Lab & pathology prices at Clearwater Valley Health
Orofino, ID · every code in this section with a posted price and a Medicare benchmark.
541 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 5 Nucleotidase (83915) | $68.25 | $91 | 6.1× |
| Acetylcholine receptor binding antibody (86041) | $114.75 | $153 | 6.2× |
| Acetylcholine receptor blocking antibody (86042) | $114.75 | $153 | 6.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $114.75 | $153 | 9.5× |
| Acth (82024) | $189 | $252 | 4.9× |
| Actin smooth muscle antibody each (86015) | $27 | $36 | 2.2× |
| Acute hepatitis panel (80074) | $234 | $312 | 4.9× |
| Acylcarnitines Quant (82017) | $255.75 | $341 | 15.2× |
| Adenovirus antibody (86603) | $66.75 | $89 | 5.2× |
| Albumin Fluid (82042) range across 2 matching MRF lines |
$25.50–$59.25 | $34–$79 | varies |
| Albumin serum (82040) | $24.75 | $33 | 5.0× |
| Aldolase (82085) | $209.25 | $279 | 21.5× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$76.50–$209.25 | $102–$279 | varies |
| Alkaline phosphatase isoenzymes (84080) | $27.75 | $37 | 1.9× |
| Allergen specific ige (86003) range across 10 matching MRF lines |
$18.75–$99.75 | $25–$133 | varies |
| Allergen specific igg (86001) range across 6 matching MRF lines |
$27–$173.25 | $36–$231 | varies |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$18.75–$30 | $25–$40 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $72 | $96 | 5.0× |
| Alpha-1-antitrypsin total (82103) | $81.75 | $109 | 6.1× |
| Alpha-Fetoprotein Serum (82105) | $82.50 | $110 | 4.9× |
| Alt (sgpt) (84460) | $27 | $36 | 5.1× |
| Aluminum (82108) | $81.75 | $109 | 3.2× |
| Aminolevulinic acid (ala) (82135) | $126 | $168 | 7.7× |
| Ammonia (82140) | $72 | $96 | 4.9× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $330 | $440 | 3.4× |
| Amylase urine (82150) | $66 | $88 | 10.2× |
| Ana Titer (86039) | $55.50 | $74 | 5.0× |
| Anca screen each antibody (86036) | $213.75 | $285 | 17.7× |
| Angiotensin converting enzyme csf (82164) | $75 | $100 | 5.1× |
| Anti-Phospholipid Antibody (86148) range across 2 matching MRF lines |
$53.25–$70.50 | $71–$94 | varies |
| Antibody aspergillus (86606) | $69.75 | $93 | 4.6× |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 2 matching MRF lines |
$25.50–$183.75 | $34–$245 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $146.25 | $195 | 9.4× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $56.25 | $75 | 3.3× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $104.25 | $139 | 7.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $131.25 | $175 | 8.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 2 matching MRF lines |
$85.50–$91.50 | $114–$122 | varies |
| Antibody Fungus Not Elsewhere Specified (86671) | $131.25 | $175 | 10.7× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) range across 2 matching MRF lines |
$119.25–$160.50 | $159–$214 | varies |
| Antibody Herpes Smplx Type 1 (86695) range across 3 matching MRF lines |
$66.75–$97.50 | $89–$130 | varies |
| Antibody HIV-2 (86702) | $73.50 | $98 | 5.4× |
| Antibody identification leukocyte antibodies (86021) range across 3 matching MRF lines |
$75–$322.50 | $100–$430 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $85.50 | $114 | 6.9× |
| Antibody john cunningham virus (86711) range across 2 matching MRF lines |
$724.50–$1,690.50 | $966–$2,254 | varies |
| Antibody leishmania (86717) | $111 | $148 | 9.1× |
| Antibody Lymphocytic Choriomeningitis (86727) | $66.75 | $89 | 5.2× |
| Antibody neisseria meningitidis (86741) | $123 | $164 | 9.3× |
| Antibody Protozoa Nes (86753) range across 4 matching MRF lines |
$23.25–$233.25 | $31–$311 | varies |
| Antibody Titer (86886) | $72.75 | $97 | 14.0× |
| Antibody Treponema Pallidum (86780) range across 3 matching MRF lines |
$65.25–$107.25 | $87–$143 | varies |
| Antibody; encephalitis, st. louis (86653) | $66.75 | $89 | 5.1× |
| Antibody; influenza virus (86710) | $66.75 | $89 | 4.9× |
| Antigen typing (86905) range across 3 matching MRF lines |
$45–$303.75 | $60–$405 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $196.50 | $262 | 34.4× |
| Antinuclear antibodies (86038) range across 2 matching MRF lines |
$48.75–$50.25 | $65–$67 | varies |
| Antistreptolysin o titer (86060) | $85.50 | $114 | 11.7× |
| Antithrombin iii activity (85300) | $138 | $184 | 11.6× |
| Antithrombin iii antigen (85301) | $105 | $140 | 9.7× |
| Apc gene dup/delet variants (81203) | $606 | $808 | 3.0× |
| Apc gene full sequence (81201) | $606 | $808 | 0.8× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$59.25–$186.75 | $79–$249 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $624 | $832 | 51.8× |
| Arsenic (82175) range across 3 matching MRF lines |
$43.50–$139.50 | $58–$186 | varies |
| Aspergillus ag eia (87305) | $177 | $236 | 14.8× |
| Assay activated protein c (85307) | $151.50 | $202 | 9.9× |
| Assay Blood Carbon Dioxide (82374) | $33 | $44 | 6.8× |
| Assay Nephelometry Not Spec (83883) range across 3 matching MRF lines |
$46.50–$162 | $62–$216 | varies |
| Assay of 5-hiaa (83497) | $60 | $80 | 4.7× |
| Assay of blood/uric acid (84550) | $23.25 | $31 | 5.1× |
| Assay of calcium in urine (82340) range across 2 matching MRF lines |
$116.25–$132 | $155–$176 | varies |
| Assay of cpk in blood (82552) | $193.50 | $258 | 14.5× |
| Assay of estrone (82679) | $129 | $172 | 5.2× |
| Assay of g6pd enzyme (82955) | $84.75 | $113 | 8.7× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$45–$333.75 | $60–$445 | varies |
| Assay of lactic acid (83605) | $98.25 | $131 | 8.5× |
| Assay of manganese (83785) | $55.50 | $74 | 2.1× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$177.75–$186.75 | $237–$249 | varies |
| Assay of prostate specific antigen complexed (84152) | $105 | $140 | 5.7× |
| Assay of serotonin (84260) | $229.50 | $306 | 7.4× |
| Assay of serum potassium (84132) | $40.50 | $54 | 8.5× |
| Assay of sweat sodium (84302) | $39 | $52 | 8.0× |
| Assay of urea nitrogen (84520) | $43.50 | $58 | 11.0× |
| Assay of urine vma (84585) | $80.25 | $107 | 5.2× |
| Assay of vitamin b-1 (84425) | $104.25 | $139 | 4.9× |
| Assay Ph Body Fluid Nos (83986) | $9 | $12 | 2.5× |
| Automated Leukocyte Count (85048) | $33.75 | $45 | 13.3× |
| B cells total count (86355) | $45 | $60 | 1.2× |
| Bcr/abl1 gene major bp (81206) | $248.25 | $331 | 1.5× |
| Bcr/abl1 gene minor bp (81207) | $147 | $196 | 1.0× |
| Beta 2 glycoprotein i antibody each (86146) range across 2 matching MRF lines |
$113.25–$119.25 | $151–$159 | varies |
| Beta hydroxybutyrate (82010) range across 2 matching MRF lines |
$40.50–$62.25 | $54–$83 | varies |
| Beta-2 Microglobulin (82232) range across 2 matching MRF lines |
$61.50–$97.50 | $82–$130 | varies |
| Bile acids total (82239) | $87.75 | $117 | 5.1× |
| Bilirubin direct (82248) | $26.25 | $35 | 5.2× |
| Bilirubin total (82247) range across 2 matching MRF lines |
$50.25–$55.50 | $67–$74 | varies |
| Bilirubin total transcutaneous (88720) | $22.50 | $30 | 4.5× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $639 | $852 | 3.8× |
| Bleeding time test (85002) | $60 | $80 | 12.4× |
| Blood Count Red Blood Cell Automated (85041) | $36.75 | $49 | 12.2× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) range across 2 matching MRF lines |
$36.75–$91.50 | $49–$122 | varies |
| Blood gas (82803) | $344.25 | $459 | 13.2× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $81.75 | $109 | 5.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $15.75 | $21 | 3.6× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$71.25–$117.75 | $95–$157 | varies |
| Blood typing serologic abo (86900) | $46.50 | $62 | 15.6× |
| Bordetella antibody (86615) range across 2 matching MRF lines |
$42–$54.75 | $56–$73 | varies |
| Breath Alcohol Test (82075) | $48.75 | $65 | 1.6× |
| Brucella antibody (86622) | $75.75 | $101 | 8.5× |
| C diff amplified probe (87493) range across 2 matching MRF lines |
$81.75–$171.75 | $109–$229 | varies |
| C-Peptide (84681) | $107.25 | $143 | 5.2× |
| C-reactive protein (86140) | $76.50 | $102 | 14.8× |
| Ca 19-9 (86301) | $128.25 | $171 | 6.2× |
| Cadmium (82300) | $181.50 | $242 | 7.7× |
| Calcitonin (82308) | $237.75 | $317 | 8.9× |
| Calcium ionized (82330) | $68.25 | $91 | 5.0× |
| Calcium total (82310) | $26.25 | $35 | 5.1× |
| Calculus Spectroscopy (82365) | $63 | $84 | 4.9× |
| Calprotectin Fecal (83993) | $256.50 | $342 | 13.1× |
| Cancer Antigen 125 (86304) | $102.75 | $137 | 4.9× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$97.50–$102.75 | $130–$137 | varies |
| Candida antibody (86628) | $91.50 | $122 | 7.6× |
| Carbamazepine total (80156) | $72 | $96 | 4.9× |
| Carbohydrate Deficient Transferrin (82373) | $119.25 | $159 | 6.6× |
| Carboxyhemoglobin (82375) | $60.75 | $81 | 4.9× |
| Carcinoembryonic antigen (82378) | $93.75 | $125 | 4.9× |
| Cardiolipin ab iga (86147) | $119.25 | $159 | 4.7× |
| Carnitine Quantitative Each Specimen (82379) | $482.25 | $643 | 28.6× |
| Catecholamines fractionated (82384) | $118.50 | $158 | 4.7× |
| Ccp antibody (86200) | $76.50 | $102 | 5.9× |
| Cell count csf (89051) | $86.25 | $115 | 15.4× |
| Ceruloplasmin (82390) | $62.25 | $83 | 5.8× |
| Cftr gene com variants (81220) | $251.25 | $335 | 0.5× |
| Chemiluminescent assay (82397) range across 3 matching MRF lines |
$177.75–$258 | $237–$344 | varies |
| Chlamydia antibody (86631) | $12 | $16 | 1.0× |
| Chlamydia Igm Antibody (86632) | $12 | $16 | 0.9× |
| Chloride Serum (82435) | $48.75 | $65 | 10.6× |
| Chloride urine (82436) | $24.75 | $33 | 4.3× |
| Cholesterol total (82465) | $72.75 | $97 | 16.7× |
| Cholinesterase Serum (82480) | $58.50 | $78 | 7.4× |
| Chorionic gonadotropin test (84702) | $115.50 | $154 | 7.7× |
| Chrmsm Analysis Addl High Resolution Study (88289) | $452.25 | $603 | 13.1× |
| Chromium serum (82495) | $112.50 | $150 | 5.5× |
| Chromogranin a (86316) | $135 | $180 | 6.5× |
| Chromosome Analysis 15-20 (88262) | $452.25 | $603 | 3.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$30–$163.50 | $40–$218 | varies |
| Citric acid urine (82507) range across 2 matching MRF lines |
$63–$90 | $84–$120 | varies |
| Ckmb (82553) | $136.50 | $182 | 11.8× |
| Clostridium Difficile (87324) | $60.75 | $81 | 5.1× |
| Clot Factor VIII Multimetric (85247) | $300.75 | $401 | 13.1× |
| Clotting factor viii related antigen (85244) | $224.25 | $299 | 11.0× |
| Clotting factor xii hageman (85280) | $94.50 | $126 | 4.9× |
| Cns DNA amp probe type 12-25 (87483) | $432 | $576 | 1.0× |
| Coccidioides antibody (86635) | $53.25 | $71 | 4.6× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$181.50–$207 | $242–$276 | varies |
| Column Chromotography Quant (82542) range across 8 matching MRF lines |
$45–$531.75 | $60–$709 | varies |
| Compatibility Each Unit Incubation (86921) | $101.25 | $135 | 0.6× |
| Compatibility test antiglob (86922) | $97.50 | $130 | 0.6× |
| Complement Antigen Each Component (86160) range across 4 matching MRF lines |
$57–$114.75 | $76–$153 | varies |
| Complement Total (Ch50) (86162) | $105 | $140 | 5.2× |
| Coombs direct (86880) | $86.25 | $115 | 16.0× |
| Copper urine (82525) range across 4 matching MRF lines |
$58.50–$114 | $78–$152 | varies |
| Cortisol free (82530) range across 4 matching MRF lines |
$75–$189 | $100–$252 | varies |
| Cortisol saliva (82533) range across 3 matching MRF lines |
$69–$99.75 | $92–$133 | varies |
| Creatine kinase total (82550) | $66 | $88 | 10.1× |
| Creatinine blood (82565) | $20.25 | $27 | 4.0× |
| Creatinine clearance (82575) | $82.50 | $110 | 8.7× |
| Creatinine Urine (82570) | $24.75 | $33 | 4.8× |
| Crossmatch electronic (86923) | $172.50 | $230 | 1.0× |
| Crossmatch immediate spin (86920) | $97.50 | $130 | 0.6× |
| Crp High Sensitivity (86141) | $65.25 | $87 | 5.0× |
| Cryofibrinogen (82585) | $75 | $100 | 5.3× |
| Cryoglobulin (82595) | $31.50 | $42 | 4.9× |
| Cryptococcus ag titer (87899) | $58.50 | $78 | 3.6× |
| Cryptosporidium (87272) | $63 | $84 | 5.3× |
| Cryptosporidium ag eia (87328) | $71.25 | $95 | 5.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$66–$69.75 | $88–$93 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $70.50 | $94 | 9.1× |
| Culture aerobic quant other (87071) | $54 | $72 | 5.5× |
| Culture Anaerobic (87075) | $99.75 | $133 | 10.5× |
| Culture blood (87040) | $108 | $144 | 10.5× |
| Culture chlamydia (87110) | $85.50 | $114 | 4.4× |
| Culture csf (87070) range across 3 matching MRF lines |
$59.25–$75.75 | $79–$101 | varies |
| Culture screen only (87081) range across 3 matching MRF lines |
$44.25–$68.25 | $59–$91 | varies |
| Culture stool (87045) | $60.75 | $81 | 6.4× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $119.25 | $159 | 9.5× |
| Culture typing if ea antiserum (87140) | $85.50 | $114 | 15.4× |
| Culture urine (87086) | $69.75 | $93 | 8.6× |
| Cyanide (82600) | $443.25 | $591 | 22.8× |
| Cyclosporine (80158) | $127.50 | $170 | 7.1× |
| Cystatin C (82610) | $153 | $204 | 8.3× |
| Cytomegalovirus igg (86644) | $112.50 | $150 | 7.8× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $94.50 | $126 | 4.7× |
| Cytopath Cell Enhance Tech (88112) | $139.50 | $186 | 2.7× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $99.75 | $133 | 3.7× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $90 | $120 | 1.7× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $128.25 | $171 | 3.5× |
| Deoxyribonuclease antibody (86215) | $53.25 | $71 | 4.0× |
| Detect Agent Nos Dna Amp (87798) range across 10 matching MRF lines |
$163.50–$488.25 | $218–$651 | varies |
| Detect Agent Nos Dna Quant (87799) | $255 | $340 | 6.0× |
| Detect agnt mult DNA ampli (87801) | $309 | $412 | 4.4× |
| Dhea (82626) | $130.50 | $174 | 5.2× |
| Dhea-S (82627) | $94.50 | $126 | 4.3× |
| Dibucaine number (82638) | $54 | $72 | 4.4× |
| Digoxin (80162) | $135.75 | $181 | 10.2× |
| Diphtheria antitoxoid (86648) | $144.75 | $193 | 9.5× |
| Dna Antibody Native/Double Stranded (86225) | $68.25 | $91 | 5.0× |
| Dna/Rna Amplified Probe (87150) | $132.75 | $177 | 3.8× |
| Drug assay acetaminophen (80143) | $93.75 | $125 | 5.0× |
| Drug assay adalimumab (80145) | $351 | $468 | 9.1× |
| Drug Assay Infliximab (80230) | $252 | $336 | 6.5× |
| Drug assay voriconazole (80285) | $200.25 | $267 | 7.4× |
| Drug Screen Quant Clozapine (80159) | $42 | $56 | 2.1× |
| Drug Screen Quant Zonisamide (80203) | $76.50 | $102 | 5.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $78.75 | $105 | 5.9× |
| Drug Screen Quantitative Levetiracetam (80177) | $51.75 | $69 | 3.9× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $96.75 | $129 | 7.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 9 matching MRF lines |
$75–$330 | $100–$440 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 3 matching MRF lines |
$36.75–$60 | $49–$80 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$57–$66.75 | $76–$89 | varies |
| Ehrlichia antibody (86666) range across 2 matching MRF lines |
$48–$69 | $64–$92 | varies |
| Electrolyte panel (80051) | $118.50 | $158 | 16.9× |
| Encephaltis East Eqne Anbdy (86652) | $66.75 | $89 | 5.1× |
| Encephaltis West Eqne Antbdy (86654) | $66.75 | $89 | 5.1× |
| Enterovirus Antibody (86658) | $66.75 | $89 | 5.1× |
| Enterovirus PCR (87498) | $435 | $580 | 12.4× |
| Erythropoietin (82668) | $93.75 | $125 | 5.0× |
| Estradiol serum (82670) range across 2 matching MRF lines |
$137.25–$144 | $183–$192 | varies |
| Estriol (82677) | $124.50 | $166 | 5.1× |
| Estrogen total (82672) | $143.25 | $191 | 6.6× |
| Ethylene Glycol (82693) | $70.50 | $94 | 4.7× |
| Exam Synovial Fluid Crystals (89060) | $91.50 | $122 | 12.5× |
| F2 Gene (81240) | $182.25 | $243 | 2.8× |
| Factor ix activity (85250) | $127.50 | $170 | 6.7× |
| Factor v activity (85220) | $127.50 | $170 | 7.2× |
| Factor v leiden mutation (81241) | $194.25 | $259 | 2.6× |
| Factor viii assay (85240) | $125.25 | $167 | 7.0× |
| Factor X (85260) | $213.75 | $285 | 11.9× |
| Factor xi activity (85270) | $226.50 | $302 | 12.7× |
| Fat/Lipids Feces Quantitative (82710) | $239.25 | $319 | 14.2× |
| Fecal Fat Qualitative (82705) | $27 | $36 | 5.3× |
| Ferritin (82728) | $68.25 | $91 | 5.0× |
| Fetal Fibronectin (82731) | $724.50 | $966 | 11.2× |
| Fibrin Degradation Quant (85379) | $139.50 | $186 | 13.7× |
| Fibrinogen activity (85384) | $71.25 | $95 | 7.3× |
| Flow cytometry first marker (88184) range across 3 matching MRF lines |
$135–$177.75 | $180–$237 | varies |
| Fluorescent antibody screen (86255) range across 8 matching MRF lines |
$57–$375 | $76–$500 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$23.25–$149.25 | $31–$199 | varies |
| Folic acid rbc (82747) | $81 | $108 | 4.6× |
| Folic Acid Serum (82746) | $72.75 | $97 | 4.9× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$87–$90.75 | $116–$121 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $63.75 | $85 | 0.4× |
| Galectin-3 (82777) | $124.50 | $166 | 2.8× |
| Gammaglobulin ige (82785) | $81.75 | $109 | 5.0× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$89.25–$93.75 | $119–$125 | varies |
| Gastrin (82941) | $90.75 | $121 | 5.1× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $912 | $1,216 | 2.2× |
| Genet Virus Isolate Hsv (87255) | $137.25 | $183 | 4.1× |
| Gentamicin (80170) | $264 | $352 | 16.1× |
| Ggt (82977) | $21.75 | $29 | 3.0× |
| Giardia lamblia antibody (86674) range across 2 matching MRF lines |
$159–$228 | $212–$304 | varies |
| Glucose 2 hr pp (82950) | $64.50 | $86 | 13.6× |
| Glucose body fluid (82945) | $59.25 | $79 | 15.1× |
| Glucose Serum (82947) | $39 | $52 | 9.9× |
| Glucose tolerance test (gtt) (82951) | $69.75 | $93 | 5.4× |
| Glycated Protein (82985) | $74.25 | $99 | 4.4× |
| Gonadotropin Chorionic Qualitative (84703) | $78 | $104 | 10.4× |
| Growth hormone (83003) | $114 | $152 | 6.8× |
| H Pylori (C-13) Breath (83013) | $345.75 | $461 | 5.1× |
| H Pylori Drug Admin (83014) | $41.25 | $55 | 5.2× |
| Haptoglobin (83010) | $144.75 | $193 | 11.5× |
| Hba1/Hba2 Gene (81257) | $571.50 | $762 | 5.6× |
| Hdl Cholesterol (83718) | $39 | $52 | 4.8× |
| Helicobacter Pylori Stool (87338) | $71.25 | $95 | 5.0× |
| Helminth Antibody (86682) | $174.75 | $233 | 13.4× |
| Hematocrit (85014) | $30 | $40 | 12.7× |
| Hemoglobin (85018) | $28.50 | $38 | 12.0× |
| Hemoglobin a1c (83036) | $35.25 | $47 | 3.6× |
| Hemoglobin Chromotography (83021) | $88.50 | $118 | 4.9× |
| Hemoglobin plasma (83051) | $92.25 | $123 | 12.6× |
| Hep a ab igm (86709) | $53.25 | $71 | 4.7× |
| Hepatitis a antibody total (86708) | $84.75 | $113 | 6.8× |
| Hepatitis b core ab igm (86705) | $69.75 | $93 | 5.9× |
| Hepatitis b core ab total (86704) | $72.75 | $97 | 6.0× |
| Hepatitis B Surface Antibody (86706) | $50.25 | $67 | 4.7× |
| Hepatitis B Surface Antigen (87340) | $48.75 | $65 | 4.7× |
| Hepatitis Be Antibody (86707) | $93.75 | $125 | 8.1× |
| Hepatitis C Antibody (86803) | $66.75 | $89 | 4.7× |
| Hepatitis C Genotype (87902) range across 2 matching MRF lines |
$808.50–$839.25 | $1,078–$1,119 | varies |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $279 | $372 | 8.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $246.75 | $329 | 5.8× |
| Hepatitis Delta Agent Antibody (86692) | $94.50 | $126 | 5.5× |
| Hereditary colon ca dsrdrs gen seq analys 10 gen (81435) | $2,751.75 | $3,669 | 2.1× |
| Hereditary peripheral neuropathy gen seq pnl (81448) | $2,812.50 | $3,750 | 4.8× |
| Herpes simplex type 2 (86696) range across 2 matching MRF lines |
$66.75–$97.50 | $89–$130 | varies |
| Heterophile Antibody Screen (86308) | $69 | $92 | 13.3× |
| Hfe Gene (81256) range across 2 matching MRF lines |
$487.50–$522 | $650–$696 | varies |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) range across 2 matching MRF lines |
$52.50–$57.75 | $70–$77 | varies |
| Histamine urine (83088) | $87.75 | $117 | 3.0× |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$31.50–$59.25 | $42–$79 | varies |
| Histoplasma antigen urine (87385) | $159.75 | $213 | 12.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $99.75 | $133 | 4.1× |
| Hiv-1 Antibody (86701) | $73.50 | $98 | 8.3× |
| HIV-1 p24 antigen (87390) | $104.25 | $139 | 4.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$396–$416.25 | $528–$555 | varies |
| Hla-b27 (86812) | $126 | $168 | 4.9× |
| Homocysteine (83090) | $124.50 | $166 | 6.9× |
| Hpv High-Risk Types (87624) | $90 | $120 | 2.6× |
| Hpv Types 16 & 18 Only (87625) | $93.75 | $125 | 2.3× |
| Hsv Dna Amp Probe (87529) | $211.50 | $282 | 6.0× |
| Hsv Dna Quant (87530) range across 2 matching MRF lines |
$96–$240 | $128–$320 | varies |
| Hydroxyprogesterone 17-d (83498) | $174.75 | $233 | 6.4× |
| Iaad Ia Adenovirus Enteric Typ 40/41 (87301) | $112.50 | $150 | 9.4× |
| Iaad Ia Entamoeba Histolytica Grp (87337) | $52.50 | $70 | 4.4× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $60.75 | $81 | 4.4× |
| Iaad Ia Streptococcus Group A (87430) | $58.50 | $78 | 3.5× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $180.75 | $241 | 5.2× |
| Iadna Cytomegalovirus Quantification (87497) | $210 | $280 | 4.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $230.25 | $307 | 3.3× |
| Iadna Hepatitis B Virus Quantification (87517) | $437.25 | $583 | 10.2× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $433.50 | $578 | 12.4× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $216.75 | $289 | 5.2× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $163.50 | $218 | 4.7× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $75 | $100 | 1.5× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $498 | $664 | 1.9× |
| Ig Light Chains Free Each (83521) | $45 | $60 | 2.6× |
| Igg subclasses (82787) | $94.50 | $126 | 11.8× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $293.25 | $391 | 0.8× |
| Immune Complex Assay (86332) | $248.25 | $331 | 10.2× |
| Immunfix e-phorsis/urine/csf (86335) | $137.25 | $183 | 4.7× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 6 matching MRF lines |
$106.50–$435 | $142–$580 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 3 matching MRF lines |
$39–$435 | $52–$580 | varies |
| Immunoassay nonantibody (83516) range across 5 matching MRF lines |
$28.50–$170.25 | $38–$227 | varies |
| Immunodiffusion not elsewhere specified (86329) | $48.75 | $65 | 3.5× |
| Immunodiffusion Ouchterlony (86331) | $102 | $136 | 8.5× |
| Immunofixation electrophoresis (86334) range across 2 matching MRF lines |
$105–$109.50 | $140–$146 | varies |
| Immunohistochemistry (88342) | $149.25 | $199 | 0.9× |
| Influenza assay w/optic (87804) | $56.25 | $75 | 3.4× |
| Influenza DNA amp probe (87502) range across 2 matching MRF lines |
$96.75–$102 | $129–$136 | varies |
| Inhibin A (86336) | $246 | $328 | 15.8× |
| Inhibin b (83520) range across 27 matching MRF lines |
$42–$586.50 | $56–$782 | varies |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$168–$261 | $224–$348 | varies |
| Insulin free (83527) | $108.75 | $145 | 8.4× |
| Insulin total (83525) range across 2 matching MRF lines |
$54–$137.25 | $72–$183 | varies |
| Intrinsic factor antibody (86340) | $138 | $184 | 9.2× |
| Iron (83540) | $31.50 | $42 | 4.9× |
| Iron Binding Capacity (83550) | $43.50 | $58 | 5.0× |
| Islet cell antibody (86341) range across 6 matching MRF lines |
$42–$3,156.75 | $56–$4,209 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $359.25 | $479 | 3.9× |
| Koh Prep (87220) | $55.50 | $74 | 13.0× |
| Lactate (ld) (ldh) enzyme (83615) | $30 | $40 | 5.0× |
| Lactoferrin fecal qualitative (83630) | $96.75 | $129 | 4.9× |
| Ldh Isoenzymes (83625) | $160.50 | $214 | 12.5× |
| LDL direct (83721) | $45 | $60 | 4.3× |
| Lead (83655) range across 4 matching MRF lines |
$57–$139.50 | $76–$186 | varies |
| Legionella antigen urine (87449) range across 4 matching MRF lines |
$112.50–$327.75 | $150–$437 | varies |
| Leukocyte Assessment Fecal (89055) | $40.50 | $54 | 9.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $50.25 | $67 | 1.8× |
| Level ii surg pathology grossµscopic exam (88302) | $163.50 | $218 | 4.4× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $266.25 | $355 | 0.8× |
| Lipase (83690) | $99 | $132 | 14.4× |
| Lipoprotein A (83695) | $82.50 | $110 | 5.8× |
| Lipoprotein Bld Quan Part (83704) range across 2 matching MRF lines |
$62.25–$65.25 | $83–$87 | varies |
| Lipoprotein-Associated Phospholipase A2 (83698) | $159 | $212 | 3.4× |
| Lithium (80178) | $66.75 | $89 | 10.1× |
| Liver ds alys 3 bmrk srm alg (81517) | $402 | $536 | 2.3× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$64.50–$68.25 | $86–$91 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$21.75–$84.75 | $29–$113 | varies |
| Macroscopic exam arthropod (87168) | $75 | $100 | 17.6× |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$56.25–$90 | $75–$120 | varies |
| Mass Spectrometry Quant (83789) range across 6 matching MRF lines |
$81.75–$495.75 | $109–$661 | varies |
| Mercury urine (83825) range across 3 matching MRF lines |
$40.50–$139.50 | $54–$186 | varies |
| Methylmalonic acid serum (83921) | $81.75 | $109 | 3.9× |
| Microalbumin, quantitative (82043) | $23.25 | $31 | 4.0× |
| Microsomal Antibodies Each (86376) range across 2 matching MRF lines |
$69–$72 | $92–$96 | varies |
| Mitochondrial Antibody Each (86381) | $92.25 | $123 | 3.6× |
| Mononuclear cell antigen (86356) | $117.75 | $157 | 4.4× |
| Mopath procedure level 1 (81400) | $234 | $312 | 3.7× |
| Mopath procedure level 2 (81401) | $911.25 | $1,215 | 6.7× |
| Mopath procedure level 7 (81406) | $346.50 | $462 | 1.2× |
| Mrsa Pcr (87641) | $246.75 | $329 | 7.0× |
| Mthfr Gene Analysis Common Variants (81291) | $370.50 | $494 | 5.7× |
| Mumps antibody (86735) range across 4 matching MRF lines |
$36–$69 | $48–$92 | varies |
| Mycobacteric Identification (87118) | $116.25 | $155 | 8.0× |
| Mycoplasma antibody (86738) | $71.25 | $95 | 5.4× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$96.75–$102 | $129–$136 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$159–$167.25 | $212–$223 | varies |
| Nfct ds bv&vaginitis DNA alg (81515) | $128.25 | $171 | 0.5× |
| Niacin (84591) range across 2 matching MRF lines |
$92.25–$192 | $123–$256 | varies |
| Nk cells total count (86357) | $80.25 | $107 | 2.1× |
| Nuclear antigen antibody (86235) range across 4 matching MRF lines |
$65.25–$205.50 | $87–$274 | varies |
| Obstetric panel (80081) | $430.50 | $574 | 5.8× |
| Oligoclonal bands (83916) | $118.50 | $158 | 4.3× |
| Osmolality serum (83930) | $55.50 | $74 | 8.4× |
| Osmolality Urine (83935) | $33.75 | $45 | 4.9× |
| Ova and parasites smears (87177) | $75 | $100 | 8.4× |
| Oxalate urine (83945) range across 2 matching MRF lines |
$21–$66.75 | $28–$89 | varies |
| Pancreatic Elastase Fecal (82656) | $307.50 | $410 | 26.7× |
| Parvovirus antibody (86747) | $45 | $60 | 3.0× |
| Ph urine (81003) | $12 | $16 | 5.3× |
| Phenobarbital Level (80184) | $58.50 | $78 | 3.8× |
| Phenytoin (Dilantin) (80185) | $222 | $296 | 16.8× |
| Phenytoin free (80186) | $75.75 | $101 | 5.5× |
| Phosphatase alkaline (84075) range across 3 matching MRF lines |
$36–$78.75 | $48–$105 | varies |
| Phospholipid Neutralization Hexagonal (85598) | $90.75 | $121 | 5.0× |
| Phosphorus Serum (84100) | $24.75 | $33 | 5.2× |
| Phosphorus urine (84105) | $37.50 | $50 | 6.5× |
| Pinworm exam (87172) | $53.25 | $71 | 12.5× |
| Platelet Aggregation (85576) | $175.50 | $234 | 7.0× |
| Platelet Antibodies (86022) range across 2 matching MRF lines |
$99–$318.75 | $132–$425 | varies |
| Platelet count automated (85049) range across 2 matching MRF lines |
$17.25–$60 | $23–$80 | varies |
| Platelet neutralization (85597) | $87 | $116 | 4.8× |
| Pooling blood platelets (86965) | $27.75 | $37 | 0.2× |
| Porphobilinogen Urine Qualitative (84106) | $96.75 | $129 | 16.6× |
| Porphobilinogen, urine; quantitative (84110) | $39.75 | $53 | 4.7× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $136.50 | $182 | 9.3× |
| Potassium Urine (84133) | $21.75 | $29 | 4.6× |
| Prealbumin (84134) | $107.25 | $143 | 7.4× |
| Pregnenolone (84140) | $84.75 | $113 | 4.1× |
| Procalcitonin (Pct) (84145) | $132 | $176 | 4.8× |
| Progesterone (84144) range across 2 matching MRF lines |
$102.75–$254.25 | $137–$339 | varies |
| Prolactin (84146) | $96 | $128 | 5.0× |
| Prostaglandin (84150) | $478.50 | $638 | 11.5× |
| Protein body fluid (84157) | $54.75 | $73 | 13.7× |
| Protein C Activity (85303) | $206.25 | $275 | 14.9× |
| Protein c antigen (85302) | $99.75 | $133 | 8.3× |
| Protein Electrophoresis Urine (84166) range across 2 matching MRF lines |
$105–$130.50 | $140–$174 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $80.25 | $107 | 7.5× |
| Protein S Free (85306) | $93.75 | $125 | 6.1× |
| Protein total serum (84155) | $57.75 | $77 | 15.7× |
| Protein Total Urine (84156) | $66 | $88 | 18.0× |
| Protein Western Blot Test (84182) range across 2 matching MRF lines |
$198.75–$435 | $265–$580 | varies |
| Protoporphyrin rbc quantitative (84202) | $105.75 | $141 | 7.4× |
| PSA free (84154) | $94.50 | $126 | 5.1× |
| Pth Intact (83970) | $202.50 | $270 | 4.9× |
| Q Fever Antibody (86638) | $46.50 | $62 | 3.8× |
| Quantiferon tb gold plus (86480) | $182.25 | $243 | 2.9× |
| Quantitative assay drug (80299) range across 9 matching MRF lines |
$47.25–$351 | $63–$468 | varies |
| Quantitative Screen Metals (83018) range across 4 matching MRF lines |
$53.25–$186.75 | $71–$249 | varies |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$135–$180.75 | $180–$241 | varies |
| Rbc antibody screen (86850) | $106.50 | $142 | 10.9× |
| Reagent Strip/Blood Glucose (82948) | $20.25 | $27 | 4.0× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$114–$135 | $152–$180 | varies |
| Resp virus 12-25 targets (87633) | $1,159.50 | $1,546 | 2.8× |
| Resp Virus 6-11 Targets (87632) | $230.25 | $307 | 1.1× |
| Reticulocyte Count Manual (85044) | $23.25 | $31 | 5.4× |
| Rh (86901) | $46.50 | $62 | 15.6× |
| Rheumatoid factor quant (86431) range across 2 matching MRF lines |
$27–$28.50 | $36–$38 | varies |
| Rickettsia antibody (86757) range across 3 matching MRF lines |
$57.75–$105 | $77–$140 | varies |
| Ristocetin cofactor (85245) | $300.75 | $401 | 13.1× |
| Rotavirus ag eia (87425) | $80.25 | $107 | 6.7× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$21.75–$31.50 | $29–$42 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$119.25–$196.50 | $159–$262 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$63–$104.25 | $84–$139 | varies |
| Russell Viper Venom Time Diluted (85613) | $35.25 | $47 | 3.7× |
| Salicylate Level (80179) | $93 | $124 | 5.0× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 3 matching MRF lines |
$93–$204 | $124–$272 | varies |
| Sars-cov-2 COVID-19 antibody (86769) range across 3 matching MRF lines |
$77.25–$153.75 | $103–$205 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) range across 2 matching MRF lines |
$43.50–$45.75 | $58–$61 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $156.75 | $209 | 1.1× |
| Sedimentation rate (85651) | $54 | $72 | 12.6× |
| Selenium (84255) range across 2 matching MRF lines |
$81.75–$132 | $109–$176 | varies |
| Semen analysis motility and count (89310) | $57 | $76 | 6.6× |
| Sensitivity mic (87186) range across 6 matching MRF lines |
$63–$574.50 | $84–$766 | varies |
| Serpina 1 gene (81332) | $336 | $448 | 7.7× |
| Sex Hormone Binding Globulin (84270) | $24.75 | $33 | 1.1× |
| Sickling of rbc reduction (85660) | $21 | $28 | 3.8× |
| Sirolimus (80195) | $161.25 | $215 | 11.7× |
| Skin test tuberculosis intradermal (86580) range across 3 matching MRF lines |
$34.50–$38.25 | $46–$51 | varies |
| Smear acid fast (87206) range across 2 matching MRF lines |
$21–$63 | $28–$84 | varies |
| Smear complex stain (87209) | $89.25 | $119 | 5.0× |
| Smear gram stain (87205) range across 2 matching MRF lines |
$14.25–$38.25 | $19–$51 | varies |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$38.25–$56.25 | $51–$75 | varies |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $54.75 | $73 | 9.4× |
| Sodium Serum (84295) | $40.50 | $54 | 8.4× |
| Sodium Urine (84300) | $24.75 | $33 | 4.9× |
| Somatomedin (84305) | $135 | $180 | 6.3× |
| Special Stains Group 1 (88312) | $92.25 | $123 | 1.8× |
| Special Stains Group 2 (88313) | $92.25 | $123 | 0.7× |
| Specimen infect agnt concntj (87015) range across 2 matching MRF lines |
$31.50–$33.75 | $42–$45 | varies |
| Spectrophotometry (84311) range across 3 matching MRF lines |
$60–$310.50 | $80–$414 | varies |
| Staph a DNA amp probe (87640) | $86.25 | $115 | 2.5× |
| Stool cultr aerobic bact ea (87046) | $116.25 | $155 | 12.3× |
| Strep a DNA amp probe (87651) | $120.75 | $161 | 3.4× |
| Sulfate urine (84392) | $9 | $12 | 1.6× |
| Surg path level iii (88304) | $157.50 | $210 | 3.1× |
| Surgical pathology level IV (88305) | $149.25 | $199 | 2.9× |
| Surgical pathology level vi (88309) | $271.50 | $362 | 0.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$45–$47.25 | $60–$63 | varies |
| Syphilis Test Non-Trep Quant (86593) | $21 | $28 | 4.8× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $229.50 | $306 | 4.9× |
| T cells total count (86359) | $45 | $60 | 1.2× |
| T3 Free (84481) | $83.25 | $111 | 4.9× |
| T3 reverse (84482) | $195.75 | $261 | 12.4× |
| T3 Total (84480) | $94.50 | $126 | 6.7× |
| T3 Uptake (84479) | $31.50 | $42 | 4.9× |
| T4 Free (84439) | $45 | $60 | 5.0× |
| T4 total (84436) | $35.25 | $47 | 5.1× |
| Tacrolimus (80197) | $134.25 | $179 | 9.8× |
| Testosterone total (84403) range across 2 matching MRF lines |
$109.50–$115.50 | $146–$154 | varies |
| Testosterone, Free (84402) | $115.50 | $154 | 4.5× |
| Tetanus antibody (86774) | $115.50 | $154 | 7.8× |
| Theophylline (80198) | $74.25 | $99 | 5.3× |
| Thyroglobulin (84432) range across 2 matching MRF lines |
$157.50–$165.75 | $210–$221 | varies |
| Thyroglobulin Antibody (86800) range across 2 matching MRF lines |
$75–$78.75 | $100–$105 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $248.25 | $331 | 4.9× |
| Thyroxine binding globulin (84442) | $68.25 | $91 | 4.6× |
| Tissue Culture Lymphocyte (88230) | $452.25 | $603 | 3.9× |
| Topiramate (80201) | $37.50 | $50 | 3.1× |
| Toxoplasma ab igm (86778) | $99.75 | $133 | 6.9× |
| Toxoplasma antibody (86777) | $99.75 | $133 | 6.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $50.25 | $67 | 9.7× |
| Transferrin (84466) | $85.50 | $114 | 6.7× |
| Trichomonas Vaginalis Amplif (87661) range across 2 matching MRF lines |
$139.50–$147 | $186–$196 | varies |
| Triglycerides (84478) | $27 | $36 | 4.7× |
| Troponin Quant (84484) | $99.75 | $133 | 8.0× |
| Troponin, qualitative (84512) | $33 | $44 | 3.3× |
| Urea nitrogen urine (84540) | $33 | $44 | 5.9× |
| Uric acid other source (84560) | $24.75 | $33 | 4.9× |
| Urinalysis Microscopic Only (81015) | $15.75 | $21 | 5.2× |
| Urinalysis Volume Measure (81050) | $10.50 | $14 | 2.9× |
| Urine Bacteria Culture (87088) | $69.75 | $93 | 8.6× |
| Urine Pregnancy Test (81025) | $31.50 | $42 | 3.7× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $15.75 | $21 | 5.0× |
| Valproic acid (80164) | $102.75 | $137 | 7.6× |
| Vancomycin (80202) | $187.50 | $250 | 13.8× |
| Varicella-zoster antibody (86787) range across 3 matching MRF lines |
$63–$87 | $84–$116 | varies |
| Viral Culture (87252) | $129.75 | $173 | 5.0× |
| Virus antibody nos (86790) range across 2 matching MRF lines |
$159–$167.25 | $212–$223 | varies |
| Virus inoculation, shell via (87254) range across 2 matching MRF lines |
$156.75–$297.75 | $209–$397 | varies |
| Viscosity serum (85810) | $72 | $96 | 6.2× |
| Vit D 1 25-Dihydroxy (82652) | $179.25 | $239 | 4.7× |
| Vitamin A (84590) | $65.25 | $87 | 5.6× |
| Vitamin b-12 (82607) | $75 | $100 | 5.0× |
| Vitamin B2 (Riboflavin) (84252) | $99 | $132 | 4.9× |
| Vitamin B6 (84207) | $138 | $184 | 4.9× |
| Vitamin c (82180) | $99 | $132 | 10.0× |
| Vitamin D 25-Hydroxy (82306) | $69.75 | $93 | 2.4× |
| Vitamin E (84446) | $73.50 | $98 | 5.2× |
| Vitamin K (84597) | $326.25 | $435 | 23.8× |
| Von willebrand factor ag (85246) | $300.75 | $401 | 13.1× |
| Zinc (84630) | $70.50 | $94 | 6.2× |
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.