Lab & pathology prices at Harlan County Health System

Alma, NE · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $239.34 $299.17 15.5×
5 Nucleotidase (83915) $44.14 $55.17 4.0×
Acth (82024) $221.51 $276.89 5.7×
Acth Stimulation Panel Adrenal Insufficiency (80400) $131.55 $164.44 4.0×
Acute hepatitis panel (80074) $263.95 $329.94 5.5×
Acylcarnitines; qualitative, each specimen Facility (82016) $131.55 $164.44 8.0×
Agglutinins Febrile Each Antigen (86000) $139.19 $173.99 19.9×
Albumin Fluid (82042) $35.65 $44.56 4.6×
Albumin serum (82040) $41.60 $52 8.4×
Aldolase (82085) $78.08 $97.60 8.0×
Aldosterone urine (82088) $258.01 $322.51 6.3×
Alkaline phosphatase isoenzymes (84080) $104.39 $130.49 7.1×
Allergen spec ige qual multiallergen screen (86005) $12.73 $15.91 1.6×
Allergen specific ige (86003) $28.80 $36 5.5×
Allergen specific igg (86001) $44.14 $55.17 5.6×
Allg Spec Ige Recomb Ea (86008) $35.83 $44.79 2.0×
Alpha-1-antitrypsin phenotype (82104) $331 $413.75 22.9×
Alpha-1-antitrypsin total (82103) $131.55 $164.44 9.8×
Alpha-Fetoprotein Amniotic Fluid (82106) $84.87 $106.09 5.0×
Alpha-Fetoprotein Serum (82105) $94.21 $117.76 5.6×
Alt (sgpt) (84460) $120.80 $151 22.8×
Amikacin trough (80150) $98.45 $123.06 6.5×
Amino Acids 1 Quantitative Each Specimen (82131) $131.55 $164.44 5.7×
Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) $131.55 $164.44 7.8×
Amino Acids Multiple Qualitative Each Specimen (82128) $131.55 $164.44 9.5×
Ammonia (82140) $128 $160 8.8×
Amniotic fluid protein test on cervicovaginal fluid (84112) $198.60 $248.25 2.0×
Amylase urine (82150) $72 $90 11.1×
Ana Titer (86039) $74.69 $93.36 6.7×
Androstenedione (82157) $274.98 $343.73 9.4×
Angiotensin converting enzyme csf (82164) $107.78 $134.73 7.4×
Anti-Phospholipid Antibody (86148) $314.02 $392.53 19.5×
Antibody aspergillus (86606) $94.21 $117.76 6.3×
Antibody Bacterium Not Elsewhere Specified (86609) $300.45 $375.56 23.3×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $44.14 $55.17 2.8×
Antibody Cytomegalovirus Cmv Igm (86645) $40.74 $50.92 2.4×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $139.19 $173.99 10.6×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $139.19 $173.99 9.1×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $119.67 $149.59 6.6×
Antibody Fungus Not Elsewhere Specified (86671) $44.14 $55.17 3.6×
Antibody haemophilus influenza (86684) $44.14 $55.17 2.8×
Antibody helicobacter pylori (86677) $122.22 $152.77 7.3×
Antibody Herpes Smplx Non-Specific Type Test (86694) $106.94 $133.67 7.4×
Antibody Herpes Smplx Type 1 (86695) $74.69 $93.36 5.7×
Antibody HIV-1&HIV-2 single result (86703) $84.87 $106.09 6.2×
Antibody HIV-2 (86702) $80.63 $100.79 6.0×
Antibody htlv/HIV antibody confirmatory test (86689) $162.95 $203.69 8.4×
Antibody identification leukocyte antibodies (86021) $44.14 $55.17 2.9×
Antibody Identification Platelet Immunogl Assay (86023) $101 $126.25 8.1×
Antibody Protozoa Nes (86753) $117.98 $147.47 9.5×
Antibody Titer (86886) $44.14 $55.17 8.5×
Antibody Treponema Pallidum (86780) $80.63 $100.79 6.1×
Antibody; influenza virus (86710) $203.70 $254.62 15.0×
Antihuman Globulin Indir Qual Ea Reagent Cell (86885) $53.47 $66.84 9.3×
Antinuclear antibodies (86038) $48 $60 4.0×
Antistreptolysin o titer (86060) $96.75 $120.94 13.3×
Antithrombin iii activity (85300) $196.06 $245.07 16.5×
Antithrombin iii antigen (85301) $44.14 $55.17 4.1×
Apolipoprotein a1 (82172) $131.55 $164.44 6.2×
Arsenic (82175) $95.90 $119.88 5.1×
Aspergillus ag eia (87305) $215.66 $269.57 18.0×
Assay activated protein c (85307) $146.83 $183.54 9.6×
Assay Blood Carbon Dioxide (82374) $79.78 $99.72 16.3×
Assay Dir Meas Fr Estradiol (82681) $133.25 $166.56 4.8×
Assay Nephelometry Not Spec (83883) $113.60 $142 8.4×
Assay of 5-hiaa (83497) $121.37 $151.71 9.4×
Assay of blood/uric acid (84550) $48.80 $61 10.8×
Assay of calcium in urine (82340) $61.96 $77.45 10.3×
Assay of cpk in blood (82552) $122.22 $152.77 9.1×
Assay of estrone (82679) $191.81 $239.76 7.7×
Assay of feces for trypsin (84490) $79.78 $99.72 8.0×
Assay of g6pd enzyme (82955) $212.18 $265.23 21.9×
Assay of gammaglobulin igm (82784) $83.20 $104 8.9×
Assay of lactic acid (83605) $110.40 $138 9.5×
Assay of manganese (83785) $213.88 $267.35 8.0×
Assay of metanephrines (83835) $194.36 $242.95 11.5×
Assay of phosphatase acid total (84060) $89.97 $112.46 11.8×
Assay of proinsulin (84206) $165.50 $206.88 6.2×
Assay of semen fructose (82757) $131.55 $164.44 7.6×
Assay of serotonin (84260) $201.14 $251.43 6.5×
Assay of serum potassium (84132) $41.58 $51.98 8.7×
Assay of sweat sodium (84302) $91.66 $114.58 18.9×
Assay of urea nitrogen (84520) $48 $60 12.2×
Assay of urine vma (84585) $44.14 $55.17 2.8×
Assay of vasoactive intestinal peptide (84586) $44.14 $55.17 1.2×
Assay of vitamin b-1 (84425) $183.32 $229.15 8.6×
Assay Ph Body Fluid Nos (83986) $43.29 $54.11 12.1×
Automated Leukocyte Count (85048) $40 $50 15.7×
B cells total count (86355) $68.74 $85.93 1.8×
Bcr/abl1 gene major bp (81206) $548.06 $685.08 3.3×
Beta 2 glycoprotein i antibody each (86146) $470.19 $587.74 18.5×
Beta hydroxybutyrate (82010) $68 $85 8.3×
Beta Lactamase (87185) $44.14 $55.17 9.3×
Beta-2 Microglobulin (82232) $116.27 $145.34 7.2×
Bile acids total (82239) $131.55 $164.44 7.7×
Bilirubin direct (82248) $43.20 $54 8.6×
Bilirubin total (82247) $49.22 $61.53 9.8×
Bilirubin total transcutaneous (88720) $131.55 $164.44 26.2×
Biotinidase (82261) $67.90 $84.87 4.0×
Bl Smear W/O Diff Wbc Count (85008) $43.29 $54.11 12.6×
Blastomyces antibody (86612) $234.25 $292.81 18.2×
Bleeding time test (85002) $101.85 $127.31 21.1×
Blood Count Manual Cell Count Each (85032) $86.57 $108.21 20.1×
Blood Count Red Blood Cell Automated (85041) $44.14 $55.17 14.6×
Blood count reticulocyte automated (85045) $47.53 $59.41 11.9×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $60.80 $76 16.0×
Blood count spun microhematocrit (85013) $60.26 $75.32 8.6×
Blood gas (82803) $218.40 $273 8.4×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $33.10 $41.38 2.1×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $2.67 $3.34 0.6×
Blood Type Antigen Donor Reagent Serum Each (86902) $173.98 $217.48 27.4×
Blood typing serologic abo (86900) $65.60 $82 21.9×
Body fluid cell count (89050) $60.26 $75.32 12.8×
Bordetella antibody (86615) $165.50 $206.88 12.5×
Breath Alcohol Test (82075) $131.55 $164.44 4.4×
Brucella antibody (86622) $18.67 $23.34 2.1×
C diff amplified probe (87493)
range across 2 matching MRF lines
$159.56–$232.67 $199.45–$290.84 varies
C-Peptide (84681) $61.10 $76.38 2.9×
C-reactive protein (86140) $74.40 $93 14.4×
Ca 19-9 (86301) $145.13 $181.41 7.0×
Cadmium (82300) $230 $287.50 9.7×
Calcitonin (82308) $131.55 $164.44 4.9×
Calcium ionized (82330) $94.21 $117.76 6.9×
Calcium total (82310) $48.80 $61 9.5×
Calculus assay quant (82360) $116.27 $145.34 9.0×
Calculus Xray Diffraction (82370) $65.35 $81.69 5.2×
Calprotectin Fecal (83993) $344.58 $430.73 17.6×
Calr gene com variants (81219) $342.88 $428.60 2.8×
Cancer Antigen 125 (86304) $151.20 $189 7.3×
Cancer Antigen 27.29 (86300) $62.81 $78.51 3.0×
Candida antibody (86628) $44.14 $55.17 3.7×
Carbamazepine total (80156) $127.20 $159 8.7×
Carboxyhemoglobin (82375) $103.54 $129.43 8.4×
Carcinoembryonic antigen (82378) $118.40 $148 6.2×
Cardiolipin ab iga (86147) $470.19 $587.74 18.5×
Carnitine Quantitative Each Specimen (82379) $127.31 $159.14 7.5×
Carotene (82380) $111.18 $138.98 12.1×
Catecholamines fractionated (82384) $166.35 $207.94 6.6×
Catecholamines total urine (82382) $325.91 $407.39 11.9×
Ccp antibody (86200) $95.06 $118.82 7.3×
Cell count csf (89051) $115.42 $144.28 20.6×
Cell marker study (88182) $44.14 $55.17 0.8×
Cellular Function Assay Stimul&Detect Biomarke (86352) $44.14 $55.17 0.3×
Ceruloplasmin (82390) $165.50 $206.88 15.4×
Chemiluminescent assay (82397) $189.26 $236.58 13.4×
Chlamydia antibody (86631) $30.55 $38.19 2.6×
Chlamydia Igm Antibody (86632) $33.95 $42.44 2.7×
Chloride other source (82438) $72.99 $91.24 14.6×
Chloride Serum (82435) $76.38 $95.48 16.6×
Chloride urine (82436) $62.81 $78.51 10.9×
Cholesterol total (82465) $59.41 $74.26 13.7×
Cholinesterase rbc (82482) $26.31 $32.89 2.7×
Cholinesterase Serum (82480) $106.94 $133.67 13.6×
Chorionic gonadotropin test (84702) $112.88 $141.10 7.5×
Chrmsm Analysis Addl Cells Counted Each Study (88285) $114.58 $143.22 4.3×
Chrmsm Analysis Addl High Resolution Study (88289) $179.93 $224.91 5.2×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $146.83 $183.54 4.4×
Chromium serum (82495) $101 $126.25 5.0×
Chromogenic Substrate Assay (85130) $44.14 $55.17 3.7×
Chromogranin a (86316) $162.10 $202.63 7.8×
Chromosome Analysis 15-20 (88262)
range across 2 matching MRF lines
$588.39–$715.47 $735.49–$894.34 varies
Chromosome Analysis 20-25 (88264) $210.48 $263.10 1.5×
Chromosome analysis, 5 (88261) $44.98 $56.23 0.2×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) $113.73 $142.16 3.2×
Citric acid urine (82507) $151.92 $189.90 5.5×
Ckmb (82553) $124.80 $156 10.8×
Clostridium Difficile (87324) $83.20 $104 6.9×
Clot Factor VIII Multimetric (85247) $138.34 $172.93 6.0×
Clotting factor xii hageman (85280) $44.14 $55.17 2.3×
Coagulation time; Lee and White Facility (85345) $44.14 $55.17 9.4×
Coccidioides antibody (86635) $173.98 $217.48 15.2×
Cold agglutinin titer (86157) $86.57 $108.21 10.7×
Collagen crosslinks (82523) $249.52 $311.90 13.4×
Column Chromotography Quant (82542) $130.70 $163.38 5.4×
Compatibility Each Unit Incubation (86921) $124.80 $156 0.7×
Compatibility test antiglob (86922) $153.60 $192 0.9×
Complement Antigen Each Component (86160) $117.60 $147 9.8×
Complement Total (Ch50) (86162) $173.98 $217.48 8.6×
Coombs direct (86880) $76 $95 14.1×
Copper urine (82525) $155.20 $194 12.5×
Cortisol free (82530) $131.55 $164.44 7.9×
Cortisol saliva (82533) $117.60 $147 7.2×
Creatine kinase total (82550) $76.80 $96 11.8×
Creatinine blood (82565) $54.40 $68 10.6×
Creatinine clearance (82575) $64.50 $80.63 6.8×
Creatinine Urine (82570) $64.80 $81 12.5×
Crossmatch electronic (86923) $139.20 $174 0.8×
Crp High Sensitivity (86141) $93.36 $116.70 7.2×
Cryoglobulin (82595) $38.19 $47.74 5.9×
Cryptococcus ab (86641) $44.14 $55.17 3.1×
Cryptococcus ag titer (87899) $57.71 $72.14 3.6×
Cryptosporidium ag eia (87328) $94.21 $117.76 6.8×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $70.40 $88 8.7×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $72.14 $90.18 8.9×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $246.14 $307.68 1.1×
Culture afb (87116) $144 $180 13.3×
Culture Anaerobic (87075) $73.60 $92 7.8×
Culture bacteria anaerobic (87073) $44.14 $55.17 4.6×
Culture blood (87040) $156.80 $196 15.2×
Culture chlamydia (87110) $96.75 $120.94 4.9×
Culture csf (87070) $101.60 $127 11.8×
Culture fungus (87102) $218.12 $272.65 25.9×
Culture fungus blood (87103) $274.98 $343.73 13.4×
Culture screen only (87081) $96 $120 14.5×
Culture stool (87045) $99.30 $124.13 10.5×
Culture typing if ea antiserum (87140) $39.89 $49.86 7.2×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $24 $30 4.6×
Culture urine (87086) $73.60 $92 9.1×
Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart Facility (87084) $44.14 $55.17 1.6×
Cyclosporine (80158) $134.94 $168.68 7.5×
Cyp2c19 gene analysis common variants (81225) $395.66 $494.58 1.4×
Cyp2c9 gene com variants (81227) $237.38 $296.73 1.4×
Cyp2d6 gene com variants (81226) $409.93 $512.41 0.9×
Cyp3a4 gene common variants (81230) $237.38 $296.73 1.4×
Cyp3a5 gene common variants (81231) $237.38 $296.73 1.4×
Cystatin C (82610) $44.14 $55.17 2.4×
Cytogenetics 100-300 (88275) $124.40 $155.50 2.4×
Cytomegalovirus igg (86644) $122.22 $152.77 8.5×
Cytopath C/V Index Add-On (88155) $46.68 $58.35 3.2×
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 2 matching MRF lines
$46.68–$72.14 $58.35–$90.18 varies
Cytopath Cell Enhance Tech (88112) $101.85 $127.31 1.9×
Cytp Concentration Smears & Interpretation (88108) $33.95 $42.44 0.9×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $170.40 $213 3.1×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172) $44.14 $55.17 0.2×
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $186.72 $233.40 4.8×
Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) $46.68 $58.35 2.5×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $61.10 $76.38 2.0×
Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection Non-Facility (87164) $44.14 $55.17 4.1×
Detect Agent Nos Dna Amp (87798) $281.60 $352 8.0×
Detect Agent Nos Dna Quant (87799) $257.16 $321.45 6.0×
Dgp Antibody Each Ig Class (86258) $102 $127.50 8.5×
Dhea (82626) $44.14 $55.17 1.7×
Dhea-S (82627) $64.50 $80.63 2.9×
Digoxin (80162) $124.80 $156 9.4×
Dna Antibody Native/Double Stranded (86225) $93.36 $116.70 6.8×
Dna/Rna Amplified Probe (87150) $24 $30 0.7×
DNA/RNA direct probe (87149) $205.60 $257 10.3×
Dna/Rna Sequencing (87153) $290.60 $363.25 2.5×
Drug assay acetaminophen (80143) $132 $165 7.1×
Drug assay voriconazole (80285) $275.59 $344.49 10.2×
Drug Screen Quant Clozapine (80159) $138.34 $172.93 6.9×
Drug Screen Quantitative Gabapentin (80171) $91.66 $114.58 4.2×
Drug Screen Quantitative Lamotrigine (80175) $151.07 $188.84 11.4×
Drug Screen Quantitative Levetiracetam (80177) $184.18 $230.22 13.9×
Drug Screen Quantitative Oxcarbazepine (80183) $151.07 $188.84 11.4×
Drug Screen Quantitative Procainamide Metabolite (80192) $165.50 $206.88 9.9×
Drug Test Prsmv Chem Anlyzr (80307) $131.55 $164.44 2.1×
Drug Test Prsmv Dir Opt Obs (80305) $103.20 $129 8.2×
Ehrlichia antibody (86666) $44.14 $55.17 4.3×
El-1 Fecal Quantitative (82653) $37.04 $46.30 1.6×
Electrolyte panel (80051) $91.66 $114.58 13.1×
Electrophoretic Test - Immunofixation Electrophoresis (82664) $44.14 $55.17 0.7×
Enterovirus Antibody (86658) $163.80 $204.75 12.6×
Enterovirus PCR (87498) $336.10 $420.12 9.6×
Enzyme cell activity (82657) $44.14 $55.17 2.0×
Eosinophil Smear (89190) $64.50 $80.63 11.1×
Erythropoietin (82668) $73.84 $92.30 3.9×
Estriol (82677) $253.77 $317.21 10.5×
Estrogen total (82672) $253.77 $317.21 11.7×
Estrogens fractionated (82671) $135.79 $169.74 4.2×
Ethosuximide (80168) $131.55 $164.44 8.1×
Exam Synovial Fluid Crystals (89060) $62.81 $78.51 8.6×
F2 Gene (81240) $263.95 $329.94 4.0×
Factor ii activity (85210) $44.14 $55.17 3.4×
Factor ix activity (85250) $226.61 $283.26 11.9×
Factor v activity (85220) $44.14 $55.17 2.5×
Factor v leiden mutation (81241) $297.06 $371.32 4.0×
Factor vii assay (85230) $248.67 $310.84 13.9×
Factor viii assay (85240) $218.97 $273.71 12.2×
Factor X (85260) $44.14 $55.17 2.5×
Factor xi activity (85270) $226.61 $283.26 12.7×
Fat stain feces urine/respir secretions (89125) $44.14 $55.17 7.5×
Fat/Lipids Feces Quantitative (82710) $275.83 $344.79 16.4×
Fatty acids free (82725) $411.36 $514.20 21.9×
Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) $44.14 $55.17 6.8×
Fecal Fat Qualitative (82705) $61.96 $77.45 12.1×
Ferritin (82728) $104.80 $131 7.7×
Fetal Congenital Abnor Assay Four Anal (81511) $131.55 $164.44 0.9×
Fetal Fibronectin (82731) $589.01 $736.26 9.1×
Fetal Lung Maturity Fluorescence Polarization (83663) $246.98 $308.72 13.1×
Fibrin degradation products (85362) $54.32 $67.90 7.9×
Fibrin Degradation Quant (85379) $133.60 $167 13.1×
Fibrinogen activity (85384) $84.87 $106.09 8.7×
Fibrinogen antigen (85385) $44.14 $55.17 3.1×
Flow cytometry first marker (88184) $103.54 $129.43 0.3×
Flt3 Gene (81245) $518.57 $648.21 3.1×
Flt3 gene analysis (81246) $518.57 $648.21 6.2×
Fluorescent antibody screen (86255) $272 $340 22.6×
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) $60.26 $75.32 5.0×
Fluoride serum (82735) $131.55 $164.44 7.1×
Folic acid rbc (82747) $185.87 $232.34 10.5×
Folic Acid Serum (82746) $112 $140 7.6×
Follicle Stimulating Hormone (83001) $107.78 $134.73 5.8×
Fractionation Ketosteroids - 17-Ketosteroids, Fractionation (83593) $465.10 $581.37 16.3×
Francisella tularensis (86668) $44.14 $55.17 3.1×
Fresh Frozen Plasma Thawing Each Unit (86927) $20.37 $25.46 0.1×
Fungi Identification Yeast (87106) $95.90 $119.88 9.3×
Galactose transferase test (82776) $66.20 $82.75 5.6×
Gammaglobulin ige (82785) $133.60 $167 8.1×
Gases blood ph only (82800) $82.33 $102.91 7.5×
Gastrin (82941) $44.14 $55.17 2.5×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $1,460 $1,825 3.5×
Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) $3,841.30 $4,801.63 5.1×
Gentamicin (80170) $177.38 $221.73 10.8×
Ggt (82977) $60.26 $75.32 8.4×
Giardia antigen (87329) $114.58 $143.22 9.6×
Glucose 2 hr pp (82950) $48.38 $60.47 10.2×
Glucose Blood Test (82962) $59.20 $74 18.0×
Glucose body fluid (82945) $65.35 $81.69 16.6×
Glucose Serum (82947) $41.58 $51.98 10.6×
Glucose tolerance test (gtt) (82951) $129.86 $162.32 10.1×
Glycated Protein (82985) $44.14 $55.17 2.6×
Gonadotropin Chorionic Qualitative (84703) $106.94 $133.67 14.2×
Growth hormone (83003) $101 $126.25 6.1×
Growth hormone antibody (86277) $44.14 $55.17 2.8×
Gtt-added samples (82952) $45.83 $57.29 11.7×
H Pylori (C-13) Breath (83013) $134.94 $168.68 2.0×
H Pylori Drug Admin (83014) $44.14 $55.17 5.6×
Haptoglobin (83010) $185.87 $232.34 14.8×
Hdl Cholesterol (83718) $44.14 $55.17 5.4×
Helicobacter Pylori Stool (87338) $178.23 $222.79 12.4×
Hemagglutination Inhibition (86280) $44.14 $55.17 5.4×
Hematocrit (85014) $48.80 $61 20.6×
Hemoglobin (85018) $35.20 $44 14.9×
Hemoglobin a1c (83036) $60.80 $76 6.3×
Hemoglobin Chromotography (83021) $48.38 $60.47 2.7×
Hemoglobin electrophoresis (83020) $44.14 $55.17 3.4×
Hemoglobin F Fetal Chemical (83030) $44.14 $55.17 4.1×
Hemoglobin Methemoglobin Quantitative (83050) $61.10 $76.38 7.5×
Hemoglobin plasma (83051) $92.51 $115.64 12.7×
Hemoglobin quan tc per day carboxyhemoglobin (88740) $131.55 $164.44 14.0×
Hemoglobin stability screen (83068) $44.14 $55.17 4.7×
Hemolysins&Agglutinins Auto Screen Each (86940) $210.48 $263.10 24.0×
Hep a ab igm (86709) $104.39 $130.49 9.3×
Heparin assay (85520) $44.14 $55.17 3.4×
Heparin Neutralization (85525) $116.27 $145.34 9.8×
Hepatitis a antibody total (86708) $115.42 $144.28 9.3×
Hepatitis b core ab igm (86705) $96.75 $120.94 8.2×
Hepatitis b core ab total (86704) $106.94 $133.67 8.9×
Hepatitis B Surface Antibody (86706) $99.30 $124.13 9.2×
Hepatitis B Surface Antigen (87340) $184 $230 17.8×
Hepatitis Be Antibody (86707) $314.87 $393.59 27.2×
Hepatitis Be Antigen (87350) $314.87 $393.59 27.3×
Hepatitis C Antibody (86803) $80.80 $101 5.7×
Hepatitis c antibody confirmatory test (86804) $348.82 $436.03 22.5×
Hepatitis C Genotype (87902) $555.91 $694.89 2.2×
Hepatitis C Probe&Rvrs Trnsc (87521) $131.55 $164.44 3.7×
Hepatitis C Revrs Trnscrpj (87522) $410.78 $513.48 9.6×
Herpes simplex type 2 (86696) $71.30 $89.12 3.7×
Heterophile antibodies titer (86309) $44.14 $55.17 6.8×
Heterophile Antibody Screen (86308) $67.90 $84.87 13.1×
Hfe Gene (81256) $411.63 $514.54 6.3×
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $244.43 $305.54 31.6×
Histamine urine (83088) $295.35 $369.19 10.0×
Histoplasma antibody (86698) $218.97 $273.71 15.9×
Histoplasma antigen urine (87385) $138.34 $172.93 10.4×
Hiv Antigen W/Hiv Antibodies (87806) $131.55 $164.44 4.0×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $72.14 $90.18 3.0×
Hiv-1 Antibody (86701) $80.63 $100.79 9.1×
Hiv-1 Quant&Revrse Trnscrpj (87536) $381.93 $477.41 4.5×
Hla I Low Resolution One Antigen Equivalent Each (81374) $472.74 $590.92 6.4×
Hla Typing a/B/C Multiple Antigens (86813) $44.14 $55.17 0.8×
Hla Typing Dr/Dq Multiple Antigens (86817) $44.14 $55.17 0.4×
Hla-b27 (86812) $218.97 $273.71 8.5×
Homocysteine (83090) $190.11 $237.64 10.6×
Homogenization Tissue (87176) $33.95 $42.44 5.8×
Homovanillic acid urine (83150) $317.42 $396.78 14.2×
Hpv High-Risk Types (87624) $131.55 $164.44 3.7×
Hpv low-risk types (87623) $131.55 $164.44 3.7×
Hsv Dna Amp Probe (87529) $267.34 $334.18 7.6×
Htlv-I Antibody (86687) $163.80 $204.75 18.0×
Hydroxyprogesterone 17-d (83498) $64.50 $80.63 2.4×
Iaad Ia Adenovirus Enteric Typ 40/41 (87301) $44.14 $55.17 3.7×
Iaad Ia Escherichia Coli 0157 (87335) $157.86 $197.33 12.5×
Iaad Ia Hepatitis B Surface Ag Neutralization (87341) $112.88 $141.10 10.9×
Iaad ia shiga-like toxin (87427)
range across 2 matching MRF lines
$71.30–$80.63 $89.12–$100.79 varies
Iaadi inffluenza a virus (87276) $52.62 $65.78 3.3×
Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) $44.14 $55.17 3.7×
Iaadi Varicella Zoster Virus (87290) $44.14 $55.17 3.3×
Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) $281.09 $351.36 8.0×
Iadna chlamydia pneumoniae amplified probe tq (87486) $152.80 $191 4.4×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $44.14 $55.17 1.9×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $169.74 $212.18 4.8×
Iadna Cytomegalovirus Quantification (87497) $273.60 $342 6.4×
Iadna Dna/Rna Rsv Amplified Probe Technique (87634) $164.80 $206 2.3×
Iadna Hepatitis B Virus Quantification (87517) $131.55 $164.44 3.1×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $267.34 $334.18 7.6×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $152.80 $191 4.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) $112.03 $140.04 3.2×
Iadna Nos Direct Probe Tq Each Organism (87797) $131.55 $164.44 4.4×
Ig Light Chains Free Each (83521) $158.40 $198 9.2×
Igg subclasses (82787) $91.66 $114.58 11.4×
Igh@ Variable Region Somatic Mutation Analysis (81263) $777.42 $971.78 2.6×
Immunfix e-phorsis/urine/csf (86335) $164.80 $206 5.6×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$174.84–$324.85 $218.55–$406.06 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $133.25 $166.56 8.9×
Immunoassay nonantibody (83516) $147.20 $184 12.8×
Immunoelectrophoresis Other Fluids Concentration (86325) $44.14 $55.17 1.9×
Immunoelectrophoresis Serum (86320) $44.14 $55.17 1.5×
Immunofixation electrophoresis (86334) $186.40 $233 8.3×
Immunofluorescence per spec 1st singl antb stain (88346) $157.02 $196.27 0.9×
Immunohistochemistry (88342) $249.60 $312 1.4×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87320) $167.20 $209 11.1×
Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Clostridium difficile… (87803) $217.27 $271.59 13.6×
Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) $52.62 $65.78 4.3×
Influenza a/b ag eia (87400) $80.80 $101 5.7×
Influenza assay w/optic (87804) $104 $130 6.3×
Influenza DNA amp probe (87502) $165.60 $207 1.7×
Inhibin A (86336) $95.90 $119.88 6.2×
Inhibin b (83520) $185.60 $232 10.7×
Insitu hybridization manual (88368) $451.52 $564.40 1.2×
Insulin antibodies (86337) $145.40 $181.75 6.8×
Insulin free (83527) $44.14 $55.17 3.4×
Insulin total (83525) $106.09 $132.61 9.3×
Intrinsic factor antibody (86340) $203.70 $254.62 13.5×
Iron (83540) $57.60 $72 8.9×
Iron Binding Capacity (83550) $64.80 $81 7.4×
Irradiation Blood Product Each Unit (86945) $72.14 $90.18 1.9×
Islet cell antibody (86341) $107.78 $134.73 4.6×
Jak2 gene analysis p.val617phe variant (81270) $342.88 $428.60 3.7×
Ketosteroids 17 total (83586) $44.14 $55.17 3.4×
Koh Prep (87220) $84.02 $105.03 19.7×
L/s ratio (83661) $214.73 $268.41 9.8×
Lactate (ld) (ldh) enzyme (83615) $61.60 $77 10.2×
Lactoferrin fecal qualitative (83630) $44.14 $55.17 2.2×
Ldh Isoenzymes (83625) $44.14 $55.17 3.5×
LDL direct (83721) $48.80 $61 4.6×
Lead (83655) $66.20 $82.75 5.5×
Legionella antibody (86713) $218.97 $273.71 14.3×
Legionella antigen urine (87449) $30.40 $38 2.5×
Leptospira antibody (86720) $144.28 $180.35 8.9×
Leukocyte Assessment Fecal (89055) $57.71 $72.14 13.5×
Level I Surg Pathology Gross Examination Only (88300) $116.27 $145.34 3.9×
Level ii surg pathology gross&microscopic exam (88302) $116.27 $145.34 3.0×
Level V Surg Pathology Gross&Microscopic Exam (88307) $392 $490 1.1×
Lipase (83690) $91.20 $114 13.2×
Lipoprotein A (83695) $138.34 $172.93 9.7×
Lithium (80178) $75.54 $94.42 11.4×
Luteinizing Hormone (Lh) (83002) $97.60 $122 5.3×
Lyme disease antibody (86618) $127.31 $159.14 7.5×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) $513.47 $641.84 2.9×
M/phmtrc alys ishquant/semiq (88374) $131.55 $164.44 0.7×
Macroscopic Exam Parasite (87169) $44.14 $55.17 10.2×
Magnesium Urine (83735) $68.80 $86 10.3×
Mass Spectrometry Quant (83789)
range across 2 matching MRF lines
$43.29–$54.32 $54.11–$67.90 varies
Meat fibers, feces (89160) $43.29 $54.11 8.9×
Mercury urine (83825) $185.87 $232.34 11.4×
Methylmalonic acid serum (83921) $253.77 $317.21 12.0×
Microalbumin, quantitative (82043) $71.20 $89 12.3×
Microbe Suscept Macrobroth (87188) $192.61 $240.76 29.0×
Microsomal Antibodies Each (86376) $109.49 $136.86 7.5×
Mitochondrial Antibody Each (86381) $89 $111.25 3.5×
Molecular Pathology Procedure Level 3 (81402) $342.88 $428.60 2.3×
Mopath procedure level 2 (81401) $248.67 $310.84 1.8×
Mopath procedure level 4 (81403) $251.22 $314.03 1.4×
Mrsa Pcr (87641) $131.55 $164.44 3.7×
Mthfr Gene Analysis Common Variants (81291) $271.59 $339.49 4.2×
Mucopolysaccharides acid quantitative (83864) $122.22 $152.77 4.3×
Mumps antibody (86735) $86.57 $108.21 6.6×
Mycobacteric Identification (87118) $111.18 $138.98 7.6×
Mycoplasma antibody (86738) $192.66 $240.82 14.6×
Mycoplasma culture (87109) $310.63 $388.29 20.2×
Myelin basic protein csf (83873) $117.98 $147.47 6.9×
Myoglobin urine (83874) $123.91 $154.89 9.6×
Natriuretic peptide (83880) $188.80 $236 4.8×
Neisseria Dir Na Probe (87590) $131.55 $164.44 4.9×
Neutralization Test Viral (86382) $44.14 $55.17 2.6×
Nk cells total count (86357) $68.74 $85.93 1.8×
Nuclear antigen antibody (86235) $74.40 $93 4.1×
Obstetric panel (80081) $256.31 $320.39 3.4×
Occult blood feces (82272) $41.60 $52 9.8×
Occult Blood Other Sources (82271) $33.95 $42.44 6.4×
Oligoclonal bands (83916) $163.80 $204.75 6.0×
Organic acids urine (83918) $44.14 $55.17 1.9×
Osmolality serum (83930) $76.38 $95.48 11.6×
Osmolality Urine (83935) $78.08 $97.60 11.4×
Ova and parasites smears (87177) $107.78 $134.73 12.1×
Oxalate urine (83945) $99.30 $124.13 6.9×
Particle Agglutination Screen Each Antibody (86403) $44.14 $55.17 3.8×
Parvovirus antibody (86747) $107.78 $134.73 7.2×
Ph urine (81003) $29.60 $37 13.2×
Phenobarbital Level (80184) $141.60 $177 9.3×
Phenylalanine (84030) $66.20 $82.75 12.0×
Phenylketones qual (84035) $33.95 $42.44 8.5×
Phenytoin (Dilantin) (80185) $92 $115 6.9×
Phenytoin free (80186) $131.55 $164.44 9.6×
Phosphatase acid prostatic (84066) $44.14 $55.17 4.6×
Phosphatase alkaline (84075) $39.04 $48.80 7.5×
Phospholipid Neutralization Hexagonal (85598) $150.22 $187.78 8.4×
Phosphorus Serum (84100) $50.40 $63 10.6×
Phosphorus urine (84105) $53.47 $66.84 9.3×
Pinworm exam (87172) $13.58 $16.97 3.2×
Platelet Antibodies (86022) $448.13 $560.16 24.4×
Platelet count automated (85049)
range across 2 matching MRF lines
$48.62–$50.07 $60.77–$62.59 varies
Platelet neutralization (85597) $134.94 $168.68 7.5×
Pooling blood platelets (86965) $76.38 $95.48 0.4×
Porphobilinogen, urine; quantitative (84110) $44.14 $55.17 5.2×
Porphyrins Urine Quantitation & Fractionation (84120) $196.06 $245.07 13.3×
Porphyrins, urine; qualitative (84119) $79.78 $99.72 6.0×
Potassium Urine (84133) $71.30 $89.12 15.1×
Prealbumin (84134) $89.11 $111.39 6.1×
Pregnenolone (84140) $126.46 $158.07 6.1×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) $93.36 $116.70 1.5×
Primidone (80188) $82.33 $102.91 5.0×
Procalcitonin (Pct) (84145) $140.80 $176 5.2×
Progesterone (84144) $111.18 $138.98 5.3×
Prolactin (84146) $164 $205 8.5×
Protein body fluid (84157) $93.36 $116.70 23.3×
Protein C Activity (85303) $162.95 $203.69 11.8×
Protein c antigen (85302) $597.50 $746.87 49.8×
Protein Electrophoresis Urine (84166) $172 $215 9.6×
Protein Electrophoretic Fractj&Quantj Serum (84165) $119.20 $149 11.1×
Protein S Free (85306) $170.59 $213.24 11.1×
Protein s total (85305) $597.50 $746.87 51.5×
Protein total serum (84155) $51.20 $64 14.0×
Protein Total Urine (84156) $68.80 $86 18.7×
Protein Western Blot Test (84182) $521.96 $652.45 17.9×
Prothrombin Time Substitution Plasma Frctj Each (85611) $180.78 $225.97 45.9×
PSA free (84154) $127.31 $159.14 6.9×
Pth Intact (83970) $188.80 $236 4.6×
Q Fever Antibody (86638) $44.14 $55.17 3.6×
Quantiferon tb gold plus (86480) $207.09 $258.86 3.3×
Quantitative assay drug (80299) $139.19 $173.99 7.5×
Quantitative Screen Metals (83018) $44.14 $55.17 2.0×
Quinidine (80194) $118.82 $148.53 8.1×
Rbc antibody identification (86870) $160 $200 0.4×
Rbc antibody screen (86850) $96 $120 9.8×
Rbc pretreatment serum (86978) $152.77 $190.96 2.5×
Rbc pretx incubatj w/enzymes (86971) $44.14 $55.17 0.2×
Reagent Strip/Blood Glucose (82948) $44.14 $55.17 8.8×
Receptor assay estrogen (84233) $498.20 $622.75 5.7×
Receptor assay progesterone (84234) $498.20 $622.75 7.7×
Renin activity plasma (84244) $44.14 $55.17 2.0×
Resp virus 12-25 targets (87633) $677.60 $847 1.6×
Reticulocyte Count (85046) $62.81 $78.51 11.3×
Reticulocyte Count Manual (85044) $56.02 $70.02 13.0×
Rh (86901) $71.20 $89 23.8×
Rheumatoid Factor Qualitative (86430) $44.14 $55.17 7.2×
Rheumatoid factor quant (86431) $56.02 $70.02 9.9×
Rickettsia antibody (86757) $110.34 $137.92 5.7×
Ristocetin cofactor (85245) $208.78 $260.98 9.1×
Rotavirus ag eia (87425) $119.67 $149.59 10.0×
Rpr qualitative (86592) $44.14 $55.17 10.3×
Rsv ab (86756) $44.14 $55.17 2.8×
Rsv Assay W/Optic (87807) $131.55 $164.44 10.0×
Rubella Antibody (86762) $66.20 $82.75 4.6×
Rubeola antibody (86765) $89.97 $112.46 7.0×
Russell Viper Venom Time Diluted (85613) $200.30 $250.37 20.9×
Salicylate Level (80179) $132 $165 7.1×
Sars-Cov-2 Covid-19 Amp Prb (87635) $196 $245 3.8×
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines
$67.90–$94.21 $84.87–$117.76 varies
Sarscov2&inf a&b&rsv amp prb (87637) $355 $443.75 2.5×
Sedimentation rate (85651) $40 $50 9.4×
Sedimentation Rate, Automated (85652) $46.68 $58.35 17.3×
Selenium (84255) $216.42 $270.53 8.5×
Semen Anal Sperm Detection (89321) $42.44 $53.05 3.5×
Semen analysis complete (89322) $409.93 $512.41 26.4×
Semen analysis complete (89320) $44.14 $55.17 3.6×
Semen analysis motility and count (89310)
range across 2 matching MRF lines
$122.22–$158.71 $152.77–$198.39 varies
Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) $44.14 $55.17 4.5×
Sensitivity mic (87186) $100.80 $126 11.7×
Sex Hormone Binding Globulin (84270) $106.94 $133.67 4.9×
Sickling of rbc reduction (85660) $44.14 $55.17 8.0×
Sirolimus (80195) $131.55 $164.44 9.6×
Skin test tuberculosis intradermal (86580) $158.13 $197.66 5.3×
Smear acid fast (87206) $67.20 $84 12.5×
Smear complex stain (87209) $106.94 $133.67 5.9×
Smear gram stain (87205) $50.40 $63 11.8×
Smear Special Stain (87207) $44.14 $55.17 7.4×
Smr Prim Src Wet Mount Nfct Agt (87210) $62.81 $78.51 10.8×
Sodium Serum (84295) $43.29 $54.11 9.0×
Sodium Urine (84300) $49.22 $61.53 9.7×
Soluble Transferrin Receptor (84238) $196.06 $245.07 5.4×
Somatomedin (84305) $177.38 $221.73 8.3×
Special Stains Group 1 (88312) $137.60 $172 2.5×
Special Stains Group 2 (88313) $214.40 $268 1.6×
Specific gravity body fluid (84315) $21.22 $26.52 6.5×
Specimen infect agnt concntj (87015) $42.44 $53.05 6.4×
Spectrophotometry (84311) $157.86 $197.33 19.5×
Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test Facility (89330) $44.14 $55.17 4.3×
Splitting Blood/Blood Products Each Unit (86985) $76.38 $95.48 0.4×
Stool cultr aerobic bact ea (87046) $36 $45 3.8×
Strep a assay w/optic (87880) $38.40 $48 2.3×
Strep a DNA amp probe (87651) $87.20 $109 2.5×
Strep b DNA amp probe (87653) $131.55 $164.44 3.7×
Streptokinase, antibody Facility (86590) $44.14 $55.17 3.5×
Sugars Single Qual (84376) $44.14 $55.17 8.0×
Surg path level iii (88304) $168 $210 3.1×
Surgical pathology level IV (88305) $192 $240 3.5×
Surgical pathology level vi (88309) $230 $287.50 0.3×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $44.14 $55.17 9.3×
Susceptibility Study Antimicrobial Disk Method (87184) $83.18 $103.97 11.1×
Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) $28.86 $36.07 0.7×
T cells absolute cd4 count (86361) $44.14 $55.17 1.6×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $76.38 $95.48 1.6×
T cells total count (86359) $67.90 $84.87 1.8×
T3 Free (84481) $162.95 $203.69 9.6×
T3 reverse (84482) $167.20 $209 10.6×
T3 Total (84480) $126.40 $158 8.9×
T3 Uptake (84479) $66.20 $82.75 10.2×
T4 Free (84439) $68.80 $86 7.6×
T4 total (84436) $66.20 $82.75 9.6×
T4-neonatal (84437) $66.20 $82.75 10.2×
Tacrolimus (80197) $80 $100 5.8×
Test for acetone/ketones (82009) $131.55 $164.44 29.1×
Test for urine cystines (82615) $62.81 $78.51 6.6×
Testosterone total (84403) $115.20 $144 4.5×
Testosterone, Free (84402) $163.80 $204.75 6.4×
Tetanus antibody (86774) $44.14 $55.17 3.0×
Theophylline (80198) $102.70 $128.37 7.3×
Thrombin Time (85670) $72.99 $91.24 12.6×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $177.38 $221.73 27.4×
Thyroglobulin (84432) $109.49 $136.86 6.8×
Thyroglobulin Antibody (86800) $103.54 $129.43 6.5×
Thyroid Stimulating Immunoglobulin (84445) $44.14 $55.17 0.9×
Thyroxine binding globulin (84442) $44.14 $55.17 3.0×
Tiss Trnsgltmnase Ea Ig Clas (86364) $114 $142.50 9.9×
Tissue Culture (88233) $182.47 $228.09 1.3×
Tissue culture bone marrow (88237) $403.14 $503.93 2.8×
Tissue Culture Lymphocyte (88230) $289.42 $361.77 2.5×
Tobramycin peak (80200) $119.67 $149.59 7.4×
Topiramate (80201) $131.55 $164.44 11.0×
Toxin/Antitoxin Assay Tissue Culture (87230) $44.14 $55.17 2.2×
Toxoplasma ab igm (86778) $182.47 $228.09 12.7×
Toxoplasma antibody (86777) $44.14 $55.17 3.1×
Transferase Aspartate Amino Ast Sgot (84450) $82.40 $103 15.9×
Transferrin (84466) $109.49 $136.86 8.6×
Trb@ Rearrangement Anal Amplification Method (81340) $471.89 $589.86 2.3×
Trg gene rearrangement anal (81342) $459.16 $573.95 2.3×
Trichinella Antibody (86784) $211.33 $264.16 16.8×
Triglycerides (84478) $49.22 $61.53 8.6×
Troponin Quant (84484) $170.40 $213 13.7×
Troponin, qualitative (84512) $44.14 $55.17 4.4×
Tumor Immunohistochem/Manual (88360) $221.60 $277 1.3×
Ugt1a1 gene analysis common variants (81350) $1,088.06 $1,360.07 4.6×
Urea Nitrogen Clearance (84545) $44.14 $55.17 6.1×
Urea nitrogen urine (84540) $98.45 $123.06 17.7×
Uric acid other source (84560) $52.62 $65.78 10.4×
Urinalysis Microscopic Only (81015) $24.80 $31 8.1×
Urinalysis Volume Measure (81050) $21.22 $26.52 5.8×
Urine Albumin Semiquantitative (82044) $40.74 $50.92 6.5×
Urine Bacteria Culture (87088) $62.40 $78 7.7×
Urine Pregnancy Test (81025) $74.69 $93.36 8.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $45.60 $57 14.4×
Valproic acid (80164) $136 $170 10.0×
Vancomycin (80202) $75.20 $94 5.6×
Varicella-zoster antibody (86787) $123.06 $153.83 9.6×
Viral Culture (87252)
range across 2 matching MRF lines
$162.10–$232.55 $202.63–$290.69 varies
Virus antibody nos (86790) $291.11 $363.89 22.6×
Virus inoculate tissue addl (87253) $44.14 $55.17 2.2×
Virus inoculation, shell via (87254) $44.14 $55.17 2.3×
Viscosity serum (85810) $44.14 $55.17 3.8×
Vit D 1 25-Dihydroxy (82652) $44.14 $55.17 1.1×
Vitamin A (84590) $154.46 $193.08 13.3×
Vitamin b-12 (82607) $110.40 $138 7.3×
Vitamin B2 (Riboflavin) (84252) $243.58 $304.48 12.0×
Vitamin B6 (84207) $151.92 $189.90 5.4×
Vitamin c (82180) $108.64 $135.80 11.0×
Vitamin D 25-Hydroxy (82306) $196 $245 6.6×
Vitamin E (84446) $51.77 $64.71 3.7×
Von willebrand factor ag (85246) $290.26 $362.83 12.7×
Wbc Alkaline Phosphatase Count (85540) $140.89 $176.11 16.4×
West nile virus ab igm (86788) $103.54 $129.43 6.1×
West Nile Virus Antibody (86789) $103.54 $129.43 7.2×
Zinc (84630) $111.20 $139 9.8×

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.