Lab & pathology prices at Nacogdoches Memorial Hospital

Nacogdoches, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
17 Ketogenic steroids (83582) $160 $533 10.3×
Acth (82024) $130 $432 3.4×
Acth Stimulation Panel Adrenal Insufficiency (80400) $52 $174 1.6×
Acute hepatitis panel (80074)
range across 2 matching MRF lines		 $30–$132 $100–$441 varies
Acylcarnitines Quant (82017) $75 $249 4.4×
Adenovirus antibody (86603) $51 $171 4.0×
Afp-l3 fraction isoform & total afp w/ratio (82107) $64 $212 1.0×
Agglutinins Febrile Each Antigen (86000)
range across 5 matching MRF lines		 $11–$12 $36–$39 varies
Albumin Fluid (82042)
range across 2 matching MRF lines		 $22–$57 $73–$189 varies
Albumin serum (82040)
range across 2 matching MRF lines		 $20–$21 $66–$69 varies
Aldolase (82085)
range across 2 matching MRF lines		 $6–$45 $21–$149 varies
Aldosterone urine (82088)
range across 2 matching MRF lines		 $118–$130 $394–$432 varies
Alkaline phosphatase isoenzymes (84080)
range across 2 matching MRF lines		 $35–$61 $117–$202 varies
Allergen specific ige (86003)
range across 2 matching MRF lines		 $6–$84 $20–$280 varies
Allergen specific igg (86001) $9 $30 1.2×
Allg Spec Ige Recomb Ea (86008) $20 $67 1.1×
Alpha-1-antitrypsin total (82103) $59 $197 4.4×
Alpha-Fetoprotein Serum (82105)
range across 2 matching MRF lines		 $11–$70 $35–$233 varies
Alt (sgpt) (84460)
range across 3 matching MRF lines		 $3–$35 $9–$115 varies
Aluminum (82108) $48 $161 1.9×
Amikacin trough (80150) $48 $160 3.2×
Amino Acids 1 Quantitative Each Specimen (82131)
range across 2 matching MRF lines		 $64–$98 $212–$325 varies
Amino Acids Multiple Qualitative Each Specimen (82128)
range across 2 matching MRF lines		 $41–$44 $135–$147 varies
Aminolevulinic acid (ala) (82135) $56 $186 3.4×
Ammonia (82140)
range across 3 matching MRF lines		 $9–$49 $31–$164 varies
Amniotic fluid protein test on cervicovaginal fluid (84112) $109 $362 1.1×
Amylase urine (82150)
range across 7 matching MRF lines		 $3–$48 $11–$159 varies
Ana Titer (86039) $43 $142 3.9×
Analysis skeletal muscle (88355) $82 $273 0.5×
Androstenedione (82157) $71 $236 2.4×
Angiotensin converting enzyme csf (82164)
range across 3 matching MRF lines		 $9–$74 $31–$246 varies
Anti-Phospholipid Antibody (86148) $27 $91 1.7×
Antibody aspergillus (86606) $12 $41 0.8×
Antibody Bacterium Not Elsewhere Specified (86609) $12 $40 0.9×
Antibody Borrelia Burgdorferi Confirmatory Tst (86617) $36 $120 2.3×
Antibody Cytomegalovirus Cmv Igm (86645) $62 $207 3.7×
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $21 $71 1.6×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664)
range across 2 matching MRF lines		 $21–$29 $71–$97 varies
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) $35 $115 1.9×
Antibody Fungus Not Elsewhere Specified (86671) $44 $146 3.6×
Antibody helicobacter pylori (86677)
range across 2 matching MRF lines		 $37–$83 $124–$277 varies
Antibody Herpes Smplx Type 1 (86695) $25 $84 1.9×
Antibody HIV-1&HIV-2 single result (86703)
range across 2 matching MRF lines		 $19–$41 $63–$138 varies
Antibody HIV-2 (86702) $41 $138 3.0×
Antibody identification leukocyte antibodies (86021) $43 $142 2.9×
Antibody john cunningham virus (86711) $495 $1,651 29.3×
Antibody Protozoa Nes (86753) $48 $161 3.9×
Antibody Treponema Pallidum (86780) $26 $88 2.0×
Antibody; influenza virus (86710)
range across 2 matching MRF lines		 $41–$52 $135–$172 varies
Antigen typing (86905)
range across 5 matching MRF lines		 $9–$48 $30–$160 varies
Antinuclear antibodies (86038)
range across 5 matching MRF lines		 $8–$65 $26–$217 varies
Antistreptolysin O Screen (86063) $23 $75 4.0×
Antistreptolysin o titer (86060)
range across 2 matching MRF lines		 $5–$23 $15–$75 varies
Antithrombin iii activity (85300) $77 $255 6.5×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines		 $13–$27 $44–$89 varies
Arsenic (82175)
range across 4 matching MRF lines		 $36–$85 $120–$282 varies
Assay Blood Carbon Dioxide (82374) $25 $83 5.1×
Assay Nephelometry Not Spec (83883)
range across 5 matching MRF lines		 $9–$54 $29–$179 varies
Assay of 5-hiaa (83497) $51 $171 4.0×
Assay of blood/uric acid (84550)
range across 3 matching MRF lines		 $2–$52 $8–$172 varies
Assay of calcium in urine (82340)
range across 2 matching MRF lines		 $24–$25 $79–$82 varies
Assay of cpk in blood (82552) $59 $197 4.4×
Assay of g6pd enzyme (82955) $43 $144 4.4×
Assay of gammaglobulin igm (82784)
range across 6 matching MRF lines		 $48–$50 $160–$168 varies
Assay of lactic acid (83605)
range across 2 matching MRF lines		 $35–$47 $116–$158 varies
Assay of metanephrines (83835)
range across 2 matching MRF lines		 $62–$77 $208–$257 varies
Assay of phosphatase acid total (84060) $23 $75 3.0×
Assay of serotonin (84260) $108 $359 3.5×
Assay of serum potassium (84132)
range across 3 matching MRF lines		 $2–$35 $8–$116 varies
Assay of urea nitrogen (84520)
range across 3 matching MRF lines		 $2–$53 $7–$177 varies
Assay of urine vma (84585) $74 $246 4.8×
Assay of vasoactive intestinal peptide (84586) $37 $124 1.0×
Assay of vitamin b-1 (84425) $88 $292 4.1×
Assay Ph Body Fluid Nos (83986)
range across 4 matching MRF lines		 $15–$27 $51–$89 varies
Autol Bld/Component Collj Storage Predeposited (86890) $221 $735 1.3×
B cells total count (86355) $77 $258 2.0×
Bacterial antigens 87802 (87802) $41 $138 3.2×
Bartonella antibody (86611) $23 $77 2.3×
Beta 2 glycoprotein i antibody each (86146) $35 $116 1.4×
Beta hydroxybutyrate (82010)
range across 2 matching MRF lines		 $8–$25 $25–$83 varies
Beta Lactamase (87185) $7 $23 1.5×
Beta-2 Microglobulin (82232)
range across 2 matching MRF lines		 $59–$81 $196–$270 varies
Bile acids total (82239) $47 $157 2.7×
Bile acids, cholylglycine (82240) $47 $157 1.8×
Bilirubin direct (82248)
range across 2 matching MRF lines		 $3–$23 $9–$75 varies
Bilirubin total (82247)
range across 3 matching MRF lines		 $3–$19 $9–$63 varies
Bilirubin total transcutaneous (88720) $6 $21 1.2×
Blastomyces antibody (86612) $12 $41 0.9×
Bld Bank Phys Svcs Authj Devij Standard Reprt (86079) $30 $99 0.6×
Bld Bank Phys Svcs Diffc Cross Match&/Eval Rep (86077) $30 $100 1.0×
Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) $30 $100 0.2×
Bld Typing Serologic Rh Phnt (86906) $36 $120 4.6×
Bleeding time test (85002) $30 $101 6.2×
Blood Count Automated Differential Wbc Count (85004) $20 $67 3.1×
Blood count reticulocyte automated (85045) $20 $67 5.0×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007)
range across 2 matching MRF lines		 $2–$18 $5–$60 varies
Blood count spun microhematocrit (85013) $18 $61 2.6×
Blood gas (82803) $68 $227 2.6×
Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) $22 $72 1.4×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270)
range across 4 matching MRF lines		 $5–$79 $18–$262 varies
Blood Type Antigen Donor Reagent Serum Each (86902)
range across 6 matching MRF lines		 $20–$70 $67–$233 varies
Blood typing serologic abo (86900)
range across 6 matching MRF lines		 $2–$116 $6–$387 varies
Bone marrow smear interpretation (85097)
range across 2 matching MRF lines		 $39–$510 $129–$1,700 varies
Breath Alcohol Test (82075) $16 $52 0.5×
Brucella antibody (86622)
range across 3 matching MRF lines		 $13–$16 $42–$52 varies
C diff amplified probe (87493)
range across 2 matching MRF lines		 $17–$66 $58–$221 varies
C-Peptide (84681)
range across 2 matching MRF lines		 $34–$89 $113–$296 varies
C-reactive protein (86140)
range across 3 matching MRF lines		 $7–$21 $22–$71 varies
Ca 19-9 (86301) $64 $213 3.1×
Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and… (89049) $151 $504 0.9×
Calcitonin (82308) $113 $378 4.2×
Calcium ionized (82330) $52 $173 3.8×
Calcium total (82310)
range across 3 matching MRF lines		 $3–$56 $10–$187 varies
Calculus Spectroscopy (82365) $56 $186 4.3×
Calprotectin Fecal (83993) $80 $265 4.1×
Cancer Antigen 125 (86304) $64 $213 3.1×
Cancer Antigen 27.29 (86300)
range across 2 matching MRF lines		 $34–$89 $114–$298 varies
Carbamazepine total (80156) $86 $288 5.9×
Carboxyhemoglobin (82375) $72 $240 5.8×
Carcinoembryonic antigen (82378) $81 $271 4.3×
Cardiolipin ab iga (86147) $38 $128 1.5×
Carnitine Quantitative Each Specimen (82379) $67 $222 4.0×
Carotene (82380) $40 $133 4.3×
Catecholamines fractionated (82384) $111 $370 4.4×
Ccp antibody (86200) $18 $60 1.4×
Cell count csf (89051)
range across 3 matching MRF lines		 $5–$35 $15–$117 varies
Cell marker study (88182)
range across 2 matching MRF lines		 $78–$119 $261–$395 varies
Ceruloplasmin (82390) $47 $158 4.4×
Cftr gene com variants (81220) $194 $645 0.3×
Chlamydia antibody (86631) $16 $52 1.4×
Chlamydia Igm Antibody (86632) $16 $52 1.3×
Chloride other source (82438) $23 $75 4.6×
Chloride Serum (82435) $25 $83 5.4×
Chloride urine (82436)
range across 2 matching MRF lines		 $20–$28 $65–$93 varies
Chlorinated Hydrocarbons Screen (82441) $84 $280 14.0×
Cholesterol total (82465)
range across 2 matching MRF lines		 $12–$29 $41–$96 varies
Cholinesterase Serum (82480) $37 $123 4.7×
Chorionic gonadotropin test (84702)
range across 3 matching MRF lines		 $4–$59 $14–$197 varies
Chrmsm Analysis Addl Cells Counted Each Study (88285) $33 $111 1.2×
Chrmsm Analysis Addl Karyotyp Each Study (88280) $55 $182 1.6×
Chromium serum (82495) $65 $217 3.2×
Chromogranin a (86316) $52 $174 2.5×
Chromosome Analysis 15-20 (88262)
range across 3 matching MRF lines		 $162–$197 $539–$658 varies
Chromosome Analysis 20-25 (88264) $197 $658 1.4×
Chromosome analysis, 5 (88261) $161 $536 0.6×
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 4 matching MRF lines		 $17–$55 $57–$182 varies
Citric acid urine (82507)
range across 2 matching MRF lines		 $38–$98 $128–$327 varies
Ckmb (82553)
range across 2 matching MRF lines		 $5–$71 $16–$236 varies
Clostridium Difficile (87324) $30 $101 2.5×
Clot factor xiii fibrin stab (85290) $93 $309 5.7×
Clotting factor xii hageman (85280) $93 $309 4.8×
Coagulation time activated (85347)
range across 2 matching MRF lines		 $48–$50 $159–$167 varies
Coccidioides antibody (86635)
range across 2 matching MRF lines		 $12–$59 $41–$196 varies
Column Chromotography Quant (82542)
range across 2 matching MRF lines		 $74–$140 $246–$467 varies
Compatibility Each Unit Incubation (86921) $136 $452 0.8×
Compatibility test antiglob (86922) $143 $476 0.8×
Complement Antigen Each Component (86160)
range across 4 matching MRF lines		 $54–$72 $179–$240 varies
Complement Total (Ch50) (86162) $76 $252 3.7×
Consltj&Reprt Material Requiring Prepj Slides (88323) $78 $259 1.5×
Consltj&Reprt Slides Prepared Elsewhere (88321) $78 $259 2.1×
Coombs direct (86880)
range across 4 matching MRF lines		 $8–$14 $25–$47 varies
Copper urine (82525) $59 $197 4.8×
Cortisol free (82530) $81 $270 4.8×
Cortisol saliva (82533)
range across 3 matching MRF lines		 $52–$70 $174–$233 varies
Creatine kinase total (82550)
range across 2 matching MRF lines		 $5–$64 $15–$213 varies
Creatinine blood (82565)
range across 3 matching MRF lines		 $3–$25 $9–$84 varies
Creatinine clearance (82575) $95 $318 10.0×
Creatinine Urine (82570)
range across 4 matching MRF lines		 $3–$26 $11–$87 varies
Crossmatch immediate spin (86920) $114 $380 0.7×
Crp High Sensitivity (86141) $28 $94 2.2×
Cryofibrinogen (82585) $11 $36 0.8×
Cryoglobulin (82595) $119 $398 18.4×
Cryptococcus ab (86641)
range across 2 matching MRF lines		 $37–$41 $124–$138 varies
Cryptococcus ag titer (87899)
range across 3 matching MRF lines		 $17–$53 $56–$175 varies
Cryptosporidium ag eia (87328) $28 $93 2.0×
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) $15 $51 1.9×
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076)
range across 2 matching MRF lines		 $5–$11 $18–$38 varies
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $276 $919 1.3×
Culture afb (87116) $61 $204 5.6×
Culture Anaerobic (87075)
range across 2 matching MRF lines		 $8–$58 $26–$194 varies
Culture blood (87040)
range across 2 matching MRF lines		 $5–$98 $17–$326 varies
Culture chlamydia (87110)
range across 2 matching MRF lines		 $19–$57 $62–$189 varies
Culture csf (87070)
range across 26 matching MRF lines		 $4–$61 $14–$202 varies
Culture fungus (87102)
range across 2 matching MRF lines		 $6–$88 $21–$292 varies
Culture screen only (87081)
range across 5 matching MRF lines		 $18–$73 $60–$243 varies
Culture stool (87045)
range across 3 matching MRF lines		 $4–$46 $14–$152 varies
Culture typing if ea antiserum (87140) $9 $30 1.6×
Culture Typing Immunologic Oth/Thn Immunofluores (87147) $25 $83 4.8×
Culture urine (87086)
range across 4 matching MRF lines		 $4–$54 $13–$181 varies
Cyanide (82600) $68 $225 3.5×
Cyclosporine (80158) $85 $282 4.7×
Cystatin C (82610) $46 $154 2.5×
Cytogenetics 100-300 (88275)
range across 2 matching MRF lines		 $55–$166 $183–$552 varies
Cytomegalovirus igg (86644)
range across 2 matching MRF lines		 $28–$108 $92–$361 varies
Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142)
range across 3 matching MRF lines		 $35–$124 $117–$412 varies
Cytopath Cell Enhance Tech (88112) $38 $126 0.7×
Cytopath Fl Nongyn Filter (88106) $37 $124 1.3×
Cytp Concentration Smears & Interpretation (88108) $28 $93 0.7×
Cytp Eval Fine Needle Aspirate Interp & Report (88173) $73 $243 1.4×
Cytp fine ndl aspirate immt cytohist std dx 1st (88172)
range across 2 matching MRF lines		 $31–$119 $103–$395 varies
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) $38 $126 1.0×
Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) $357 $1,191 2.1×
Cytp smrs any oth src extnd std > 5 slides (88162) $59 $195 1.1×
Cytp Smrs Any Oth Src Scr&Interpj (88160) $40 $134 1.4×
Cytp Urine 3-5 Probes Cmptr (88121) $257 $857 1.5×
Detect Agent Nos Dna Amp (87798)
range across 3 matching MRF lines		 $31–$48 $103–$160 varies
Detect Agent Nos Dna Quant (87799)
range across 2 matching MRF lines		 $107–$124 $356–$414 varies
Dhea-S (82627) $55 $182 2.5×
Digoxin (80162)
range across 2 matching MRF lines		 $22–$79 $72–$262 varies
Dna Antibody Native/Double Stranded (86225)
range across 2 matching MRF lines		 $21–$53 $70–$176 varies
Drug assay acetaminophen (80143) $67 $222 3.6×
Drug Assay Lacosamide (80235) $61 $203 2.3×
Drug Screen Quant Clozapine (80159) $41 $135 2.0×
Drug Screen Quantitative Gabapentin (80171) $71 $236 3.3×
Drug Screen Quantitative Lamotrigine (80175) $71 $236 5.4×
Drug Screen Quantitative Levetiracetam (80177) $18 $61 1.4×
Drug Screen Quantitative Oxcarbazepine (80183) $27 $89 2.0×
Drug Screen Quantitative Procainamide Metabolite (80192) $47 $157 2.8×
Drug Test Prsmv Chem Anlyzr (80307)
range across 11 matching MRF lines		 $22–$183 $72–$611 varies
Drug Test Prsmv Dir Opt Obs (80305) $12 $41 1.0×
Ehrlichia antibody (86666) $115 $382 11.3×
Electrolyte panel (80051)
range across 3 matching MRF lines		 $4–$83 $14–$276 varies
Electron Microscopy (88348)
range across 2 matching MRF lines		 $242–$510 $806–$1,700 varies
Enterovirus Antibody (86658) $38 $125 2.9×
Enzyme histochemistry (88319) $510 $1,700 0.6×
Eosinophil Smear (89190) $16 $52 2.8×
Erythropoietin (82668) $96 $321 5.1×
Estradiol serum (82670)
range across 3 matching MRF lines		 $12–$77 $41–$255 varies
Estriol (82677)
range across 2 matching MRF lines		 $22–$28 $72–$94 varies
Estrogen total (82672)
range across 3 matching MRF lines		 $34–$89 $113–$296 varies
Estrogens fractionated (82671) $125 $416 3.9×
Ethosuximide (80168) $39 $130 2.4×
Exam Synovial Fluid Crystals (89060)
range across 2 matching MRF lines		 $14–$16 $46–$52 varies
F2 Gene (81240) $67 $224 1.0×
Factor ix activity (85250) $93 $309 4.9×
Factor v activity (85220) $93 $309 5.3×
Factor v leiden mutation (81241) $173 $576 2.4×
Factor vii assay (85230) $93 $309 5.2×
Factor viii assay (85240) $93 $309 5.2×
Factor X (85260) $93 $309 5.2×
Factor xi activity (85270) $93 $309 5.2×
Fat/Lipids Feces Quantitative (82710) $83 $277 4.9×
Fecal Fat Qualitative (82705) $22 $74 4.3×
Ferritin (82728)
range across 2 matching MRF lines		 $16–$55 $52–$182 varies
Fetal Congenital Abnor Assay Four Anal (81511) $92 $307 0.6×
Fetal Fibronectin (82731) $98 $326 1.5×
Fetal Lung Maturity Fluorescence Polarization (83663) $85 $282 4.5×
Fetal screen rosette (85461) $10 $34 1.1×
Fibrin degradation products (85362)
range across 2 matching MRF lines		 $8–$32 $25–$106 varies
Fibrin Degradation Quant (85379)
range across 2 matching MRF lines		 $5–$66 $18–$219 varies
Fibrinogen activity (85384) $32 $105 3.3×
Flow cytometry first marker (88184)
range across 3 matching MRF lines		 $40–$243 $132–$809 varies
Fluorescent antibody screen (86255)
range across 3 matching MRF lines		 $28–$58 $93–$194 varies
Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256)
range across 8 matching MRF lines		 $30–$192 $100–$640 varies
Folic acid rbc (82747) $73 $242 4.1×
Folic Acid Serum (82746)
range across 2 matching MRF lines		 $25–$61 $82–$202 varies
Follicle Stimulating Hormone (83001)
range across 3 matching MRF lines		 $9–$74 $31–$246 varies
Forensic Cytopathology (88125) $15 $49 0.3×
Francisella tularensis (86668) $43 $143 3.0×
Fresh Frozen Plasma Thawing Each Unit (86927) $117 $390 0.7×
Frozen Blood Each Unit Freezing (86930) $83 $277 0.5×
Frozen blood freeze/thaw (86932) $150 $499 4.0×
Frozen Section (88331) $70 $234 0.4×
Gammaglobulin ige (82785) $61 $202 3.7×
Gardner Vag Dna Quant (87512) $124 $412 3.0×
Gastrin (82941) $73 $242 4.1×
Genet Virus Isolate Hsv (87255) $59 $198 1.7×
Gentamicin (80170) $56 $188 3.4×
Ggt (82977)
range across 2 matching MRF lines		 $16–$20 $52–$65 varies
Giardia antigen (87329) $30 $99 2.5×
Glucose 2 hr pp (82950) $25 $84 5.3×
Glucose Blood Test (82962)
range across 2 matching MRF lines		 $6–$26 $21–$86 varies
Glucose body fluid (82945)
range across 4 matching MRF lines		 $2–$27 $7–$89 varies
Glucose Serum (82947)
range across 6 matching MRF lines		 $2–$24 $7–$79 varies
Glucose tolerance test (gtt) (82951)
range across 2 matching MRF lines		 $22–$88 $72–$292 varies
Glycated Protein (82985) $31 $104 1.8×
Gonadotropin Chorionic Qualitative (84703)
range across 3 matching MRF lines		 $4–$62 $13–$207 varies
Growth hormone (83003) $74 $246 4.4×
Gtt-added samples (82952)
range across 2 matching MRF lines		 $8–$29 $25–$98 varies
H Pylori (C-13) Breath (83013) $148 $494 2.2×
H Pylori Drug Admin (83014) $18 $60 2.3×
Haloperidol (80173) $52 $172 3.3×
Haptoglobin (83010)
range across 2 matching MRF lines		 $16–$55 $52–$182 varies
Hdl Cholesterol (83718) $14 $45 1.7×
Helicobacter Pylori Stool (87338) $59 $197 4.1×
Hematocrit (85014)
range across 3 matching MRF lines		 $14–$16 $4–$52 varies
Hemoglobin (85018)
range across 3 matching MRF lines		 $6–$13 $4–$43 varies
Hemoglobin a1c (83036)
range across 5 matching MRF lines		 $5–$45 $17–$151 varies
Hemoglobin electrophoresis (83020) $62 $205 4.8×
Hemoglobin Methemoglobin Quantitative (83050) $70 $234 8.5×
Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Facility (83037) $16 $52 1.6×
Hemolysin Acid (85475) $15 $51 1.7×
Hep a ab igm (86709) $43 $144 3.8×
Hepatitis a antibody total (86708) $40 $132 3.2×
Hepatitis b core ab total (86704)
range across 2 matching MRF lines		 $17–$43 $56–$144 varies
Hepatitis B Surface Antibody (86706)
range across 3 matching MRF lines		 $37–$41 $124–$136 varies
Hepatitis B Surface Antigen (87340) $41 $136 4.0×
Hepatitis Be Antibody (86707) $51 $171 4.4×
Hepatitis Be Antigen (87350) $51 $171 4.4×
Hepatitis C Antibody (86803)
range across 2 matching MRF lines		 $23–$60 $78–$200 varies
Hepatitis c antibody confirmatory test (86804) $10 $32 0.6×
Hepatitis C Genotype (87902) $250 $833 1.0×
Hepatitis C Revrs Trnscrpj (87522) $120 $399 2.8×
Herpes simplex type 2 (86696)
range across 2 matching MRF lines		 $27–$37 $89–$123 varies
Heterophile Antibody Screen (86308)
range across 3 matching MRF lines		 $5–$26 $17–$86 varies
Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) $24 $81 3.1×
Histamine urine (83088) $87 $289 2.9×
Histoplasma antibody (86698) $61 $202 4.4×
Histoplasma antigen urine (87385) $58 $193 4.4×
Hiv Genotype (87901) $173 $578 0.7×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $41 $138 1.7×
Hiv-1 Antibody (86701) $41 $138 4.6×
Hiv-1 Quant&Revrse Trnscrpj (87536) $116 $388 1.4×
Hla-b27 (86812) $86 $285 3.3×
Homocysteine (83090)
range across 2 matching MRF lines		 $11–$77 $37–$257 varies
Homogenization Tissue (87176) $11 $38 1.9×
Hsv Dna Amp Probe (87529) $48 $160 1.4×
Hydroxycorticosteroids 17 (83491) $61 $202 3.4×
Hydroxyprogesterone 17-d (83498) $43 $142 1.6×
Hydroxyproline total (83505) $69 $229 2.8×
Ia infectious agt antibody sars-cov-2 COVID-19 (86328) $28 $93 0.6×
Iaad Ia Escherichia Coli 0157 (87335) $64 $214 5.1×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426)
range across 2 matching MRF lines		 $25–$28 $83–$93 varies
Iaad ia shiga-like toxin (87427)
range across 2 matching MRF lines		 $6–$41 $20–$138 varies
Iaad Ia Streptococcus Group A (87430)
range across 3 matching MRF lines		 $10–$26 $34–$88 varies
Iaadi Bordetella Prtussis/Paraprtussis (87265) $53 $177 4.4×
Iaadi pneumocustis carinii (87281) $53 $176 4.4×
Iaadi Varicella Zoster Virus (87290) $8 $28 0.6×
Iadna Chlamydia Trachomatis Direct Probe Tq (87490)
range across 2 matching MRF lines		 $47–$56 $158–$185 varies
Iadna Cytomegalovirus Quantification (87497) $143 $477 3.3×
Iadna hepatitis b virus amplified probe tq (87516) $112 $372 3.2×
Iadna Hepatitis B Virus Quantification (87517) $52 $173 1.2×
Iadna HIV-1 amplified probe & reverse transcrpj (87535) $154 $512 4.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 4 matching MRF lines		 $17–$55 $57–$182 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $32 $105 0.6×
Igg subclasses (82787) $24 $79 3.0×
Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344)
range across 2 matching MRF lines		 $74–$100 $248–$333 varies
Immunfix e-phorsis/urine/csf (86335) $40 $134 1.4×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 6 matching MRF lines		 $22–$70 $72–$233 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $39 $129 2.6×
Immunoassay nonantibody (83516)
range across 4 matching MRF lines		 $27–$39 $91–$131 varies
Immunodiffusion Ouchterlony (86331) $11 $36 0.9×
Immunoelectrophoresis Other Fluids Concentration (86325) $70 $234 3.0×
Immunofixation electrophoresis (86334) $98 $327 4.4×
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines		 $82–$132 $272–$441 varies
Immunohistochemistry (88342)
range across 2 matching MRF lines		 $59–$74 $198–$248 varies
In situ hybridization 1st probe stain (88365)
range across 2 matching MRF lines		 $74–$104 $247–$347 varies
In situ hybridization ea multiplex probe stain (88366) $164 $548 1.0×
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428)
range across 2 matching MRF lines		 $45–$79 $151–$262 varies
Infectious Agent Enzymatic Actv Oth/Thn Virus (87905) $22 $72 1.8×
Influenza a/b ag eia (87400) $26 $88 1.8×
Influenza assay w/optic (87804)
range across 5 matching MRF lines		 $26–$43 $88–$144 varies
Influenza DNA amp probe (87502)
range across 2 matching MRF lines		 $77–$163 $257–$542 varies
Inhibin A (86336) $16 $52 1.0×
Inhibin b (83520)
range across 9 matching MRF lines		 $43–$87 $143–$290 varies
Insitu hybridization auto (88367) $65 $217 0.2×
Insitu hybridization manual (88368) $77 $256 0.2×
Insulin antibodies (86337)
range across 2 matching MRF lines		 $12–$36 $40–$121 varies
Insulin total (83525) $58 $193 5.1×
Intrinsic factor antibody (86340) $34 $114 2.3×
Iron (83540)
range across 3 matching MRF lines		 $3–$32 $11–$108 varies
Iron Binding Capacity (83550)
range across 3 matching MRF lines		 $4–$34 $14–$114 varies
Irradiation Blood Product Each Unit (86945) $122 $405 3.3×
Islet cell antibody (86341) $40 $132 1.7×
Ketosteroids 17 total (83586) $59 $197 4.6×
Koh Prep (87220)
range across 2 matching MRF lines		 $12–$17 $41–$57 varies
L/s ratio (83661) $135 $451 6.1×
Lactate (ld) (ldh) enzyme (83615)
range across 3 matching MRF lines		 $3–$35 $9–$116 varies
Lactoferrin fecal qualitative (83630) $58 $193 2.9×
Lactoferrin Fecal Quantitative (83631) $84 $281 4.3×
Ldh Isoenzymes (83625) $58 $194 4.5×
LDL direct (83721)
range across 3 matching MRF lines		 $5–$18 $15–$61 varies
Lead (83655)
range across 6 matching MRF lines		 $20–$37 $65–$124 varies
Legionella antibody (86713) $58 $192 3.8×
Legionella antigen urine (87449) $26 $88 2.2×
Legionella pneumophila dfa (87278) $54 $181 3.5×
Leptospira antibody (86720) $58 $192 3.6×
Leucine Aminopeptidase Lap (83670) $43 $144 4.4×
Leukocyte Assessment Fecal (89055) $16 $54 3.7×
Level I Surg Pathology Gross Examination Only (88300) $16 $52 0.6×
Level ii surg pathology gross&microscopic exam (88302) $41 $136 1.1×
Level V Surg Pathology Gross&Microscopic Exam (88307) $178 $592 0.5×
Lidocaine (80176) $55 $183 3.7×
Lipase (83690)
range across 3 matching MRF lines		 $4–$44 $12–$145 varies
Lipoprotein Blood Electrophorectic Sep&Quan (83700) $106 $353 9.4×
Lipoprotein Blood High Resoltj&Quantj Subclass (83701) $40 $134 1.2×
Lithium (80178)
range across 2 matching MRF lines		 $3–$33 $11–$109 varies
Luteinizing Hormone (Lh) (83002) $74 $246 4.0×
Lyme disease antibody (86618)
range across 3 matching MRF lines		 $29–$61 $98–$203 varies
Lysozyme serum (85549) $44 $145 2.3×
M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377)
range across 2 matching MRF lines		 $124–$239 $413–$797 varies
M/phmtrc alys ishquant/semiq (88374) $199 $662 1.2×
Magnesium Urine (83735)
range across 4 matching MRF lines		 $3–$41 $11–$136 varies
Mass Spectrometry Quant (83789) $51 $170 2.1×
Mercury urine (83825)
range across 4 matching MRF lines		 $31–$64 $103–$212 varies
Metabolic panel ionized ca (80047) $14 $47 1.0×
Methylmalonic acid serum (83921)
range across 2 matching MRF lines		 $37–$84 $123–$281 varies
Microalbumin, quantitative (82043)
range across 3 matching MRF lines		 $4–$31 $12–$102 varies
Microsomal Antibodies Each (86376) $22 $74 1.5×
Molecular Cytogenetics Dna Probe Each (88271)
range across 2 matching MRF lines		 $33–$166 $111–$552 varies
Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) $59 $197 1.4×
Mopath procedure level 2 (81401) $213 $711 1.6×
Morphometric analysis nerve (88356) $137 $455 2.6×
Morphometric Analysis Tumor (88358) $79 $263 0.5×
Mthfr Gene Analysis Common Variants (81291) $107 $355 1.6×
Mumps antibody (86735)
range across 3 matching MRF lines		 $25–$26 $82–$86 varies
Mycoplasma antibody (86738)
range across 3 matching MRF lines		 $6–$49 $20–$163 varies
Mycoplasma culture (87109) $51 $171 3.3×
Myelin basic protein csf (83873) $81 $270 4.7×
Myoglobin urine (83874)
range across 3 matching MRF lines		 $22–$67 $72–$222 varies
Natriuretic peptide (83880)
range across 2 matching MRF lines		 $17–$47 $56–$157 varies
Neisseria Dir Na Probe (87590)
range across 2 matching MRF lines		 $37–$47 $124–$158 varies
Nerve teasing preparations (88362) $125 $418 0.2×
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86408) $26 $87 0.6×
Neutralizing antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»);… (86409) $65 $217 0.8×
Nfct ds chrnc hcv 6 assays (81596) $116 $387 1.6×
Niacin (84591) $19 $62 1.1×
Nickel level (83885) $33 $111 1.3×
Nk cells total count (86357) $29 $98 0.8×
Nuclear antigen antibody (86235)
range across 11 matching MRF lines		 $25–$40 $82–$132 varies
Occult blood feces (82272)
range across 3 matching MRF lines		 $2–$50 $8–$166 varies
Occult Blood Other Sources (82271) $16 $54 3.0×
Oligoclonal bands (83916) $71 $237 2.6×
Organic acids urine (83918) $84 $281 3.6×
Osmolality serum (83930)
range across 2 matching MRF lines		 $3–$22 $9–$74 varies
Osmolality Urine (83935)
range across 2 matching MRF lines		 $3–$34 $9–$114 varies
Osmotic fragility rbc incubated (85557) $69 $229 5.2×
Ova and parasites smears (87177)
range across 2 matching MRF lines		 $12–$41 $40–$138 varies
Oxalate urine (83945)
range across 3 matching MRF lines		 $18–$47 $59–$155 varies
Particle Agglutination Screen Each Antibody (86403)
range across 5 matching MRF lines		 $33–$41 $111–$138 varies
Parvovirus antibody (86747) $61 $203 4.1×
Path Consltj Surg Cytologic Exam Initial Site (88333) $29 $96 0.0×
Pathology Consultation During Surgery (88329) $35 $117 0.6×
Ph urine (81003)
range across 3 matching MRF lines		 $2–$12 $7–$40 varies
Phenobarbital Level (80184) $56 $188 3.7×
Phenytoin (Dilantin) (80185)
range across 2 matching MRF lines		 $22–$81 $72–$270 varies
Phenytoin free (80186) $19 $63 1.4×
Phosphatase acid prostatic (84066) $17 $57 1.8×
Phosphatase alkaline (84075)
range across 2 matching MRF lines		 $3–$18 $9–$61 varies
Phosphorus Serum (84100)
range across 2 matching MRF lines		 $3–$35 $9–$115 varies
Phosphorus urine (84105)
range across 2 matching MRF lines		 $17–$27 $56–$90 varies
Pinworm exam (87172) $17 $56 4.0×
Platelet Antibodies (86022) $82 $273 4.5×
Platelet count automated (85049)
range across 2 matching MRF lines		 $2–$19 $8–$63 varies
Platelet neutralization (85597) $28 $92 1.6×
Porphobilinogen, urine; quantitative (84110)
range across 2 matching MRF lines		 $37 $122–$124 4.4×
Porphyrins Urine Quantitation & Fractionation (84120)
range across 2 matching MRF lines		 $52–$59 $174–$197 varies
Potassium Urine (84133)
range across 3 matching MRF lines		 $17–$27 $56–$90 varies
Prealbumin (84134) $44 $147 3.0×
Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) $42 $140 0.2×
Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970)
range across 4 matching MRF lines		 $17–$31 $55–$102 varies
Primidone (80188) $54 $179 3.3×
Procalcitonin (Pct) (84145) $104 $347 3.8×
Progesterone (84144)
range across 3 matching MRF lines		 $25–$77 $82–$255 varies
Prolactin (84146) $74 $246 3.8×
Protein body fluid (84157)
range across 3 matching MRF lines		 $2–$34 $7–$112 varies
Protein C Activity (85303) $173 $575 12.5×
Protein Electrophoresis Urine (84166)
range across 3 matching MRF lines		 $55–$67 $183–$223 varies
Protein Electrophoretic Fractj&Quantj Serum (84165) $52 $172 4.8×
Protein s total (85305) $107 $356 9.2×
Protein total serum (84155)
range across 2 matching MRF lines		 $2–$57 $7–$189 varies
Protein Total Urine (84156)
range across 4 matching MRF lines		 $2–$57 $7–$189 varies
Prothrombin Time Substitution Plasma Frctj Each (85611) $6 $20 1.5×
Protoporphyrin rbc quantitative (84202)
range across 2 matching MRF lines		 $47 $156–$157 3.3×
PSA free (84154)
range across 2 matching MRF lines		 $9–$25 $30–$84 varies
Pth Intact (83970)
range across 3 matching MRF lines		 $50–$126 $165–$419 varies
Quantiferon tb gold plus (86480)
range across 2 matching MRF lines		 $37–$85 $124–$283 varies
Quantitative assay drug (80299)
range across 6 matching MRF lines		 $44–$121 $147–$402 varies
Quantitative Screen Metals (83018) $30 $101 1.4×
Quinidine (80194) $50 $165 3.4×
Rbc antibody elution (86860) $33 $110 0.2×
Rbc antibody identification (86870)
range across 2 matching MRF lines		 $17–$20 $58–$68 varies
Rbc antibody screen (86850)
range across 3 matching MRF lines		 $6–$25 $21–$82 varies
Rbc pretreatment serum (86978)
range across 5 matching MRF lines		 $20–$35 $67–$115 varies
Rbc pretx incubatj w/enzymes (86971) $108 $361 0.6×
Rbc serum pretx incubj drugs (86975) $17 $57 0.0×
Reagent Strip/Blood Glucose (82948) $6 $21 1.2×
Renin activity plasma (84244) $94 $314 4.3×
Reticulocyte Count Manual (85044) $26 $86 6.0×
Reticulocyte separation (86972)
range across 2 matching MRF lines		 $108–$189 $361–$631 varies
Rh (86901)
range across 5 matching MRF lines		 $2–$35 $6–$118 varies
Rheumatoid Factor Qualitative (86430) $11 $37 1.8×
Rheumatoid factor quant (86431)
range across 2 matching MRF lines		 $3–$21 $11–$71 varies
Rickettsia antibody (86757)
range across 12 matching MRF lines		 $9–$27 $31–$89 varies
Rotavirus ag eia (87425)
range across 2 matching MRF lines		 $6–$64 $19–$214 varies
Rpr qualitative (86592)
range across 4 matching MRF lines		 $4–$31 $14–$103 varies
Rsv Assay W/Optic (87807)
range across 2 matching MRF lines		 $22–$87 $72–$290 varies
Rubella Antibody (86762)
range across 3 matching MRF lines		 $25–$56 $82–$186 varies
Rubeola antibody (86765)
range across 2 matching MRF lines		 $25–$61 $82–$203 varies
Russell Viper Venom Time Diluted (85613) $17 $56 1.8×
Salicylate Level (80179) $61 $203 3.3×
Salmonella antibody (86768) $13 $42 1.0×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines		 $16–$32 $54–$106 varies
Sars-cov-2 COVID-19 antibody (86769)
range across 2 matching MRF lines		 $26–$44 $87–$147 varies
Sars-Cov-2 Covid19 W/Optic (87811) $26 $85 0.6×
Sarscov2 & inf a&b amp prb (87636) $88 $294 0.6×
Sarscov2&inf a&b&rsv amp prb (87637) $88 $294 0.6×
Sedimentation Rate, Automated (85652)
range across 3 matching MRF lines		 $2–$20 $6–$65 varies
Sensitivity mic (87186) $52 $174 6.0×
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19») antibody, quantitative… (86413) $26 $87 0.5×
Sickling of rbc reduction (85660)
range across 2 matching MRF lines		 $11–$14 $35–$45 varies
Skin test tuberculosis intradermal (86580) $6 $20 0.2×
Skin test unlisted antigen each (86486) $3 $11 0.1×
Skin test; histoplasmosis (86510) $4 $13 0.1×
Smear acid fast (87206)
range across 3 matching MRF lines		 $20–$27 $65–$91 varies
Smear complex stain (87209) $52 $173 2.9×
Smear gram stain (87205)
range across 2 matching MRF lines		 $2–$41 $8–$135 varies
Smear Special Stain (87207) $25 $83 4.2×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 5 matching MRF lines		 $2–$18 $8–$59 varies
Sodium Serum (84295)
range across 2 matching MRF lines		 $3–$26 $9–$86 varies
Sodium Urine (84300)
range across 3 matching MRF lines		 $17–$21 $56–$70 varies
Soluble Transferrin Receptor (84238) $81 $269 2.2×
Somatomedin (84305) $53 $177 2.5×
Special Stains Group 1 (88312) $42 $139 0.8×
Special Stains Group 2 (88313)
range across 2 matching MRF lines		 $52–$119 $173–$398 varies
Specific gravity body fluid (84315) $5 $16 1.5×
Spectrophotometry (84311) $49 $162 6.0×
Splitting Blood/Blood Products Each Unit (86985) $67 $223 0.4×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $11 $35 0.1×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines		 $152 $4–$508 16.1×
Strep a assay w/optic (87880)
range across 2 matching MRF lines		 $6–$20 $20–$68 varies
Sugars Single Qual (84376) $22 $74 4.0×
Sulfate urine (84392) $17 $56 3.1×
Surg path level iii (88304) $53 $177 1.0×
Surgical pathology level IV (88305) $171 $569 3.3×
Surgical pathology level vi (88309) $510 $1,700 0.6×
Sweat Collection Iontophoresis (89230) — $4 —
Syphilis Test Non-Trep Quant (86593)
range across 2 matching MRF lines		 $24–$27 $81–$90 varies
T cells absolute cd4 count (86361) $101 $338 3.8×
T Cells Absolute Cd4&Cd8 Count Ratio (86360) $122 $407 2.6×
T3 Free (84481) $78 $261 4.6×
T3 Total (84480)
range across 2 matching MRF lines		 $23–$41 $76–$138 varies
T3 Uptake (84479)
range across 2 matching MRF lines		 $3–$40 $11–$134 varies
T4 Free (84439)
range across 3 matching MRF lines		 $5–$45 $15–$149 varies
T4 total (84436)
range across 3 matching MRF lines		 $4–$64 $12–$212 varies
Tacrolimus (80197) $85 $282 6.2×
Testosterone total (84403)
range across 2 matching MRF lines		 $9–$81 $31–$271 varies
Testosterone, Free (84402)
range across 2 matching MRF lines		 $9–$84 $31–$281 varies
Theophylline (80198) $56 $186 4.0×
Thrombin Time (85670) $17 $57 2.9×
Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) $10 $33 1.5×
Thyroglobulin Antibody (86800)
range across 3 matching MRF lines		 $27–$75 $89–$251 varies
Thyroid Stimulating Immunoglobulin (84445)
range across 2 matching MRF lines		 $115–$121 $382–$402 varies
Tiss Trnsgltmnase Ea Ig Clas (86364)
range across 2 matching MRF lines		 $51–$53 $169–$178 varies
Tissue Culture (88233) $83 $277 0.6×
Tissue Culture Lymphocyte (88230) $193 $643 1.7×
Tobramycin peak (80200) $64 $213 4.0×
Topiramate (80201) $26 $88 2.2×
Touch prep (88161)
range across 2 matching MRF lines		 $14–$40 $47–$134 varies
Toxoplasma ab igm (86778)
range across 3 matching MRF lines		 $30–$58 $101–$192 varies
Toxoplasma antibody (86777)
range across 2 matching MRF lines		 $30–$59 $101–$198 varies
Transferase Aspartate Amino Ast Sgot (84450)
range across 2 matching MRF lines		 $3–$41 $9–$137 varies
Transferrin (84466) $52 $173 4.1×
Trichomonas vagin dir probe (87660) $31 $103 1.5×
Triglycerides (84478)
range across 4 matching MRF lines		 $3–$55 $10–$183 varies
Troponin Quant (84484)
range across 2 matching MRF lines		 $5–$67 $17–$222 varies
Tumor immunohistochem/comput (88361)
range across 2 matching MRF lines		 $70–$105 $233–$350 varies
Tumor Immunohistochem/Manual (88360)
range across 2 matching MRF lines		 $70–$243 $233–$809 varies
Unlisted Transfusion Medicine Procedure (86999)
range across 5 matching MRF lines		 $13–$270 $43–$900 varies
Urea nitrogen urine (84540)
range across 2 matching MRF lines		 $17–$24 $57–$81 varies
Uric acid other source (84560)
range across 4 matching MRF lines		 $17–$24 $56–$81 varies
Urinalysis Microscopic Only (81015)
range across 2 matching MRF lines		 $4–$14 $12–$46 varies
Urinalysis Qual/Semiquant Except Immunoassays (81005) — $4 —
Urinalysis Volume Measure (81050) $6 $19 1.6×
Urine Albumin Semiquantitative (82044) $17 $58 2.7×
Urine Pregnancy Test (81025)
range across 4 matching MRF lines		 $3–$35 $11–$115 varies
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001)
range across 3 matching MRF lines		 $6–$29 $19–$96 varies
Urobilinogen urine qual (84578) $12 $41 2.7×
Valproic acid (80164)
range across 2 matching MRF lines		 $7–$57 $22–$189 varies
Vancomycin (80202)
range across 6 matching MRF lines		 $7–$93 $22–$311 varies
Varicella-zoster antibody (86787)
range across 3 matching MRF lines		 $47–$54 $155–$179 varies
Vasopressin (84588) $121 $404 3.6×
Viral Culture (87252) $107 $355 4.1×
Virus antibody nos (86790)
range across 5 matching MRF lines		 $28–$46 $93–$152 varies
Vit D 1 25-Dihydroxy (82652) $56 $185 1.5×
Vitamin A (84590) $35 $117 3.0×
Vitamin b-12 (82607)
range across 2 matching MRF lines		 $25–$56 $82–$187 varies
Vitamin B6 (84207) $100 $333 3.6×
Vitamin D 25-Hydroxy (82306)
range across 2 matching MRF lines		 $47–$56 $155–$185 varies
Vitamin E (84446) $20 $66 1.4×
Von willebrand factor ag (85246) $55 $182 2.4×
West nile virus ab igm (86788)
range across 2 matching MRF lines		 $28–$30 $93–$100 varies
Xm Archive Tissue Molec Anal (88363) $13 $43 0.4×
Zinc (84630) $39 $131 3.4×

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.