Lab & pathology prices at Danbury Hospital

Danbury, CT · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17-Hydroxypregnenolone (84143) $107 $107 4.7×
5 Nucleotidase (83915) $52 $52 4.7×
Abl1 gene analysis kinase domain variants (81170) $1,275 $1,275 4.3×
Acetylcholine receptor binding antibody (86041) $82 $82 4.5×
Acetylcholine receptor blocking antibody (86042) $82 $82 4.5×
Acetylcholn Rcptr Modlg Antb (86043) $53 $53 4.4×
Acth (82024) $181 $181 4.7×
Acute hepatitis panel (80074) $216 $216 4.5×
Acylcarnitines Quant (82017)
range across 2 matching MRF lines
$79–$161 $79–$161 varies
Adenovirus antibody (86603) $57 $57 4.4×
Afp-l3 fraction isoform & total afp w/ratio (82107) $303 $303 4.7×
Agglutinins Febrile Each Antigen (86000) $31 $31 4.4×
Albumin Fluid (82042) $36 $36 4.6×
Albumin serum (82040) $22 $22 4.4×
Aldolase (82085) $45 $45 4.6×
Aldosterone urine (82088)
range across 2 matching MRF lines
$35–$192 $35–$192 varies
Alkaline phosphatase isoenzymes (84080) $69 $69 4.7×
Allergen specific ige (86003)
range across 3 matching MRF lines
$8–$22 $8–$22 varies
Allergen specific igg (86001) $34 $34 4.3×
Allg Spec Ige Recomb Ea (86008) $80 $80 4.5×
Alpha-1-antitrypsin phenotype (82104) $67 $67 4.6×
Alpha-1-antitrypsin total (82103) $63 $63 4.7×
Alpha-Fetoprotein Amniotic Fluid (82106) $80 $80 4.7×
Alpha-Fetoprotein Serum (82105) $79 $79 4.7×
Alt (sgpt) (84460) $25 $25 4.7×
Aluminum (82108) $120 $120 4.7×
Amikacin trough (80150) $60 $60 4.0×
Amino Acids 1 Quantitative Each Specimen (82131) $108 $108 4.7×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $79 $79 4.7×
Amino Acids Multiple Qualitative Each Specimen (82128) $65 $65 4.7×
Amino Acids Quant 2-5 (82136) $91 $91 4.6×
Aminolevulinic acid (ala) (82135) $77 $77 4.7×
Ammonia (82140) $68 $68 4.7×
Amniotic fluid protein test on cervicovaginal fluid (84112) $462 $462 4.7×
Amylase urine (82150) $30 $30 4.6×
Ana Titer (86039) $50 $50 4.5×
Anca screen each antibody (86036)
range across 2 matching MRF lines
$50–$53 $50–$53 varies
Androstenedione (82157) $137 $137 4.7×
Angiotensin converting enzyme csf (82164) $68 $68 4.7×
Anti-Phospholipid Antibody (86148) $72 $72 4.5×
Antibody aspergillus (86606) $66 $66 4.4×
Antibody Bacterium Not Elsewhere Specified (86609) $57 $57 4.4×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $68 $68 4.4×
Antibody Cytomegalovirus Cmv Igm (86645) $75 $75 4.5×
Antibody Encephalitis California La Crosse (86651) $58 $58 4.4×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $58 $58 4.4×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $67 $67 4.4×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $80 $80 4.4×
Antibody Fungus Not Elsewhere Specified (86671) $54 $54 4.4×
Antibody haemophilus influenza (86684) $70 $70 4.4×
Antibody Herpes Smplx Non-Specific Type Test (86694) $63 $63 4.4×
Antibody Herpes Smplx Type 1 (86695) $58 $58 4.4×
Antibody HIV-2 (86702) $60 $60 4.4×
Antibody htlv/HIV antibody confirmatory test (86689) $86 $86 4.4×
Antibody identification leukocyte antibodies (86021) $66 $66 4.4×
Antibody Protozoa Nes (86753) $55 $55 4.4×
Antibody Titer (86886) $246 $246 47.5×
Antibody Treponema Pallidum (86780) $45 $45 3.4×
Antibody yersinia (86793) $58 $58 4.4×
Antibody; encephalitis, st. louis (86653) $58 $58 4.4×
Antibody; influenza virus (86710) $60 $60 4.4×
Antigen typing (86905) $517 $517 135.0×
Antinomyces antibody (86602) $44 $44 4.3×
Antistreptolysin O Screen (86063) $26 $26 4.5×
Antistreptolysin o titer (86060) $32 $32 4.4×
Antithrombin iii activity (85300) $58 $58 4.9×
Apolipoprotein a1 (82172) $99 $99 4.7×
Arsenic (82175) $89 $89 4.7×
Aspa gene analysis common variants (81200) $201 $201 4.3×
Aspergillus ag eia (87305)
range across 3 matching MRF lines
$36–$100 $36–$100 varies
Assay activated protein c (85307) $76 $76 5.0×
Assay Blood Carbon Dioxide (82374) $22 $22 4.5×
Assay Nephelometry Not Spec (83883) $63 $63 4.6×
Assay of 5-hiaa (83497) $60 $60 4.7×
Assay of anti-mullerian hormone (82166) $181 $181 4.7×
Assay of b-hexosaminidase each assay (83080) $79 $79 4.7×
Assay of blood/uric acid (84550) $20 $20 4.4×
Assay of calcium in urine (82340) $28 $28 4.6×
Assay of estrone (82679) $117 $117 4.7×
Assay of g6pd enzyme (82955) $45 $45 4.6×
Assay of gammaglobulin igm (82784) $43 $43 4.6×
Assay of lactic acid (83605) $54 $54 4.7×
Assay of manganese (83785) $125 $125 4.7×
Assay of metanephrines (83835) $79 $79 4.7×
Assay of proinsulin (84206) $125 $125 4.7×
Assay of pyruvate (84210) $67 $67 4.6×
Assay of semen fructose (82757) $81 $81 4.7×
Assay of serotonin (84260) $51 $51 1.6×
Assay of serum potassium (84132) $21 $21 4.4×
Assay of Sialic Acid (84275) $63 $63 4.7×
Assay of sweat sodium (84302) $22 $22 4.5×
Assay of transcortin (84449) $84 $84 4.7×
Assay of urea nitrogen (84520) $18 $18 4.6×
Assay of urine vma (84585) $73 $73 4.7×
Assay of vasoactive intestinal peptide (84586) $165 $165 4.7×
Assay of vitamin b-1 (84425) $48 $48 2.3×
Assay Ph Body Fluid Nos (83986) $16 $16 4.5×
Assay spec xcp ur&breath ia (82077) $81 $81 4.7×
Autol Bld/Component Collj Storage Predeposited (86890) $246 $246 1.2×
Automated Leukocyte Count (85048) $12 $12 4.7×
B cells total count (86355) $168 $168 4.5×
Babesia microti amp prb (87469) $107 $107 3.0×
Bartonella antibody (86611)
range across 4 matching MRF lines
$44–$76 $44–$76 varies
Bcr/abl1 gene major bp (81206) $283 $283 1.7×
Bcr/abl1 gene minor bp (81207) $615 $615 4.2×
Beta 2 glycoprotein i antibody each (86146)
range across 3 matching MRF lines
$35–$113 $35–$113 varies
Beta hydroxybutyrate (82010) $38 $38 4.7×
Beta Lactamase (87185) $14 $14 2.9×
Beta-2 Microglobulin (82232) $76 $76 4.7×
Bile acids total (82239) $80 $80 4.7×
Bilirubin direct (82248) $24 $24 4.8×
Bilirubin total (82247) $24 $24 4.8×
Biotinidase (82261) $79 $79 4.7×
Blood Count Manual Cell Count Each (85032) $21 $21 4.9×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $18 $18 4.7×
Blood gas (82803) $123 $123 4.7×
Blood gases w/02 saturation (82805) $370 $370 4.7×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $20 $20 4.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $517 $517 81.4×
Blood typing serologic abo (86900) $183 $183 61.2×
Body fluid cell count (89050) $18 $18 3.8×
Bone marrow smear interpretation (85097) $2,858 $2,858 3.0×
Bordetella antibody (86615) $58 $58 4.4×
Brucella antibody (86622) $39 $39 4.4×
C diff amplified probe (87493) $113 $113 3.0×
C-Peptide (84681) $98 $98 4.7×
C-reactive protein (86140) $22 $22 4.2×
Ca 19-9 (86301) $92 $92 4.4×
Cadmium (82300) $111 $111 4.7×
Caffeine (80155) $220 $220 5.7×
Calcitonin (82308) $126 $126 4.7×
Calcium ionized (82330) $64 $64 4.7×
Calcium total (82310) $24 $24 4.7×
Calculus assay quant (82360) $60 $60 4.7×
Calculus Spectroscopy (82365) $60 $60 4.7×
Calprotectin Fecal (83993) $92 $92 4.7×
Calr gene com variants (81219) $374 $374 3.1×
Cancer Antigen 125 (86304) $92 $92 4.4×
Cancer Antigen 27.29 (86300) $92 $92 4.4×
Candida antibody (86628) $53 $53 4.4×
Candida Dna Dir Probe (87480) $61 $61 3.0×
Carbamazepine free (80157) $53 $53 4.0×
Carbamazepine total (80156) $58 $58 4.0×
Carboxyhemoglobin (82375) $58 $58 4.7×
Carcinoembryonic antigen (82378) $89 $89 4.7×
Cardiolipin ab iga (86147) $113 $113 4.4×
Carnitine Quantitative Each Specimen (82379) $79 $79 4.7×
Carotene (82380) $43 $43 4.7×
Catecholamines fractionated (82384) $76 $76 3.0×
Ccp antibody (86200) $57 $57 4.4×
Cell count csf (89051) $21 $21 3.8×
Cellular Function Assay Stimul&Detect Biomarke (86352) $605 $605 4.5×
Ceruloplasmin (82390) $50 $50 4.7×
Cftr gene com variants (81220) $1,742 $1,742 3.1×
Chemiluminescent assay (82397) $66 $66 4.7×
Chlamydia antibody (86631) $52 $52 4.4×
Chlamydia Igm Antibody (86632) $56 $56 4.4×
Chloride other source (82438) $24 $24 4.8×
Chloride Serum (82435) $21 $21 4.6×
Chloride urine (82436) $27 $27 4.7×
Cholesterol total (82465) $20 $20 4.6×
Cholinesterase Serum (82480) $37 $37 4.7×
Chorionic gonadotropin test (84702) $70 $70 4.7×
Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) $754 $754 4.0×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $107 $107 4.0×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $133 $133 4.0×
Chromium serum (82495) $96 $96 4.7×
Chromogranin a (86316)
range across 2 matching MRF lines
$65–$92 $65–$92 varies
Chromosome analys amniotic (88269) $694 $694 4.0×
Chromosome Analysis 15-20 (88262) $502 $502 4.0×
Chromosome Analysis 20-25 (88264) $578 $578 4.0×
Chromosome analysis, 5 (88261) $1,057 $1,057 4.0×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $107 $107 3.0×
Citric acid urine (82507) $130 $130 4.7×
Ckmb (82553) $54 $54 4.7×
Clostridium Difficile (87324) $36 $36 3.0×
Clot Factor VIII Multimetric (85247) $113 $113 4.9×
Clot factor xiii fibrin stab (85290) $114 $114 7.0×
Clot retraction (85170) $81 $81 5.0×
Clotting factor xii hageman (85280) $96 $96 5.0×
Clotting Funct Activity (85397) $153 $153 5.0×
Coagulation time activated (85347) $20 $20 4.7×
Coccidioides antibody (86635) $51 $51 4.4×
Cold agglutinin screen (86156) $35 $35 4.3×
Cold agglutinin titer (86157) $35 $35 4.3×
Collagen crosslinks (82523)
range across 5 matching MRF lines
$49–$87 $49–$87 varies
Column Chromotography Quant (82542) $113 $113 4.7×
Compatibility test antiglob (86922) $246 $246 1.2×
Complement Antigen Each Component (86160)
range across 9 matching MRF lines
$48–$53 $48–$53 varies
Complement Total (Ch50) (86162) $40 $40 2.0×
Complement/Function Activity (86161) $53 $53 4.4×
Coombs direct (86880) $87 $87 16.1×
Copper urine (82525) $58 $58 4.7×
Cortisol free (82530) $78 $78 4.7×
Cortisol saliva (82533) $77 $77 4.7×
Creatine kinase total (82550) $49 $49 7.5×
Creatinine blood (82565) $24 $24 4.7×
Creatinine clearance (82575) $44 $44 4.7×
Creatinine Urine (82570)
range across 2 matching MRF lines
$24–$87 $24–$87 varies
Crossmatch electronic (86923) $246 $246 1.2×
Crossmatch immediate spin (86920) $246 $246 1.2×
Crp High Sensitivity (86141) $57 $57 4.4×
Cryofibrinogen (82585) $66 $66 4.7×
Cryoglobulin (82595) $30 $30 4.6×
Cryptococcus ag titer (87899) $49 $49 3.0×
Cryptosporidium ag eia (87328) $41 $41 3.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $25 $25 3.1×
Cul fngi mold/yeast prsmptv id skn hair/nail (87101) $24 $24 3.1×
Culture aerobic quant other (87071) $30 $30 3.0×
Culture afb (87116)
range across 2 matching MRF lines
$33–$391 $33–$391 varies
Culture Anaerobic (87075) $29 $29 3.1×
Culture blood (87040) $31 $31 3.0×
Culture chlamydia (87110) $59 $59 3.0×
Culture csf (87070) $26 $26 3.0×
Culture fungus (87102) $26 $26 3.1×
Culture fungus blood (87103)
range across 3 matching MRF lines
$53–$353 $53–$353 varies
Culture screen only (87081)
range across 4 matching MRF lines
$19–$20 $19–$20 varies
Culture stool (87045) $29 $29 3.1×
Culture typing if ea antiserum (87140) $16 $16 2.9×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $15 $15 2.9×
Culture urine (87086) $25 $25 3.1×
Cyanide (82600) $91 $91 4.7×
Cyanocobalamin Vit B-12 Unsat Binding Capacity (82608) $67 $67 4.7×
Cyclosporine (80158) $103 $103 5.7×
Cystatin C (82610) $87 $87 4.7×
Cytogenetics 100-300 (88275) $204 $204 4.0×
Cytogenom Const Microarray Copy Number Variants (81228) $2,817 $2,817 3.1×
Cytogenom Const Microarray Copy Number&Snp Var (81229) $3,632 $3,632 3.1×
Cytomegalovirus igg (86644) $63 $63 4.4×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) $58 $58 2.9×
Cytopath Cell Enhance Tech (88112) $180 $180 2.9×
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $77 $77 2.9×
Cytp Concentration Smears & Interpretation (88108) $133 $133 3.0×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $180 $180 2.9×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $567 $567 2.8×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $133 $133 3.0×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $567 $567 2.8×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $51 $51 2.8×
Cytp smrs any oth src extnd std > 5 slides (88162) $180 $180 2.9×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $99 $99 2.9×
Deoxycortisol (82634) $137 $137 4.7×
Deoxyribonuclease antibody (86215) $59 $59 4.5×
Desoxycorticosterone (82633) $146 $146 4.7×
Detect Agent Nos Dna Amp (87798)
range across 19 matching MRF lines
$107–$291 $107–$291 varies
Detect Agent Nos Dna Quant (87799) $130 $130 3.0×
Dgp Antibody Each Ig Class (86258) $53 $53 4.4×
Dhea (82626) $118 $118 4.7×
Dhea-S (82627) $104 $104 4.7×
Digoxin (80162) $53 $53 4.0×
Dipropylacetic Acid Free (80165) $54 $54 4.0×
Dna Antibody Native/Double Stranded (86225) $61 $61 4.4×
Dna/Rna Amplified Probe (87150) $107 $107 3.0×
Drug assay acetaminophen (80143) $106 $106 5.7×
Drug Assay Amiodarone (80151) $106 $106 5.7×
Drug Assay Everolimus (80169) $78 $78 5.7×
Drug Assay Infliximab (80230) $220 $220 5.7×
Drug assay voriconazole (80285) $154 $154 5.7×
Drug Screen Quant Clozapine (80159) $114 $114 5.7×
Drug Screen Quant Zonisamide (80203) $75 $75 5.7×
Drug Screen Quantitative Gabapentin (80171) $123 $123 5.7×
Drug Screen Quantitative Lamotrigine (80175) $75 $75 5.7×
Drug Screen Quantitative Levetiracetam (80177) $75 $75 5.7×
Drug Screen Quantitative Oxcarbazepine (80183) $75 $75 5.7×
Drug Screen Quantitative Procainamide Metabolite (80192) $66 $66 3.9×
Drug Test Prsmv Chem Anlyzr (80307) $354 $354 5.7×
Egfr Gene Analysis Common Variants (81235) $1,380 $1,380 4.3×
Ehrlichia antibody (86666) $44 $44 4.3×
El-1 Fecal Quantitative (82653) $108 $108 4.7×
Electrolyte panel (80051) $31 $31 4.4×
Electron Microscopy (88348) $2,858 $2,858 3.0×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $289 $289 4.7×
Encephaltis East Eqne Anbdy (86652)
range across 2 matching MRF lines
$58–$316 $58–$316 varies
Encephaltis West Eqne Antbdy (86654) $58 $58 4.4×
Endomysial Antibody Each Immunoglobulin Class (86231) $54 $54 4.5×
Enterovirus Antibody (86658) $58 $58 4.5×
Enterovirus PCR (87498) $107 $107 3.0×
Enzyme cell activity (82657) $104 $104 4.7×
Enzyme histochemistry (88319)
range across 4 matching MRF lines
$380–$2,858 $380–$2,858 varies
Eosinophil Smear (89190) $60 $60 10.4×
Erythropoietin (82668) $88 $88 4.7×
Estradiol serum (82670) $131 $131 4.7×
Estriol (82677) $113 $113 4.7×
Estrogen total (82672) $102 $102 4.7×
Ethosuximide (80168) $65 $65 4.0×
Ethylene Glycol (82693) $69 $69 4.6×
Exam Synovial Fluid Crystals (89060) $29 $29 4.0×
F2 Gene (81240) $279 $279 4.2×
Factor ii activity (85210) $64 $64 4.9×
Factor Inhibitor Test (85335) $63 $63 4.9×
Factor ix activity (85250) $94 $94 4.9×
Factor v activity (85220) $87 $87 4.9×
Factor v leiden mutation (81241) $312 $312 4.3×
Factor vii assay (85230) $88 $88 4.9×
Factor viii assay (85240) $88 $88 4.9×
Factor X (85260) $88 $88 4.9×
Factor xi activity (85270) $88 $88 4.9×
Factor xiii screen (85291) $44 $44 4.8×
Fat stain feces urine/respir secretions (89125) $24 $24 4.1×
Fat/Lipids Feces Quantitative (82710) $79 $79 4.7×
Fatty acids free (82725) $88 $88 4.7×
Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) $85 $85 4.9×
Fecal Fat Qualitative (82705) $24 $24 4.7×
Ferritin (82728) $63 $63 4.6×
Fetal Congenital Abnor Assay Four Anal (81511) $613 $613 4.0×
Fetal Fibronectin (82731) $303 $303 4.7×
Fetal hemoglobin assay qual (83033) $37 $37 4.6×
Fetal Lung Maturity Fluorescence Polarization (83663) $131 $131 6.9×
Fetal screen rosette (85461) $46 $46 4.9×
Fibrin dgradj products d-dimer qual/semiquan (85378) $48 $48 4.9×
Fibrin Dgradj Products D-Dimer Ultrasensitive (85380) $50 $50 4.9×
Fibrinogen activity (85384) $48 $48 4.9×
Fibrinogen antigen (85385) $72 $72 5.0×
Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) $77 $77 5.0×
Flow cytometry first marker (88184) $1,195 $1,195 2.8×
Flt3 Gene (81245) $703 $703 4.2×
Flt3 gene analysis (81246) $352 $352 4.2×
Fluorescent antibody screen (86255)
range across 26 matching MRF lines
$53–$323 $53–$323 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 21 matching MRF lines
$44–$53 $44–$53 varies
Fmr1 Gene Charac Alleles (81244) $190 $190 4.2×
Fmr1 gene detection (81243) $242 $242 4.2×
Folic acid rbc (82747) $83 $83 4.7×
Folic Acid Serum (82746) $68 $68 4.6×
Follicle Stimulating Hormone (83001) $87 $87 4.7×
Frozen Section (88331) $567 $567 2.8×
Fungi Identification Mold (87107) $31 $31 3.0×
Fungi Identification Yeast (87106) $31 $31 3.0×
Galactose (82760) $53 $53 4.7×
Galactose-1-Phosphate Uridyl Transferase Quan (82775) $99 $99 4.7×
Gammaglobulin ige (82785) $77 $77 4.7×
Gardner vag DNA dir probe (87510) $61 $61 3.0×
Gases Blood O2 Saturation Only Direct Meas (82810) $45 $45 4.6×
Gases blood ph only (82800) $52 $52 4.7×
Gastrin (82941) $83 $83 4.7×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $910 $910 2.2×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $2,378 $2,378 3.1×
Gen seq analys sol org/hemtolmphoid neo 51/> gen (81455) $6,094 $6,094 2.1×
Gentamicin (80170) $65 $65 4.0×
Ggt (82977) $33 $33 4.6×
Giardia antigen (87329)
range across 2 matching MRF lines
$17–$36 $17–$36 varies
Giardia lamblia antibody (86674) $65 $65 4.4×
Glucagon (82943) $66 $66 4.6×
Glucose 2 hr pp (82950) $21 $21 4.4×
Glucose Blood Test (82962) $15 $15 4.6×
Glucose body fluid (82945) $18 $18 4.6×
Glucose Serum (82947) $18 $18 4.6×
Glucose tolerance test (gtt) (82951) $60 $60 4.7×
Glycated Protein (82985) $79 $79 4.7×
Gonadotropin Chorionic Qualitative (84703) $35 $35 4.7×
Growth hormone (83003) $78 $78 4.7×
Growth Hormone Stimulation Panel (80428) $267 $267 4.0×
Gtt-added samples (82952) $18 $18 4.6×
Haloperidol (80173) $62 $62 3.9×
Haptoglobin (83010) $59 $59 4.7×
Hdl Cholesterol (83718) $38 $38 4.6×
Heavy metal qualitative any analytes (83015) $98 $98 4.7×
Helicobacter Pylori Stool (87338) $43 $43 3.0×
Helminth Antibody (86682) $58 $58 4.5×
Hematocrit (85014) $11 $11 4.6×
Hemoglobin (85018) $11 $11 4.6×
Hemoglobin a1c (83036) $45 $45 4.6×
Hemoglobin Chromotography (83021) $84 $84 4.7×
Hemoglobin electrophoresis (83020) $60 $60 4.7×
Hemoglobin F Fetal Chemical (83030) $50 $50 4.7×
Hemoglobin Methemoglobin Quantitative (83050) $38 $38 4.6×
Hemoglobin plasma (83051) $34 $34 4.7×
Hemoglobin stability screen (83068) $44 $44 4.6×
Hemosiderin urine (83070) $21 $21 4.4×
Hep a ab igm (86709) $50 $50 4.4×
Heparin assay (85520) $64 $64 4.9×
Hepatitis a antibody total (86708) $55 $55 4.4×
Hepatitis b core ab igm (86705) $52 $52 4.4×
Hepatitis b core ab total (86704) $53 $53 4.4×
Hepatitis B Surface Antibody (86706) $48 $48 4.5×
Hepatitis B Surface Antigen (87340) $31 $31 3.0×
Hepatitis Be Antibody (86707) $51 $51 4.4×
Hepatitis Be Antigen (87350) $35 $35 3.0×
Hepatitis C Antibody (86803) $63 $63 4.4×
Hepatitis C Genotype (87902) $784 $784 3.0×
Hepatitis C Revrs Trnscrpj (87522) $130 $130 3.0×
Hepatitis Delta Agent Antibody (86692) $76 $76 4.4×
Herpes simplex type 2 (86696) $86 $86 4.4×
Heterophile Antibody Screen (86308) $22 $22 4.2×
Hfe Gene (81256) $130 $130 2.0×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $38 $38 4.9×
Histamine urine (83088) $57 $57 1.9×
Histoplasma antibody (86698) $61 $61 4.4×
Histoplasma antigen urine (87385) $40 $40 3.0×
Hiv Antigen W/Hiv Antibodies (87806) $100 $100 3.1×
Hiv Genotype (87901) $784 $784 3.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $73 $73 3.0×
Hiv-1 Antibody (86701) $39 $39 4.4×
Hiv-1 Quant&Revrse Trnscrpj (87536) $259 $259 3.0×
Hla Class I Typing Low Resolution Complete (81372) $1,716 $1,716 4.3×
Hla I Typing 1 Allele Hr (81381) $722 $722 4.2×
Hla ii typing 1 allele hr (81383) $163 $163 1.5×
Hla ii typing 1 locus lr (81376) $519 $519 4.2×
Hla Typing Dr/Dq Single Antigen (86816) $134 $134 4.4×
Hla-b27 (86812) $114 $114 4.4×
Homocysteine (83090) $84 $84 4.7×
Homogenization Tissue (87176) $17 $17 2.9×
Homovanillic acid urine (83150) $105 $105 4.7×
Hpv High-Risk Types (87624) $107 $107 3.0×
Hpv sep hi-rsk typ&pool rslt (87626) $278 $278 4.0×
Hpv Types 16 & 18 Only (87625) $123 $123 3.0×
Hsv Dna Amp Probe (87529) $107 $107 3.0×
Htlv-I Antibody (86687) $40 $40 4.4×
Human Epididymis Protein 4 (86305) $92 $92 4.4×
Hydroxycorticosteroids 17 (83491) $84 $84 4.7×
Hydroxyprogesterone 17-d (83498) $128 $128 4.7×
Hydroxyproline total (83505) $114 $114 4.7×
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $42 $42 3.0×
Iaad ia shiga-like toxin (87427) $36 $36 3.0×
Iadna anaplasma phagocytophilum amplifed prb tq (87468) $107 $107 3.0×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $107 $107 3.0×
Iadna Candida Species Amplified Probe Tq (87481) $107 $107 3.0×
Iadna chlamydia pneumoniae amplified probe tq (87486) $107 $107 3.0×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $148 $148 6.5×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $107 $107 3.0×
Iadna Cytomegalovirus Quantification (87497) $130 $130 3.0×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $213 $213 3.0×
Iadna hepatitis b virus amplified probe tq (87516) $107 $107 3.0×
Iadna Hepatitis B Virus Quantification (87517) $130 $130 3.0×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $107 $107 3.0×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $107 $107 3.0×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $127 $127 1.7×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $127 $127 3.0×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $107 $107 3.0×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $107 $107 3.0×
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $166 $166 3.2×
Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) $435 $435 3.0×
Iadna-Dna/Rna Probe Tq 6-11 (87506) $801 $801 3.0×
Ig Light Chains Free Each (83521) $81 $81 4.7×
Igg subclasses (82787)
range across 6 matching MRF lines
$37–$41 $37–$41 varies
Igh gene rearrange amp meth (81261) $842 $842 4.3×
Igh@ Variable Region Somatic Mutation Analysis (81263) $1,252 $1,252 4.3×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) $1,195 $1,195 2.8×
Immune Complex Assay (86332) $108 $108 4.4×
Immunfix e-phorsis/urine/csf (86335)
range across 2 matching MRF lines
$130–$265 $130–$265 varies
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 24 matching MRF lines
$86–$130 $86–$130 varies
Immunoassay infectious agent (86318) $80 $80 4.4×
Immunoassay Infectious Agent Antibody Quan Nos (86317) $66 $66 4.4×
Immunoassay nonantibody (83516)
range across 19 matching MRF lines
$35–$217 $35–$217 varies
Immunodiffusion Ouchterlony (86331) $53 $53 4.4×
Immunofixation electrophoresis (86334) $45 $45 2.0×
Immunofluorescence per spec 1st singl antb stain (88346) $567 $567 2.8×
Immunohistochemistry (88342)
range across 3 matching MRF lines
$297–$567 $297–$567 varies
In situ hybridization 1st probe stain (88365) $567 $567 2.8×
Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique Facility (87531) $176 $176 3.0×
Influenza a/b ag eia (87400) $42 $42 3.0×
Influenza DNA amp probe (87502) $292 $292 3.0×
Inhibin A (86336) $69 $69 4.4×
Inhibin b (83520)
range across 18 matching MRF lines
$81–$536 $81–$536 varies
Insitu hybridization manual (88368) $1,195 $1,195 2.8×
Insulin antibodies (86337) $56 $56 2.6×
Insulin total (83525) $54 $54 4.7×
Interleukin-6 (83529) $81 $81 4.7×
Intrinsic factor antibody (86340) $66 $66 4.4×
Iron (83540) $30 $30 4.6×
Iron Binding Capacity (83550) $40 $40 4.6×
Islet cell antibody (86341) $105 $105 4.5×
Jak2 gene analysis p.val617phe variant (81270) $389 $389 4.2×
Ketosteroids 17 total (83586) $60 $60 4.7×
Kit Gene Analysis D816 Variant(S) (81273) $531 $531 4.3×
Kit Gene Analysis Targeted Sequence Analysis (81272) $1,401 $1,401 4.3×
Koh Prep (87220) $22 $22 5.2×
Kras Gene Analysis Additional Variant(S) (81276) $821 $821 4.2×
L/s ratio (83661) $103 $103 4.7×
Lactate (ld) (ldh) enzyme (83615) $28 $28 4.6×
Lactoferrin fecal qualitative (83630) $92 $92 4.7×
Ldh Isoenzymes (83625) $60 $60 4.7×
LDL direct (83721) $49 $49 4.7×
Lead (83655)
range across 3 matching MRF lines
$24–$57 $24–$57 varies
Legionella antibody (86713) $67 $67 4.4×
Legionella antigen urine (87449)
range across 4 matching MRF lines
$36–$227 $36–$227 varies
Leptospira antibody (86720) $72 $72 4.4×
Level I Surg Pathology Gross Examination Only (88300) $99 $99 2.9×
Level ii surg pathology gross&microscopic exam (88302) $99 $99 2.2×
Level V Surg Pathology Gross&Microscopic Exam (88307) $1,195 $1,195 2.8×
Lidocaine (80176) $58 $58 3.9×
Lipase (83690) $32 $32 4.6×
Lipoprotein A (83695) $67 $67 4.7×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $159 $159 4.7×
Lithium (80178) $26 $26 3.9×
Luteinizing Hormone (Lh) (83002) $87 $87 4.7×
Lyme disease antibody (86618) $76 $76 4.5×
Lysozyme serum (85549) $92 $92 4.9×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $567 $567 2.8×
Macroscopic exam arthropod (87168) $28 $28 6.6×
Macroscopic Exam Parasite (87169) $13 $13 3.0×
Magnesium Urine (83735) $31 $31 4.6×
Mass Spectrometry Quant (83789) $113 $113 4.7×
Mercury urine (83825)
range across 2 matching MRF lines
$76–$91 $76–$91 varies
Metabolic panel ionized ca (80047) $62 $62 4.5×
Methotrexate (80204) $220 $220 5.7×
Methylmalonic acid serum (83921) $100 $100 4.7×
Microalbumin, quantitative (82043) $27 $27 4.7×
Microsatellite instability (81301) $1,482 $1,482 4.3×
Microsomal Antibodies Each (86376) $64 $64 4.4×
Mlh1 Gene (81288) $818 $818 4.3×
Molecular Cytogenetics Dna Probe Each (88271) $85 $85 4.0×
Molecular Pathology Procedure Level 3 (81402) $401 $401 2.7×
Molecular Pathology Procedure Level 6 (81405)
range across 3 matching MRF lines
$521–$2,119 $521–$2,119 varies
Mopath procedure level 1 (81400) $272 $272 4.3×
Mopath procedure level 4 (81403) $787 $787 4.2×
Mopath procedure level 5 (81404)
range across 2 matching MRF lines
$521–$1,168 $521–$1,168 varies
Mopath procedure level 7 (81406) $521 $521 1.8×
Mpl gene common variants (81338) $424 $424 2.8×
Mrsa Pcr (87641) $107 $107 3.0×
Mthfr Gene Analysis Common Variants (81291) $277 $277 4.2×
Mumps antibody (86735) $36 $36 2.8×
Mycophenolic Acid (80180) $103 $103 5.7×
Mycoplasma antibody (86738) $59 $59 4.5×
Mycoplasma culture (87109) $46 $46 3.0×
Myd88 Gene P.Leu265pro Vrnt (81305) $746 $746 4.3×
Myelin basic protein csf (83873) $81 $81 4.7×
Myoglobin urine (83874) $60 $60 4.6×
Natriuretic peptide (83880) $184 $184 4.7×
Nerve teasing preparations (88362) $2,858 $2,858 3.0×
Neutralization Test Viral (86382) $75 $75 4.4×
Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) $88 $88 3.0×
Nfct Ds Bacteral Vaginosis Rna Vaginal-Fluid Alg (81513) $570 $570 4.0×
Nfct Ds Bv&Vaginitis Dna Alg (81514) $1,052 $1,052 4.0×
Nfct ds chrnc hcv 6 assays (81596) $289 $289 4.0×
Niacin (84591) $80 $80 4.7×
Nickel level (83885) $115 $115 4.7×
Nk cells total count (86357) $168 $168 4.5×
Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) $1,048 $1,048 4.3×
Nras gene variants exon 2&3 (81311) $1,257 $1,257 4.2×
Nuclear antigen antibody (86235)
range across 15 matching MRF lines
$80–$160 $80–$160 varies
Obstetric panel (80081) $339 $339 4.5×
Occult blood feces (82272) $19 $19 4.5×
Occult Blood Other Sources (82271) $25 $25 4.7×
Oligoclonal bands (83916) $129 $129 4.7×
Organic Acids Qualitative Each Specimen (83919)
range across 3 matching MRF lines
$77–$131 $77–$131 varies
Organic acids urine (83918) $110 $110 4.7×
Osmolality serum (83930)
range across 2 matching MRF lines
$31–$60 $31–$60 varies
Osmolality Urine (83935) $32 $32 4.7×
Osmotic Fragility RBC Unincubated (85555) $37 $37 5.0×
Osteocalcin (83937) $140 $140 4.7×
Ova and parasites smears (87177) $27 $27 3.0×
Oxalate urine (83945) $67 $67 4.6×
Pancreatic Elastase Fecal (82656) $54 $54 4.7×
Particle Agglutination Screen Each Antibody (86403) $51 $51 4.4×
Parvovirus antibody (86747) $66 $66 4.4×
Path Consltj Surg Cytologic Exam Initial Site (88333) $2,858 $2,858 3.0×
Pathology Consultation During Surgery (88329) $205 $205 2.9×
Pdgfra Gene Analys Targeted Sequence Analys (81314) $1,401 $1,401 4.3×
Ph urine (81003) $12 $12 5.3×
Phenobarbital Level (80184) $61 $61 4.0×
Phenotype Infect Agent Drug (87900) $397 $397 3.0×
Phenylalanine (84030) $26 $26 4.7×
Phenytoin (Dilantin) (80185) $53 $53 4.0×
Phenytoin free (80186) $55 $55 4.0×
Phosphatase alkaline (84075) $24 $24 4.6×
Phosphorus Serum (84100) $21 $21 4.4×
Phosphorus urine (84105) $27 $27 4.7×
Pinworm exam (87172) $12 $12 2.8×
Platelet Aggregation (85576) $123 $123 4.9×
Platelet Antibodies (86022) $81 $81 4.4×
Platelet count automated (85049) $21 $21 4.7×
Platelet neutralization (85597) $89 $89 4.9×
Pml/Raralpha Common Breakpoints Qual/Quant (81315) $881 $881 4.2×
Pneumcysts jirovecii amp prb (87594) $107 $107 3.0×
Pooling blood platelets (86965) $246 $246 1.2×
Porphobilinogen Urine Qualitative (84106) $27 $27 4.6×
Porphyrins Urine Quantitation & Fractionation (84120) $68 $68 4.6×
Potassium Urine (84133) $21 $21 4.4×
Prealbumin (84134) $68 $68 4.7×
Pregnenolone (84140) $97 $97 4.7×
Primidone (80188) $66 $66 4.0×
Procalcitonin (Pct) (84145) $128 $128 4.7×
Progesterone (84144) $98 $98 4.7×
Prolactin (84146) $90 $90 4.6×
Protein body fluid (84157) $18 $18 4.5×
Protein C Activity (85303) $68 $68 4.9×
Protein c antigen (85302) $40 $40 3.3×
Protein Electrophoresis Urine (84166) $83 $83 4.7×
Protein Electrophoretic Fractj&Quantj Serum (84165) $50 $50 4.7×
Protein S Free (85306) $76 $76 5.0×
Protein s total (85305) $57 $57 4.9×
Protein total serum (84155) $17 $17 4.6×
Protein Total Urine (84156) $17 $17 4.6×
Protein Western Blot Test (84182) $137 $137 4.7×
Protoporphyrin rbc quantitative (84202) $67 $67 4.7×
PSA free (84154) $86 $86 4.7×
Pten Gene Analysis Duplication/Deletion Variant (81323) $1,275 $1,275 4.3×
Pth Intact (83970) $194 $194 4.7×
Q Fever Antibody (86638) $54 $54 4.5×
Quantiferon tb gold plus (86480) $276 $276 4.5×
Quantitative assay drug (80299) $345 $345 18.5×
Quantitative Screen Metals (83018) $103 $103 4.7×
Quinidine (80194) $58 $58 4.0×
Rbc antibody elution (86860) $246 $246 1.2×
Rbc antibody identification (86870) $517 $517 1.2×
Rbc antibody screen (86850) $78 $78 8.0×
Reagent Strip/Blood Glucose (82948) $26 $26 5.2×
Renin activity plasma (84244) $103 $103 4.7×
Reptilase test (85635) $49 $49 5.0×
Resp virus 12-25 targets (87633) $652 $652 1.6×
Reticulocyte Count (85046) $27 $27 4.8×
Rh (86901) $57 $57 19.1×
Rheumatoid factor quant (86431) $36 $36 6.3×
Rickettsia antibody (86757) $86 $86 4.4×
Ristocetin cofactor (85245) $113 $113 4.9×
Rotavirus ag eia (87425) $36 $36 3.0×
Rpr qualitative (86592) $18 $18 4.2×
Rubella Antibody (86762) $63 $63 4.4×
Rubeola antibody (86765) $57 $57 4.4×
Russell Viper Venom Time Diluted (85613) $48 $48 5.0×
Salicylate Level (80179) $106 $106 5.7×
Salmonella antibody (86768) $58 $58 4.4×
Sars-Cov-2 Covid-19 Amp Prb (87635) $156 $156 3.0×
Sars-cov-2 COVID-19 antibody (86769) $187 $187 4.4×
Sars-Cov-2 Covid19 W/Optic (87811)
range across 2 matching MRF lines
$27–$126 $27–$126 varies
Sarscov2 & inf a&b amp prb (87636) $435 $435 3.0×
Sarscov2&inf a&b&rsv amp prb (87637) $435 $435 3.0×
Sedimentation rate (85651) $20 $20 4.7×
Sedimentation Rate, Automated (85652) $13 $13 4.8×
Selenium (84255) $120 $120 4.7×
Semen Anal Sperm Detection (89321) $48 $48 4.0×
Semen analysis complete (89320) $49 $49 4.0×
Sensitivity mic (87186) $32 $32 3.7×
Sex Hormone Binding Globulin (84270) $102 $102 4.7×
Sickling of rbc reduction (85660) $27 $27 4.9×
Sirolimus (80195) $55 $55 4.0×
Skin test tuberculosis intradermal (86580) $151 $151 4.4×
Smear acid fast (87206) $16 $16 3.0×
Smear complex stain (87209) $55 $55 3.1×
Smear gram stain (87205) $12 $12 2.8×
Smear Special Stain (87207) $17 $17 2.8×
Smr Prim Src Wet Mount Nfct Agt (87210) $17 $17 2.9×
Sodium Serum (84295) $22 $22 4.6×
Sodium Urine (84300) $24 $24 4.7×
Somatomedin (84305) $100 $100 4.7×
Special Stains Group 1 (88312) $180 $180 2.9×
Special Stains Group 2 (88313)
range across 6 matching MRF lines
$154–$203 $154–$203 varies
Specific gravity body fluid (84315) $15 $15 4.6×
Specimen infect agnt concntj (87015) $20 $20 3.0×
Spectrophotometry (84311) $38 $38 4.7×
Splitting Blood/Blood Products Each Unit (86985) $246 $246 1.2×
Stool cultr aerobic bact ea (87046) $29 $29 3.1×
Strep a assay w/optic (87880) $50 $50 3.0×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $66 $66 0.7×
Surg path level iii (88304) $180 $180 2.9×
Surgical pathology level IV (88305)
range across 6 matching MRF lines
$179–$180 $179–$180 varies
Surgical pathology level vi (88309) $2,858 $2,858 3.0×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $14 $14 2.9×
Syphilis Test Non-Trep Quant (86593) $19 $19 4.3×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $209 $209 4.4×
T cells total count (86359) $168 $168 4.5×
T3 Free (84481) $79 $79 4.7×
T3 reverse (84482) $74 $74 4.7×
T3 Total (84480) $66 $66 4.7×
T3 Uptake (84479)
range across 2 matching MRF lines
$30–$261.02 $30–$261.02 varies
T4 Free (84439) $42 $42 4.7×
T4 total (84436) $32 $32 4.7×
Tacrolimus (80197) $55 $55 4.0×
Test for urine cystines (82615) $44 $44 4.6×
Testosterone Bioavailable (84410) $241 $241 4.7×
Testosterone total (84403)
range across 4 matching MRF lines
$44–$121 $44–$121 varies
Testosterone, Free (84402) $120 $120 4.7×
Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) $1,872 $1,872 3.1×
Theophylline (80198) $56 $56 4.0×
Thiopurine methyltransferase (84433) $104 $104 4.7×
Thrombin Time (85670) $28 $28 4.9×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $32 $32 4.9×
Thyroglobulin (84432) $75 $75 4.7×
Thyroglobulin Antibody (86800)
range across 3 matching MRF lines
$55–$70 $55–$70 varies
Thyroid Stimulating Immunoglobulin (84445) $239 $239 4.7×
Thyroxine binding globulin (84442) $69 $69 4.7×
Tiss cul neo disorders solid tumor (88239) $760 $760 5.2×
Tiss Trnsgltmnase Ea Ig Clas (86364) $51 $51 4.4×
Tissue Culture (88233) $562 $562 4.0×
Tissue Culture Amniotic Fluid (88235) $601 $601 4.0×
Tissue culture bone marrow (88237) $575 $575 4.0×
Tissue Culture Lymphocyte (88230) $465 $465 4.0×
Tobramycin peak (80200) $64 $64 4.0×
Topiramate (80201) $48 $48 4.0×
Touch prep (88161) $99 $99 2.9×
Toxin/Antitoxin Assay Tissue Culture (87230) $60 $60 3.0×
Toxoplasma ab igm (86778) $64 $64 4.4×
Toxoplasma antibody (86777) $63 $63 4.4×
Transferase Aspartate Amino Ast Sgot (84450) $24 $24 4.6×
Transferrin (84466) $60 $60 4.7×
Trg gene rearrangement anal (81342) $856 $856 4.2×
Trichinella Antibody (86784) $56 $56 4.5×
Trichomonas vagin dir probe (87660) $61 $61 3.0×
Trichomonas Vaginalis Amplif (87661) $107 $107 3.0×
Triglycerides (84478) $27 $27 4.7×
Troponin Quant (84484) $58 $58 4.7×
Tumor immunohistochem/comput (88361) $1,195 $1,195 2.8×
Tumor Immunohistochem/Manual (88360) $567 $567 2.8×
Urea nitrogen urine (84540) $26 $26 4.7×
Uric acid other source (84560) $24 $24 4.7×
Urinalysis Volume Measure (81050) $19 $19 5.2×
Urine Pregnancy Test (81025)
range across 4 matching MRF lines
$40–$45 $40–$45 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $16 $16 5.0×
Valproic acid (80164) $75 $75 5.5×
Vancomycin (80202) $54 $54 4.0×
Varicella-zoster antibody (86787) $57 $57 4.4×
Vasopressin (84588) $159 $159 4.7×
Very Long Chain Fatty Acids (82726) $92 $92 4.7×
Virus antibody nos (86790) $57 $57 4.4×
Viscosity serum (85810) $73 $73 6.3×
Vit D 1 25-Dihydroxy (82652) $181 $181 4.7×
Vitamin A (84590) $54 $54 4.7×
Vitamin b-12 (82607) $70 $70 4.6×
Vitamin B2 (Riboflavin) (84252) $94 $94 4.6×
Vitamin B6 (84207) $132 $132 4.7×
Vitamin c (82180) $46 $46 4.7×
Vitamin D 25-Hydroxy (82306) $139 $139 4.7×
Vitamin E (84446) $66 $66 4.7×
Vitamin K (84597) $64 $64 4.7×
Volatiles (84600) $80 $80 4.7×
Voltage-Gated Calcium Channel Antibody Each (86596) $53 $53 4.4×
Von willebrand factor ag (85246) $113 $113 4.9×
West nile virus ab igm (86788) $75 $75 4.5×
West Nile Virus Antibody (86789) $55 $55 3.8×
Western Blot Test (84181) $80 $80 4.7×
Xm Archive Tissue Molec Anal (88363) $91 $91 2.6×
Zinc (84630)
range across 3 matching MRF lines
$53–$68 $53–$68 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.