592)
range across 11 matching MRF lines		 $2.40–$45.76 $15–$286 varies
Rsv ab (86756) $35.84 $224 2.3×
Rsv Assay W/Optic (87807) $44 $275 3.4×
Rubella Antibody (86762)
range across 7 matching MRF lines		 $33.12–$91.52 $207–$572 varies
Rubeola antibody (86765)
range across 9 matching MRF lines		 $3.36–$35.68 $21–$223 varies
Rufinamide (80210) $40.32 $252 1.5×
Russell Viper Venom Time Diluted (85613)
range across 7 matching MRF lines		 $5.28–$36 $33–$225 varies
Russell Viper Venon Time Undiluted (85612) $14.24 $89 0.8×
Salicylate Level (80179) $8.96 $56 0.5×
Salmonella antibody (86768)
range across 3 matching MRF lines		 $12.16–$19.68 $76–$123 varies
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 4 matching MRF lines		 $8.96–$50.40 $56–$315 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 3 matching MRF lines		 $22.40–$23.36 $140–$146 varies
Sars-Cov-2 Covid19 W/Optic (87811)
range across 2 matching MRF lines		 $17.28–$18.40 $108–$115 varies
Sarscov2 & inf a&b amp prb (87636) $63.20 $395 0.4×
Sarscov2&inf a&b&rsv amp prb (87637) $63.20 $395 0.4×
Sedimentation rate (85651) $20.16 $126 4.7×
Sedimentation Rate, Automated (85652) $21.44 $134 7.9×
Selenium (84255)
range across 4 matching MRF lines		 $8.48–$35.52 $53–$222 varies
Semen Anal Sperm Detection (89321) $17.76 $111 1.5×
Semen analysis complete (89320) $66.72 $417 5.4×
Semen analysis motility and count (89310) $40.96 $256 4.8×
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $13.12 $82 1.3×
Sensitivity mic (87186)
range across 17 matching MRF lines		 $36.16–$102.56 $226–$641 varies
Sept9 Methylation Analysis (81327) $82.08 $513 0.4×
Serpina 1 gene (81332) $79.68 $498 1.8×
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413) $13.28 $83 0.3×
Sex Chromatin Identification Barr Bodies (88130) $24 $150 1.3×
Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks Facility (88140) $12.80 $80 1.6×
Sex Hormone Binding Globulin (84270)
range across 5 matching MRF lines		 $49.12–$64.32 $307–$402 varies
Shigella Antibody (86771) $20.96 $131 0.9×
Sickling of rbc reduction (85660) $16.64 $104 3.0×
Silica (84285) $37.28 $233 1.5×
Sirolimus (80195)
range across 4 matching MRF lines		 $41.28–$59.20 $258–$370 varies
Skin Test Candida (86485) $21.28 $133 0.8×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines		 $14.40–$69.75 $69.75–$90 varies
Smear acid fast (87206) $23.36 $146 4.3×
Smear complex stain (87209)
range across 5 matching MRF lines		 $29.60–$90.40 $185–$565 varies
Smear gram stain (87205) $12.80 $80 3.0×
Smear Special Stain (87207)
range across 7 matching MRF lines		 $24.96–$31.52 $156–$197 varies
Smn1 Gene Dos/Deletion Alys (81329) $64.16 $401 0.5×
Smpd1 Gene Analysis Common Variants (81330) $74.40 $465 1.6×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 9 matching MRF lines		 $14.40–$32.96 $90–$206 varies
Snrpn/Ube3a Methylation Analysis (81331) $27.20 $170 0.5×
So neo gsap cll fr DNA alys cpy nmbr&mcrstl ins (81463) $1,678.56 $10,491 1.2×
Sodium Serum (84295) $12.64 $79 2.6×
Sodium Urine (84300)
range across 5 matching MRF lines		 $14.40–$16.32 $90–$102 varies
Soluble Transferrin Receptor (84238)
range across 6 matching MRF lines		 $12.16–$70.24 $76–$439 varies
Somatomedin (84305)
range across 4 matching MRF lines		 $18.56–$54.56 $116–$341 varies
Somatostatin (84307) $128 $800 7.0×
Special Stains Group 1 (88312)
range across 3 matching MRF lines		 $9.60–$32.80 $60–$205 varies
Special Stains Group 2 (88313)
range across 5 matching MRF lines		 $41.12–$44.48 $257–$278 varies
Specific gravity body fluid (84315) $7.52 $47 2.3×
Specimen infect agnt concntj (87015)
range across 4 matching MRF lines		 $18.40–$62.08 $115–$388 varies
Spectrophotometry (84311)
range across 13 matching MRF lines		 $4.48–$51.84 $28–$324 varies
Sperm Antibodies (89325) $17.76 $111 1.7×
Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) $14.72 $92 1.4×
Sperm evaluation; hamster penetration test Facility (89329) $30.88 $193 1.6×
Sperm isolation; simple prep (e.g., sperm wash and swim-up) for insemination or diagnosis with semen analysis (89260) $44.16 $276 0.9×
Splitting Blood/Blood Products Each Unit (86985)
range across 2 matching MRF lines		 $42.88–$84.16 $268–$526 varies
Sprm Isol Cplx Prep Insemination/Dx Semen Alys (89261) $85.28 $533 1.7×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $28 $175 0.2×
Staph a DNA amp probe (87640) $40.64 $254 1.2×
Stem cells total count (86367) $60 $375 0.8×
Stone Analysis (82355) $18.40 $115 1.6×
Stool cultr aerobic bact ea (87046)
range across 5 matching MRF lines		 $3.84–$16.64 $24–$104 varies
Strep a assay w/optic (87880) $15.36 $96 0.9×
Strep a DNA amp probe (87651) $55.52 $347 1.6×
Strep b DNA amp probe (87653) $49.44 $309 1.4×
Streptokinase, antibody Facility (86590) $8.96 $56 0.7×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $34.72 $217 0.4×
Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) $10.40 $65 0.9×
Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) $8.80 $55 1.6×
Sugars Multiple Quant (84379) $12.96 $81 1.1×
Sugars Single Qual (84376)
range across 3 matching MRF lines		 $1.92–$19.04 $12–$119 varies
Sulfate urine (84392) $16.32 $102 3.0×
Surg path level iii (88304)
range across 4 matching MRF lines		 $60.80–$88.80 $380–$555 varies
Surgical pathology level IV (88305)
range across 6 matching MRF lines		 $32.64–$79.36 $204–$496 varies
Surgical pathology level vi (88309) $177.44 $1,109 0.2×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181)
range across 29 matching MRF lines		 $14.24–$35.20 $89–$220 varies
Susceptibility Study Antimicrobial Disk Method (87184) $26.72 $167 3.6×
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $16.48 $103 0.4×
Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) $8.96 $56 1.2×
Sweat Collection Iontophoresis (89230) $160.80 $1,005 3.3×
Syphilis Test Non-Trep Quant (86593) $26.24 $164 6.0×
T cells absolute cd4 count (86361)
range across 3 matching MRF lines		 $53.76–$54.72 $336–$342 varies
T Cells Absolute Cd4&Cd8 Count Ratio (86360)
range across 4 matching MRF lines		 $26.08–$79.84 $163–$499 varies
T cells total count (86359)
range across 4 matching MRF lines		 $16.48–$50.56 $103–$316 varies
T3 Free (84481)
range across 4 matching MRF lines		 $13.76–$64.32 $86–$402 varies
T3 reverse (84482)
range across 3 matching MRF lines		 $66.08–$111.20 $413–$695 varies
T3 Total (84480) $49.28 $308 3.5×
T3 Uptake (84479) $22.56 $141 3.5×
T4 Free (84439)
range across 2 matching MRF lines		 $1.12–$33.92 $7–$212 varies
T4 total (84436) $28.16 $176 4.1×
T4-neonatal (84437)
range across 3 matching MRF lines		 $1.60–$10.24 $10–$64 varies
Tacrolimus (80197)
range across 4 matching MRF lines		 $76.80–$166.24 $480–$1,039 varies
Tb ag response t-cell susp (86481)
range across 4 matching MRF lines		 $12–$106.40 $75–$665 varies
Tert gene targeted seq alys (81345) $102.24 $639 0.6×
Test for acetone/ketones (82009) $60.80 $380 13.5×
Test for urine cystines (82615) $12.96 $81 1.4×
Testosterone Bioavailable (84410) $32 $200 0.6×
Testosterone total (84403)
range across 8 matching MRF lines		 $54.56–$87.84 $341–$549 varies
Testosterone, Free (84402)
range across 3 matching MRF lines		 $47.04–$60 $294–$375 varies
Tetanus antibody (86774)
range across 2 matching MRF lines		 $11.68–$13.12 $73–$82 varies
Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) $191.36 $1,196 0.3×
Thawing and expansion of frozen cells, each aliquot Facility (88241) $16.32 $102 1.3×
Theophylline (80198)
range across 5 matching MRF lines		 $2.24–$47.04 $14–$294 varies
Thiocyanate (84430) $23.84 $149 2.0×
Thiopurine methyltransferase (84433) $9.76 $61 0.4×
Thrombin Time (85670) $20.64 $129 3.6×
Thrombin time titer (85675) $10.08 $63 1.5×
Thrombomodulin Facility (85337) $15.36 $96 0.9×
Thromboplastin Inhibition Tissue (85705) $10.08 $63 1.0×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732)
range across 5 matching MRF lines		 $24.32–$55.52 $152–$347 varies
Thyroglobulin (84432)
range across 4 matching MRF lines		 $19.52–$20.96 $122–$131 varies
Thyroglobulin Antibody (86800)
range across 4 matching MRF lines		 $27.20–$249.44 $170–$1,559 varies
Thyroid Stimulating Immunoglobulin (84445)
range across 3 matching MRF lines		 $48.96–$104.80 $306–$655 varies
Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid… (80438) $79.84 $499 1.6×
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid… (80439) $106.40 $665 1.6×
Thyroxine binding globulin (84442)
range across 3 matching MRF lines		 $16.32–$31.84 $102–$199 varies
Tiss cul neo disorders solid tumor (88239) $140.96 $881 1.0×
Tiss Trnsgltmnase Ea Ig Clas (86364) $5.60 $35 0.5×
Tissue Culture (88233)
range across 3 matching MRF lines		 $147.84–$200.96 $924–$1,256 varies
Tissue Culture Amniotic Fluid (88235)
range across 4 matching MRF lines		 $46.88–$234.88 $293–$1,468 varies
Tissue culture bone marrow (88237)
range across 6 matching MRF lines		 $182.72–$194.40 $1,142–$1,215 varies
Tissue Culture Lymphocyte (88230)
range across 6 matching MRF lines		 $97.76–$200.96 $611–$1,256 varies
Tobramycin peak (80200) $27.52 $172 1.7×
Topiramate (80201)
range across 3 matching MRF lines		 $31.36–$42.56 $196–$266 varies
Touch prep (88161) $33.76 $211 1.2×
Toxin/Antitoxin Assay Tissue Culture (87230) $38.24 $239 1.9×
Toxoplasma ab igm (86778)
range across 5 matching MRF lines		 $6.72–$35.68 $42–$223 varies
Toxoplasma antibody (86777)
range across 12 matching MRF lines		 $12.64–$46.56 $79–$291 varies
Tp53 gene analysis full gene sequence (81351)
range across 2 matching MRF lines		 $282.56–$300.48 $1,766–$1,878 varies
Tp53 gene analysis targeted sequence analysis (81352) $181.92 $1,137 0.6×
Transferase Aspartate Amino Ast Sgot (84450) $23.36 $146 4.5×
Transferrin (84466)
range across 3 matching MRF lines		 $12–$19.68 $75–$123 varies
Trb@ Rearrangement Anal Amplification Method (81340) $170.72 $1,067 0.8×
Trg gene rearrangement anal (81342) $167.84 $1,049 0.8×
Trichinella Antibody (86784) $55.52 $347 4.4×
Trichomonas vagin dir probe (87660)
range across 3 matching MRF lines		 $15.68–$25.12 $98–$157 varies
Trichomonas Vaginalis Amplif (87661)
range across 6 matching MRF lines		 $18.56–$73.12 $116–$457 varies
Triglycerides (84478)
range across 5 matching MRF lines		 $23.84–$55.20 $149–$345 varies
Troponin Quant (84484) $44 $275 3.5×
Troponin, qualitative (84512) $12.32 $77 1.2×
Tumor immunohistochem/comput (88361) $97.92 $612 0.3×
Tumor Immunohistochem/Manual (88360)
range across 5 matching MRF lines		 $69.28–$139.52 $433–$872 varies
Ugt1a1 gene analysis common variants (81350) $107.52 $672 0.5×
Unlisted Surgical Pathology Procedure (88399) $3.68 $23 0.1×
Urea Nitrogen Clearance (84545) $10.40 $65 1.4×
Urea nitrogen urine (84540)
range across 9 matching MRF lines		 $12.96–$56.80 $81–$355 varies
Urea nitrogen; semiquantitative (eg, reagent strip test) Facility (84525) $6.08 $38 1.2×
Uric acid other source (84560)
range across 8 matching MRF lines		 $15.68–$63.04 $98–$394 varies
Urinalysis Microscopic Only (81015) $6.08 $38 2.0×
Urinalysis Qual/Semiquant Except Immunoassays (81005) $3.68 $23 1.7×
Urinalysis Volume Measure (81050) $4.80 $30 1.3×
Urinalysis; 2 or 3 glass test Facility (81020) $6.08 $38 1.3×
Urinalysis; bacteriuria screen, except by culture or dipstick Facility (81007) $14.24 $89 0.5×
Urine Albumin Semiquantitative (82044) $4.96 $31 0.8×
Urine Bacteria Culture (87088) $23.04 $144 2.8×
Urine Pregnancy Test (81025) $31.52 $197 3.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $26.24 $164 8.3×
Urobilinogen urine qual (84578) $5.28 $33 1.2×
Urobilinogen, feces, quantitative Facility (84577) $20 $125 1.2×
Urobilinogen, urine; semiquantitative Facility (84583) $8.32 $52 1.4×
Valproic acid (80164) $42.40 $265 3.1×
Vancomycin (80202)
range across 4 matching MRF lines		 $31.04–$32.16 $194–$201 varies
Varicella-zoster antibody (86787)
range across 10 matching MRF lines		 $7.52–$27.20 $47–$170 varies
Vasopressin (84588) $44.64 $279 1.3×
Very Long Chain Fatty Acids (82726) $71.68 $448 3.6×
Viral Culture (87252)
range across 8 matching MRF lines		 $60.16–$168 $376–$1,050 varies
Virus antibody nos (86790)
range across 15 matching MRF lines		 $13.28–$50.88 $83–$318 varies
Virus inoculate tissue addl (87253) $60.16 $376 3.0×
Virus inoculation, shell via (87254)
range across 7 matching MRF lines		 $4.80–$96.96 $30–$606 varies
Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection Facility (87250) $44.80 $280 2.3×
Viscosity serum (85810)
range across 3 matching MRF lines		 $12.16–$29.60 $76–$185 varies
Vit D 1 25-Dihydroxy (82652)
range across 3 matching MRF lines		 $24.48–$66.88 $153–$418 varies
Vitamin A (84590)
range across 4 matching MRF lines		 $14.24–$31.84 $89–$199 varies
Vitamin b-12 (82607) $39.68 $248 2.6×
Vitamin B2 (Riboflavin) (84252)
range across 4 matching MRF lines		 $50.88–$162.08 $318–$1,013 varies
Vitamin B6 (84207)
range across 6 matching MRF lines		 $7.36–$80.32 $46–$502 varies
Vitamin c (82180)
range across 4 matching MRF lines		 $14.40–$35.20 $90–$220 varies
Vitamin D 25-Hydroxy (82306)
range across 6 matching MRF lines		 $14.24–$76 $89–$475 varies
Vitamin E (84446)
range across 3 matching MRF lines		 $14.24–$39.04 $89–$244 varies
Vitamin K (84597)
range across 4 matching MRF lines		 $23.20–$63.52 $145–$397 varies
Vkorc1 gene (81355) $41.44 $259 0.5×
Volatiles (84600) $44.64 $279 2.6×
Voltage-Gated Calcium Channel Antibody Each (86596) $8.80 $55 0.7×
Volume Reduction Blood/Blood Product Each Unit (86960) $50.24 $314 0.3×
Von willebrand factor ag (85246)
range across 5 matching MRF lines		 $70.88–$74.08 $443–$463 varies
Wbc Alkaline Phosphatase Count (85540) $42.88 $268 5.0×
West nile virus ab igm (86788) $35.52 $222 2.1×
West Nile Virus Antibody (86789)
range across 8 matching MRF lines		 $13.12–$35.52 $82–$222 varies
Western Blot Test (84181) $15.36 $96 0.9×
Xm Archive Tissue Molec Anal (88363) $10.72 $67 0.4×
Xylose Absorption Test (84620) $24.48 $153 1.9×
Zika Virus Dna/Rna Amp Probe (87662)
range across 2 matching MRF lines		 $46.88–$58.72 $293–$367 varies
Zika Virus Igm Antibody (86794) $13.28 $83 0.8×
Zinc (84630)
range across 5 matching MRF lines		 $13.44–$35.20 $84–$220 varies

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.