Lab & pathology prices at Fresno Surgical Hospital
Fresno, CA · every code in this section with a posted price and a Medicare benchmark.
518 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $30.40 | $38 | 1.3× |
| Acth (82024) | $19.20 | $24 | 0.5× |
| Acute hepatitis panel (80074) | $290.73 | $363.41 | 6.1× |
| Acylcarnitines Quant (82017) | $80 | $100 | 4.7× |
| Albumin Fluid (82042) | $23.64 | $29.55 | 3.0× |
| Albumin serum (82040) | $58.97 | $73.71 | 11.9× |
| Aldolase (82085) | $12.78 | $15.97 | 1.3× |
| Aldosterone urine (82088) range across 2 matching MRF lines |
$20.68–$45.22 | $25.85–$56.52 | varies |
| Alkaline phosphatase isoenzymes (84080) | $12.80 | $16 | 0.9× |
| Allergen specific ige (86003) | $13.15 | $16.43 | 2.5× |
| Allergen specific igg (86001) | $8.66 | $10.82 | 1.1× |
| Allg Spec Ige Recomb Ea (86008) | $13.80 | $17.25 | 0.8× |
| Alpha-1-antitrypsin phenotype (82104) | $22.69 | $28.36 | 1.6× |
| Alpha-1-antitrypsin total (82103) | $14.40 | $18 | 1.1× |
| Alpha-Fetoprotein Serum (82105) | $119.79 | $149.73 | 7.1× |
| Alt (sgpt) (84460) | $56.70 | $70.87 | 10.7× |
| Amikacin trough (80150) | $26.08 | $32.60 | 1.7× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) | $88 | $110 | 5.2× |
| Ammonia (82140) | $177.34 | $221.67 | 12.2× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $266.40 | $333 | 2.7× |
| Amylase urine (82150) range across 4 matching MRF lines |
$15.17–$166.52 | $18.96–$208.15 | varies |
| Ana Titer (86039) | $13.60 | $17 | 1.2× |
| Androstenedione (82157) | $25.60 | $32 | 0.9× |
| Angiotensin converting enzyme csf (82164) range across 2 matching MRF lines |
$14.40–$22.40 | $18–$28 | varies |
| Anti-Phospholipid Antibody (86148) | $16.24 | $20.30 | 1.0× |
| Antibody aspergillus (86606) range across 2 matching MRF lines |
$14.40–$154.40 | $18–$193 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) | $11.91 | $14.88 | 0.9× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $34.47 | $43.08 | 2.2× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $15.53 | $19.41 | 0.9× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $16 | $20 | 1.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $23.80 | $29.74 | 1.3× |
| Antibody helicobacter pylori (86677) | $100.96 | $126.19 | 6.0× |
| Antibody Herpes Smplx Type 1 (86695) | $15.18 | $18.97 | 1.2× |
| Antibody HIV-2 (86702) | $29.64 | $37.05 | 2.2× |
| Antibody Titer (86886) | $267.20 | $334 | 51.6× |
| Antibody Treponema Pallidum (86780) range across 2 matching MRF lines |
$17.40–$37.94 | $21.75–$47.42 | varies |
| Antigen typing (86905) | $135.20 | $169 | 35.3× |
| Antinuclear antibodies (86038) | $13.60 | $17 | 1.1× |
| Antithrombin iii activity (85300) range across 2 matching MRF lines |
$18.40–$20.47 | $23–$25.58 | varies |
| Antithrombin iii antigen (85301) | $26.40 | $33 | 2.4× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$19.76–$22.32 | $24.70–$27.90 | varies |
| Aquaporin-4 Antb Cba Each (86052) | $49.60 | $62 | 4.1× |
| Arsenic (82175) | $23.08 | $28.85 | 1.2× |
| Aspergillus ag eia (87305) | $79.68 | $99.60 | 6.7× |
| Assay Nephelometry Not Spec (83883) range across 2 matching MRF lines |
$12.80–$36 | $16–$45 | varies |
| Assay of blood/uric acid (84550) | $61.60 | $77 | 13.6× |
| Assay of calcium in urine (82340) | $42.60 | $53.25 | 7.1× |
| Assay of gammaglobulin igm (82784) range across 5 matching MRF lines |
$13.36–$14.76 | $16.70–$18.45 | varies |
| Assay of lactic acid (83605) | $110.40 | $138 | 9.5× |
| Assay of manganese (83785) | $40.36 | $50.44 | 1.5× |
| Assay of metanephrines (83835) range across 2 matching MRF lines |
$19.43–$25.24 | $24.28–$31.54 | varies |
| Assay of proinsulin (84206) | $60 | $75 | 2.2× |
| Assay of serum potassium (84132) | $77.23 | $96.53 | 16.2× |
| Assay of urea nitrogen (84520) | $21.72 | $27.14 | 5.5× |
| Assay of urine vma (84585) range across 2 matching MRF lines |
$19.80–$22.34 | $24.75–$27.92 | varies |
| Assay of vitamin b-1 (84425) range across 2 matching MRF lines |
$21.60–$26.44 | $26.99–$33.04 | varies |
| Assay Ph Body Fluid Nos (83986) | $40.80 | $51 | 11.4× |
| Autol Bld/Component Collj Storage Predeposited (86890) | $503.99 | $629.98 | 2.3× |
| Autol bld/component collj storage salvage (86891) | $2,537.23 | $3,171.53 | 2.4× |
| Automated Leukocyte Count (85048) | $32 | $40 | 12.6× |
| Bartonella antibody (86611) | $76.64 | $95.80 | 7.5× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$133.60–$393.51 | $167–$491.88 | varies |
| Bcr/abl1 gene minor bp (81207) | $133.60 | $167 | 0.9× |
| Beta 2 glycoprotein i antibody each (86146) | $17.60 | $22 | 0.7× |
| Beta hydroxybutyrate (82010) | $133.86 | $167.32 | 16.4× |
| Beta Lactamase (87185) | $35.11 | $43.88 | 7.4× |
| Beta-2 Microglobulin (82232) | $16 | $20 | 1.0× |
| Bile acids, cholylglycine (82240) | $79.73 | $99.66 | 3.0× |
| Bilirubin direct (82248) | $59.90 | $74.87 | 11.9× |
| Bilirubin total (82247) | $87.27 | $109.08 | 17.4× |
| Bilirubin total transcutaneous (88720) | $12.05 | $15.06 | 2.4× |
| Biotinidase (82261) | $22.60 | $28.25 | 1.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $503.99 | $629.98 | 2.3× |
| Blood Count Red Blood Cell Automated (85041) | $4.80 | $5.99 | 1.6× |
| Blood count reticulocyte automated (85045) | $53.60 | $67 | 13.4× |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $34.40 | $43 | 9.1× |
| Blood count spun microhematocrit (85013) | $68 | $85 | 9.7× |
| Blood gas (82803) range across 3 matching MRF lines |
$320–$341.44 | $400–$426.79 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) range across 2 matching MRF lines |
$39.20–$52 | $48.99–$65 | varies |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $22.09 | $27.61 | 5.0× |
| Blood Type Antigen Donor Reagent Serum Each (86902) range across 2 matching MRF lines |
$98.40–$127.20 | $123–$159 | varies |
| Blood typing serologic abo (86900) | $173.60 | $217 | 58.1× |
| Body fluid cell count (89050) range across 2 matching MRF lines |
$139.06–$157.54 | $173.82–$196.92 | varies |
| Bordetella antibody (86615) | $38.72 | $48.40 | 2.9× |
| Brucella antibody (86622) | $28.16 | $35.20 | 3.2× |
| C diff amplified probe (87493) | $272 | $340 | 7.3× |
| C-Peptide (84681) | $24 | $30 | 1.2× |
| C-reactive protein (86140) | $44.75 | $55.93 | 8.6× |
| Ca 19-9 (86301) | $70.40 | $88 | 3.4× |
| Calcitonin (82308) | $23.96 | $29.95 | 0.9× |
| Calcium ionized (82330) | $104.80 | $130.99 | 7.7× |
| Calcium total (82310) range across 3 matching MRF lines |
$37.31–$38.40 | $46.63–$48 | varies |
| Calculus Spectroscopy (82365) | $36 | $45 | 2.8× |
| Calprotectin Fecal (83993) | $106.76 | $133.45 | 5.4× |
| Calr gene com variants (81219) | $192 | $240 | 1.6× |
| Cancer Antigen 125 (86304) | $44.68 | $55.85 | 2.1× |
| Cancer Antigen 27.29 (86300) range across 2 matching MRF lines |
$17.60–$28.43 | $22–$35.53 | varies |
| Candida Dna Dir Probe (87480) | $48.12 | $60.15 | 2.4× |
| Carbamazepine total (80156) | $126.68 | $158.34 | 8.7× |
| Carboxyhemoglobin (82375) | $160.80 | $201 | 13.1× |
| Carcinoembryonic antigen (82378) range across 2 matching MRF lines |
$20–$175.43 | $25–$219.28 | varies |
| Cardiolipin ab iga (86147) | $21 | $26.25 | 0.8× |
| Carnitine Quantitative Each Specimen (82379) | $36 | $45 | 2.1× |
| Catecholamines fractionated (82384) range across 2 matching MRF lines |
$21.46–$27.68 | $26.82–$34.59 | varies |
| Ccp antibody (86200) | $32.64 | $40.80 | 2.5× |
| Cell count csf (89051) | $72.95 | $91.18 | 13.0× |
| Ceruloplasmin (82390) | $13.60 | $17 | 1.3× |
| Cftr gene com variants (81220) | $88 | $110 | 0.2× |
| Chemiluminescent assay (82397) range across 2 matching MRF lines |
$29.04–$95.48 | $36.29–$119.35 | varies |
| Chlamydia antibody (86631) | $10 | $12.50 | 0.8× |
| Chlamydia Igm Antibody (86632) | $10 | $12.50 | 0.8× |
| Chloride other source (82438) | $88.80 | $111 | 17.8× |
| Chloride Serum (82435) | $76.80 | $96 | 16.7× |
| Chloride urine (82436) | $114.76 | $143.44 | 20.0× |
| Cholesterol total (82465) | $70.65 | $88.31 | 16.2× |
| Chorionic gonadotropin test (84702) range across 2 matching MRF lines |
$21.08–$113.14 | $26.35–$141.42 | varies |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $50 | $62.50 | 1.5× |
| Chromogranin a (86316) | $45.93 | $57.41 | 2.2× |
| Chromosome Analysis 20-25 (88264) | $93.60 | $117 | 0.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$84.22–$124.80 | $105.27–$156 | varies |
| Citric acid urine (82507) | $24.69 | $30.86 | 0.9× |
| Ckmb (82553) | $201.77 | $252.21 | 17.5× |
| Clostridium Difficile (87324) | $77.60 | $97 | 6.5× |
| Clot Factor VIII Multimetric (85247) | $19.92 | $24.90 | 0.9× |
| Coagulation time activated (85347) | $57.60 | $72 | 13.5× |
| Coccidioides antibody (86635) | $70.38 | $87.97 | 6.1× |
| Column Chromotography Quant (82542) | $44.36 | $55.45 | 1.8× |
| Compatibility Each Unit Incubation (86921) range across 2 matching MRF lines |
$257.60–$503.99 | $322–$629.98 | varies |
| Complement Antigen Each Component (86160) | $30.94 | $38.67 | 2.6× |
| Complement Fixation Tests Each Antigen (86171) | $50.40 | $63 | 5.0× |
| Complement Total (Ch50) (86162) | $15.20 | $19 | 0.7× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $257.92 | $322.40 | 3.8× |
| Coombs direct (86880) | $102.24 | $127.79 | 19.0× |
| Copper urine (82525) range across 2 matching MRF lines |
$16–$16.74 | $20–$20.92 | varies |
| Cortisol free (82530) range across 2 matching MRF lines |
$32–$32.65 | $40–$40.81 | varies |
| Cortisol saliva (82533) | $132.72 | $165.90 | 8.1× |
| Creatine kinase total (82550) | $122.40 | $153 | 18.8× |
| Creatinine blood (82565) | $69.69 | $87.11 | 13.6× |
| Creatinine Urine (82570) range across 4 matching MRF lines |
$12.20–$94.93 | $15.24–$118.66 | varies |
| Crossmatch electronic (86923) | $208 | $260 | 0.9× |
| Crossmatch immediate spin (86920) | $248.39 | $310.48 | 1.1× |
| Crp High Sensitivity (86141) range across 2 matching MRF lines |
$28.96–$99.78 | $36.20–$124.72 | varies |
| Cryoglobulin (82595) | $14.40 | $18 | 2.2× |
| Cryptococcus ag titer (87899) range across 3 matching MRF lines |
$79.68–$84.80 | $99.60–$106 | varies |
| Cryptosporidium (87272) | $84.80 | $106 | 7.1× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 2 matching MRF lines |
$43.84–$79.14 | $54.80–$98.92 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $39.38 | $49.22 | 4.9× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) | $100.80 | $126 | 13.1× |
| Culture aerobic quant other (87071) | $208.70 | $260.87 | 21.1× |
| Culture afb (87116) range across 2 matching MRF lines |
$54.60–$104.14 | $68.24–$130.17 | varies |
| Culture Anaerobic (87075) | $147.53 | $184.41 | 15.6× |
| Culture blood (87040) | $176 | $220 | 17.1× |
| Culture chlamydia (87110) | $20 | $25 | 1.0× |
| Culture csf (87070) range across 9 matching MRF lines |
$20.50–$188.46 | $25.62–$235.57 | varies |
| Culture fungus (87102) | $102.06 | $127.57 | 12.1× |
| Culture fungus blood (87103) | $206.40 | $258 | 10.1× |
| Culture screen only (87081) | $56 | $70 | 8.4× |
| Culture stool (87045) | $72 | $90 | 7.6× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $71.20 | $89 | 5.7× |
| Cyclosporine (80158) | $19.09 | $23.86 | 1.1× |
| Cystatin C (82610) | $53.53 | $66.91 | 2.9× |
| Cytogenetics 100-300 (88275) | $60 | $75 | 1.2× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) | $888 | $1,110 | 0.8× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$15.53–$73.60 | $19.41–$92 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $48.63 | $60.78 | 2.4× |
| Cytopath Cell Enhance Tech (88112) | $125.97 | $157.46 | 1.9× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $63.87 | $79.83 | 2.4× |
| Cytp Concentration Smears & Interpretation (88108) | $112.79 | $140.98 | 2.3× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $102.05 | $127.56 | 1.5× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $17.22 | $21.52 | 0.1× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 2 matching MRF lines |
$100.08–$118.33 | $125.10–$147.91 | varies |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) | $12 | $14.99 | 0.6× |
| Deoxycortisol (82634) | $30.40 | $38 | 1.0× |
| Detect Agent Nos Dna Amp (87798) range across 7 matching MRF lines |
$43.20–$294.40 | $54–$368 | varies |
| Detect Agent Nos Dna Quant (87799) range across 3 matching MRF lines |
$80–$248 | $100–$310 | varies |
| Dhea (82626) | $22.40 | $28 | 0.9× |
| Dhea-S (82627) | $13.76 | $17.20 | 0.6× |
| Digoxin (80162) | $136.52 | $170.64 | 10.3× |
| Diphtheria antitoxoid (86648) | $21.20 | $26.50 | 1.4× |
| Dna Antibody Native/Double Stranded (86225) | $17.81 | $22.26 | 1.3× |
| Dna/Rna Amplified Probe (87150) | $123.84 | $154.80 | 3.5× |
| DNA/RNA direct probe (87149) range across 2 matching MRF lines |
$84–$96 | $105–$120 | varies |
| Drug Assay Infliximab (80230) | $219.20 | $274 | 5.7× |
| Drug Assay Itraconazole (80189) | $70.80 | $88.50 | 2.6× |
| Drug Screen Quantitative Levetiracetam (80177) | $37.66 | $47.07 | 2.8× |
| Drug Screen Quantitative Oxcarbazepine (80183) range across 2 matching MRF lines |
$36–$36.32 | $45–$45.40 | varies |
| Drug Test Prsmv Chem Anlyzr (80307) range across 7 matching MRF lines |
$34.62–$220.32 | $43.27–$275.40 | varies |
| Electrolyte panel (80051) | $191.23 | $239.03 | 27.3× |
| Electron Microscopy (88348) | $708.41 | $885.51 | 0.7× |
| Enterovirus PCR (87498) range across 2 matching MRF lines |
$120.84–$121.60 | $151.05–$152 | varies |
| Enzyme cell activity (82657) range across 2 matching MRF lines |
$13–$163.75 | $16.25–$204.68 | varies |
| Eosinophil Smear (89190) | $64 | $80 | 11.1× |
| Erythropoietin (82668) | $23.20 | $29 | 1.2× |
| Estradiol serum (82670) | $84.80 | $106 | 3.0× |
| Estrogen total (82672) | $26.39 | $32.98 | 1.2× |
| Ethosuximide (80168) | $18.24 | $22.80 | 1.1× |
| Ethylene Glycol (82693) | $31.56 | $39.44 | 2.1× |
| Exam Synovial Fluid Crystals (89060) | $86.88 | $108.59 | 11.9× |
| F2 Gene (81240) | $60 | $75 | 0.9× |
| Factor ix activity (85250) | $232 | $290 | 12.2× |
| Factor v leiden mutation (81241) | $60 | $75 | 0.8× |
| Factor viii assay (85240) range across 2 matching MRF lines |
$30.89–$40 | $38.61–$50 | varies |
| Fecal Fat Qualitative (82705) | $17.60 | $22 | 3.5× |
| Ferritin (82728) range across 2 matching MRF lines |
$9.80–$158.87 | $12.25–$198.58 | varies |
| Fetal Fibronectin (82731) | $400.80 | $501 | 6.2× |
| Fibrin Degradation Quant (85379) | $105.28 | $131.60 | 10.3× |
| Fibrinogen activity (85384) | $173.16 | $216.45 | 17.8× |
| Flow cytometry first marker (88184) range across 2 matching MRF lines |
$30.40–$111.68 | $38–$139.60 | varies |
| Flt3 Gene (81245) | $128 | $160 | 0.8× |
| Flt3 gene analysis (81246) | $128 | $160 | 1.5× |
| Fluorescent antibody screen (86255) range across 5 matching MRF lines |
$15.17–$304.26 | $18.96–$380.32 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$18.52–$68 | $23.14–$85 | varies |
| Folic acid rbc (82747) | $12.80 | $16 | 0.7× |
| Folic Acid Serum (82746) | $142.96 | $178.69 | 9.7× |
| Follicle Stimulating Hormone (83001) range across 2 matching MRF lines |
$13.60–$28.63 | $17–$35.78 | varies |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $503.99 | $629.98 | 2.3× |
| Frozen Section (88331) | $25.04 | $31.29 | 0.1× |
| Fungi Identification Mold (87107) | $47.35 | $59.18 | 4.6× |
| Fungi Identification Yeast (87106) | $53.02 | $66.27 | 5.1× |
| Galactose transferase test (82776) | $22.60 | $28.25 | 1.9× |
| Gammaglobulin ige (82785) | $15.20 | $19 | 0.9× |
| Gardner vag DNA dir probe (87510) | $48.12 | $60.15 | 2.4× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $150.24 | $187.80 | 15.4× |
| Gastrin (82941) | $21.24 | $26.54 | 1.2× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $1,768 | $2,210 | 2.3× |
| Gentamicin (80170) | $56 | $70 | 3.4× |
| Ggt (82977) | $43.54 | $54.42 | 6.0× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $210.40 | $263 | 34.8× |
| Glucose 2 hr pp (82950) | $16 | $20 | 3.4× |
| Glucose Blood Test (82962) range across 3 matching MRF lines |
$56.80–$56.98 | $71–$71.22 | varies |
| Glucose body fluid (82945) | $96.96 | $121.20 | 24.7× |
| Glucose Serum (82947) | $58.80 | $73.50 | 15.0× |
| Glucose tolerance test (gtt) (82951) | $88.46 | $110.57 | 6.9× |
| Glycated Protein (82985) | $12.68 | $15.84 | 0.8× |
| Gonadotropin Chorionic Qualitative (84703) | $104.71 | $130.88 | 13.9× |
| Growth hormone (83003) | $14.40 | $18 | 0.9× |
| Gtt-added samples (82952) | $22.69 | $28.36 | 5.8× |
| H Pylori (C-13) Breath (83013) | $89.07 | $111.33 | 1.3× |
| Haptoglobin (83010) | $59.09 | $73.86 | 4.7× |
| Hdl Cholesterol (83718) | $85.18 | $106.47 | 10.4× |
| Helicobacter Pylori Stool (87338) | $128 | $160 | 8.9× |
| Helminth Antibody (86682) | $79.84 | $99.80 | 6.1× |
| Hematocrit (85014) range across 3 matching MRF lines |
$3.20–$61.64 | $3.99–$77.05 | varies |
| Hemoglobin (85018) range across 5 matching MRF lines |
$3.20–$56.87 | $3.99–$71.08 | varies |
| Hemoglobin a1c (83036) range across 2 matching MRF lines |
$12.80–$100.15 | $16–$125.18 | varies |
| Hemoglobin Chromotography (83021) range across 2 matching MRF lines |
$22.60–$34.88 | $28.25–$43.60 | varies |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$14.66–$21.57 | $18.32–$26.96 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $85.06 | $106.32 | 10.4× |
| Hemoglobin plasma (83051) | $17.55 | $21.93 | 2.4× |
| Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) | $111.03 | $138.78 | 11.4× |
| Hemosiderin urine (83070) | $13.08 | $16.35 | 2.8× |
| Hep a ab igm (86709) | $46.08 | $57.60 | 4.1× |
| Heparin assay (85520) | $208 | $260 | 15.9× |
| Hepatitis a antibody total (86708) range across 2 matching MRF lines |
$5.18–$16.19 | $6.47–$20.23 | varies |
| Hepatitis b core ab igm (86705) | $63.36 | $79.20 | 5.4× |
| Hepatitis b core ab total (86704) | $48.04 | $60.04 | 4.0× |
| Hepatitis B Surface Antibody (86706) | $83.60 | $104.49 | 7.8× |
| Hepatitis B Surface Antigen (87340) | $112.80 | $141 | 10.9× |
| Hepatitis Be Antibody (86707) | $14.21 | $17.76 | 1.2× |
| Hepatitis Be Antigen (87350) | $14.40 | $18 | 1.2× |
| Hepatitis C Antibody (86803) | $117.98 | $147.47 | 8.3× |
| Hepatitis C Genotype (87902) | $80 | $100 | 0.3× |
| Hepatitis C Probe&Rvrs Trnsc (87521) | $58.16 | $72.70 | 1.7× |
| Hepatitis C Revrs Trnscrpj (87522) | $78.40 | $98 | 1.8× |
| Herpes simplex type 2 (86696) | $18.54 | $23.17 | 1.0× |
| Heterophile Antibody Screen (86308) | $80.80 | $101 | 15.6× |
| Hgb Quantitative Transcutaneous (88738) | $9.60 | $12 | 1.9× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $218.40 | $273 | 28.3× |
| Histoplasma antigen urine (87385) | $78.40 | $98 | 5.9× |
| Hiv Genotype (87901) | $288 | $360 | 1.1× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $130.40 | $163 | 5.4× |
| Hiv-1 Antibody (86701) | $29.64 | $37.05 | 3.3× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $56 | $70 | 0.7× |
| Hla I Typing 1 Allele Hr (81381) | $138.92 | $173.65 | 0.8× |
| Hla-b27 (86812) | $21.71 | $27.13 | 0.8× |
| Homocysteine (83090) | $20.80 | $26 | 1.2× |
| Homogenization Tissue (87176) | $24.19 | $30.23 | 4.1× |
| Homovanillic acid urine (83150) | $18.92 | $23.65 | 0.8× |
| Hpv High-Risk Types (87624) | $84.22 | $105.27 | 2.4× |
| Hsv Dna Amp Probe (87529) range across 2 matching MRF lines |
$59.20–$147.20 | $74–$184 | varies |
| Human Epididymis Protein 4 (86305) | $212.80 | $266 | 10.2× |
| Hydroxyprogesterone 17-d (83498) range across 2 matching MRF lines |
$19.55–$22.60 | $24.43–$28.25 | varies |
| Iaad Ia Streptococcus Group A (87430) | $86.40 | $108 | 5.1× |
| Iaadi giardia (87269) | $84.80 | $106 | 6.2× |
| Iaadi pneumocustis carinii (87281) | $92.80 | $116 | 7.7× |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) | $270.40 | $338 | 7.7× |
| Iadna Cytomegalovirus Quantification (87497) range across 2 matching MRF lines |
$78.40–$124.60 | $98–$155.75 | varies |
| Iadna Hepatitis B Virus Quantification (87517) | $78.80 | $98.50 | 1.8× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $84.22 | $105.27 | 2.4× |
| Iadna HIV-1 amplified probe & reverse transcrpj (87535) | $99 | $123.75 | 2.8× |
| Iadna Mycobacteria Avium-Intraclre Dir Prb (87560) | $116.80 | $146 | 4.3× |
| Iadna Mycobacteria Tuberculosis Amp Prb (87556) | $127.20 | $159 | 3.1× |
| Iadna Mycobacteria Tuberculosis Dir Prb (87555) | $101.60 | $127 | 3.8× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $176 | $220 | 5.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 2 matching MRF lines |
$84.22–$124.80 | $105.27–$156 | varies |
| Iadna Nos Direct Probe Tq Each Organism (87797) | $165.60 | $207 | 5.5× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $811.20 | $1,014 | 3.1× |
| Idh1 common variants (81120) | $212 | $265 | 1.1× |
| Idh2 common variants (81121) | $212 | $265 | 0.7× |
| Ig Light Chains Free Each (83521) | $62.37 | $77.96 | 3.6× |
| Igg subclasses (82787) | $16.80 | $21 | 2.1× |
| Igh@ Variable Region Somatic Mutation Analysis (81263) | $455.60 | $569.49 | 1.5× |
| Immunfix e-phorsis/urine/csf (86335) | $22.71 | $28.38 | 0.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 5 matching MRF lines |
$50.67–$768 | $63.33–$960 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $12 | $15 | 0.8× |
| Immunoassay nonantibody (83516) range across 8 matching MRF lines |
$18.32–$72 | $22.90–$90 | varies |
| Immunodiffusion Ouchterlony (86331) | $44 | $55 | 3.7× |
| Immunofixation electrophoresis (86334) | $25.16 | $31.44 | 1.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $142.12 | $177.65 | 0.6× |
| Immunohistochemistry (88342) | $257.60 | $322 | 1.2× |
| In situ hybridization 1st probe stain (88365) | $503.99 | $629.98 | 2.3× |
| Influenza DNA amp probe (87502) | $229.92 | $287.40 | 2.4× |
| Inhibin A (86336) | $30.40 | $38 | 1.9× |
| Inhibin b (83520) range across 9 matching MRF lines |
$14.28–$97.60 | $17.85–$122 | varies |
| Insitu hybridization manual (88368) | $328 | $410 | 0.7× |
| Insulin antibodies (86337) | $16 | $20 | 0.7× |
| Insulin total (83525) | $14.40 | $18 | 1.3× |
| Interleukin-6 (83529) | $95.20 | $119 | 5.5× |
| Intrinsic factor antibody (86340) | $31.80 | $39.75 | 2.1× |
| Iron (83540) | $67.20 | $84 | 10.4× |
| Islet cell antibody (86341) range across 4 matching MRF lines |
$30.40–$256.80 | $38–$321 | varies |
| Jak2 gene analysis p.val617phe variant (81270) | $288 | $360 | 3.1× |
| Koh Prep (87220) | $70.52 | $88.14 | 16.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 3 matching MRF lines |
$6.40–$85 | $8–$106.25 | varies |
| Ldh Isoenzymes (83625) | $15.12 | $18.90 | 1.2× |
| LDL direct (83721) | $16.96 | $21.20 | 1.6× |
| Lead (83655) range across 2 matching MRF lines |
$14.40–$17.62 | $18–$22.02 | varies |
| Legionella antibody (86713) | $62.12 | $77.64 | 4.1× |
| Legionella antigen urine (87449) | $84 | $105 | 7.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $80.23 | $100.28 | 2.2× |
| Level ii surg pathology grossµscopic exam (88302) | $109.56 | $136.94 | 2.3× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $444 | $555 | 1.0× |
| Lipase (83690) | $76.52 | $95.64 | 11.1× |
| Lipoprotein A (83695) | $26.40 | $33 | 1.8× |
| Lipoprotein Bld Quan Part (83704) | $31.56 | $39.45 | 0.9× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $44.36 | $55.45 | 1.0× |
| Lithium (80178) | $82.25 | $102.81 | 12.4× |
| Luteinizing Hormone (Lh) (83002) range across 2 matching MRF lines |
$13.60–$16.40 | $17–$20.50 | varies |
| Lyme disease antibody (86618) range across 3 matching MRF lines |
$18.47–$22.85 | $23.08–$28.56 | varies |
| Magnesium Urine (83735) range across 2 matching MRF lines |
$122.40–$127.73 | $153–$159.66 | varies |
| Mass Spectrometry Quant (83789) | $23.80 | $29.75 | 1.0× |
| Mercury urine (83825) | $20.92 | $26.15 | 1.3× |
| Metabolic panel ionized ca (80047) | $186.40 | $233 | 13.6× |
| Methylmalonic acid serum (83921) | $33.48 | $41.85 | 1.6× |
| Microalbumin, quantitative (82043) | $65.60 | $82 | 11.3× |
| Microsomal Antibodies Each (86376) range across 4 matching MRF lines |
$15.75–$108.36 | $19.68–$135.45 | varies |
| Molecular Cytogenetics Dna Probe Each (88271) | $40 | $50 | 1.9× |
| Molecular Pathology Procedure Level 3 (81402) | $192 | $240 | 1.3× |
| Mopath procedure level 4 (81403) | $172.80 | $216 | 0.9× |
| Mrsa Pcr (87641) | $293.60 | $367 | 8.4× |
| Mthfr Gene Analysis Common Variants (81291) | $56 | $70 | 0.9× |
| Mumps antibody (86735) range across 3 matching MRF lines |
$15.94–$45.60 | $19.92–$57 | varies |
| Mycobacteric Identification (87118) | $60.80 | $76 | 4.2× |
| Mycoplasma antibody (86738) | $16.96 | $21.20 | 1.3× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $279.20 | $349 | 1.6× |
| Myelin basic protein csf (83873) | $15.40 | $19.25 | 0.9× |
| Myoglobin urine (83874) range across 2 matching MRF lines |
$14.48–$17.72 | $18.09–$22.15 | varies |
| Natriuretic peptide (83880) range across 2 matching MRF lines |
$101.92–$230.68 | $127.39–$288.34 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $326.40 | $408 | 2.5× |
| Nfct Agent Dna/Rna Influenza >2 Types Ea Addl (87503) | $70.13 | $87.66 | 2.4× |
| Nfct ds chrnc hcv 6 assays (81596) | $239 | $298.75 | 3.3× |
| Niacin (84591) | $72 | $90 | 4.2× |
| Nuclear antigen antibody (86235) range across 11 matching MRF lines |
$15.20–$30.36 | $19–$37.94 | varies |
| Occult Blood Other Sources (82271) | $88 | $110 | 16.5× |
| Oligoclonal bands (83916) | $20 | $25 | 0.7× |
| Organic acids urine (83918) | $168 | $210 | 7.1× |
| Osmolality serum (83930) | $138.73 | $173.41 | 21.0× |
| Osmolality Urine (83935) | $115.08 | $143.84 | 16.9× |
| Ova and parasites smears (87177) | $12 | $15 | 1.3× |
| Pancreatic Elastase Fecal (82656) | $187.20 | $234 | 16.2× |
| Parvovirus antibody (86747) | $15.80 | $19.75 | 1.1× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $19.98 | $24.97 | 0.0× |
| Ph urine (81003) | $71.52 | $89.39 | 31.8× |
| Phenobarbital Level (80184) | $90.39 | $112.98 | 5.9× |
| Phenytoin (Dilantin) (80185) | $172.74 | $215.92 | 13.0× |
| Phenytoin free (80186) | $22.71 | $28.38 | 1.7× |
| Phosphatase acid prostatic (84066) | $15.20 | $19 | 1.6× |
| Phosphatase alkaline (84075) range across 2 matching MRF lines |
$25.70–$28.80 | $32.12–$36 | varies |
| Phosphorus Serum (84100) | $64 | $80 | 13.5× |
| Phosphorus urine (84105) | $32.80 | $41 | 5.7× |
| Pinworm exam (87172) | $68.80 | $86 | 16.1× |
| Platelet Aggregation (85576) range across 3 matching MRF lines |
$108.48–$124.80 | $135.60–$156 | varies |
| Platelet Antibodies (86022) range across 6 matching MRF lines |
$40–$197.28 | $50–$246.60 | varies |
| Platelet count automated (85049) | $55.07 | $68.83 | 12.3× |
| Platelet neutralization (85597) | $128 | $160 | 7.1× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $248.59 | $310.73 | 1.2× |
| Pooling blood platelets (86965) | $503.99 | $629.98 | 2.3× |
| Porphobilinogen, urine; quantitative (84110) | $16 | $20 | 1.9× |
| Potassium Urine (84133) | $75.20 | $94 | 15.9× |
| Prealbumin (84134) | $100.17 | $125.21 | 6.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $220 | $275 | 2.9× |
| Primidone (80188) | $12 | $15 | 0.7× |
| Procalcitonin (Pct) (84145) | $162.58 | $203.22 | 6.0× |
| Progesterone (84144) | $64 | $80 | 3.1× |
| Prolactin (84146) range across 2 matching MRF lines |
$12–$157.27 | $15–$196.58 | varies |
| Protein body fluid (84157) | $86.40 | $108 | 21.6× |
| Protein C Activity (85303) | $33.22 | $41.52 | 2.4× |
| Protein Electrophoresis Urine (84166) | $24.24 | $30.29 | 1.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $12.31 | $15.38 | 1.1× |
| Protein S Free (85306) | $26.46 | $33.07 | 1.7× |
| Protein total serum (84155) range across 2 matching MRF lines |
$10.36–$29.34 | $12.94–$36.67 | varies |
| Protein Total Urine (84156) range across 3 matching MRF lines |
$7–$119.44 | $8.75–$149.30 | varies |
| Protein Western Blot Test (84182) | $138.32 | $172.90 | 4.7× |
| PSA free (84154) | $11.20 | $14 | 0.6× |
| Pth Intact (83970) | $126.07 | $157.58 | 3.1× |
| Quantitative assay drug (80299) range across 3 matching MRF lines |
$62.13–$78.40 | $77.66–$98 | varies |
| Rbc antibody elution (86860) | $503.99 | $629.98 | 2.3× |
| Rbc antibody identification (86870) | $333.79 | $417.23 | 0.7× |
| Rbc antibody screen (86850) range across 5 matching MRF lines |
$160–$168.01 | $200–$210.01 | varies |
| Rbc pretreatment serum (86978) | $180.49 | $225.61 | 2.4× |
| Rbc pretx incubatj w/enzymes (86971) | $247.01 | $308.76 | 1.1× |
| Reagent Strip/Blood Glucose (82948) | $32 | $40 | 6.3× |
| Renin activity plasma (84244) | $22.40 | $28 | 1.0× |
| Resp virus 12-25 targets (87633) | $833.56 | $1,041.95 | 2.0× |
| Resp Virus 6-11 Targets (87632) | $348.80 | $436 | 1.6× |
| Rh (86901) | $96 | $120 | 32.1× |
| Rheumatoid Factor Qualitative (86430) | $70.40 | $88 | 11.5× |
| Rheumatoid factor quant (86431) | $13.20 | $16.50 | 2.3× |
| Ristocetin cofactor (85245) | $53.60 | $67 | 2.3× |
| Rpr qualitative (86592) range across 2 matching MRF lines |
$10.48–$20.53 | $13.10–$25.66 | varies |
| Rubella Antibody (86762) range across 2 matching MRF lines |
$11.20–$38.59 | $14–$48.23 | varies |
| Rubeola antibody (86765) range across 2 matching MRF lines |
$19.76–$29.71 | $24.70–$37.13 | varies |
| Russell Viper Venom Time Diluted (85613) range across 2 matching MRF lines |
$17.43–$23.12 | $21.78–$28.89 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $92 | $115 | 1.8× |
| Sars-cov-2 COVID-19 antibody (86769) | $60 | $75 | 1.4× |
| Sars-Cov-2 Covid19 W/Optic (87811) | $132.42 | $165.52 | 3.2× |
| Sedimentation rate (85651) | $111.20 | $139 | 26.0× |
| Selenium (84255) | $52 | $65 | 2.0× |
| Semen Anal Sperm Detection (89321) | $125.60 | $157 | 10.4× |
| Semen analysis complete (89320) | $225.60 | $282 | 18.3× |
| Sensitivity mic (87186) range across 2 matching MRF lines |
$97.77–$194.03 | $122.21–$242.53 | varies |
| Sex Hormone Binding Globulin (84270) | $22.04 | $27.55 | 1.0× |
| Sickling of rbc reduction (85660) range across 2 matching MRF lines |
$28–$92.80 | $35–$116 | varies |
| Sirolimus (80195) | $40 | $50 | 2.9× |
| Skin test tuberculosis intradermal (86580) | $171.37 | $214.21 | 4.6× |
| Smear acid fast (87206) range across 2 matching MRF lines |
$32.80–$39.24 | $41–$49.04 | varies |
| Smear complex stain (87209) | $12 | $15 | 0.7× |
| Smear gram stain (87205) | $93.20 | $116.50 | 21.8× |
| Smear Special Stain (87207) | $148.80 | $186 | 24.8× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $77.84 | $97.30 | 13.4× |
| Sodium Serum (84295) | $64.36 | $80.44 | 13.4× |
| Sodium Urine (84300) | $75.03 | $93.78 | 14.8× |
| Somatomedin (84305) | $22.40 | $28 | 1.1× |
| Special Stains Group 1 (88312) | $134.93 | $168.66 | 2.0× |
| Special Stains Group 2 (88313) range across 3 matching MRF lines |
$94.56–$180.49 | $118.20–$225.61 | varies |
| Specific gravity body fluid (84315) | $44 | $55 | 13.4× |
| Specimen infect agnt concntj (87015) | $71.20 | $89 | 10.7× |
| Spectrophotometry (84311) range across 2 matching MRF lines |
$31.80–$189.82 | $39.75–$237.27 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $503.99 | $629.98 | 2.3× |
| Strep b DNA amp probe (87653) range across 3 matching MRF lines |
$84.22–$163.20 | $105.27–$204 | varies |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$14.40–$44 | $18–$55 | varies |
| Surg path level iii (88304) | $158.62 | $198.27 | 2.4× |
| Surgical pathology level IV (88305) range across 2 matching MRF lines |
$156.88–$160 | $196.10–$200 | varies |
| Surgical pathology level vi (88309) | $165.89 | $207.36 | 0.2× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $16.80 | $21 | 3.5× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $38.40 | $48 | 5.1× |
| Sweat Collection Iontophoresis (89230) | $376 | $470 | 5.6× |
| Syphilis Test Non-Trep Quant (86593) | $10.48 | $13.10 | 2.4× |
| T cells absolute cd4 count (86361) | $34.80 | $43.50 | 1.3× |
| T3 Free (84481) range across 2 matching MRF lines |
$15.20–$76.80 | $19–$96 | varies |
| T3 reverse (84482) | $20 | $25 | 1.3× |
| T3 Total (84480) range across 2 matching MRF lines |
$14.40–$70.40 | $18–$88 | varies |
| T3 Uptake (84479) | $12 | $15 | 1.9× |
| T4 Free (84439) range across 2 matching MRF lines |
$22.32–$98.56 | $27.90–$123.20 | varies |
| T4 total (84436) range across 2 matching MRF lines |
$14.40–$135.20 | $18–$168.99 | varies |
| Tacrolimus (80197) | $21.36 | $26.69 | 1.6× |
| Tb ag response t-cell susp (86481) | $168.28 | $210.35 | 1.7× |
| Testosterone total (84403) range across 4 matching MRF lines |
$15.20–$204.80 | $19–$256 | varies |
| Testosterone, Free (84402) range across 3 matching MRF lines |
$23.80–$44.61 | $29.75–$55.76 | varies |
| Tetanus antibody (86774) | $20 | $25 | 1.4× |
| Theophylline (80198) | $18.40 | $23 | 1.3× |
| Thrombin Time (85670) | $20 | $25 | 3.5× |
| Thyroglobulin (84432) | $17.46 | $21.82 | 1.1× |
| Thyroglobulin Antibody (86800) | $12.80 | $16 | 0.8× |
| Thyroid Stimulating Immunoglobulin (84445) | $48 | $60 | 0.9× |
| Thyroxine binding globulin (84442) | $20 | $25 | 1.4× |
| Tissue culture bone marrow (88237) | $93.60 | $117 | 0.7× |
| Tissue Culture Lymphocyte (88230) | $545.60 | $682 | 4.7× |
| Tobramycin peak (80200) | $144.80 | $181 | 9.0× |
| Topiramate (80201) | $24.80 | $31 | 2.1× |
| Toxoplasma ab igm (86778) | $24.80 | $31 | 1.7× |
| Toxoplasma antibody (86777) | $22 | $27.50 | 1.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $52.40 | $65.49 | 10.1× |
| Transferrin (84466) | $95.20 | $119 | 7.5× |
| Trichomonas vagin dir probe (87660) | $48.12 | $60.15 | 2.4× |
| Trichomonas Vaginalis Amplif (87661) | $115.20 | $144 | 3.3× |
| Triglycerides (84478) range across 2 matching MRF lines |
$6.36–$109.03 | $7.94–$136.28 | varies |
| Troponin Quant (84484) | $182.40 | $228 | 14.6× |
| Tumor immunohistochem/comput (88361) | $66.84 | $83.55 | 0.1× |
| Tumor Immunohistochem/Manual (88360) | $503.99 | $629.98 | 2.3× |
| Urea nitrogen urine (84540) | $104.43 | $130.53 | 18.8× |
| Uric acid other source (84560) range across 2 matching MRF lines |
$9.84–$11.45 | $12.29–$14.31 | varies |
| Urinalysis Qual/Semiquant Except Immunoassays (81005) | $42.40 | $53 | 19.5× |
| Urinalysis Volume Measure (81050) | $22.40 | $28 | 6.2× |
| Urine Bacteria Culture (87088) | $111.20 | $139 | 13.7× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$66.40–$126.13 | $83–$157.66 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $84 | $105 | 26.5× |
| Valproic acid (80164) | $126.87 | $158.58 | 9.4× |
| Vancomycin (80202) | $170.40 | $213 | 12.6× |
| Varicella-zoster antibody (86787) range across 2 matching MRF lines |
$10.60–$31.20 | $13.25–$39 | varies |
| Vasopressin (84588) | $21.60 | $27 | 0.6× |
| Viral Culture (87252) range across 3 matching MRF lines |
$16–$26.20 | $20–$32.75 | varies |
| Virus antibody nos (86790) | $24.46 | $30.57 | 1.9× |
| Viscosity serum (85810) | $16.96 | $21.20 | 1.5× |
| Vit D 1 25-Dihydroxy (82652) | $24 | $30 | 0.6× |
| Vitamin A (84590) | $19.20 | $24 | 1.7× |
| Vitamin b-12 (82607) | $138.40 | $173 | 9.2× |
| Vitamin B6 (84207) | $19.20 | $24 | 0.7× |
| Vitamin c (82180) | $15.20 | $19 | 1.5× |
| Vitamin D 25-Hydroxy (82306) range across 2 matching MRF lines |
$20.80–$105.24 | $26–$131.54 | varies |
| Vitamin E (84446) | $19.20 | $24 | 1.4× |
| Vitamin K (84597) | $84 | $105 | 6.1× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $30.40 | $38 | 2.5× |
| Von willebrand factor ag (85246) | $27.98 | $34.97 | 1.2× |
| Wbc Alkaline Phosphatase Count (85540) | $59.20 | $74 | 6.9× |
| West nile virus ab igm (86788) | $26.35 | $32.93 | 1.6× |
| West Nile Virus Antibody (86789) | $23.67 | $29.58 | 1.6× |
| Zinc (84630) | $17.60 | $22 | 1.5× |
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.