Lab & pathology prices at Our Lady of the Lake Assumption Community Hospital

Napoleonville, LA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acute hepatitis panel (80074) $114.50 $229 2.4×
Agglutinins Febrile Each Antigen (86000) $29 $58 4.2×
Albumin serum (82040) $15 $30 3.0×
Aldosterone urine (82088) $94.50 $189 2.3×
Allergen specific ige (86003)
range across 3 matching MRF lines
$6.50–$34 $13–$68 varies
Alpha-Fetoprotein Serum (82105) $43 $86 2.6×
Alt (sgpt) (84460) $19 $38 3.6×
Amikacin trough (80150) $51.50 $103 3.4×
Ammonia (82140) $56 $112 3.8×
Amylase urine (82150)
range across 2 matching MRF lines
$27–$43 $54–$86 varies
Ana Titer (86039) $112.50 $225 10.1×
Angiotensin converting enzyme csf (82164) $156 $312 10.7×
Antibody Bacterium Not Elsewhere Specified (86609) $236.50 $473 18.4×
Antibody Cytomegalovirus Cmv Igm (86645)
range across 2 matching MRF lines
$31–$66 $62–$132 varies
Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) $62.50 $125 4.8×
Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) $38.50 $77 2.5×
Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665)
range across 2 matching MRF lines
$66.50–$78 $133–$156 varies
Antibody helicobacter pylori (86677) $85.28 $170.55 5.1×
Antibody Herpes Smplx Type 1 (86695) $24.50 $49 1.9×
Antibody Treponema Pallidum (86780)
range across 3 matching MRF lines
$23.50–$98.50 $47–$197 varies
Antinuclear antibodies (86038)
range across 2 matching MRF lines
$42.50–$49.40 $85–$98.80 varies
Antistreptolysin o titer (86060) $15 $30 2.1×
Antithrombin iii activity (85300) $95.68 $191.35 8.1×
Antithrombin iii antigen (85301) $80 $160 7.4×
Apolipoprotein a1 (82172)
range across 2 matching MRF lines
$42–$42.13 $84–$84.25 varies
Arsenic (82175) $59 $118 3.1×
Assay activated protein c (85307) $178.50 $357 11.7×
Assay Blood Carbon Dioxide (82374) $44 $88 9.0×
Assay of blood/uric acid (84550) $15 $30 3.3×
Assay of calcium in urine (82340) $19.50 $39 3.2×
Assay of gammaglobulin igm (82784) $34 $68 3.7×
Assay of lactic acid (83605) $49.50 $99 4.3×
Assay of metanephrines (83835) $40.50 $81 2.4×
Assay of procainamide (80190) $40.50 $81 0.7×
Assay of serum potassium (84132) $19 $38 4.0×
Assay of urea nitrogen (84520) $17.50 $35 4.4×
Assay of vitamin b-1 (84425) $80 $160 3.8×
Assay spec xcp ur&breath ia (82077) $93 $186 5.4×
Automated Leukocyte Count (85048) $13 $26 5.1×
Beta hydroxybutyrate (82010) $34 $68 4.2×
Beta Lactamase (87185) $26 $52 5.5×
Bilirubin direct (82248) $15.50 $31 3.1×
Bilirubin total (82247) $13.50 $27 2.7×
Blood count reticulocyte automated (85045) $15 $30 3.8×
Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) $15 $30 3.9×
Blood gas (82803) $38 $76 1.5×
Blood gases w/02 saturation (82805) $143.50 $287 1.8×
Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) $15 $30 3.4×
Blood Type Antigen Donor Reagent Serum Each (86902) $44.50 $89 7.0×
Blood typing serologic abo (86900) $24 $48 8.0×
C diff amplified probe (87493) $83 $166 2.2×
C-Peptide (84681) $49.50 $99 2.4×
C-reactive protein (86140) $24.50 $49 4.7×
Cadmium (82300) $44 $88 1.9×
Calcium ionized (82330) $49 $98 3.6×
Calcium total (82310)
range across 2 matching MRF lines
$17.50–$22.50 $35–$45 varies
Calculus Xray Diffraction (82370) $32.50 $65 2.6×
Cancer Antigen 27.29 (86300) $73 $146 3.5×
Candida antibody (86628) $26.50 $53 2.2×
Carbamazepine total (80156)
range across 2 matching MRF lines
$20.50–$43.50 $41–$87 varies
Carcinoembryonic antigen (82378) $76.50 $153 4.0×
Ccp antibody (86200) $33.50 $67 2.6×
Cell count csf (89051) $89.50 $179 16.0×
Chemiluminescent assay (82397) $69 $138 4.9×
Chloramphenicol level (82415) $30 $60 2.4×
Chloride other source (82438) $33.50 $67 6.7×
Chloride Serum (82435) $19 $38 4.1×
Cholesterol total (82465) $23 $46 5.3×
Chorionic gonadotropin test (84702) $66.50 $133 4.4×
Chromogranin a (86316)
range across 2 matching MRF lines
$57–$127.50 $114–$255 varies
Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491)
range across 2 matching MRF lines
$44.20–$87.50 $88.40–$175 varies
Ckmb (82553) $36.50 $73 3.2×
Clostridium Difficile (87324) $67.50 $135 5.6×
Clot factor xiii fibrin stab (85290) $112.50 $225 6.9×
Coccidioides antibody (86635) $41 $82 3.6×
Complement Antigen Each Component (86160)
range across 2 matching MRF lines
$48–$63 $96–$126 varies
Coombs direct (86880) $69.50 $139 12.9×
Copper urine (82525) $31.50 $63 2.5×
Cortisol saliva (82533)
range across 2 matching MRF lines
$57–$63 $114–$126 varies
Creatine kinase total (82550) $25 $50 3.8×
Creatinine blood (82565) $20 $40 3.9×
Creatinine clearance (82575) $65 $130 6.9×
Creatinine Urine (82570)
range across 2 matching MRF lines
$15.60–$16.50 $31.20–$33 varies
Crossmatch immediate spin (86920) $47 $94 0.3×
Crp High Sensitivity (86141) $38.50 $77 3.0×
Cryptococcus ag titer (87899)
range across 2 matching MRF lines
$27.55–$31.73 $55.10–$63.45 varies
Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077)
range across 2 matching MRF lines
$34.85–$227 $69.70–$454 varies
Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) $48 $96 5.9×
Cul Typ ID Bld Pthgn 6+ Trgt (87154) $254 $508 1.2×
Culture afb (87116) $50.50 $101 4.7×
Culture blood (87040) $54.60 $109.20 5.3×
Culture csf (87070)
range across 2 matching MRF lines
$37–$40.05 $74–$80.10 varies
Culture fungus (87102) $82 $164 9.8×
Culture screen only (87081) $41.50 $83 6.3×
Culture stool (87045) $44.50 $89 4.7×
Culture Typing Immunologic Oth/Thn Immunofluores (87147)
range across 2 matching MRF lines
$17.50–$25.50 $35–$51 varies
Culture urine (87086) $35 $70 4.3×
Cyclic amp (82030) $50 $100 1.9×
Cyclosporine (80158) $87.50 $175 4.8×
Cytomegalovirus igg (86644)
range across 2 matching MRF lines
$24.50–$58.50 $49–$117 varies
Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) $59 $118 2.2×
Cytp Urine 3-5 Probes Cmptr (88121) $230 $460 1.5×
Deoxyribonuclease antibody (86215) $46 $92 3.5×
Detect Agent Nos Dna Amp (87798)
range across 4 matching MRF lines
$46–$170 $92–$340 varies
Detect Agent Nos Dna Quant (87799) $382.50 $765 8.9×
Dhea (82626) $88.50 $177 3.5×
Dhea-S (82627) $61.50 $123 2.8×
Digoxin (80162) $46.50 $93 3.5×
Diphtheria antitoxoid (86648) $21.50 $43 1.4×
Dna Antibody Native/Double Stranded (86225) $99 $198 7.2×
Drug assay acetaminophen (80143) $100.50 $201 5.4×
Drug Assay Vedolizumab (80280) $188 $376 4.9×
Drug Screen Quantitative Lamotrigine (80175) $56 $112 4.2×
Drug Screen Quantitative Levetiracetam (80177) $56 $112 4.2×
Drug Screen Quantitative Oxcarbazepine (80183) $56 $112 4.2×
Drug Test Prsmv Chem Anlyzr (80307)
range across 8 matching MRF lines
$36–$169 $72–$338 varies
Electrolyte panel (80051) $58.50 $117 8.3×
Enterovirus PCR (87498) $46 $92 1.3×
Enzyme cell activity (82657)
range across 2 matching MRF lines
$89–$107 $178–$214 varies
Eosinophil Smear (89190) $37.50 $75 6.5×
Fat stain feces urine/respir secretions (89125) $31.50 $63 5.4×
Fat/Lipids Feces Quantitative (82710) $78 $156 4.6×
Ferritin (82728) $40 $80 2.9×
Fibrin Degradation Quant (85379) $54 $108 5.3×
Fluorescent antibody screen (86255)
range across 2 matching MRF lines
$100–$102.50 $200–$205 varies
Folic Acid Serum (82746) $41.50 $83 2.8×
Follicle Stimulating Hormone (83001) $57 $114 3.1×
Fungi Identification Yeast (87106)
range across 2 matching MRF lines
$30–$31.50 $60–$63 varies
Gammaglobulin ige (82785)
range across 2 matching MRF lines
$9–$66 $18–$132 varies
Gastrin (82941) $78 $156 4.4×
Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) $475 $950 1.1×
Genet Virus Isolate Hsv (87255) $100.50 $201 3.0×
Gentamicin (80170) $34.50 $69 2.1×
Ggt (82977) $28 $56 3.9×
Giardia antigen (87329) $72.80 $145.60 6.1×
Glucose 2 hr pp (82950) $31 $62 6.5×
Glucose Blood Test (82962) $17.50 $35 5.3×
Glucose body fluid (82945) $41 $82 10.4×
Glucose Serum (82947) $13.50 $27 3.4×
Glucose tolerance test (gtt) (82951) $57 $114 4.4×
Glycated Protein (82985) $127.50 $255 7.6×
Gonadotropin Chorionic Qualitative (84703) $32.50 $65 4.3×
Growth hormone (83003) $41.50 $83 2.5×
Gtt-added samples (82952)
range across 2 matching MRF lines
$27.50–$47.50 $55–$95 varies
H pylri clrthmcn rst amp prb (87513) $557.50 $1,115 15.9×
Hdl Cholesterol (83718)
range across 2 matching MRF lines
$18.50–$35.50 $37–$71 varies
Helicobacter Pylori Stool (87338) $76.50 $153 5.3×
Hematocrit (85014) $11.50 $23 4.9×
Hemoglobin (85018) $18 $36 7.6×
Hemoglobin a1c (83036) $36.50 $73 3.8×
Hemoglobin Chromotography (83021) $62.50 $125 3.5×
Hep a ab igm (86709) $78 $156 6.9×
Hepatitis b core ab total (86704) $40.50 $81 3.4×
Hepatitis B Surface Antibody (86706) $44.73 $89.45 4.2×
Hepatitis B Surface Antigen (87340) $45.50 $91 4.4×
Hepatitis C Antibody (86803) $43.50 $87 3.0×
Hepatitis c antibody confirmatory test (86804) $163 $326 10.5×
Hepatitis C Genotype (87902) $406.50 $813 1.6×
Hepatitis C Revrs Trnscrpj (87522) $140.50 $281 3.3×
Herpes simplex type 2 (86696) $31 $62 1.6×
Heterophile Antibody Screen (86308) $21.50 $43 4.2×
Hexa gene analysis common variants (81255) $623.50 $1,247 12.1×
Histoplasma antibody (86698)
range across 2 matching MRF lines
$43–$60 $86–$120 varies
Hiv Genotype (87901) $1,250 $2,500 4.9×
Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) $57 $114 2.4×
Hiv-1 Antibody (86701)
range across 2 matching MRF lines
$39–$128.50 $78–$257 varies
Hiv-1 Quant&Revrse Trnscrpj (87536) $135 $270 1.6×
Hla-b27 (86812) $130 $260 5.0×
Homocysteine (83090) $85.80 $171.60 4.8×
Hpv High-Risk Types (87624) $168.50 $337 4.8×
Hpv sep hi-rsk typ&pool rslt (87626) $104 $208 1.5×
Hsv Dna Amp Probe (87529)
range across 3 matching MRF lines
$46–$100.50 $92–$201 varies
Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) $48 $96 3.5×
Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) $35 $70 1.0×
Iaad Ia Streptococcus Group A (87430) $39 $78 2.3×
Iaadi not otherwise specified each organism (87299) $28.50 $57 1.8×
Iadna chlamydia pneumoniae amplified probe tq (87486)
range across 2 matching MRF lines
$50–$275.50 $100–$551 varies
Iadna Chlamydia Trachomatis Direct Probe Tq (87490) $44 $88 1.9×
Iadna Cytomegalovirus Amplified Probe Tq (87496) $46 $92 1.3×
Iadna Hepatitis B Virus Quantification (87517) $551.50 $1,103 12.9×
Iadna Herpes Virus-6 Amplified Probe Tq (87532) $46 $92 1.3×
Iadna Mtb Rifampin Resistance Amp Prb Tq (87564) $167.50 $335 2.2×
Iadna Mycobacteria Tuberculosis Amp Prb (87556) $67.50 $135 1.6×
Iadna mycoplsm pneumoniae amplified probe tq (87581) $50 $100 1.4×
Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591)
range across 2 matching MRF lines
$44.20–$87.50 $88.40–$175 varies
Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) $65 $130 1.3×
Igg subclasses (82787) $34 $68 4.2×
Immunfix e-phorsis/urine/csf (86335) $110.50 $221 3.8×
Immunoassay Analyte Quant Radioimmunoassay (83519)
range across 3 matching MRF lines
$60–$1,248 $120–$2,496 varies
Immunoassay Infectious Agent Antibody Quan Nos (86317) $39 $78 2.6×
Immunoassay nonantibody (83516)
range across 4 matching MRF lines
$27.50–$64 $55–$128 varies
Immunofluorescence per spec 1st singl antb stain (88346)
range across 2 matching MRF lines
$122.50–$184 $245–$368 varies
Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent… (87428) $105 $210 1.5×
Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)… (87271) $156 $312 11.6×
Influenza assay w/optic (87804)
range across 2 matching MRF lines
$31–$53.50 $62–$107 varies
Inhibin b (83520)
range across 4 matching MRF lines
$92–$337.50 $184–$675 varies
Insulin antibodies (86337) $80.50 $161 3.8×
Insulin total (83525) $57 $114 5.0×
Iron (83540) $14.50 $29 2.2×
Iron Binding Capacity (83550) $26.50 $53 3.0×
Islet cell antibody (86341) $187.50 $375 8.0×
Lactate (ld) (ldh) enzyme (83615) $19 $38 3.1×
Lactoferrin fecal qualitative (83630) $52 $104 2.6×
LDL direct (83721) $24.50 $49 2.3×
Lead (83655)
range across 2 matching MRF lines
$29.50–$30 $59–$60 varies
Leukocyte Assessment Fecal (89055) $23.40 $46.80 5.5×
Lipase (83690) $53 $106 7.7×
Lipoprotein A (83695) $56 $112 3.9×
Lipoprotein Bld Quan Part (83704) $93.60 $187.20 2.7×
Lithium (80178) $40.50 $81 6.1×
Luteinizing Hormone (Lh) (83002) $50 $100 2.7×
Lyme disease antibody (86618) $93 $186 5.5×
Lysozyme serum (85549) $44 $88 2.3×
Magnesium Urine (83735) $31 $62 4.6×
Mercury urine (83825) $58.50 $117 3.6×
Methotrexate (80204) $107.50 $215 2.8×
Microalbumin, quantitative (82043) $18 $36 3.1×
Microsomal Antibodies Each (86376) $43 $86 3.0×
Mopath procedure level 7 (81406) $2,272 $4,544 8.0×
Mrsa Pcr (87641) $78 $156 2.2×
Mthfr Gene Analysis Common Variants (81291) $598 $1,196 9.2×
Mumps antibody (86735) $60.50 $121 4.6×
Myoglobin urine (83874) $30.50 $61 2.4×
Natriuretic peptide (83880) $130 $260 3.3×
Neisseria Dir Na Probe (87590) $44 $88 1.6×
Nuclear antigen antibody (86235)
range across 4 matching MRF lines
$17.50–$164 $35–$328 varies
Occult blood feces (82272) $15 $30 3.5×
Osmolality serum (83930) $31 $62 4.7×
Osmolality Urine (83935) $31 $62 4.5×
Ova and parasites smears (87177)
range across 2 matching MRF lines
$23.50–$26 $47–$52 varies
Ph urine (81003) $10.50 $21 4.7×
Phenobarbital Level (80184) $43.50 $87 2.8×
Phenytoin (Dilantin) (80185) $43.50 $87 3.3×
Phosphatase alkaline (84075) $44.50 $89 8.6×
Phosphorus Serum (84100)
range across 2 matching MRF lines
$14–$19 $28–$38 varies
Platelet Aggregation (85576) $93.50 $187 3.8×
Platelet count automated (85049) $45.50 $91 10.2×
Porphyrins Urine Quantitation & Fractionation (84120) $67 $134 4.6×
Potassium Urine (84133)
range across 2 matching MRF lines
$19.50–$20 $39–$40 varies
Prealbumin (84134) $35.50 $71 2.4×
Pregnenolone (84140) $91 $182 4.4×
Progesterone (84144) $49.50 $99 2.4×
Prolactin (84146) $50.50 $101 2.6×
Protein body fluid (84157) $42.50 $85 10.6×
Protein C Activity (85303) $74.50 $149 5.4×
Protein Electrophoresis Urine (84166) $62.50 $125 3.5×
Protein Electrophoretic Fractj&Quantj Serum (84165) $39 $78 3.6×
Protein total serum (84155) $43.50 $87 11.9×
Protein Total Urine (84156) $17.50 $35 4.8×
PSA free (84154) $42 $84 2.3×
Pth Intact (83970) $114.50 $229 2.8×
Quantiferon tb gold plus (86480) $140.50 $281 2.3×
Quantitative assay drug (80299)
range across 11 matching MRF lines
$19–$206.50 $38–$413 varies
Rbc antibody identification (86870) $92 $184 0.3×
Rbc antibody screen (86850) $44 $88 4.5×
Renin activity plasma (84244)
range across 2 matching MRF lines
$46–$57 $92–$114 varies
Resp virus 12-25 targets (87633) $600 $1,200 1.4×
Rh (86901) $24 $48 8.0×
Rheumatoid Factor Qualitative (86430) $22 $44 3.6×
Rheumatoid factor quant (86431) $22 $44 3.9×
Rotavirus ag eia (87425) $60.50 $121 5.1×
Rpr qualitative (86592) $23.50 $47 5.5×
Rsv Assay W/Optic (87807) $48 $96 3.7×
Rubella Antibody (86762)
range across 2 matching MRF lines
$24.50–$44 $49–$88 varies
Rubeola antibody (86765) $49.50 $99 3.8×
Salicylate Level (80179) $68 $136 3.6×
Sars-Cov-2 Covid-19 Amp Prb (87635)
range across 3 matching MRF lines
$12.50–$75 $25–$150 varies
Sars-cov-2 COVID-19 antibody (86769) $30 $60 0.7×
Sarscov2&inf a&b&rsv amp prb (87637) $125 $250 0.9×
Sedimentation rate (85651) $12.50 $25 2.9×
Sedimentation Rate, Automated (85652) $12.50 $25 4.6×
Sensitivity mic (87186)
range across 4 matching MRF lines
$22.50–$35.50 $45–$71 varies
Sex Hormone Binding Globulin (84270) $44 $88 2.0×
Sickling of rbc reduction (85660) $17 $34 3.1×
Sirolimus (80195) $62.50 $125 4.6×
Skin test tuberculosis intradermal (86580)
range across 2 matching MRF lines
$22.56–$23.50 $45.12–$47 varies
Smear acid fast (87206)
range across 3 matching MRF lines
$20–$47.50 $40–$95 varies
Smear complex stain (87209) $50.50 $101 2.8×
Smear gram stain (87205) $23.50 $47 5.5×
Smr Prim Src Wet Mount Nfct Agt (87210)
range across 3 matching MRF lines
$15–$41.50 $30–$83 varies
Sodium Serum (84295) $19 $38 4.0×
Sodium Urine (84300) $16.50 $33 3.3×
Sputum Obtaining Spec Aerosol Induced Tx Spx (89220) $25 $50 0.2×
Stool cultr aerobic bact ea (87046)
range across 2 matching MRF lines
$23.40–$47.85 $46.80–$95.70 varies
Strep a assay w/optic (87880) $39 $78 2.4×
Strep b DNA amp probe (87653) $46 $92 1.3×
Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan (86581) $1,426 $2,852 15.5×
Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) $13 $26 2.7×
Susceptibility Study Antimicrobial Disk Method (87184)
range across 2 matching MRF lines
$17–$33.50 $34–$67 varies
Syphilis Test Non-Trep Quant (86593) $69 $138 15.7×
T3 Free (84481) $35.50 $71 2.1×
T3 Total (84480) $31 $62 2.2×
T3 Uptake (84479) $42.65 $85.30 6.6×
T4 total (84436) $13 $26 1.9×
Tacrolimus (80197) $41.50 $83 3.0×
Test for acetone/ketones (82009) $37.50 $75 8.3×
Testosterone total (84403)
range across 2 matching MRF lines
$65–$68 $130–$136 varies
Testosterone, Free (84402) $76.95 $153.90 3.0×
Tetanus antibody (86774) $21.50 $43 1.5×
Theophylline (80198) $49.50 $99 3.5×
Thyroglobulin Antibody (86800) $45.50 $91 2.9×
Tissue culture bone marrow (88237) $147 $294 1.0×
Tissue Culture Lymphocyte (88230) $306 $612 2.6×
Toxoplasma ab igm (86778)
range across 3 matching MRF lines
$24.50–$29.50 $49–$59 varies
Toxoplasma antibody (86777)
range across 2 matching MRF lines
$24.50–$29.50 $49–$59 varies
Transferase Aspartate Amino Ast Sgot (84450) $17.50 $35 3.4×
Transferrin (84466) $32.75 $65.50 2.6×
Triglycerides (84478) $42.50 $85 7.4×
Troponin Quant (84484) $25 $50 2.0×
Urinalysis Microscopic Only (81015) $11.50 $23 3.8×
Urinalysis Volume Measure (81050) $62 $124 17.0×
Urine Bacteria Culture (87088)
range across 2 matching MRF lines
$7–$26 $14–$52 varies
Urine Pregnancy Test (81025) $23.50 $47 2.7×
Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) $19 $38 6.0×
Valproic acid (80164) $49.50 $99 3.7×
Vancomycin (80202) $62.50 $125 4.6×
Varicella-zoster antibody (86787) $42.50 $85 3.3×
Vasopressin (84588) $435 $870 12.8×
Virus antibody nos (86790) $137.50 $275 10.7×
Vit D 1 25-Dihydroxy (82652) $94.50 $189 2.5×
Vitamin A (84590) $42.50 $85 3.7×
Vitamin b-12 (82607)
range across 2 matching MRF lines
$41.50–$42.50 $83–$85 varies
Vitamin B6 (84207) $95.50 $191 3.4×
Vitamin D 25-Hydroxy (82306) $83 $166 2.8×
Vitamin E (84446) $49.50 $99 3.5×
Vkorc1 gene (81355) $427.50 $855 4.8×
West nile virus ab igm (86788) $50 $100 3.0×
West Nile Virus Antibody (86789) $43.50 $87 3.0×
Zinc (84630)
range across 2 matching MRF lines
$35.50–$40.50 $71–$81 varies

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.