Lab & pathology prices at Jacksonville Memorial Hospital
Jacksonville, 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) | $202 | $202 | 8.9× |
| 5 Nucleotidase (83915) | $98 | $98 | 8.8× |
| Acetylcholine receptor binding antibody (86041) | $177 | $177 | 9.6× |
| Acetylcholine receptor blocking antibody (86042) | $177 | $177 | 9.6× |
| Acetylcholn Rcptr Modlg Antb (86043) | $177 | $177 | 14.7× |
| Acth (82024) | $510 | $510 | 13.2× |
| Actin smooth muscle antibody each (86015) | $149 | $149 | 12.4× |
| Acute hepatitis panel (80074) | $701 | $701 | 14.7× |
| Albumin Fluid (82042) | $42 | $42 | 5.4× |
| Albumin serum (82040) | $118 | $118 | 23.8× |
| Aldolase (82085) | $89 | $89 | 9.2× |
| Aldosterone urine (82088) | $198 | $198 | 4.9× |
| Alkaline phosphatase isoenzymes (84080) | $107 | $107 | 7.2× |
| Allergen spec ige qual multiallergen screen (86005) | $55 | $55 | 6.9× |
| Allergen specific ige (86003) range across 18 matching MRF lines |
$84–$95 | $84–$95 | varies |
| Alpha-1-antitrypsin total (82103) | $192 | $192 | 14.3× |
| Alpha-Fetoprotein Serum (82105) | $352 | $352 | 21.0× |
| Alt (sgpt) (84460) | $182 | $182 | 34.3× |
| Aluminum (82108) | $126 | $126 | 4.9× |
| Amikacin trough (80150) | $100 | $100 | 6.6× |
| Amino Acids 1 Quantitative Each Specimen (82131) | $112 | $112 | 4.9× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 2 matching MRF lines |
$417–$622 | $417–$622 | varies |
| Aminolevulinic acid (ala) (82135) | $63 | $63 | 3.8× |
| Ammonia (82140) | $164 | $164 | 11.3× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) range across 4 matching MRF lines |
$397–$480 | $397–$480 | varies |
| Amylase urine (82150) | $220 | $220 | 34.0× |
| Ana Titer (86039) | $211 | $211 | 18.9× |
| Anca screen each antibody (86036) | $96 | $96 | 8.0× |
| Anca Titer Each Antibody (86037) range across 2 matching MRF lines |
$142–$147 | $142–$147 | varies |
| Androstenedione (82157) | $125 | $125 | 4.3× |
| Angiotensin converting enzyme csf (82164) | $90 | $90 | 6.2× |
| Antibody aspergillus (86606) | $126 | $126 | 8.4× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $261 | $261 | 16.8× |
| Antibody Cytomegalovirus Cmv Igm (86645) range across 2 matching MRF lines |
$262–$263 | $262–$263 | varies |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $166 | $166 | 12.7× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $180 | $180 | 11.8× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $190 | $190 | 10.5× |
| Antibody Herpes Smplx Type 1 (86695) | $224 | $224 | 17.0× |
| Antibody HIV-1&HIV-2 single result (86703) | $280 | $280 | 20.4× |
| Antibody Hla Class I Phenotype Panel Qualitative (86830) | $364 | $364 | 3.8× |
| Antibody htlv/HIV antibody confirmatory test (86689) | $98 | $98 | 5.1× |
| Antibody Titer (86886) | $371 | $371 | 71.6× |
| Antibody Treponema Pallidum (86780) | $83 | $83 | 6.3× |
| Antigen typing (86905) range across 6 matching MRF lines |
$347–$504 | $347–$504 | varies |
| Antinuclear antibodies (86038) | $275 | $275 | 22.7× |
| Antistreptolysin o titer (86060) | $275 | $275 | 37.7× |
| Antithrombin iii activity (85300) | $313 | $313 | 26.4× |
| Apolipoprotein a1 (82172) | $153 | $153 | 7.3× |
| Aspergillus ag eia (87305) | $196 | $196 | 16.4× |
| Assay activated protein c (85307) | $231 | $231 | 15.1× |
| Assay Blood Carbon Dioxide (82374) | $68 | $68 | 13.9× |
| Assay myeloperoxidase (83876) | $128 | $128 | 2.5× |
| Assay of 5-hiaa (83497) | $248 | $248 | 19.2× |
| Assay of anti-mullerian hormone (82166) | $328 | $328 | 8.5× |
| Assay of blood/uric acid (84550) | $143 | $143 | 31.6× |
| Assay of calcium in urine (82340) | $211 | $211 | 35.0× |
| Assay of cpk in blood (82552) | $105 | $105 | 7.8× |
| Assay of estrone (82679) | $238 | $238 | 9.5× |
| Assay of g6pd enzyme (82955) | $77 | $77 | 7.9× |
| Assay of gammaglobulin igm (82784) range across 9 matching MRF lines |
$235–$275 | $235–$275 | varies |
| Assay of lactic acid (83605) range across 5 matching MRF lines |
$235–$287 | $235–$287 | varies |
| Assay of metanephrines (83835) | $419 | $419 | 24.7× |
| Assay of pyruvate (84210) | $78 | $78 | 5.4× |
| Assay of serotonin (84260) | $150 | $150 | 4.8× |
| Assay of serum potassium (84132) | $57 | $57 | 12.0× |
| Assay of sweat sodium (84302) | $118 | $118 | 24.3× |
| Assay of urea nitrogen (84520) range across 10 matching MRF lines |
$61–$95 | $61–$95 | varies |
| Assay of urine vma (84585) | $115 | $115 | 7.4× |
| Assay of vitamin b-1 (84425) | $393 | $393 | 18.5× |
| Assay Ph Body Fluid Nos (83986) range across 2 matching MRF lines |
$30–$32 | $30–$32 | varies |
| Assay spec xcp ur&breath ia (82077) range across 2 matching MRF lines |
$188–$306 | $188–$306 | varies |
| Autol Bld/Component Collj Storage Predeposited (86890) | $369 | $369 | 2.0× |
| Automated Leukocyte Count (85048) range across 3 matching MRF lines |
$40–$53 | $40–$53 | varies |
| B cells total count (86355) | $284 | $284 | 7.5× |
| Bartonella antibody (86611) | $85 | $85 | 8.3× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$951–$976 | $951–$976 | varies |
| Bcr/abl1 gene minor bp (81207) range across 4 matching MRF lines |
$377–$863 | $377–$863 | varies |
| Beta 2 glycoprotein i antibody each (86146) | $302 | $302 | 11.9× |
| Beta hydroxybutyrate (82010) | $177 | $177 | 21.7× |
| Beta Lactamase (87185) | $57 | $57 | 12.0× |
| Beta-2 Microglobulin (82232) | $265 | $265 | 16.4× |
| Bilirubin direct (82248) | $115 | $115 | 22.9× |
| Bilirubin total (82247) | $135 | $135 | 26.9× |
| Bilirubin total transcutaneous (88720) | $120 | $120 | 23.9× |
| Biotinidase (82261) | $88 | $88 | 5.2× |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$108–$117 | $108–$117 | varies |
| Bld Typing Serologic Rh Phnt (86906) | $183 | $183 | 23.6× |
| Blood count reticulocyte automated (85045) | $54 | $54 | 13.5× |
| Blood gas (82803) | $391 | $391 | 15.0× |
| Blood gases w/02 saturation (82805) range across 5 matching MRF lines |
$391–$407 | $391–$407 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $160 | $160 | 10.1× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $39 | $39 | 8.9× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $494 | $494 | 77.8× |
| Blood typing serologic abo (86900) | $213 | $213 | 71.2× |
| Bordetella antibody (86615) | $164 | $164 | 12.4× |
| Braf gene analysis (81210) | $552 | $552 | 3.1× |
| Breath Alcohol Test (82075) | $76 | $76 | 2.5× |
| Brucella antibody (86622) | $77 | $77 | 8.6× |
| C diff amplified probe (87493) | $186 | $186 | 5.0× |
| C-Peptide (84681) | $263 | $263 | 12.6× |
| C-reactive protein (86140) | $172 | $172 | 33.2× |
| Ca 19-9 (86301) | $213 | $213 | 10.2× |
| Calcitonin (82308) | $132 | $132 | 4.9× |
| Calcium ionized (82330) | $265 | $265 | 19.4× |
| Calcium total (82310) | $150 | $150 | 29.1× |
| Calculus Spectroscopy (82365) | $209 | $209 | 16.2× |
| Calprotectin Fecal (83993) | $655 | $655 | 33.4× |
| Cancer Antigen 125 (86304) | $460 | $460 | 22.1× |
| Cancer Antigen 27.29 (86300) | $86 | $86 | 4.1× |
| Carbamazepine total (80156) | $188 | $188 | 12.9× |
| Carboxyhemoglobin (82375) | $166 | $166 | 13.5× |
| Carcinoembryonic antigen (82378) | $327 | $327 | 17.2× |
| Cardiolipin ab iga (86147) | $336 | $336 | 13.2× |
| Carnitine Quantitative Each Specimen (82379) | $382 | $382 | 22.6× |
| Carotene (82380) | $85 | $85 | 9.2× |
| Catecholamines fractionated (82384) | $374 | $374 | 14.8× |
| Ccp antibody (86200) | $224 | $224 | 17.3× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $606 | $606 | 2.5× |
| Cell count csf (89051) range across 5 matching MRF lines |
$85–$214 | $85–$214 | varies |
| Ceruloplasmin (82390) | $173 | $173 | 16.1× |
| Cftr gene com variants (81220) | $1,477 | $1,477 | 2.7× |
| Chemiluminescent assay (82397) | $198 | $198 | 14.0× |
| Chlamydia Igm Antibody (86632) | $59 | $59 | 4.7× |
| Chloride other source (82438) | $160 | $160 | 32.0× |
| Chloride Serum (82435) | $70 | $70 | 15.2× |
| Chloride urine (82436) | $96 | $96 | 16.7× |
| Cholesterol total (82465) | $133 | $133 | 30.6× |
| Cholinesterase rbc (82482) | $55 | $55 | 5.6× |
| Cholinesterase Serum (82480) | $377 | $377 | 47.9× |
| Chorionic gonadotropin test (84702) | $335 | $335 | 22.3× |
| Chromium serum (82495) | $138 | $138 | 6.8× |
| Chromogranin a (86316) range across 2 matching MRF lines |
$174–$223 | $174–$223 | varies |
| Chromosome Analysis 15-20 (88262) range across 3 matching MRF lines |
$1,086–$1,185 | $1,086–$1,185 | varies |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $347 | $347 | 9.9× |
| Citric acid urine (82507) | $91 | $91 | 3.3× |
| Ckmb (82553) | $247 | $247 | 21.4× |
| Clostridium Difficile (87324) | $89 | $89 | 7.4× |
| Clot Factor VIII Multimetric (85247) | $292 | $292 | 12.7× |
| Clot factor xiii fibrin stab (85290) | $363 | $363 | 22.2× |
| Clotting factor xii hageman (85280) | $147 | $147 | 7.6× |
| Cns DNA amp probe type 12-25 (87483) | $1,105 | $1,105 | 2.7× |
| Coagulation time activated (85347) | $65 | $65 | 15.2× |
| Coccidioides antibody (86635) range across 4 matching MRF lines |
$116–$136 | $116–$136 | varies |
| Cold agglutinin titer (86157) | $52 | $52 | 6.5× |
| Collagen crosslinks (82523) range across 2 matching MRF lines |
$143–$293 | $143–$293 | varies |
| Compatibility test antiglob (86922) | $382 | $382 | 2.1× |
| Complement Antigen Each Component (86160) | $267 | $267 | 22.3× |
| Complement Total (Ch50) (86162) | $262 | $262 | 12.9× |
| Complement/Function Activity (86161) | $169 | $169 | 14.1× |
| 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) | $601 | $601 | 15.0× |
| Coombs direct (86880) | $89 | $89 | 16.5× |
| Copper urine (82525) | $154 | $154 | 12.4× |
| Cortisol free (82530) | $215 | $215 | 12.9× |
| Cortisol saliva (82533) | $363 | $363 | 22.3× |
| Creatine kinase total (82550) | $203 | $203 | 31.2× |
| Creatinine blood (82565) range across 7 matching MRF lines |
$44–$156 | $44–$156 | varies |
| Creatinine clearance (82575) | $158 | $158 | 16.7× |
| Creatinine Urine (82570) range across 9 matching MRF lines |
$115–$170 | $115–$170 | varies |
| Crossmatch electronic (86923) | $287 | $287 | 1.6× |
| Crossmatch immediate spin (86920) | $320 | $320 | 1.8× |
| Crp High Sensitivity (86141) | $245 | $245 | 18.9× |
| Cryofibrinogen (82585) | $46 | $46 | 3.3× |
| Cryoglobulin (82595) | $66 | $66 | 10.2× |
| Cryptococcus ag titer (87899) range across 2 matching MRF lines |
$189–$228 | $189–$228 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) range across 12 matching MRF lines |
$139–$162 | $139–$162 | varies |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $73 | $73 | 9.0× |
| 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) | $167 | $167 | 16.9× |
| Culture afb (87116) range across 3 matching MRF lines |
$98–$158 | $98–$158 | varies |
| Culture Anaerobic (87075) | $164 | $164 | 17.3× |
| Culture blood (87040) | $283 | $283 | 27.4× |
| Culture chlamydia (87110) | $167 | $167 | 8.5× |
| Culture csf (87070) range across 14 matching MRF lines |
$301–$318 | $301–$318 | varies |
| Culture fungus (87102) range across 2 matching MRF lines |
$94–$170 | $94–$170 | varies |
| Culture screen only (87081) range across 4 matching MRF lines |
$128–$165 | $128–$165 | varies |
| Culture stool (87045) | $268 | $268 | 28.4× |
| Culture typing if ea antiserum (87140) | $48 | $48 | 8.6× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $50 | $50 | 9.7× |
| Culture urine (87086) | $204 | $204 | 25.3× |
| Cyclosporine (80158) | $60 | $60 | 3.3× |
| Cytomegalovirus igg (86644) range across 3 matching MRF lines |
$223–$224 | $223–$224 | varies |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $244 | $244 | 12.0× |
| Cytopath Cell Enhance Tech (88112) | $242 | $242 | 4.3× |
| Cytotoxic Antibody Screen Std (86807) | $583 | $583 | 7.4× |
| Cytp Concentration Smears & Interpretation (88108) | $144 | $144 | 3.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $703 | $703 | 12.6× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $412 | $412 | 2.3× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) | $203 | $203 | 5.1× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $328 | $328 | 10.6× |
| Deoxycortisol (82634) | $77 | $77 | 2.6× |
| Deoxyribonuclease antibody (86215) | $80 | $80 | 6.0× |
| Detect Agent Nos Dna Amp (87798) | $120 | $120 | 3.4× |
| Detect Agent Nos Dna Quant (87799) | $148 | $148 | 3.5× |
| Detect agnt mult DNA ampli (87801) | $418 | $418 | 6.0× |
| Dgp Antibody Each Ig Class (86258) | $86 | $86 | 7.1× |
| Dhea (82626) | $254 | $254 | 10.1× |
| Dhea-S (82627) | $431 | $431 | 19.4× |
| Digoxin (80162) | $154 | $154 | 11.6× |
| Dihydrotestosterone (82642) | $221 | $221 | 7.5× |
| Dna Antibody Native/Double Stranded (86225) | $565 | $565 | 41.1× |
| Dna/Rna Amplified Probe (87150) | $102 | $102 | 2.9× |
| DNA/RNA direct probe (87149) | $57 | $57 | 2.8× |
| Drug assay acetaminophen (80143) | $282 | $282 | 15.1× |
| Drug Assay Amiodarone (80151) | $59 | $59 | 3.2× |
| Drug assay felbamate (80167) | $134 | $134 | 7.2× |
| Drug Assay Itraconazole (80189) | $297 | $297 | 11.0× |
| Drug Screen Quant Clozapine (80159) | $63 | $63 | 3.1× |
| Drug Screen Quant Zonisamide (80203) | $130 | $130 | 9.8× |
| Drug Screen Quantitative Gabapentin (80171) | $88 | $88 | 4.1× |
| Drug Screen Quantitative Lamotrigine (80175) | $213 | $213 | 16.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $278 | $278 | 21.0× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $91 | $91 | 6.9× |
| Drug Screen Quantitative Tiagabine (80199) | $76 | $76 | 2.8× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 11 matching MRF lines |
$282–$359 | $282–$359 | varies |
| Drug Test Prsmv Dir Opt Obs (80305) | $176 | $176 | 14.0× |
| Egfr Gene Analysis Common Variants (81235) | $812 | $812 | 2.5× |
| Ehrlichia antibody (86666) | $154 | $154 | 15.1× |
| Electrolyte panel (80051) | $223 | $223 | 31.8× |
| Electron Microscopy (88348) | $1,675 | $1,675 | 1.9× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $147 | $147 | 12.2× |
| Enterovirus Antibody (86658) | $34 | $34 | 2.6× |
| Enterovirus PCR (87498) | $353 | $353 | 10.1× |
| Eosinophil Smear (89190) | $99 | $99 | 17.1× |
| Erythropoietin (82668) | $117 | $117 | 6.2× |
| Estradiol serum (82670) | $363 | $363 | 13.0× |
| Estriol (82677) | $77 | $77 | 3.2× |
| Estrogens fractionated (82671) | $263 | $263 | 8.1× |
| Ethosuximide (80168) | $92 | $92 | 5.6× |
| Ethylene Glycol (82693) | $178 | $178 | 11.9× |
| Exam Synovial Fluid Crystals (89060) | $96 | $96 | 13.1× |
| F2 Gene (81240) | $851 | $851 | 13.0× |
| Factor ii activity (85210) | $180 | $180 | 13.9× |
| Factor ix activity (85250) | $153 | $153 | 8.0× |
| Factor v activity (85220) | $253 | $253 | 14.3× |
| Factor v leiden mutation (81241) | $888 | $888 | 12.1× |
| Factor vii assay (85230) | $205 | $205 | 11.5× |
| Factor viii assay (85240) | $275 | $275 | 15.4× |
| Factor X (85260) | $181 | $181 | 10.1× |
| Fatty acids free (82725) | $142 | $142 | 7.6× |
| Fbrnlyc Factors&Inhibitors Plsmng Activator (85415) | $324 | $324 | 18.8× |
| Fecal Fat Qualitative (82705) | $112 | $112 | 22.0× |
| Ferritin (82728) range across 2 matching MRF lines |
$311–$331 | $311–$331 | varies |
| Fetal Congenital Abnor Assay Two Proteins (81508) | $137 | $137 | 2.5× |
| Fetal Fibronectin (82731) | $740 | $740 | 11.5× |
| Fetal screen rosette (85461) | $101 | $101 | 10.8× |
| Fibrin degradation products (85362) | $79 | $79 | 11.5× |
| Fibrin dgradj products d-dimer qual/semiquan (85378) | $227 | $227 | 23.4× |
| Fibrinogen activity (85384) | $157 | $157 | 16.2× |
| Fibrinogen antigen (85385) | $39 | $39 | 2.7× |
| Flow cytometry first marker (88184) | $626 | $626 | 1.6× |
| Flt3 Gene (81245) | $415 | $415 | 2.5× |
| Flt3 gene analysis (81246) | $220 | $220 | 2.7× |
| Fluorescent antibody screen (86255) | $95 | $95 | 7.9× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $146 | $146 | 12.1× |
| Fmr1 Gene Charac Alleles (81244) | $309 | $309 | 6.9× |
| Fmr1 gene detection (81243) | $370 | $370 | 6.5× |
| Folic acid rbc (82747) | $111 | $111 | 6.3× |
| Folic Acid Serum (82746) | $295 | $295 | 20.1× |
| Follicle Stimulating Hormone (83001) | $455 | $455 | 24.5× |
| Francisella tularensis (86668) | $64 | $64 | 4.5× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $357 | $357 | 2.0× |
| Frozen Section (88331) | $918 | $918 | 5.0× |
| Fungi Identification Mold (87107) | $117 | $117 | 11.3× |
| Fungi Identification Yeast (87106) | $100 | $100 | 9.7× |
| Gammaglobulin ige (82785) | $252 | $252 | 15.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) range across 3 matching MRF lines |
$96–$107 | $96–$107 | varies |
| Gastrin (82941) | $82 | $82 | 4.7× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $1,166 | $1,166 | 2.8× |
| Gen Seq Analys Hematolymphoid Neo 5-50 Gene (81450) | $2,621 | $2,621 | 3.5× |
| Gentamicin (80170) | $221 | $221 | 13.5× |
| Ggt (82977) | $183 | $183 | 25.4× |
| Glucose 2 hr pp (82950) | $208 | $208 | 43.8× |
| Glucose Blood Test (82962) range across 5 matching MRF lines |
$65–$67 | $65–$67 | varies |
| Glucose body fluid (82945) | $69 | $69 | 17.6× |
| Glucose Serum (82947) | $144 | $144 | 36.6× |
| Glucose tolerance test (gtt) (82951) range across 2 matching MRF lines |
$344–$423 | $344–$423 | varies |
| Glycated Protein (82985) | $88 | $88 | 5.3× |
| Gonadotropin Chorionic Qualitative (84703) | $245 | $245 | 32.6× |
| Growth hormone (83003) | $221 | $221 | 13.3× |
| Gtt-added samples (82952) | $133 | $133 | 33.9× |
| Haptoglobin (83010) | $138 | $138 | 11.0× |
| Hdl Cholesterol (83718) | $151 | $151 | 18.4× |
| Helicobacter Pylori Stool (87338) | $423 | $423 | 29.4× |
| Helminth Antibody (86682) | $200 | $200 | 15.4× |
| Hematocrit (85014) range across 5 matching MRF lines |
$35–$48 | $35–$48 | varies |
| Hemoglobin (85018) range across 5 matching MRF lines |
$48–$82 | $48–$82 | varies |
| Hemoglobin a1c (83036) | $239 | $239 | 24.6× |
| Hemoglobin Chromotography (83021) | $162 | $162 | 9.0× |
| Hemoglobin electrophoresis (83020) | $157 | $157 | 12.2× |
| Hemoglobin stability screen (83068) | $210 | $210 | 22.2× |
| Hemosiderin urine (83070) | $77 | $77 | 16.2× |
| Hep a ab igm (86709) | $294 | $294 | 26.1× |
| Heparin assay (85520) | $203 | $203 | 15.5× |
| Hepatitis a antibody total (86708) | $170 | $170 | 13.7× |
| Hepatitis b core ab igm (86705) | $366 | $366 | 31.1× |
| Hepatitis b core ab total (86704) | $198 | $198 | 16.4× |
| Hepatitis B Surface Antibody (86706) | $235 | $235 | 21.9× |
| Hepatitis B Surface Antigen (87340) | $223 | $223 | 21.6× |
| Hepatitis Be Antibody (86707) | $159 | $159 | 13.7× |
| Hepatitis Be Antigen (87350) | $139 | $139 | 12.1× |
| Hepatitis C Antibody (86803) | $303 | $303 | 21.2× |
| Hepatitis C Genotype (87902) | $684 | $684 | 2.7× |
| Hepatitis C Revrs Trnscrpj (87522) range across 2 matching MRF lines |
$288–$701 | $288–$701 | varies |
| Herpes simplex type 2 (86696) | $214 | $214 | 11.1× |
| Heterophile Antibody Screen (86308) | $175 | $175 | 33.8× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $532 | $532 | 68.8× |
| Histoplasma antibody (86698) range across 6 matching MRF lines |
$63–$216 | $63–$216 | varies |
| Histoplasma antigen urine (87385) | $275 | $275 | 20.8× |
| Hiv Genotype (87901) | $871 | $871 | 3.4× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 4 matching MRF lines |
$36–$369 | $36–$369 | varies |
| Hiv-1 Antibody (86701) | $41 | $41 | 4.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) range across 2 matching MRF lines |
$58–$934 | $58–$934 | varies |
| Hla Class I Typing Low Resolution Complete (81372) | $1,386 | $1,386 | 3.4× |
| Hla Class I Typing Low Resolution One Locus Each (81373) | $438 | $438 | 3.4× |
| Hla class i&ii low hla-a -b -c -drb1/3/4/5&dqb (81370) | $1,481 | $1,481 | 3.7× |
| Hla class i/ii antibody qual (86829) | $202 | $202 | 3.1× |
| Hla class ii high defin qual (86833) | $1,138 | $1,138 | 3.5× |
| Hla ii low resolution hla-drb1/3/4/5 and -dqb1 (81375) | $886 | $886 | 4.0× |
| Homocysteine (83090) | $363 | $363 | 20.3× |
| Hpv High-Risk Types (87624) | $437 | $437 | 12.5× |
| Hpv Types 16 & 18 Only (87625) | $215 | $215 | 5.3× |
| Hsv Dna Amp Probe (87529) | $397 | $397 | 11.3× |
| Human Epididymis Protein 4 (86305) | $475 | $475 | 22.8× |
| Hydroxycorticosteroids 17 (83491) | $142 | $142 | 7.9× |
| Hydroxyprogesterone 17-d (83498) | $209 | $209 | 7.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $270 | $270 | 19.4× |
| Iaadi giardia (87269) | $124 | $124 | 9.1× |
| 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) | $119 | $119 | 9.9× |
| Iaadi respiratory synctial virus (87280) | $50 | $50 | 3.7× |
| Iaadi Varicella Zoster Virus (87290) | $113 | $113 | 8.4× |
| Iadna Cytomegalovirus Quantification (87497) | $277 | $277 | 6.5× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $393 | $393 | 5.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $298 | $298 | 8.5× |
| 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 |
$49–$173 | $49–$173 | varies |
| Igg subclasses (82787) | $112 | $112 | 14.0× |
| 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) | $94 | $94 | 3.9× |
| Immunfix e-phorsis/urine/csf (86335) | $164 | $164 | 5.6× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) | $252 | $252 | 13.7× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $343 | $343 | 22.9× |
| Immunoassay nonantibody (83516) | $184 | $184 | 16.0× |
| Immunodiffusion not elsewhere specified (86329) | $153 | $153 | 10.9× |
| Immunodiffusion Ouchterlony (86331) | $63 | $63 | 5.3× |
| Immunoelectrophoresis Other Fluids Concentration (86325) | $158 | $158 | 6.8× |
| Immunofixation electrophoresis (86334) range across 3 matching MRF lines |
$171–$219 | $171–$219 | varies |
| Immunofluorescence per spec 1st singl antb stain (88346) | $591 | $591 | 3.2× |
| Immunohistochemistry (88342) | $588 | $588 | 3.2× |
| In situ hybridization 1st probe stain (88365) | $1,059 | $1,059 | 5.8× |
| 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) | $443 | $443 | 25.7× |
| Insitu hybridization auto (88367) | $746 | $746 | 1.9× |
| Insitu hybridization manual (88368) | $746 | $746 | 1.9× |
| Insulin antibodies (86337) | $132 | $132 | 6.2× |
| Insulin total (83525) | $330 | $330 | 28.9× |
| Intrinsic factor antibody (86340) | $92 | $92 | 6.1× |
| Iron (83540) range across 4 matching MRF lines |
$185–$188 | $185–$188 | varies |
| Islet cell antibody (86341) | $206 | $206 | 8.7× |
| Jak2 gene analysis p.val617phe variant (81270) range across 2 matching MRF lines |
$702–$1,223 | $702–$1,223 | 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) | $165 | $165 | 27.3× |
| Ldh Isoenzymes (83625) | $73 | $73 | 5.7× |
| LDL direct (83721) | $172 | $172 | 16.4× |
| Lead (83655) | $153 | $153 | 12.6× |
| Legionella antigen urine (87449) range across 2 matching MRF lines |
$190–$480 | $190–$480 | varies |
| Leukocyte Assessment Fecal (89055) | $122 | $122 | 28.6× |
| Level I Surg Pathology Gross Examination Only (88300) | $246 | $246 | 7.9× |
| Level ii surg pathology grossµscopic exam (88302) | $393 | $393 | 9.8× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $1,010 | $1,010 | 2.6× |
| Lidocaine (80176) | $173 | $173 | 11.8× |
| Lipase (83690) | $287 | $287 | 41.7× |
| Lipoprotein A (83695) | $184 | $184 | 12.8× |
| Lithium (80178) | $196 | $196 | 29.7× |
| Luteinizing Hormone (Lh) (83002) | $457 | $457 | 24.7× |
| Lyme disease antibody (86618) | $169 | $169 | 9.9× |
| 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) range across 10 matching MRF lines |
$515–$736 | $515–$736 | varies |
| Macroscopic Exam Parasite (87169) | $60 | $60 | 13.9× |
| Magnesium Urine (83735) | $207 | $207 | 30.9× |
| Metabolic panel ionized ca (80047) | $128 | $128 | 9.3× |
| Methotrexate (80204) | $121 | $121 | 3.1× |
| Methylmalonic acid serum (83921) range across 2 matching MRF lines |
$165–$209 | $165–$209 | varies |
| Mgmt methylation analysis (81287) | $558 | $558 | 4.5× |
| Microalbumin, quantitative (82043) | $112 | $112 | 19.4× |
| Microsatellite instability (81301) | $1,091 | $1,091 | 3.1× |
| Microsomal Antibodies Each (86376) | $275 | $275 | 18.9× |
| Mitochondrial Antibody Each (86381) | $149 | $149 | 5.9× |
| Mlh1 Gene (81288) | $482 | $482 | 2.5× |
| Molecular Cytogenetics Dna Probe Each (88271) | $107 | $107 | 5.0× |
| Molecular Pathology Procedure Level 6 (81405) | $551 | $551 | 1.8× |
| Mopath procedure level 4 (81403) range across 2 matching MRF lines |
$463–$737 | $463–$737 | varies |
| Mopath procedure level 5 (81404) | $504 | $504 | 1.8× |
| Mopath procedure level 7 (81406) | $954 | $954 | 3.4× |
| Mrsa Pcr (87641) | $265 | $265 | 7.6× |
| Mumps antibody (86735) | $123 | $123 | 9.4× |
| Mycoplasma antibody (86738) | $89 | $89 | 6.7× |
| Myd88 Gene P.Leu265pro Vrnt (81305) | $440 | $440 | 2.5× |
| Myelin basic protein csf (83873) | $99 | $99 | 5.8× |
| Myoglobin urine (83874) | $119 | $119 | 9.2× |
| Natriuretic peptide (83880) | $318 | $318 | 8.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $371 | $371 | 5.1× |
| Nk cells total count (86357) | $271 | $271 | 7.2× |
| 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) range across 8 matching MRF lines |
$176–$245 | $176–$245 | varies |
| Obstetric panel (80081) | $801 | $801 | 10.7× |
| Occult Blood Other Sources (82271) | $38 | $38 | 7.1× |
| Oligoclonal bands (83916) | $103 | $103 | 3.8× |
| Organic acids urine (83918) | $420 | $420 | 17.8× |
| Osmolality serum (83930) | $117 | $117 | 17.7× |
| Osmolality Urine (83935) | $135 | $135 | 19.8× |
| Osteocalcin (83937) | $139 | $139 | 4.7× |
| Ova and parasites smears (87177) | $188 | $188 | 21.1× |
| Oxalate urine (83945) | $79 | $79 | 5.5× |
| Particle Agglut Antbdy Titr (86406) | $209 | $209 | 19.6× |
| Particle Agglutination Screen Each Antibody (86403) | $119 | $119 | 10.3× |
| Parvovirus antibody (86747) | $190 | $190 | 12.6× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $775 | $775 | 0.9× |
| Pathology Consultation During Surgery (88329) | $165 | $165 | 2.6× |
| Pdgfra Gene Analys Targeted Sequence Analys (81314) | $825 | $825 | 2.5× |
| Ph urine (81003) | $50 | $50 | 22.2× |
| Phenobarbital Level (80184) | $220 | $220 | 14.4× |
| Phenytoin (Dilantin) (80185) | $200 | $200 | 15.1× |
| Phenytoin free (80186) | $46 | $46 | 3.3× |
| Phosphatase acid prostatic (84066) | $83 | $83 | 8.6× |
| Phosphatase alkaline (84075) | $103 | $103 | 19.9× |
| Phosphorus Serum (84100) | $122 | $122 | 25.7× |
| Phosphorus urine (84105) | $49 | $49 | 8.5× |
| Pinworm exam (87172) | $85 | $85 | 19.9× |
| Platelet Aggregation (85576) | $323 | $323 | 13.0× |
| Platelet Antibodies (86022) | $355 | $355 | 19.3× |
| Platelet count automated (85049) | $124 | $124 | 27.7× |
| Platelet neutralization (85597) | $96 | $96 | 5.3× |
| Pml/Raralpha Common Breakpoints Qual/Quant (81315) | $519 | $519 | 2.5× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $60 | $60 | 4.1× |
| Potassium Urine (84133) | $123 | $123 | 26.0× |
| Prealbumin (84134) | $308 | $308 | 21.1× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $354 | $354 | 1.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $132 | $132 | 2.1× |
| Primidone (80188) | $126 | $126 | 7.6× |
| Procalcitonin (Pct) (84145) | $427 | $427 | 15.7× |
| Progesterone (84144) | $431 | $431 | 20.7× |
| Prolactin (84146) | $466 | $466 | 24.0× |
| Protein body fluid (84157) | $53 | $53 | 13.3× |
| Protein C Activity (85303) | $375 | $375 | 27.1× |
| Protein Electrophoresis Urine (84166) | $328 | $328 | 18.4× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 3 matching MRF lines |
$157–$198 | $157–$198 | varies |
| Protein S Free (85306) | $338 | $338 | 22.1× |
| Protein total serum (84155) | $102 | $102 | 27.8× |
| Protein Total Urine (84156) | $128 | $128 | 34.9× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $76 | $76 | 19.3× |
| PSA free (84154) | $170 | $170 | 9.2× |
| Pth Intact (83970) | $657 | $657 | 15.9× |
| Q Fever Antibody (86638) | $51 | $51 | 4.2× |
| Quantiferon tb gold plus (86480) | $443 | $443 | 7.1× |
| Quinidine (80194) | $64 | $64 | 4.4× |
| Rbc antibody elution (86860) range across 2 matching MRF lines |
$357–$381 | $357–$381 | varies |
| Rbc antibody identification (86870) range across 38 matching MRF lines |
$600–$746 | $600–$746 | varies |
| Rbc antibody screen (86850) range across 7 matching MRF lines |
$146–$267 | $146–$267 | varies |
| Rbc pretreatment serum (86978) range across 3 matching MRF lines |
$131–$265 | $131–$265 | varies |
| Rbc pretx incubatj w/enzymes (86971) | $534 | $534 | 2.9× |
| Renin activity plasma (84244) | $259 | $259 | 11.8× |
| Resp virus 12-25 targets (87633) | $1,043 | $1,043 | 2.5× |
| Resp Virus 6-11 Targets (87632) | $738 | $738 | 3.4× |
| Reticulocyte separation (86972) | $186 | $186 | 1.0× |
| Rheumatoid factor quant (86431) | $165 | $165 | 29.1× |
| Rickettsia antibody (86757) | $149 | $149 | 7.7× |
| Rotavirus ag eia (87425) | $257 | $257 | 21.5× |
| Rpr qualitative (86592) | $159 | $159 | 37.2× |
| Rubella Antibody (86762) | $220 | $220 | 15.3× |
| Rubeola antibody (86765) | $177 | $177 | 13.7× |
| Russell Viper Venom Time Diluted (85613) range across 4 matching MRF lines |
$117–$182 | $117–$182 | varies |
| Sars-Cov-2 Covid-19 Amp Prb (87635) range across 7 matching MRF lines |
$170–$250 | $170–$250 | varies |
| Sars-Cov-2 Covid19 W/Optic (87811) range across 3 matching MRF lines |
$103–$109 | $103–$109 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $286 | $286 | 2.0× |
| Sedimentation Rate, Automated (85652) | $137 | $137 | 50.7× |
| Selenium (84255) | $231 | $231 | 9.0× |
| Sensitivity mic (87186) range across 4 matching MRF lines |
$142–$181 | $142–$181 | varies |
| Serum Bactericidal Titer (87197) | $171 | $171 | 11.4× |
| Sex Hormone Binding Globulin (84270) | $368 | $368 | 16.9× |
| Sickling of rbc reduction (85660) | $169 | $169 | 30.7× |
| Sirolimus (80195) | $108 | $108 | 7.9× |
| Skin test tuberculosis intradermal (86580) range across 2 matching MRF lines |
$46–$52 | $46–$52 | varies |
| Smear acid fast (87206) | $124 | $124 | 23.0× |
| Smear gram stain (87205) | $104 | $104 | 24.4× |
| Smear Special Stain (87207) range across 2 matching MRF lines |
$87–$124 | $87–$124 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $561 | $561 | 4.1× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $100 | $100 | 17.2× |
| Sodium Serum (84295) range across 3 matching MRF lines |
$46–$70 | $46–$70 | varies |
| Sodium Urine (84300) | $81 | $81 | 16.0× |
| Soluble Transferrin Receptor (84238) | $148 | $148 | 4.0× |
| Somatomedin (84305) | $292 | $292 | 13.7× |
| Special Stains Group 1 (88312) | $430 | $430 | 7.7× |
| Special Stains Group 2 (88313) | $412 | $412 | 2.9× |
| Spectrophotometry (84311) | $97 | $97 | 12.0× |
| 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) | $623 | $623 | 11.2× |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$718–$748 | $718–$748 | varies |
| Surgical pathology level vi (88309) | $1,491 | $1,491 | 1.7× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) | $40 | $40 | 8.4× |
| Susceptibility Study Antimicrobial Disk Method (87184) | $98 | $98 | 13.1× |
| Sweat Collection Iontophoresis (89230) | $139 | $139 | 2.5× |
| Syphilis Test Non-Trep Quant (86593) range across 2 matching MRF lines |
$145–$164 | $145–$164 | varies |
| T cells absolute cd4 count (86361) | $142 | $142 | 5.3× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $462 | $462 | 9.8× |
| T cells total count (86359) | $352 | $352 | 9.3× |
| T3 Free (84481) | $446 | $446 | 26.3× |
| T3 reverse (84482) | $197 | $197 | 12.5× |
| T3 Total (84480) | $337 | $337 | 23.8× |
| T4 Free (84439) | $281 | $281 | 31.2× |
| T4 total (84436) | $143 | $143 | 20.8× |
| Tacrolimus (80197) | $198 | $198 | 14.4× |
| Testosterone total (84403) range across 3 matching MRF lines |
$12–$517 | $12–$517 | varies |
| Tgsap Solid Organ Neoplasm 5-50 Dna/Dna&Rna Alys (81445) | $2,058 | $2,058 | 3.4× |
| Theophylline (80198) | $277 | $277 | 19.6× |
| Thrombin Time (85670) range across 2 matching MRF lines |
$63–$122 | $63–$122 | varies |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) range across 2 matching MRF lines |
$35–$42 | $35–$42 | varies |
| Thyroglobulin (84432) | $302 | $302 | 18.8× |
| Thyroglobulin Antibody (86800) range across 3 matching MRF lines |
$195–$343 | $195–$343 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $684 | $684 | 13.4× |
| Thyroxine binding globulin (84442) | $167 | $167 | 11.3× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $128 | $128 | 11.1× |
| Tissue culture bone marrow (88237) | $426 | $426 | 3.0× |
| Tobramycin peak (80200) | $180 | $180 | 11.2× |
| Topiramate (80201) | $95 | $95 | 8.0× |
| Touch prep (88161) | $133 | $133 | 4.3× |
| Toxoplasma ab igm (86778) | $231 | $231 | 16.0× |
| Toxoplasma antibody (86777) | $210 | $210 | 14.6× |
| Tp53 gene analysis targeted sequence analysis (81352) | $825 | $825 | 2.5× |
| Transferase Aspartate Amino Ast Sgot (84450) | $175 | $175 | 33.8× |
| Transferrin (84466) range across 3 matching MRF lines |
$268–$283 | $268–$283 | varies |
| Trg gene rearrangement anal (81342) | $810 | $810 | 4.0× |
| Trichomonas vagin dir probe (87660) | $167 | $167 | 8.3× |
| Trichomonas Vaginalis Amplif (87661) | $193 | $193 | 5.5× |
| Triglycerides (84478) | $160 | $160 | 27.9× |
| Troponin Quant (84484) | $371 | $371 | 29.8× |
| Tumor immunohistochem/comput (88361) | $746 | $746 | 1.9× |
| Tumor Immunohistochem/Manual (88360) | $710 | $710 | 3.9× |
| Unlisted Transfusion Medicine Procedure (86999) | $350 | $350 | 11.3× |
| Urea nitrogen urine (84540) | $80 | $80 | 14.4× |
| Uric acid other source (84560) | $115 | $115 | 22.6× |
| Urinalysis Microscopic Only (81015) range across 3 matching MRF lines |
$33–$38 | $33–$38 | varies |
| Urinalysis Volume Measure (81050) | $43 | $43 | 11.8× |
| Urine Bacteria Culture (87088) | $175 | $175 | 21.6× |
| Urine Pregnancy Test (81025) range across 2 matching MRF lines |
$179–$206 | $179–$206 | varies |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $161 | $161 | 50.8× |
| Valproic acid (80164) | $290 | $290 | 21.4× |
| Vancomycin (80202) | $335 | $335 | 24.7× |
| Varicella-zoster antibody (86787) | $214 | $214 | 16.6× |
| Vasopressin (84588) | $156 | $156 | 4.6× |
| Viral Culture (87252) range across 2 matching MRF lines |
$92–$121 | $92–$121 | varies |
| Virus inoculate tissue addl (87253) | $166 | $166 | 8.2× |
| Virus inoculation, shell via (87254) | $70 | $70 | 3.6× |
| Viscosity serum (85810) | $67 | $67 | 5.7× |
| Vit D 1 25-Dihydroxy (82652) | $470 | $470 | 12.2× |
| Vitamin A (84590) | $80 | $80 | 6.9× |
| Vitamin b-12 (82607) | $320 | $320 | 21.2× |
| Vitamin B6 (84207) | $340 | $340 | 12.1× |
| Vitamin c (82180) | $98 | $98 | 9.9× |
| Vitamin D 25-Hydroxy (82306) | $493 | $493 | 16.7× |
| Vitamin E (84446) | $225 | $225 | 15.9× |
| Von willebrand factor ag (85246) | $344 | $344 | 15.0× |
| Xylose Absorption Test (84620) range across 2 matching MRF lines |
$117–$237 | $117–$237 | varies |
| Zinc (84630) | $85 | $85 | 7.5× |
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.