Lab & pathology prices at Parkview Montpelier Hospital
Montpelier, OH · every code in this section with a posted price and a Medicare benchmark.
583 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acetylcholine receptor blocking antibody (86042) | $76.50 | $153 | 4.2× |
| Acetylcholn Rcptr Modlg Antb (86043) | $93 | $186 | 7.7× |
| Acth (82024) | $154 | $308 | 4.0× |
| Actin smooth muscle antibody each (86015) | $48.50 | $97 | 4.0× |
| Acute hepatitis panel (80074) | $257.50 | $515 | 5.4× |
| Albumin Fluid (82042) | $43.50 | $87 | 5.6× |
| Albumin serum (82040) | $25 | $50 | 5.1× |
| Aldolase (82085) | $43.50 | $87 | 4.5× |
| Aldosterone urine (82088) | $162 | $324 | 4.0× |
| Alkaline phosphatase isoenzymes (84080) | $59.50 | $119 | 4.0× |
| Allergen specific ige (86003) range across 2 matching MRF lines |
$38–$133 | $76–$266 | varies |
| Allg Spec Ige Recomb Ea (86008) | $85.50 | $171 | 4.8× |
| Alpha-1-antitrypsin phenotype (82104) | $59.50 | $119 | 4.1× |
| Alpha-1-antitrypsin total (82103) | $59.50 | $119 | 4.4× |
| Alpha-Fetoprotein Serum (82105) | $68 | $136 | 4.1× |
| Alt (sgpt) (84460) | $34 | $68 | 6.4× |
| Aluminum (82108) | $102.50 | $205 | 4.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $192.50 | $385 | 11.4× |
| Ammonia (82140) | $59.50 | $119 | 4.1× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $90 | $180 | 0.9× |
| Amylase urine (82150) | $34 | $68 | 5.2× |
| Anca screen each antibody (86036) | $79 | $158 | 6.6× |
| Anca Titer Each Antibody (86037) | $48.50 | $97 | 4.0× |
| Angiotensin converting enzyme csf (82164) | $59.50 | $119 | 4.1× |
| Anti-Phospholipid Antibody (86148) | $145.50 | $291 | 9.1× |
| Antibody aspergillus (86606) | $76.50 | $153 | 5.1× |
| Antibody Bacterium Not Elsewhere Specified (86609) | $56 | $112 | 4.3× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $76.50 | $153 | 4.9× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $76.50 | $153 | 4.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $59.50 | $119 | 4.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $76.50 | $153 | 5.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $85.50 | $171 | 4.7× |
| Antibody Fungus Not Elsewhere Specified (86671) | $56.50 | $113 | 4.6× |
| Antibody helicobacter pylori (86677) | $76.50 | $153 | 4.5× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $66 | $132 | 4.6× |
| Antibody Herpes Smplx Type 1 (86695) | $66 | $132 | 5.0× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $1,323.50 | $2,647 | 4.1× |
| Antibody john cunningham virus (86711) | $4,857.50 | $9,715 | 287.6× |
| Antibody Titer (86886) | $111.50 | $223 | 21.5× |
| Antibody Treponema Pallidum (86780) | $66 | $132 | 5.0× |
| Antigen typing (86905) range across 2 matching MRF lines |
$23.50–$59 | $47–$118 | varies |
| Antihuman Globulin Indir Qual Ea Reagent Cell (86885) | $23.50 | $47 | 4.1× |
| Antinomyces antibody (86602) | $32 | $64 | 3.1× |
| Antinuclear antibodies (86038) | $56.50 | $113 | 4.7× |
| Antistreptolysin o titer (86060) | $38 | $76 | 5.2× |
| Antithrombin iii activity (85300) | $61 | $122 | 5.1× |
| Antithrombin iii antigen (85301) | $61 | $122 | 5.6× |
| Apolipoprotein a1 (82172) | $85.50 | $171 | 4.1× |
| Aquaporin-4 Antb Cba Each (86052) | $147 | $294 | 12.2× |
| Aquaporin-4 Antb Elisa (86051) | $570 | $1,140 | 49.4× |
| Arsenic (82175) | $196.50 | $393 | 10.4× |
| Assay activated protein c (85307) | $80.50 | $161 | 5.3× |
| Assay Blood Carbon Dioxide (82374) | $25 | $50 | 5.1× |
| Assay myeloperoxidase (83876) | $188.50 | $377 | 3.7× |
| Assay Nephelometry Not Spec (83883) | $63 | $126 | 4.6× |
| Assay of 5-hiaa (83497) | $59.50 | $119 | 4.6× |
| Assay of anti-mullerian hormone (82166) | $171.50 | $343 | 4.4× |
| Assay of blood/uric acid (84550) | $25 | $50 | 5.5× |
| Assay of calcium in urine (82340) | $34 | $68 | 5.6× |
| Assay of cpk in blood (82552) | $59.50 | $119 | 4.4× |
| Assay of estrone (82679) | $93.50 | $187 | 3.7× |
| Assay of g6pd enzyme (82955) | $154 | $308 | 15.9× |
| Assay of gammaglobulin igm (82784) | $43.50 | $87 | 4.7× |
| Assay of lactic acid (83605) range across 2 matching MRF lines |
$51.50–$171.50 | $103–$343 | varies |
| Assay of manganese (83785) | $108 | $216 | 4.1× |
| Assay of metanephrines (83835) | $68 | $136 | 4.0× |
| Assay of proinsulin (84206) | $102.50 | $205 | 3.8× |
| Assay of pyruvate (84210) | $56.50 | $113 | 3.9× |
| Assay of serotonin (84260) | $120 | $240 | 3.9× |
| Assay of serum potassium (84132) range across 2 matching MRF lines |
$25–$43.50 | $50–$87 | varies |
| Assay of urea nitrogen (84520) | $25 | $50 | 6.3× |
| Assay of urine vma (84585) | $68 | $136 | 4.4× |
| Assay of vasoactive intestinal peptide (84586) | $146 | $292 | 4.1× |
| Assay of vitamin b-1 (84425) | $85.50 | $171 | 4.0× |
| Assay Ph Body Fluid Nos (83986) | $25 | $50 | 7.0× |
| Automated Leukocyte Count (85048) | $30 | $60 | 11.8× |
| B cells total count (86355) | $171 | $342 | 4.5× |
| Bartonella antibody (86611) | $56.50 | $113 | 5.6× |
| Bcr/abl1 gene major bp (81206) | $330 | $660 | 2.0× |
| Bcr/abl1 gene minor bp (81207) | $290 | $580 | 2.0× |
| Beta 2 glycoprotein i antibody each (86146) | $113.50 | $227 | 4.5× |
| Beta hydroxybutyrate (82010) | $43.50 | $87 | 5.3× |
| Beta-2 Microglobulin (82232) | $68 | $136 | 4.2× |
| Bile acids total (82239) | $68 | $136 | 4.0× |
| Bilirubin direct (82248) | $34 | $68 | 6.8× |
| Bilirubin total (82247) | $34 | $68 | 6.8× |
| Bilirubin total transcutaneous (88720) range across 3 matching MRF lines |
$27.50–$34 | $55–$68 | varies |
| Blastomyces antibody (86612) | $66 | $132 | 5.1× |
| Bld Typing Serologic Rh Phnt (86906) | $88 | $176 | 11.4× |
| Blood Count Automated Differential Wbc Count (85004) | $40 | $80 | 6.2× |
| Blood Count Red Blood Cell Automated (85041) | $30 | $60 | 9.9× |
| Blood count spun microhematocrit (85013) | $40 | $80 | 5.7× |
| Blood gas (82803) | $329 | $658 | 12.6× |
| Blood gases w/02 saturation (82805) | $262.50 | $525 | 3.3× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $81.50 | $163 | 5.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 5 matching MRF lines |
$23.50–$459.50 | $47–$919 | varies |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$17.50–$41 | $35–$82 | varies |
| Body fluid cell count (89050) | $19 | $38 | 4.0× |
| Bone marrow smear interpretation (85097) | $272.50 | $545 | 0.4× |
| Bordetella antibody (86615) | $66 | $132 | 5.0× |
| Breath Alcohol Test (82075) | $53.50 | $107 | 1.8× |
| C diff amplified probe (87493) | $234.50 | $469 | 6.3× |
| C-Peptide (84681) | $85.50 | $171 | 4.1× |
| C-reactive protein (86140) | $38 | $76 | 7.3× |
| Ca 19-9 (86301) | $95 | $190 | 4.6× |
| Cadmium (82300) | $93.50 | $187 | 4.0× |
| Calcitonin (82308) | $102.50 | $205 | 3.8× |
| Calcium ionized (82330) | $59.50 | $119 | 4.3× |
| Calcium total (82310) | $34 | $68 | 6.6× |
| Calculus Spectroscopy (82365) | $59.50 | $119 | 4.6× |
| Calprotectin Fecal (83993) | $146 | $292 | 7.4× |
| Calr gene com variants (81219) | $265 | $530 | 2.2× |
| Cancer Antigen 125 (86304) | $95 | $190 | 4.6× |
| Cancer Antigen 27.29 (86300) | $95 | $190 | 4.6× |
| Candida antibody (86628) | $56.50 | $113 | 4.7× |
| Carbamazepine free (80157) | $45.50 | $91 | 3.4× |
| Carbamazepine total (80156) | $44.50 | $89 | 3.1× |
| Carboxyhemoglobin (82375) | $53.50 | $107 | 4.3× |
| Carcinoembryonic antigen (82378) | $77.50 | $155 | 4.1× |
| Cardiolipin ab iga (86147) | $113.50 | $227 | 4.5× |
| Carnitine Quantitative Each Specimen (82379) | $88.50 | $177 | 5.2× |
| Catecholamines fractionated (82384) | $102.50 | $205 | 4.1× |
| Ccnd1/Igh Translocation Alys (81168) | $415 | $830 | 2.0× |
| Ccp antibody (86200) | $66 | $132 | 5.1× |
| Cell count csf (89051) | $25.50 | $51 | 4.6× |
| Cellular Function Assay Stimul&Detect Biomarke (86352) | $501 | $1,002 | 3.7× |
| Ceruloplasmin (82390) | $51.50 | $103 | 4.8× |
| Cftr gene com variants (81220) | $436.50 | $873 | 0.8× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$59.50–$386.50 | $119–$773 | varies |
| Chlamydia antibody (86631) | $56.50 | $113 | 4.8× |
| Chlamydia Igm Antibody (86632) | $66 | $132 | 5.2× |
| Chloride Serum (82435) | $25 | $50 | 5.4× |
| Chloride urine (82436) | $34 | $68 | 5.9× |
| Cholesterol total (82465) | $25 | $50 | 5.7× |
| Chorionic gonadotropin test (84702) | $68 | $136 | 4.5× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $76.50 | $153 | 2.8× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $95.50 | $191 | 2.9× |
| Chromium serum (82495) | $85.50 | $171 | 4.2× |
| Chromogranin a (86316) | $95 | $190 | 4.6× |
| Chromosome Analysis 20-25 (88264) | $371.50 | $743 | 2.6× |
| Chromosome analysis, 5 (88261) | $731 | $1,462 | 2.8× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $234.50 | $469 | 6.7× |
| Citric acid urine (82507) | $112 | $224 | 4.0× |
| Ckmb (82553) | $51.50 | $103 | 4.5× |
| Clostridium Difficile (87324) | $82.50 | $165 | 6.9× |
| Clotting Funct Activity (85397) | $149.50 | $299 | 4.8× |
| Cns DNA amp probe type 12-25 (87483) | $1,145 | $2,290 | 2.7× |
| Coagulation time activated (85347) | $30 | $60 | 7.0× |
| Coccidioides antibody (86635) | $56.50 | $113 | 4.9× |
| Cold agglutinin screen (86156) | $113.50 | $227 | 14.1× |
| Collagen crosslinks (82523) | $77.50 | $155 | 4.1× |
| Column Chromotography Quant (82542) range across 2 matching MRF lines |
$93.50–$436.50 | $187–$873 | varies |
| Compatibility test antiglob (86922) | $123.50 | $247 | 0.8× |
| Complement Antigen Each Component (86160) | $56.50 | $113 | 4.7× |
| Complement Total (Ch50) (86162) | $95 | $190 | 4.7× |
| Complement/Function Activity (86161) | $56.50 | $113 | 4.7× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $358.50 | $717 | 2.2× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $123 | $246 | 2.5× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $151 | $302 | 4.3× |
| Coombs direct (86880) range across 2 matching MRF lines |
$23.50–$41 | $47–$82 | varies |
| Copper urine (82525) | $51.50 | $103 | 4.1× |
| Cortisol free (82530) | $68 | $136 | 4.1× |
| Cortisol saliva (82533) | $68 | $136 | 4.2× |
| Creatine kinase total (82550) | $34 | $68 | 5.2× |
| Creatinine blood (82565) | $34 | $68 | 6.6× |
| Creatinine clearance (82575) | $43.50 | $87 | 4.6× |
| Creatinine Urine (82570) | $34 | $68 | 6.6× |
| Crossmatch electronic (86923) | $335.50 | $671 | 2.1× |
| Crp High Sensitivity (86141) | $66 | $132 | 5.1× |
| Cryoglobulin (82595) | $34 | $68 | 5.3× |
| Cryptococcus ag titer (87899) | $111 | $222 | 6.9× |
| Cryptosporidium ag eia (87328) | $96.50 | $193 | 7.0× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $68.50 | $137 | 8.5× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $68.50 | $137 | 8.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $68.50 | $137 | 8.9× |
| Culture afb (87116) | $82.50 | $165 | 7.6× |
| Culture Anaerobic (87075) | $68.50 | $137 | 7.2× |
| Culture bacteria anaerobic (87073) | $68.50 | $137 | 7.1× |
| Culture blood (87040) | $82.50 | $165 | 8.0× |
| Culture csf (87070) range across 2 matching MRF lines |
$68.50–$115.50 | $137–$231 | varies |
| Culture fungus (87102) | $68.50 | $137 | 8.1× |
| Culture fungus blood (87103) | $138 | $276 | 6.7× |
| Culture screen only (87081) | $55.50 | $111 | 8.4× |
| Culture stool (87045) | $68.50 | $137 | 7.3× |
| Culture urine (87086) | $68.50 | $137 | 8.5× |
| Cyclosporine (80158) | $106 | $212 | 5.9× |
| Cystatin C (82610) | $77.50 | $155 | 4.2× |
| Cytogenetics 10-30 (88273) | $95.50 | $191 | 2.7× |
| Cytogenetics 100-300 (88275) range across 3 matching MRF lines |
$135–$147 | $270–$294 | varies |
| Cytomegalovirus igg (86644) | $66 | $132 | 4.6× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $56 | $112 | 2.8× |
| Cytopath Cell Enhance Tech (88112) | $123 | $246 | 2.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $67 | $134 | 2.5× |
| Cytp Concentration Smears & Interpretation (88108) | $84 | $168 | 2.4× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $123 | $246 | 2.5× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $75 | $150 | 2.1× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $1,310.50 | $2,621 | 8.1× |
| Detect Agent Nos Dna Amp (87798) | $234.50 | $469 | 6.7× |
| Detect Agent Nos Dna Quant (87799) | $441.50 | $883 | 10.3× |
| Detect agnt mult DNA ampli (87801) | $468.50 | $937 | 6.7× |
| Dgp Antibody Each Ig Class (86258) | $48.50 | $97 | 4.0× |
| Dhea (82626) | $102.50 | $205 | 4.1× |
| Dhea-S (82627) | $85.50 | $171 | 3.8× |
| Digoxin (80162) | $44.50 | $89 | 3.4× |
| Dihydrotestosterone (82642) | $112 | $224 | 3.8× |
| Dipropylacetic Acid Free (80165) | $44.50 | $89 | 3.3× |
| Dna Antibody Native/Double Stranded (86225) | $66 | $132 | 4.8× |
| Dna/Rna Amplified Probe (87150) | $206.50 | $413 | 5.9× |
| Dna/Rna Sequencing (87153) | $704 | $1,408 | 6.1× |
| Dpyd gene common variants (81232) | $465 | $930 | 2.7× |
| Drug assay acetaminophen (80143) | $106 | $212 | 5.7× |
| Drug assay adalimumab (80145) | $199.50 | $399 | 5.2× |
| Drug Assay Amiodarone (80151) | $106 | $212 | 5.7× |
| Drug Assay Everolimus (80169) | $140 | $280 | 10.2× |
| Drug Assay Infliximab (80230) | $199.50 | $399 | 5.2× |
| Drug Assay Itraconazole (80189) | $128 | $256 | 4.7× |
| Drug Assay Lacosamide (80235) | $140 | $280 | 5.2× |
| Drug Screen Quant Clozapine (80159) | $117 | $234 | 5.8× |
| Drug Screen Quant Zonisamide (80203) | $81.50 | $163 | 6.2× |
| Drug Screen Quantitative Gabapentin (80171) | $117 | $234 | 5.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $81.50 | $163 | 6.2× |
| Drug Screen Quantitative Levetiracetam (80177) | $81.50 | $163 | 6.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $81.50 | $163 | 6.2× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 4 matching MRF lines |
$63.50–$481.50 | $127–$963 | varies |
| Drug Test Prsmv Instrmnt (80306) range across 2 matching MRF lines |
$77.50–$93.50 | $155–$187 | varies |
| Ehrlichia antibody (86666) | $47 | $94 | 4.6× |
| El-1 Fecal Quantitative (82653) | $128 | $256 | 5.6× |
| Electrolyte panel (80051) | $46.50 | $93 | 6.6× |
| Electron Microscopy (88348) | $1,170.50 | $2,341 | 1.5× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $48.50 | $97 | 4.0× |
| Enterovirus Antibody (86658) | $66 | $132 | 5.1× |
| Enzyme cell activity (82657) | $90 | $180 | 4.1× |
| Erythropoietin (82668) | $77.50 | $155 | 4.1× |
| Estradiol serum (82670) | $112 | $224 | 4.0× |
| Estriol (82677) | $93.50 | $187 | 3.9× |
| Estrogen total (82672) | $85.50 | $171 | 3.9× |
| Ethylene Glycol (82693) | $59.50 | $119 | 4.0× |
| Exam Synovial Fluid Crystals (89060) | $25.50 | $51 | 3.5× |
| F2 Gene (81240) | $145 | $290 | 2.2× |
| Factor ii activity (85210) | $70.50 | $141 | 5.4× |
| Factor ix activity (85250) | $98 | $196 | 5.1× |
| Factor v activity (85220) | $92 | $184 | 5.2× |
| Factor v leiden mutation (81241) | $165 | $330 | 2.2× |
| Factor vii assay (85230) | $110.50 | $221 | 6.2× |
| Factor viii assay (85240) | $92 | $184 | 5.1× |
| Fecal Fat Qualitative (82705) | $34 | $68 | 6.7× |
| Ferritin (82728) | $59.50 | $119 | 4.4× |
| Fetal Fibronectin (82731) | $240 | $480 | 3.7× |
| Fetal screen rosette (85461) | $61 | $122 | 6.5× |
| Fibrin degradation products (85362) | $43 | $86 | 6.2× |
| Fibrin Degradation Quant (85379) | $61 | $122 | 6.0× |
| Fibrinogen activity (85384) | $51.50 | $103 | 5.3× |
| Flecainide level (80181) | $106 | $212 | 5.7× |
| Flow cytometry first marker (88184) range across 4 matching MRF lines |
$140–$705.50 | $280–$1,411 | varies |
| Fluorescent antibody screen (86255) range across 4 matching MRF lines |
$56.50–$113.50 | $113–$227 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 2 matching MRF lines |
$56.50–$180.50 | $113–$361 | varies |
| Fmr1 Gene Charac Alleles (81244) | $100 | $200 | 2.2× |
| Fmr1 gene detection (81243) | $125 | $250 | 2.2× |
| Folic acid rbc (82747) | $77.50 | $155 | 4.4× |
| Folic Acid Serum (82746) | $59.50 | $119 | 4.0× |
| Follicle Stimulating Hormone (83001) | $77.50 | $155 | 4.2× |
| Francisella tularensis (86668) | $66 | $132 | 4.7× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $200.50 | $401 | 1.2× |
| Frozen Section (88331) | $364 | $728 | 2.3× |
| Fungi Identification Yeast (87106) | $82.50 | $165 | 8.0× |
| Gammaglobulin ige (82785) | $68 | $136 | 4.1× |
| Gases blood ph only (82800) | $53.50 | $107 | 4.9× |
| Gastrin (82941) | $77.50 | $155 | 4.4× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $2,473.50 | $4,947 | 5.9× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $4,410 | $8,820 | 5.8× |
| Gentamicin (80170) | $51 | $102 | 3.1× |
| Ggt (82977) | $34 | $68 | 4.7× |
| Giardia antigen (87329) | $82.50 | $165 | 6.9× |
| Glucagon (82943) | $59.50 | $119 | 4.2× |
| Glucose 2 hr pp (82950) | $25 | $50 | 5.3× |
| Glucose Blood Test (82962) | $25 | $50 | 7.6× |
| Glucose body fluid (82945) | $25 | $50 | 6.4× |
| Glucose Serum (82947) | $25 | $50 | 6.4× |
| Glucose tolerance test (gtt) (82951) | $59.50 | $119 | 4.6× |
| Gonadotropin Chorionic Qualitative (84703) | $43.50 | $87 | 5.8× |
| Growth hormone (83003) | $68 | $136 | 4.1× |
| Gtt-added samples (82952) | $25 | $50 | 6.4× |
| H Pylori (C-13) Breath (83013) | $248.50 | $497 | 3.7× |
| Haptoglobin (83010) | $59.50 | $119 | 4.7× |
| Hbb Gene Com Variants (81361) | $420 | $840 | 2.4× |
| Hdl Cholesterol (83718) | $43.50 | $87 | 5.3× |
| Helicobacter Pylori Stool (87338) | $96.50 | $193 | 6.7× |
| Hematocrit (85014) range across 2 matching MRF lines |
$20.50–$55 | $41–$110 | varies |
| Hemoglobin (85018) | $20.50 | $41 | 8.6× |
| Hemoglobin a1c (83036) | $43.50 | $87 | 4.5× |
| Hemoglobin electrophoresis (83020) | $59.50 | $119 | 4.6× |
| Hemoglobin Methemoglobin Quantitative (83050) | $43.50 | $87 | 5.3× |
| Hep a ab igm (86709) | $56.50 | $113 | 5.0× |
| Heparin assay (85520) | $70.50 | $141 | 5.4× |
| Hepatitis a antibody total (86708) | $56.50 | $113 | 4.6× |
| Hepatitis b core ab igm (86705) | $56.50 | $113 | 4.8× |
| Hepatitis b core ab total (86704) | $56.50 | $113 | 4.7× |
| Hepatitis B Surface Antibody (86706) | $56.50 | $113 | 5.3× |
| Hepatitis B Surface Antigen (87340) | $82.50 | $165 | 8.0× |
| Hepatitis Be Antibody (86707) | $56.50 | $113 | 4.9× |
| Hepatitis Be Antigen (87350) | $82.50 | $165 | 7.2× |
| Hepatitis C Antibody (86803) | $66 | $132 | 4.6× |
| Hepatitis C Genotype (87902) | $1,533 | $3,066 | 6.0× |
| Hepatitis C Revrs Trnscrpj (87522) | $276.50 | $553 | 6.5× |
| Herpes simplex type 2 (86696) | $85.50 | $171 | 4.4× |
| Heterophile Antibody Screen (86308) | $38 | $76 | 7.3× |
| Hfe Gene (81256) | $145 | $290 | 2.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $191.50 | $383 | 24.8× |
| Histamine urine (83088) | $297.50 | $595 | 10.1× |
| Histoplasma antibody (86698) | $66 | $132 | 4.8× |
| Hiv Antigen W/Hiv Antibodies (87806) | $206.50 | $413 | 6.3× |
| Hiv Genotype (87901) | $1,533 | $3,066 | 6.0× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $152 | $304 | 6.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $525 | $1,050 | 6.2× |
| Hla class ii high defin qual (86833) | $1,332.50 | $2,665 | 4.1× |
| Hla class ii typing high resolution one locus ea (81382) | $911 | $1,822 | 7.4× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $165 | $330 | 2.2× |
| Hla ii type 1 ag equiv lr (81377) | $205 | $410 | 2.2× |
| Homocysteine (83090) | $77.50 | $155 | 4.3× |
| Homogenization Tissue (87176) | $55.50 | $111 | 9.4× |
| Hpv High-Risk Types (87624) | $234.50 | $469 | 6.7× |
| Hpv Types 16 & 18 Only (87625) | $262.50 | $525 | 6.5× |
| Hsv Dna Amp Probe (87529) | $234.50 | $469 | 6.7× |
| Hydroxyprogesterone 17-d (83498) | $102.50 | $205 | 3.8× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $152 | $304 | 4.3× |
| Iaad ia shiga-like toxin (87427) | $82.50 | $165 | 6.9× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $209.50 | $419 | 6.0× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $199.50 | $399 | 5.7× |
| Iadna Cytomegalovirus Quantification (87497) | $276.50 | $553 | 6.5× |
| Iadna Hepatitis B Virus Quantification (87517) | $456.50 | $913 | 10.7× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $262.50 | $525 | 6.3× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $234.50 | $469 | 6.7× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $248.50 | $497 | 4.8× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $870.50 | $1,741 | 6.1× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $1,450.50 | $2,901 | 5.5× |
| Ig Light Chains Free Each (83521) | $68 | $136 | 3.9× |
| Igg subclasses (82787) | $43.50 | $87 | 5.4× |
| Igh gene rearrange amp meth (81261) | $430 | $860 | 2.2× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) range across 2 matching MRF lines |
$635–$710 | $1,270–$1,420 | varies |
| Igk rearrangeabn clonal pop (81264) | $375 | $750 | 2.2× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $728 | $1,456 | 2.1× |
| Immunfix e-phorsis/urine/csf (86335) | $123.50 | $247 | 4.2× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 4 matching MRF lines |
$77.50–$771.50 | $155–$1,543 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $66 | $132 | 4.4× |
| Immunoassay nonantibody (83516) | $196.50 | $393 | 17.0× |
| Immunodiffusion Ouchterlony (86331) | $56.50 | $113 | 4.7× |
| Immunofixation electrophoresis (86334) | $95 | $190 | 4.3× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $470.50 | $941 | 2.9× |
| Immunohistochemistry (88342) range across 3 matching MRF lines |
$140–$353 | $280–$706 | varies |
| In situ hybridization 1st probe stain (88365) range across 2 matching MRF lines |
$196–$353 | $392–$706 | varies |
| Influenza DNA amp probe (87502) | $580 | $1,160 | 6.1× |
| Inhibin A (86336) | $76.50 | $153 | 4.9× |
| Inhibin b (83520) range across 3 matching MRF lines |
$68–$128 | $136–$256 | varies |
| Insitu hybridization manual (88368) | $605 | $1,210 | 1.8× |
| Insulin antibodies (86337) | $95 | $190 | 4.4× |
| Insulin free (83527) | $59.50 | $119 | 4.6× |
| Insulin total (83525) | $51.50 | $103 | 4.5× |
| Interleukin-6 (83529) | $42.50 | $85 | 2.5× |
| Intrinsic factor antibody (86340) | $76.50 | $153 | 5.1× |
| Iron (83540) | $34 | $68 | 5.3× |
| Iron Binding Capacity (83550) | $43.50 | $87 | 5.0× |
| Islet cell antibody (86341) range across 2 matching MRF lines |
$104.50–$364.50 | $209–$729 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$200–$240 | $400–$480 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) | $405 | $810 | 2.2× |
| Lactate (ld) (ldh) enzyme (83615) | $34 | $68 | 5.6× |
| Lactoferrin Fecal Quantitative (83631) | $77.50 | $155 | 3.9× |
| Ldh Isoenzymes (83625) | $59.50 | $119 | 4.7× |
| LDL direct (83721) | $51.50 | $103 | 4.9× |
| Lead (83655) | $51.50 | $103 | 4.3× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$82.50–$276.50 | $165–$553 | varies |
| Leukocyte Assessment Fecal (89055) | $20.50 | $41 | 4.8× |
| Level I Surg Pathology Gross Examination Only (88300) | $39 | $78 | 1.4× |
| Level ii surg pathology grossµscopic exam (88302) | $61.50 | $123 | 1.7× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $453.50 | $907 | 1.3× |
| Lipase (83690) | $34 | $68 | 4.9× |
| Lipoprotein A (83695) | $59.50 | $119 | 4.2× |
| Lipoprotein Bld Quan Part (83704) | $135 | $270 | 3.9× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $162 | $324 | 3.5× |
| Lithium (80178) | $25.50 | $51 | 3.9× |
| Luteinizing Hormone (Lh) (83002) | $77.50 | $155 | 4.2× |
| Lyme disease antibody (86618) | $76.50 | $153 | 4.5× |
| Lysozyme serum (85549) | $92 | $184 | 4.9× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $756 | $1,512 | 4.7× |
| M/phmtrc alys ishquant/semiq (88374) range across 2 matching MRF lines |
$325–$369.50 | $650–$739 | varies |
| Macroscopic exam arthropod (87168) | $36.50 | $73 | 8.5× |
| Magnesium Urine (83735) | $34 | $68 | 5.1× |
| Mass Spectrometry Quant (83789) | $93.50 | $187 | 3.9× |
| Mercury urine (83825) | $68 | $136 | 4.2× |
| Metabolic panel ionized ca (80047) | $111 | $222 | 8.1× |
| Methotrexate (80204) | $234.50 | $469 | 6.1× |
| Methylmalonic acid serum (83921) | $85.50 | $171 | 4.0× |
| Microalbumin, quantitative (82043) | $34 | $68 | 5.9× |
| Microsomal Antibodies Each (86376) | $66 | $132 | 4.5× |
| Mitochondrial Antibody Each (86381) | $104.50 | $209 | 4.1× |
| Mlh1 Gene Analysis Duplication/Deletion Variants (81294) | $435 | $870 | 2.1× |
| Mlh1 Gene Analysis Full Sequence Analysis (81292) | $1,450 | $2,900 | 2.1× |
| Mog-Igg1 Antb Cba Each (86362) | $1,045.50 | $2,091 | 86.8× |
| Molecular Cytogenetics Dna Probe Each (88271) range across 2 matching MRF lines |
$64–$211.50 | $128–$423 | varies |
| Mononuclear cell antigen (86356) | $113.50 | $227 | 4.2× |
| Mopath procedure level 1 (81400) range across 3 matching MRF lines |
$140–$210 | $280–$420 | varies |
| Mopath procedure level 2 (81401) | $295 | $590 | 2.2× |
| Mopath procedure level 4 (81403) range across 4 matching MRF lines |
$175–$590 | $350–$1,180 | varies |
| Mpl gene common variants (81338) | $330 | $660 | 2.2× |
| Mrsa Pcr (87641) | $234.50 | $469 | 6.7× |
| Msh2 Gene Analysis Duplication/Deletion Variants (81297) | $465 | $930 | 2.2× |
| Msh2 Gene Analysis Full Sequence Analysis (81295) | $820 | $1,640 | 2.1× |
| Msh6 Gene Analysis Duplication/Deletion Varia (81300) | $515 | $1,030 | 2.2× |
| Msh6 Gene Analysis Full Sequence Analysis (81298) | $1,375 | $2,750 | 2.1× |
| Mthfr Gene Analysis Common Variants (81291) | $145 | $290 | 2.2× |
| Mumps antibody (86735) | $66 | $132 | 5.1× |
| Muscle-Specific Kinase Antb (86366) | $916 | $1,832 | 49.8× |
| Mycobacteric Identification (87118) | $525 | $1,050 | 35.9× |
| Mycophenolic Acid (80180) | $106 | $212 | 5.9× |
| Mycoplasma antibody (86738) | $66 | $132 | 5.0× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $385 | $770 | 2.2× |
| Myelin basic protein csf (83873) | $68 | $136 | 4.0× |
| Myoglobin urine (83874) | $59.50 | $119 | 4.6× |
| Natriuretic peptide (83880) | $154 | $308 | 3.9× |
| Neutralization Test Viral (86382) | $214.50 | $429 | 12.7× |
| Nfct ds chrnc hcv 6 assays (81596) | $205 | $410 | 2.8× |
| Nfct Gexyp Dna/Rna Hiv 1 Other Region (87906) | $773 | $1,546 | 6.0× |
| Nk cells total count (86357) | $171 | $342 | 4.5× |
| Nuclear antigen antibody (86235) range across 2 matching MRF lines |
$85.50–$219 | $171–$438 | varies |
| Occult Blood Other Sources (82271) | $34 | $68 | 6.4× |
| Oligoclonal bands (83916) | $102.50 | $205 | 3.7× |
| Organic Acids Qualitative Each Specimen (83919) | $129.50 | $259 | 7.9× |
| Osmolality serum (83930) | $34 | $68 | 5.1× |
| Osmolality Urine (83935) | $34 | $68 | 5.0× |
| Osteocalcin (83937) | $112 | $224 | 3.8× |
| Ova and parasites smears (87177) | $68.50 | $137 | 7.7× |
| Oxalate urine (83945) | $59.50 | $119 | 4.1× |
| Parvovirus antibody (86747) | $67.50 | $135 | 4.5× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,573.50 | $3,147 | 2.1× |
| Ph urine (81003) | $20 | $40 | 8.9× |
| Phenobarbital Level (80184) | $60.50 | $121 | 4.0× |
| Phenotype Infect Agent Drug (87900) | $787 | $1,574 | 6.0× |
| Phenylalanine (84030) | $206 | $412 | 37.5× |
| Phenytoin (Dilantin) (80185) | $44.50 | $89 | 3.4× |
| Phenytoin free (80186) | $44.50 | $89 | 3.2× |
| Phosphatase acid prostatic (84066) | $43.50 | $87 | 4.5× |
| Phosphatase alkaline (84075) | $34 | $68 | 6.6× |
| Phospholipid Neutralization Hexagonal (85598) | $92 | $184 | 5.1× |
| Phosphorus Serum (84100) | $25 | $50 | 5.3× |
| Phosphorus urine (84105) | $72.50 | $145 | 12.5× |
| Platelet Antibodies (86022) range across 3 matching MRF lines |
$95–$504 | $190–$1,008 | varies |
| Platelet count automated (85049) | $30 | $60 | 6.7× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $500 | $1,000 | 2.4× |
| Pms2 Gene Analysis Duplication/Deletion Variants (81319) | $440 | $880 | 2.2× |
| Pms2 gene full seq analysis (81317) | $1,450 | $2,900 | 2.1× |
| Potassium Urine (84133) | $25 | $50 | 5.3× |
| Prealbumin (84134) | $59.50 | $119 | 4.1× |
| Pregnenolone (84140) | $85.50 | $171 | 4.1× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $214.50 | $429 | 1.3× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $70.50 | $141 | 1.3× |
| Pretx serum rbc antibody identification dilution (86976) | $47 | $94 | 1.7× |
| Procalcitonin (Pct) (84145) | $171.50 | $343 | 6.3× |
| Progesterone (84144) | $85.50 | $171 | 4.1× |
| Prolactin (84146) | $77.50 | $155 | 4.0× |
| Protein body fluid (84157) | $25 | $50 | 6.3× |
| Protein C Activity (85303) | $70.50 | $141 | 5.1× |
| Protein c antigen (85302) | $61 | $122 | 5.1× |
| Protein Electrophoresis Urine (84166) | $77.50 | $155 | 4.3× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $51.50 | $103 | 4.8× |
| Protein S Free (85306) | $80.50 | $161 | 5.3× |
| Protein s total (85305) | $61 | $122 | 5.3× |
| Protein total serum (84155) | $25 | $50 | 6.8× |
| Protein Total Urine (84156) | $25 | $50 | 6.8× |
| Protein Western Blot Test (84182) | $56 | $112 | 1.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $30 | $60 | 7.6× |
| PSA free (84154) | $77.50 | $155 | 4.2× |
| Pth Intact (83970) | $162 | $324 | 3.9× |
| Quantiferon tb gold plus (86480) | $255.50 | $511 | 4.1× |
| Quantitative assay drug (80299) | $58 | $116 | 3.1× |
| Rbc antibody elution (86860) | $111.50 | $223 | 0.7× |
| Rbc antibody identification (86870) range across 2 matching MRF lines |
$100–$477 | $200–$954 | varies |
| Rbc antibody screen (86850) range across 2 matching MRF lines |
$35.50–$64.50 | $71–$129 | varies |
| Rbc pretreatment serum (86978) | $147 | $294 | 2.6× |
| Rbc pretx incubatj w/enzymes (86971) | $29 | $58 | 0.2× |
| Renin activity plasma (84244) | $85.50 | $171 | 3.9× |
| Reticulated Platelet Assay (85055) | $172.50 | $345 | 4.8× |
| Reticulocyte Count (85046) | $40 | $80 | 7.2× |
| Reticulocyte separation (86972) | $170.50 | $341 | 1.1× |
| Rh (86901) range across 2 matching MRF lines |
$17.50–$29 | $35–$58 | varies |
| Rheumatoid factor quant (86431) | $38 | $76 | 6.7× |
| Ristocetin cofactor (85245) | $110.50 | $221 | 4.8× |
| Rotavirus ag eia (87425) | $82.50 | $165 | 6.9× |
| Rpr qualitative (86592) | $28.50 | $57 | 6.7× |
| Rubella Antibody (86762) | $66 | $132 | 4.6× |
| Rubeola antibody (86765) | $66 | $132 | 5.1× |
| Russell Viper Venom Time Diluted (85613) | $51.50 | $103 | 5.4× |
| Salicylate Level (80179) | $106 | $212 | 5.7× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $257.50 | $515 | 5.0× |
| Sars-cov-2 COVID-19 antibody (86769) | $104.50 | $209 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $398.50 | $797 | 2.8× |
| Sedimentation rate (85651) | $30 | $60 | 7.0× |
| Sedimentation Rate, Automated (85652) | $30 | $60 | 11.1× |
| Selenium (84255) | $102.50 | $205 | 4.0× |
| Semen Anal Sperm Detection (89321) | $38.50 | $77 | 3.2× |
| Sensitivity mic (87186) | $68.50 | $137 | 7.9× |
| Sex Hormone Binding Globulin (84270) | $85.50 | $171 | 3.9× |
| Sirolimus (80195) | $44.50 | $89 | 3.2× |
| Smear acid fast (87206) | $55.50 | $111 | 10.3× |
| Smear complex stain (87209) | $124 | $248 | 6.9× |
| Smear gram stain (87205) | $41.50 | $83 | 9.7× |
| Smn1 Gene Dos/Deletion Alys (81329) | $268 | $536 | 2.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $55.50 | $111 | 9.5× |
| Sodium Serum (84295) range across 2 matching MRF lines |
$25–$72.50 | $50–$145 | varies |
| Sodium Urine (84300) | $34 | $68 | 6.7× |
| Somatomedin (84305) | $85.50 | $171 | 4.0× |
| Special Stains Group 1 (88312) | $123 | $246 | 2.5× |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$84–$385 | $168–$770 | varies |
| Specimen infect agnt concntj (87015) | $55.50 | $111 | 8.3× |
| Staph a DNA amp probe (87640) | $234.50 | $469 | 6.7× |
| Stool cultr aerobic bact ea (87046) | $68.50 | $137 | 7.3× |
| Strep a assay w/optic (87880) | $111 | $222 | 6.7× |
| Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) | $76.50 | $153 | 0.8× |
| Sugars Single Qual (84376) | $34 | $68 | 6.2× |
| Surg path level iii (88304) | $129 | $258 | 2.6× |
| Surgical pathology level IV (88305) range across 3 matching MRF lines |
$73–$301.50 | $146–$603 | varies |
| Surgical pathology level vi (88309) | $633 | $1,266 | 0.8× |
| Susceptibility Study Antimicrobial Disk Method (87184) range across 2 matching MRF lines |
$55.50–$111 | $111–$222 | varies |
| Syphilis Test Non-Trep Quant (86593) | $28.50 | $57 | 6.5× |
| T cells absolute cd4 count (86361) | $113.50 | $227 | 4.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $199 | $398 | 4.2× |
| T cells total count (86359) | $171 | $342 | 4.5× |
| T3 Free (84481) | $68 | $136 | 4.0× |
| T3 reverse (84482) | $68 | $136 | 4.3× |
| T3 Total (84480) | $59.50 | $119 | 4.2× |
| T3 Uptake (84479) | $48 | $96 | 7.4× |
| T4 Free (84439) | $43.50 | $87 | 4.8× |
| T4 total (84436) | $36 | $72 | 5.2× |
| Tacrolimus (80197) | $44.50 | $89 | 3.2× |
| Testosterone total (84403) | $102.50 | $205 | 4.0× |
| Testosterone, Free (84402) | $102.50 | $205 | 4.0× |
| Theophylline (80198) | $44.50 | $89 | 3.1× |
| Thrombin Time (85670) | $40 | $80 | 6.9× |
| Thromboplastin Inhibition Tissue (85705) | $51.50 | $103 | 5.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $40 | $80 | 6.2× |
| Thyroglobulin (84432) | $68 | $136 | 4.2× |
| Thyroglobulin Antibody (86800) | $76.50 | $153 | 4.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $196.50 | $393 | 3.9× |
| Thyroxine binding globulin (84442) | $59.50 | $119 | 4.0× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $48.50 | $97 | 4.2× |
| Tissue culture bone marrow (88237) range across 2 matching MRF lines |
$371.50–$404 | $743–$808 | varies |
| Tobramycin peak (80200) | $51 | $102 | 3.2× |
| Topiramate (80201) | $38.50 | $77 | 3.2× |
| Toxoplasma ab igm (86778) | $66 | $132 | 4.6× |
| Tp53 gene analysis targeted sequence analysis (81352) range across 2 matching MRF lines |
$735–$860 | $1,470–$1,720 | varies |
| Transferase Aspartate Amino Ast Sgot (84450) | $34 | $68 | 6.6× |
| Transferrin (84466) | $59.50 | $119 | 4.7× |
| Trb@ Rearrangement Anal Amplification Method (81340) | $450 | $900 | 2.2× |
| Trg gene rearrangement anal (81342) | $435 | $870 | 2.2× |
| Trichomonas Vaginalis Amplif (87661) | $234.50 | $469 | 6.7× |
| Triglycerides (84478) | $34 | $68 | 5.9× |
| Troponin Quant (84484) | $51.50 | $103 | 4.1× |
| Tumor immunohistochem/comput (88361) | $717 | $1,434 | 2.1× |
| Tumor Immunohistochem/Manual (88360) range across 2 matching MRF lines |
$234–$353 | $468–$706 | varies |
| Ugt1a1 gene analysis common variants (81350) range across 2 matching MRF lines |
$470–$560 | $940–$1,120 | varies |
| Urea nitrogen urine (84540) | $34 | $68 | 6.1× |
| Uric acid other source (84560) | $34 | $68 | 6.7× |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $20 | $40 | 9.2× |
| Urinalysis Volume Measure (81050) | $29.50 | $59 | 8.1× |
| Urine Bacteria Culture (87088) | $68.50 | $137 | 8.5× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $29.50 | $59 | 9.3× |
| Valproic acid (80164) | $44.50 | $89 | 3.3× |
| Vancomycin (80202) | $44.50 | $89 | 3.3× |
| Varicella-zoster antibody (86787) | $66 | $132 | 5.1× |
| Viral Culture (87252) | $146 | $292 | 5.6× |
| Viscosity serum (85810) | $61 | $122 | 5.2× |
| Vit D 1 25-Dihydroxy (82652) | $154 | $308 | 4.0× |
| Vitamin A (84590) | $51.50 | $103 | 4.4× |
| Vitamin b-12 (82607) | $68 | $136 | 4.5× |
| Vitamin B2 (Riboflavin) (84252) | $85.50 | $171 | 4.2× |
| Vitamin B6 (84207) | $112 | $224 | 4.0× |
| Vitamin c (82180) | $50 | $100 | 5.1× |
| Vitamin D 25-Hydroxy (82306) | $112 | $224 | 3.8× |
| Vitamin E (84446) | $59.50 | $119 | 4.2× |
| Vitamin K (84597) | $59.50 | $119 | 4.3× |
| Volatiles (84600) | $72 | $144 | 4.2× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $76.50 | $153 | 6.3× |
| Von willebrand factor ag (85246) | $110.50 | $221 | 4.8× |
| Western Blot Test (84181) | $68 | $136 | 4.0× |
| Zinc (84630) | $51.50 | $103 | 4.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.