Lab & pathology prices at Decatur Memorial Hospital
Decatur, IL · 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 |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $137 | $137 | 6.0× |
| 5 Nucleotidase (83915) | $66 | $66 | 5.9× |
| Acetylcholine receptor binding antibody (86041) | $235 | $235 | 12.8× |
| Acetylcholine receptor blocking antibody (86042) | $252 | $252 | 13.7× |
| Acetylcholn Rcptr Modlg Antb (86043) | $252 | $252 | 20.9× |
| Acth (82024) | $304 | $304 | 7.9× |
| Actin smooth muscle antibody each (86015) | $140 | $140 | 11.6× |
| Acute hepatitis panel (80074) | $955 | $955 | 20.1× |
| Albumin Fluid (82042) range across 3 matching MRF lines |
$42–$46 | $42–$46 | varies |
| Albumin serum (82040) | $108 | $108 | 21.8× |
| Aldolase (82085) | $35 | $35 | 3.6× |
| Aldosterone urine (82088) | $399 | $399 | 9.8× |
| Alkaline phosphatase isoenzymes (84080) | $107 | $107 | 7.2× |
| Allergen spec ige qual multiallergen screen (86005) | $51 | $51 | 6.4× |
| Allergen specific ige (86003) | $95 | $95 | 18.2× |
| Alpha-1-antitrypsin total (82103) | $181 | $181 | 13.5× |
| Alpha-Fetoprotein Serum (82105) | $350 | $350 | 20.9× |
| Alt (sgpt) (84460) | $211 | $211 | 39.8× |
| Aluminum (82108) | $144 | $144 | 5.7× |
| Amikacin trough (80150) | $70 | $70 | 4.6× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $172 | $172 | 7.5× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $631 | $631 | 37.4× |
| Aminolevulinic acid (ala) (82135) | $83 | $83 | 5.0× |
| Ammonia (82140) | $121 | $121 | 8.3× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 4 matching MRF lines |
$387–$397 | $387–$397 | varies |
| Amylase urine (82150) | $202 | $202 | 31.2× |
| Ana Titer (86039) | $181 | $181 | 16.2× |
| Anca screen each antibody (86036) | $105 | $105 | 8.7× |
| Anca Titer Each Antibody (86037) range across 2 matching MRF lines |
$142–$274 | $142–$274 | varies |
| Androstenedione (82157) | $173 | $173 | 5.9× |
| Angiotensin converting enzyme csf (82164) | $70 | $70 | 4.8× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$68–$126 | $68–$126 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) range across 3 matching MRF lines |
$142–$190 | $142–$190 | varies |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$260–$262 | $260–$262 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $158 | $158 | 12.0× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $155 | $155 | 10.1× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $175 | $175 | 9.6× |
| Antibody Herpes Smplx Type 1 (86695) | $161 | $161 | 12.2× |
| Antibody HIV-1&HIV-2 single result (86703) | $91 | $91 | 6.6× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $240 | $240 | 2.5× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $98 | $98 | 5.1× |
| Antibody Titer (86886) | $357 | $357 | 68.9× |
| Antibody Treponema Pallidum (86780) | $192 | $192 | 14.5× |
| Antigen typing (86905) | $746 | $746 | 194.8× |
| Antinuclear antibodies (86038) | $266 | $266 | 22.0× |
| Antistreptolysin o titer (86060) | $119 | $119 | 16.3× |
| Antithrombin iii activity (85300) | $170 | $170 | 14.3× |
| Apolipoprotein a1 (82172) | $113 | $113 | 5.4× |
| Aspergillus ag eia (87305) | $196 | $196 | 16.4× |
| Assay activated protein c (85307) | $84 | $84 | 5.5× |
| Assay Blood Carbon Dioxide (82374) | $49 | $49 | 10.0× |
| Assay myeloperoxidase (83876) | $128 | $128 | 2.5× |
| Assay of 5-hiaa (83497) | $132 | $132 | 10.2× |
| Assay of anti-mullerian hormone (82166) | $335 | $335 | 8.7× |
| Assay of blood/uric acid (84550) | $148 | $148 | 32.7× |
| Assay of calcium in urine (82340) | $248 | $248 | 41.1× |
| Assay of cpk in blood (82552) | $75 | $75 | 5.6× |
| Assay of estrone (82679) | $180 | $180 | 7.2× |
| Assay of g6pd enzyme (82955) | $48 | $48 | 4.9× |
| Assay of gammaglobulin igm (82784) range across 9 matching MRF lines |
$267–$275 | $267–$275 | varies |
| Assay of lactic acid (83605) range across 5 matching MRF lines |
$248–$287 | $248–$287 | varies |
| Assay of metanephrines (83835) | $304 | $304 | 17.9× |
| Assay of pyruvate (84210) | $78 | $78 | 5.4× |
| Assay of serotonin (84260) | $311 | $311 | 10.0× |
| Assay of serum potassium (84132) range across 3 matching MRF lines |
$40–$49 | $40–$49 | varies |
| Assay of sweat sodium (84302) | $47 | $47 | 9.7× |
| Assay of urea nitrogen (84520) | $52 | $52 | 13.2× |
| Assay of urine vma (84585) | $80 | $80 | 5.2× |
| Assay of vitamin b-1 (84425) | $224 | $224 | 10.6× |
| Assay Ph Body Fluid Nos (83986) | $49 | $49 | 13.7× |
| Assay spec xcp ur&breath ia (82077) range across 2 matching MRF lines |
$188–$524 | $188–$524 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $369 | $369 | 2.0× |
| Automated Leukocyte Count (85048) | $40 | $40 | 15.7× |
| B cells total count (86355) range across 3 matching MRF lines |
$127–$356 | $127–$356 | varies |
| Bartonella antibody (86611) | $84 | $84 | 8.3× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$441–$976 | $441–$976 | varies |
| Bcr/abl1 gene minor bp (81207) range across 4 matching MRF lines |
$386–$863 | $386–$863 | varies |
| Beta 2 glycoprotein i antibody each (86146) | $167 | $167 | 6.6× |
| Beta hydroxybutyrate (82010) | $162 | $162 | 19.8× |
| Beta Lactamase (87185) | $61 | $61 | 12.8× |
| Beta-2 Microglobulin (82232) | $69 | $69 | 4.3× |
| Bilirubin direct (82248) | $75 | $75 | 14.9× |
| Bilirubin total (82247) | $83 | $83 | 16.5× |
| Bilirubin total transcutaneous (88720) | $73 | $73 | 14.5× |
| Biotinidase (82261) | $115 | $115 | 6.8× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$58–$108 | $58–$108 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $130 | $130 | 16.8× |
| Blood count reticulocyte automated (85045) | $54 | $54 | 13.5× |
| Blood gas (82803) | $410 | $410 | 15.7× |
| Blood gases w/02 saturation (82805) range across 5 matching MRF lines |
$407–$424 | $407–$424 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $79 | $79 | 5.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $35 | $35 | 8.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $680 | $680 | 107.1× |
| Blood typing serologic abo (86900) range across 2 matching MRF lines |
$194–$270 | $194–$270 | varies |
| Bordetella antibody (86615) | $142 | $142 | 10.8× |
| Braf gene analysis (81210) | $552 | $552 | 3.1× |
| Breath Alcohol Test (82075) | $76 | $76 | 2.5× |
| Brucella antibody (86622) | $46 | $46 | 5.2× |
| C diff amplified probe (87493) | $186 | $186 | 5.0× |
| C-Peptide (84681) | $228 | $228 | 11.0× |
| C-reactive protein (86140) | $113 | $113 | 21.8× |
| Ca 19-9 (86301) | $128 | $128 | 6.2× |
| Calcitonin (82308) | $89 | $89 | 3.3× |
| Calcium ionized (82330) range across 3 matching MRF lines |
$275–$280 | $275–$280 | varies |
| Calcium total (82310) | $166 | $166 | 32.2× |
| Calculus Spectroscopy (82365) | $124 | $124 | 9.6× |
| Calprotectin Fecal (83993) | $517 | $517 | 26.3× |
| Cancer Antigen 125 (86304) | $221 | $221 | 10.6× |
| Cancer Antigen 27.29 (86300) | $72 | $72 | 3.5× |
| Carbamazepine total (80156) | $279 | $279 | 19.1× |
| Carboxyhemoglobin (82375) range across 3 matching MRF lines |
$166–$234 | $166–$234 | varies |
| Carcinoembryonic antigen (82378) | $264 | $264 | 13.9× |
| Cardiolipin ab iga (86147) | $87 | $87 | 3.4× |
| Carnitine Quantitative Each Specimen (82379) | $308 | $308 | 18.3× |
| Carotene (82380) | $70 | $70 | 7.6× |
| Catecholamines fractionated (82384) | $265 | $265 | 10.5× |
| Ccp antibody (86200) | $211 | $211 | 16.3× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $606 | $606 | 2.5× |
| Cell count csf (89051) range across 5 matching MRF lines |
$85–$90 | $85–$90 | varies |
| Ceruloplasmin (82390) | $103 | $103 | 9.6× |
| Cftr gene com variants (81220) | $1,393 | $1,393 | 2.5× |
| Chemiluminescent assay (82397) | $315 | $315 | 22.3× |
| Chlamydia Igm Antibody (86632) | $68 | $68 | 5.4× |
| Chloride other source (82438) range across 2 matching MRF lines |
$48–$160 | $48–$160 | varies |
| Chloride Serum (82435) | $41 | $41 | 8.9× |
| Chloride urine (82436) | $39 | $39 | 6.8× |
| Cholesterol total (82465) | $63 | $63 | 14.5× |
| Cholinesterase rbc (82482) | $66 | $66 | 6.7× |
| Cholinesterase Serum (82480) | $45 | $45 | 5.7× |
| Chorionic gonadotropin test (84702) | $334 | $334 | 22.2× |
| Chromium serum (82495) | $127 | $127 | 6.3× |
| Chromogranin a (86316) | $238 | $238 | 11.4× |
| Chromosome Analysis 15-20 (88262) | $715 | $715 | 5.7× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $364 | $364 | 10.4× |
| Citric acid urine (82507) | $71 | $71 | 2.6× |
| Ckmb (82553) | $166 | $166 | 14.4× |
| Clostridium Difficile (87324) | $89 | $89 | 7.4× |
| Clot Factor VIII Multimetric (85247) | $77 | $77 | 3.4× |
| Clot factor xiii fibrin stab (85290) | $230 | $230 | 14.1× |
| Clotting factor xii hageman (85280) | $89 | $89 | 4.6× |
| Cns DNA amp probe type 12-25 (87483) | $1,105 | $1,105 | 2.7× |
| Coagulation time activated (85347) range across 5 matching MRF lines |
$65–$66 | $65–$66 | varies |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$48–$116 | $48–$116 | varies |
| Cold agglutinin titer (86157) | $56 | $56 | 6.9× |
| Collagen crosslinks (82523) | $124 | $124 | 6.6× |
| Compatibility test antiglob (86922) | $357 | $357 | 2.0× |
| Complement Antigen Each Component (86160) | $170 | $170 | 14.2× |
| Complement Total (Ch50) (86162) | $70 | $70 | 3.4× |
| Complement/Function Activity (86161) | $98 | $98 | 8.2× |
| Consltj Compre Review Reprt Referred Matrl (88325) | $803 | $803 | 4.4× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $432 | $432 | 7.7× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $389 | $389 | 9.7× |
| Coombs direct (86880) | $125 | $125 | 23.2× |
| Copper urine (82525) | $151 | $151 | 12.2× |
| Cortisol free (82530) | $257 | $257 | 15.4× |
| Cortisol saliva (82533) | $341 | $341 | 20.9× |
| Creatine kinase total (82550) | $83 | $83 | 12.7× |
| Creatinine blood (82565) range across 7 matching MRF lines |
$44–$57 | $44–$57 | varies |
| Creatinine clearance (82575) range across 2 matching MRF lines |
$158–$196 | $158–$196 | varies |
| Creatinine Urine (82570) range across 8 matching MRF lines |
$107–$115 | $107–$115 | varies |
| Crossmatch electronic (86923) | $357 | $357 | 2.0× |
| Crossmatch immediate spin (86920) | $357 | $357 | 2.0× |
| Crp High Sensitivity (86141) | $250 | $250 | 19.3× |
| Cryofibrinogen (82585) | $45 | $45 | 3.2× |
| Cryoglobulin (82595) | $95 | $95 | 14.7× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$178–$215 | $178–$215 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 12 matching MRF lines |
$75–$162 | $75–$162 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) range across 3 matching MRF lines |
$71–$73 | $71–$73 | varies |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $139 | $139 | 18.0× |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $656 | $656 | 3.0× |
| Culture aerobic quant other (87071) | $125 | $125 | 12.6× |
| Culture afb (87116) | $98 | $98 | 9.1× |
| Culture Anaerobic (87075) | $115 | $115 | 12.1× |
| Culture blood (87040) | $455 | $455 | 44.1× |
| Culture chlamydia (87110) | $98 | $98 | 5.0× |
| Culture csf (87070) range across 14 matching MRF lines |
$122–$301 | $122–$301 | varies |
| Culture fungus (87102) | $94 | $94 | 11.2× |
| Culture screen only (87081) | $203 | $203 | 30.6× |
| Culture stool (87045) | $164 | $164 | 17.4× |
| Culture typing if ea antiserum (87140) | $39 | $39 | 7.0× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $50 | $50 | 9.7× |
| Culture urine (87086) | $135 | $135 | 16.7× |
| Cyclosporine (80158) | $60 | $60 | 3.3× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$224–$227 | $224–$227 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $224 | $224 | 11.1× |
| Cytopath Cell Enhance Tech (88112) | $242 | $242 | 4.3× |
| Cytotoxic Antibody Screen Std (86807) | $504 | $504 | 6.4× |
| Cytp Concentration Smears & Interpretation (88108) | $126 | $126 | 3.1× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $796 | $796 | 14.3× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $357 | $357 | 2.0× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $198 | $198 | 4.9× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $328 | $328 | 10.6× |
| Deoxycortisol (82634) | $77 | $77 | 2.6× |
| Deoxyribonuclease antibody (86215) | $95 | $95 | 7.2× |
| Detect Agent Nos Dna Amp (87798) | $255 | $255 | 7.3× |
| Detect Agent Nos Dna Quant (87799) | $225 | $225 | 5.3× |
| Detect agnt mult DNA ampli (87801) | $418 | $418 | 6.0× |
| Dgp Antibody Each Ig Class (86258) | $154 | $154 | 12.8× |
| Dhea (82626) | $303 | $303 | 12.0× |
| Dhea-S (82627) | $218 | $218 | 9.8× |
| Digoxin (80162) | $97 | $97 | 7.3× |
| Dihydrotestosterone (82642) | $221 | $221 | 7.5× |
| Dna Antibody Native/Double Stranded (86225) | $175 | $175 | 12.7× |
| Dna/Rna Amplified Probe (87150) | $102 | $102 | 2.9× |
| DNA/RNA direct probe (87149) | $57 | $57 | 2.8× |
| Drug assay acetaminophen (80143) | $309 | $309 | 16.6× |
| Drug Assay Amiodarone (80151) | $55 | $55 | 3.0× |
| Drug assay felbamate (80167) | $120 | $120 | 6.4× |
| Drug Assay Itraconazole (80189) | $177 | $177 | 6.5× |
| Drug Screen Quant Clozapine (80159) | $51 | $51 | 2.5× |
| Drug Screen Quant Zonisamide (80203) | $122 | $122 | 9.2× |
| Drug Screen Quantitative Gabapentin (80171) | $83 | $83 | 3.8× |
| Drug Screen Quantitative Lamotrigine (80175) | $244 | $244 | 18.4× |
| Drug Screen Quantitative Levetiracetam (80177) | $97 | $97 | 7.3× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $96 | $96 | 7.2× |
| Drug Screen Quantitative Tiagabine (80199) | $76 | $76 | 2.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 11 matching MRF lines |
$212–$359 | $212–$359 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) range across 2 matching MRF lines |
$61–$176 | $61–$176 | varies |
| Egfr Gene Analysis Common Variants (81235) | $812 | $812 | 2.5× |
| Ehrlichia antibody (86666) | $71 | $71 | 7.0× |
| Electrolyte panel (80051) | $86 | $86 | 12.3× |
| Electron Microscopy (88348) | $1,675 | $1,675 | 1.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $116 | $116 | 9.6× |
| Enterovirus Antibody (86658) | $34 | $34 | 2.6× |
| Enterovirus PCR (87498) | $343 | $343 | 9.8× |
| Eosinophil Smear (89190) | $85 | $85 | 14.7× |
| Erythropoietin (82668) | $144 | $144 | 7.7× |
| Estradiol serum (82670) | $318 | $318 | 11.4× |
| Estriol (82677) | $176 | $176 | 7.3× |
| Estrogens fractionated (82671) | $267 | $267 | 8.3× |
| Ethosuximide (80168) | $73 | $73 | 4.5× |
| Ethylene Glycol (82693) | $163 | $163 | 10.9× |
| Exam Synovial Fluid Crystals (89060) | $157 | $157 | 21.4× |
| F2 Gene (81240) range across 2 matching MRF lines |
$309–$851 | $309–$851 | varies |
| Factor ii activity (85210) | $232 | $232 | 17.9× |
| Factor ix activity (85250) | $135 | $135 | 7.1× |
| Factor v activity (85220) | $444 | $444 | 25.2× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$308–$888 | $308–$888 | varies |
| Factor vii assay (85230) | $214 | $214 | 12.0× |
| Factor viii assay (85240) | $118 | $118 | 6.6× |
| Factor X (85260) | $110 | $110 | 6.1× |
| Fatty acids free (82725) range across 2 matching MRF lines |
$142–$177 | $142–$177 | varies |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $190 | $190 | 11.1× |
| Fecal Fat Qualitative (82705) | $111 | $111 | 21.8× |
| Ferritin (82728) range across 2 matching MRF lines |
$320–$331 | $320–$331 | varies |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $137 | $137 | 2.5× |
| Fetal Fibronectin (82731) | $740 | $740 | 11.5× |
| Fetal screen rosette (85461) | $103 | $103 | 11.0× |
| Fibrin degradation products (85362) | $77 | $77 | 11.2× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $62 | $62 | 6.4× |
| Fibrinogen activity (85384) | $106 | $106 | 10.9× |
| Fibrinogen antigen (85385) | $170 | $170 | 11.8× |
| Flow cytometry first marker (88184) | $739 | $739 | 1.9× |
| Flt3 Gene (81245) | $415 | $415 | 2.5× |
| Flt3 gene analysis (81246) | $220 | $220 | 2.7× |
| Fluorescent antibody screen (86255) | $79 | $79 | 6.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $288 | $288 | 23.9× |
| Fmr1 Gene Charac Alleles (81244) | $309 | $309 | 6.9× |
| Fmr1 gene detection (81243) | $463 | $463 | 8.1× |
| Folic acid rbc (82747) | $98 | $98 | 5.6× |
| Folic Acid Serum (82746) | $193 | $193 | 13.1× |
| Follicle Stimulating Hormone (83001) | $383 | $383 | 20.6× |
| Francisella tularensis (86668) | $73 | $73 | 5.2× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $357 | $357 | 2.0× |
| Frozen Section (88331) | $381 | $381 | 2.1× |
| Fungi Identification Mold (87107) | $117 | $117 | 11.3× |
| Fungi Identification Yeast (87106) | $94 | $94 | 9.1× |
| Gammaglobulin ige (82785) | $196 | $196 | 11.9× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $96 | $96 | 9.8× |
| Gastrin (82941) | $64 | $64 | 3.6× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,231 | $1,231 | 3.0× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,621 | $2,621 | 3.5× |
| Gentamicin (80170) | $162 | $162 | 9.9× |
| Ggt (82977) | $136 | $136 | 18.9× |
| Glucose 2 hr pp (82950) | $98 | $98 | 20.6× |
| Glucose Blood Test (82962) range across 5 matching MRF lines |
$56–$67 | $56–$67 | varies |
| Glucose body fluid (82945) | $56 | $56 | 14.2× |
| Glucose Serum (82947) range across 6 matching MRF lines |
$46–$104 | $46–$104 | varies |
| Glucose tolerance test (gtt) (82951) | $438 | $438 | 34.0× |
| Glycated Protein (82985) | $128 | $128 | 7.6× |
| Gonadotropin Chorionic Qualitative (84703) | $246 | $246 | 32.7× |
| Growth hormone (83003) | $113 | $113 | 6.8× |
| Gtt-added samples (82952) | $128 | $128 | 32.7× |
| Haptoglobin (83010) | $69 | $69 | 5.5× |
| Hdl Cholesterol (83718) | $109 | $109 | 13.3× |
| Helicobacter Pylori Stool (87338) | $278 | $278 | 19.3× |
| Helminth Antibody (86682) | $150 | $150 | 11.5× |
| Hematocrit (85014) range across 5 matching MRF lines |
$34–$35 | $34–$35 | varies |
| Hemoglobin (85018) range across 5 matching MRF lines |
$34–$82 | $34–$82 | varies |
| Hemoglobin a1c (83036) | $254 | $254 | 26.2× |
| Hemoglobin Chromotography (83021) | $62 | $62 | 3.4× |
| Hemoglobin electrophoresis (83020) | $117 | $117 | 9.1× |
| Hemoglobin stability screen (83068) | $211 | $211 | 22.3× |
| Hemosiderin urine (83070) | $77 | $77 | 16.2× |
| Hep a ab igm (86709) | $390 | $390 | 34.6× |
| Heparin assay (85520) | $157 | $157 | 12.0× |
| Hepatitis a antibody total (86708) | $183 | $183 | 14.8× |
| Hepatitis b core ab igm (86705) | $371 | $371 | 31.5× |
| Hepatitis b core ab total (86704) | $302 | $302 | 25.1× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$249–$255 | $249–$255 | varies |
| Hepatitis B Surface Antigen (87340) | $141 | $141 | 13.6× |
| Hepatitis Be Antibody (86707) | $105 | $105 | 9.1× |
| Hepatitis Be Antigen (87350) | $152 | $152 | 13.2× |
| Hepatitis C Antibody (86803) | $400 | $400 | 28.0× |
| Hepatitis C Genotype (87902) | $1,357 | $1,357 | 5.3× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$288–$312 | $288–$312 | varies |
| Herpes simplex type 2 (86696) | $169 | $169 | 8.7× |
| Heterophile Antibody Screen (86308) | $265 | $265 | 51.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $122 | $122 | 15.8× |
| Histoplasma antibody (86698) | $63 | $63 | 4.6× |
| Histoplasma antigen urine (87385) | $191 | $191 | 14.4× |
| Hiv Genotype (87901) | $1,573 | $1,573 | 6.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $359 | $359 | 14.9× |
| Hiv-1 Antibody (86701) | $123 | $123 | 13.8× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $922 | $922 | 10.8× |
| Hla Class I Typing Low Resolution Complete (81372) | $1,010 | $1,010 | 2.5× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $410 | $410 | 3.2× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $1,035 | $1,035 | 2.6× |
| Hla class i/ii antibody qual (86829) | $202 | $202 | 3.1× |
| Hla class ii high defin qual (86833) | $816 | $816 | 2.5× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $886 | $886 | 4.0× |
| Homocysteine (83090) | $181 | $181 | 10.1× |
| Hpv High-Risk Types (87624) | $436 | $436 | 12.4× |
| Hpv Types 16 & 18 Only (87625) | $274 | $274 | 6.8× |
| Hsv Dna Amp Probe (87529) | $134 | $134 | 3.8× |
| Human Epididymis Protein 4 (86305) | $445 | $445 | 21.4× |
| Hydroxycorticosteroids 17 (83491) | $185 | $185 | 10.3× |
| Hydroxyprogesterone 17-d (83498) | $133 | $133 | 4.9× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $270 | $270 | 19.4× |
| Iaadi giardia (87269) | $111 | $111 | 8.2× |
| Iaadi herpes smplx virus type 1 (87274) | $125 | $125 | 10.4× |
| Iaadi inffluenza a virus (87276) | $64 | $64 | 4.0× |
| Iaadi parainfluenza virus each type (87279) | $42 | $42 | 2.6× |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $112 | $112 | 9.3× |
| Iaadi respiratory synctial virus (87280) | $50 | $50 | 3.7× |
| Iaadi Varicella Zoster Virus (87290) | $113 | $113 | 8.4× |
| Iadna Cytomegalovirus Quantification (87497) | $417 | $417 | 9.7× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $393 | $393 | 5.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $331 | $331 | 9.4× |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $142 | $142 | 2.8× |
| Idh1 common variants (81120) | $484 | $484 | 2.5× |
| Idh2 common variants (81121) | $740 | $740 | 2.5× |
| Ig Light Chains Free Each (83521) range across 8 matching MRF lines |
$109–$173 | $109–$173 | varies |
| Igg subclasses (82787) | $40 | $40 | 5.0× |
| Igh gene rearrange amp meth (81261) | $496 | $496 | 2.5× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $1,891 | $1,891 | 6.4× |
| Immune Complex Assay (86332) | $170 | $170 | 7.0× |
| Immunfix e-phorsis/urine/csf (86335) | $119 | $119 | 4.1× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $88 | $88 | 4.8× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $38 | $38 | 2.5× |
| Immunoassay nonantibody (83516) | $73 | $73 | 6.3× |
| Immunodiffusion not elsewhere specified (86329) | $154 | $154 | 11.0× |
| Immunodiffusion Ouchterlony (86331) | $60 | $60 | 5.0× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $158 | $158 | 6.8× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$180–$219 | $180–$219 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $591 | $591 | 3.2× |
| Immunohistochemistry (88342) | $451 | $451 | 2.5× |
| In situ hybridization 1st probe stain (88365) | $1,131 | $1,131 | 6.2× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $42 | $42 | 2.9× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $67 | $67 | 5.5× |
| Influenza a/b ag eia (87400) | $59 | $59 | 4.2× |
| Influenza DNA amp probe (87502) | $528 | $528 | 5.5× |
| Inhibin b (83520) | $294 | $294 | 17.0× |
| Insitu hybridization auto (88367) range across 4 matching MRF lines |
$739–$746 | $739–$746 | varies |
| Insitu hybridization manual (88368) | $746 | $746 | 1.9× |
| Insulin antibodies (86337) | $304 | $304 | 14.2× |
| Insulin total (83525) | $181 | $181 | 15.8× |
| Intrinsic factor antibody (86340) | $72 | $72 | 4.8× |
| Iron (83540) range across 4 matching MRF lines |
$185–$186 | $185–$186 | varies |
| Islet cell antibody (86341) | $450 | $450 | 19.1× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$1,223–$1,273 | $1,223–$1,273 | varies |
| Kit Gene Analysis D816 Variant(S) (81273) | $1,105 | $1,105 | 8.8× |
| Kit Gene Analysis Targeted Sequence Analysis (81272) | $838 | $838 | 2.5× |
| Kras Gene Analysis Additional Variant(S) (81276) | $484 | $484 | 2.5× |
| Kras Gene Variants Exon 2 (81275) | $484 | $484 | 2.5× |
| Lactate (ld) (ldh) enzyme (83615) | $63 | $63 | 10.4× |
| Ldh Isoenzymes (83625) | $49 | $49 | 3.8× |
| LDL direct (83721) | $144 | $144 | 13.7× |
| Lead (83655) | $204 | $204 | 16.8× |
| Legionella antigen urine (87449) | $186 | $186 | 15.5× |
| Leukocyte Assessment Fecal (89055) | $143 | $143 | 33.5× |
| Level I Surg Pathology Gross Examination Only (88300) | $244 | $244 | 7.9× |
| Level ii surg pathology grossµscopic exam (88302) | $226 | $226 | 5.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $774 | $774 | 2.0× |
| Lidocaine (80176) | $98 | $98 | 6.7× |
| Lipase (83690) | $164 | $164 | 23.8× |
| Lipoprotein A (83695) | $64 | $64 | 4.5× |
| Lithium (80178) | $107 | $107 | 16.2× |
| Luteinizing Hormone (Lh) (83002) | $373 | $373 | 20.1× |
| Lyme disease antibody (86618) | $359 | $359 | 21.1× |
| Lymphocytotoxicity Assay (86805) | $1,607 | $1,607 | 8.5× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $722 | $722 | 4.0× |
| M/phmtrc alys ishquant/semiq (88374) | $515 | $515 | 2.8× |
| Macroscopic Exam Parasite (87169) | $64 | $64 | 14.8× |
| Magnesium Urine (83735) | $178 | $178 | 26.6× |
| Metabolic panel ionized ca (80047) | $128 | $128 | 9.3× |
| Methotrexate (80204) | $208 | $208 | 5.4× |
| Methylmalonic acid serum (83921) | $95 | $95 | 4.5× |
| Mgmt methylation analysis (81287) | $558 | $558 | 4.5× |
| Microalbumin, quantitative (82043) | $117 | $117 | 20.2× |
| Microsatellite instability (81301) | $1,091 | $1,091 | 3.1× |
| Microsomal Antibodies Each (86376) | $221 | $221 | 15.2× |
| Mitochondrial Antibody Each (86381) | $94 | $94 | 3.7× |
| Mlh1 Gene (81288) | $482 | $482 | 2.5× |
| Molecular Cytogenetics Dna Probe Each (88271) | $84 | $84 | 3.9× |
| Molecular Pathology Procedure Level 6 (81405) | $551 | $551 | 1.8× |
| Mopath procedure level 4 (81403) | $463 | $463 | 2.5× |
| Mopath procedure level 5 (81404) | $504 | $504 | 1.8× |
| Mopath procedure level 7 (81406) | $954 | $954 | 3.4× |
| Mrsa Pcr (87641) | $488 | $488 | 13.9× |
| Mumps antibody (86735) | $165 | $165 | 12.6× |
| Mycoplasma antibody (86738) | $89 | $89 | 6.7× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $440 | $440 | 2.5× |
| Myelin basic protein csf (83873) | $92 | $92 | 5.3× |
| Myoglobin urine (83874) | $71 | $71 | 5.5× |
| Natriuretic peptide (83880) | $200 | $200 | 5.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $371 | $371 | 5.1× |
| Nk cells total count (86357) range across 3 matching MRF lines |
$130–$238 | $130–$238 | varies |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $617 | $617 | 2.5× |
| Nras gene variants exon 2&3 (81311) | $740 | $740 | 2.5× |
| Nuclear antigen antibody (86235) | $218 | $218 | 12.2× |
| Obstetric panel (80081) | $755 | $755 | 10.1× |
| Occult Blood Other Sources (82271) | $25 | $25 | 4.7× |
| Oligoclonal bands (83916) | $100 | $100 | 3.7× |
| Organic acids urine (83918) | $594 | $594 | 25.2× |
| Osmolality serum (83930) | $85 | $85 | 12.9× |
| Osmolality Urine (83935) | $77 | $77 | 11.3× |
| Osteocalcin (83937) | $76 | $76 | 2.5× |
| Ova and parasites smears (87177) | $146 | $146 | 16.4× |
| Oxalate urine (83945) | $52 | $52 | 3.6× |
| Particle Agglut Antbdy Titr (86406) | $114 | $114 | 10.7× |
| Particle Agglutination Screen Each Antibody (86403) | $103 | $103 | 8.9× |
| Parvovirus antibody (86747) | $39 | $39 | 2.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $1,675 | $1,675 | 1.9× |
| Pathology Consultation During Surgery (88329) | $238 | $238 | 3.8× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $825 | $825 | 2.5× |
| Ph urine (81003) | $99 | $99 | 44.0× |
| Phenobarbital Level (80184) | $275 | $275 | 18.0× |
| Phenytoin (Dilantin) (80185) | $128 | $128 | 9.7× |
| Phenytoin free (80186) | $137 | $137 | 10.0× |
| Phosphatase acid prostatic (84066) | $62 | $62 | 6.4× |
| Phosphatase alkaline (84075) | $115 | $115 | 22.2× |
| Phosphorus Serum (84100) | $156 | $156 | 32.9× |
| Phosphorus urine (84105) | $90 | $90 | 15.6× |
| Pinworm exam (87172) | $61 | $61 | 14.3× |
| Platelet Aggregation (85576) range across 4 matching MRF lines |
$158–$323 | $158–$323 | varies |
| Platelet Antibodies (86022) | $204 | $204 | 11.1× |
| Platelet count automated (85049) | $46 | $46 | 10.3× |
| Platelet neutralization (85597) | $67 | $67 | 3.7× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $519 | $519 | 2.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $53 | $53 | 3.6× |
| Potassium Urine (84133) | $47 | $47 | 9.9× |
| Prealbumin (84134) | $308 | $308 | 21.1× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $288 | $288 | 1.6× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $131 | $131 | 2.1× |
| Primidone (80188) | $61 | $61 | 3.7× |
| Procalcitonin (Pct) (84145) | $427 | $427 | 15.7× |
| Progesterone (84144) | $388 | $388 | 18.6× |
| Prolactin (84146) | $358 | $358 | 18.5× |
| Protein body fluid (84157) | $66 | $66 | 16.5× |
| Protein C Activity (85303) | $82 | $82 | 5.9× |
| Protein Electrophoresis Urine (84166) | $72 | $72 | 4.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$94–$198 | $94–$198 | varies |
| Protein S Free (85306) | $114 | $114 | 7.4× |
| Protein total serum (84155) | $46 | $46 | 12.5× |
| Protein Total Urine (84156) | $81 | $81 | 22.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) range across 2 matching MRF lines |
$73–$164 | $73–$164 | varies |
| PSA free (84154) | $219 | $219 | 11.9× |
| Pth Intact (83970) | $258 | $258 | 6.3× |
| Q Fever Antibody (86638) | $50 | $50 | 4.1× |
| Quantiferon tb gold plus (86480) | $412 | $412 | 6.6× |
| Quinidine (80194) | $127 | $127 | 8.7× |
| Rbc antibody elution (86860) | $357 | $357 | 2.0× |
| Rbc antibody identification (86870) range across 38 matching MRF lines |
$680–$746 | $680–$746 | varies |
| Rbc antibody screen (86850) range across 7 matching MRF lines |
$146–$194 | $146–$194 | varies |
| Rbc pretreatment serum (86978) | $134 | $134 | 2.1× |
| Rbc pretx incubatj w/enzymes (86971) | $357 | $357 | 2.0× |
| Renin activity plasma (84244) | $87 | $87 | 4.0× |
| Resp virus 12-25 targets (87633) | $1,408 | $1,408 | 3.4× |
| Resp Virus 6-11 Targets (87632) | $546 | $546 | 2.5× |
| Reticulocyte separation (86972) | $288 | $288 | 1.6× |
| Rheumatoid factor quant (86431) | $158 | $158 | 27.9× |
| Rickettsia antibody (86757) | $68 | $68 | 3.5× |
| Rotavirus ag eia (87425) | $246 | $246 | 20.5× |
| Rpr qualitative (86592) | $143 | $143 | 33.5× |
| Rubella Antibody (86762) | $244 | $244 | 17.0× |
| Rubeola antibody (86765) | $237 | $237 | 18.4× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$90–$182 | $90–$182 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $257 | $257 | 5.0× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $103 | $103 | 2.5× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $386 | $386 | 2.7× |
| Sedimentation Rate, Automated (85652) | $136 | $136 | 50.4× |
| Selenium (84255) | $154 | $154 | 6.0× |
| Sensitivity mic (87186) | $99 | $99 | 11.4× |
| Serum Bactericidal Titer (87197) | $171 | $171 | 11.4× |
| Sex Hormone Binding Globulin (84270) | $211 | $211 | 9.7× |
| Sickling of rbc reduction (85660) | $167 | $167 | 30.3× |
| Sirolimus (80195) | $84 | $84 | 6.1× |
| Skin test tuberculosis intradermal (86580) | $52 | $52 | 1.7× |
| Smear acid fast (87206) | $117 | $117 | 21.7× |
| Smear gram stain (87205) range across 4 matching MRF lines |
$52–$135 | $52–$135 | varies |
| Smear Special Stain (87207) | $65 | $65 | 10.9× |
| Smn1 Gene Dos/Deletion Alys (81329) | $479 | $479 | 3.5× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $81 | $81 | 13.9× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$46–$52 | $46–$52 | varies |
| Sodium Urine (84300) | $57 | $57 | 11.3× |
| Soluble Transferrin Receptor (84238) | $114 | $114 | 3.1× |
| Somatomedin (84305) | $246 | $246 | 11.6× |
| Special Stains Group 1 (88312) | $330 | $330 | 5.9× |
| Special Stains Group 2 (88313) | $270 | $270 | 1.9× |
| Spectrophotometry (84311) | $70 | $70 | 8.6× |
| Stool cultr aerobic bact ea (87046) | $50 | $50 | 5.3× |
| Strep a assay w/optic (87880) | $54 | $54 | 3.3× |
| Strep a DNA amp probe (87651) | $234 | $234 | 6.7× |
| Strep b DNA amp probe (87653) | $326 | $326 | 9.3× |
| Surg path level iii (88304) | $478 | $478 | 8.6× |
| Surgical pathology level IV (88305) | $550 | $550 | 9.8× |
| Surgical pathology level vi (88309) | $1,143 | $1,143 | 1.3× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $40 | $40 | 8.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $78 | $78 | 10.4× |
| Sweat Collection Iontophoresis (89230) | $139 | $139 | 2.5× |
| Syphilis Test Non-Trep Quant (86593) | $85 | $85 | 19.3× |
| T cells absolute cd4 count (86361) | $194 | $194 | 7.2× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 3 matching MRF lines |
$244–$444 | $244–$444 | varies |
| T cells total count (86359) range across 3 matching MRF lines |
$183–$334 | $183–$334 | varies |
| T3 Free (84481) | $416 | $416 | 24.6× |
| T3 reverse (84482) | $297 | $297 | 18.8× |
| T3 Total (84480) | $340 | $340 | 24.0× |
| T4 Free (84439) | $287 | $287 | 31.8× |
| T4 total (84436) | $162 | $162 | 23.6× |
| Tacrolimus (80197) | $221 | $221 | 16.1× |
| Testosterone total (84403) range across 3 matching MRF lines |
$72–$367 | $72–$367 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $2,058 | $2,058 | 3.4× |
| Theophylline (80198) | $141 | $141 | 10.0× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$44–$122 | $44–$122 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$22–$35 | $22–$35 | varies |
| Thyroglobulin (84432) | $223 | $223 | 13.9× |
| Thyroglobulin Antibody (86800) | $174 | $174 | 10.9× |
| Thyroid Stimulating Immunoglobulin (84445) | $460 | $460 | 9.0× |
| Thyroxine binding globulin (84442) | $83 | $83 | 5.6× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $113 | $113 | 9.8× |
| Tissue culture bone marrow (88237) | $426 | $426 | 3.0× |
| Tobramycin peak (80200) | $103 | $103 | 6.4× |
| Topiramate (80201) | $62 | $62 | 5.2× |
| Touch prep (88161) | $133 | $133 | 4.3× |
| Toxoplasma ab igm (86778) | $160 | $160 | 11.1× |
| Toxoplasma antibody (86777) | $167 | $167 | 11.6× |
| Tp53 gene analysis targeted sequence analysis (81352) | $825 | $825 | 2.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $202 | $202 | 39.0× |
| Transferrin (84466) range across 3 matching MRF lines |
$219–$283 | $219–$283 | varies |
| Trg gene rearrangement anal (81342) | $810 | $810 | 4.0× |
| Trichomonas vagin dir probe (87660) | $167 | $167 | 8.3× |
| Trichomonas Vaginalis Amplif (87661) | $272 | $272 | 7.8× |
| Triglycerides (84478) | $68 | $68 | 11.8× |
| Troponin Quant (84484) | $122 | $122 | 9.8× |
| Tumor immunohistochem/comput (88361) | $746 | $746 | 1.9× |
| Tumor Immunohistochem/Manual (88360) | $544 | $544 | 3.0× |
| Unlisted Transfusion Medicine Procedure (86999) | $350 | $350 | 11.3× |
| Urea nitrogen urine (84540) | $29 | $29 | 5.2× |
| Uric acid other source (84560) | $33 | $33 | 6.5× |
| Urinalysis Microscopic Only (81015) | $33 | $33 | 10.8× |
| Urinalysis Volume Measure (81050) | $100 | $100 | 27.5× |
| Urine Bacteria Culture (87088) | $135 | $135 | 16.7× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$178–$179 | $178–$179 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $70 | $70 | 22.1× |
| Valproic acid (80164) | $133 | $133 | 9.8× |
| Vancomycin (80202) | $484 | $484 | 35.7× |
| Varicella-zoster antibody (86787) | $253 | $253 | 19.6× |
| Vasopressin (84588) | $244 | $244 | 7.2× |
| Viral Culture (87252) | $92 | $92 | 3.5× |
| Virus inoculate tissue addl (87253) | $116 | $116 | 5.7× |
| Virus inoculation, shell via (87254) | $120 | $120 | 6.1× |
| Viscosity serum (85810) | $56 | $56 | 4.8× |
| Vit D 1 25-Dihydroxy (82652) | $376 | $376 | 9.8× |
| Vitamin A (84590) | $186 | $186 | 16.0× |
| Vitamin b-12 (82607) | $370 | $370 | 24.5× |
| Vitamin B6 (84207) | $302 | $302 | 10.7× |
| Vitamin c (82180) | $80 | $80 | 8.1× |
| Vitamin D 25-Hydroxy (82306) | $442 | $442 | 14.9× |
| Vitamin E (84446) | $173 | $173 | 12.2× |
| Von willebrand factor ag (85246) | $150 | $150 | 6.5× |
| Xylose Absorption Test (84620) | $237 | $237 | 18.4× |
| Zinc (84630) | $143 | $143 | 12.6× |
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.