Lab & pathology prices at Westover Hills Baptist Hospital
San Antonio, TX · every code in this section with a posted price and a Medicare benchmark.
850 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $252 | $336 | 11.0× |
| 5 Nucleotidase (83915) | $147.75 | $197 | 13.3× |
| Abl1 gene analysis kinase domain variants (81170) | $1,357.50 | $1,810 | 4.5× |
| Acetylcholine receptor binding antibody (86041) | $82.50 | $110 | 4.5× |
| Acetylcholine receptor blocking antibody (86042) | $134.25 | $179 | 7.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $291.75 | $389 | 24.2× |
| Acth (82024) | $1,467.75 | $1,957 | 38.0× |
| Actin smooth muscle antibody each (86015) | $342.75 | $457 | 28.4× |
| Acute hepatitis panel (80074) range across 2 matching MRF lines |
$1,243.50–$1,602.75 | $1,658–$2,137 | varies |
| Acylcarnitines Quant (82017) | $656.25 | $875 | 38.9× |
| Adenovirus antibody (86603) | $273.75 | $365 | 21.3× |
| Afp-l3 fraction isoform & total afp w/ratio (82107) | $372.75 | $497 | 5.8× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$197.25–$254.25 | $263–$339 | varies |
| Albumin serum (82040) range across 2 matching MRF lines |
$169.50–$218.25 | $226–$291 | varies |
| Aldolase (82085) | $369.75 | $493 | 38.1× |
| Aldosterone urine (82088) | $1,317 | $1,756 | 32.3× |
| Alkaline phosphatase isoenzymes (84080) | $774 | $1,032 | 52.4× |
| Allergen spec ige qual multiallergen screen (86005) | $115.50 | $154 | 14.5× |
| Allergen specific ige (86003) | $191.25 | $255 | 36.6× |
| Allergen specific igg (86001) | $138 | $184 | 17.6× |
| Allg Spec Ige Recomb Ea (86008) | $96.75 | $129 | 5.4× |
| Alpha-1-antitrypsin phenotype (82104) | $279.75 | $373 | 19.3× |
| Alpha-1-antitrypsin total (82103) | $467.25 | $623 | 34.8× |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$334.50–$432 | $446–$576 | varies |
| Alt (sgpt) (84460) range across 2 matching MRF lines |
$396.75–$510.75 | $529–$681 | varies |
| Aluminum (82108) | $467.25 | $623 | 18.3× |
| Amikacin trough (80150) range across 4 matching MRF lines |
$296.25–$382.50 | $395–$510 | varies |
| Amino Acids 1 Quantitative Each Specimen (82131) range across 2 matching MRF lines |
$536.25–$584.25 | $715–$779 | varies |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $996 | $1,328 | 59.0× |
| Amino Acids Quant 2-5 (82136) | $287.25 | $383 | 14.6× |
| Aminolevulinic acid (ala) (82135) | $300.75 | $401 | 18.3× |
| Ammonia (82140) range across 3 matching MRF lines |
$235.50–$303 | $314–$404 | varies |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 2 matching MRF lines |
$471.75–$608.25 | $629–$811 | varies |
| Amylase urine (82150) range across 10 matching MRF lines |
$163.50–$614.25 | $218–$819 | varies |
| Anca screen each antibody (86036) | $164.25 | $219 | 13.6× |
| Anca Titer Each Antibody (86037) | $327.75 | $437 | 27.2× |
| Androstenedione (82157) | $402 | $536 | 13.7× |
| Angiotensin converting enzyme csf (82164) | $505.50 | $674 | 34.6× |
| Anti-Phospholipid Antibody (86148) | $239.25 | $319 | 14.9× |
| Antibody aspergillus (86606) | $355.50 | $474 | 23.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $327.75 | $437 | 25.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $420.75 | $561 | 27.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $702.75 | $937 | 41.7× |
| Antibody Encephalitis California La Crosse (86651) | $137.25 | $183 | 10.4× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $521.25 | $695 | 39.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $379.50 | $506 | 24.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $460.50 | $614 | 25.4× |
| Antibody Fungus Not Elsewhere Specified (86671) | $275.25 | $367 | 22.5× |
| Antibody haemophilus influenza (86684) | $426.75 | $569 | 26.9× |
| Antibody helicobacter pylori (86677) | $768.75 | $1,025 | 45.6× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $373.50 | $498 | 26.0× |
| Antibody Herpes Smplx Type 1 (86695) | $333 | $444 | 25.2× |
| Antibody HIV-1&HIV-2 single result (86703) | $196.50 | $262 | 14.3× |
| Antibody HIV-2 (86702) | $275.25 | $367 | 20.4× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $1,254 | $1,672 | 3.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $491.25 | $655 | 25.4× |
| Antibody leishmania (86717) | $115.59 | $154.12 | 9.4× |
| Antibody Lymphocytic Choriomeningitis (86727) | $123.75 | $165 | 9.6× |
| Antibody Protozoa Nes (86753) | $374.25 | $499 | 30.2× |
| Antibody Titer (86886) | $327.75 | $437 | 63.3× |
| Antibody Treponema Pallidum (86780) range across 5 matching MRF lines |
$324.75–$418.50 | $433–$558 | varies |
| Antibody; encephalitis, st. louis (86653) | $124.50 | $166 | 9.4× |
| Antibody; influenza virus (86710) | $425.25 | $567 | 31.4× |
| Antigen typing (86905) | $363.75 | $485 | 95.0× |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $234 | $312 | 40.9× |
| Antinomyces antibody (86602) | $227.25 | $303 | 22.3× |
| Antinuclear antibodies (86038) range across 3 matching MRF lines |
$267–$343.50 | $356–$458 | varies |
| Antistreptolysin o titer (86060) | $374.25 | $499 | 51.3× |
| Antithrombin iii activity (85300) range across 3 matching MRF lines |
$565.50–$728.25 | $754–$971 | varies |
| Antithrombin iii antigen (85301) | $1,473.75 | $1,965 | 136.3× |
| Aortic Dysfunction/Dilation Genomic Seq Analysis (81410) | $5,775 | $7,700 | 11.5× |
| Apc gene dup/delet variants (81203) | $678.75 | $905 | 3.4× |
| Apc gene full sequence (81201) | $1,734.75 | $2,313 | 2.2× |
| Apolipoprotein a1 (82172) | $444.75 | $593 | 21.1× |
| Aqaprn-4 Antb Flo Cytmtry Ea (86053) | $460.52 | $614.02 | 12.2× |
| Aquaporin-4 Antb Cba Each (86052) range across 2 matching MRF lines |
$355.50–$1,779 | $474–$2,372 | varies |
| Aquaporin-4 Antb Elisa (86051) | $517.50 | $690 | 44.9× |
| Arsenic (82175) | $254.25 | $339 | 13.4× |
| Aspergillus ag eia (87305) | $453.75 | $605 | 37.9× |
| Assay activated protein c (85307) | $1,059 | $1,412 | 69.1× |
| Assay Blood Carbon Dioxide (82374) range across 3 matching MRF lines |
$158.25–$204 | $211–$272 | varies |
| Assay Dir Meas Fr Estradiol (82681) | $147 | $196 | 5.3× |
| Assay myeloperoxidase (83876) range across 2 matching MRF lines |
$196.50–$253.50 | $262–$338 | varies |
| Assay Nephelometry Not Spec (83883) | $273.75 | $365 | 20.1× |
| Assay of 5-hiaa (83497) | $321 | $428 | 24.9× |
| Assay of blood/uric acid (84550) range across 2 matching MRF lines |
$324.75–$418.50 | $433–$558 | varies |
| Assay of calcium in urine (82340) range across 4 matching MRF lines |
$185.25–$238.50 | $247–$318 | varies |
| Assay of corticosterone (82528) | $280.50 | $374 | 12.5× |
| Assay of cpk in blood (82552) | $171 | $228 | 12.8× |
| Assay of estrone (82679) | $306 | $408 | 12.3× |
| Assay of g6pd enzyme (82955) | $213 | $284 | 22.0× |
| Assay of gammaglobulin igm (82784) range across 13 matching MRF lines |
$522.75–$674.25 | $697–$899 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$237.75–$846 | $317–$1,128 | varies |
| Assay of manganese (83785) | $336.75 | $449 | 12.6× |
| Assay of metanephrines (83835) | $822.75 | $1,097 | 48.6× |
| Assay of proinsulin (84206) | $500.25 | $667 | 18.7× |
| Assay of pyruvate (84210) | $239.25 | $319 | 16.5× |
| Assay of serotonin (84260) | $495.75 | $661 | 16.0× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$84.75–$275.25 | $113–$367 | varies |
| Assay of sweat sodium (84302) | $306 | $408 | 63.0× |
| Assay of transcortin (84449) | $213 | $284 | 11.8× |
| Assay of urea nitrogen (84520) range across 2 matching MRF lines |
$293.25–$378 | $391–$504 | varies |
| Assay of urine vma (84585) | $398.25 | $531 | 25.7× |
| Assay of vasoactive intestinal peptide (84586) | $554.25 | $739 | 15.7× |
| Assay of vitamin b-1 (84425) | $379.50 | $506 | 17.9× |
| Assay Ph Body Fluid Nos (83986) range across 3 matching MRF lines |
$146.25–$189 | $195–$252 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $775.50 | $1,034 | 4.5× |
| Autol bld/component collj storage salvage (86891) | $689.25 | $919 | 0.9× |
| Automated Leukocyte Count (85048) range across 2 matching MRF lines |
$151.50–$195.75 | $202–$261 | varies |
| B cells total count (86355) | $410.25 | $547 | 10.9× |
| Babesia microti amp prb (87469) | $248.25 | $331 | 7.1× |
| Bacterial antigens 87802 (87802) range across 2 matching MRF lines |
$155.25–$200.25 | $207–$267 | varies |
| Bartonella antibody (86611) | $254.25 | $339 | 25.0× |
| Bcr/abl1 gene major bp (81206) range across 3 matching MRF lines |
$757.50–$1,186.50 | $1,010–$1,582 | varies |
| Bcr/abl1 gene minor bp (81207) range across 3 matching MRF lines |
$636.75–$798 | $849–$1,064 | varies |
| Beta 2 glycoprotein i antibody each (86146) | $378 | $504 | 14.9× |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$258.75–$333.75 | $345–$445 | varies |
| Beta Lactamase (87185) range across 2 matching MRF lines |
$52.53–$67.50 | $70.04–$90 | varies |
| Beta-2 Microglobulin (82232) | $508.50 | $678 | 31.4× |
| Bile acids total (82239) | $330 | $440 | 19.3× |
| Bilirubin direct (82248) range across 2 matching MRF lines |
$237.75–$306 | $317–$408 | varies |
| Bilirubin total (82247) range across 4 matching MRF lines |
$237.75–$306 | $317–$408 | varies |
| Biotinidase (82261) | $189 | $252 | 11.2× |
| Bl Smear W/O Diff Wbc Count (85008) range across 2 matching MRF lines |
$81.75–$105.75 | $109–$141 | varies |
| Blastomyces antibody (86612) | $508.50 | $678 | 39.4× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $441 | $588 | 2.6× |
| Bld Typing Serologic Rh Phnt (86906) | $255 | $340 | 32.9× |
| Blood Count Manual Difrntl Wbc Count Buffy Coat (85009) range across 2 matching MRF lines |
$73.50–$102 | $98–$136 | varies |
| Blood Count Red Blood Cell Automated (85041) | $138 | $184 | 45.7× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$180.75–$233.25 | $241–$311 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$176.25–$227.25 | $235–$303 | varies |
| Blood gas (82803) range across 2 matching MRF lines |
$366–$830.25 | $488–$1,107 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $63.75 | $85 | 14.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$240–$309.75 | $320–$413 | varies |
| Blood Typing Antigen Screen Patient Serum/Unit (86904) | $276 | $368 | 16.9× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$218.25–$281.25 | $291–$375 | varies |
| Body fluid cell count (89050) | $120.75 | $161 | 25.6× |
| Bone marrow smear interpretation (85097) | $854.25 | $1,139 | 1.1× |
| Bordetella antibody (86615) | $200.25 | $267 | 15.2× |
| Braf gene analysis (81210) | $1,551.75 | $2,069 | 8.8× |
| Brca1&2 gen full seq dup/del (81162) | $5,989.50 | $7,986 | 3.3× |
| Brucella antibody (86622) | $273.75 | $365 | 30.7× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$634.50–$818.25 | $846–$1,091 | varies |
| C-Peptide (84681) | $795.75 | $1,061 | 38.2× |
| C-reactive protein (86140) range across 2 matching MRF lines |
$343.50–$443.25 | $458–$591 | varies |
| Ca 19-9 (86301) range across 2 matching MRF lines |
$606–$723.75 | $808–$965 | varies |
| Caffeine (80155) range across 2 matching MRF lines |
$304.50–$392.25 | $406–$523 | varies |
| Calcitonin (82308) | $855 | $1,140 | 31.9× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$175.50–$524.25 | $234–$699 | varies |
| Calcium total (82310) range across 2 matching MRF lines |
$126.75–$163.50 | $169–$218 | varies |
| Calculus assay quant (82360) | $243.75 | $325 | 18.9× |
| Calculus Spectroscopy (82365) | $191.25 | $255 | 14.8× |
| Calprotectin Fecal (83993) | $834.75 | $1,113 | 42.5× |
| Calr gene com variants (81219) | $999.75 | $1,333 | 8.2× |
| Cancer Antigen 125 (86304) range across 2 matching MRF lines |
$817.50–$975.75 | $1,090–$1,301 | varies |
| Cancer Antigen 27.29 (86300) range across 3 matching MRF lines |
$753.75–$899.25 | $1,005–$1,199 | varies |
| Candida antibody (86628) | $307.50 | $410 | 25.6× |
| Car Ion Chnnlpath Inc 10 Gns (81413) | $2,617.50 | $3,490 | 4.5× |
| Car Ion Chnnlpath Inc 2 Gns (81414) | $2,617.50 | $3,490 | 4.5× |
| Carbamazepine total (80156) range across 2 matching MRF lines |
$254.25–$327.75 | $339–$437 | varies |
| Carbohydrate Deficient Transferrin (82373) | $342.75 | $457 | 19.0× |
| Carboxyhemoglobin (82375) range across 2 matching MRF lines |
$483–$623.25 | $644–$831 | varies |
| Carcinoembryonic antigen (82378) range across 3 matching MRF lines |
$558–$719.25 | $744–$959 | varies |
| Cardiolipin ab iga (86147) range across 5 matching MRF lines |
$561–$723.75 | $748–$965 | varies |
| Carnitine Quantitative Each Specimen (82379) | $467.25 | $623 | 27.7× |
| Catecholamines fractionated (82384) | $1,737 | $2,316 | 68.8× |
| Ccp antibody (86200) | $736.50 | $982 | 56.9× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $1,084.50 | $1,446 | 4.5× |
| Cell count csf (89051) range across 2 matching MRF lines |
$370.50–$478.50 | $494–$638 | varies |
| Cell marker study (88182) range across 3 matching MRF lines |
$636–$1,473.75 | $848–$1,965 | varies |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $784.50 | $1,046 | 5.8× |
| Ceruloplasmin (82390) | $374.25 | $499 | 34.8× |
| Cftr gene com variants (81220) range across 2 matching MRF lines |
$1,246.50–$1,791 | $1,662–$2,388 | varies |
| Cftr gene dup/delet variants (81222) | $1,680 | $2,240 | 3.9× |
| Cftr gene full sequence (81223) | $2,751 | $3,668 | 5.5× |
| Chemiluminescent assay (82397) | $511.50 | $682 | 36.2× |
| Chlamydia antibody (86631) | $425.25 | $567 | 36.0× |
| Chlamydia Igm Antibody (86632) | $435 | $580 | 34.3× |
| Chloramphenicol level (82415) | $56.25 | $75 | 4.4× |
| Chloride other source (82438) range across 3 matching MRF lines |
$580.50–$747.75 | $774–$997 | varies |
| Chloride Serum (82435) range across 2 matching MRF lines |
$185.25–$238.50 | $247–$318 | varies |
| Chloride urine (82436) range across 5 matching MRF lines |
$185.25–$238.50 | $247–$318 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$387–$498.75 | $516–$665 | varies |
| Cholinesterase Serum (82480) | $180 | $240 | 22.9× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$570–$735 | $760–$980 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $1,911 | $2,548 | 10.1× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $303 | $404 | 11.3× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $430.50 | $574 | 12.5× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $666.75 | $889 | 19.9× |
| Chrmsm Breakage Baseline Breakage 50-100 Cll (88248) | $1,490.25 | $1,987 | 8.6× |
| Chrmsm Breakage Synds Score 100 Cll (88249) | $2,358 | $3,144 | 13.6× |
| Chromium serum (82495) | $258 | $344 | 12.7× |
| Chromogranin a (86316) | $360 | $480 | 17.3× |
| Chromosome Analysis 15-20 (88262) | $2,622.75 | $3,497 | 20.9× |
| Chromosome analysis 45 cells (88263) | $807 | $1,076 | 5.4× |
| Chromosome analysis, 5 (88261) | $1,520.25 | $2,027 | 5.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 3 matching MRF lines |
$454.50–$585 | $606–$780 | varies |
| Citric acid urine (82507) | $418.50 | $558 | 15.1× |
| Ckmb (82553) range across 3 matching MRF lines |
$210.75–$710.25 | $281–$947 | varies |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$642–$827.25 | $856–$1,103 | varies |
| Clot Factor VIII Multimetric (85247) | $1,305.75 | $1,741 | 56.9× |
| Clotting factor xii hageman (85280) range across 2 matching MRF lines |
$948–$1,222.50 | $1,264–$1,630 | varies |
| Clotting Funct Activity (85397) | $637.50 | $850 | 20.7× |
| Cns DNA amp probe type 12-25 (87483) range across 3 matching MRF lines |
$1,247.25–$2,382.75 | $1,663–$3,177 | varies |
| Coagulation time activated (85347) | $180 | $240 | 42.1× |
| Coccidioides antibody (86635) | $342.75 | $457 | 29.9× |
| Cold agglutinin titer (86157) | $181.50 | $242 | 22.5× |
| Collagen crosslinks (82523) | $253.50 | $338 | 13.6× |
| Column Chromotography Quant (82542) range across 9 matching MRF lines |
$379.50–$1,320.75 | $506–$1,761 | varies |
| Comparative Anal Str Markers Patient&Comp Spec (81265) | $1,908.75 | $2,545 | 8.2× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$147.75–$190.50 | $197–$254 | varies |
| Compatibility test antiglob (86922) range across 2 matching MRF lines |
$634.50–$818.25 | $846–$1,091 | varies |
| Complement Antigen Each Component (86160) range across 7 matching MRF lines |
$920.25–$1,186.50 | $1,227–$1,582 | varies |
| Complement Total (Ch50) (86162) | $566.25 | $755 | 27.9× |
| Complement/Function Activity (86161) | $774 | $1,032 | 64.5× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $420 | $560 | 8.0× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $938.25 | $1,251 | 25.0× |
| Coombs direct (86880) range across 5 matching MRF lines |
$264.75–$341.25 | $353–$455 | varies |
| Copper urine (82525) | $499.50 | $666 | 40.2× |
| Cortisol free (82530) | $333.75 | $445 | 20.0× |
| Cortisol saliva (82533) range across 5 matching MRF lines |
$347.25–$447.75 | $463–$597 | varies |
| Creatine (82540) | $180.75 | $241 | 39.0× |
| Creatine kinase total (82550) range across 2 matching MRF lines |
$266.25–$342.75 | $355–$457 | varies |
| Creatinine blood (82565) range across 2 matching MRF lines |
$330–$425.25 | $440–$567 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$476.25–$614.25 | $635–$819 | varies |
| Creatinine Urine (82570) range across 9 matching MRF lines |
$279–$360 | $372–$480 | varies |
| Crossmatch electronic (86923) range across 2 matching MRF lines |
$208.50–$268.50 | $278–$358 | varies |
| Crossmatch immediate spin (86920) range across 2 matching MRF lines |
$423–$545.25 | $564–$727 | varies |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$384–$495.75 | $512–$661 | varies |
| Cryofibrinogen (82585) | $85.50 | $114 | 6.0× |
| Cryoglobulin (82595) | $253.50 | $338 | 39.2× |
| Cryptococcus ab (86641) | $275.25 | $367 | 19.1× |
| Cryptococcus ag titer (87899) range across 8 matching MRF lines |
$135.75–$204 | $181–$272 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$471.75–$608.25 | $629–$811 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 3 matching MRF lines |
$287.25–$370.50 | $383–$494 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 5 matching MRF lines |
$118.04–$420.75 | $157.38–$561 | varies |
| Culture afb (87116) range across 4 matching MRF lines |
$522.75–$674.25 | $697–$899 | varies |
| Culture Anaerobic (87075) range across 2 matching MRF lines |
$1,123.50–$1,448.25 | $1,498–$1,931 | varies |
| Culture blood (87040) range across 2 matching MRF lines |
$526.50–$678.75 | $702–$905 | varies |
| Culture chlamydia (87110) | $878.25 | $1,171 | 44.8× |
| Culture csf (87070) range across 31 matching MRF lines |
$584.25–$753 | $779–$1,004 | varies |
| Culture fungus (87102) range across 3 matching MRF lines |
$227.25–$620.25 | $303–$827 | varies |
| Culture fungus blood (87103) range across 2 matching MRF lines |
$343.50–$443.25 | $458–$591 | varies |
| Culture screen only (87081) range across 15 matching MRF lines |
$144–$498.75 | $192–$665 | varies |
| Culture stool (87045) range across 2 matching MRF lines |
$681–$878.25 | $908–$1,171 | varies |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $279.75 | $373 | 22.3× |
| Culture typing if ea antiserum (87140) | $160.50 | $214 | 28.8× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 2 matching MRF lines |
$207.75–$267 | $277–$356 | varies |
| Culture typing other methods (87158) | $133.50 | $178 | 17.2× |
| Cyanide (82600) | $150.75 | $201 | 7.8× |
| Cyclosporine (80158) range across 3 matching MRF lines |
$366–$471.75 | $488–$629 | varies |
| Cystatin C (82610) range across 2 matching MRF lines |
$228.75–$294 | $305–$392 | varies |
| Cytogenetics 10-30 (88273) | $545.25 | $727 | 15.7× |
| Cytogenetics 100-300 (88275) | $511.50 | $682 | 10.0× |
| Cytogenom Const Microarray Copy Number Variants (81228) | $2,994 | $3,992 | 3.3× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 2 matching MRF lines |
$5,547.75–$5,548.50 | $7,397–$7,398 | varies |
| Cytomegalovirus igg (86644) | $674.25 | $899 | 46.9× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $149.25 | $199 | 7.4× |
| Cytopath Cell Enhance Tech (88112) | $723.75 | $965 | 13.8× |
| Cytopath Fl Nongyn Filter (88106) | $264 | $352 | 9.1× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $250.50 | $334 | 9.4× |
| Cytp C/V Flu Auto Thin Mnl Scr&Rescr Phys (88143) | $154.50 | $206 | 6.7× |
| Cytp Concentration Smears & Interpretation (88108) | $971.25 | $1,295 | 25.9× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $1,172.25 | $1,563 | 22.4× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $895.50 | $1,194 | 5.2× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $258 | $344 | 6.9× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,164 | $1,552 | 6.8× |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $182.25 | $243 | 3.5× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $229.50 | $306 | 7.9× |
| Deoxycortisol (82634) | $434.25 | $579 | 14.8× |
| Deoxyribonuclease antibody (86215) | $292.50 | $390 | 22.1× |
| Desoxycorticosterone (82633) | $564 | $752 | 18.2× |
| Detect Agent Nos Dna Amp (87798) range across 18 matching MRF lines |
$323.25–$942.75 | $431–$1,257 | varies |
| Detect Agent Nos Dna Quant (87799) | $939 | $1,252 | 21.9× |
| Detect agnt mult DNA ampli (87801) | $1,038 | $1,384 | 14.8× |
| Dgp Antibody Each Ig Class (86258) | $342.75 | $457 | 28.4× |
| Dhea (82626) | $705 | $940 | 27.9× |
| Dhea-S (82627) | $874.50 | $1,166 | 39.3× |
| Dibucaine number (82638) | $114.75 | $153 | 9.4× |
| Digoxin (80162) range across 2 matching MRF lines |
$372.75–$480.75 | $497–$641 | varies |
| Dihydrotestosterone (82642) | $467.25 | $623 | 16.0× |
| Dipropylacetic Acid Free (80165) | $357.75 | $477 | 26.4× |
| Dna Antibody Native/Double Stranded (86225) range across 2 matching MRF lines |
$837.75–$1,080 | $1,117–$1,440 | varies |
| Dna Antibody Single Stranded (86226) | $1,396.50 | $1,862 | 115.3× |
| DNA/RNA direct probe (87149) range across 4 matching MRF lines |
$187.50–$359.25 | $250–$479 | varies |
| Dna/Rna Sequencing (87153) | $576 | $768 | 5.0× |
| Dpyd gene common variants (81232) | $787.50 | $1,050 | 4.5× |
| Drug assay acetaminophen (80143) | $378.75 | $505 | 20.3× |
| Drug assay adalimumab (80145) | $508.50 | $678 | 13.2× |
| Drug Assay Amiodarone (80151) | $378.75 | $505 | 20.3× |
| Drug assay felbamate (80167) | $378.75 | $505 | 20.3× |
| Drug Assay Infliximab (80230) | $511.50 | $682 | 13.3× |
| Drug Assay Itraconazole (80189) | $378.75 | $505 | 14.0× |
| Drug Assay Lacosamide (80235) | $268.50 | $358 | 9.9× |
| Drug Assay Vedolizumab (80280) | $471 | $628 | 12.2× |
| Drug Screen Quant Clozapine (80159) | $878.25 | $1,171 | 43.6× |
| Drug Screen Quant Zonisamide (80203) | $374.25 | $499 | 28.2× |
| Drug Screen Quantitative Gabapentin (80171) | $468.75 | $625 | 21.6× |
| Drug Screen Quantitative Lamotrigine (80175) | $468.75 | $625 | 35.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $474.75 | $633 | 35.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $374.25 | $499 | 28.2× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $126 | $168 | 7.5× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 36 matching MRF lines |
$471.75–$674.25 | $629–$899 | varies |
| Egfr Gene Analysis Common Variants (81235) range across 2 matching MRF lines |
$1,443–$2,886 | $1,924–$3,848 | varies |
| Ehrlichia antibody (86666) | $341.25 | $455 | 33.5× |
| El-1 Fecal Quantitative (82653) | $599.25 | $799 | 26.1× |
| Electrolyte panel (80051) range across 2 matching MRF lines |
$549.75–$708.75 | $733–$945 | varies |
| Electron Microscopy (88348) | $6,621 | $8,828 | 8.2× |
| Electrophoretic Test - Immunofixation Electrophoresis (82664) | $294.75 | $393 | 4.8× |
| Encephaltis East Eqne Anbdy (86652) | $123.75 | $165 | 9.4× |
| Encephaltis West Eqne Antbdy (86654) | $147.75 | $197 | 11.2× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $355.50 | $474 | 29.4× |
| Enterovirus Antibody (86658) | $227.25 | $303 | 17.4× |
| Enterovirus PCR (87498) | $789.75 | $1,053 | 22.5× |
| Enzyme cell activity (82657) | $674.25 | $899 | 30.4× |
| Enzyme histochemistry (88319) | $861.75 | $1,149 | 1.1× |
| Eosinophil Smear (89190) range across 2 matching MRF lines |
$101.25–$156.75 | $135–$209 | varies |
| Erythropoietin (82668) | $491.25 | $655 | 26.1× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$786.75–$939 | $1,049–$1,252 | varies |
| Estriol (82677) | $180 | $240 | 7.4× |
| Estrogen total (82672) | $588 | $784 | 27.1× |
| Ethosuximide (80168) | $306 | $408 | 18.7× |
| Ethylene Glycol (82693) | $379.50 | $506 | 25.5× |
| Euglobulin lysis (85360) | $215.25 | $287 | 25.6× |
| Exam Synovial Fluid Crystals (89060) range across 2 matching MRF lines |
$362.25–$467.25 | $483–$623 | varies |
| Exome Sequence Analysis (81415) | $9,872.25 | $13,163 | 2.1× |
| Exome sequence analysis each comparator exome (81416) | $37,422 | $49,896 | 3.1× |
| F2 Gene (81240) | $943.50 | $1,258 | 14.4× |
| Factor ii activity (85210) range across 2 matching MRF lines |
$522.75–$674.25 | $697–$899 | varies |
| Factor Inhibitor Test (85335) | $987.75 | $1,317 | 76.7× |
| Factor ix activity (85250) range across 2 matching MRF lines |
$809.25–$1,043.25 | $1,079–$1,391 | varies |
| Factor v activity (85220) range across 2 matching MRF lines |
$903–$1,164 | $1,204–$1,552 | varies |
| Factor v leiden mutation (81241) | $1,066.50 | $1,422 | 14.5× |
| Factor vii assay (85230) range across 2 matching MRF lines |
$395.25–$509.25 | $527–$679 | varies |
| Factor viii assay (85240) range across 2 matching MRF lines |
$906.75–$1,169.25 | $1,209–$1,559 | varies |
| Factor X (85260) range across 2 matching MRF lines |
$906.75–$1,169.25 | $1,209–$1,559 | varies |
| Factor xi activity (85270) range across 2 matching MRF lines |
$522.75–$674.25 | $697–$899 | varies |
| Factor xiii screen (85291) | $273.75 | $365 | 30.0× |
| Fat/Lipids Feces Quantitative (82710) | $387 | $516 | 23.0× |
| Fatty acids free (82725) | $194.25 | $259 | 10.3× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $465.75 | $621 | 27.1× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $387 | $516 | 59.3× |
| Fecal Fat Qualitative (82705) | $243.75 | $325 | 47.8× |
| Ferritin (82728) range across 2 matching MRF lines |
$266.25–$342.75 | $355–$457 | varies |
| Fetal Fibronectin (82731) range across 2 matching MRF lines |
$1,875–$2,416.50 | $2,500–$3,222 | varies |
| Fetal screen rosette (85461) range across 2 matching MRF lines |
$386.25–$498 | $515–$664 | varies |
| Fibrin degradation products (85362) range across 2 matching MRF lines |
$289.50–$373.50 | $386–$498 | varies |
| Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) range across 2 matching MRF lines |
$939.75–$1,211.25 | $1,253–$1,615 | varies |
| Fibrinogen activity (85384) range across 2 matching MRF lines |
$362.25–$467.25 | $483–$623 | varies |
| Fibrinogen antigen (85385) | $241.50 | $322 | 16.7× |
| Flecainide level (80181) | $378.75 | $505 | 20.3× |
| Flow cytometry first marker (88184) | $1,011.75 | $1,349 | 2.8× |
| Flt3 Gene (81245) | $1,261.50 | $1,682 | 7.6× |
| Flt3 gene analysis (81246) | $510.75 | $681 | 6.2× |
| Fluorescent antibody screen (86255) range across 16 matching MRF lines |
$355.50–$761.25 | $474–$1,015 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $706.50 | $942 | 58.6× |
| Fmr1 Gene Charac Alleles (81244) | $261 | $348 | 5.8× |
| Fmr1 gene detection (81243) | $1,005.75 | $1,341 | 17.6× |
| Folic acid rbc (82747) | $172.50 | $230 | 9.8× |
| Folic Acid Serum (82746) range across 2 matching MRF lines |
$432–$556.50 | $576–$742 | varies |
| Follicle Stimulating Hormone (83001) | $830.25 | $1,107 | 44.7× |
| Francisella tularensis (86668) | $248.25 | $331 | 17.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) range across 2 matching MRF lines |
$160.50–$281.25 | $214–$375 | varies |
| Frozen Section (88331) | $1,249.50 | $1,666 | 7.3× |
| Fungi Identification Mold (87107) range across 2 matching MRF lines |
$294–$378.75 | $392–$505 | varies |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$273.75–$352.50 | $365–$470 | varies |
| Galactose (82760) | $108 | $144 | 9.6× |
| Galactose-1-Phosphate Uridyl Transferase Quan (82775) | $300.75 | $401 | 14.3× |
| Gammaglobulin ige (82785) | $654 | $872 | 39.7× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $165.75 | $221 | 17.0× |
| Gases blood ph only (82800) | $126 | $168 | 11.5× |
| Gastrin (82941) | $420 | $560 | 23.8× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,479.75 | $1,973 | 3.6× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $4,204.50 | $5,606 | 5.5× |
| Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) range across 2 matching MRF lines |
$6,055.50–$6,520.50 | $8,074–$8,694 | varies |
| Genet Virus Isolate Hsv (87255) | $837 | $1,116 | 24.7× |
| Genetic Tstg Severe Inh Cond (81443) | $5,634 | $7,512 | 2.3× |
| Gentamicin (80170) range across 5 matching MRF lines |
$394.50–$508.50 | $526–$678 | varies |
| Ggt (82977) range across 2 matching MRF lines |
$343.50–$443.25 | $458–$591 | varies |
| Giardia antigen (87329) range across 2 matching MRF lines |
$347.25–$447.75 | $463–$597 | varies |
| Gjb2 Gene Analysis Full Gene Sequence (81252) | $1,177.50 | $1,570 | 11.6× |
| Glucagon (82943) | $462 | $616 | 32.3× |
| Glucose Blood Test (82962) | $111.75 | $149 | 34.1× |
| Glucose body fluid (82945) range across 4 matching MRF lines |
$164.25–$212.25 | $219–$283 | varies |
| Glucose Serum (82947) range across 3 matching MRF lines |
$75–$254.25 | $100–$339 | varies |
| Glucose tolerance test (gtt) (82951) range across 3 matching MRF lines |
$234.75–$772.50 | $313–$1,030 | varies |
| Glucosidase beta (82963) | $418.50 | $558 | 19.5× |
| Glycated Protein (82985) | $468.75 | $625 | 28.0× |
| Gonadotropin Chorionic Qualitative (84703) range across 2 matching MRF lines |
$574.50–$741 | $766–$988 | varies |
| Growth hormone (83003) | $599.25 | $799 | 35.9× |
| Gtt-added samples (82952) range across 2 matching MRF lines |
$212.25–$273.75 | $283–$365 | varies |
| H Pylori (C-13) Breath (83013) | $735 | $980 | 10.9× |
| H Pylori Drug Admin (83014) | $73.50 | $98 | 9.4× |
| Haloperidol (80173) | $243.75 | $325 | 15.4× |
| Haptoglobin (83010) range across 2 matching MRF lines |
$293.25–$378 | $391–$504 | varies |
| Hba1/Hba2 Gene (81257) | $1,792.50 | $2,390 | 17.5× |
| Hdl Cholesterol (83718) range across 2 matching MRF lines |
$277.50–$357.75 | $370–$477 | varies |
| Helicobacter Pylori Stool (87338) | $374.25 | $499 | 26.0× |
| Helminth Antibody (86682) | $524.25 | $699 | 40.3× |
| Hematocrit (85014) range across 3 matching MRF lines |
$61.50–$180 | $82–$240 | varies |
| Hemoglobin (85018) range across 2 matching MRF lines |
$147.75–$190.50 | $197–$254 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$366–$471.75 | $488–$629 | varies |
| Hemoglobin Chromotography (83021) | $654 | $872 | 36.2× |
| Hemoglobin electrophoresis (83020) | $207 | $276 | 16.1× |
| Hemoglobin F Fetal Chemical (83030) range across 2 matching MRF lines |
$165–$225 | $220–$300 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) range across 2 matching MRF lines |
$249–$321 | $332–$428 | varies |
| Hemoglobin plasma (83051) range across 2 matching MRF lines |
$99.75–$420 | $133–$560 | varies |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $180 | $240 | 20.5× |
| Hemolysins&Agglutinins Incubated (86941) range across 2 matching MRF lines |
$163.50–$306.75 | $218–$409 | varies |
| Hemosiderin urine (83070) | $72.75 | $97 | 15.3× |
| Hep a ab igm (86709) range across 3 matching MRF lines |
$526.50–$678.75 | $702–$905 | varies |
| Heparin assay (85520) range across 3 matching MRF lines |
$405–$521.25 | $540–$695 | varies |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$199.50–$256.50 | $266–$342 | varies |
| Hepatitis b core ab igm (86705) range across 2 matching MRF lines |
$526.50–$678.75 | $702–$905 | varies |
| Hepatitis b core ab total (86704) range across 3 matching MRF lines |
$199.50–$256.50 | $266–$342 | varies |
| Hepatitis b surface ag quan (87467) range across 2 matching MRF lines |
$372.75–$480.75 | $497–$641 | varies |
| Hepatitis B Surface Antibody (86706) range across 2 matching MRF lines |
$372.75–$480.75 | $497–$641 | varies |
| Hepatitis B Surface Antigen (87340) | $153.75 | $205 | 14.9× |
| Hepatitis Be Antibody (86707) | $273.75 | $365 | 23.7× |
| Hepatitis Be Antigen (87350) | $273.75 | $365 | 23.7× |
| Hepatitis C Antibody (86803) range across 2 matching MRF lines |
$363–$468.75 | $484–$625 | varies |
| Hepatitis C Genotype (87902) | $3,380.25 | $4,507 | 13.1× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $1,179.75 | $1,573 | 33.6× |
| Hepatitis C Revrs Trnscrpj (87522) | $2,946.75 | $3,929 | 68.8× |
| Hepatitis delta ag (87380) | $351.75 | $469 | 19.2× |
| Hepatitis Delta Agent Antibody (86692) range across 2 matching MRF lines |
$170.25–$174 | $227–$232 | varies |
| Herpes simplex type 2 (86696) | $333 | $444 | 17.2× |
| Heterophile Antibody Screen (86308) range across 3 matching MRF lines |
$321.75–$414.75 | $429–$553 | varies |
| Hfe Gene (81256) | $1,152 | $1,536 | 17.6× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $233.25 | $311 | 30.2× |
| Histamine urine (83088) | $481.50 | $642 | 16.3× |
| Histoplasma antibody (86698) | $181.50 | $242 | 13.2× |
| Histoplasma antigen urine (87385) | $1,077 | $1,436 | 81.3× |
| Hiv Antigen W/Hiv Antibodies (87806) range across 2 matching MRF lines |
$162.19–$193.50 | $216.25–$258 | varies |
| Hiv Genotype (87901) | $2,223 | $2,964 | 8.6× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$233.25–$300.75 | $311–$401 | varies |
| Hiv-1 Antibody (86701) | $360 | $480 | 40.5× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $2,948.25 | $3,931 | 34.6× |
| HIV-2 probe&revrse trnscripj (87538) range across 2 matching MRF lines |
$554.25–$661.50 | $739–$882 | varies |
| Hla Class I Typing High Resolution Complete (81379) | $1,546.92 | $2,062.56 | 4.6× |
| Hla Class I Typing High Resolution One Locus Ea (81380) | $1,268.25 | $1,691 | 7.2× |
| Hla Class I Typing Low Resolution Complete (81372) | $1,450.50 | $1,934 | 3.6× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $810 | $1,080 | 6.4× |
| Hla class i&ii antibody qual (86828) | $1,289.25 | $1,719 | 20.1× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $710.25 | $947 | 9.6× |
| Hla I Typing 1 Allele Hr (81381) | $774 | $1,032 | 4.6× |
| Hla ii type 1 ag equiv lr (81377) | $841.50 | $1,122 | 8.9× |
| Hla ii typing 1 allele hr (81383) | $674.25 | $899 | 6.2× |
| Hla Typing a/B/C Multiple Antigens (86813) | $3,012 | $4,016 | 51.9× |
| Hla-b27 (86812) | $1,038 | $1,384 | 40.2× |
| Homocysteine (83090) range across 3 matching MRF lines |
$610.50–$728.25 | $814–$971 | varies |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$68.06–$83.25 | $90.75–$111 | varies |
| Homovanillic acid urine (83150) | $307.50 | $410 | 13.7× |
| Hpv High-Risk Types (87624) range across 2 matching MRF lines |
$225.75–$285 | $301–$380 | varies |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$912.75–$1,176.75 | $1,217–$1,569 | varies |
| Hsv Dna Quant (87530) | $455.25 | $607 | 10.6× |
| Htt Gene Detc Abnor Alleles (81271) | $910.50 | $1,214 | 6.6× |
| Human Epididymis Protein 4 (86305) | $427.50 | $570 | 20.5× |
| Hydroxyprogesterone 17-d (83498) | $875.25 | $1,167 | 32.2× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) range across 2 matching MRF lines |
$290.25–$374.25 | $387–$499 | varies |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) range across 2 matching MRF lines |
$96.75–$124.50 | $129–$166 | varies |
| Iaad ia shiga-like toxin (87427) range across 2 matching MRF lines |
$91.37–$126 | $121.83–$168 | varies |
| Iaad Ia Streptococcus Group A (87430) | $174.75 | $233 | 10.4× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $195.75 | $261 | 16.3× |
| Iadna Bartonella Amplified Probe Technique (87471) | $558 | $744 | 15.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $830.25 | $1,107 | 23.7× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $585 | $780 | 16.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $1,119.75 | $1,493 | 31.9× |
| Iadna Cytomegalovirus Quantification (87497) | $2,451.75 | $3,269 | 57.2× |
| Iadna Hepatitis B Virus Quantification (87517) | $1,172.25 | $1,563 | 27.4× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $364.50 | $486 | 10.4× |
| Iadna Herpes Virus-6 Quantification (87533) | $771 | $1,028 | 18.5× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) range across 2 matching MRF lines |
$1,472.25–$1,756.50 | $1,963–$2,342 | varies |
| Iadna Legionella Pneumophila Amplified Probe Tq (87541) | $363.75 | $485 | 10.4× |
| Iadna Mycobacteria Species Amplified Probe Tq (87551) | $727.50 | $970 | 15.1× |
| Iadna Mycobacteria Species Direct Probe Tq (87550) | $512.25 | $683 | 25.5× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) range across 2 matching MRF lines |
$843.75–$1,087.50 | $1,125–$1,450 | varies |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $1,236 | $1,648 | 35.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$723.75–$933 | $965–$1,244 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $483.75 | $645 | 16.1× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $868.50 | $1,158 | 16.9× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $710.25 | $947 | 5.0× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) range across 2 matching MRF lines |
$895.50–$1,155 | $1,194–$1,540 | varies |
| Idh1 common variants (81120) | $710.25 | $947 | 3.7× |
| Idh2 common variants (81121) | $1,087.50 | $1,450 | 3.7× |
| Ig Light Chains Free Each (83521) range across 4 matching MRF lines |
$229.50–$273.75 | $306–$365 | varies |
| Igg subclasses (82787) | $957 | $1,276 | 119.3× |
| Igh gene rearrange amp meth (81261) | $1,304.25 | $1,739 | 6.6× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,384.50 | $1,846 | 4.7× |
| Igk rearrangeabn clonal pop (81264) | $1,149.75 | $1,533 | 6.7× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $938.25 | $1,251 | 2.6× |
| Immune Complex Assay (86332) | $508.50 | $678 | 20.9× |
| Immunfix e-phorsis/urine/csf (86335) | $432 | $576 | 14.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 10 matching MRF lines |
$774–$3,036.75 | $1,032–$4,049 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $275.25 | $367 | 18.4× |
| Immunoassay nonantibody (83516) range across 12 matching MRF lines |
$266.25–$342.75 | $355–$457 | varies |
| Immunodiffusion Ouchterlony (86331) | $189 | $252 | 15.8× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$240–$605.25 | $320–$807 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $1,092.75 | $1,457 | 6.4× |
| Immunohistochemistry (88342) range across 4 matching MRF lines |
$1,164.75–$1,257 | $1,553–$1,676 | varies |
| In situ hybridization 1st probe stain (88365) range across 3 matching MRF lines |
$891.75–$963 | $1,189–$1,284 | varies |
| In situ hybridization ea multiplex probe stain (88366) | $1,089.75 | $1,453 | 6.4× |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87336) range across 2 matching MRF lines |
$471.75–$608.25 | $629–$811 | varies |
| Influenza a/b ag eia (87400) | $173.25 | $231 | 12.3× |
| Influenza assay w/optic (87804) range across 5 matching MRF lines |
$258–$333 | $344–$444 | varies |
| Influenza DNA amp probe (87502) | $468.75 | $625 | 4.9× |
| Inherited Cardmypthy 5 Gns (81439) | $10,375.50 | $13,834 | 17.7× |
| Inhibin A (86336) range across 2 matching MRF lines |
$286.50–$369.75 | $382–$493 | varies |
| Inhibin b (83520) | $774 | $1,032 | 44.8× |
| Insitu hybridization auto (88367) | $1,470 | $1,960 | 4.1× |
| Insitu hybridization manual (88368) range across 2 matching MRF lines |
$1,029–$1,282.50 | $1,372–$1,710 | varies |
| Insulin antibodies (86337) | $764.25 | $1,019 | 35.7× |
| Insulin total (83525) range across 2 matching MRF lines |
$352.50–$454.50 | $470–$606 | varies |
| Interleukin-6 (83529) range across 2 matching MRF lines |
$168.53–$217.50 | $224.70–$290 | varies |
| Intrinsic factor antibody (86340) range across 2 matching MRF lines |
$270–$321.75 | $360–$429 | varies |
| Iron (83540) range across 3 matching MRF lines |
$264.75–$341.25 | $353–$455 | varies |
| Iron Binding Capacity (83550) range across 2 matching MRF lines |
$146.25–$189 | $195–$252 | varies |
| Irradiation Blood Product Each Unit (86945) | $330 | $440 | 8.8× |
| Islet cell antibody (86341) | $371.25 | $495 | 15.8× |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$695.25–$1,023.75 | $927–$1,365 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $424.50 | $566 | 2.3× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $1,538.25 | $2,051 | 4.7× |
| Kras Gene Analysis Additional Variant(S) (81276) | $723.75 | $965 | 3.7× |
| Kras Gene Variants Exon 2 (81275) range across 3 matching MRF lines |
$950.25–$2,272.50 | $1,267–$3,030 | varies |
| L/s ratio (83661) | $98.25 | $131 | 4.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 4 matching MRF lines |
$357.75–$461.25 | $477–$615 | varies |
| Lactoferrin Fecal Quantitative (83631) | $390 | $520 | 19.9× |
| Ldh Isoenzymes (83625) | $1,052.25 | $1,403 | 82.3× |
| LDL direct (83721) | $223.50 | $298 | 21.3× |
| Lead (83655) | $418.50 | $558 | 34.6× |
| Legionella antibody (86713) | $213 | $284 | 13.9× |
| Legionella antigen urine (87449) range across 15 matching MRF lines |
$345–$444.75 | $460–$593 | varies |
| Legionella pneumophila dfa (87278) | $294.75 | $393 | 18.9× |
| Leptospira antibody (86720) | $465.75 | $621 | 28.8× |
| Leukocyte Assessment Fecal (89055) range across 2 matching MRF lines |
$324–$417.75 | $432–$557 | varies |
| Level I Surg Pathology Gross Examination Only (88300) | $833.25 | $1,111 | 28.7× |
| Level ii surg pathology grossµscopic exam (88302) | $744 | $992 | 19.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) range across 2 matching MRF lines |
$2,230.50–$2,408.25 | $2,974–$3,211 | varies |
| Lidocaine (80176) range across 2 matching MRF lines |
$423.75–$461.25 | $565–$615 | varies |
| Lipase (83690) range across 4 matching MRF lines |
$463.50–$597 | $618–$796 | varies |
| Lipoprotein A (83695) | $384 | $512 | 26.8× |
| Lipoprotein Bld Quan Part (83704) | $263.25 | $351 | 7.7× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $723.75 | $965 | 15.6× |
| Listeria Monocytogenes (86723) | $425.25 | $567 | 32.2× |
| Lithium (80178) range across 2 matching MRF lines |
$304.50–$392.25 | $406–$523 | varies |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$603.75–$720 | $805–$960 | varies |
| Lyme disease antibody (86618) | $572.25 | $763 | 33.6× |
| Lymphocyte transformation (86353) | $648.75 | $865 | 13.2× |
| Lysozyme serum (85549) | $281.25 | $375 | 15.0× |
| M. Genitalium Amp Probe (87563) | $238.50 | $318 | 6.8× |
| M.Avium-Intra, Dna, Amp Prob - M. Avium-Intra Dna Probe, Amplified (87561) | $436.50 | $582 | 12.4× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) range across 2 matching MRF lines |
$945–$1,020 | $1,260–$1,360 | varies |
| M/phmtrc alys ishquant/semiq (88374) | $1,409.25 | $1,879 | 8.2× |
| Macroscopic exam arthropod (87168) range across 2 matching MRF lines |
$81–$97.50 | $108–$130 | varies |
| Macroscopic Exam Parasite (87169) | $66.75 | $89 | 15.5× |
| Magnesium Urine (83735) range across 3 matching MRF lines |
$197.25–$254.25 | $263–$339 | varies |
| Mass Spectrometry Quant (83789) | $572.25 | $763 | 23.7× |
| Mecp2 gene full seq (81302) | $2,041.50 | $2,722 | 3.9× |
| Mercury urine (83825) | $253.50 | $338 | 15.6× |
| Metabolic panel ionized ca (80047) | $1,050 | $1,400 | 76.5× |
| Methotrexate (80204) range across 2 matching MRF lines |
$294–$378.75 | $392–$505 | varies |
| Methylmalonic acid serum (83921) | $378.75 | $505 | 17.9× |
| Mgmt methylation analysis (81287) range across 2 matching MRF lines |
$973.50–$1,052.25 | $1,298–$1,403 | varies |
| Microalbumin, quantitative (82043) range across 3 matching MRF lines |
$294.75–$379.50 | $393–$506 | varies |
| Microbe Suscept Macrobroth (87188) range across 2 matching MRF lines |
$162.75–$231 | $217–$308 | varies |
| Microsatellite instability (81301) | $1,304.25 | $1,739 | 3.7× |
| Microsomal Antibodies Each (86376) range across 3 matching MRF lines |
$341.25–$439.50 | $455–$586 | varies |
| Mitochondrial Antibody Each (86381) | $342.75 | $457 | 13.5× |
| Mlh1 Gene (81288) | $938.25 | $1,251 | 4.9× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $503.25 | $671 | 2.5× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,570.50 | $2,094 | 2.3× |
| Mog-Igg1 Antb Cba Each (86362) | $1,415.25 | $1,887 | 117.4× |
| Mog-Igg1 Antb Flo Cytmtry Ea (86363) | $640.50 | $854 | 17.0× |
| Molecular Cytogenetics Dna Probe Each (88271) | $606.75 | $809 | 28.3× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $554.25 | $739 | 13.1× |
| Molecular Pathology Procedure Level 3 (81402) | $1,925.25 | $2,567 | 12.8× |
| Molecular Pathology Procedure Level 6 (81405) | $2,732.25 | $3,643 | 9.1× |
| Mononuclear cell antigen (86356) | $265.50 | $354 | 9.9× |
| Mopath procedure level 1 (81400) | $966.75 | $1,289 | 15.1× |
| Mopath procedure level 2 (81401) range across 2 matching MRF lines |
$729.75–$1,584 | $973–$2,112 | varies |
| Mopath procedure level 4 (81403) range across 3 matching MRF lines |
$789–$1,450.50 | $1,052–$1,934 | varies |
| Mopath procedure level 5 (81404) | $2,111.25 | $2,815 | 7.7× |
| Mopath procedure level 7 (81406) | $4,082.25 | $5,443 | 14.4× |
| Mopath procedure level 8 (81407) | $5,289.75 | $7,053 | 6.3× |
| Mopath procedure level 9 (81408) | $6,045.75 | $8,061 | 3.0× |
| Mpl gene analysis sequence analysis exon 10 (81339) | $636.75 | $849 | 3.4× |
| Mpl gene common variants (81338) | $882 | $1,176 | 5.9× |
| Mrsa Pcr (87641) range across 2 matching MRF lines |
$611.25–$788.25 | $815–$1,051 | varies |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $441 | $588 | 2.1× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $911.25 | $1,215 | 2.4× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $571.50 | $762 | 2.4× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $1,181.25 | $1,575 | 1.8× |
| Mthfr Gene Analysis Common Variants (81291) | $1,152 | $1,536 | 17.6× |
| Mucopolysaccharides acid quantitative (83864) | $526.50 | $702 | 18.5× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$237.75–$306 | $317–$408 | varies |
| Muscle-Specific Kinase Antb (86366) | $2,148.75 | $2,865 | 116.8× |
| Mycobacteric Identification (87118) range across 2 matching MRF lines |
$320.25–$412.50 | $427–$550 | varies |
| Mycophenolic Acid (80180) | $382.50 | $510 | 21.2× |
| Mycoplasma antibody (86738) range across 4 matching MRF lines |
$324.75–$418.50 | $433–$558 | varies |
| Mycoplasma culture (87109) | $425.25 | $567 | 27.6× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $1,062.75 | $1,417 | 6.1× |
| Myelin basic protein csf (83873) | $606.75 | $809 | 35.3× |
| Myoglobin urine (83874) range across 3 matching MRF lines |
$182.25–$348.75 | $243–$465 | varies |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$600.75–$774 | $801–$1,032 | varies |
| Nfct Agent Genotype Hepatitis B Virus (87912) | $754.99 | $1,006.65 | 2.9× |
| Nfct ds chrnc hcv 6 assays (81596) | $901.50 | $1,202 | 12.5× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $1,017 | $1,356 | 7.9× |
| Nfct phexyp resist tiss cul HIV ea addl drug (87904) | $630 | $840 | 24.2× |
| Nfct phexyp resist tiss cul HIV first 1-10 drugs (87903) | $3,088.50 | $4,118 | 6.3× |
| Niacin (84591) range across 2 matching MRF lines |
$281.25–$306 | $375–$408 | varies |
| Nk cells total count (86357) | $474.75 | $633 | 12.6× |
| Noonan Spectrum Disorders (81442) | $5,757 | $7,676 | 2.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $954 | $1,272 | 3.9× |
| Nras gene variants exon 2&3 (81311) | $1,122.75 | $1,497 | 3.8× |
| Ntrk translocation analysis (81194) | $2,176.50 | $2,902 | 4.2× |
| Nuclear antigen antibody (86235) range across 23 matching MRF lines |
$165–$480.75 | $220–$641 | varies |
| Occult blood feces (82272) range across 2 matching MRF lines |
$117–$150.75 | $156–$201 | varies |
| Occult Blood Other Sources (82271) range across 3 matching MRF lines |
$117–$150.75 | $156–$201 | varies |
| Oligoclonal bands (83916) | $854.25 | $1,139 | 31.2× |
| Onco (Ovarian) Biochemical Assay Two Proteins (81500) | $975.75 | $1,301 | 3.7× |
| Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5… (81540) | $10,875.75 | $14,501 | 2.9× |
| Organic Acids Qualitative Each Specimen (83919) | $1,156.50 | $1,542 | 70.3× |
| Organic acids urine (83918) | $1,293 | $1,724 | 54.8× |
| Osmolality serum (83930) range across 2 matching MRF lines |
$207.75–$267 | $277–$356 | varies |
| Osmolality Urine (83935) range across 3 matching MRF lines |
$155.25–$200.25 | $207–$267 | varies |
| Osmotic Fragility RBC Unincubated (85555) | $430.50 | $574 | 57.6× |
| Ova and parasites smears (87177) range across 3 matching MRF lines |
$130.50–$681 | $174–$908 | varies |
| Oxalate urine (83945) | $317.25 | $423 | 22.0× |
| Palb2 gene full gene seq (81307) | $1,059 | $1,412 | 1.6× |
| Particle Agglut Antbdy Titr (86406) range across 2 matching MRF lines |
$162–$208.50 | $216–$278 | varies |
| Particle Agglutination Screen Each Antibody (86403) range across 9 matching MRF lines |
$341.25–$439.50 | $455–$586 | varies |
| Parvovirus antibody (86747) | $753 | $1,004 | 50.1× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $689.25 | $919 | 0.9× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $1,529.25 | $2,039 | 4.6× |
| Ph urine (81003) range across 4 matching MRF lines |
$165–$213 | $220–$284 | varies |
| Phenobarbital Level (80184) range across 3 matching MRF lines |
$302.25–$389.25 | $403–$519 | varies |
| Phenotype Infect Agent Drug (87900) | $942.75 | $1,257 | 7.2× |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$441.75–$569.25 | $589–$759 | varies |
| Phenytoin free (80186) | $407.25 | $543 | 29.6× |
| Phosphatase acid prostatic (84066) | $126 | $168 | 13.0× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$258.75–$333.75 | $345–$445 | varies |
| Phosphatidylglycerol (84081) | $73.50 | $98 | 4.4× |
| Phospholipid Neutralization Hexagonal (85598) | $237 | $316 | 13.2× |
| Phosphorus Serum (84100) range across 2 matching MRF lines |
$206.25–$265.50 | $275–$354 | varies |
| Phosphorus urine (84105) range across 3 matching MRF lines |
$206.25–$265.50 | $275–$354 | varies |
| Pinworm exam (87172) | $119.25 | $159 | 27.9× |
| Platelet Aggregation (85576) range across 6 matching MRF lines |
$271.50–$719.25 | $362–$959 | varies |
| Platelet Antibodies (86022) range across 6 matching MRF lines |
$678.75–$874.50 | $905–$1,166 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$142.50–$183 | $190–$244 | varies |
| Platelet neutralization (85597) range across 2 matching MRF lines |
$369–$474.75 | $492–$633 | varies |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $1,261.50 | $1,682 | 6.1× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $546.75 | $729 | 2.7× |
| Pms2 gene full seq analysis (81317) | $1,386.75 | $1,849 | 2.0× |
| Pooling blood platelets (86965) | $318 | $424 | 1.9× |
| Porphobilinogen, urine; quantitative (84110) | $267 | $356 | 31.6× |
| Porphyrins Feces Quantitative (84126) | $300.75 | $401 | 7.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $330 | $440 | 22.4× |
| Potassium Urine (84133) range across 4 matching MRF lines |
$213.75–$275.25 | $285–$367 | varies |
| Prealbumin (84134) range across 2 matching MRF lines |
$286.50–$369.75 | $382–$493 | varies |
| Pregnenolone (84140) | $301.50 | $402 | 14.6× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) range across 2 matching MRF lines |
$330–$425.25 | $440–$567 | varies |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) range across 2 matching MRF lines |
$276–$355.50 | $368–$474 | varies |
| Primidone (80188) | $168.75 | $225 | 10.2× |
| Procalcitonin (Pct) (84145) range across 2 matching MRF lines |
$348–$448.50 | $464–$598 | varies |
| Progesterone (84144) range across 2 matching MRF lines |
$548.25–$654 | $731–$872 | varies |
| Prolactin (84146) range across 2 matching MRF lines |
$578.25–$690 | $771–$920 | varies |
| Protein body fluid (84157) range across 4 matching MRF lines |
$475.50–$613.50 | $634–$818 | varies |
| Protein C Activity (85303) range across 2 matching MRF lines |
$1,310.25–$1,689 | $1,747–$2,252 | varies |
| Protein c antigen (85302) | $1,755 | $2,340 | 146.1× |
| Protein Electrophoresis Urine (84166) | $717 | $956 | 40.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $620.25 | $827 | 57.8× |
| Protein S Free (85306) range across 4 matching MRF lines |
$387–$498.75 | $516–$665 | varies |
| Protein s total (85305) | $1,896 | $2,528 | 163.3× |
| Protein total serum (84155) range across 2 matching MRF lines |
$237.75–$306 | $317–$408 | varies |
| Protein Total Urine (84156) range across 6 matching MRF lines |
$237.75–$306 | $317–$408 | varies |
| Protein Western Blot Test (84182) | $472.50 | $630 | 16.2× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$249.75–$321.75 | $333–$429 | varies |
| Protoporphyrin rbc quantitative (84202) | $170.25 | $227 | 11.9× |
| PSA free (84154) | $517.50 | $690 | 28.1× |
| Pten Gene Analysis Duplication/Deletion Variant (81323) | $792 | $1,056 | 2.6× |
| Pten Gene Analysis Full Sequence Analysis (81321) | $1,872 | $2,496 | 3.1× |
| Pth Intact (83970) range across 2 matching MRF lines |
$1,122.75–$1,447.50 | $1,497–$1,930 | varies |
| Pyruvate kinase (84220) | $267 | $356 | 28.3× |
| Q Fever Antibody (86638) | $379.50 | $506 | 31.3× |
| Quantiferon tb gold plus (86480) | $874.50 | $1,166 | 14.1× |
| Quantitative assay drug (80299) | $378.75 | $505 | 20.3× |
| Quantitative Screen Metals (83018) | $379.50 | $506 | 17.3× |
| Rbc antibody elution (86860) | $599.25 | $799 | 3.5× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$584.25–$753 | $779–$1,004 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$361.50–$465.75 | $482–$621 | varies |
| Rbc pretreatment serum (86978) range across 2 matching MRF lines |
$390–$502.50 | $520–$670 | varies |
| Rbc pretx incubatj w/enzymes (86971) range across 2 matching MRF lines |
$408.75–$527.25 | $545–$703 | varies |
| Renin activity plasma (84244) | $828.75 | $1,105 | 37.7× |
| Resp virus 12-25 targets (87633) range across 2 matching MRF lines |
$2,781.75–$3,586.50 | $3,709–$4,782 | varies |
| Resp Virus 6-11 Targets (87632) | $3,432.75 | $4,577 | 15.7× |
| Reticulated Platelet Assay (85055) range across 2 matching MRF lines |
$171–$219.75 | $228–$293 | varies |
| Reticulocyte Count (85046) range across 2 matching MRF lines |
$189–$243.75 | $252–$325 | varies |
| Reticulocyte separation (86972) | $364.50 | $486 | 2.1× |
| Rh (86901) range across 2 matching MRF lines |
$218.25–$281.25 | $291–$375 | varies |
| Rheumatoid Factor Qualitative (86430) | $449.25 | $599 | 73.2× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$120–$154.50 | $160–$206 | varies |
| Rickettsia antibody (86757) | $282 | $376 | 14.6× |
| Ristocetin cofactor (85245) range across 3 matching MRF lines |
$285–$1,082.25 | $380–$1,443 | varies |
| Rotavirus ag eia (87425) range across 2 matching MRF lines |
$435.75–$561.75 | $581–$749 | varies |
| Rpr qualitative (86592) range across 3 matching MRF lines |
$199.50–$256.50 | $266–$342 | varies |
| Rsv ab (86756) | $557.25 | $743 | 35.1× |
| Rsv Assay W/Optic (87807) range across 2 matching MRF lines |
$256.50–$330 | $342–$440 | varies |
| Rubella Antibody (86762) range across 4 matching MRF lines |
$363–$468.75 | $484–$625 | varies |
| Rubeola antibody (86765) range across 3 matching MRF lines |
$157.50–$203.25 | $210–$271 | varies |
| Rufinamide (80210) | $378.75 | $505 | 14.0× |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$254.25–$327.75 | $339–$437 | varies |
| Russell Viper Venon Time Undiluted (85612) | $915.75 | $1,221 | 52.4× |
| Salicylate Level (80179) | $378.75 | $505 | 20.3× |
| Salmonella antibody (86768) | $117 | $156 | 8.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 2 matching MRF lines |
$150–$193.50 | $200–$258 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 4 matching MRF lines |
$96.75–$124.50 | $129–$166 | varies |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$433.50–$558 | $578–$744 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) range across 2 matching MRF lines |
$433.50–$558 | $578–$744 | varies |
| Sedimentation rate (85651) range across 2 matching MRF lines |
$290.25–$374.25 | $387–$499 | varies |
| Sedimentation Rate, Automated (85652) range across 2 matching MRF lines |
$69.38–$90 | $92.50–$120 | varies |
| Selenium (84255) | $378 | $504 | 14.8× |
| Sensitivity mic (87186) range across 7 matching MRF lines |
$140.51–$461.25 | $187.34–$615 | varies |
| Sept9 Methylation Analysis (81327) | $508.50 | $678 | 2.6× |
| Serpina 1 gene (81332) | $834.75 | $1,113 | 19.1× |
| Sex Chromatin Identification Barr Bodies (88130) | $80.25 | $107 | 4.5× |
| Sex Hormone Binding Globulin (84270) range across 2 matching MRF lines |
$321.75–$384 | $429–$512 | varies |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$131.25–$169.50 | $175–$226 | varies |
| Sirolimus (80195) | $461.25 | $615 | 33.6× |
| Skin test tuberculosis intradermal (86580) | $39 | $52 | 1.3× |
| Smear acid fast (87206) range across 3 matching MRF lines |
$359.25–$462.75 | $479–$617 | varies |
| Smear complex stain (87209) | $213 | $284 | 11.8× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$84.02–$378.75 | $112.03–$505 | varies |
| Smear Special Stain (87207) range across 4 matching MRF lines |
$491.25–$633 | $655–$844 | varies |
| Smn1 Gene Analysis Full Gene Sequence (81336) | $1,165.50 | $1,554 | 3.9× |
| Smn1 Gene Dos/Deletion Alys (81329) | $679.50 | $906 | 5.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 6 matching MRF lines |
$252.75–$326.25 | $337–$435 | varies |
| Snrpn/Ube3a Methylation Analysis (81331) | $784.50 | $1,046 | 15.4× |
| So neo gsap DNA/DNA&RNA (81459) | $1,237.50 | $1,650 | 0.4× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$84–$273.75 | $112–$365 | varies |
| Sodium Urine (84300) range across 5 matching MRF lines |
$212.25–$273.75 | $283–$365 | varies |
| Soluble fibrin monomer (85366) | $301.50 | $402 | 3.7× |
| Soluble Transferrin Receptor (84238) | $645 | $860 | 17.6× |
| Somatomedin (84305) | $742.50 | $990 | 34.9× |
| Somatostatin (84307) | $518.25 | $691 | 28.4× |
| Special Stains Group 1 (88312) | $648 | $864 | 12.4× |
| Special Stains Group 2 (88313) | $822.75 | $1,097 | 6.2× |
| Specific gravity body fluid (84315) range across 2 matching MRF lines |
$54–$69.75 | $72–$93 | varies |
| Specimen infect agnt concntj (87015) range across 4 matching MRF lines |
$191.25–$246 | $255–$328 | varies |
| Spectrophotometry (84311) range across 4 matching MRF lines |
$394.50–$508.50 | $526–$678 | varies |
| Staph a DNA amp probe (87640) range across 2 matching MRF lines |
$214.50–$276 | $286–$368 | varies |
| Stool cultr aerobic bact ea (87046) range across 9 matching MRF lines |
$463.50–$597 | $618–$796 | varies |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$178.50–$229.50 | $238–$306 | varies |
| Strep a DNA amp probe (87651) range across 2 matching MRF lines |
$180–$188.25 | $240–$251 | varies |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$249–$321 | $332–$428 | varies |
| Sugars Mono Di&Oligos 1 Quantitative Each Spec (84378) | $425.25 | $567 | 36.9× |
| Sugars Mono Di&Oligos Mlt Qualitative Each Spe (84377) range across 2 matching MRF lines |
$114–$681 | $152–$908 | varies |
| Sugars Multiple Quant (84379) | $231 | $308 | 20.0× |
| Sugars Single Qual (84376) range across 3 matching MRF lines |
$107.25–$393.75 | $143–$525 | varies |
| Sulfate urine (84392) | $60.75 | $81 | 11.1× |
| Surg path level iii (88304) | $1,413.75 | $1,885 | 27.0× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$1,645.50–$1,777.50 | $2,194–$2,370 | varies |
| Surgical pathology level vi (88309) | $2,268.75 | $3,025 | 2.8× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $117 | $156 | 24.6× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$238.50–$307.50 | $318–$410 | varies |
| Susceptiblty Stdy Antmcrb Mycobact Proporj Mthd (87190) range across 2 matching MRF lines |
$156.75–$205.50 | $209–$274 | varies |
| Sweat Collection Iontophoresis (89230) range across 2 matching MRF lines |
$387.75–$594 | $517–$792 | varies |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$273.75–$352.50 | $365–$470 | varies |
| T cells absolute cd4 count (86361) | $486.75 | $649 | 18.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $1,249.50 | $1,666 | 26.6× |
| T cells total count (86359) | $620.25 | $827 | 16.4× |
| T3 Free (84481) | $1,002 | $1,336 | 59.1× |
| T3 reverse (84482) | $735 | $980 | 46.6× |
| T3 Total (84480) | $442.50 | $590 | 31.2× |
| T3 Uptake (84479) | $552 | $736 | 85.3× |
| T4 Free (84439) range across 2 matching MRF lines |
$391.50–$505.50 | $522–$674 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$726.75–$936.75 | $969–$1,249 | varies |
| Tacrolimus (80197) range across 2 matching MRF lines |
$503.25–$648.75 | $671–$865 | varies |
| Testosterone Bioavailable (84410) | $228 | $304 | 4.4× |
| Testosterone total (84403) | $875.25 | $1,167 | 33.9× |
| Testosterone, Free (84402) | $352.50 | $470 | 13.8× |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $3,920.25 | $5,227 | 6.6× |
| Tgsap Solid Organ Neoplasm 5-50 Rna Analysis (81449) | $1,863 | $2,484 | 3.1× |
| Theophylline (80198) range across 2 matching MRF lines |
$352.50–$454.50 | $470–$606 | varies |
| Thrombin Time (85670) range across 5 matching MRF lines |
$105–$267 | $140–$356 | varies |
| Thromboplastin Inhibition Tissue (85705) | $204 | $272 | 21.2× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 3 matching MRF lines |
$333.75–$430.50 | $445–$574 | varies |
| Thyroglobulin (84432) | $615 | $820 | 38.3× |
| Thyroglobulin Antibody (86800) | $467.25 | $623 | 29.4× |
| Thyroid Stimulating Immunoglobulin (84445) | $1,110 | $1,480 | 21.8× |
| Thyroxine binding globulin (84442) | $343.50 | $458 | 23.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $342.75 | $457 | 29.7× |
| Tissue Culture (88233) | $2,935.50 | $3,914 | 20.9× |
| Tissue Culture Amniotic Fluid (88235) | $2,144.25 | $2,859 | 14.3× |
| Tissue culture bone marrow (88237) | $3,053.25 | $4,071 | 21.2× |
| Tissue Culture Lymphocyte (88230) | $3,053.25 | $4,071 | 26.2× |
| Tobramycin peak (80200) range across 4 matching MRF lines |
$282–$363.75 | $376–$485 | varies |
| Topiramate (80201) | $267 | $356 | 22.4× |
| Touch prep (88161) | $271.50 | $362 | 9.3× |
| Toxoplasma ab igm (86778) range across 2 matching MRF lines |
$406.50–$524.25 | $542–$699 | varies |
| Toxoplasma antibody (86777) range across 4 matching MRF lines |
$469.50–$605.25 | $626–$807 | varies |
| Tp53 gene analysis full gene sequence (81351) | $1,737 | $2,316 | 2.7× |
| Tp53 gene analysis targeted sequence analysis (81352) | $1,115.25 | $1,487 | 3.4× |
| Tpmt gene com variants (81335) | $915 | $1,220 | 5.2× |
| Transferase Aspartate Amino Ast Sgot (84450) range across 2 matching MRF lines |
$396.75–$510.75 | $529–$681 | varies |
| Transferrin (84466) range across 2 matching MRF lines |
$216–$279 | $288–$372 | varies |
| Trb@ Rearrangement Anal Amplification Method (81340) | $1,111.50 | $1,482 | 5.3× |
| Trg gene rearrangement anal (81342) | $1,108.50 | $1,478 | 5.5× |
| Trichinella Antibody (86784) | $254.25 | $339 | 20.2× |
| Trichomonas Vaginalis Amplif (87661) | $234.75 | $313 | 6.7× |
| Triglycerides (84478) range across 3 matching MRF lines |
$345–$444.75 | $460–$593 | varies |
| Troponin Quant (84484) range across 3 matching MRF lines |
$532.50–$687 | $710–$916 | varies |
| Tumor immunohistochem/comput (88361) | $1,413.75 | $1,885 | 3.9× |
| Tumor Immunohistochem/Manual (88360) range across 4 matching MRF lines |
$732–$789.75 | $976–$1,053 | varies |
| Ugt1a1 gene analysis common variants (81350) | $952.50 | $1,270 | 4.1× |
| Unlisted Transfusion Medicine Procedure (86999) range across 2 matching MRF lines |
$303–$370.50 | $404–$494 | varies |
| Urea Nitrogen Clearance (84545) | $123.75 | $165 | 17.2× |
| Urea nitrogen urine (84540) range across 3 matching MRF lines |
$235.50–$303 | $314–$404 | varies |
| Uric acid other source (84560) | $314.25 | $419 | 61.9× |
| Urinalysis Volume Measure (81050) | $41.25 | $55 | 11.3× |
| Urine Albumin Semiquantitative (82044) range across 2 matching MRF lines |
$62.25–$81 | $83–$108 | varies |
| Urine Bacteria Culture (87088) range across 2 matching MRF lines |
$293.25–$378 | $391–$504 | varies |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$462.75–$596.25 | $617–$795 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 2 matching MRF lines |
$352.50–$454.50 | $470–$606 | varies |
| Valproic acid (80164) range across 2 matching MRF lines |
$366.75–$472.50 | $489–$630 | varies |
| Vancomycin (80202) range across 6 matching MRF lines |
$333.75–$430.50 | $445–$574 | varies |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$270.75–$348.75 | $361–$465 | varies |
| Vasopressin (84588) | $420.75 | $561 | 12.4× |
| Very Long Chain Fatty Acids (82726) | $895.50 | $1,194 | 45.3× |
| Viral Culture (87252) | $837 | $1,116 | 32.1× |
| Virus antibody nos (86790) | $432 | $576 | 33.5× |
| Virus inoculate tissue addl (87253) | $179.25 | $239 | 8.9× |
| Virus inoculation, shell via (87254) | $343.50 | $458 | 17.6× |
| Viscosity serum (85810) | $264 | $352 | 22.6× |
| Vit D 1 25-Dihydroxy (82652) | $933 | $1,244 | 24.2× |
| Vitamin A (84590) | $300.75 | $401 | 25.9× |
| Vitamin b-12 (82607) range across 2 matching MRF lines |
$411–$529.50 | $548–$706 | varies |
| Vitamin B2 (Riboflavin) (84252) | $343.50 | $458 | 17.0× |
| Vitamin B6 (84207) | $656.25 | $875 | 23.4× |
| Vitamin c (82180) | $200.25 | $267 | 20.2× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$729.75–$941.25 | $973–$1,255 | varies |
| Vitamin E (84446) | $495.75 | $661 | 35.0× |
| Vitamin K (84597) | $411.75 | $549 | 30.0× |
| Voltage-Gated Calcium Channel Antibody Each (86596) range across 2 matching MRF lines |
$342.75–$774 | $457–$1,032 | varies |
| Von willebrand factor ag (85246) range across 3 matching MRF lines |
$270.75–$1,322.25 | $361–$1,763 | varies |
| West nile virus ab igm (86788) | $410.25 | $547 | 24.3× |
| West Nile Virus Antibody (86789) | $410.25 | $547 | 28.5× |
| Western Blot Test (84181) | $342 | $456 | 20.1× |
| Zika Virus Dna/Rna Amp Probe (87662) | $969.75 | $1,293 | 18.9× |
| Zika Virus Igm Antibody (86794) | $181.50 | $242 | 10.8× |
| Zinc (84630) | $355.50 | $474 | 31.2× |
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.